NPI age
19 years
Enumerated 2006-07-30
● Active Type 2 · Organization
Mountain West Ear Nose And Throat, Pc
Mountain West Ear Nose And Throat, Pc is 1 of 56 otolaryngology organizations in Idaho.
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hanks
Physician
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 56 active otolaryngology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3200 Channing Way, Suite A303
Idaho Falls, ID 834047546
Mailing address
3200 Channing Way, Suite A303
Idaho Falls, ID 834047546
Authorized official
Kevin Matthews Hanks, DO
Physician
📞 2085425414
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Terry Baker, MD Otolaryngology NPI 1568406148
- Brady Cook, M.D. Internal Medicine NPI 1467502930
- Tiffany Coughenour, PA Physician Assistant NPI 1205959756
- Scott Taylor, M.D. Internal Medicine NPI 1861542326
- Douglas Whatmore, M.D. Internal Medicine NPI 1023168523
- Peggy Young, NP-C Nurse Practitioner NPI 1700189834
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Dr. Kevin M. Hanks D.O.
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.