NPI age
19 years
Enumerated 2006-11-28
● Active Type 2 · Organization
Eagle Rock Regional Neurology, P.c.
Eagle Rock Regional Neurology, P.c. is 1 of 85 psychiatry & neurology organizations in Idaho.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Domarad
Physician
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 85 active psychiatry & neurology providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1995 E 17th St, Ste 5
Idaho Falls, ID 834046493
Mailing address
1995 E 17th St, Ste 5
Idaho Falls, ID 834046493
Authorized official
William Karl Domarad, D.O.
Physician
📞 2085525700
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Rocco Cifrese, MD Family Medicine NPI 1154406429
- Kirsten Davis, LMP Massage Therapist NPI 1376852053
- Shane MacHen, D.O. Family Medicine NPI 1932330370
- Jason Rinker Physician Assistant NPI 1609492347
- Peter Thompson, M.D. Family Medicine NPI 1063521136
- Derek Whitmill Nurse Practitioner NPI 1962919662
- Eric Wingerson, D.O. Internal Medicine NPI 1295738797
Specialties
-
Psychiatry & Neurology PrimaryA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | S5247 | BLUE CROSS |
Practice context
Multi-provider organization. 7 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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