SNAKE RIVER PODIATRY PLLC
NPI 1063769297
Podiatrist - Primary Podiatric Medicine in Pocatello, ID

Active since August 07, 2012
3690 RIDGEWOOD RD, POCATELLO, ID 83201(208) 339-4355 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Snake River Podiatry Pllc NPPES

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

SNAKE RIVER PODIATRY PLLC (NPI 1063769297) is a healthcare organization registered as a primary podiatric medicine in Pocatello, Idaho and active in the NPI registry since August 2012. The organization lists Don Gilbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1063769297
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameSNAKE RIVER PODIATRY PLLC
Location Address3690 RIDGEWOOD RDPocatello, ID 83201-7704
Mailing Address3690 Ridgewood RdPocatello, ID 83201-7704 · (208) 339-4355
Organization SubpartNo
Authorized OfficialDon GilbertOwner · (208) 339-4355
Enumeration DateAugust 7, 2012
NPI 1063769297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in ID · P-64
3690 RIDGEWOOD RD, Pocatello, ID 83201

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

Other Providers at the Same Location NPPES

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

Podiatrist (Primary Podiatric Medicine)
3690 RIDGEWOOD RD
POCATELLO, ID 83201

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 Snake River Podiatry PLLC's NPI number?

The NPI number for Snake River Podiatry PLLC is 1063769297. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Snake River Podiatry PLLC located?

Snake River Podiatry PLLC is located at 3690 Ridgewood Rd, Pocatello, ID 83201. The listed phone number is (208) 339-4355.

What is Snake River Podiatry PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Snake River Podiatry PLLC was last updated on August 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.