ADVANCED PAIN MANAGEMENT PLLC – NPI #1114171519
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.

ADVANCED PAIN MANAGEMENT PLLC is an anesthesiologist located in MERIDIAN, ID. NPPES has assigned the NPI number 1114171519 to ADVANCED PAIN MANAGEMENT PLLC on November 11, 2008. 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 15 years ago on Nov 23, 2011. 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 ADVANCED PAIN MANAGEMENT PLLC below.

NPI Profile for
ADVANCED PAIN MANAGEMENT PLLC

NPI Number
1114171519
Enumeration Date

(more than 17 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
ADVANCED PAIN MANAGEMENT PLLC
Primary location
2275 SO EAGLE RD
SUTE 160
MERIDIAN, ID 83642
Phone: (208) 947-2266 Fax: (208) 947-2267
Mailing address
6140 CURTISIAN AVE
SUITE 400
BOISE, ID 83704-8880
Phone: (208) 327-5600 Fax: (208) 367-2968
Organization Subpart
No
Authorized Official
MICHAEL SEVERSON
MEMBER
Phone: (208) 880-9464
Updated
Identifiers

Identifiers for ADVANCED PAIN MANAGEMENT PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID808339800
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.