Active NPI
Philip William Girling, M.D.
- Psychiatry Physician
- Idaho Falls, ID
National Provider Identifier
1942257548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M8621
- Practice address
- 2267 Teton PLZ
Idaho Falls, ID 83404-6486 - Phone
- (208) 522-0140
- Fax
- (208) 524-7335
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M8621 | ID | Primary |
Addresses
Primary practice location
2267 Teton PLZ
Idaho Falls, ID 83404-6486
Mailing address
2267 Teton PLZ
Idaho Falls, ID 83404-6486
Phone (208) 522-0140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942257548 | Medicaid | ID | |
| 78119 | Other | ID | BLUE CROSS |
| 000010144418 | Other | ID | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8621 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Psychotherapy PC | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- philip.girling@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Jackson, WY
- NPI 1417904095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1942257548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2267 TETON PLZ",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046486",
"telephone_number": "208-522-0140",
"fax_number": "208-524-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2267 TETON PLZ",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046486",
"telephone_number": "208-522-0140",
"fax_number": "208-524-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRLING",
"first_name": "PHILIP",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M8621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942257548",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "78119",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010144418",
"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 Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.