HERITAGE PHYSICIAN AND RESOURCE GROUP LLC
NPI 1962896027
General Practice in Pocatello, ID

NPI Status: Active since March 26, 2015

Contact Information

1009 W QUINN RD
POCATELLO, ID
ZIP 83202
Phone: (208) 238-0088
Fax: (208) 238-0055

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  • Organization
  • General Practice
  • Accepts Insurance

About HERITAGE PHYSICIAN AND RESOURCE GROUP LLC

This page provides the complete NPI Profile along with additional information for Heritage Physician And Resource Group Llc, a primary care provider established in Pocatello, Idaho operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1962896027 assigned on March 2015. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Heritage Physician And Resource Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jonny Ryan Fisher (Ceo)

NPI
1962896027
Provider Name
HERITAGE PHYSICIAN AND RESOURCE GROUP LLC
Entity Type
Organization
Location Address
1009 W QUINN RD POCATELLO, ID 83202
Location Phone
(208) 238-0088
Location Fax
(208) 238-0055
Mailing Address
1009 W QUINN RD POCATELLO, ID 83202
Mailing Phone
(208) 238-0088
Mailing Fax
(208) 238-0055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2015
Last Update Date
08-15-2024
Code Navigator

A primary care provider (PCP) like Heritage Physician And Resource Group Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONNY RYAN FISHER

Authorized Official Title
CEO
Authorized Official Phone
(208) 238-0088

Reviews for HERITAGE PHYSICIAN AND RESOURCE GROUP LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962896027
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221691204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 9 + 1 + 2 + 0 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1962896027 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952819237 STACEY LEWIS COTA/L
Individual
Occupational Therapy Assistant1009 W QUINN RD
POCATELLO, ID 83202
(208) 427-4155
1972624781 BRANDI L CAVNER MPT
Individual
Physical Therapist1009 W QUINN RD
POCATELLO, ID 83202
(208) 238-0088
1396074027HERITAGE HOME HEALTH LLC
Organization
Home Health1009 W QUINN RD
POCATELLO, ID 83202
(801) 698-8927
1629319280HERITAGE HOME HEALTH, LLC
Organization
Hospice Care, Community Based1009 W QUINN RD SUITE B
POCATELLO, ID 83202
(208) 238-0088
1992694814MRS. BRITTANY MORGAN BEERS-MCFERRIN FNP-C
Individual
Nurse Practitioner (Family)1009 W QUINN RD
POCATELLO, ID 83202
(208) 238-0088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962896027, enumerated in the NPI registry as an "organization" on March 26, 2015

The provider is located at 1009 W Quinn Rd Pocatello, Id 83202 and the phone number is (208) 238-0088

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Molina Healthcare and Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.