NPIMap

Organization Active NPI

Steelhead Medical LTD

Doing business as Kraig C McGee MD

  • Otolaryngology Physician
  • Pocatello, ID
National Provider Identifier
1114091220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
STEELHEAD MEDICAL LTD
Doing business as
Kraig C McGee MD
Practice address
333 N 18TH Ave
Suite #B 3
Pocatello, ID 83201-3358
Phone
(208) 232-2146
Fax
(208) 232-2770
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kraig C McGee, MDNPI 1821083544
Title
Owner Officer
Phone
(208) 232-2146

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

333 N 18TH Ave
Suite #B 3
Pocatello, ID 83201-3358

Mailing address

333 N 18TH Ave
Suite #B 3
Pocatello, ID 83201-3358
Phone (208) 232-2146

Other names 1

  • Kraig C McGee MD Doing business as

National Provider Directory

National Provider Directory

Locations

333 N 18th Ave
Ste B
Pocatello, ID 83201
Phone (208) 232-2146

333 N 18th Ave
Ste B3
Pocatello, ID 83201
Phone (208) 232-2146

Practitioners & affiliated clinicians

Practitioners 11

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114091220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE #B 3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013358",
            "telephone_number": "208-232-2146",
            "fax_number": "208-232-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE #B 3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013358",
            "telephone_number": "208-232-2146",
            "fax_number": "208-232-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELHEAD MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER OFFICER",
        "authorized_official_telephone_number": "208-232-2146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kraig C McGee MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.