GLACIER PEAK PAIN CARE PLLC


Address: 1407 N 2000 W, Clinton, UT 84015-8562
Phone: 3853337123

GLACIER PEAK PAIN CARE PLLC (NPI# 1568909836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568909836
Entity Type Organization
Organization Name GLACIER PEAK PAIN CARE PLLC
Practice Address 1407 N 2000 W
Clinton
UT 84015-8562
Practice Telephone 3853337123
Mailing Telephone 3853337123
Enumeration Date 2017-01-25
Last Update Date 2017-01-25
Authorized Official Name KIRSTEN E BACA (MEMBER)
Authorized Official Telephone 4434133130
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
9777824-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 1407 N 2000 W
City CLINTON
State UT
Zip Code 84015-8562

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871776146 Phyllis M Tronrud Counselor 1407 N 2000 W, Suite D, Clinton, UT 84015-8562 2007-12-10
1437503661 Christine Marie Herzog Coleman Counselor 1407 N 2000 W, Suite D, Clinton, UT 84015-8562 2016-04-13
1962786392 Catherine Dodd Cardon Nurse Practitioner 1407 N 2000 W, Ste B, Clinton, UT 84015-8562 2011-10-04
1356509897 Kirstin E Baca Anesthesiology 1407 N 2000 W, Clinton, UT 84015-8562 2008-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235751900 Roe Rx Inc Pharmacy 145 S 3000 W, West Point, UT 84015 2020-05-15
1619459104 Jaime W Jones Registered Nurse 412 North 4950 West, West Point, UT 84015 2018-08-31
1295272557 Wendy Fleming Registered Nurse 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 2017-01-25
1871041707 Megan Claire Mannen Optometrist 1448 N 2000 W Ste 3, Clinton, UT 84015 2016-09-20
1093118291 April Riney Counselor 189 S State St Ste 235b, Clearfield, UT 84015 2014-10-01
1457779381 Katherine Olsen Registered Nurse 22 S. State St., Clearfield, UT 84015 2014-03-28
1336560218 Lauren April Call Registered Nurse 22 S. State St, Clearfield, UT 84015 2013-12-19
1568803377 John Gaspare Rino Physical Therapist 29 C St, Clearfield, UT 84015 2013-07-09
1912243247 Clinton Dental Group, LLP Dentist 1737 North 2000 West, Suite G, Clinton, UT 84015 2012-12-13
1639441264 Kim I Beus Nurse Practitioner 383 E 1900 S, Clearfield, UT 84015 2012-01-27
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306288964 Center for Pain Management LLC Pain Medicine 7501 Surratts Rd, Suite 202, Clinton, MD 20735-3362 2013-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972862605 Intermountain Pain Management and Injury, Inc Pain Medicine 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 2012-05-15
1285958439 Advanced Spine Pain Specialists Pain Medicine 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 2010-03-17
1619907490 Kyle Shigeru Matsumura Pain Medicine 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 2006-07-04
1326665829 Wasatch Wellness Center LLC Pain Medicine 1215 S 1680 W, Orem, UT 84058-4939 2020-06-30
1689226391 Utah Intermountain Pain Management Pain Medicine 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 2019-07-12
1073959714 Wasatch Sports, Spine & Pain Treatment Center Pllc Pain Medicine 680 E Main St, 202, Lehi, UT 84043-2241 2013-05-21
1841531340 Wasatch Pain Solutions, PC Pain Medicine 661 W 10600 S, South Jordan, UT 84095-8524 2013-03-07
1376821587 Canyon Ridge Pain and Spine PC Pain Medicine 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 2011-07-22
1063721850 Alta Pain Physicians, Pllc Pain Medicine 11333 S 1000 E, #102, Sandy, UT 84094-5428 2010-09-28
1861643330 Craig William Davis Pain Medicine 3181 W 9000 So, West Jordan, UT 84088 2008-10-02
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Competitor

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City CLINTON
Zip Code 84015

Improve Information

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Dataset Information

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.

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