Active NPI
Holly Zoe, MD
- Interventional Pain Medicine Physician
- Idaho Falls, ID
National Provider Identifier
1588778708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- SPHY-9902
- Practice address
- 2060 S Woodruff Ave
Idaho Falls, ID 83404-6396 - Phone
- (208) 523-7246
- Fax
- (208) 523-7247
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301088935 | MI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | PENDING | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M-9902 | ID | |
| Interventional Pain Medicine Physician | 208VP0014X | SPHY-9902 | ID | Primary |
Addresses
Primary practice location
2060 S Woodruff Ave
Idaho Falls, ID 83404-6396
Mailing address
PO Box 2404
Idaho Falls, ID 83403-2404
Phone (208) 523-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00472474 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPHY-9902 | ID | MD | Interventional Pain Medicine Physician |
| PENDING | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoe Interventional Pain Management | Past | Accepting new patients | |
| Wisconsin Michigan Physicians, SC | Past | Accepting new patients |
Interoperability endpoints
- holly.zoe@direct.meditouchehr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba East Idaho Interventional Pain Center
- Non-Pharmacy Dispensing Site
- Idaho Falls, ID
- NPI 1851676258
-
- Durable Medical Equipment & Medical Supplies
- Mequon, WI
- NPI 1992274260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1588778708",
"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": "208-523-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046396",
"telephone_number": "208-523-7246",
"fax_number": "208-523-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOE",
"first_name": "HOLLY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301088935",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "PENDING",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "ID",
"license": "M-9902",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "ID",
"license": "SPHY-9902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00472474",
"state": null
}
],
"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 May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.