MATTHEW MULHALL PONTZER


Address: 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281
Phone: 2085295777

MATTHEW MULHALL PONTZER (NPI# 1598736860) 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) 1598736860
Entity Type Individual
Full Name MATTHEW MULHALL PONTZER
Credential D.O.
Practice Address 2375 E Sunnyside Rd Ste C
Idaho Falls
ID 83404-8281
Practice Telephone 2085295777
Practice Fax Number 2085295778
Mailing Telephone 2085295777
Mailing Fax Number 2085295778
Enumeration Date 2006-01-27
Last Update Date 2009-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
O-0498 ID Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
02002403A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 2375 E SUNNYSIDE RD STE C
City IDAHO FALLS
State ID
Zip Code 83404-8281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891032801 Whitney Dianne Gillespie Counselor 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2013-01-10
1902186059 Jessica Lynne Dixon Counselor 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2011-08-22
1528346194 Shanna Neff Nurse Practitioner 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2011-07-29
1184745168 Camille Deon Couch Counselor 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2007-04-03
1457413205 Janet O. Allen Counselor 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 2006-12-15

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811514870 Ascend LLC Psychiatry & Neurology 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 2020-06-25
1245670793 Ashton Memorial, Inc. Psychiatry & Neurology 1301 E 17th St Ste 4, Idaho Falls, ID 83404-6273 2013-06-28
1336408632 Little Angels Psychiatry & Neurology 1680 Woodruff Park, Idaho Falls, ID 83401-3330 2012-05-08
1972643997 Robert J Brock Md Pa Psychiatry & Neurology 2420 East 25th Circle, Suite B, Idaho Falls, ID 83404-7549 2007-02-07
1083724215 Debra S Gorin Md PC Psychiatry & Neurology 1361 Cambridge Dr, Idaho Falls, ID 83401-4208 2006-08-30
1861467375 Manuel Sierra Psychiatry & Neurology 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 2006-02-19
1720071319 Craig J Denny Psychiatry & Neurology 1601 E 17th St, Idaho Falls, ID 83404-6313 2005-08-30
1023635018 Foothills Psychiatry and Addiction Psychiatry & Neurology 13734 S 1st E, Idaho Falls, ID 83404-7852 2020-06-25
1932552379 Craig J Denny Md Prof Psychiatry & Neurology 2280 E 25th St, Idaho Falls, ID 83404-7542 2016-07-21
1205213246 Adam Nielsen Burch Psychiatry & Neurology 2280 E 25th St, Idaho Falls, ID 83404-7542 2015-04-28
Find all providers in IDAHO FALLS

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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