Teton Plastic Surgery
NPI 1154549616ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Idaho Falls, ID
Surgery, Plastic and Reconstructive Surgery in Idaho Falls, Idaho, registered in NPPES in April 2007. The authorized official on file is Jennifer Martin, Office Manager.
Overview
| NPI | 1154549616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | M-8270 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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