Organization Active NPI

Zoe Interventional Pain Management

  • Non-Pharmacy Dispensing Site
  • Idaho Falls, ID
National Provider Identifier
1851676258
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ZOE INTERVENTIONAL PAIN MANAGEMENT
Doing business as
East Idaho Interventional Pain Center
Practice address
1341 E 17TH St
Idaho Falls, ID 83404-6235
Phone
(208) 523-7246
NPI assigned
Oct 17, 2011
Organization subpart
Yes
Parent organization
ZOE INTERVENTIONAL PAIN MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Holly Zoe, MDNPI 1588778708
Title
Owner
Phone
(208) 523-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

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

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • East Idaho Interventional Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zoe Interventional Pain Management LLC2 organizations share this tax ID, including this one
Part of
Zoe Interventional Pain Management LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1341 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-7246

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1851676258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE INTERVENTIONAL PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZOE INTERVENTIONAL PAIN MANAGEMENT",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ZOE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Idaho Interventional Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2011; 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.