Active NPI
Rushmore Pain and Medicine Inc
- Pain Medicine (Anesthesiology) Physician
- West Burlington, IA
National Provider Identifier
1861887275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 03673
- Legal business name
- RUSHMORE PAIN AND MEDICINE INC
- Practice address
- 118 W Wheeler St
West Burlington, IA 52655-1245 - Phone
- (319) 209-2226
- Fax
- (319) 209-2228
- NPI assigned
- Apr 2, 2015
- Last updated
- Jun 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey J Juhl, D.O.
- Title
- President
- Phone
- (319) 750-1055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 03673 | IA | Primary |
Addresses
Primary practice location
118 W Wheeler St
West Burlington, IA 52655-1245
Mailing address
118 W Wheeler St
West Burlington, IA 52655-1245
Phone (319) 209-2226
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1861887275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 W WHEELER ST",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551245",
"telephone_number": "319-209-2226",
"fax_number": "319-209-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W WHEELER ST",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551245",
"telephone_number": "319-209-2226",
"fax_number": "319-209-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSHMORE PAIN AND MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-02",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "JUHL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-750-1055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IA",
"license": "03673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.