TRITON ELITE ATHLETIC MEDICINE (NPI# 1114432689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114432689 |
Entity Type | Organization |
Organization Name | TRITON ELITE ATHLETIC MEDICINE |
Practice Address |
2392 E Gowen Rd Boise ID 83716-6707 |
Practice Telephone | 2085736176 |
Enumeration Date | 2017-12-06 |
Last Update Date | 2017-12-06 |
Authorized Official Name | STEPHEN DOUGLAS MARTIN (MEMBER) |
Authorized Official Telephone | 2085736176 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
2392 E GOWEN RD |
City | BOISE |
State | ID |
Zip Code | 83716-6707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
1558806117 | Katie Palmer | Behavioral Analyst | 2939 S Shadywood Way, Boise, ID 83716 | 2017-01-05 |
1245680099 | Elaine Key Md Pllc | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716 | 2016-06-13 |
1174993463 | Daria Elizabeth Karas | Physician Assistant | 8000 S. Federal Way, Boise, ID 83716 | 2015-09-30 |
1407239973 | Humangood Idaho | Skilled Nursing Facility | 5301 E Warm Springs Ave, Boise, ID 83716 | 2015-07-02 |
1225460066 | Katherine Elizabeth Turnbull | Nurse Practitioner | 2051a E Summersweet Dr, Boise, ID 83716 | 2013-08-03 |
1134483845 | Karen D Lodge | Pharmacist | 5211 S Farmhouse Pl, Boise, ID 83716 | 2012-06-27 |
1730341827 | Christopher A Thomason | Dentist | 5898 S Quamash Way, Boise, ID 83716 | 2008-06-30 |
1861515637 | Tyler John Harrington | Dentist | 2033 E Summersweet Dr, Boise, ID 83716 | 2007-04-09 |
Find all providers in zip 83716 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
1093034936 | Marston Family Chiropractic Pllc | Clinic/Center | 5275 S Deselm Way, Boise, ID 83716-6904 | 2010-05-17 |
1811101942 | Laser Vision Centers, Inc. | Clinic/Center | 7960 West Rifleman Street, Ste. 150, Boise, ID 83704 | 2007-05-09 |
1447376355 | Planned Parenthood of Idaho | Clinic/Center | 3668 N Harbor Lane, Boise, ID 83703 | 2007-03-22 |
1568587707 | Therapy Express Pa | Clinic/Center | 8024 W Scardale Ct, Boise, ID 83704-0713 | 2007-03-20 |
1548811441 | Catalyst Acupuncture & Integrative Medicine | Clinic/Center | 4477 W Emerald St Ste A150, Boise, ID 83706-2027 | 2019-09-23 |
1255985321 | Cde Services | Clinic/Center | 13150 W Persimmon Ln, Boise, ID 83713-1986 | 2019-07-27 |
1952815623 | Live Well Health and Nutrition Pllc | Clinic/Center | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2017-11-16 |
1760920631 | Oakes Chiropractic Health Center P A | Clinic/Center | 3183 N Cole Rd, Boise, ID 83704-5921 | 2017-02-10 |
Find all providers in BOISE |
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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.