Interventional Pain Consultants PA
NPI 1457533937ActiveOrganization· Physician Assistant· Lewiston, ID
Physician Assistant in Lewiston, Idaho, registered in NPPES in November 2007. The authorized official on file is John Thomas Grissom, MD, Owner/Director.
Overview
| NPI | 1457533937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2007 |
| Last updated in NPPES | Nov 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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