NPI age
19 years
Enumerated 2006-06-18
● Active Type 2 · Organization
Idaho Falls Clinic, P.A.
Idaho Falls Clinic, P.A. is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2001 S Woodruff Ave, Suite #15
Idaho Falls, ID 834046374
Mailing address
2001 S Woodruff Ave, Suite #15
Idaho Falls, ID 834046374
Authorized official
Christine C. Clark
Administrator
📞 2085227310
Individual providers at this organization
20 individual providers on file at this primary practice address.
- David Adams, PA-C Physician Assistant NPI 1871544825
- William Armour, M.D. Internal Medicine NPI 1164527925
- Flower Aston, R.D. Dietitian, Registered NPI 1710236823
- Alan Avondet, M.D. Internal Medicine NPI 1487699856
- Cornelius Brooke, MD Dermatology NPI 1275504300
- Peter Cannon, M.D. Urology NPI 1326032939
- Stephen Carter, M.D. Surgery NPI 1427051747
- Chad Dahle, RCS Specialist/Technologist Cardiovascular NPI 1609263482
- Pamela Denson, MD Obstetrics & Gynecology NPI 1487854055
- William Denson, M.D. Obstetrics & Gynecology NPI 1790943132
- Janae Dye, CRT Respiratory Therapist, Certified NPI 1225314677
- Alisa Ellis, LCPC Counselor NPI 1881879039
- William Jones, R.T., C.P.F.T. Respiratory Therapist, Certified NPI 1699954354
- Leland Krantz, M.D. Internal Medicine NPI 1588609903
- Mark Miller, R.C.S.,R.V.S. Specialist/Technologist Cardiovascular NPI 1003095761
- James Oldroyd, M D Obstetrics & Gynecology NPI 1992897268
- Eric Perttula, M.D. Family Medicine NPI 1710988894
- James Richards, M.D. Surgery NPI 1902809221
- Brandy Skaar, R.T.T. Respiratory Therapist, Registered NPI 1770712762
- Will Stewart, RRT Respiratory Therapist, Registered NPI 1366747594
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P9154 | RR MEDICARE |
| 01 (ID) | I843154 | TRICARE |
| 01 (ID) | 88468 | BLUE CROSS |
Practice context
Multi-provider organization. 20 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.