Idaho Pain Center and Anesthesia PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

329116-1204 Issued in UT

Legal business name

IDAHO PAIN CENTER AND ANESTHESIA PC

Doing business as

Raymond L. Bedell, DO

Practice address

286 N Gateway Dr
Providence, UT 84332-9733

Phone

(435) 755-9184

Fax

(435) 755-9148

NPI assigned

Oct 17, 2007

Last updated

Jul 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanna Bedell

Title

Accounts Manager

Phone

(435) 755-0964

Specialties & licenses 2

Addresses

Other names 1

• RAYMOND L. BEDELL, DO Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanette C Hepburn, APRN

  • Nurse Practitioner
  • Providence, UT
  • NPI 1922246487
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1255520037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE 201",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-755-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329733",
            "telephone_number": "435-755-9184",
            "fax_number": "435-755-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO PAIN CENTER AND ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "435-755-0964"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "UT",
            "license": "329116-1204",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "329116-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYMOND L. BEDELL, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Patterson Houston, PH.D.
• Mauri Layne Howell
• Daniel J Huff, DPM
• Makara Morgan Humes, RBT
• Kenidee Hyde
• Integrity Chiropractic
• Intermountain Spine and Pain Center
• Interwest Anesthesia Associates LLC
• James Dennis Mathews, D.O., P.C.
• Travis James, DO

• Pain Medicine Physician in Providence, UT
• Providers in Providence, UT by specialty
• Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.