Idaho Neurosurgical Center, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

IDAHO NEUROSURGICAL CENTER, PA

Practice address

2375 E Sunnyside Rd
Suite G
Idaho Falls, ID 83404-8280

Phone

(208) 542-1050

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Robert Cach, MD

Title

Owner

Phone

(208) 542-1050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1477798148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "SUITE G",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048280",
            "telephone_number": "208-542-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "SUITE G",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048280",
            "telephone_number": "208-542-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO NEUROSURGICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "CACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-542-1050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Heart Institute PC
• Idaho Heart Physician Group PLLC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.
• Idaho Neurosurgery & Spine PLLC
• Idaho Physician Services Inc.
• Idaho Prosthetics & Orthotics, Inc.
• Idaho Psychiatric Institute
• Idaho Recovery Center, LLC.
• Idaho Surgicenter North LLC

• Neurological Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Neurological Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.