JOHN MCLAIN FAGGARD III (NPI# 1194939421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194939421 |
| Entity Type | Individual |
| Full Name | JOHN MCLAIN FAGGARD III |
| Credential | M.D. |
| Practice Address |
1005 Highway 2 Sandpoint ID 83864-1702 |
| Practice Telephone | 2082655916 |
| Practice Fax Number | 2082552066 |
| Mailing Telephone | 2082655916 |
| Mailing Fax Number | 2082552066 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M6916 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREVIOUS PROVIDER NUMBER | 1138309 | 01 |
| Street Address |
1005 HIGHWAY 2 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699802553 | Shawna Elisa Benner-erickson | Physical Therapist | 1005 Highway 2, Sandpoint, ID 83864-1702 | 2007-02-27 |
| 1184236143 | Jennifer J. Crew | Registered Nurse | 1005 Highway 2, Sandpoint, ID 83864-1702 | 2020-08-20 |
| 1851873756 | Lakeside Aesthetics - LLC | Family Medicine | 1005 Highway 2, Sandpoint, ID 83864-1702 | 2018-09-06 |
| 1093253940 | Erickson Pt Enterprises Pllc | Physical Therapist | 1005 Highway 2, Sandpoint, ID 83864-1702 | 2017-02-10 |
| 1750682605 | Kelly A. Fuhrman | Nurse Practitioner | 1005 Highway 2, Sandpoint, ID 83864 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932524907 | Emma Fields | Specialist | 1315 Highway 2 Ste C, Sandpoint, ID 83864-2724 | 2014-02-26 |
| 1689842809 | Peggy Richards | Specialist | 299 W Bronx Rd Unit A, Sandpoint, ID 83864-9505 | 2008-02-11 |
| 1982696704 | Robin E Helm | Specialist | 420 N Second Ave, Ste 100, Sandpoint, ID 83864-1565 | 2005-08-18 |
| 1467990788 | Sandpoint Medical Massage and Bodyworks | Specialist | 515 Pine St, Suite G, Sandpoint, ID 83864-1640 | 2017-02-07 |
| 1902270408 | Suzanne Jennifer Kaplan | Specialist | 102 S Euclid Ave, Ste 109, Sandpoint, ID 83864-4912 | 2015-11-20 |
| 1164514246 | Jerald F Baker | Specialist | 606 N 3rd Ave, Ste. 102, Sandpoint, ID 83864-1594 | 2006-09-28 |
| 1518959337 | George V Deland | Specialist | 420 N Second Ave, Ste 100, Sandpoint, ID 83864-1565 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1306462197 | Two Rivers Myofunctional Therapy LLC | Specialist | 635 W Cedar Pointe Way, Nampa, ID 83686-5582 | 2020-06-17 |
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1033621826 | Amanda Lachelle Pereira | Specialist | 3797 N 3550 E, Kimberly, ID 83341-5093 | 2017-11-01 |
| 1720523855 | North Idaho Surgical Assistant Association Pllc | Specialist | 9547 N Finucane Dr, Hayden, ID 83835-9057 | 2016-12-28 |
| 1033653639 | Samuel Tepper | Specialist | 207 Thain Rd, Lewiston, ID 83501-4829 | 2016-12-15 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1427416155 | Melodie Nicole Clapp | Specialist | 402 Jasper Ave., Notus, ID 83656-0075 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
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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.