TETON PLASTIC SURGERY
NPI 1154549616
Surgery - Plastic and Reconstructive Surgery in Idaho Falls, ID

NPI Status: Active since April 23, 2007

Contact Information

2860 CHANNING WAY
SUITE 213
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-1406
Fax: (208) 552-1416

Get Directions Write a Review

  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About TETON PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Teton Plastic Surgery, a provider established in Idaho Falls, Idaho operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1154549616 assigned on April 2007. The practitioner's primary taxonomy code is 2086S0122X with license number M-8270 (ID). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer Martin (Office Manager)

NPI
1154549616
Provider Name
TETON PLASTIC SURGERY
Entity Type
Organization
Location Address
2860 CHANNING WAY SUITE 213 IDAHO FALLS, ID 83404
Location Phone
(208) 552-1406
Location Fax
(208) 552-1416
Mailing Address
PO BOX 1769 IDAHO FALLS, ID 83403
Mailing Phone
(208) 552-1406
Mailing Fax
(208) 552-1416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
03-07-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
M-8270
License State
ID
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER MARTIN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(208) 552-1406

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M-8270OTHER (01)IDID MEDICAL LICENSE
5959620-1205OTHER (01)UTUT MEDICAL LICENSE
5959620-8905OTHER (01)UTUT ST BOARD OF PHARMACY
6687AOTHER (01)WYWY MEDICAL LICENSE
CS9201OTHER (01)IDID ST BOARD OF PHARMACY
58MKM02OTHER (01)WYWY ST BOARD OF PHARMACY
04232007480947OTHER (01)IDDR.MOORE NPI TRCKNG#

Reviews for TETON PLASTIC SURGERY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154549616, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 4 + 1 + 8 + 6 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154549616.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
2860 CHANNING WAY, STE 117
IDAHO FALLS, ID 83404
Pediatrics (Neonatal-Perinatal Medicine)
2860 CHANNING WAY, SUITE 100
IDAHO FALLS, ID 83404
Physical Medicine & Rehabilitation
2860 CHANNING WAY, SUITE 112
IDAHO FALLS, ID 83404
Orthopaedic Surgery
2860 CHANNING WAY, SUITE 116
IDAHO FALLS, ID 83404
Rehabilitation Practitioner
2860 CHANNING WAY, 114
IDAHO FALLS, ID 83404
Specialist
2860 CHANNING WAY, STE 114
IDAHO FALLS, ID 83404
Family Medicine
2860 CHANNING WAY, SUITE 224
IDAHO FALLS, ID 83404
Rehabilitation Practitioner
2860 CHANNING WAY, STE 112
IDAHO FALLS, ID 83404
Psychiatry & Neurology (Neurology)
2860 CHANNING WAY, STE 100
IDAHO FALLS, ID 83404
Ambulance (Air Transport)
2860 CHANNING WAY, SUITE 206
IDAHO FALLS, ID 83404
Plastic Surgery
2860 CHANNING WAY, SUITE 114A
IDAHO FALLS, ID 83404
Family Medicine
2860 CHANNING WAY, SUITE 116
IDAHO FALLS, ID 83404
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2860 CHANNING WAY, STE 112
IDAHO FALLS, ID 83404
Internal Medicine (Obesity Medicine)
2860 CHANNING WAY, SUITE 100
IDAHO FALLS, ID 83404
Surgery
2860 CHANNING WAY, STE 100A
IDAHO FALLS, ID 83404
Dietitian, Registered
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Plastic Surgery
2860 CHANNING WAY, SUITE 112
IDAHO FALLS, ID 83404
Physical Medicine & Rehabilitation
2860 CHANNING WAY, SUITE 213
IDAHO FALLS, ID 83404
Nurse Practitioner (Family)
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Surgery (Plastic and Reconstructive Surgery)
2860 CHANNING WAY, SUITE 213
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154549616, enumerated as an "organization" on April 23, 2007.

The provider is located at 2860 CHANNING WAY SUITE 213 IDAHO FALLS, ID 83404 and the phone number is (208) 552-1406.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.