OrganizationActive
Idaho Urology 1 PLLC
NPI 1316890270 · Urology Physician · Rexburg, ID
Idaho Urology 1 PLLC is a Urology Physician organization in Rexburg, ID (NPI 1316890270).
Provider details
- NPI number
- 1316890270
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Thatcher, Surgeon(208) 351-6363
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
30 Madison Professional Park
Rexburg, ID 83440-2058
Phone: (208) 351-6363
Approximate (ZIP-level) locationGet directions
Mailing address
1124 Barney Dairy Rd
Rexburg, ID 83440-3544
Additional practice locations (1)
- 3155 Channing Way Ste aIdaho Falls, ID 83404-7875Phone: (208) 356-0004
Registry dates
- Enumerated
- 2026-02-19
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Idaho Urology 1 PLLC's NPI number?
- Idaho Urology 1 PLLC's National Provider Identifier (NPI) is 1316890270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Urology 1 PLLC?
- Idaho Urology 1 PLLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Urology 1 PLLC located?
- Idaho Urology 1 PLLC's practice location on file with NPPES is 30 Madison Professional Park, Rexburg, ID 83440-2058.
- What is Idaho Urology 1 PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Urology 1 PLLC is (208) 351-6363.
- Who is the authorized official for Idaho Urology 1 PLLC?
- The authorized official listed on Idaho Urology 1 PLLC's NPPES record is Jacob Thatcher, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Urology 1 PLLC's NPI active?
- Yes — Idaho Urology 1 PLLC's NPI (1316890270) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.