OrganizationActive
Snake River Podiatry PLLC
NPI 1063769297 · Primary Podiatric Medicine Podiatrist · Pocatello, ID
Provider details
- NPI number
- 1063769297
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Don Gilbert, Owner(208) 339-4355
- License
- P-64 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3690 Ridgewood Rd
Pocatello, ID 83201-7704
Phone: (208) 339-4355
Street-level locationGet directions
Mailing address
3690 Ridgewood Rd
Pocatello, ID 83201-7704
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.