Heritage Physician and Resource Group LLC
NPI 1962896027 · General Practice Physician · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heritage Physician and Resource Group LLC is a General Practice Physician organization in Pocatello, ID (NPI 1962896027).
Provider details
- NPI number
- 1962896027
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonny Fisher, Ceo(208) 238-0088
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
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
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Frequently asked questions
- What is Heritage Physician and Resource Group LLC's NPI number?
- Heritage Physician and Resource Group LLC's National Provider Identifier (NPI) is 1962896027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Physician and Resource Group LLC?
- Heritage Physician and Resource Group LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Heritage Physician and Resource Group LLC located?
- Heritage Physician and Resource Group LLC's practice location on file with NPPES is 1009 W Quinn Rd, Pocatello, ID 83202-2425.
- What is Heritage Physician and Resource Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Physician and Resource Group LLC is (208) 238-0088.
- Does Heritage Physician and Resource Group LLC accept Medicare?
- Heritage Physician and Resource Group LLC 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 Heritage Physician and Resource Group LLC?
- The authorized official listed on Heritage Physician and Resource Group LLC's NPPES record is Jonny Fisher, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Physician and Resource Group LLC's NPI active?
- Yes — Heritage Physician and Resource Group LLC's NPI (1962896027) is active in the NPPES registry as of the last update on 2024-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.