OrganizationActive
Deb Elliott-Pearson M.D., P.C.
NPI 1619142452 · Family Medicine Physician · Wallace, ID
Provider details
- NPI number
- 1619142452
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deborah Elliott-Pearson, Ceo(208) 752-3016
- License
- M7469 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
516 Bank St
Wallace, ID 83873-2225
Phone: (208) 752-3016
Fax: (208) 753-1001
Street-level locationGet directions
Mailing address
516 Bank St
Wallace, ID 83873-2225
Other names (DBA / former)
- Doing business as
- Bank Street Clinic
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.