Machen Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0611 Issued in ID

Legal business name

MACHEN FAMILY MEDICINE, PC

Practice address

1995 E 17TH St Ste a
Idaho Falls, ID 83404-6493

Phone

(208) 522-7666

Fax

(208) 524-2821

NPI assigned

Jul 6, 2011

Organization subpart

Yes

Parent organization

MACHEN FAMILY MEDICINE, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shane G Machen, DO

Title

Owner

Phone

(208) 522-7666

Specialties & licenses 1

Addresses

Other names 1

• SHANE G MACHEN, DO Doing business as

Part of

Machen Family Medicine PC

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAGBCA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rocco P Cifrese, MD

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1154406429
  NPD
• Wesley Kenyon Butler, PA-C

  • Physician Assistant
  • Idaho Falls, ID
  • NPI 1881317329
  NPD (past)
• Kyle Gebs, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1225904907

  Family Medicine

  NPD (past)
• Chloe Olivia Seegmiller, PA-C

  • Physician Assistant
  • Idaho Falls, ID
  • NPI 1063102713

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1013204445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHEN FAMILY MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACHEN FAMILY MEDICINE, PC",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MACHEN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-7666",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANE G MACHEN, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Lyle-Whipple, LMSW
• Lynn J Stromberg MD PA
• Lauren Lyon, PA
• Anthony Macey, DO
• Machen Family Dentistry PC
• Esther B. Machen, DDS
• Shane Gary Machen, D.O.
• Macieski Crna PC
• Dennis C Macieski, CRNA
• Megan Michelle Macneil

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.