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MOUNTAIN STATES CARDIOVASCULAR AND THORACIC SURGERY, PLLC
NPI 1306862503
Specialist in Idaho Falls, ID

Active since July 14, 2006
2225 TETON PLZ STE B, IDAHO FALLS, ID 83404(208) 524-4660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mountain States Cardiovascular And Thoracic Surgery, Pllc NPPES

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

MOUNTAIN STATES CARDIOVASCULAR AND THORACIC SURGERY, PLLC (NPI 1306862503) is a healthcare organization registered as a specialist in Idaho Falls, Idaho and active in the NPI registry since July 2006. The organization lists Lisa A Alcox, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306862503
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOUNTAIN STATES CARDIOVASCULAR AND
Location Address2225 TETON PLZ STE BIdaho Falls, ID 83404-6494
Mailing Address2225 Teton Plz Ste BIdaho Falls, ID 83404-6494 · (208) 524-4660 · Fax (208) 524-4617
Phone(208) 524-4660
Organization SubpartNo
Authorized OfficialLisa A AlcoxOffice Manager · (208) 524-4660
Enumeration DateJuly 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306862503 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-6479 M-7194
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.

2225 TETON PLZ STE B, Idaho Falls, ID 83404
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Other Names 1

Doing Business AsMountain States Cardiovascular And Thoracic Surgery, Pllc

Other Identifiers 2

Other29390ID · Blue Shield Group #
Other8A943ID · Blue Cross Group #

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 2

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

PETER W CASTELLANOS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2225 TETON PLZ STE B
IDAHO FALLS, ID 83404
Bonneville County (208) 529-4300
GRAND TETON CHILD NEUROLOGY
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2225 TETON PLZ STE B
IDAHO FALLS, ID 83404
Bonneville County (208) 529-4300

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 Mountain States Cardiovascular And's NPI number?

The NPI number for Mountain States Cardiovascular And is 1306862503. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Mountain States Cardiovascular And Thoracic Surgery, PLLC.

Where is Mountain States Cardiovascular And located?

Mountain States Cardiovascular And is located at 2225 Teton Plz Ste B, Idaho Falls, ID 83404. The listed phone number is (208) 524-4660.

What is Mountain States Cardiovascular And'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 Mountain States Cardiovascular And was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.