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ADVANCED PAIN MANAGEMENT PLLC
NPI 1114171519
Anesthesiology - Pain Medicine in Meridian, ID

Active since November 11, 2008
2275 SO EAGLE RD, SUTE 160, MERIDIAN, ID 83642(208) 947-2266(208) 947-2267 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Pain Management Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PAIN MANAGEMENT PLLC (NPI 1114171519) is a healthcare organization registered as a pain medicine in Meridian, Idaho and active in the NPI registry since November 2008. The organization lists Michael Dale Severson, Member, as its authorized official.

NPPES Registry Identity

NPI1114171519
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameADVANCED PAIN MANAGEMENT PLLC
Location Address2275 SO EAGLE RD, SUTE 160Meridian, ID 83642
Mailing Address6140 Curtisian Ave, Suite 400Boise, ID 83704-8880 · (208) 327-5600 · Fax (208) 367-2968
Phone(208) 947-2266
Fax(208) 947-2267
Organization SubpartNo
Authorized OfficialMichael Dale SeversonMember · (208) 880-9464
Enumeration DateNovember 11, 2008
Last NPPES UpdateNovember 23, 2011
✔ NPI 1114171519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2275 SO EAGLE RD, Meridian, ID 83642
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Other Identifiers 3

Medicare PINDO8773
Medicaid808339800ID
Medicare PIN1369002

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Pain Management PLLC's NPI number?

The NPI number for Advanced Pain Management PLLC is 1114171519. It was assigned to this organization in the NPPES registry on November 11, 2008.

Where is Advanced Pain Management PLLC located?

Advanced Pain Management PLLC is located at 2275 So Eagle Rd Sute 160, Meridian, ID 83642. The listed phone number is (208) 947-2266.

What is Advanced Pain Management PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Advanced Pain Management PLLC was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.