1306291836 NPI number — IDAHO SPINE & PAIN PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306291836 NPI number — IDAHO SPINE & PAIN PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IDAHO SPINE & PAIN PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306291836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1859 S TOPAZ WAY STE 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERIDIAN
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83642-4401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-672-4640
Provider Business Mailing Address Fax Number:
208-957-6300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1859 S TOPAZ WAY STE 106
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERIDIAN
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83642-4401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-672-4640
Provider Business Practice Location Address Fax Number:
208-957-6300
Provider Enumeration Date:
05/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ZARSE
Authorized Official First Name:
KARL
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
208-672-4640

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  M13074 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P01568801 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 329858YP64 . This is a "MEDICARE TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: M13074 . This is a "IDAHO STATE BOARD OF MEDICINE" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".




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