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).
| 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 |
| 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 |
| Street Address |
2375 E SUNNYSIDE RD STE C |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8281 |
| 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 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| 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 | ||||
| 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.