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

Active since May 05, 2006CLIA 13D0934339 · Microscopy
777 HOSPITAL WAY, BLDG A, STE 300, POCATELLO, ID 83201(208) 232-6100(208) 239-3403 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pocatello Women's Health Clinic NPPES

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

POCATELLO WOMEN'S HEALTH CLINIC (NPI 1477501930) is a healthcare organization registered as an obstetrics & gynecology in Pocatello, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 2, 2027 and lists Donald A Dyer, President, as its authorized official.

NPPES Registry Identity

NPI1477501930
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCDS,PA
Location Address777 HOSPITAL WAY, BLDG A, STE 300Pocatello, ID 83201-5175
Mailing Address777 Hospital Way, Bldg A, Ste 300Pocatello, ID 83201-5175 · (208) 239-3453 · Fax (208) 239-3403
Phone(208) 232-6100
Fax(208) 239-3403
Organization SubpartNo
Authorized OfficialDonald A DyerPresident · (208) 232-3252
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 31, 2011
✔ NPI 1477501930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
777 HOSPITAL WAY, Pocatello, ID 83201
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Other Names 1

Doing Business AsPocatello Women's Health Clinic

Other Identifiers 5

Other8N201ID · Blue Cross
Medicaid805212100ID
Medicare PIN1104620ID
Medicaid002374200ID
OtherCI7480ID · Railroad Medicare

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

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0934339

Pocatello Womens Health Clinic · Pocatello, ID
Active · expires Oct 2, 2027
CLIA Number13D0934339
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorKim L. Cox
Laboratory Phone(208) 232-6100
Laboratory LocationPocatello Womens Health Clinic777 Hospital Way #300, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Cds,pa's NPI number?

The NPI number for Cds,pa is 1477501930. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Pocatello Women's Health Clinic.

Where is Cds,pa located?

Cds,pa is located at 777 Hospital Way Bldg A, Ste 300, Pocatello, ID 83201. The listed phone number is (208) 232-6100.

What is Cds,pa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Cds,pa hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0934339) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cds,pa was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.