DR. GARY D MUSGRAVE (NPI# 1003930967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003930967 |
| Entity Type | Individual |
| Full Name | DR. GARY D MUSGRAVE |
| Credential | D.C. |
| Practice Address |
3314 N. Cole Rd. Boise ID 83704 |
| Practice Telephone | 2083779930 |
| Practice Fax Number | 2083779932 |
| Mailing Telephone | 2083779930 |
| Mailing Fax Number | 2083779932 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIA-1306 | ID | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1586 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000136764 | 01 |
| OH | BWC | 341690892-00 | 01 |
| Street Address |
3314 N. COLE RD. |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881773992 | Thomas Dennis Hickey | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2006-11-02 |
| 1285658302 | Blake Louis Howard | Chiropractor | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2006-07-26 |
| 1245389790 | Jeffrey Thomas Welker | Chiropractor | 301 N 27th St, Boise, ID 83702-4725 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164889226 | Summit Spine and Sport Chiropractic, Pllc | Chiropractor | 237 N 2nd E, Suite 106, Rexburg, ID 83440-4977 | 2016-01-20 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1467740068 | Health Specialties | Chiropractor | 2484 N Stokesberry Pl Ste 100, Meridian, ID 83646-6083 | 2011-07-16 |
| 1750523536 | Joel Theodore Jaureguito | Chiropractor | 1352 Troy Rd, Moscow, ID 83843-3995 | 2009-03-25 |
| 1568608396 | Gallagher Chiropractic PC | Chiropractor | 520 S Meridian Rd Ste 50, Meridian, ID 83642-4533 | 2008-12-29 |
| 1881610806 | Steven Paul Borders | Chiropractor | 405 E. Best Ave #104, Coeur D Alene, ID 83814 | 2006-07-14 |
| 1386682862 | Paul Kendell Bowers | Chiropractor | 1133 Call Pl Ste A, Pocatello, ID 83201-3076 | 2006-06-04 |
| 1205883170 | Kraig Kurtis Knotts | Chiropractor | 547 S Fitness Pl, Suite 110, Eagle, ID 83616-6552 | 2006-05-27 |
| 1821643966 | Long Legacy Chiropractic | Chiropractor | 1096 Eastland Dr N Ste 300, Twin Falls, ID 83301-8970 | 2019-08-06 |
| 1891153391 | Jacob Bower | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686-5015 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
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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.