Idaho State University
NPI 1801292115 · Family Medicine Physician · Pocatello, ID
Idaho State University is a Family Medicine Physician organization in Pocatello, ID (NPI 1801292115).
Provider details
- NPI number
- 1801292115
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jodi Wotowey, Head Athletic Trainer(208) 282-3408
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Idaho State Sports Medicine
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2014-11-13
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1801292115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University?
- Idaho State University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 921 S 8th Ave Stop 8173, Pocatello, ID 83209-8173.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 282-3408.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Jodi Wotowey, Head Athletic Trainer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University's NPI active?
- Yes — Idaho State University's NPI (1801292115) is active in the NPPES registry as of the last update on 2014-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.