INTERVENTIONAL SPINE & PAIN MANAGEMENT


Address: 5801 S Fashion Blvd Ste 180, Murray, UT 84107-8135
Phone: 8012627246

INTERVENTIONAL SPINE & PAIN MANAGEMENT (NPI# 1609204338) 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) 1609204338
Entity Type Organization
Organization Name INTERVENTIONAL SPINE & PAIN MANAGEMENT
Practice Address 5801 S Fashion Blvd Ste 180
Murray
UT 84107-8135
Mailing Address 274 N Main St
Logan
UT 84321-3915
Practice Telephone 8012627246
Mailing Telephone 4357531600
Mailing Fax Number 4357539521
Enumeration Date 2013-10-15
Last Update Date 2019-11-21
Authorized Official Name DR. VIKAS GARG (OWNER)
Authorized Official Telephone 8012627246
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1276 Wall Ave Ste 2, Ogden, UT 844045673 8012627246
13953 S Bangerter Pkwy, Draper, UT 840205429 8012627246
2380 N 400 E Ste A, North Logan, UT 843411756 4357139681 4357531201
346 E State Rd, Pleasant Grove, UT 840623617 8012627246
900 Round Valley Dr Ste 120, Park City, UT 840607552 8012627246

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992342414 Interventional Spine & Pain Management Pain Medicine 1276 Wall Ave Ste 2, Ogden, UT 84404-5673 2019-12-03

Office Location

Street Address 5801 S FASHION BLVD STE 180
City MURRAY
State UT
Zip Code 84107-8135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568942480 Ivonne A Rodriguez Physician Assistant 5801 S Fashion Blvd Ste 180, Murray, UT 84107-8135 2018-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952865412 Avail Medical LLC Anesthesiology 5742 S 1475 E Ste 200, South Ogden, UT 84403-4856 2019-01-29
1033597257 Ashley Renee Donaldson Anesthesiology Spinal Interventions, 280 W River Park Drive Suite 200, Provo, UT 84604 2015-05-07
1225387491 Clinton D. Olsen Anesthesiology 280 W River Park Dr, Suite 200, Provo, UT 84604-5793 2012-09-04
1134429384 Intermountain Medical Monitoring LLC Anesthesiology 1306 Deer Crest, Fruit Heights, UT 84037 2010-10-21
1861622219 Jeremy Joyal Anesthesiology 11760 S 700 E Ste 112, Draper, UT 84020-6605 2009-07-20
1205058294 Joseph Courtney Empey Anesthesiology 617 E Riverside Dr Ste 301, St George, UT 84790-8722 2007-05-02
1962439570 Gordon Petty George, Md, PC Anesthesiology 800 N 700 W, Ste 340a, Orem, UT 84057 2006-06-27
1770558090 Bryan C Hoelzer Anesthesiology 320 River Park Dr Ste 255, Provo, UT 84604 2006-02-21
1164421053 Dale Gerald Stott Anesthesiology 301 N 200 E, Suite 2a, St George, UT 84770-3010 2005-07-21
1437627080 Advanced Spine and Pain Pllc Anesthesiology 11760 S 700 E Ste 112, Draper, UT 84020-6605 2018-11-12
Find all providers with the same taxonomy

Competitor

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City MURRAY
Zip Code 84107

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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