Mountain West Ear Nose and Throat, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MOUNTAIN WEST EAR NOSE AND THROAT, PC

Practice address

3200 Channing Way
Suite A303
Idaho Falls, ID 83404-7546

Phone

(208) 542-5414

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Kevin Matthews Hanks, DONPI 1215943295

Title

Physician

Phone

(208) 542-5414

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kevin M. Hanks D.O. Doing business as

Locations

Practitioners 1

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

• Kevin Matthew Hanks, D.O.

  • Otolaryngology Physician
  • Idaho Falls, ID
  • NPI 1215943295
  NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447265285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY",
            "address_2": "SUITE A303",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-542-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY",
            "address_2": "SUITE A303",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-542-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST EAR NOSE AND THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MATTHEWS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-542-5414",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kevin M. Hanks D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mountain View Hospital LLC
• Mountain View Hospital Physician Organization
• Mountain West Supportive Services
• Chantel NMN Mower, RN
• Mu Concepts LLC
• Kevin Richard Mudrow, D.D.S.
• Mueller Care Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.