Idaho Ear Clinic, PLLC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

Legal business name

IDAHO EAR CLINIC, PLLC

Practice address

1209 N Summerbrook Ave
Meridian, ID 83642-8749

Phone

(208) 938-5823

Fax

(208) 938-5306

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

James V Crawford, MDNPI 1215904966

Title

Owner

Phone

(208) 938-5823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Vincent Crawford, MD

  • Otology & Neurotology Physician
  • Meridian, ID
  • NPI 1215904966
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Dean Bateman, AU.D.

  • Audiologist
  • Boise, ID
  • NPI 1538456900
  Medicare reassignment Care Compare group NPD
• Cora Bailey Call

  • Audiologist
  • Meridian, ID
  • NPI 1083592018
  Medicare reassignment Care Compare group NPD
• Adam Reyes, AUD

  • Audiologist
  • Meridian, ID
  • NPI 1669822672
  Medicare reassignment Care Compare group NPD
• Eric Peter Wilkinson, MD

  • Otolaryngology Physician
  • Meridian, ID
  • NPI 1114906013

  Otology & Neurotology

  Medicare reassignment Care Compare group NPD
• Wesley J Rowlette, PA-C

  • Physician Assistant
  • Meridian, ID
  • NPI 1023624129
  Medicare reassignment Care Compare group
• Delray Maughan, M.D.

  • Otolaryngology Physician
  • Boise, ID
  • NPI 1649253188

  Otology & Neurotology

  Medicare reassignment NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1154976983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428750",
            "telephone_number": "208-938-5823",
            "fax_number": "208-938-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428749",
            "telephone_number": "208-938-5823",
            "fax_number": "208-938-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO EAR CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-938-5823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Idaho Medical Specialists PC

• Otology & Neurotology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Otology & Neurotology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.