MS. SUSAN LYNN BUNNELL (NPI# 1346216975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346216975 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LYNN BUNNELL |
| Credential | MD |
| Practice Address |
2280 E 25th Street Idaho Falls ID 83404 |
| Practice Telephone | 2082272295 |
| Practice Fax Number | 2082272364 |
| Mailing Telephone | 2082272295 |
| Mailing Fax Number | 2082272364 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2011-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
M11154 | ID | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
5576 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 13426216975 | 05 | |
| SD | 7101880 | 05 | |
| SD | BCBS | 4994379 | 01 |
| Street Address |
2280 E 25TH STREET |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194833228 | Ronald M. Zohner | Psychiatry & Neurology | 1842 1st St, Idaho Falls, ID 83401-4415 | 2006-08-28 |
| 1437495041 | Little Angels LLC | Psychiatry & Neurology | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 | 2012-12-31 |
| 1831413681 | Matthew F Larsen | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2010-03-23 |
| 1770728040 | Craig J Denny Md Prof Corp | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2008-12-15 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407887623 | Kristina J Harrington | Psychiatry & Neurology | 5985 W State St, Boise, ID 83703-3039 | 2006-07-05 |
| 1174031736 | Hamilton Warren-sutton, Md, Pllc | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2018-01-17 |
| 1548610272 | Tamara Helfer, M.d., Pllc | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2016-06-14 |
| 1013336197 | Paula Porter Griffith | Psychiatry & Neurology | 414 Shoup Ave W, Twin Falls, ID 83301-5042 | 2014-04-16 |
| 1104124122 | Centerpointe, Inc. | Psychiatry & Neurology | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2011-03-01 |
| 1104135375 | Ninon Germain Md Pllc | Psychiatry & Neurology | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2010-10-05 |
| 1962663633 | Tamara S Helfer | Psychiatry & Neurology | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9212 | 2008-06-24 |
| 1447448659 | Cristina Sanchez-jaquez | Psychiatry & Neurology | 2705 E 17th St, Ammon, ID 83406-6601 | 2007-10-12 |
| 1588705560 | Ninon Marie Germain Collet | Psychiatry & Neurology | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2007-02-10 |
| 1184780694 | Kelly Page Palmer | Psychiatry & Neurology | 700 East Alice Street, Blackfoot, ID 83221-0400 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| 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.