Pain Care Center Boise, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAIN CARE CENTER BOISE, LLC

Doing business as

Pain Care Boise

Practice address

301 W Myrtle St
Boise, ID 83702-7656

Phone

(208) 342-8200

Fax

(208) 343-8202

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

William G Binegar, MDNPI 1457393811

Title

President/Owner

Phone

(208) 342-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain Care Boise Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Pain Care Center Boise LLCCCN 13C0001049

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• William G Binegar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Boise, ID
  • NPI 1457393811
  NPD (past) Authorized official
• Christopher Trotter Vaughan, M.D.

  • Interventional Pain Medicine Physician
  • Boise, ID
  • NPI 1366822926
  NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1619998648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027656",
            "telephone_number": "208-342-8200",
            "fax_number": "208-342-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027656",
            "telephone_number": "208-342-8200",
            "fax_number": "208-343-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE CENTER BOISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "BINEGAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "208-342-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806893300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Care Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Jerome Page, M.D.
• Jamie Jill Page, PA-C
• Maureen Ann Page, OTR/L
• Sean W Page, PA-C
• Theotosca Page, LCSW
• Pain Center Inc
• Charles Painter
• Najla Pajazetovic, DDS
• Jason Lorenzo Palacio, PHARMD
• Joan Palikhel, LPC

• Ambulatory Surgical Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.