TETON SPINE PLLC (NPI# 1669874012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669874012 |
| Entity Type | Organization |
| Organization Name | TETON SPINE PLLC |
| Practice Address |
333 N 18th Ave Suite B4 Pocatello ID 83201 |
| Practice Telephone | 2082322233 |
| Practice Fax Number | 2082322299 |
| Mailing Telephone | 2082322233 |
| Mailing Fax Number | 2082322299 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | JONATHAN T MORGAN (OWNER) |
| Authorized Official Telephone | 2082322233 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0-0644 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
333 N 18TH AVE SUITE B4 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083544 | Kraig C Mcgee | Otolaryngology | 333 N 18th Ave, # B-3, Pocatello, ID 83201-3358 | 2005-09-19 |
| 1649710351 | Sei Mobile Anesthesia, Pllc | Anesthesiology | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3326 | 2017-02-28 |
| 1497154207 | Richard Aaron Marler | Nurse Anesthetist, Certified Registered | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-08-18 |
| 1750701199 | Sei Anesthesia Pllc | Anesthesiology | 333 N 18th Ave, Bldg A, Pocatello, ID 83201-3358 | 2014-04-24 |
| 1588909261 | Jessica Redding | Physician Assistant | 333 N 18th Ave, Suite #b, Pocatello, ID 83201-3358 | 2012-12-06 |
| 1770877888 | Anthony Joseph Md Inc | Family Medicine | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2011-06-06 |
| 1386960821 | June E Heilman Md Pa | Surgery | 333 N 18th Ave, Pocatello, ID 83201-3358 | 2010-04-08 |
| 1225262306 | Jonathan T Morgan | Neurological Surgery | 333 N 18th Ave, Suite B4, Pocatello, ID 83201 | 2009-05-05 |
| 1265670061 | M Elizabeth Gerard Md Pllc | Psychiatry & Neurology | 333 N 18th Ave, Ste B4, Pocatello, ID 83201 | 2009-02-02 |
| 1265683445 | Pocatello Orthopaedics and Sports Medicine Institute Pa | Specialist | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2008-10-06 |
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| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245603505 | Scott Huneycutt Md Pllc | Neurological Surgery | 2240 E Center St Ste A, Pocatello, ID 83201-2600 | 2015-11-09 |
| 1104825892 | Gregory S Harrison | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2005-07-15 |
| 1225432313 | Teton Spine, Pllc | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2014-10-17 |
| 1225262306 | Jonathan T Morgan | Neurological Surgery | 333 N 18th Ave, Suite B4, Pocatello, ID 83201 | 2009-05-05 |
| 1699940346 | Spineidaho Pllc | Neurological Surgery | 2240 E Center St, Pocatello, ID 83201 | 2008-04-24 |
| 1902835986 | Intermountain Neurosurgery, P.a. | Neurological Surgery | 500 S 11th Ave, Suite 504, Pocatello, ID 83201-4835 | 2006-07-01 |
| 1003800699 | William Scott Huneycutt | Neurological Surgery | 2240 E Center St, Pocatello, ID 83201 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992049696 | William Bradford Delong | Neurological Surgery | 222 Blue Ridge Ct, Orofino, ID 83544-9019 | 2012-11-19 |
| 1932373453 | Michael Raber | Neurological Surgery | 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4960 | 2008-04-15 |
| 1578743522 | Richard Lochhead | Neurological Surgery | 6140 W. Curtisian Ave, Ste 400, Boise, ID 83604-8907 | 2007-11-07 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1962592022 | Robert Lee Cach | Neurological Surgery | 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404-8281 | 2006-10-12 |
| 1558457572 | Stephen R Marano | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-05 |
| 1962508366 | Bret A Dirks | Neurological Surgery | 850 W Ironwood Dr Suite 300, Coeur Dalene, ID 83814 | 2006-09-15 |
| 1558472910 | Jeffrey Dean Mcdonald | Neurological Surgery | 980 W Ironwood Drive, #206, Coeur D Alene, ID 83814 | 2006-08-31 |
| 1497788160 | William Francis Ganz | Neurological Surgery | 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2006-07-08 |
| 1134155666 | Brent H. Greenwald | Neurological Surgery | 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 | 2006-06-25 |
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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.