NPIMap

Organization Active NPI

Interventional Pain Consultants PA

  • Interventional Pain Medicine Physician
  • Lewiston, ID
National Provider Identifier
1356353239
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTERVENTIONAL PAIN CONSULTANTS PA
Practice address
2841 Juniper Dr
Lewiston, ID 83501-4719
Phone
(208) 743-9712
Fax
(208) 298-0212
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Teri A Paluso
Title
Administrator
Phone
(208) 748-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2841 Juniper Dr
Lewiston, ID 83501-4719

Mailing address

2841 Juniper Dr
Lewiston, ID 83501-4719
Phone (208) 743-9712

National Provider Directory

National Provider Directory

Locations

504 Main St
Ste 360
Lewiston, ID 83501
Phone (208) 743-9712

Practitioners & affiliated clinicians

Practitioners 12

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1356353239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014719",
            "telephone_number": "208-743-9712",
            "fax_number": "208-298-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014719",
            "telephone_number": "208-743-9712",
            "fax_number": "208-298-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "PALUSO",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-748-4315"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.