Active NPI
Joshua Summers, DO
- Surgery Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- O-0937
- Practice address
- 3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546 - Phone
- (208) 529-2230
- Fax
- (208) 453-6142
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | O-0937 | ID | Primary |
Addresses
Primary practice location
3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546
Mailing address
3200 Channing Way Ste A206
Idaho Falls, ID 83404-7586
Phone (208) 529-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Channing Way
Suite A206
Idaho Falls, ID 83404-7586
Phone (208) 529-2230
Hospital & facility affiliations
- Eastern Idaho Regional Medical Center
- Mountain View Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 17 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4557 | TN | MD | Pharmacist |
| 91207 | MT | MD | Surgery Physician |
| 13251C | WY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steele Lake Specialty PLLC | Surgery | Current | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
3200 Channing Way
Ste 206
Idaho Falls, ID 83404
Phone (208) 529-2230
3200 Channing Way
Ste A206
Idaho Falls, ID 83404
Phone (208) 529-2230
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Idaho Falls, ID
- NPI 1215716998
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1477848851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE A206",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047586",
"telephone_number": "208-529-2230",
"fax_number": "208-561-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CHANNING WAY STE 206",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047546",
"telephone_number": "208-529-2230",
"fax_number": "208-453-6142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "JOSHUA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "O-0937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Emily Sucher, RDN
- Keaton Jake Suitter, LPC
- Rebecca T Sulik
- Sullivan Mental Health Services LLC
- Jessie Elaine Sullivan, LCPC,LMFT
- Patti Joleen Summers, LPC
- Summit Eyecare PLLC
- Summit Health Professionals
- Summit Orthopaedics Management and Consulting, LLC
- Summit Orthopaedics Management and Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.