POCATELLO WOMEN'S HEALTH CLINIC
NPI 1477501930
Obstetrics & Gynecology in Pocatello, ID

NPI Status: Active since May 05, 2006

Contact Information

777 HOSPITAL WAY
BLDG A, STE 300
POCATELLO, ID
ZIP 83201
Phone: (208) 232-6100
Fax: (208) 239-3403

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Obstetrics & Gynecology
CLIA Number: 13D0934339
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 10-02-2025

About POCATELLO WOMEN'S HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Pocatello Women's Health Clinic, a women's health care provider established in Pocatello, Idaho operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1477501930 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Pocatello Women's Health Clinic. The authorized official of this NPI record is Dr. Donald A Dyer M.d. (President)

NPI: 1477501930
Provider Legal Name: CDS,PA
Other Organization Name: POCATELLO WOMEN'S HEALTH CLINIC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 777 HOSPITAL WAY BLDG A, STE 300 POCATELLO, ID 83201
Location Phone: (208) 232-6100
Location Fax: (208) 239-3403
Mailing Address: 777 HOSPITAL WAY BLDG A, STE 300 POCATELLO, ID 83201
Mailing Phone: (208) 239-3453
Mailing Fax: (208) 239-3403
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-05-2006
Last Update Date: 10-31-2011
Code Navigator

Women's health care providers like Pocatello Women's Health Clinic treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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: Obstetrics & Gynecology
Taxonomy Code: 207V00000X
Type: Allopathic & Osteopathic Physicians
License State: ID
Taxonomy Description: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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:

Blue Cross Blue Shield

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

Medicare

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

Medicaid

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

Railroad Medicare

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: DR. DONALD A DYER M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (208) 232-3252

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
8N201	OTHER (01)	ID	BLUE CROSS
805212100	MEDICAID (05)	ID
1104620	MEDICARE PIN (08)	ID
002374200	MEDICAID (05)	ID
CI7480	OTHER (01)	ID	RAILROAD MEDICARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 13D0934339
Facility Type: Physician Office
Certificate Effective Date: October 03, 2023
Certificate Expiration Date: October 02, 2025
Laboratory Director: KIM L. COX
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Pocatello Women's Health Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	7	7	5	0	1	9	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	14	7	10	0	2	9	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 0 + 2 + 9 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1477501930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

LESLIE JEAN MCGOVERN PA-C, MHE, ATC, LAT

Physician Assistant

(Medical)

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201

About POCATELLO WOMEN'S HEALTH CLINIC

Location Map

Specialty - Primary Taxonomy

Obstetrics & Gynecology

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Authorized Official

DR. DONALD A DYER M.D.

Additional Identifiers

CLIA Information

Reviews for POCATELLO WOMEN'S HEALTH CLINIC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions