Teton Spine PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0-0644 Issued in ID

Legal business name

TETON SPINE PLLC

Practice address

333 N 18TH Ave
Suite B4
Pocatello, ID 83201

Phone

(208) 232-2233

Fax

(208) 232-2299

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Jonathan T Morgan, DO

Title

Owner

Phone

(208) 232-2233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1669874012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE B4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-2233",
            "fax_number": "208-232-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "SUITE B4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-2233",
            "fax_number": "208-232-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-232-2233",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "0-0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tensel LLC-TCM
• Cheri Elizabeth Tensel
• William Jared Terry, DMD
• Teton Family Services, Inc.
• Teton Open MRI of Pocatello, LLC
• Teton Spine, PLLC
• Teton Vascular Institute of Pocatello a Series of Teton Group
• Andrew Thayne, M.D.
• The Academy at Roosevelt Center
• The Advocacy and Learning Associates

• Neurological Surgery Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Neurological Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.