Active NPI
Jonathan Cree, MD
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M6974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| M6974 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | 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
- jonathan.cree.1@16258.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1154320752
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, ID
- NPI 1295734796
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Downey, ID
- NPI 1588666945
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- American Falls, ID
- NPI 1629077235
Family Medicine
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
-
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1013547801
-
- Federally Qualified Health Center (FQHC)
- Lava Hot Springs, ID
- NPI 1427057926
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chubbuck, ID
- NPI 1629499751
-
- Federally Qualified Health Center (FQHC)
- Montpelier, ID
- NPI 1912613845
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1942772223
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.