EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA NPI 1437252723

NPI Information

  • NPI: 1437252723
  • Provider Name: EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 2353 CORONADO DRIVE
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 552-4823

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NPI Details

EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA is a neurology psychiatry neurology in Idaho Falls, ID. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EASTERN IDAHO NEUROLOGICAL ASSOCIATES PA NPI is 1437252723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2353 CORONADO DRIVE
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-4823
Fax: (208) 552-4856

The provider's authorized official is Stephen G Vincent .
The authorized official title is Owner and has the following contact phone number (208) 552-4823.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 1/6/2015.

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
12084N0400XPsychiatry & NeurologyNeurologyM6269IDAHOYes

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
1002724000MEDICAIDIDAHO
2F60223MEDICARE UPINIDAHO
31374661MEDICARE ID-TYPE UNSPECIFIEDIDAHO

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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