EAST IDAHO EAR NOSE THROAT - FACIAL PLASTIC SURGERY PA


Address: 3446 S 15th E, Idaho Falls, ID 83404-8262
Phone: 2085226335

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
M10574 ID Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Richard Garrett Lee Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
527 Rigby Lake Dr Ste C, Rigby, ID 834425117 2085226335 2085220550

Office Location

Street Address 3446 S 15TH E
City IDAHO FALLS
State ID
Zip Code 83404-8262

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770796583 Richard Garrett Lee Otolaryngology 3446 S 15th E, Idaho Falls, ID 83404-8262 2007-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265415913 Jill C Beck Otolaryngology 100 E Idaho St, Ste 200, Boise, ID 83712-6267 2005-11-28

Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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