Individual provider Active NPI

Jonathan Cree, MD

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1144213554
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M6974 Issued in ID
Practice address
Pocatello (Isu) Family Medicine
465 Memorial Drive
Pocatello, ID 83209-0001
Phone
(208) 282-4700
Fax
(208) 282-4696
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M6974 ID Primary

Addresses

Primary practice location

Pocatello (Isu) Family Medicine
465 Memorial Drive
Pocatello, ID 83209-0001

Mailing address

Pocatello (Isu) Family Medicine
465 Memorial Drive
Pocatello, ID 83209-0001
Phone (208) 282-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000689 ID Practitioner - Family Practice 5395896120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6974IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Pocatello Hospital LLC Current Accepting new patients
Health West, Inc. Family Medicine CurrentSince Feb 23, 2016 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

500 S 11th Ave
Ste 400
Pocatello, ID 83201

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: jonathan.cree.1@16258.direct.athenahealth.com
  • Direct secure messaging: jcree262061@ahs.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1144213554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POCATELLO (ISU) FAMILY MEDICINE",
            "address_2": "465 MEMORIAL DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-4700",
            "fax_number": "208-282-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POCATELLO (ISU) FAMILY MEDICINE",
            "address_2": "465 MEMORIAL DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-4700",
            "fax_number": "208-282-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.