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MV POCATELLO ENT, LLC
NPI 1154801595
Otolaryngology in Pocatello, ID

Active since August 15, 2018CLIA 13D0944869 · Waiver
333 N 18TH AVE STE B3, POCATELLO, ID 83201(208) 232-2146 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2018, Aug 15, 2018 (2 updates tracked since 2018).

About Mv Pocatello Ent, Llc NPPES

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

MV POCATELLO ENT, LLC (NPI 1154801595), doing business as Mvh Gastroenterology Llc, is a healthcare organization registered as an otolaryngology in Pocatello, Idaho and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Ned Hillyard, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1154801595
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMV POCATELLO ENT, LLC
Location Address333 N 18TH AVE STE B3Pocatello, ID 83201
Mailing Address333 N 18th Ave Ste B3Pocatello, ID 83201-3358 · (208) 232-2146
Phone(208) 232-2146
Organization SubpartNo
Authorized OfficialNed HillyardChief Compliance Officer · (208) 709-4571
Enumeration DateAugust 15, 2018
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
✔ NPI 1154801595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
333 N 18TH AVE STE B3, Pocatello, ID 83201
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Other Names 1

Former Legal Business NameMvh Gastroenterology Llc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0944869

Mv Pocatello Ent · Pocatello, ID
Active · expires Apr 21, 2028
CLIA Number13D0944869
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorKraig C. Mcgee
Laboratory Phone(208) 232-2146
Laboratory LocationMv Pocatello Ent333 N 18th Ave #b3, Pocatello, ID 83201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARLEY RAE NIELSON PHYSICIAN ASSISTANT
Physician Assistant
333 N 18TH AVE STE B3
POCATELLO, ID 83201
Bannock County (208) 232-2146

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 Mv Pocatello Ent, LLC's NPI number?

The NPI number for Mv Pocatello Ent, LLC is 1154801595. It was assigned to this organization in the NPPES registry on August 15, 2018. The provider was formerly known as Mvh Gastroenterology LLC.

Where is Mv Pocatello Ent, LLC located?

Mv Pocatello Ent, LLC is located at 333 N 18th Ave Ste B3, Pocatello, ID 83201. The listed phone number is (208) 232-2146.

What is Mv Pocatello Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Mv Pocatello Ent, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0944869) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mv Pocatello Ent, LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Mv Pocatello Ent, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mv Pocatello Ent, LLC was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.