Integrated Functional Medicine, LLC
NPI 1780451864ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Salt Lake City, UT
Pain Medicine, Interventional Pain Medicine in Salt Lake City, Utah, registered in NPPES in December 2023, part of Integrated Functional Medicine, LLC. The authorized official on file is Kirk Wersland, Owner.
Overview
| NPI | 1780451864 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Integrated Functional Medicine, LLC |
| NPI issued | Dec 7, 2023 |
| Last updated in NPPES | Dec 7, 2023 |
| Certified by provider | Dec 6, 2023 |
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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