DISPATCHHEALTH-IDAHO PC (NPI# 1093368961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093368961 |
| Entity Type | Organization |
| Organization Name | DISPATCHHEALTH-IDAHO PC |
| Practice Address |
1105 2nd St S Ste 100 Nampa ID 83651-3911 |
| Mailing Address |
3455 Ringsby Ct Ste 102 Denver CO 80216-4923 |
| Practice Telephone | 2082688024 |
| Mailing Telephone | 3035001518 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | PHILLIP A MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 7204809613 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372573 | Dispatchhealth-idaho PC | Emergency Medicine | 1661 International Drive, Ste 400, Memphis, TN 38120 | 2020-10-05 |
| 1043825219 | Dispatchhealth-idaho PC | Emergency Medicine | 1661 International Dr., Ste 400, Memphis, TN 38120 | 2020-09-14 |
| Street Address |
1105 2ND ST S STE 100 |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417246158 | Regional Physician Services of Idaho, PC | Nurse Practitioner | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2011-04-04 |
| 1710543277 | Reed Psychiatry | Clinic/Center | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2019-05-10 |
| 1457831786 | Kbe Behavioral Health & Forensic Services, LLC | Community/Behavioral Health | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2018-08-16 |
| 1578059754 | Nurturing Hope and Healing Counseling | Counselor | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2018-07-10 |
| 1639664600 | Rebekah Rene Stearns | Counselor | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2018-06-22 |
| 1255885794 | Kira Jean Burgess-elmer | Counselor | 1105 2nd St S Ste 100, Nampa, ID 83651-3911 | 2016-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| 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 |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1962799460 | Tyler James Harris | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686 | 2011-07-05 |
| 1336372515 | Lauren Beth Gibson | Emergency Medicine | 4424 E Flamingo Avet, Ste 110, Nampa, ID 83687 | 2009-09-03 |
| 1013094820 | Ann M Weiss | Emergency Medicine | 700 Caldwell Blvd, Primary Health Medical Group, Nampa, ID 83651-1707 | 2006-11-01 |
| 1558307280 | John Mullins | Emergency Medicine | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2006-06-21 |
| 1982064192 | Cep America, LLC | Emergency Medicine | 4300 E Flamingo Ave, Nampa, ID 83687-9203 | 2016-03-01 |
| 1629438833 | Cep America, LLC | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686-6008 | 2016-03-01 |
| 1801074232 | Elizabeth A Davis | Emergency Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2008-02-07 |
| 1174745582 | Richard C Ballantyne | Emergency Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2007-05-03 |
| 1588724512 | Idaho Em-i Medical Services PC | Emergency Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2006-12-11 |
| Find all providers in NAMPA | ||||
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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.