Obstetrics and Gynecology Associates of Idaho Falls

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF IDAHO FALLS

Doing business as

OB-GYN Assoc of Idaho Falls

Practice address

2065 E 17TH St
Suite D
Idaho Falls, ID 83404-8042

Phone

(208) 522-0747

Fax

(855) 830-4276

NPI assigned

Aug 29, 2006

Last updated

Feb 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tess Hibbert

Title

Assistant Office Manager

Phone

(208) 522-0747

Specialties & licenses 1

Addresses

Other names 1

• OB-GYN Assoc of Idaho Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Ivy A. Hansen, P.A.-C.

  • Medical Physician Assistant
  • Idaho Falls, ID
  • NPI 1164755104
  Medicare reassignment Care Compare group
• Rebecca A. Westergard, P.A.

  • Medical Physician Assistant
  • Idaho Falls, ID
  • NPI 1477700573
  Medicare reassignment Care Compare group
• Clark R Daines, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Idaho Falls, ID
  • NPI 1144264045
  NPD
• Matt Tannenbaum, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Idaho Falls, ID
  • NPI 1093783375
  NPD
• Gabriele Emma Teermann, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Idaho Falls, ID
  • NPI 1861461709
  NPD
• Michael I Argyres, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Winchester, VA
  • NPI 1497734917
  NPD
• Bryn A Haws, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Kansas City, KS
  • NPI 1457676181
  NPD
• Rachel Kay Horton, DO

  • Anatomic Pathology Physician
  • Rochester, MN
  • NPI 1871090662
  NPD
• Trent W Pansze, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Durango, CO
  • NPI 1013996412
  NPD
• Courtni Lee Jones

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1003782871
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1164531943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE D",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-0747",
            "fax_number": "208-522-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE D",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-0747",
            "fax_number": "855-830-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS AND GYNECOLOGY ASSOCIATES OF IDAHO FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "208-522-0747"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OB-GYN Assoc of Idaho Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OB-GYN Assoc of Idaho Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luke William O'Rourke, D.O.
• Alicia Oakes, LMSW
• Abigail Oakley, LCPC
• Oakstead Infusion Pharmacy of Idaho, LLC (Vital Care of Eastern Idaho)
• Oakstone Hospice LLC
• Ruby Ocampo
• Occupational Therapy PA
• Kevin Brent Odette, M.A., PSR
• Odyssey Charter School
• Odyssey Mental Wellness PC

• Obstetrics & Gynecology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Obstetrics & Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.