Search icon

AXIS SPINE PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: AXIS SPINE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2016 (9 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 524841
Place of Formation: IDAHO
File Number: 524841
ZIP code: 83835
County: Kootenai County
Principal Address: PO BOX 1119 HAYDEN, ID 83835
Mailing Address: AMY REYNOLDS PO BOX 1119 HAYDEN, ID 83835-1119

Agent

Name Role Address
JESSICA JAMESON Agent 1641 E POLSTON AVE, STE 101, AMY REYNOLDS, POST FALLS, ID 83854

Member

Name Role Address Appointed On Resigned On
Roland S Kent Member PO BOX 1119, HAYDEN, ID 83835 2020-09-03 2023-02-09
RSKMD P.C., AN IDAHO PROFESSIONAL CORPORATION Member 6415 E EVERNADE RD, HAYDEN LAKE, ID 83835 2023-09-08 2023-09-08
Snowstorm Spine PLLC Member 2600 E SELTICE WAY, POST FALLS, ID 83854-7991 2023-09-08 2023-09-08
DOUBLE J ENTERPRISES P.C. Member 6648 N DAVENPORT ST, DALTON GARDENS, ID 83815-9566 2023-02-09 No data

National Provider Identifier

NPI Number:
1962944272

Authorized Person:

Name:
JESSICA JAMESON
Role:
MD / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
2084574197

Form 5500 Series

Employer Identification Number (EIN):
814378927
Plan Year:
2021
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
45
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005943973 2024-10-17
Annual Report 0005391272 2023-09-08
Annual Report Amendment 0005105228 2023-02-09
Annual Report 0004889280 2022-09-07
Annual Report 0004400773 2021-09-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
530123.21
Total Face Value Of Loan:
530123.21

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
530123.21
Current Approval Amount:
530123.21
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
535366.35

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 13 May 2025

Sources: Idaho Secretary of State