PEBBLE CREEK EMERGENCY PHYSICIANS PLLC
NPI 1386019784
Emergency Medicine in Pocatello, ID

Q: What is Pebble Creek Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 10, 2015

777 HOSPITAL WAY, POCATELLO, ID 83201(469) 401-2386 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2015, Dec 10, 2015 (2 updates tracked since 2015).

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About Pebble Creek Emergency Physicians Pllc NPPES

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

PEBBLE CREEK EMERGENCY PHYSICIANS PLLC (NPI 1386019784) is a healthcare organization registered as an emergency medicine in Pocatello, Idaho and active in the NPI registry since December 2015. The organization lists Joseph H Gatewood, President, as its authorized official.

NPPES Registry Identity

NPI1386019784

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePEBBLE CREEK EMERGENCY PHYSICIANS PLLC

Location Address777 HOSPITAL WAYPocatello, ID 83201-5175

Mailing Address13737 Noel Rd, Suite 1600Dallas, TX 75240-1331 · (469) 401-2386

Phone(469) 401-2386

Organization SubpartNo

Authorized OfficialJoseph H GatewoodPresident · (469) 401-2386

Enumeration DateDecember 10, 2015

Last NPPES UpdateDecember 15, 20152 updates tracked since enumeration

✔ NPI 1386019784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

777 HOSPITAL WAY, Pocatello, ID 83201

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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 20

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

MS. EUNICE GRACE GARDNER PH.D.

Psychologist (Adult Development & Aging)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1710

JESS LUFKIN CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 716-7215

ROGER A COOK MD

Anesthesiology

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

JASON MONTGOMERY NP-C

Nurse Practitioner (Family)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-2580

ALYSSA M WOODBURY PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1226

SHANNON ALISON WEBB PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

DR. ROBERT MICHAEL KENNEDY M.D.

Psychiatry & Neurology (Neurology)

777 HOSPITAL WAY, G15
POCATELLO, ID 83201

Bannock County (208) 239-2722

MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 227-2600

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 Pebble Creek Emergency Physicians PLLC's NPI number?

The NPI number for Pebble Creek Emergency Physicians PLLC is 1386019784. It was assigned to this organization in the NPPES registry on December 10, 2015.

Where is Pebble Creek Emergency Physicians PLLC located?

Pebble Creek Emergency Physicians PLLC is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (469) 401-2386.

What is Pebble Creek Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Pebble Creek Emergency Physicians PLLC was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.