Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Idaho Allergy & Asthma Clinic PA

Allergy & Immunology Physician in Idaho Falls, ID · enumerated 2007 · authorized official Wendell Petty, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003949298

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Registry record

Entity type Organization (Type 2)

Legal business name Idaho Allergy & Asthma Clinic PA

Practice address 3422 S 15th E, Idaho Falls, ID, 83404

Phone (208) 529-9292

Fax (208) 523-2397

Enumeration date Mar 14, 2007

Last updated in NPPES Jun 21, 2019

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Wendell Petty

Title President

Phone (208) 529-9292

Other identifiers

Identifier	Type	State	Issuer
8N147	Other	ID	BLUE CROSS
DG4709	Other	ID	RAILROAD MEDICARE
0000100004631	Other	ID	BLUE SHIELD
002516900	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Idaho Allergy & Asthma Clinic PA?

Idaho Allergy & Asthma Clinic PA is registered in NPPES as a Allergy & Immunology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-21.