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POCATELLO PULMONARY PC
NPI 1497766240
Internal Medicine - Pulmonary Disease in Pocatello, ID

Active since August 10, 2006
500 S 11TH AVE, SUITE 305, POCATELLO, ID 83201(208) 233-5864 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pocatello Pulmonary Pc NPPES

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

POCATELLO PULMONARY PC (NPI 1497766240) is a healthcare organization registered as a pulmonary disease in Pocatello, Idaho and active in the NPI registry since August 2006. The organization lists Cary V Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1497766240
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePOCATELLO PULMONARY PC
Location Address500 S 11TH AVE, SUITE 305Pocatello, ID 83201-4835
Mailing Address500 S 11th Ave, Suite 305Pocatello, ID 83201-4835 · (208) 233-5864
Phone(208) 233-5864
Organization SubpartNo
Authorized OfficialCary V JacksonPresident · (208) 233-5864
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497766240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in ID · M5647
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
500 S 11TH AVE, Pocatello, ID 83201
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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 20

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

POCATELLO CHILDREN'S CLINIC
Durable Medical Equipment & Medical Supplies
500 S 11TH AVE, STE 204
POCATELLO, ID 83201
Bannock County (208) 232-1443
JOHN LACKEY MD
Specialist
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3103
JUNIPER SPRINGS INTERNAL MEDICINE
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 236-1600
JOHN L. CHRISTENSEN PHD
Psychologist (Clinical)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Bannock County (208) 233-0150
JAMES MATTHEW CAMPBELL PA-C
Physician Assistant (Medical)
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6214
BARBARA ROBERTS NP
Nurse Practitioner (Women's Health)
500 S 11TH AVE, SUITE 4G
POCATELLO, ID 83201
Bannock County (208) 233-2161
LINDA L. BABBITT M.D.
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 232-5902
MRS. JENNA NICOLE THOMPSON LCSW
Social Worker (Clinical)
500 S 11TH AVE, SUITE 303
POCATELLO, ID 83201
Bannock County (208) 239-3815

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 Pocatello Pulmonary PC's NPI number?

The NPI number for Pocatello Pulmonary PC is 1497766240. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Pocatello Pulmonary PC located?

Pocatello Pulmonary PC is located at 500 S 11th Ave Suite 305, Pocatello, ID 83201. The listed phone number is (208) 233-5864.

What is Pocatello Pulmonary PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Pocatello Pulmonary PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.