INTERVENTIONAL PAIN CONSULTANTS PA
NPI 1457533937
Physician Assistant in Lewiston, ID

Q: What is Interventional Pain Consultants PA's NPI number?

The NPI number for Interventional Pain Consultants PA is 1457533937. It was assigned to this organization in the NPPES registry on November 27, 2007.

Q: What is Interventional Pain Consultants PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 27, 2007

2841 JUNIPER DR, LEWISTON, ID 83501(208) 743-9712(208) 748-4312 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Interventional Pain Consultants Pa NPPES

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

INTERVENTIONAL PAIN CONSULTANTS PA (NPI 1457533937) is a healthcare organization registered as a physician assistant in Lewiston, Idaho and active in the NPI registry since November 2007. The organization lists John Thomas Grissom, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1457533937

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameINTERVENTIONAL PAIN CONSULTANTS PA

Location Address2841 JUNIPER DRLewiston, ID 83501-4719

Mailing Address2841 Juniper DrLewiston, ID 83501-4719 · (208) 743-9712 · Fax (208) 748-4312

Phone(208) 743-9712

Fax(208) 748-4312

Organization SubpartNo

Authorized OfficialJohn Thomas GrissomOwner/director · (208) 743-9712

Enumeration DateNovember 27, 2007

✔ NPI 1457533937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2841 JUNIPER DR, Lewiston, ID 83501

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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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARRETT ALAN MOCKLER MD

Family Medicine