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HERITAGE PHYSICIAN AND RESOURCE GROUP LLC
NPI 1962896027
General Practice in Pocatello, ID

Active since March 26, 2015
1009 W QUINN RD, POCATELLO, ID 83202(208) 238-0088(208) 238-0055 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Physician And Resource Group Llc NPPES

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

HERITAGE PHYSICIAN AND RESOURCE GROUP LLC (NPI 1962896027) is a healthcare organization registered as a general practice in Pocatello, Idaho and active in the NPI registry since March 2015. The organization lists Jonny Ryan Fisher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962896027
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHERITAGE PHYSICIAN AND RESOURCE GROUP LLC
Location Address1009 W QUINN RDPocatello, ID 83202-2425
Mailing Address1009 W Quinn RdPocatello, ID 83202-2425 · (208) 238-0088 · Fax (208) 238-0055
Phone(208) 238-0088
Fax(208) 238-0055
Organization SubpartNo
Authorized OfficialJonny Ryan FisherCeo · (208) 238-0088
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1962896027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1009 W QUINN RD, Pocatello, ID 83202
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

HERITAGE HOME HEALTH LLC
Home Health
1009 W QUINN RD
POCATELLO, ID 83202
Bannock County (801) 698-8927
HERITAGE HOME HEALTH, LLC
Hospice Care, Community Based
1009 W QUINN RD, SUITE B
POCATELLO, ID 83202
Bannock County (208) 238-0088
STACEY LEWIS COTA/L
Occupational Therapy Assistant
1009 W QUINN RD
POCATELLO, ID 83202
Bannock County (208) 427-4155
BRANDI L CAVNER MPT
Physical Therapist
1009 W QUINN RD
POCATELLO, ID 83202
Bannock County (208) 238-0088

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 Heritage Physician And Resource Group LLC's NPI number?

The NPI number for Heritage Physician And Resource Group LLC is 1962896027. It was assigned to this organization in the NPPES registry on March 26, 2015.

Where is Heritage Physician And Resource Group LLC located?

Heritage Physician And Resource Group LLC is located at 1009 W Quinn Rd, Pocatello, ID 83202. The listed phone number is (208) 238-0088.

What is Heritage Physician And Resource Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Heritage Physician And Resource Group LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Heritage Physician And Resource Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Physician And Resource Group LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.