OrganizationActive
Targhee Internal Medicine
NPI 1639391477 · Sleep Medicine (Psychiatry & Neurology) Physician · Rexburg, ID
Provider details
- NPI number
- 1639391477
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Liisa Oswald, Secretary- Treasurer(208) 356-7755
- License
- O-305 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
232 E 1st N
Rexburg, ID 83440-1616
Phone: (208) 356-7755
Street-level locationGet directions
Mailing address
Po Box 275
Rexburg, ID 83440-0275
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 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.