IDAHO HEART PHYSICIAN GROUP PLLC – NPI #1184496051
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

IDAHO HEART PHYSICIAN GROUP PLLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1184496051 to IDAHO HEART PHYSICIAN GROUP PLLC on October 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

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 IDAHO HEART PHYSICIAN GROUP PLLC below.

NPI Profile for
IDAHO HEART PHYSICIAN GROUP PLLC

NPI Number
1184496051
Enumeration Date

(more than 2 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
IDAHO HEART PHYSICIAN GROUP PLLC
Primary location
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone: (208) 523-3373 Fax: (208) 523-8746
Mailing address
955 PIER VIEW DR
IDAHO FALLS, ID 83402-4918
Phone: (208) 557-5218 Fax: (208) 529-9732
Organization Subpart
No
Authorized Official
JOHN CHAMBERS
PRESIDENT
Phone: (208) 403-1127
Updated
Certification Date
Oct 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.