| Eastern Idaho Medical Consultants | |
|
3200 Channing Way Ste. 205 Idaho Falls ID 83404-7546 | |
| (208) 535-4300 | |
| (208) 535-4315 |
| Full Name | Eastern Idaho Medical Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 Channing Way, Idaho Falls, Idaho |
| Authorized Official Name and Position | Shawn D Speirs (PRESIDENT) |
| Authorized Official Contact | 2085354300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Idaho Medical Consultants 3200 Channing Way Ste. 205 Idaho Falls ID 83404-7546 Ph: (208) 535-4300 | Eastern Idaho Medical Consultants 3200 Channing Way Ste. 205 Idaho Falls ID 83404-7546 Ph: (208) 535-4300 |
| NPI Number | 1326052630 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698737674 |
|---|---|
| Medicare Enrollment ID | O20041102000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326052630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Idaho) | Primary |
| Provider Name | Scott Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861542326 PECOS PAC ID: 2163328717 Enrollment ID: I20031212000325 |
| Provider Name | Brady L Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467502930 PECOS PAC ID: 6305877366 Enrollment ID: I20050830000129 |
| Provider Name | Tiffany C Coughenour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205959756 PECOS PAC ID: 5193917300 Enrollment ID: I20101006000834 |
| Provider Name | Peggy Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700189834 PECOS PAC ID: 9638348535 Enrollment ID: I20110810000551 |
| Provider Name | Kenneth Krell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518016062 PECOS PAC ID: 0042272023 Enrollment ID: I20151204000422 |
| Provider Name | Luke Haws |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942521109 PECOS PAC ID: 0345498762 Enrollment ID: I20180115000419 |
| Provider Name | Naglaa Bargelski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669940110 PECOS PAC ID: 1052657301 Enrollment ID: I20190108002520 |
| Provider Name | Kiyora Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326934894 PECOS PAC ID: 9931677135 Enrollment ID: I20260506001673 |
Shane G Machen, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 |
Family First Medical Center, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 |
Neville Spinal Balance PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 |
R.K. Arbon, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 |