P Praxis·MD
● Active Type 2 · Organization

Ridgeline Medical Llc

Family Medicine·Idaho Falls, ID· NPI 1386110963 · Enumerated 2018 · 7 years on NPI
Ridgeline Medical Llc is 1 of 1691 family medicine organizations in Idaho.
NPI age
7 years
Enumerated 2018-10-22
Primary specialty
Family Medicine
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mangan
Owner
Last NPPES update
2021-11-01
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 31% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
2470 Jafer Ct
Idaho Falls, ID 834045587
📞 2087159990fax 2087159992
Mailing address
2429 Jafer Ct
Idaho Falls, ID 834045587
📞 2087159990fax 2087159992

Authorized official

Martin Mangan, DO
Owner
📞 2087159990

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X
  • Chiropractor
    A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
    taxonomy 111N00000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QU0200X
  • Family Medicine
    A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian...
    taxonomy 207QS1201X
  • Physical Medicine & Rehabilitation
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    taxonomy 208100000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Ridgeline Medical LLC
    Type code 3 recorded 2020-07-28

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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