DR. MICHAEL SEAN ENSLOW (NPI# 1295094530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295094530 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SEAN ENSLOW |
| Credential | M.D. |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404 |
| Mailing Address |
2265 E Sunnyside Rd Idaho Falls ID 83404-7598 |
| Practice Telephone | 2085296111 |
| Mailing Telephone | 2085425000 |
| Mailing Fax Number | 2085425151 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-13861 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1295094530 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Rd, Durham, NC 277054699 | 9196841111 |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1821697681 | Taylor Olivia Woodrow | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-10-22 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1487274932 | Bailey Elizabeth Kimbel | Registered Nurse | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356510143 | Newell Kay Richardson | Radiology | 2088 E 49th South, Idaho Falls, ID 83404-7649 | 2008-02-26 |
| 1730447186 | Scott J Parker | Radiology | 3100 Channing Way, Idaho Falls, ID 83404 | 2012-04-23 |
| 1346538253 | Roderick Jack Willmore | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-12 |
| 1356630420 | Brett Scott Talbot | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-03-29 |
| 1740434737 | Stephen R Preece | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2008-11-04 |
| 1609037340 | David Aaron Behrmann | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2008-06-24 |
| 1992992010 | Christopher Owen Harker | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-10-02 |
| 1770781932 | Richard Whiting Bentley | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2007-07-10 |
| 1770653321 | Steven D Smith | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-11-09 |
| 1508936923 | James F Schmutz | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-11-09 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DR. MICHAEL SEAN ENSLOW.
| 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.