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AXIS SPINE PLLC NPI 1962944272


NPI Information

NPI: 1962944272
Provider Name: AXIS SPINE PLLC
Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 13D2123963

Address:
1641 E POLSTON AVE
SUITE 101
POST FALLS, ID
ZIP 83854
Phone: (208) 457-4208
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AXIS SPINE PLLC is a pain medicine pain medicine in Post Falls, ID. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. AXIS SPINE PLLC NPI is 1962944272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1641 E POLSTON AVE
SUITE 101
POST FALLS, ID
ZIP 83854-852
Phone: (208) 457-4208
Fax: (208) 457-4197

The provider's authorized official is Jessica Jameson .
The authorized official title is Md / Owner and has the following contact phone number (208) 457-4208.

The CLIA number assigned to this NPI record is 13D2123963 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 4/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208600000XSurgeryNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6208VP0000XPain MedicinePain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11962944272MEDICAIDIDAHO
220011051MEDICARE OSCAR/CERTIFICATIONIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.