IAN B KUNZ (NPI# 1174535835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174535835 |
| Entity Type | Individual |
| Full Name | IAN B KUNZ |
| Credential | PA |
| Practice Address |
267 N Canyon Drive Gooding ID 83330 |
| Mailing Address |
267 N Canyon Dr Gooding ID 83330-5500 |
| Practice Telephone | 2089344446 |
| Practice Fax Number | 2089344442 |
| Mailing Telephone | 2089344446 |
| Mailing Fax Number | 2089344442 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA96 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806777400 | 05 | |
| ID | NORTH CANYON MEDICAL CENTER; PARTNERS IN HEALTHCARE, INC | 1518377019 | 01 |
| ID | 002857900 | 05 |
| Street Address |
267 N CANYON DRIVE |
| City | GOODING |
| State | ID |
| Zip Code | 83330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841797990 | Angela Marie Vitek | Nurse Practitioner | 267 N Canyon Drive, Medical Plaza, Gooding, ID 83330 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
| 1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
| 1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
| 1982173746 | Tdc Gooding Pllc | Dentist | 325 Main Street, Gooding, ID 83330 | 2018-11-21 |
| Find all providers in zip 83330 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1760420590 | James U Blacksher | Physician Assistant | 267 North Canyon Dr., Gooding, ID 83330-5500 | 2006-06-03 |
| 1588011928 | Alicia Jean Cardona | Physician Assistant | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2016-05-16 |
| 1811360670 | Aaron C Inouye | Physician Assistant | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2015-11-02 |
| 1952773632 | Kade Sorensen | Physician Assistant | 267 N Canyon Dr, Medical Plaza, Gooding, ID 83330-5500 | 2015-10-21 |
| 1689001646 | Colby Estelle Vance | Physician Assistant | 425 Idaho Street, Gooding, ID 83330 | 2013-10-04 |
| 1437455318 | Benjamin Don Burtenshaw | Physician Assistant | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2011-02-10 |
| 1699856344 | Stephen M Williams | Physician Assistant | 425 Idaho Street, Gooding, ID 83330 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IAN B KUNZ.
| 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.