Healthcare Provider Details
I. General information
NPI: 1922912328
Provider Name (Legal Business Name): HELIX SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3242 S WOODRUFF AVE
IDAHO FALLS ID
83404-8305
US
IV. Provider business mailing address
3242 S WOODRUFF AVE
IDAHO FALLS ID
83404-8305
US
V. Phone/Fax
- Phone: 208-291-1208
- Fax:
- Phone: 208-291-1208
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MATTHEW
WOOD
Title or Position: DIRECTOR
Credential:
Phone: 208-520-0645