MATERNAL FETAL SERVICES OF UTAH LLC (NPI# 1467675082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467675082 |
| Entity Type | Organization |
| Organization Name | MATERNAL FETAL SERVICES OF UTAH LLC |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Practice Telephone | 2085296111 |
| Practice Fax Number | 2085297021 |
| Mailing Telephone | 2085296111 |
| Mailing Fax Number | 2085297021 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | JEFF RYDBURG (VP) |
| Authorized Official Telephone | 6153737415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393084 | Maternal Fetal Services of Utah LLC | Obstetrics & Gynecology | 1140 E 3900 S, Suite 390, Salt Lake City, UT 84124-1228 | 2006-06-11 |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7533 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1881610079 | Saint Alphonsus Physicians Pa | Obstetrics & Gynecology | 6140 Curtisian Avenue, Suite 200, Boise, ID 83704-0107 | 2006-07-14 |
| 1457399560 | Michael Benedict Schneider | Obstetrics & Gynecology | 900 N Liberty St Ste 206, Boise, ID 83704-8729 | 2006-06-02 |
| 1134171952 | Michael F Koszalka Jr. | Obstetrics & Gynecology | 333 N 1st St Ste 150, Boise, ID 83702-6135 | 2006-05-17 |
| 1710958558 | Gail Miller | Obstetrics & Gynecology | 900 N Liberty Suite 206, Samg Maternal Fetal Medicine Boise, Boise, ID 83706-8707 | 2006-01-30 |
| 1205850823 | Mountain States Neonatology, Inc. | Obstetrics & Gynecology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-07-27 |
| 1588692933 | Richard M Lee | Obstetrics & Gynecology | 333 N 1st St, Ste 150, Boise, ID 83702-6100 | 2006-06-28 |
| 1699711069 | Saint Alphonsus Physicians Pa | Obstetrics & Gynecology | 900 N Liberty St, Ste 206, Boise, ID 83704-8729 | 2006-06-22 |
| 1669416954 | Renee A Bobrowski | Obstetrics & Gynecology | 900 N Liberty St, Suite 206, Boise, ID 83704-8704 | 2006-06-16 |
| 1497706469 | Stacy T Seyb | Obstetrics & Gynecology | 333 N 1st St, Suite 150, Boise, ID 83702-6100 | 2006-05-15 |
| 1558312199 | Clarence W Blea | Obstetrics & Gynecology | 333 N 1st St, Suite 150, Boise, ID 83702-6100 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.