TETON SURGICAL SPECIALTIES PLLC NPI 1043779127

NPI Information

  • NPI: 1043779127
  • Provider Name: TETON SURGICAL SPECIALTIES PLLC
  • Classification: Surgery - 2086S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Organization
  • :
  • Address: 1542 ELK CREEK DR
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (844) 919-4263

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NPI Details

TETON SURGICAL SPECIALTIES PLLC is a surgery of the hand surgery in Idaho Falls, ID. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. TETON SURGICAL SPECIALTIES PLLC NPI is 1043779127. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1542 ELK CREEK DR
IDAHO FALLS, ID
ZIP 83404-322
Phone: (844) 919-4263
Fax: (833) 513-0980

The provider's authorized official is Bruce James Watkins .
The authorized official title is Owner / Md and has the following contact phone number (844) 919-4263.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/10/2025.

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
12086S0105XSurgerySurgery of the HandYes

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
11326240425MEDICAIDIDAHO

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: 11/21/2025

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