Snake River Podiatry PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

P-64 Issued in ID

Legal business name

SNAKE RIVER PODIATRY PLLC

Practice address

3690 Ridgewood Rd
Pocatello, ID 83201-7704

Phone

(208) 339-4355

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Don Gilbert

Title

Owner

Phone

(208) 339-4355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1063769297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 RIDGEWOOD RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832017704",
            "telephone_number": "208-339-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 RIDGEWOOD RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832017704",
            "telephone_number": "208-339-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-339-4355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "ID",
            "license": "P-64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Smith
• Sariah Jean Smith, DO
• Shannon Marie Smith, MS, CCC-SLP
• Tami Smith, CADC
• Tonya Jean Smith
• Daniel Dalley Snell, M.D, M.P.H.
• Ed Snell, RPH
• Timothy E. Snell, M.D.
• James Ryan Snow
• Randall Corey Snow, DMD

• Primary Podiatric Medicine Podiatrist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Primary Podiatric Medicine Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.