P Praxis·MD
● Active Type 2 · Organization

Pocatello Pulmonary Pc

Internal Medicine·Pocatello, ID· NPI 1497766240 · Enumerated 2006 · 19 years on NPI
Pocatello Pulmonary Pc is 1 of 67 internal medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 67 active internal medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
500 S 11th Ave, Suite 305
Pocatello, ID 832014835
📞 2082335864
Mailing address
500 S 11th Ave, Suite 305
Pocatello, ID 832014835
📞 2082335864

Authorized official

Cary V Jackson, M.D.
President
📞 2082335864

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    ID license #M5647 taxonomy 207RP1001X

Practice context

Multi-provider organization. 20 individual providers 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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