DR. THOMAS ERNEST PRYOR MD NPI 1861561094

NPI Information

NPI: 1861561094
Provider Name: DR. THOMAS ERNEST PRYOR, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
121 5TH AVE WEST
GOODING, ID
ZIP 83330
Phone: (208) 934-4800
Get Directions

DR. Thomas Ernest Pryor, MD is a family medicine in Gooding, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Thomas Ernest Pryor, MD NPI is 1861561094. 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:

121 5TH AVE WEST
GOODING, ID
ZIP 83330
Phone: (208) 934-4800
Fax: (208) 934-9611

The enumeration date for this NPI number is 11/6/2006 and was last updated on 12/15/2011.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	2011020656	MISSOURI	No
2	207Q00000X	Family Medicine	46233	TENNESSEE	No
3	207Q00000X	Family Medicine	M7337	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
1	1140438	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
2	805049900	MEDICAID	IDAHO
3	G26653	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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