STANLEY MOGELSON M.D. NPI 1134169501

NPI Information

NPI: 1134169501
Provider Name: STANLEY MOGELSON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
660 SHOSHONE ST E
SUITE 110
TWIN FALLS, ID
ZIP 83301
Phone: (208) 732-3380
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Stanley Mogelson, M.D. is a specialist in Twin Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Stanley Mogelson, M.D. NPI is 1134169501. 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:

660 SHOSHONE ST E
SUITE 110
TWIN FALLS, ID
ZIP 83301-110
Phone: (208) 732-3380
Fax: (208) 732-3300

The enumeration date for this NPI number is 6/7/2006 and was last updated on 4/14/2008.

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	174400000X	Specialist		M6806	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	11132968	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	MEDICARE NUMBER
2	A52481	MEDICARE UPIN	IDAHO
3	P00240855	OTHER	IDAHO	RR MEDICARE

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

NPI Synchronization or Removal

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