Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Idaho Cardiology Associates, PLLC

Organization Cardiovascular Disease Physician · NPI 1508866260

Eastern Idaho Cardiology Associates, PLLC is a Cardiovascular Disease Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 S Woodruff Ave Ste 12A
Idaho Falls, ID 83404-6374
Phone: (208) 524-2255
Fax: (208) 524-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (ID)

Record details

NPI number1508866260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Gorman — Ceo · (208) 524-2255
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 21, 2022
Mailing address2001 S Woodruff Ave, Suite 12a, Idaho Falls, ID 83404-6374

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