INTERVENTIONAL PAIN CONSULTANTS PA (NPI# 1457533937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457533937 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN CONSULTANTS PA |
| Practice Address |
2841 Juniper Dr Lewiston ID 83501-4719 |
| Practice Telephone | 2087439712 |
| Practice Fax Number | 2087484312 |
| Mailing Telephone | 2087439712 |
| Mailing Fax Number | 2087484312 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | JOHN THOMAS GRISSOM (OWNER/DIRECTOR) |
| Authorized Official Telephone | 2087439712 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629229869 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2008-10-07 |
| 1356353239 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| Street Address |
2841 JUNIPER DR |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760403893 | Craig G Flinders | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-07-22 |
| 1629229869 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2008-10-07 |
| 1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
| 1659493385 | Randall Wayne Harper | Counselor | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-04-04 |
| 1326050204 | Ipc Surgical Center LLC | Clinic/Center | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| 1356353239 | Interventional Pain Consultants Pa | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-12 |
| 1245240761 | Lyndal E Stoutin | Pain Medicine | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509680 | Britney Matthews | Physician Assistant | 5320 Military Rd # 107b, Lewiston, NY 14092-2149 | 2019-07-07 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1649654187 | Danielle Laplante | Physician Assistant | 10 High St Ste 105, Lewiston, ME 04240-7640 | 2015-07-15 |
| 1114989852 | Kristie J Berube | Physician Assistant | 33 Mollison Way, Lewiston, ME 04240-5805 | 2006-04-06 |
| 1669449286 | Alison June Ravis | Physician Assistant | 70 Lincoln St, Mill No. 6, Lewiston, ME 04240-7792 | 2006-03-02 |
| 1225037211 | Matthew P Bureau | Physician Assistant | 70 Lincoln Street, Mill 6, Bates Mill Dermatology, Pllc, Lewiston, ME 04240 | 2005-07-20 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1578119335 | Chelsea Brown | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-08-16 |
| 1689228124 | Danielle R Tourigny | Physician Assistant | 91 Campus Ave, Lewiston, ME 04240 | 2019-08-01 |
| 1316506017 | Joshua Robert Browning | Physician Assistant | 300 Main St, Lewiston, ME 04240-7027 | 2019-06-07 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.