OPTIMUM HEALTH LLC (NPI# 1306401575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306401575 |
| Entity Type | Organization |
| Organization Name | OPTIMUM HEALTH LLC |
| Practice Address |
527 Memorial Dr Pocatello ID 83201-4063 |
| Mailing Address |
Po Box 64568 Phoenix AZ 85082-4568 |
| Practice Telephone | 6022736770 |
| Practice Fax Number | 6022678919 |
| Mailing Telephone | 6022736770 |
| Mailing Fax Number | 6022678919 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | DAVID LEE FRANCIS (MEMBER) |
| Authorized Official Telephone | 2088440708 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1071 Renee Ave, Pocatello, ID 832012508 | 6022736770 | 6022678919 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Optimum Health LLC | 1445 Falcon Valley Heights #303, Colorado Springs, CO 80921 |
| Street Address |
527 MEMORIAL DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518166537 | Albert Brown | Physical Therapist | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2007-07-11 |
| 1144849498 | Marlissa Char Reed | Physical Therapy Assistant | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2020-04-15 |
| 1154940435 | Laura Ogg | Occupational Therapist | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2020-04-15 |
| 1942829205 | Shantay Anderson | Physical Therapy Assistant | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2020-04-15 |
| 1003471665 | Anthony Baden Powell | Physical Therapy Assistant | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2019-05-08 |
| 1063077634 | James Ellis Williams II | Speech-Language Pathologist | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2019-05-08 |
| 1902370141 | Angela Babb Anderson | Physical Therapist | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2019-01-21 |
| 1811461056 | Joseph Gorriceta | Physical Therapist | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2019-01-21 |
| 1386142727 | Pocatello Health Services, Inc. | Clinic/Center | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2018-01-31 |
| 1487199105 | Jason Turpin | Physical Therapy Assistant | 527 Memorial Dr, Pocatello, ID 83201-4063 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808133 | Rocky Mountain Physician Group LLC | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-08 |
| 1245764117 | Cody Allen Peterson | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2017-04-17 |
| 1386019784 | Pebble Creek Emergency Physicians Pllc | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2015-12-10 |
| 1306281944 | Morgan Newel Anderson | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2013-05-09 |
| 1639485246 | Morgan Yost | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2010-08-20 |
| 1184943144 | Jordon Marshall | Emergency Medicine | 777 Hospital Way, Emergency Department, Pocatello, ID 83201-5175 | 2010-05-28 |
| 1992967053 | Daniel S Dallon | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2008-06-30 |
| 1720240070 | David Lee Francis | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2008-06-27 |
| 1821208554 | Justine Marion Macneil | Emergency Medicine | 777 Hospital Way, Department of Emergency Medicine, Pocatello, ID 83201-5175 | 2007-05-23 |
| 1154344059 | Randall Fowler | Emergency Medicine | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2006-07-25 |
| Find all providers in POCATELLO | ||||
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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.