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GREENWALD NEUROSURGICAL
NPI 1124198403
Specialist in Idaho Falls, ID

Active since November 08, 2006
3155 CHANNING WAY, SUITE B, IDAHO FALLS, ID 83404(208) 535-4800(208) 535-4807 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenwald Neurosurgical NPPES

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

GREENWALD NEUROSURGICAL (NPI 1124198403) is a healthcare organization registered as a specialist in Idaho Falls, Idaho and active in the NPI registry since November 2006. The organization lists Janeene A Ditmore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124198403
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREENWALD NEUROSURGICAL
Location Address3155 CHANNING WAY, SUITE BIdaho Falls, ID 83404-7546
Mailing Address3155 Channing Way, Suite BIdaho Falls, ID 83404-7546 · (208) 535-4800 · Fax (208) 535-4807
Phone(208) 535-4800
Fax(208) 535-4807
Organization SubpartNo
Authorized OfficialJaneene A DitmoreOffice Manager · (208) 535-4800
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 13, 2009
✔ NPI 1124198403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M-6947
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3155 CHANNING WAY, Idaho Falls, ID 83404
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Other Identifiers 5

Other76836ID · Blue Cross
Other8M987ID · Blue Cross Practice
Medicare UPING20851ID
Other000010001551ID · Blue Shield
Medicare PIN1134039ID

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 8

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

KEVIN BLAIR LMT,PTA
Massage Therapist
3155 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 557-8962
DR. BRENT H. GREENWALD M.D.
Neurological Surgery
3155 CHANNING WAY, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4800
SHANNON KAY WEST CFA, CST
3155 CHANNING WAY, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4800
JED G LOERTSCHER DPT
Physical Therapist
3155 CHANNING WAY, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 552-2700
GREENWALD NEUROSURGICAL PC
Surgery
3155 CHANNING WAY, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4800
CHRISTOPHER A RIGBY DPT
Physical Therapist
3155 CHANNING WAY, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 552-2700
MARK THOMPSON DPT
Physical Therapist
3155 CHANNING WAY, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 552-2700
MRS. KARI ANNE LASCO-SANDERS DPT
Physical Therapist
3155 CHANNING WAY, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 552-2700

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 Greenwald Neurosurgical's NPI number?

The NPI number for Greenwald Neurosurgical is 1124198403. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Greenwald Neurosurgical located?

Greenwald Neurosurgical is located at 3155 Channing Way Suite B, Idaho Falls, ID 83404. The listed phone number is (208) 535-4800.

What is Greenwald Neurosurgical's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Greenwald Neurosurgical was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.