PHYSICIAN SKIN CARE


Address: 730 S Woodruff Ave, Idaho Falls, ID 83401-5285
Phone: 2085429111

PHYSICIAN SKIN CARE (NPI# 1023151156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023151156
Entity Type Organization
Organization Name PHYSICIAN SKIN CARE
Practice Address 730 S Woodruff Ave
Idaho Falls
ID 83401-5285
Mailing Address 740 S Woodruff Ave
Idaho Falls
ID 83401-5285
Practice Telephone 2085429111
Mailing Telephone 2085429111
Enumeration Date 2007-02-15
Last Update Date 2020-08-22
Authorized Official Name MRS. CANDACE MARIE BUNNAGE (BILLING MANAGER)
Authorized Official Telephone 2085429111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2082807848 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 730 S WOODRUFF AVE
City IDAHO FALLS
State ID
Zip Code 83401-5285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780727818 The Pain Management Clinic Family Medicine 730 S Woodruff Ave, Idaho Falls, ID 83401-5285 2007-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454796 Natalie M Theriault Acupuncturist 864 S Holmes, Idaho Falls, ID 83401 2020-10-09
1366099293 Idaho Recovery Center, LLC. Counselor 771 South Woodruff Avenue, Idaho Falls, ID 83401 2019-08-26
1851859110 Rebecca Chidester Counselor 771 Parkwood St., Idaho Falls, ID 83401 2019-03-06
1467924985 Benchmark Home Health Registered Nurse 2098 Gladys Dr., Idaho Falls, ID 83401 2018-12-21
1134625338 Idaho Falls Hand Therapy Limited Partnership Clinic/Center 564 S Woodruff Avenue, Idaho Falls, ID 83401 2018-04-05
1992227367 Brenda Emery Rehabilitation Practitioner 540 3rd Street, Idaho Falls, ID 83401 2017-07-07
1689068454 Addiction Treatment Centers of Idaho Community/Behavioral Health 211 S. Woodruff Avenue, Idaho Falls, ID 83401 2015-03-19
1386986412 Jennifer Lee Henderson Psychologist 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 2013-03-27
1487994430 Sterling Physician Group Pllc Clinic/Center 740 S. Woodruff Ave, Idaho Falls, ID 83401 2013-02-27
1952638025 Allstar Counseling Inc. Case Management 550 2nd Street, Suite 269, Idaho Falls, ID 83401 2009-11-11
Find all providers in zip 83401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740663806 Rindfleisch Family Practice Pllc Family Medicine 4954 E Powerhouse Dr, Idaho Falls, ID 83406-5064 2015-07-07
1013204445 Machen Family Medicine, PC Family Medicine 1995 E 17th St Ste A, Idaho Falls, ID 83404-6493 2011-07-06
1942521109 Luke N/a Haws Family Medicine 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404-7554 2010-06-22
1689993271 David Lyle Hill Family Medicine 3242 S Woodruff, Idaho Falls, ID 83404-7531 2010-05-23
1912120544 James William Brook Family Medicine 905 Austin Ave, Idaho Falls, ID 83404 2007-04-11
1437294345 Oliver Daniel Smith Family Medicine 3669 Ellendale Circle, Idaho Falls, ID 83406 2007-02-20
1598837031 Anne L Broadway Family Medicine 2730 Channing Way, Idaho Falls, ID 83404-5049 2006-11-13
1235217506 Reed Ivol Ward Family Medicine 3425 Potomac Way, Idaho Falls, ID 83404-4970 2006-11-02
1770688426 Tony Craig Roisum Family Medicine 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404-8332 2006-09-14
1356450449 Roger S. Brunt Family Medicine 2340 Virlow St, Idaho Falls, ID 83401-3323 2006-08-30
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83401

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Dataset Information

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.

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