Provider Type Icon

LAURA A TABOR P.A. NPI 1538121322


NPI Information

NPI: 1538121322
Provider Name: LAURA A TABOR, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1880 JOHN ADAMS PKWY
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 524-6633
Get Directions

Laura A Tabor, P.A. is a medical physician assistant in Idaho Falls, ID. Laura A Tabor, P.A. NPI is 1538121322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1880 JOHN ADAMS PKWY
IDAHO FALLS, ID
ZIP 83401-315
Phone: (208) 524-6633
Fax: (208) 524-9952

The NPI 1538121322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 7/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA415IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000010027582OTHERIDAHOREGENCE BLUESHIELD GROUP
2DE1614OTHERIDAHORAILROAD MCR GROUP
3000010156316OTHERIDAHOREGENCE BLUE SHIELD
4P00205234OTHERIDAHORAILROAD MEDICARE NUMBER
5807659300MEDICAIDIDAHO
6806887600MEDICAIDIDAHO
71376964MEDICARE ID-TYPE UNSPECIFIEDIDAHODR. BAKER GROUP MCR NUMBE
88K123OTHERIDAHOBLUE CROSS GROUP
9P80646MEDICARE UPINIDAHO
101134140148OTHERIDAHOBAKER FAMILY GROUP NPI
111667801MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE PROVIDER NUMBER
12PAC63OTHERIDAHOBLUE CROSS PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.