NPIMap

Organization Active NPI

Intermountain Pain Management and Injury, Inc,

Doing business as Intermountain Pain and Injury

  • Interventional Pain Medicine Physician
  • Taylorsville, UT
National Provider Identifier
1972862605
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTERMOUNTAIN PAIN MANAGEMENT AND INJURY, INC,
Doing business as
Intermountain Pain and Injury
Practice address
6575 S Redwood Rd
St 201
Taylorsville, UT 84123-5688
Phone
(801) 262-9600
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mr. Adam Edson
Title
Administrator
Phone
(801) 510-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

6575 S Redwood Rd
St 201
Taylorsville, UT 84123-5688

Mailing address

6575 S Redwood Rd
St 201
Taylorsville, UT 84123-5688
Phone (801) 262-9600

Other names 1

  • Intermountain Pain and Injury Doing business as

National Provider Directory

National Provider Directory

Locations

6575 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 262-9600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1972862605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD",
            "address_2": "ST 201",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235688",
            "telephone_number": "801-262-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 S REDWOOD RD",
            "address_2": "ST 201",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235688",
            "telephone_number": "801-262-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN PAIN MANAGEMENT AND INJURY, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "EDSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-510-1538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Pain and Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.