TED REA (NPI# 1497795215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497795215 |
| Entity Type | Individual |
| Full Name | TED REA |
| Credential | M.D. |
| Practice Address |
1411 Falls Ave E Ste 1151 Twin Falls ID 83301-3455 |
| Practice Telephone | 2089334277 |
| Practice Fax Number | 2089334280 |
| Mailing Telephone | 2087323030 |
| Mailing Fax Number | 2087338970 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M6676 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002769900 | 05 | |
| ID | 100016984 | RR MEDICARE | 01 |
| Street Address |
1411 FALLS AVE E STE 1151 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821036724 | Intermountain Spine and Orthopedics, PC | Family Medicine | 1411 Falls Ave E, Suite 1301, Twin Falls, ID 83301-3455 | 2006-06-03 |
| 1144509084 | Ford Family Eye Care, P.C. | Optometrist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-08-09 |
| 1215233952 | David Tyler Billings | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-27 |
| 1427354257 | Michael William Sprague | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-26 |
| 1659682912 | Joshua Alan Jenkins | Dentist | 1411 Falls Ave E, #1000c, Twin Falls, ID 83301-3455 | 2010-07-01 |
| 1780813691 | Trent Pryor | Dentist | 1411 Falls Ave E, Suite 1000c, Twin Falls, ID 83301-3455 | 2009-07-13 |
| 1922279785 | Wright Physical Therapy, LLC | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2008-03-19 |
| 1417162728 | Inclusion South, Inc | Nursing Care | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-11 |
| 1285855759 | Inclusion South, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-01 |
| 1063635696 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598843039 | Judith Erika Csanky | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2006-11-01 |
| 1881100097 | Northwest Gastroenterology, Pllc | Internal Medicine | 526 Shoup Ave W, Twin Falls, ID 83301-6050 | 2017-12-26 |
| 1821364332 | Digestive Health Services, Ltd | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2012-03-29 |
| 1952324600 | Brian Scott Berk | Internal Medicine | 775 Pole Line Rd W, Ste. #203, Twin Falls, ID 83301-5814 | 2006-07-25 |
| 1508894262 | Robert M Ward Jr. | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-29 |
| 1336183813 | Kent J Smith | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-15 |
| 1144267022 | Blue Lakes Gastroenterology, Pllc | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-06-01 |
| 1548222516 | Seth N Wheeler | Internal Medicine | 775 Pole Line Rd W, Suite 203, Twin Falls, ID 83301-5814 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
| 1679890057 | Walter W Hair | Internal Medicine | 1402 N Promontory Rd, Boise, ID 83702-3040 | 2010-04-26 |
| 1659492809 | Bruce R Croffy | Internal Medicine | 3000 E Pine Ave, Meridian, ID 83642-5995 | 2007-04-03 |
| 1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
| 1164515276 | Healing Arts Day Surgery LLC | Internal Medicine | 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 | 2006-10-02 |
| 1194817023 | Treasure Valley Gastroenterology Specialists Inc | Internal Medicine | 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 | 2006-09-28 |
| 1740386432 | John Carl Morgenstern | Internal Medicine | 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 | 2006-09-16 |
| 1164525853 | Raquel Croitoru | Internal Medicine | 222 W Iowa Ave Ste A, Nampa, ID 83686-6814 | 2006-09-07 |
| 1295754265 | Southeast Idaho Gastroenterology,pllc | Internal Medicine | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
| 1184619165 | Paul H Baehr | Internal Medicine | 425 W Bannock St, Boise, ID 83702-6035 | 2005-09-15 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on TED REA.
| 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.