SAINT ALPHONSUS PHYSICIAN SERVICES INC (NPI# 1184674764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184674764 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP INTERNAL MEDICINE |
| Practice Address |
6094 W Emerald St Boise ID 83704-8855 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083676575 |
| Practice Fax Number | 2083676597 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | MS. JANELLE G. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2083676490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123468 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 Elm, Suite 100, Caldwell, ID 83605 | 2006-07-29 |
| 1801820501 | Saint Alphonsus Physician Services Inc | Family Medicine | 1001 N Meridian Rd, Meridian, ID 83642-2243 | 2006-07-10 |
| 1386680890 | Saint Alphonsus Physician Services Inc | Family Medicine | 1625 W State St, Boise, ID 83702-4041 | 2006-06-22 |
| 1073559449 | Saint Alphonsus Physician Services Inc | Physician Assistant | 1673 Shoreline Drive, Suite 120, Boise, ID 83702-6749 | 2006-06-22 |
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1871549394 | Saint Alphonsus Physician Services Inc | Family Medicine | 471 Baybrook Ct, Boise, ID 83706-3900 | 2006-05-26 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1477504090 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2006-05-16 |
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1487849147 | Saint Alphonsus Physician Services Inc | Advanced Practice Midwife | 900 N Liberty St, Suite 204, Boise, ID 83704-8707 | 2007-09-06 |
| Street Address |
6094 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366845273 | Kaydeen Burkett | Pharmacist | 6094 W Emerald St, Boise, ID 83704-8855 | 2014-10-06 |
| 1023056264 | Carl L Durning | Internal Medicine | 6094 W Emerald St, Boise, ID 83704-8855 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| 1649634718 | Elizabeth Ann Schackmann | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4501 | 2016-04-05 |
| 1134513088 | Alex Tanabe | Internal Medicine | 1000 E Park Blvd, Boise, ID 83712-7791 | 2015-03-27 |
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1083980734 | Shanaz Sikder | Internal Medicine | 403 S 11th St Ste 100, Boise, ID 83702 | 2012-03-27 |
| 1679869473 | Allyson J Komori | Internal Medicine | 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 | 2011-06-21 |
| 1982929048 | Sarita Anisha Kishore | Internal Medicine | 1970 Toluka Way, Boise, ID 83712-8547 | 2010-04-01 |
| 1568796282 | Life Quest Center Inc | Internal Medicine | 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 | 2009-09-28 |
| 1164673968 | Jenifer L Barry | Internal Medicine | 1525 S Owyhee St, Boise, ID 83705-6014 | 2008-10-10 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on SAINT ALPHONSUS PHYSICIAN SERVICES INC.
| 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.