Idaho Physician Services Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

IDAHO PHYSICIAN SERVICES INC.

Doing business as

East Falls Orthopedics

Practice address

3200 Channing Way Ste A205
Idaho Falls, ID 83404-7586

Phone

(208) 535-4580

Fax

(208) 535-4520

NPI assigned

Jun 17, 2006

Last updated

Jan 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis Joseph

Title

VP

Phone

(615) 373-7630

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• East Falls Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 49

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.

• Christopher M Alessi, MD

  • Vascular Surgery Physician
  • Boise, ID
  • NPI 1598726960
  Medicare reassignment Care Compare group NPD
• Melissa P Cheers, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Idaho Falls, ID
  • NPI 1801235742
  Medicare reassignment Care Compare group NPD
• Logan Daniel Cutts, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1144661752
  Medicare reassignment Care Compare group NPD
• Benjamin B Garner, DO

  • Orthopaedic Surgery Physician
  • Idaho Falls, ID
  • NPI 1497913008
  Medicare reassignment Care Compare group NPD
• Lance Glen Jacobson, MD

  • Orthopaedic Surgery Physician
  • Idaho Falls, ID
  • NPI 1689940405
  Medicare reassignment Care Compare group NPD
• Brandon Reyes Kelly, M.D.

  • Neurological Surgery Physician
  • Idaho Falls, ID
  • NPI 1295942142
  Medicare reassignment Care Compare group NPD
• Laurie M Kuestner, M.D.

  • Vascular Surgery Physician
  • Idaho Falls, ID
  • NPI 1235111261
  Medicare reassignment Care Compare group NPD
• Janet Lynn Otto, MD

  • Clinical Cardiac Electrophysiology Physician
  • Idaho Falls, ID
  • NPI 1063510220
  Medicare reassignment Care Compare group NPD
• David Jon Pombo, M.D.

  • Infectious Disease Physician
  • Idaho Falls, ID
  • NPI 1588720783
  Medicare reassignment Care Compare group NPD
• Denis P Raleigh, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Idaho Falls, ID
  • NPI 1427069855
  Medicare reassignment Care Compare group NPD
• Abraham Schlauderaff, MD

  • Neurological Surgery Physician
  • Idaho Falls, ID
  • NPI 1225492390
  Medicare reassignment Care Compare group NPD
• Matthew G Taylor, MD

  • Clinical Cardiac Electrophysiology Physician
  • Idaho Falls, ID
  • NPI 1033123658
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1902841893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY STE A205",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047586",
            "telephone_number": "208-535-4580",
            "fax_number": "208-535-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO PHYSICIAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902841893",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010154957",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807418100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF ID",
            "identifier": "8M826",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902841893",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Falls Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Falls Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Idaho Heart Physician Group PLLC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.
• Idaho Neurosurgery & Spine PLLC
• Idaho Neurosurgical Center, PA
• Idaho Prosthetics & Orthotics, Inc.
• Idaho Psychiatric Institute
• Idaho Recovery Center, LLC.
• Idaho Surgicenter North LLC
• Idaho Urgent Care

• Orthopaedic Surgery Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.