Stoddard & Bingham Medical of Rexburg PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

STODDARD & BINGHAM MEDICAL OF REXBURG PLLC

Doing business as

Idaho Skin Institute of Rexburg

Practice address

859 S Yellowstone Hwy Ste 3302
Rexburg, ID 83440-6200

Phone

(208) 656-2160

Fax

(208) 656-2161

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Ralene Redford, MA

Title

Practice Manager

Phone

(208) 238-7546

Specialties & licenses 1

Addresses

Other names 1

• Idaho Skin Institute of Rexburg Doing business as

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1356942437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022314",
            "telephone_number": "208-238-7546",
            "fax_number": "208-238-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY STE 3302",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406200",
            "telephone_number": "208-656-2160",
            "fax_number": "208-656-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDARD & BINGHAM MEDICAL OF REXBURG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "REDFORD",
        "authorized_official_first_name": "RALENE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "208-238-7546",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Skin Institute of Rexburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Stevenson, RPH
• Kayla Stevenson, RN
• Karen Jannette Stewart, MOTR/L
• Courtney I Stimpson, LCSW
• Emily L Stirling, PHARMD
• J Reed Stoddard, MSW
• Jaquel Stokes, LPC
• Sydney Stratton Jones
• Dirk E. Strobel, D.D.S. P.C.
• Heber Meng Strobel, DDS

• Dermatology Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.