EASTERN IDAHO REG MED CTR PS, LLC – NPI #1053352427
Obstetrics & Gynecology
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
EASTERN IDAHO REG MED CTR PS, LLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1053352427 to EASTERN IDAHO REG MED CTR PS, LLC on June 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology
The NPI profile was previously updated about 19 years ago on Aug 28, 2007. 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 EASTERN IDAHO REG MED CTR PS, LLC below.
NPI Profile for
EASTERN IDAHO REG MED CTR PS, LLC
(more than 20 years ago)
IDAHO FALLS, ID 83404-7533 Phone: (208) 529-7147 Fax:
VP
Phone: (208) 529-7147
Identifiers for EASTERN IDAHO REG MED CTR PS, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS OF IDAHO | ID | 8L006 |
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 |
|---|---|---|
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology (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.