OrganizationActive
Idaho Pain Medicine, LLP
NPI 1588832992 · Interventional Pain Medicine Physician · Boise, ID
Provider details
- NPI number
- 1588832992
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shane Maxwell, Co-Owner(208) 323-6273
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8950 W Emerald St Ste 168
Boise, ID 83704-8296
Phone: (208) 323-6273
Fax: (208) 323-6277
Street-level locationGet directions
Mailing address
8950 W Emerald St Ste 168
Boise, ID 83704-8296
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2008-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.