STEVEN J KOGA (NPI# 1144275512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144275512 |
| Entity Type | Individual |
| Full Name | STEVEN J KOGA |
| Credential | M.D. |
| Practice Address |
211 E Logan St Suite 303 Caldwell ID 83605-4882 |
| Mailing Address |
2615 S Willow Brook Pl Caldwell ID 83605-5781 |
| Practice Telephone | 2084594667 |
| Practice Fax Number | 2084593372 |
| Mailing Telephone | 2084594667 |
| Mailing Fax Number | 2084593372 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M6779 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002349300 | 05 |
| Street Address |
211 E LOGAN ST SUITE 303 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596136 | Sean R Weatherston | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4835 | 2005-11-22 |
| 1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
| 1174973374 | David Routt | Counselor | 211 E Logan St, Suite B3, Caldwell, ID 83605-4882 | 2016-06-18 |
| 1821303504 | Nationwide Neuro Health | Psychiatry & Neurology | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2010-08-18 |
| 1093950420 | Deborah Lee Sullivan | Nurse Practitioner | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2008-12-15 |
| 1003073560 | Joe Marie Franz Llenos | Family Medicine | 211 E Logan St, Suite 301, Caldwell, ID 83605-4882 | 2008-05-21 |
| 1154517050 | Travis William Palmer | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2007-09-24 |
| 1710013628 | Sharon E. Carswell | Family Medicine | 211 E Logan St, Suite 303, Caldwell, ID 83605-4882 | 2007-02-26 |
| 1235207937 | Brian Richard Trudeau | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2006-12-01 |
| 1063585305 | Idaho Sleep and Neurology Pllc | Specialist | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2006-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1295988384 | Hugh Eugene Eddy | Internal Medicine | 211 E. Oak St., Caldwell, ID 83605 | 2008-11-03 |
| 1184711400 | Stanley Mayrowetz | Internal Medicine | 8 Brookside Ave, Caldwell, NJ 07006-5604 | 2006-10-06 |
| 1174620512 | Lyndon C Box | Internal Medicine | 1906 Fairview Ave Ste 230, Caldwell, ID 83605-5432 | 2006-09-20 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1750797486 | Leila Khaddour | Internal Medicine | 3123 Medical Dr, Caldwell, ID 83605-6972 | 2014-07-02 |
| 1396151148 | Nathan Holmes | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2014-07-01 |
| 1558685735 | Stanley Mayrowetz,md,pa | Internal Medicine | 8 Brookside Ave, Caldwell, NJ 07006-5604 | 2010-03-17 |
| 1124354519 | Saint Alphonsus Regional Medical Center | Internal Medicine | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2009-10-20 |
| 1134372386 | Nicholas J Lewis | Internal Medicine | 1818 S 10th Ave, Caldwell, ID 83605-4803 | 2008-11-01 |
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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.