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STANFORD BENJAMIN GAMMON P.A. NPI 1477992592


NPI Information

NPI: 1477992592
Provider Name: STANFORD BENJAMIN GAMMON, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3345 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-7572
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Stanford Benjamin Gammon, P.A. is a surgical physician assistant in Idaho Falls, ID with 11 years of experience. Stanford Benjamin Gammon, P.A. NPI is 1477992592. 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:

3345 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404-978
Phone: (208) 552-7572
Fax: (208) 552-7312

The NPI 1477992592 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.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)

The enumeration date for this NPI number is 6/21/2013 and was last updated on 7/7/2022.


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
1363AS0400XPhysician AssistantSurgicalPA-1328IDAHOYes

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

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.