Madison Co Memorial Hospital
NPI 1073154266 · Obstetrics & Gynecology Physician · Rexburg, ID
Provider details
- NPI number
- 1073154266
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Madison Co Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Rachel Gonzales, Chief Executive Officer(208) 359-6900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Seasons Medical By Madison Memorial
- Doing business as
- Seasons Medical By Madison Memorial
Additional practice locations (1)
- 477 Pleasant Country LnRigby, ID 83442-5278Phone: (208) 356-0234
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.