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EASTERN IDAHO REG MED CTR PS, LLC
NPI 1053352427
Obstetrics & Gynecology - Gynecologic Oncology in Idaho Falls, ID

Active since June 09, 2006
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-7147 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Idaho Reg Med Ctr Ps, Llc NPPES

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

EASTERN IDAHO REG MED CTR PS, LLC (NPI 1053352427) is a healthcare organization registered as a gynecologic oncology in Idaho Falls, Idaho and active in the NPI registry since June 2006. The organization lists Robert England, Vp, as its authorized official.

NPPES Registry Identity

NPI1053352427
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameEASTERN IDAHO REG MED CTR PS, LLC
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 529-7147
Phone(208) 529-7147
Organization SubpartNo
Authorized OfficialRobert EnglandVp · (208) 529-7147
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 28, 2007
✔ NPI 1053352427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
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.
3100 CHANNING WAY, Idaho Falls, ID 83404
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Other Identifiers 2

Other8L006ID · Blue Cross Of Idaho
Medicare ID-Type Unspecified1378539ID

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111
DR. ALAN B WRAY M.D.
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 227-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Idaho Reg Med Ctr Ps, LLC's NPI number?

The NPI number for Eastern Idaho Reg Med Ctr Ps, LLC is 1053352427. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Eastern Idaho Reg Med Ctr Ps, LLC located?

Eastern Idaho Reg Med Ctr Ps, LLC is located at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-7147.

What is Eastern Idaho Reg Med Ctr Ps, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Eastern Idaho Reg Med Ctr Ps, LLC was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.