TETON VALLEY HEALTH CARE INC (NPI# 1316294531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316294531 |
Entity Type | Organization |
Organization Name | TETON VALLEY HEALTH CARE INC |
Other Organization Name | TVHC PHYSICIANS' GROUP |
Practice Address |
120 E Howard St Driggs ID 83422-5112 |
Practice Telephone | 2083546302 |
Practice Fax Number | 2083543158 |
Mailing Telephone | 2083546302 |
Mailing Fax Number | 2083543158 |
Enumeration Date | 2012-08-07 |
Last Update Date | 2020-02-20 |
Authorized Official Name | MRS. JILL PAYNE (CHIEF OF COMPLIANCE) |
Authorized Official Telephone | 2083546302 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 31 | ID | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 31 | ID | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 31 | ID | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 31 | ID | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
31 | ID | Allopathic & Osteopathic Physicians |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
31 | ID | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
31 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207Q00000X | Family Medicine | 31 | ID | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
TVHC Physicians' Group | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013264183 | Teton Valley Health Care Inc | Orthopaedic Surgery | 283 N 1st E, Driggs, ID 83422-5109 | 2012-08-08 |
1477809622 | Teton Valley Health Care Inc | Ambulance | 120 E Howard Ave, Driggs, ID 83422-5112 | 2012-07-25 |
Street Address |
120 E HOWARD ST |
City | DRIGGS |
State | ID |
Zip Code | 83422-5112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396715371 | Troy D Weston | Physician Assistant | 120 E Howard St, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-01-24 |
1801408331 | Sarah Joyce Richins | Dietitian, Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2020-08-17 |
1619595071 | Sandra Nelson Woolstenhulme | Nurse Practitioner | 120 E Howard St, Driggs, ID 83422-5112 | 2020-07-10 |
1891354783 | Melanie Brower | Dietitian, Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2019-06-13 |
1174872345 | Anna Mccamy Gunderson | Physician Assistant | 120 E Howard St, Driggs, ID 83422-5112 | 2012-09-04 |
1376771667 | Juanita E Prissel | Family Medicine | 120 E Howard St, Driggs, ID 83422-5112 | 2009-06-25 |
1437342805 | Kristen Coburn | Nurse Practitioner | 120 E Howard St, Driggs, ID 83422-5112 | 2007-08-20 |
1437355377 | Barbara Marie Zimmer | Nurse Anesthetist, Certified Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2007-06-26 |
1972719516 | Marijke Onsrud | Physical Therapist | 120 E Howard St, Driggs, ID 83422-5112 | 2007-05-14 |
1053525964 | Rose Marie Raube | Specialist | 120 E Howard St, Driggs, ID 83422-5112 | 2007-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407994528 | Four Peaks Clinic Urgent Care, Inc | Family Medicine | 141 Valley Center Dr, Driggs, ID 83422-5113 | 2007-02-01 |
1407925639 | Chad Rodger Horrocks | Family Medicine | 283 N 1st E, Driggs, ID 83422-5109 | 2006-11-06 |
1376771667 | Juanita E Prissel | Family Medicine | 120 E Howard St, Driggs, ID 83422-5112 | 2009-06-25 |
1356425946 | Nathan B Levanger | Family Medicine | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-10-24 |
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1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
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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.