Idaho State University
NPI 1952474777ActiveOrganization· Audiologist· Pocatello, ID
Audiologist in Pocatello, Idaho, registered in NPPES in November 2006. The authorized official on file is Cynthia L. Rock, Clinics Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952474777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Feb 27, 2024 |
| Certified by provider | Feb 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Audiologist providers in Pocatello
- 1871180224
- 1578508081
- 1720004419
- 1013931450
- 1083069488
- 1548548589
- 1487689683
- 1649712597
- 1073961306
- 1699869354
- 1457502288
- 1619031101