Synergy Pain Management and Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SYNERGY PAIN MANAGEMENT AND REHABILITATION

Practice address

875 E Plaza Dr
Eagle, ID 83616-6548

Phone

(208) 229-7075

Fax

(208) 229-7076

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Ostler, MD

Title

Owner

Phone

(208) 229-7075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1215238795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836160434",
            "telephone_number": "208-229-7075",
            "fax_number": "208-229-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E PLAZA DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166548",
            "telephone_number": "208-229-7075",
            "fax_number": "208-229-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PAIN MANAGEMENT AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "OSTLER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-229-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Swallow, N.D.
• Joel C Swanson, MD
• Brent Symes, DC
• Synergy Health and Wellness
• Synergy Medical Alliance LLC
• Tunde Szekeres
• Table Rock Senior Living LLC
• Elise Talboy, DPT
• Talk Blossom LLC
• Kimberly R Tanabe, M.D.

• Physical Medicine & Rehabilitation Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.