PREMIUM SUPPORT SERVICES INC (NPI# 1003140724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003140724 |
| Entity Type | Organization |
| Organization Name | PREMIUM SUPPORT SERVICES INC |
| Practice Address |
6568 S Federal Way Ste 311 Boise ID 83716-9277 |
| Practice Telephone | 2082840337 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | PAUL RUMORE (CEO) |
| Authorized Official Telephone | 2082840337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M5928 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
6568 S FEDERAL WAY STE 311 |
| City | BOISE |
| State | ID |
| Zip Code | 83716-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| 1558806117 | Katie Palmer | Behavioral Analyst | 2939 S Shadywood Way, Boise, ID 83716 | 2017-01-05 |
| 1245680099 | Elaine Key Md Pllc | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716 | 2016-06-13 |
| 1174993463 | Daria Elizabeth Karas | Physician Assistant | 8000 S. Federal Way, Boise, ID 83716 | 2015-09-30 |
| 1407239973 | Humangood Idaho | Skilled Nursing Facility | 5301 E Warm Springs Ave, Boise, ID 83716 | 2015-07-02 |
| 1225460066 | Katherine Elizabeth Turnbull | Nurse Practitioner | 2051a E Summersweet Dr, Boise, ID 83716 | 2013-08-03 |
| 1134483845 | Karen D Lodge | Pharmacist | 5211 S Farmhouse Pl, Boise, ID 83716 | 2012-06-27 |
| 1730341827 | Christopher A Thomason | Dentist | 5898 S Quamash Way, Boise, ID 83716 | 2008-06-30 |
| 1861515637 | Tyler John Harrington | Dentist | 2033 E Summersweet Dr, Boise, ID 83716 | 2007-04-09 |
| Find all providers in zip 83716 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1235365545 | Boyce Kyle Fish | Emergency Medicine | 3176 S Denver Way, Boise, ID 83705-5289 | 2009-06-02 |
| 1093939464 | Edward Alan Draper | Emergency Medicine | 8599 W Victory Rd, Boise, ID 83709-4172 | 2007-04-13 |
| 1275681256 | Daniel L Meltzer | Emergency Medicine | 10583 W Lake Hazel Rd, Boise, ID 83709 | 2007-01-08 |
| 1053350744 | John Calomeni | Emergency Medicine | 211 N Flume St, Boise, ID 83712-6318 | 2006-06-06 |
| 1770538514 | Robert Hilvers | Emergency Medicine | 9976 W Emerald St, Boise, ID 83704-9769 | 2006-05-23 |
| 1184681447 | David H Kline | Emergency Medicine | 750 Warm Springs Ave Ste A, Boise, ID 83712-6457 | 2006-04-28 |
| 1457700262 | Travis Clyde | Emergency Medicine | 10583 W Lake Hazel Rd, Boise, ID 83709-6326 | 2016-06-13 |
| 1609220508 | Sarah Mcdaniels | Emergency Medicine | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2016-04-17 |
| 1811357023 | Cep America, LLC | Emergency Medicine | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2016-03-01 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.