Teton Obstetrics and Gynecology PA
NPI 1780043042 · Obstetrics & Gynecology Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teton Obstetrics and Gynecology PA is a Obstetrics & Gynecology Physician organization in Idaho Falls, ID (NPI 1780043042).
Provider details
- NPI number
- 1780043042
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katie Davenport, Billing(208) 520-2636
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
10 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
- 2016-02-15
- Last updated
- 2016-02-15
Frequently asked questions
- What is Teton Obstetrics and Gynecology PA's NPI number?
- Teton Obstetrics and Gynecology PA's National Provider Identifier (NPI) is 1780043042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Obstetrics and Gynecology PA?
- Teton Obstetrics and Gynecology PA is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Teton Obstetrics and Gynecology PA located?
- Teton Obstetrics and Gynecology PA's practice location on file with NPPES is 2001 S Woodruff Ave, Idaho Falls, ID 83404-6374.
- What is Teton Obstetrics and Gynecology PA's phone number?
- The practice phone number listed in the NPPES registry for Teton Obstetrics and Gynecology PA is (208) 523-2060.
- Does Teton Obstetrics and Gynecology PA accept Medicare?
- Teton Obstetrics and Gynecology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Teton Obstetrics and Gynecology PA?
- The authorized official listed on Teton Obstetrics and Gynecology PA's NPPES record is Katie Davenport, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Obstetrics and Gynecology PA's NPI active?
- Yes — Teton Obstetrics and Gynecology PA's NPI (1780043042) is active in the NPPES registry as of the last update on 2016-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.