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TETON ONCOLOGY LLC
NPI 1245382985
Internal Medicine - Hematology & Oncology in Rexburg, ID

Active since January 16, 2007
380 WALKER DR, REXBURG, ID 83440(208) 356-9559(208) 356-6601 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teton Oncology Llc NPPES

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

TETON ONCOLOGY LLC (NPI 1245382985) is a healthcare organization registered as a hematology & oncology in Rexburg, Idaho and active in the NPI registry since January 2007. The organization lists Dane J Dickson, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1245382985
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameTETON ONCOLOGY LLC
Location Address380 WALKER DRRexburg, ID 83440-1657
Mailing Address380 Walker DrRexburg, ID 83440-1657 · (208) 356-9559 · Fax (208) 356-6601
Phone(208) 356-9559
Fax(208) 356-6601
Organization SubpartNo
Authorized OfficialDane J DicksonOwner Doctor · (208) 356-9559
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 31, 2008
✔ NPI 1245382985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in ID · M8118
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
380 WALKER DR, Rexburg, ID 83440
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Other Identifiers 5

Medicare UPING95136ID
Medicare ID-Type Unspecified1375808ID · Medicare
Other000010032448ID · Blue Shield
Medicare NSC4244480001ID
Other8J950ID · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JEFFREY D HANCOCK MD
Pediatrics
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559
TETON CANCER INSTITUTE
Durable Medical Equipment & Medical Supplies
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559
MR. DALLIN BRIM GAMBLES PA
Physician Assistant (Medical)
380 WALKER DR
REXBURG, ID 83440
Madison County (208) 356-9559

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 Teton Oncology LLC's NPI number?

The NPI number for Teton Oncology LLC is 1245382985. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Teton Oncology LLC located?

Teton Oncology LLC is located at 380 Walker Dr, Rexburg, ID 83440. The listed phone number is (208) 356-9559.

What is Teton Oncology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Teton Oncology LLC was last updated on March 31, 2008. 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.