| Rocky Mountain Medical Llc | |
|
535 W Sunnyside Rd Ste 2 Idaho Falls ID 83402-4647 | |
| (208) 357-9700 | |
| (208) 963-3245 |
| Full Name | Rocky Mountain Medical Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 535 W Sunnyside Rd Ste 2, Idaho Falls, Idaho |
| Authorized Official Name and Position | Matthew D Wood (DIRECTOR) |
| Authorized Official Contact | 2083579700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Medical Llc 535 W Sunnyside Rd Ste 2 Idaho Falls ID 83402-4647 Ph: (208) 357-9700 | Rocky Mountain Medical Llc 535 W Sunnyside Rd Ste 2 Idaho Falls ID 83402-4647 Ph: (208) 357-9700 |
| NPI Number | 1295580082 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 03/04/2026 |
| Medicare PECOS PAC ID | 1759828122 |
|---|---|
| Medicare Enrollment ID | O20240802001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295580082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Guy E Grooms |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053316786 PECOS PAC ID: 6103715586 Enrollment ID: I20170614001672 |
| Provider Name | Christopher Gibson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922501733 PECOS PAC ID: 4981954518 Enrollment ID: I20230612002920 |
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