NORTHRIDGE INTERNAL MEDICINE, PLLC – NPI #1033394713
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

NORTHRIDGE INTERNAL MEDICINE, PLLC is a provider located in REXBURG, ID. NPPES has assigned the NPI number 1033394713 to NORTHRIDGE INTERNAL MEDICINE, PLLC on December 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Feb 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHRIDGE INTERNAL MEDICINE, PLLC below.

NPI Profile for
NORTHRIDGE INTERNAL MEDICINE, PLLC

NPI Number
1033394713
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHRIDGE INTERNAL MEDICINE, PLLC
Primary location
36 PROFESSIONAL PLZ
STE-102
REXBURG, ID 83440-2049
Phone: (208) 656-8456 Fax: (208) 656-8444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODNEY BATES
MEMBER
Phone: (208) 656-8456
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
ID O0359

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.