BOISE PAIN MANAGEMENT (NPI# 1871856047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871856047 |
| Entity Type | Organization |
| Organization Name | BOISE PAIN MANAGEMENT |
| Other Organization Name | NONE |
| Practice Address |
8950 W Emerald St Ste 150 Boise ID 83704-8296 |
| Practice Telephone | 2083764571 |
| Practice Fax Number | 2083764621 |
| Mailing Telephone | 2083764571 |
| Mailing Fax Number | 2083764621 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | MR. MICHAEL JOSEPH PLYER (NCTMB) |
| Authorized Official Telephone | 2083764571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 155194-00 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| none | Other Name - Individual/Organization |
| Street Address |
8950 W EMERALD ST STE 150 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619110970 | Isucceed Virtual High School | Local Education Agency (LEA) | 8950 W Emerald St Ste 150, Boise, ID 83704-8296 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1326688524 | Justin Kobbe Solace | Massage Therapist | 919 N 27th St Ste A, Boise, ID 83702-2130 | 2020-01-15 |
| 1679111090 | Veronica Renee Roby | Massage Therapist | 2034 E Independence Dr, Boise, ID 83706-5472 | 2019-12-16 |
| 1659838126 | Monica Tenaya | Massage Therapist | 1915 E Roanoke Dr, Boise, ID 83712-7528 | 2019-02-21 |
| 1750846382 | Katheryn Rekow | Massage Therapist | 1390 S Maple Grove Rd # 200, Boise, ID 83709-1610 | 2019-02-07 |
| 1114495868 | Angela Hastings | Massage Therapist | 6901 W Emerald St Ste 206, Boise, ID 83704-8660 | 2018-11-09 |
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1346724366 | Deann L Holexa | Massage Therapist | 4485 N Dresden Pl, Boise, ID 83714-1379 | 2018-09-17 |
| Find all providers in BOISE | ||||
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| 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.