P Praxis·MD
● Active Type 1 · Individual

Robert Forsyth Fallon JR., MD

Surgery·Kellogg, ID· NPI 1285678912 · Enumerated 2006 · 19 years on NPI
Fallon is 1 of 1 surgery providers in Kellogg and 1 of 260 in Idaho.
NPI age
19 years
Enumerated 2006-06-15
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
740 McKinley Ave
Kellogg, ID 83837
📞 2087831267
Mailing address
25 Jacobs Gulch Rd
Kellogg, ID 838372023
📞 2087847017fax 2087861019

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M7400 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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