SPECIALTY CLINICS OF IDAHO INC


Address: 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097
Phone: 2084339300

SPECIALTY CLINICS OF IDAHO INC (NPI# 1174671481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174671481
Entity Type Organization
Organization Name SPECIALTY CLINICS OF IDAHO INC
Practice Address 727 E Riverpark Ln Ste 200
Boise
ID 83706-4097
Practice Telephone 2084339300
Practice Fax Number 2084339854
Mailing Telephone 2084339300
Mailing Fax Number 2084339854
Enumeration Date 2007-01-05
Last Update Date 2020-08-22
Authorized Official Name JOHN BOYAJIAN (OWNER)
Authorized Official Telephone 2084339300
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 727 E RIVERPARK LN STE 200
City BOISE
State ID
Zip Code 83706-4097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972672111 Kara Mcgee Physician Assistant 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 2006-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851855803 Lauren Rybarczyk Specialist 11498 W Carmichael Dr, Boise, ID 83709-7382 2019-01-24
1851834311 Tegan Shuman Specialist 7307 W San Fernando Dr, Boise, ID 83704-5953 2016-11-30
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1093119042 Robert Porter II Specialist 1346 E Candleridge Dr, Boise, ID 83712-6504 2014-10-20
1760885073 Kelcee Keyes Specialist 1705 N Cole Rd, Boise, ID 83704-7304 2014-09-30
1386053213 Keita Shimada Specialist 1910 University Dr # Ms 1020, Boise, ID 83725-0001 2014-08-05
1316373186 Ralph V Nishitani Specialist 9317 W Pandion Ct, Boise, ID 83714-6715 2013-09-24
1548608094 James Doyce Strong Jr. Specialist 3675 S Pimmit Ave, Boise, ID 83706-6416 2013-06-06
1649409269 Iris Ginron Baker Specialist 3555 N Cole Rd, 105, Boise, ID 83704-0733 2009-07-02
1356589931 Jay T. Ballhagen Specialist 10500 W Waterway Ct, Boise, ID 83714-3616 2009-02-04
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Competitor

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City BOISE
Zip Code 83706

Improve Information

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Dataset Information

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.

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