Innovative Pain & Spine Specialists

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

707 Issued in NE

Legal business name

INNOVATIVE PAIN & SPINE SPECIALISTS

Doing business as

Pharma Innovations

Practice address

7121 Stephanie LN Ste 104
Lincoln, NE 68516-5359

Phone

(402) 413-5010

NPI assigned

Nov 27, 2017

Organization subpart

Yes

Parent organization

INNOVATIVE PAIN & SPINE SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Miss Dori J Roth

Title

Practice Administrator

Phone

(402) 413-5010

Specialties & licenses 1

Addresses

Other names 1

• Pharma Innovations Doing business as

Part of

Innovative Pain Specialists

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Innovative Pain & Spine Specialists

  • Interventional Pain Medicine Physician
  • Lincoln, NE
  • NPI 1245692581
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Joseph Zach, MD

  • Interventional Pain Medicine Physician
  • Lincoln, NE
  • NPI 1871889287
  NPD

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1083128250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-413-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN & SPINE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE PAIN &  SPINE SPECIALISTS",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-413-5010",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharma Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Lee Ingwersen
• Maribel Covarrubias Inkelaar
• Inner Clarity Counseling LLC
• Jenny Inness
• Innovative Community Health Institute LLC
• Innovative Pain & Spine Specialists
• Innovative Prosthetics & Orthotics
• Innovative Solutions, LLC
• Inpatient Physician Associates, LLC
• Inspire Allergy and Immunology LLC

• Community/Retail Pharmacy in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.