Individual provider Active NPI

Holly Zoe, MD

  • Interventional Pain Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1588778708
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
SPHY-9902 Issued in ID
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

Updated by the provider on May 6, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00472474OtherRAILROAD 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

LicenseStateTypeSpecialty
SPHY-9902IDMDInterventional Pain Medicine Physician
PENDINGWIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Interventional Pain Management Past Accepting new patients
Wisconsin Michigan Physicians, SC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.