DR. MICHAEL ROONEY (NPI# 1093753360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093753360 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROONEY |
| Credential | M.D. |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Mailing Address |
Po Box 816 Lewiston ID 83501-0816 |
| Practice Telephone | 2087432511 |
| Practice Fax Number | 2087995528 |
| Mailing Telephone | 2087432511 |
| Mailing Fax Number | 2087995528 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
M-4745 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8616708 | 05 | |
| ID | BLUE CROSS OF IDAHO | HB112 | 01 |
| ID | 002649400 | 05 | |
| ID | REGENCE OF IDAHO | 10004623 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835891 | Michael Rooney | Physician Assistant | 300 Old Forge Ln # 302, Kennett Square, PA 19348-1897 | 2019-08-06 |
| 1992079172 | Michael Anthony Rooney | Counselor | 6655 West Jewell Ave, Suite #102, Lakewood, CO 80232 | 2012-03-06 |
| 1821397480 | Michael Rooney | Pharmacist | 159 W Polk St, Coalinga, CA 93210-2302 | 2011-03-22 |
| 1013993112 | Michael J Rooney | Optometrist | 1921 4th St, Peru, IL 61354-3309 | 2005-12-20 |
| 1073142964 | Michael Rooney | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Msb 1134, Houston, TX 77030-1501 | 2020-04-03 |
| 1477692994 | Michael F Rooney | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2007-02-05 |
| 1598783987 | Michael J Rooney | Otolaryngology | 160 E Lake Howard Dr, Winter Haven, FL 33881-3155 | 2006-07-17 |
| 1225019789 | Michael N Rooney | General Practice | 2020 Central Ave, Dodge City, KS 67801-6411 | 2005-11-10 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215981832 | Gerardo Midence | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-19 |
| 1083668248 | Sushma Pant | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-20 |
| 1821042029 | Katrina A Rolen | Internal Medicine | 1250 Idaho Street, Lewiston, ID 83501 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567487 | Teresa Gray Hayes | Internal Medicine | 700 W Ironwood Dr Ste 130, Coeur D Alene, ID 83814-4404 | 2006-07-26 |
| 1821355330 | Jessica Thibault | Internal Medicine | 725 Pole Line Rd W, Twin Falls, ID 83301 | 2012-04-20 |
| 1417214420 | Nathanael David Gay | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854 | 2012-04-15 |
| 1629095179 | St Alphonsus Professional Medical Services LLC | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-07-17 |
| 1265478325 | Karl Josef Schultheiss | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706 | 2006-06-20 |
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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.