Innovation Pain Management, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INNOVATION PAIN MANAGEMENT, LLC

Practice address

1988 W 930 N
Suite B
Pleasant Grove, UT 84062-4131

Phone

(801) 899-2053

Fax

(801) 492-7615

NPI assigned

Jun 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan Dee Miller, D.C.

Title

Managing Member

Phone

(801) 899-2053

Specialties & licenses 1

Addresses

Other names 1

• INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1073807939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 W 930 N",
            "address_2": "SUITE B",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624131",
            "telephone_number": "801-899-2053",
            "fax_number": "801-492-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 W 930 N",
            "address_2": "SUITE B",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624131",
            "telephone_number": "801-899-2053",
            "fax_number": "801-492-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-899-2053",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATION PAIN MANAGMENT, LLC-AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Denise Hunt
• Erica Hurd, APRN
• Jacqueline Hyland, CNM
• In2It Medical LLC
• Infinite Quality Care
• Intermountain Orthopedic Care, LLC
• Intuitive Life Balance
• Irock Med Supplies LLC
• Tiffany C. Jackson, LMT
• Erin Jacobi, PTA

• Ambulatory Surgical Clinic/Center in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.