MR. TOD ALAN SIJAN (NPI# 1083646301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083646301 |
| Entity Type | Individual |
| Full Name | MR. TOD ALAN SIJAN |
| Credential | PA-C |
| Practice Address |
8836 N Hess St Suite C Hayden ID 83835-8718 |
| Practice Telephone | 2087627760 |
| Practice Fax Number | 2087627740 |
| Mailing Telephone | 2087627760 |
| Mailing Fax Number | 2087627740 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-1237 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15406 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8836 N HESS ST SUITE C |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-8718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074990 | Sherwin S. Foster | Internal Medicine | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2005-09-23 |
| 1851705347 | Drew August Johnson | Physician Assistant | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2014-06-12 |
| 1578862017 | Camille L. Volking | Nurse Practitioner | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2011-03-23 |
| 1912181090 | North Idaho Nephrology Associates, Inc. | Clinic/Center | 8836 N Hess St, Ste C, Hayden, ID 83835-8718 | 2007-12-24 |
| 1396934469 | Applegate Homecare & Hospice, LLC | Hospice Care, Community Based | 8836 N Hess St, Suite A, Hayden, ID 83835-8718 | 2007-10-15 |
| 1770642456 | Debra Jill Walker Satren | Occupational Therapist | 8836 N Hess St, Suite F, Hayden, ID 83835-8718 | 2006-12-08 |
| 1104922400 | Tawnya D. O'keefe | Nurse Practitioner | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2006-09-15 |
| 1073629150 | Shaun K Joshi | Internal Medicine | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2006-08-22 |
| 1962424952 | Clifford L Kiracofe Pt Pa | Physical Therapist | 8836 N Hess St, Ste C, Hayden, ID 83835-8718 | 2006-07-25 |
| 1427073212 | Clifford Kiracofe | Physical Therapist | 8836 N Hess St, Ste C, Hayden, ID 83835-8718 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542802 | Adam Alan Marfice | Physician Assistant | 8836 N Hess St Ste C, Hayden, ID 83835-8718 | 2020-03-11 |
| 1053615427 | Family Medical Care Pllc | Physician Assistant | 265 W Prairie Shopping Ctr, Hayden, ID 83835-9855 | 2010-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217911 | David Jeffrey Hanson | Physician Assistant | 740 Mckinley Ave Ste 100, Kellogg, ID 83837-2693 | 2019-10-18 |
| 1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
| 1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
| 1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
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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.