MAGIC VALLEY PAIN SPECIALISTS, PLLC – NPI #1003564998
Anesthesiology

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.

Health Care Provider Taxonomy Code for Anesthesiology

MAGIC VALLEY PAIN SPECIALISTS, PLLC is an anesthesiologist located in BURLEY, ID. NPPES has assigned the NPI number 1003564998 to MAGIC VALLEY PAIN SPECIALISTS, PLLC on March 10, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 4 years ago on Sep 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAGIC VALLEY PAIN SPECIALISTS, PLLC below.

NPI Profile for
MAGIC VALLEY PAIN SPECIALISTS, PLLC

NPI Number
1003564998
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGIC VALLEY PAIN SPECIALISTS, PLLC
Primary location
1344 HILAND AVE STE A
BURLEY, ID 83318-1564
Phone: (208) 678-7246 Fax:
Mailing address
PO BOX 50979
IDAHO FALLS, ID 83405-0979
Phone: (208) 678-7246 Fax:
Organization Subpart
No
Authorized Official
TYLER ROE
OWNER
Phone: (208) 678-7246
Updated
Certification Date
Sep 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.