Charles Scott Needham
Cardiothoracic Vascular Surgeon
2805 Valencia Dr
Idaho Falls
, Idaho 83404-7597
Charles Scott Needham
Cardiothoracic Vascular Surgeon
2805 Valencia Dr
Idaho Falls
, Idaho 83404-7597
(208) 525-6151
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Charles Scott Needham
- 2805 Valencia Dr
- Idaho Falls, ID
- Zip : 83404-7597
- Fax : (208) 525-6151
- Phone : (208) 525-9400
Second Address
- Charles Scott Needham
- 2805 Valencia Dr
- Idaho Falls, ID
- Zip : 83404-7597
- Fax : (208) 535-4569
- Phone : (208) 525-9400
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208G00000X | Cardiothoracic Vascular Surgeon | 10916 | MT |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | M-12600 | ID |
National Provider Identifier
| NPI | 1063435899 |
|---|---|
| Provider Name | Charles Scott Needham |
| First Address | Idaho Falls, ID 83404-7597 |
| Second Address | Idaho Falls, ID 83404-7597 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 28/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000092896 | BCBS PIN (01) | MT |
| 0151589 | MDCD PIN (01) | MT |
| 122226100 | MDCD PIN (01) | WY |
| H66122 | (02) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.