Active NPI
Idaho Falls Pulmonary Sleep & Critical Care Specialists
- Critical Care Medicine (Internal Medicine) Physician
- Idaho Falls, ID
National Provider Identifier
1407124753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS
- Practice address
- 2442 E 25TH St
Idaho Falls, ID 83404-7549 - Phone
- (208) 552-4909
- Fax
- (208) 522-6101
- NPI assigned
- Dec 1, 2011
- 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
- Allen J Salem, MD
- Title
- Owner/Director
- Phone
- (208) 552-4909
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
2442 E 25TH St
Idaho Falls, ID 83404-7549
Mailing address
2442 E 25TH St
Idaho Falls, ID 83404-7549
Phone (208) 552-4909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P562 | Other | ID | BLUE CROSS OF IDAHO |
National Provider Directory
National Provider DirectoryLocations
2442 E 25th St
Idaho Falls, ID 83404
Phone (208) 522-7310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1407124753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047549",
"telephone_number": "208-552-4909",
"fax_number": "208-522-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2442 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047549",
"telephone_number": "208-552-4909",
"fax_number": "208-522-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "208-552-4909",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "8P562",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Idaho Falls Infectious Diseases, PLLC
- Idaho Falls North of Cascadia, LLC
- Idaho Falls of Cascadia, LLC
- Idaho Falls Physical Medicine & Rehabilitation
- Idaho Falls Pulmonary
- Idaho Falls Recovery Center
- Idaho Falls School District 91
- Idaho Falls Smiles, PLLC
- Idaho Falls Surcigal Center
- Idaho Falls Surgical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.