Shane A Maxwell in Meridian - Interventional Pain Medicine
Shane A Maxwell - NPI 1508825456
Shane A Maxwell is a Interventional Pain Medicine in Meridian, Idaho. Shane A Maxwell practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Shane A Maxwell is 1508825456. The last update date is 2022-07-21.
Shane A Maxwell's current location address is 3551 E Overland Rd, Meridian, Idaho. You can contact this provider via phone number 2088841333 and fax number 2084895188. The mailing address for Shane A Maxwell is 3551 E Overland Rd, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane A Maxwell |
|---|---|
| Address | 3551 E Overland Rd, Meridian, Idaho |
| Phone Number | 2088841333 |
| Fax Number | 2084895188 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1508825456 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3551 E Overland Rd |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426757 |
| Phone Number | 2088841333 |
| Fax Number | 2084895188 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | O0385 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807415700 | ID | -- | |
| 1508825456 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shane A Maxwell by the Centers for Medicare & Medicaid Services?
The Shane A Maxwell has been issued the NPI (National Provider Identifier) 1508825456. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shane A Maxwell's facilities are geographically located?
The facilities of Shane A Maxwell are physically situated at the following location: 3551 E Overland Rd, Meridian, ID, 836426757.
What is the area of specialization for Shane A Maxwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane A Maxwell is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 208Vp0014X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508825456 to Shane A Maxwell?
The Centers for Medicare & Medicaid Services assigned the 1508825456 to Shane A Maxwell on 2006-03-20.
When was the Shane A Maxwell's information last updated?
The Shane A Maxwell's information was last updated on 2022-07-21.