Organization Active NPI

Rushmore Pain and Medicine Inc

  • Pain Medicine (Anesthesiology) Physician
  • West Burlington, IA
National Provider Identifier
1861887275
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
03673 Issued in IA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.