Snake River Urology, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SNAKE RIVER UROLOGY, P.C.

Practice address

660 Shoshone St E
Suite 201
Twin Falls, ID 83301-6110

Phone

(208) 732-3040

Fax

(208) 732-3195

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

David Bowyer, M.D.

Title

Physician

Phone

(208) 732-3040

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1730126566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3040",
            "fax_number": "208-732-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SHOSHONE ST E",
            "address_2": "SUITE 201",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016110",
            "telephone_number": "208-732-3040",
            "fax_number": "208-732-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER UROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BOWYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-732-3040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805710000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340019783",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Urology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.