NPI age
19 years
Enumerated 2007-03-14
● Active Type 2 · Organization
Idaho Allergy & Asthma Clinic PA
Idaho Allergy & Asthma Clinic PA is 1 of 10 allergy & immunology organizations in Idaho.
Primary specialty
Allergy & Immunology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petty
President
Last NPPES update
2019-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 10 active allergy & immunology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3422 S 15th E
Idaho Falls, ID 834048262
Mailing address
3422 S 15th E
Idaho Falls, ID 834048262
Authorized official
Wendell E Petty, M.D.
President
📞 2085299292
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Cathryn Carpenter Audiologist NPI 1881758746
- Sandi Eatinger, LMSW Social Worker NPI 1831270594
- Michael Harris, MD Family Medicine NPI 1952579021
- Travis Hull, LMSW Social Worker NPI 1720387681
- Phillip Marlowe, PA-C Physician Assistant NPI 1760044424
- David Petty, D.O. Allergy & Immunology NPI 1376877795
- Wendell Petty, M.D. Allergy & Immunology NPI 1457312308
- Michael Rex, LCSW Social Worker NPI 1861651812
- Hsiang-Hua Wang Counselor NPI 1215314968
- Valerie Ward Nurse Practitioner NPI 1255291522
Specialties
-
Allergy & Immunology PrimaryAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8N147 | BLUE CROSS |
| 01 (ID) | DG4709 | RAILROAD MEDICARE |
| 01 (ID) | 0000100004631 | BLUE SHIELD |
| 05 (ID) | 002516900 |
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.