Active NPI
Patients First Neonatology LLC
- Neonatal-Perinatal Medicine Physician
- Idaho Falls, ID
National Provider Identifier
1285786046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- PATIENTS FIRST NEONATOLOGY LLC
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 535-4575
- Fax
- (208) 535-4569
- NPI assigned
- Jan 18, 2007
- Last updated
- Dec 23, 2008
- 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
- Mr. David J Kane
- Title
- VP
- Phone
- (801) 568-5999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
2860 Channing Way
Suite #100
Idaho Falls, ID 83404-7531
Phone (208) 535-4566
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285786046 | Medicaid | WY | |
| 807644200 | Medicaid | ID | |
| 1285786046 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229990400000",
"number": "1285786046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 CHANNING WAY",
"address_2": "SUITE #100",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047531",
"telephone_number": "208-535-4566",
"fax_number": "208-535-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-535-4575",
"fax_number": "208-535-4569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS FIRST NEONATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2008-12-23",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "801-568-5999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285786046",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807644200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285786046",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.