EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA – NPI #1437252723
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA is a psychiatry & neurologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1437252723 to EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 11 years ago on Jan 06, 2015. 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 NEUROLOGICAL ASSOCIATES PA below.

NPI Profile for
EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA

NPI Number
1437252723
Enumeration Date

(about 20 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
EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA
Primary location
2353 CORONADO DRIVE
IDAHO FALLS, ID 83404
Phone: (208) 552-4823 Fax: (208) 552-4856
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN VINCENT
OWNER
Phone: (208) 552-4823
Updated
Identifiers

Identifiers for EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA

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.

DescriptionIssuerStateIdentifier
MEDICAIDID002724000
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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
ID M6269

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.