NPI age
17 years
Enumerated 2009-03-03
● Active Type 2 · Organization
Joseph W Ippolito JR MD Pllc
Joseph W Ippolito JR MD Pllc is 1 of 14 preferred provider organization organizations in Idaho.
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ippolito
Medical Doctor/owner
Last NPPES update
2012-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 14 active preferred provider organization providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
526 Shoup Ave W, Suite F
Twin Falls, ID 833014591
Mailing address
526 Shoup Ave W, Suite F
Twin Falls, ID 833014591
Authorized official
Joseph W Ippolito, MD
Medical Doctor/owner
📞 2087367620
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Scott Allan, M.D. Ophthalmology NPI 1639159056
- Rustin Hatch, O.D. Optometrist NPI 1265402911
- Joseph Ippolito, M.D. Family Medicine NPI 1306862792
- Mayben Johnson, DO Family Medicine NPI 1306920202
- Merrick Reynolds, PA Physician Assistant NPI 1891097234
- Christopher Scholes, M.D. Dermatology NPI 1760491542
- Robert Welch, M.D. Ophthalmology NPI 1841260858
- Neelie Willis, PA-C Physician Assistant NPI 1477590958
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001696 | REGENCE BLUE SHIELD OF IDAHO |
| 01 (ID) | DY066 | BLUE CROSS OF IDAHO |
| 05 (ID) | 003755600 |
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 14 Preferred Provider Organization providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.