NPI age
17 years
Enumerated 2008-09-16
● Active Type 2 · Organization
East Falls Plastic Surgery Llc
East Falls Plastic Surgery Llc is 1 of 24 plastic surgery organizations in Idaho.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kane
Vp
Last NPPES update
2010-02-18
Source: monthly bulk 2026-05
How this organization compares
Across 24 active plastic surgery providers in Idaho.
NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2860 Channing Way, Suite 114a
Idaho Falls, ID 834047531
Mailing address
2860 Channing Way, Suite 114a
Idaho Falls, ID 834047531
Authorized official
David J. Kane
Vp
📞 8015685933
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Charles Boge, MD Orthopaedic Surgery NPI 1831299148
- Emily Cowles, R.D.,L.D. Dietitian, Registered NPI 1205125259
- Boyd Hammond, MEDICAL DOCTOR Surgery NPI 1871689844
- Shannon Jenkins, DO Pediatrics NPI 1023083680
- Michael Moore, M.D., P.C. Surgery NPI 1306064860
- Brian O'Byrne, MD Surgery NPI 1801896717
- Brandi Smith, APRN-CNP Nurse Practitioner NPI 1114447406
- Sarah Vlach, MD Physical Medicine & Rehabilitation NPI 1326002221
- William Wilson, M.D. Plastic Surgery NPI 1447368758
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WY) | 1023267895 | |
| 05 (ID) | 1023267895 | |
| 05 (MT) | 1023267895 | |
| 05 (ID) | 808218000 |
Practice context
Multi-provider organization. 9 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.