ZOE INTERVENTIONAL PAIN MANAGEMENT (NPI# 1851676258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851676258 |
| Entity Type | Organization |
| Organization Name | ZOE INTERVENTIONAL PAIN MANAGEMENT |
| Other Organization Name | EAST IDAHO INTERVENTIONAL PAIN CENTER |
| Practice Address |
1341 E 17th St Idaho Falls ID 83404-6235 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2085237246 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | HOLLY ZOE (OWNER) |
| Authorized Official Telephone | 2085237246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ZOE INTERVENTIONAL PAIN MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| East Idaho Interventional Pain Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
| Street Address |
1341 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275723058 | Zoe Interventional Pain Management, LLC | Anesthesiology | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2007-07-27 |
| 1356688998 | Maryia Lindsay Roberts | Reflexologist | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2013-01-15 |
| 1629351614 | Weldon T Richardson IIi | Physician Assistant | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307885 | Mederx, LLC | Non-Pharmacy Dispensing Site | 922 W Colchester Dr, Eagle, ID 83616-5892 | 2014-08-28 |
| 1114299666 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 14 S Baltic Pl, Meridian, ID 83642-5935 | 2012-01-30 |
| 1821342247 | Madison Memorial Hospital | Non-Pharmacy Dispensing Site | 450 E Main St, Rexburg, ID 83440-2048 | 2012-11-07 |
| 1114290566 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 5216 Cleveland Blvd, Caldwell, ID 83607-8123 | 2012-02-15 |
| 1598035917 | P. Roman Burk Dpm, PC | Non-Pharmacy Dispensing Site | 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | 2012-01-02 |
| 1649556325 | Pain Center, Inc. | Non-Pharmacy Dispensing Site | 1673 W Shoreline Dr, Ste 140, Boise, ID 83702-6750 | 2011-10-26 |
| 1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
| 1326322843 | Upper Valley Family Medicine Pllc | Non-Pharmacy Dispensing Site | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2011-10-03 |
| 1144504663 | Advanced Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 950 Hospital Way, Pocatello, ID 83201-2789 | 2011-10-03 |
| 1437432267 | Advanced Healthcare Solutions, LLC | Non-Pharmacy Dispensing Site | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on ZOE INTERVENTIONAL PAIN MANAGEMENT.
| 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.