FLOYD JOSEPH FANTELLI MD
NPI 1831167113
Pathology - Anatomic Pathology & Clinical Pathology in Idaho Falls, ID

Active since March 10, 2006
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6050(208) 529-7085 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Floyd Joseph Fantelli Md NPPES

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

FLOYD JOSEPH FANTELLI MD (NPI 1831167113) is an individual anatomic pathology & clinical pathology provider in Idaho Falls, Idaho, licensed in Idaho (M4216) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1831167113
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameFLOYD JOSEPH FANTELLICredential: MD
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address1740 E 17th St, Ste DIdaho Falls, ID 83404-6375 · (208) 529-9779 · Fax (208) 542-2756
Fax(208) 529-7085
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateJanuary 18, 2010
NPI 1831167113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in ID · M4216
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3100 CHANNING WAY, Idaho Falls, ID 83404

Other Identifiers 5

Other42168ID · Blue Cross Of Id
Medicare PIN1121846ID
Medicaid003697200ID
Medicare UPIND93731
Other000010004040ID · Regence Blue Shield Id

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.

Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404

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 Floyd Fantelli's NPI number?

The NPI number for Floyd Fantelli is 1831167113. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Floyd Fantelli located?

Floyd Fantelli practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6050.

What is Floyd Fantelli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Floyd Fantelli was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.