Provider Demographics
NPI:1730142209
Name:THE SLEEP INSTITUTE
Entity Type:Organization
Organization Name:THE SLEEP INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDNET
Authorized Official - Prefix:
Authorized Official - First Name:DARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-523-7667
Mailing Address - Street 1:2900 VALENCIA
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404
Mailing Address - Country:US
Mailing Address - Phone:208-523-7667
Mailing Address - Fax:208-523-7668
Practice Address - Street 1:2900 VALENCIA
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404
Practice Address - Country:US
Practice Address - Phone:208-523-7667
Practice Address - Fax:208-523-7668
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DARON SCHERR M.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-07
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM7579174400000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806786700Medicaid
ID4658200001Medicare NSC
ID1140192Medicare PIN