OrganizationActive
Greenwald Neurosurgical
NPI 1124198403 · Specialist · Idaho Falls, ID
Greenwald Neurosurgical is a Specialist organization in Idaho Falls, ID (NPI 1124198403).
Provider details
- NPI number
- 1124198403
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Janeene Ditmore, Office Manager(208) 535-4800
- License
- M-6947 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3155 Channing Way
Suite B
Idaho Falls, ID 83404-7546
Phone: (208) 535-4800
Fax: (208) 535-4807
Street-level locationGet directions
Mailing address
3155 Channing Way
Idaho Falls, ID 83404-7546
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2009-07-13
Frequently asked questions
- What is Greenwald Neurosurgical's NPI number?
- Greenwald Neurosurgical's National Provider Identifier (NPI) is 1124198403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenwald Neurosurgical?
- Greenwald Neurosurgical is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Greenwald Neurosurgical located?
- Greenwald Neurosurgical's practice location on file with NPPES is 3155 Channing Way, Idaho Falls, ID 83404-7546.
- What is Greenwald Neurosurgical's phone number?
- The practice phone number listed in the NPPES registry for Greenwald Neurosurgical is (208) 535-4800.
- Who is the authorized official for Greenwald Neurosurgical?
- The authorized official listed on Greenwald Neurosurgical's NPPES record is Janeene Ditmore, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenwald Neurosurgical's NPI active?
- Yes — Greenwald Neurosurgical's NPI (1124198403) is active in the NPPES registry as of the last update on 2009-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.