Axis Spine PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

AXIS SPINE PLLC

Practice address

1641 E Polston Ave
Suite 101
Post Falls, ID 83854-7852

Phone

(208) 457-4208

Fax

(208) 457-4197

NPI assigned

Nov 17, 2016

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica JamesonNPI 1669573929

Title

MD / Owner

Phone

(208) 457-4208

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Berryman Jameson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Post Falls, ID
  • NPI 1669573929
  Authorized official Same address or phone
• Colleen Lynn Graey, FNP

  • Nurse Practitioner
  • Post Falls, ID
  • NPI 1407945041
  NPD (past)
• Matthew M. Robbins, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
  • NPI 1255593885
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1962944272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E POLSTON AVE",
            "address_2": "SUITE 101",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547852",
            "telephone_number": "208-457-4208",
            "fax_number": "208-457-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E POLSTON AVE",
            "address_2": "SUITE 101",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547852",
            "telephone_number": "208-457-4208",
            "fax_number": "208-457-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "208-457-4208"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962944272",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Ascencio, LMSW
• Michelle Astle
• At Home Physical Therapy PC
• Atlas Aligned Chiropractic PLLC
• Atlast Chiropractic, PC
• Christine Ayers
• Ben John Baarspul, PHYSICAL THERAPIST
• Travis Reese Babb, BA. MS. BIP
• Erin Bader, LMFT, RN
• James Bailey, MD

• Pain Medicine Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Pain Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.