DR. GERALD ELBERT MORTIMER (NPI# 1457508947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457508947 |
| Entity Type | Individual |
| Full Name | DR. GERALD ELBERT MORTIMER |
| Credential | M.D. |
| Practice Address |
2095 Heather Ln Ammon ID 83406-6705 |
| Practice Telephone | 2085292235 |
| Mailing Telephone | 2085292235 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M-3709 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
2095 HEATHER LN |
| City | AMMON |
| State | ID |
| Zip Code | 83406-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619270139 | Carriage House Obstetrics and Gyncecology, LLC | Obstetrics & Gynecology | 1570 Midway Dr, Suite 1, Ammon, ID 83406-6912 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609222355 | Brennan Anderson | Obstetrics & Gynecology | 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 | 2016-05-12 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1902179914 | Gary Gregerson Md Pa | Obstetrics & Gynecology | 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 | 2012-02-22 |
| 1073809729 | Morgan Ann Morton | Obstetrics & Gynecology | 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 | 2011-06-21 |
| 1972827582 | Carissa M Richardson | Obstetrics & Gynecology | 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 | 2010-03-25 |
| 1891932422 | Ihc Health Services Inc | Obstetrics & Gynecology | 1408 Pomerelle, Suite H, Burley, ID 83318-2682 | 2009-01-20 |
| 1396914917 | Jason Oneal Parkinson | Obstetrics & Gynecology | 1408 Pomerelle Ave, Suite H, Burley, ID 83318-2067 | 2008-02-28 |
| 1811185184 | Teton Women's Health Center | Obstetrics & Gynecology | 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 | 2007-10-11 |
| 1538236229 | Martin Landon Ladwig | Obstetrics & Gynecology | 1074 E Lower Rock Creek Rd, Inkom, ID 83245-4904 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
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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.