NPI age
9 years
Enumerated 2017-01-12
● Active Type 2 · Organization
Subpart
University Of Utah Pediatric Services
University Of Utah Pediatric Services is 1 of 22 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Finlayson
Chief Clinical Officer
Last NPPES update
2021-01-22
Source: monthly bulk 2026-05
How this organization compares
Across 22 active internal medicine providers in Idaho.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
110 Vista Dr
Pocatello, ID 832015824
Mailing address
Po Box 841450
Los Angeles, CA 900841450
Authorized official
Samuel Finlayson, MD
Chief Clinical Officer
📞 8015876336
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Jacob Foster, PA-C Physician Assistant NPI 1558713131
- Mark Mansfield, M.D. Family Medicine NPI 1134113251
- Richard Maynard, D.O. Family Medicine NPI 1952395063
- Codie Robertson, FNP-C Nurse Practitioner NPI 1134477870
- Nathan Rowe, NP-C Family Medicine NPI 1114504594
- Brooke Skinner, PHYSICIAN ASSISTANT Physician Assistant NPI 1659038669
- Tawny Spurlock, PA-C Physician Assistant NPI 1255808010
- Jordan Stevens, NP Nurse Practitioner NPI 1851839542
Specialties
-
Internal Medicine PrimaryA field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pediatric EP Cardiology - Pocatello
-
Pediatric EP Cardiology - Pocatello
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of University Of Utah Pediatric Services.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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