NPIMap

Organization Active NPI

Surgical Bariatrics Northwest, Inc. P.a.

  • Surgery Physician
  • Post Falls, ID
National Provider Identifier
1033127659
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL BARIATRICS NORTHWEST, INC. P.A.
Practice address
750 N Syringa St
Suite 205
Post Falls, ID 83854-5275
Phone
(208) 262-0945
Fax
(208) 415-0150
NPI assigned
Aug 3, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. John L. Pennings, MDNPI 1073569737
Title
President
Phone
(208) 262-0945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

750 N Syringa St
Suite 205
Post Falls, ID 83854-5275

Mailing address

750 N Syringa St
Suite 205
Post Falls, ID 83854-5275
Phone (208) 262-0945

National Provider Directory

National Provider Directory

Locations

750 N Syringa St
Ste 205
Post Falls, ID 83854
Phone (208) 262-0945

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1033127659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N SYRINGA ST",
            "address_2": "SUITE 205",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545275",
            "telephone_number": "208-262-0945",
            "fax_number": "208-415-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N SYRINGA ST",
            "address_2": "SUITE 205",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545275",
            "telephone_number": "208-262-0945",
            "fax_number": "208-415-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL BARIATRICS NORTHWEST, INC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "PENNINGS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-262-0945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.