Active NPI
Bannock Inpatient Services PLLC
- Emergency Medicine Physician
- Pocatello, ID
National Provider Identifier
1770948465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- BANNOCK INPATIENT SERVICES PLLC
- Practice address
- 777 Hospital Way
Pocatello, ID 83201-5175 - Phone
- (469) 401-2386
- NPI assigned
- Dec 22, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mark J Slepin, MD
- Title
- President
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Palm Beach Gardens, FL
- NPI 1417063439
Emergency Medicine
-
- Emergency Medicine Physician
- Snellville, GA
- NPI 1801853908
Emergency Medicine
-
- Psychologist
- Grand Forks, ND
- NPI 1790741999
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
NPPES NPI RegistryPrimary practice location
777 Hospital Way
Pocatello, ID 83201-5175
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 401-2386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2015.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1770948465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401374",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNOCK INPATIENT SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-28",
"status": "A",
"authorized_official_last_name": "SLEPIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.