Idaho Heart Physician Group PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

IDAHO HEART PHYSICIAN GROUP PLLC

Practice address

2985 Cortez Ave
Idaho Falls, ID 83404-7554

Phone

(208) 523-3373

Fax

(208) 523-8746

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

John Chambers, MD

Title

President

Phone

(208) 403-1127

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1184496051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 PIER VIEW DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024918",
            "telephone_number": "208-557-5218",
            "fax_number": "208-529-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO HEART PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-403-1127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Family Vision PLLC (Family Vision Associates)
• Idaho Foot Center
• Idaho Foot Center PC
• Idaho Foot Surgery Center PC
• Idaho Heart Institute PC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.
• Idaho Neurosurgery & Spine PLLC
• Idaho Neurosurgical Center, PA
• Idaho Physician Services Inc. (East Falls Orthopedics)

• Cardiovascular Disease Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Cardiovascular Disease Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.