Pocatello Pulmonary PC
NPI 1497766240 · Pulmonary Disease Physician · Pocatello, ID
Pocatello Pulmonary PC is a Pulmonary Disease Physician organization in Pocatello, ID (NPI 1497766240).
Provider details
- NPI number
- 1497766240
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cary Jackson, President(208) 233-5864
- License
- M5647 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pocatello Pulmonary PC's NPI number?
- Pocatello Pulmonary PC's National Provider Identifier (NPI) is 1497766240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pocatello Pulmonary PC?
- Pocatello Pulmonary PC is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pocatello Pulmonary PC located?
- Pocatello Pulmonary PC's practice location on file with NPPES is 500 S 11th Ave, Pocatello, ID 83201-4835.
- What is Pocatello Pulmonary PC's phone number?
- The practice phone number listed in the NPPES registry for Pocatello Pulmonary PC is (208) 233-5864.
- Who is the authorized official for Pocatello Pulmonary PC?
- The authorized official listed on Pocatello Pulmonary PC's NPPES record is Cary Jackson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pocatello Pulmonary PC's NPI active?
- Yes — Pocatello Pulmonary PC's NPI (1497766240) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.