Individual provider Active NPI

Ronald M. Zohner, M.D.

  • Child & Adolescent Psychiatry Physician
  • Idaho Falls, ID
National Provider Identifier
1194833228
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
M5681 Issued in ID
Practice address
1842 1St St
Idaho Falls, ID 83401-4415
Phone
(208) 552-5707
Fax
(208) 552-5709
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X M5681 ID Primary

Addresses

Primary practice location

1842 1St St
Idaho Falls, ID 83401-4415

Mailing address

1842 First Street
Idaho Falls, ID 83401-4415
Phone (208) 552-5707

Other identifiers 3

IdentifierTypeStateIssuer
000010004266OtherIDBLUE SHIELD
000911100MedicaidID
56812OtherIDBLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000339 ID Practitioner - Psychiatry 0749326544 Reassigns benefits to 1 organization
Practice locations: Idaho Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Utah School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tueller Counseling IncGroup PAC ID 0547585895, 20 clinicians

Practice addresses (Care Compare)

2275 W Broadway St
Suite G
Idaho Falls, ID 83402-2902
Phone (208) 524-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5681IDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tueller Counseling Inc CurrentSince Sep 15, 2015 Accepting new patients
Tueller Counseling Inc PastSince May 18, 2025 Accepting new patients
Tueller Counseling Inc PastSince May 18, 2025 Accepting new patients

Locations

2275 W Broadway St
Ste G
Idaho Falls, ID 83402
Phone (208) 524-7400

2265 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-7400

420 W 4th S
Rexburg, ID 83440
Phone (208) 521-4443

295 N 3855 E
Rigby, ID 83442
Phone (208) 745-5205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1194833228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 FIRST STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014415",
            "telephone_number": "208-552-5707",
            "fax_number": "208-552-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014415",
            "telephone_number": "208-552-5707",
            "fax_number": "208-552-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHNER",
        "first_name": "RONALD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ID",
            "license": "M5681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010004266",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "56812",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.