FLOYD JOSEPH FANTELLI MD NPI 1831167113

NPI Information

NPI: 1831167113
Provider Name: FLOYD JOSEPH FANTELLI, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6050
Get Directions

Floyd Joseph Fantelli, MD is an anatomic pathology and clinical pathology pathology in Idaho Falls, ID. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Floyd Joseph Fantelli, MD NPI is 1831167113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 529-6050
Fax: (208) 529-7085

The enumeration date for this NPI number is 3/10/2006 and was last updated on 1/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	M4216	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42168	OTHER	IDAHO	BLUE CROSS OF ID
2	1121846	MEDICARE PIN	IDAHO
3	003697200	MEDICAID	IDAHO
4	D93731	MEDICARE UPIN
5	000010004040	OTHER	IDAHO	REGENCE BLUE SHIELD ID

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: 4/28/2024

NPI Synchronization or Removal

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