Life Spring Women'S Clinic, P.a.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

RPA-214 Issued in ID

Legal business name

LIFE SPRING WOMEN'S CLINIC, P.A.

Practice address

1660 John Adams Pkwy
Idaho Falls, ID 83401-4360

Phone

(208) 523-8844

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Craig Z. Hall, M.D.NPI 1003979352

Title

President

Phone

(208) 523-8844

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Craig Z. Hall, M.D.

  • Obstetrics & Gynecology Physician
  • Idaho Falls, ID
  • NPI 1003979352
  NPD (past) Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1265635346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014360",
            "telephone_number": "208-523-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014360",
            "telephone_number": "208-523-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPRING WOMEN'S CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-8844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "RPA-214",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "NP-253A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Taylor Lewis, CRNA
• Liberty Dialysis - Idaho Falls LLC
• Stephanie Liddle, PT
• Life Improvement Center, LLC
• Life Quest Family Solutions
• Life Spring Womens Clinic, P.a.
• Lighthouse Counseling, LLC
• Mariah Darlene Lignell
• Cody Likes
• David Redford Liljenquist, MD

• Physician Assistant in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.