Grizzly Spine Pain and Rehab, PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

10947 Issued in MT

Legal business name

GRIZZLY SPINE PAIN AND REHAB, PC

Practice address

3 Meridian CT
Suite 2
Kalispell, MT 59901-4240

Phone

(406) 755-4488

Fax

(406) 755-4481

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Scott Richard Jahnke, DONPI 1336250208

Title

Doctor - Owner

Phone

(406) 755-4488

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Scott Richard Jahnke, DO

  • Interventional Pain Medicine Physician
  • Kalispell, MT
  • NPI 1336250208
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1104097351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERIDIAN CT",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014240",
            "telephone_number": "406-755-4488",
            "fax_number": "406-755-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERIDIAN CT",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014240",
            "telephone_number": "406-755-4488",
            "fax_number": "406-755-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIZZLY SPINE PAIN AND REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "JAHNKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR - OWNER",
        "authorized_official_telephone_number": "406-755-4488",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MT",
            "license": "10947",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Griffin, STUDENT
• Robert J Griffin, PAC
• Douglas L Griffith, MD
• Jenna Lee Grilley, PA-C
• Katie Lynn Grilley, PHARMD
• Jacob H Groh, DPT
• Cynthia Mellis Grossman, MS, PHD
• Linda L Grossman, NP
• Evelina Groszewski, BC-HIS
• Keaton S Grove, DPT

• Pain Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Pain Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.