INNOVATIVE PAIN MANAGEMENT CLINIC, INC (NPI# 1740644095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740644095 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PAIN MANAGEMENT CLINIC, INC |
| Practice Address |
916 13th Ave S Great Falls MT 59405-4406 |
| Practice Telephone | 4069520395 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | STEVEN D ORIENTE (OWNER) |
| Authorized Official Telephone | 4069520395 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
916 13TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846284 | Steven Dante Oriente | Anesthesiology | 916 13th Ave S, Great Falls, MT 59405-4406 | 2006-03-27 |
| 1275951691 | Melissa S. Mayer | Counselor | 916 13th Ave S, Great Falls, MT 59405-4406 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912326018 | Kim Delong | Specialist | 1909 W Hill Pl, Great Falls, MT 59404-3042 | 2014-04-16 |
| 1841534112 | Donna M Dawsey | Specialist | 825 9th St S, Great Falls, MT 59405-2135 | 2012-11-26 |
| 1962660845 | Larry Wayne Kincer | Specialist | 1301 Park Garden Rd, Great Falls, MT 59404-3629 | 2008-05-28 |
| 1811014566 | Stephen R Baker | Specialist | 10800 Georgetown Pike, Great Falls, VA 22066-1604 | 2007-03-26 |
| 1073500336 | Antonio Hodges Santin | Specialist | 1600 9th St S, Great Falls, MT 59405-4510 | 2005-10-03 |
| 1528411212 | Atlas Neurology, LLC | Specialist | 401 15th Ave S Ste 101, Great Falls, MT 59405-4372 | 2016-07-18 |
| 1407229412 | Kristina Schuster | Specialist | 1130 17th Ave S, Great Falls, MT 59405-4523 | 2015-11-12 |
| 1407253057 | Az Tech Radiology and Open Mri LLC | Specialist | 11444 Aidan Run Court, Great Falls, VA 22066 | 2014-11-25 |
| 1013329432 | Ashley Pogany | Specialist | 825 9th St S, Great Falls, MT 59405-2135 | 2014-05-21 |
| 1184048993 | Jessica Hansen | Specialist | 1401 25th St S, Great Falls, MT 59405-5183 | 2014-02-13 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on INNOVATIVE PAIN MANAGEMENT CLINIC, INC.
| 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.