SANDPOINT PEDIATRICS LLP (NPI# 1114954179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114954179 |
| Entity Type | Organization |
| Organization Name | SANDPOINT PEDIATRICS LLP |
| Other Organization Name | SANDPOINT PEDIATRICS IN BONNERS FERRY |
| Practice Address |
420 N 2nd Ave 100 Sandpoint ID 83864-1552 |
| Mailing Address |
420 N 2nd Ave Sandpoint ID 83864-1552 |
| Practice Telephone | 2082652242 |
| Practice Fax Number | 2082658214 |
| Mailing Telephone | 2082652242 |
| Mailing Fax Number | 2082658214 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BECKY SHELTON (MANAGER) |
| Authorized Official Telephone | 2082652242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
M6447 | ID | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
M-4954 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sandpoint Pediatrics In Bonners Ferry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043401920 | Sandpoint Pediatrics LLP | Pediatrics | 6833 El Paso, Bonners Ferry, ID 83805-8569 | 2007-08-06 |
| Street Address |
420 N 2ND AVE 100 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497781702 | Camille Marie Santarpio | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-06-26 |
| 1316343320 | Boundary Regional Community Health Center, Inc. | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2014-11-18 |
| 1457778151 | Beth Elisha Miller | Physician Assistant | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2014-03-20 |
| 1871925834 | Mallorie Ely | Social Worker | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2013-08-01 |
| 1851738041 | Teresa Ann Kuhta | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2013-05-28 |
| 1760691851 | Echo T Vanderwal | Physician Assistant | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1881803971 | Harry Ralph Vanderwal Jr. | Pediatrics | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1700968724 | John M Seaman | Pediatrics | 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864-1565 | 2006-10-19 |
| 1497789085 | James Harvey Watts IIi | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-07-10 |
| 1689604993 | Bruce Whitley Honsinger | Obstetrics & Gynecology | 420 N 2nd Ave, Suite 200, Sandpoint, ID 83864-1552 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285797241 | Roger W. Boe | Pediatrics | 405 W Whitman St, Pocatello, ID 83204-3317 | 2006-12-19 |
| 1184738700 | Christian Carter Yost | Pediatrics | 950 Hospital Way Ste A, Pocatello, ID 83201-2762 | 2006-08-19 |
| 1437151446 | Matthew Ayers Murdoch | Pediatrics | 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 | 2005-08-10 |
| 1053675629 | Kootenai Kids Pediatrics Pllc | Pediatrics | 761 N Thornton St, Ste A, Post Falls, ID 83854-6105 | 2012-06-28 |
| 1255621793 | Mitchael Conrad Steorts | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2011-04-18 |
| 1912223959 | Cindy Elizabeth Parsons | Pediatrics | 1151 Hospital Way, Bldg F, Pocatello, ID 83201 | 2010-04-15 |
| 1861681611 | Steven Alan Smith | Pediatrics | 6348 W Emerald St, Boise, ID 83704-8732 | 2007-10-17 |
| 1366560971 | Idaho Falls Pediatrics | Pediatrics | 2375 Coronado St, Idaho Falls, ID 83404-7407 | 2007-03-26 |
| 1003975087 | Lakeside Pediatric & Adolescent Medicine, Pllc | Pediatrics | 980 W Ironwood Dr, Ste 302, Coeur D'alene, ID 83814-2601 | 2006-12-06 |
| 1962516583 | Gentry C Yost | Pediatrics | 1151 Hospital Way, Building F, Pocatello, ID 83201-5091 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
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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.