SHANE A. MAXWELL D.O. – NPI #1508825456
Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
SHANE MAXWELL is a physician located in MERIDIAN, ID. NPPES has assigned the NPI number 1508825456 to SHANE MAXWELL on March 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine
The NPI profile was previously updated about 4 years ago on Jul 21, 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 SHANE MAXWELL below.
NPI Profile for
SHANE A. MAXWELL
(more than 20 years ago)
MERIDIAN, ID 83642-6757 Phone: (208) 884-1333 Fax: (208) 489-5188
BOISE, ID 83701-1128 Phone: (208) 381-2222 Fax: (208) 463-3044
Identifiers for SHANE MAXWELL
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | ID | 807415700 | |
| MEDICAID | ID | 1508825456 |
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 |
|---|---|---|
| 208VP0014X - Pain Medicine / Interventional Pain Medicine (Primary) |
ID | O0385 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SHANE MAXWELL is affiliated with the following medical group(s):
- HOSPITAL
- ST LUKE'S NAMPA MEDICAL CENTER9850 WEST ST LUKES DRIVE
NAMPA, ID 83687 - ST LUKE'S REGIONAL MEDICAL CENTER190 EAST BANNOCK STREET
BOISE, ID 83712
- ST LUKE'S NAMPA MEDICAL CENTER9850 WEST ST LUKES DRIVE
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