Teton Valley Hosital & Surgicenter is a Interventional Pain Medicine Physician based in Driggs, ID and is specialized in Interventional Pain Medicine. Teton Valley Hosital & Surgicenter practices in Victor, ID. The NPI Number for Teton Valley Hosital & Surgicenter is 1881734135 and holds a License No. 31 (Idaho).
The current practice location address for Teton Valley Hosital & Surgicenter is 252 South Main Street, Victor, ID and can be reached out via phone at 208-354-6307 and via fax at 208-787-7456.
Location: 252 South Main Street, Victor, ID, 83422-5112
Provider Profile Details
NPI Number
1881734135
Provider Name
Teton Valley Hosital & Surgicenter
Credential
Provider Entity Type
Organization
Address
252 South Main Street, Victor, ID, 83422-5112
Phone Number
208-354-6307
Fax Number
208-787-7456
Provider Enumeration Date
02/07/2007
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010031568 | 01 | ID | REGENCE BLUE SHIELD |
| 807736300 | 05 | ID | |
| 8M954 | 01 | ID | BLUE CROSS |
Provider Business Practice Location Address Details
Address
252 South Main Street
City
State
Zip
83455
Phone Number
208-354-6307
Fax Number
208-787-7456
Provider Business Mailing Address Details
Address
252 South Main Street
City
State
Zip
83455
Phone Number
208-354-6307
Fax Number
208-787-7456
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
31 (Idaho)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
31 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
31 (Idaho)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
31 (Idaho)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
31 (Idaho)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
31 (Idaho)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
31 (Idaho)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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