DR. CHARLENE MARIE DEHAVEN (NPI# 1033229471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033229471 |
| Entity Type | Individual |
| Full Name | DR. CHARLENE MARIE DEHAVEN |
| Credential | M.D. |
| Practice Address |
520 N 3rd Ave Sandpoint ID 83864-1507 |
| Practice Telephone | 2082651180 |
| Practice Fax Number | 2082651278 |
| Mailing Telephone | 2082651180 |
| Mailing Fax Number | 2082651278 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M8054 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
520 N 3RD AVE |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144287756 | Bonner General Hospital, Inc. | General Acute Care Hospital | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-04-27 |
| 1710515176 | Andrew John Coyle | Dietitian, Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-31 |
| 1285262808 | Mauria Prince | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-30 |
| 1851927073 | Sara Couch | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-19 |
| 1295361418 | Mary F Snider | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-19 |
| 1992362818 | Amanda Black | Occupational Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2019-05-27 |
| 1538522511 | Apollo Med Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2016-03-29 |
| 1922436062 | Siesta Anesthesia Services, Pllc | Anesthesiology | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2013-10-29 |
| 1265703789 | Adam M Kerr | Nurse Anesthetist, Certified Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2012-01-13 |
| 1669781639 | Charles Howlett | Physical Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| 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 |
|---|---|---|---|---|
| 1902065204 | Vince Huntsberger | Emergency Medicine | 418 North Third, Bonner General Hospital, Sandpoint, ID 83864 | 2008-06-03 |
| 1154563963 | Bonner General Hospital Inc. | Emergency Medicine | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2009-03-26 |
| 1407010713 | James Joseph Karambay | Emergency Medicine | 520 N 3rd Ave, Bonner General Health, Sandpoint, ID 83864-1507 | 2008-07-16 |
| 1295845626 | Paul Gerald Rumore | Emergency Medicine | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-08-30 |
| 1598778136 | Kenneth John Gramyk | Emergency Medicine | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1972914406 | Jonathan Robert Jerkins | Emergency Medicine | 700 W Ironwood Dr Ste 155, Coeur D Alene, ID 83814-4462 | 2014-05-19 |
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1124306295 | Austin Heath Rasmussen | Emergency Medicine | 637 Pine St, Gooding, ID 83330-1755 | 2011-07-23 |
| 1962799460 | Tyler James Harris | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686 | 2011-07-05 |
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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.