EAST FALLS PLASTIC SURGERY LLC
NPI 1023267895
Plastic Surgery in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Plastic Surgery with taxonomy code 208200000X.

Active since September 16, 2008

2860 CHANNING WAY, SUITE 114A, IDAHO FALLS, ID 83404(208) 535-4565(208) 535-4564 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About East Falls Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST FALLS PLASTIC SURGERY LLC (NPI 1023267895) is a healthcare organization registered as a plastic surgery in Idaho Falls, Idaho and active in the NPI registry since September 2008. The organization lists David J. Kane, Vp, as its authorized official.

NPPES Registry Identity

NPI1023267895

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameEAST FALLS PLASTIC SURGERY LLC

Location Address2860 CHANNING WAY, SUITE 114AIdaho Falls, ID 83404-7531

Mailing Address2860 Channing Way, Suite 114aIdaho Falls, ID 83404-7531 · (208) 535-4565 · Fax (208) 535-4564

Phone(208) 535-4565

Fax(208) 535-4564

Organization SubpartNo

Authorized OfficialDavid J. KaneVp · (801) 568-5933

Enumeration DateSeptember 16, 2008

Last NPPES UpdateFebruary 18, 2010

✔ NPI 1023267895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2860 CHANNING WAY, Idaho Falls, ID 83404

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Other Identifiers 6

Medicaid808218000ID

Medicaid1023267895ID

Medicaid1023267895WY

Medicare PIN1370117ID

Medicaid1023267895MT

Medicare PINDO4902

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP