NORTHWEST PAIN MANAGEMENT PC (NPI# 1538219993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538219993 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PAIN MANAGEMENT PC |
| Other Organization Name | INTRACTABLE PAIN CENTERS |
| Practice Address |
1322 E Mcandrews Rd Suite 101 Medford OR 97504-6177 |
| Practice Telephone | 5417701650 |
| Practice Fax Number | 5417732470 |
| Mailing Telephone | 5417701650 |
| Mailing Fax Number | 5417732470 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS JOHN PURTZER (PRESIDENT) |
| Authorized Official Telephone | 5417701650 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
12880 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OREGON WELFARE | 146753 | 01 |
| OR | RAILROAD MEDICARE | DD5160 | 01 |
| Other Name | Type Code |
|---|---|
| Intractable Pain Centers | Doing Business As Name - Organization |
| Street Address |
1322 E MCANDREWS RD SUITE 101 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730144221 | James Alan Frierson | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-04-19 |
| 1174078356 | Care and Counseling Center of Southern Oregon, LLC | Marriage & Family Therapist | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2016-08-17 |
| 1821365677 | Dr Marcy Kyser L.L.C. | Optometrist | 1322 E Mcandrews Rd, Suite 103, Medford, OR 97504-6177 | 2011-11-22 |
| 1568695062 | Lesley Susanne Roberts | Physician Assistant | 1322 E Mcandrews Rd, Suite 202, Medford, OR 97504-6177 | 2009-08-31 |
| 1851529309 | Marcy K Kyser | Optometrist | 1322 E Mcandrews Rd, Suite 103, Medford, OR 97504-6177 | 2009-06-23 |
| 1104064617 | Smj Consulting, Inc | Clinic/Center | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2009-01-22 |
| 1457518771 | Clearly Lasik, Inc. | Ophthalmology | 1322 E Mcandrews Rd, Suite 103, Medford, OR 97504-6177 | 2008-05-22 |
| 1366623738 | Thomas Purtzer | Neurological Surgery | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2007-11-14 |
| 1356520852 | Lance Edward West | Dentist | 1322 E Mcandrews Rd, Suite 102, Medford, OR 97504-6177 | 2007-10-31 |
| 1174537328 | Heather D Strickland | Pediatrics | 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504-6177 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064617 | Smj Consulting, Inc | Clinic/Center | 1322 E Mcandrews Rd, Ste 101, Medford, OR 97504-6177 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755596 | Monarch Health and Wellness LLC | Clinic/Center | 4855 River Rd N, Keizer, OR 97303-4537 | 2020-06-23 |
| 1669875480 | Duncan Health Centers, LLC | Clinic/Center | 11900 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-2976 | 2014-10-07 |
| 1972813962 | Columbia Pain and Spine Institute | Clinic/Center | 689 Nw Burnside Road, Gresham, OR 97030 | 2010-10-08 |
| 1528067758 | South Eugene Surgi-center, LLC | Clinic/Center | 675 E 19th Ave, Eugene, OR 97401-4304 | 2005-07-19 |
| 1215394119 | Revitalize Wellness Center | Clinic/Center | 51577 Columbia River Hwy, Suite C, Scappoose, OR 97056-8409 | 2016-01-22 |
| 1972811842 | Anita J Dekker Md, LLC | Clinic/Center | 3469 Hilyard St, Eugene, OR 97405-3815 | 2010-09-14 |
| 1861650301 | Integrative Wellness Center, LLC | Clinic/Center | 2343 Se 44th Ave, Portland, OR 97215-3721 | 2008-05-31 |
| 1316104615 | Bend Spine & Pain Specialists, LLC | Clinic/Center | 2041 Ne Williamson Ct, Suite B, Bend, OR 97701-3925 | 2008-05-22 |
| 1811920366 | Middle Fork Surgery Center LLC | Clinic/Center | 360 S Garden Way, Suite 100, Eugene, OR 97401-8173 | 2006-07-08 |
Please comment or provide details below to improve the information on NORTHWEST PAIN MANAGEMENT PC.
| 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.