Family Practice Group, P.A.
NPI 1205869310ActiveOrganization· Family Medicine· Pocatello, ID
Family Medicine in Pocatello, Idaho, registered in NPPES in July 2006. The authorized official on file is Shelly Stranski, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205869310 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dermatology | 207N00000X | — | — |
| Clinic/Center, Rehabilitation, Cardiac Facilities | 261QR0404X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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