NPIMap

Organization Active NPI

Eric a. Wingerson, D.O. & Digestive Health Center, PC

  • Gastroenterology Physician
  • Idaho Falls, ID
National Provider Identifier
1780766071
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ERIC A. WINGERSON, D.O. & DIGESTIVE HEALTH CENTER, PC
Practice address
1995 E 17TH St
Suite #4
Idaho Falls, ID 83404-6493
Phone
(208) 524-3939
Fax
(208) 524-3950
NPI assigned
Oct 19, 2006
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Eric A. Wingerson, D.O.NPI 1295738797
Title
Owner
Phone
(208) 524-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1995 E 17TH St
Suite #4
Idaho Falls, ID 83404-6493

Mailing address

1995 E 17TH St
Suite #4
Idaho Falls, ID 83404-6493
Phone (208) 524-3939

Other identifiers 1

IdentifierTypeStateIssuer
002708700MedicaidID

National Provider Directory

National Provider Directory

Locations

1995 E 17th St
Ste 4
Idaho Falls, ID 83404
Phone (208) 524-3416

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1780766071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST",
            "address_2": "SUITE #4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-524-3939",
            "fax_number": "208-524-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST",
            "address_2": "SUITE #4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-524-3939",
            "fax_number": "208-524-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A. WINGERSON, D.O. & DIGESTIVE HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "WINGERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-3939",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002708700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.