Individual provider Active NPI

Michael J Gregson, MD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Pocatello, ID
National Provider Identifier
1659370443
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
M3289 Issued in ID
Practice address
1125 W Alameda Rd
Pocatello, ID 83201-6143
Phone
(208) 237-1151
Fax
(208) 237-9721
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X M3289 ID Primary

Addresses

Primary practice location

1125 W Alameda Rd
Pocatello, ID 83201-6143

Mailing address

1125 W Alameda Rd
Pocatello, ID 83201-6143
Phone (208) 237-1151

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000548 ID Practitioner - Physical Medicine and Rehabilitation 3274667944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Iowa, RJ & L Carver College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Hyperbarics IncGroup PAC ID 0547164923, 2 clinicians

Practice addresses (Care Compare)

1125 W Alameda Rd
Pocatello, ID 83205-6143
Phone (208) 237-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3289IDMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Hyperbarics Inc Undersea and Hyperbaric Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

1125 W Alameda Rd
Pocatello, ID 83201
Phone (208) 237-1151

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1659370443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151",
            "fax_number": "208-237-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W ALAMEDA RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016143",
            "telephone_number": "208-237-1151",
            "fax_number": "208-237-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGSON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "ID",
            "license": "M3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.