Andrew Thayne, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9047 Issued in ID

Practice address

1951 Bench Rd
Suite B
Pocatello, ID 83201-2073

Phone

(208) 238-1000

Fax

(208) 238-0009

NPI assigned

Jul 9, 2006

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Group, P.a.Group PAC ID 1658275391, shared by 2 NPIs, 14 clinicians

Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onesource Home Health Home health agency, Idaho Falls, ID, CCN 137111
• Alliance Home Health Care Home health agency, Idaho Falls, ID, CCN 137133
• Alliance Hospice of Idaho Hospice, Idaho Falls, ID, CCN 131544
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.thayne.1@13153.direct.athenahealth.com
• Direct secure messaging: andrew.thayne.1@16258.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health West, Inc.

  dba Health West Preston Clinic

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541
  Medicare reassignment Care Compare group NPD
• Family Practice Group, P.a.

  dba InterMountain Medical Clinic

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1205869310
  Medicare reassignment NPD
• Family Practice Group, P.a.

  dba Intermountain Medical Clinic

  • Cardiac Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1912723214
  Medicare reassignment NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  Medicare reassignment NPD
• Health West, Inc.

  dba Hawthrone Middle School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1124750831
  NPD
• Health West, Inc.

  dba Health West Aberdeen Clinic

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West Downey Clinic

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West American Falls Clinic

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235

  Family Medicine

  NPD
• Health West, Inc.

  dba Sryinga Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD
• Pocatello Hospital LLC

  • Internal Medicine Physician
  • Pocatello, ID
  • NPI 1760610935
  NPD
• Health West, Inc.

  dba Health West Pocatello Clinic

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1154320752

  Family Medicine

  NPD (past)
• Health West, Inc.

  dba Health West Lava Clinic

  • Federally Qualified Health Center (FQHC)
  • Lava Hot Springs, ID
  • NPI 1427057926

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Onesource HHC LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1518980770
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation
• S&G Home Health LLC

  dba Alliance Home Health Care

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1376088054
  Care Compare affiliation
• S&G Hospice of Idaho LLC

  dba Alliance Hospice of Idaho

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1699228403
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1669405791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BENCH RD",
            "address_2": "SUITE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012073",
            "telephone_number": "208-238-1000",
            "fax_number": "208-238-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BENCH RD",
            "address_2": "SUITE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012073",
            "telephone_number": "208-238-1000",
            "fax_number": "208-238-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYNE",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00108846",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806857400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teton Family Services, Inc.
• Teton Open MRI of Pocatello, LLC
• Teton Spine PLLC.
• Teton Spine, PLLC
• Teton Vascular Institute of Pocatello a Series of Teton Group
• The Academy at Roosevelt Center
• The Advocacy and Learning Associates
• The Children's Center
• The Garden Counseling Center
• The Healing Center Inc

• Family Medicine Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.

Verify at the official NPI Registry.