EAST IDAHO EAR NOSE THROAT - FACIAL PLASTIC SURGERY PA (NPI# 1275808750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275808750 |
Entity Type | Organization |
Organization Name | EAST IDAHO EAR NOSE THROAT - FACIAL PLASTIC SURGERY PA |
Other Organization Name | RICHARD GARRETT LEE |
Practice Address |
3446 S 15th E Idaho Falls ID 83404-8262 |
Practice Telephone | 2085226335 |
Practice Fax Number | 2085220550 |
Mailing Telephone | 2085226335 |
Mailing Fax Number | 2085220550 |
Enumeration Date | 2012-03-15 |
Last Update Date | 2019-06-26 |
Authorized Official Name | DR. RICHARD GARRETT LEE (OWNER) |
Authorized Official Telephone | 2085226335 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
M10574 | ID | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Richard Garrett Lee | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
527 Rigby Lake Dr Ste C, Rigby, ID 834425117 | 2085226335 | 2085220550 |
Street Address |
3446 S 15TH E |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-8262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710985551 | Robert Jensen Lee | Orthopaedic Surgery | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2005-07-13 |
1821645870 | Benjamin J Atwood | Physician Assistant | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2019-08-23 |
1356500086 | Robert J. Lee, M.d., PC | Orthopaedic Surgery | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2008-06-06 |
1770796583 | Richard Garrett Lee | Otolaryngology | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
Find all providers in zip 83404 |
Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770796583 | Richard Garrett Lee | Otolaryngology | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265415913 | Jill C Beck | Otolaryngology | 100 E Idaho St, Ste 200, Boise, ID 83712-6267 | 2005-11-28 |
City | IDAHO FALLS |
Zip Code | 83404 |
Please comment or provide details below to improve the information on EAST IDAHO EAR NOSE THROAT - FACIAL PLASTIC SURGERY PA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.