NPI age
11 years
Enumerated 2014-11-11
● Active Type 2 · Organization
Idaho Neurosurgery & Spine Pllc
Idaho Neurosurgery & Spine Pllc is 1 of 69 neurological surgery organizations in Idaho.
Primary specialty
Neurological Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
Owner
Last NPPES update
2018-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 69 active neurological surgery providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-11Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
3345 Potomac Way
Idaho Falls, ID 83404
Mailing address
3345 Potomac Way
Idaho Falls, ID 83404
Authorized official
Clark H Allen, M.D.
Owner
📞 2085526210
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Clark Allen, M.D. Neurological Surgery NPI 1780679126
- Cody Fowler, P.A.-C Physician Assistant NPI 1386018950
- Stanford Gammon, P.A. Physician Assistant NPI 1477992592
- Patrick Greding, PT, DPT Physical Therapist NPI 1700713450
- Elliot Huntsman, N.P. Nurse Practitioner NPI 1538577473
- M'Kenzi Jenkins, LMT Massage Therapist NPI 1538664651
- Brandon Kelly, M.D. Neurological Surgery NPI 1295942142
- Dallin Leifson, PT, DPT Physical Therapist NPI 1972171114
- Jacob Myler, PA-C Physician Assistant NPI 1689263865
- Lora Robinson, NP Nurse Practitioner NPI 1720581465
- Abraham Schlauderaff, MD Neurological Surgery NPI 1225492390
- Justin Usher, PT, DPT Physical Therapist NPI 1730837048
- Colter Valcarce, DPT Physical Therapist NPI 1154070472
- Hilary Zitlau Physician Assistant NPI 1740816511
- Anna Zobell, NP-C Nurse Practitioner NPI 1124460373
Specialties
-
Neurological Surgery PrimaryA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
Practice context
Multi-provider organization. 15 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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