NPI age
19 years
Enumerated 2006-10-17
● Active Type 2 · Organization
Asthma & Allergy Of Idaho Pllc
Asthma & Allergy Of Idaho Pllc is 1 of 10 allergy & immunology organizations in Idaho.
Primary specialty
Allergy & Immunology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wickern
Credentialing Specialist
Last NPPES update
2021-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 10 active allergy & immunology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1502 Locust St N Ste 600
Twin Falls, ID 833014164
Mailing address
1502 Locust St N Ste 600
Twin Falls, ID 833014164
Authorized official
Andrew Wickern
Credentialing Specialist
📞 2087346091
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Shayne Stokes, MD Allergy & Immunology NPI 1225007644
- Gregory Wickern, M.D. Allergy & Immunology NPI 1972578672
- Clark Wyatt, NP-C Nurse Practitioner NPI 1215448246
Specialties
-
Allergy & Immunology PrimaryA physician who specializes in the diagnosis, treatment, and management of allergies.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002736101 | |
| 05 (ID) | 807562300 | |
| 05 (ID) | 002736102 | |
| 05 (ID) | 002736105 | |
| 05 (ID) | 002736100 | |
| 05 (ID) | 002736200 | |
| 05 (ID) | 002736104 | |
| 05 (ID) | 002736202 | |
| 05 (ID) | 002736103 | |
| 05 (ID) | 807562301 |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.