IDAHO NEUROSURGERY & SPINE PLLC – NPI #1750787297
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

IDAHO NEUROSURGERY & SPINE PLLC is a neurological surgeon located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1750787297 to IDAHO NEUROSURGERY & SPINE PLLC on November 11, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was previously updated about 8 years ago on Jul 25, 2018. 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 NEUROSURGERY & SPINE PLLC below.

NPI Profile for
IDAHO NEUROSURGERY & SPINE PLLC

NPI Number
1750787297
Enumeration Date

(more than 11 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 NEUROSURGERY & SPINE PLLC
Primary location
3345 POTOMAC WAY
IDAHO FALLS, ID 83404
Phone: (208) 552-6210 Fax: (208) 552-2027
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLARK ALLEN
OWNER
Phone: (208) 552-6210
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
207T00000X
- Neurological Surgery (Primary)

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.