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

Philip Jon Van de Griend, MD

Individual provider Family Medicine Physician · NPI 1275829376

Philip Jon Van de Griend, MD is a Family Practice in Pocatello, Idaho. Qualified in 2012, 14 years ago. Practices with Health West Inc, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa, Idaho, North Carolina and South Carolina.

Years since qualifying
14
Licensed in
IA, ID, NC, SC
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 232-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Lincoln Cir Se, Orange City, IA 51041-1836 — (712) 737-2000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-15982 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD-42445 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL33736 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2014-01351 (NC)

Record details

NPI number1275829376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Health West Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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