Post Falls Internal Medicine and Pediatrics PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M3785 Issued in ID

Legal business name

POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA

Practice address

1300 E Mullan Sute 1600
Post Falls, ID 83854

Phone

(208) 773-0721

Fax

(208) 773-3306

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Pam S Gregg

Title

Billing Clerk

Phone

(208) 773-0721

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053387985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MULLAN SUTE 1600",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-773-0721",
            "fax_number": "208-773-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MULLAN SUTE 1600",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-773-0721",
            "fax_number": "208-773-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST FALLS INTERNAL MEDICINE AND PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "208-773-0721"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M3785",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "17473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7098353",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Post Falls Counseling LLC
• Post Falls Ep, PLLC
• Post Falls Family Dental Center P a
• Post Falls Family Medicine P.a.
• Post Falls Hospital, LLC
• Post Falls Ip, PLLC
• Post Falls Medical Investors LLC
• Post Falls Optometric Physicians PLLC
• Post Falls Orthodontics PLLC
• Post Falls Physical Therapy LLC

• Internal Medicine Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.