IDAHO UROLOGY 1 PLLC – NPI #1316890270
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

IDAHO UROLOGY 1 PLLC is an urologist located in REXBURG, ID. NPPES has assigned the NPI number 1316890270 to IDAHO UROLOGY 1 PLLC on February 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on May 12, 2026. 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 UROLOGY 1 PLLC below.

NPI Profile for
IDAHO UROLOGY 1 PLLC

NPI Number
1316890270
Enumeration Date

(about 3 months 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 UROLOGY 1 PLLC
Primary location
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2058
Phone: (208) 351-6363 Fax:
1 Other location(s):
3155 Channing Way Ste A
Idaho Falls, ID 83404-7875
Phone: (208) 356-0004
Mailing address
1124 BARNEY DAIRY RD
REXBURG, ID 83440-3544
Phone: (208) 351-6363 Fax:
Organization Subpart
No
Authorized Official
JACOB THATCHER
SURGEON
Phone: (208) 351-6363
Updated
Certification Date
May 12, 2026

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
208800000X
- Urology (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.