MARY VANORDEN


Address: 1246 Yellowstone Ave Ste F2, Pocatello, ID 83201-4372
Phone: 2089041270

MARY VANORDEN (NPI# 1356742613) 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) 1356742613
Entity Type Individual
Full Name MARY VANORDEN
Other Name MARY KLASSEN
Credential CPT
Practice Address 1246 Yellowstone Ave Ste F2
Pocatello
ID 83201-4372
Practice Telephone 2089041270
Practice Fax Number 2089041270
Mailing Telephone 2089041270
Mailing Fax Number 2089041270
Enumeration Date 2014-09-05
Last Update Date 2014-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225200000X Physical Therapy Assistant PTA-368 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225500000X Specialist/Technologist T178488 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1246 YELLOWSTONE AVE STE F2
City POCATELLO
State ID
Zip Code 83201-4372

Providers in the same zip code

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 Information

Taxonomy Code 225500000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist

Taxonomy Definition

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447581665 Tammy M Marr Specialist/Technologist 341 N. 4th Ave W., Middleton, ID 83644 2010-01-28
1063455608 Lisa Marie Roper Specialist/Technologist 1900 W Pine Ave, Meridian, ID 83642-1961 2006-06-13
1902416753 Rose Marie Brown Specialist/Technologist 3067 E Copper Point Dr, Meridian, ID 83642-1740 2020-08-06
1497365266 Christian Mccord Specialist/Technologist 3067 E Copper Point Dr, Meridian, ID 83642-1740 2020-08-05
1457961229 James Mccord Specialist/Technologist 3067 E Copper Point Dr, Meridian, ID 83642-1740 2020-08-05
1831755925 Justin Law Specialist/Technologist 500 W Fort St, Boise, ID 83702-4501 2019-05-14
1447636998 Michael William Stanton Specialist/Technologist 500 W Fort St, Boise, ID 83702-4501 2015-08-07

Competitor

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City POCATELLO
Zip Code 83201

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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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