Targhee Internal Medicine

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

O-305 Issued in ID

Legal business name

TARGHEE INTERNAL MEDICINE

Practice address

232 E 1St N
Rexburg, ID 83440-1616

Phone

(208) 356-7755

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Liisa Oswald

Title

Secretary- Treasurer

Phone

(208) 356-7755

Specialties & licenses 1

Addresses

Practitioners 1

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

• Allan Jeffery, DO

  • Internal Medicine Physician
  • Provo, UT
  • NPI 1336212414
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639391477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400275",
            "telephone_number": "208-356-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 1ST N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401616",
            "telephone_number": "208-356-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGHEE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "LIISA",
        "authorized_official_title_or_position": "SECRETARY- TREASURER",
        "authorized_official_telephone_number": "208-356-7755"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "ID",
            "license": "O-305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poh Heng Anthony Tan
• Shawn Gabriel Tan, CTRS
• Tanabell Health Services, Inc.
• Jessica Tanner, LCSW
• Tyler Reed Tarbet
• Randon Taylor, NMD
• Teton Cancer Institute
• Teton Medical Group PLLC
• Teton Oncology LLC
• Teton Radiology Madison LLC

• Sleep Medicine (Psychiatry & Neurology) Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Sleep Medicine (Psychiatry & Neurology) 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.