Rocky Mountain Emergency Physicians, LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

M4363 Issued in ID

Legal business name

ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC

Practice address

777 Hospital Way
Pocatello, ID 83201

Phone

(480) 421-9799

Fax

(480) 421-9899

NPI assigned

Jan 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randall Scott Fowler, MD

Title

President

Phone

(208) 239-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rocky Mountain Physician Group LLC

  • Emergency Medicine Physician
  • Pocatello, ID
  • NPI 1851808133
  NPPES parent name

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1508003104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15070",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675070",
            "telephone_number": "480-421-9700",
            "fax_number": "480-421-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "480-421-9799",
            "fax_number": "480-421-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-239-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "ID",
            "license": "M4363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICNESE NUMBER",
            "identifier": "M4363",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8N801",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janeane Robinson, CNP
• Jennifer L. Robinson, PA-C
• Calvin B. Rock, MD
• Rocky Mountain Artificial Limb & Brace, Inc
• Rocky Mountain Behavioral Health Center
• Rocky Mountain Home Health and Hospice
• Rocky Mountain Home Health and Hospice
• Rocky Mountain Physician Group LLC
• Rocky Mountain Surgery Center
• Cheryl E Rodnick, OTR L, CHT

• Emergency Medical Services (Emergency Medicine) Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.