NPI age
19 years
Enumerated 2006-07-14
● Active Type 2 · Organization
Mountain States Cardiovascular And
Mountain States Cardiovascular And is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Alcox
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2225 Teton Plz Ste B
Idaho Falls, ID 834046494
Mailing address
2225 Teton Plz Ste B
Idaho Falls, ID 834046494
Authorized official
Lisa A Alcox
Office Manager
📞 2085244660
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Peter Castellanos, MD Psychiatry & Neurology NPI 1811991474
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8A943 | BLUE CROSS GROUP # |
| 01 (ID) | 29390 | BLUE SHIELD GROUP # |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain States Cardiovascular and Thoracic Surgery, PLLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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