Active NPI
Seasons Medical, PLLC
- Obstetrics & Gynecology Physician
- Rexburg, ID
National Provider Identifier
1174699722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SEASONS MEDICAL, PLLC
- Practice address
- 37 S 2ND E
Rexburg, ID 83440 - Phone
- (208) 356-0234
- Fax
- (208) 656-0365
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoff Schwiermann
- Title
- Administrator
- Phone
- (208) 356-0234
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
37 S 2ND E
Rexburg, ID 83440
Mailing address
37 S 2ND E
Rexburg, ID 83440-1906
Phone (208) 356-0234
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Rexburg, ID
- NPI 1881059103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1174699722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 S 2ND E",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401906",
"telephone_number": "208-356-0234",
"fax_number": "208-656-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 S 2ND E",
"city": "REXBURG",
"state": "ID",
"postal_code": "83440",
"telephone_number": "208-356-0234",
"fax_number": "208-656-0365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "SCHWIERMANN",
"authorized_official_first_name": "GEOFF",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-356-0234"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.