Idaho Pain Medicine, LLP
NPI 1588832992ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Boise, ID
Pain Medicine, Interventional Pain Medicine in Boise, Idaho, registered in NPPES in February 2008. The authorized official on file is Shane Alan Maxwell, DO, Co-Owner.
Overview
| NPI | 1588832992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2008 |
| Last updated in NPPES | Feb 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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