IDAHO PHYSICIAN SERVICES INC. NPI 1902841893

NPI Information

NPI: 1902841893
Provider Name: IDAHO PHYSICIAN SERVICES INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Doing Business As: EAST FALLS ORTHOPEDICS
CLIA Number: 13D2210857
Address: 3200 CHANNING WAY STE A205
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 535-4580

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NPI Details

IDAHO PHYSICIAN SERVICES INC. is an orthopaedic surgery in Idaho Falls, ID. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. IDAHO PHYSICIAN SERVICES INC. NPI is 1902841893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Falls Orthopedics.

The provider's business location address is:

3200 CHANNING WAY STE A205
IDAHO FALLS, ID
ZIP 83404-586
Phone: (208) 535-4580
Fax: (208) 535-4520

The provider's authorized official is Louis Joseph .
The authorized official title is Vp and has the following contact phone number (615) 373-7630.

The CLIA number assigned to this NPI record is 13D2210857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 1/2/2023.

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	2084N0400X	Psychiatry & Neurology	Neurology			No
2	207X00000X	Orthopaedic Surgery				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	000010154957	OTHER	IDAHO	BLUE SHIELD
2	1902841893	MEDICAID	WYOMING
3	1902841893	MEDICAID	MONTANA
4	807418100	MEDICAID	IDAHO
5	8M826	OTHER	IDAHO	BLUECROSS OF ID

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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