MICHAEL PAHANG (NPI# 1033592605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033592605 |
| Entity Type | Individual |
| Full Name | MICHAEL PAHANG |
| Credential | PMHNP |
| Practice Address |
1550 N Crestmont Dr Meridian ID 83642-2184 |
| Practice Telephone | 2082884200 |
| Practice Fax Number | 2082884279 |
| Mailing Telephone | 2082884200 |
| Mailing Fax Number | 2082884279 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
54932 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1550 N CRESTMONT DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427162296 | Greg D Steiner | Dentist | 1550 N Crestmont Dr, Ste., C., Meridian, ID 83642-2184 | 2006-08-18 |
| 1366911414 | Staci Marsh | Nurse Practitioner | 1550 N Crestmont Dr, Meridian, ID 83642-2184 | 2018-11-19 |
| 1124563739 | Octavian Bistriceanu | Social Worker | 1550 N Crestmont Dr, Meridian, ID 83642-2184 | 2017-01-05 |
| 1891244455 | Alice Giard | Social Worker | 1550 N Crestmont Dr, Ste A, Meridian, ID 83642-2184 | 2016-09-23 |
| 1336537497 | Ladette Ruplinger | Counselor | 1550 N Crestmont Dr, Meridian, ID 83642-2184 | 2014-12-23 |
| 1861893661 | Renewed Hope Counseling, LLC | Counselor | 1550 N Crestmont Dr, Ste E, Meridian, ID 83642-2184 | 2014-09-11 |
| 1457780959 | Carrie Ormsby | Speech-Language Pathologist | 1550 N Crestmont Dr, Suite E, Meridian, ID 83642-2184 | 2013-11-05 |
| 1841626348 | Julia Barragan | Speech-Language Pathologist | 1550 N Crestmont Dr, Meridian, ID 83642-2184 | 2013-09-17 |
| 1538592175 | Jane Susan Lomas | Speech-Language Pathologist | 1550 N Crestmont Dr, Suite E, Meridian, ID 83642-2184 | 2013-08-19 |
| 1215360169 | Jennifer Hobbs | Speech-Language Pathologist | 1550 N Crestmont Dr, Suite E, Meridian, ID 83642-2184 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1386020592 | Evelyn Michele Dunn | Nurse Practitioner | 10641 Highway 80 East, Meridian, MS 39307-9256 | 2015-08-11 |
| 1174909865 | Priscilla May Mathis | Nurse Practitioner | 4973 C A Pickard Rd, Meridian, MS 39301-9031 | 2015-08-04 |
| 1134497464 | Rebekah Danielle Nation | Nurse Practitioner | 1404 N Main St, Suite 101, Meridian, ID 83642-2799 | 2011-12-01 |
| 1053691980 | Carrie Kay Bowman | Nurse Practitioner | 1944 N Hillmont Ave, Meridian, ID 83646-1385 | 2011-08-23 |
| 1700865235 | Stacy Rae Andreacchio | Nurse Practitioner | 5004 Highway 39 N, Meridian, MS 39301-1021 | 2006-01-12 |
| 1205461167 | Portia Elaine Nunley | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301-8205 | 2020-03-10 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1629600721 | Shauntae Causey | Nurse Practitioner | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2020-02-06 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in MERIDIAN | ||||
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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.