Organization Active NPI

Zoe Interventional Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Idaho Falls, ID
National Provider Identifier
1275723058
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ZOE INTERVENTIONAL PAIN MANAGEMENT, LLC
Practice address
1341 E 17TH St
Idaho Falls, ID 83404-6235
Phone
(208) 523-7246
Fax
(208) 523-7247
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Holly Zoe, MD
Title
Member
Phone
(208) 523-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1341 E 17TH St
Idaho Falls, ID 83404-6235

Mailing address

PO Box 2404
Idaho Falls, ID 83403-2404
Phone (208) 523-7246

National Provider Directory

National Provider Directory

Locations

2377 Coronado St
Ste C
Idaho Falls, ID 83404
Phone (208) 523-7246

36 Professional Plz
#102
Rexburg, ID 83440
Phone (208) 359-9888

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1275723058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2404",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032404",
            "telephone_number": "208-523-7246",
            "fax_number": "208-523-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046235",
            "telephone_number": "208-523-7246",
            "fax_number": "208-523-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "ZOE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-523-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.