Rocco P. Cifrese, MD and Sara a. Cifrese, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2932 & M2933 Issued in ID

Legal business name

ROCCO P. CIFRESE, MD AND SARA A. CIFRESE, MD PA

Practice address

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

Phone

(208) 522-7666

Fax

(208) 524-2821

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rocco P Cifrese, MD

Title

Owner

Phone

(208) 522-7666

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Beth Gardner, PA-C

  • Physician Assistant
  • Idaho Falls, ID
  • NPI 1669917456
  NPD
• Kristi L Grigg, PA-C

  • Medical Physician Assistant
  • Rigby, ID
  • NPI 1831118801
  NPD
• Shane Gary Machen, D.O.

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1932330370
  NPD
• Cristy L Waters, PA-C

  • Physician Assistant
  • Cottonwood, AZ
  • NPI 1760753081
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1821115205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046493",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCCO P. CIFRESE, MD AND SARA A. CIFRESE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "CIFRESE",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M2932 & M2933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002429600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "012157409",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002429800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca R Robinson, MS, RDN, LD
• Shanyl Robinson
• Matthew Robison, DO
• Steven W Robison, MD
• Talia Robles, PTA
• Penney Ann Rockhill, LCPC
• Angela Lynn Rockwood
• Rocky Mountain Artificial Limb & Brace, Inc
• Rocky Mountain Diabetes and Osteoporosis Center PA
• Rocky Mountain Diabetes and Osteoporosis Center, PA

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, 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 Feb 1, 2010; 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.