JACOB KAMMER (NPI# 1194761460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194761460 |
Entity Type | Individual |
Full Name | JACOB KAMMER |
Credential | MD |
Practice Address |
6533 W Emerald St Boise ID 83704-8737 |
Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
Practice Telephone | 2083674197 |
Practice Fax Number | 2083678136 |
Mailing Telephone | 2083675189 |
Mailing Fax Number | 2083675180 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2008-12-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
M9116 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 806963700 | 05 |
Street Address |
6533 W EMERALD ST |
City | BOISE |
State | ID |
Zip Code | 83704-8737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538110234 | Scott Noble Schwendiman | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-05-15 |
1992343396 | Tessa Nicole Murdock-bell | Social Worker | 6533 W Emerald St, Boise, ID 83704-8737 | 2019-12-16 |
1144673021 | Saint Alphonsus Regional Medical Center | Preventive Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2016-07-15 |
1568852119 | Saint Alphonsus Regional Medical Center, Inc | Family Medicine | 6533 W Emerald St, Boise, ID 83704 | 2015-02-03 |
1427109321 | David Agler | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2007-01-16 |
1740395094 | Stephen W Williamson | Physician Assistant | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-08-20 |
1497773196 | Adam C Husney | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-07-18 |
1992738736 | Saint Alphonsus Physician Services Inc | Physician Assistant | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-07-07 |
1699703371 | Saint Alphonsus Physician Services Inc | Clinic/Center | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-06-29 |
1396789780 | Michael P Gibson | Family Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2006-06-15 |
Find all providers in the same location |
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 | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215366406 | Passport Health Holdings, LLC | Preventive Medicine | 910 Main Street, Suite 352, Boise, ID 83702-5743 | 2013-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861982456 | St Lukes Clinic - Treasure Valley LLC | Preventive Medicine | 5155 S Howry Lane, Meridian, ID 83642 | 2018-05-18 |
1114235025 | Susan French | Preventive Medicine | 304 Copper Bay Road, Nordman, ID 83848 | 2010-09-14 |
1528221140 | Fritz Roland Dixon | Preventive Medicine | 968 E Dominica Dr, Meridian, ID 83642-6668 | 2008-07-03 |
1811180946 | April Charlene Dawson | Preventive Medicine | 13400 South Pleasant Valley Road, Idaho Maximum Security Institution, Kuna, ID 83634 | 2007-08-22 |
1184845976 | Charles Elwood Reed | Preventive Medicine | 924 E Ash St, Caldwell, ID 83605-5321 | 2007-05-01 |
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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.