DR. KIRK A. CAMPANA (NPI# 1205819950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205819950 |
| Entity Type | Individual |
| Full Name | DR. KIRK A. CAMPANA |
| Credential | M.D. |
| Practice Address |
4750 N Five Mile Rd Boise ID 83713-2715 |
| Practice Telephone | 2083750500 |
| Practice Fax Number | 2083754310 |
| Mailing Telephone | 2083750500 |
| Mailing Fax Number | 2083754310 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | M-1176-1 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
4750 N FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868163 | Krystan Welborn | Community Health Worker | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2020-07-08 |
| 1558921429 | Dara Anderson | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2019-06-13 |
| 1831473198 | Cali Bradberry | Physician Assistant | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2011-10-05 |
| 1073601233 | Physicians Clinic Pllc | Family Medicine | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-10-11 |
| 1487760740 | Terry M Little | Family Medicine | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-08-21 |
| 1275545568 | Cheryl C Amyx | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-08-13 |
| 1326003377 | Mary Paige Jeffress | Nurse Practitioner | 4750 N Five Mile Rd, Boise, ID 83713-2715 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| 1780987164 | Optigenics LLC | General Practice | 1317 W River St, Boise, ID 83702-6857 | 2010-12-07 |
| 1932411576 | Isara Group Inc. | General Practice | 702 W Idaho St, Suite 1100, Boise, ID 83702-8901 | 2010-07-12 |
| 1285262246 | Olivia Nicole Roehling | General Practice | 500 W Fort St, Mailstop #111r, Boise, ID 83702-4501 | 2020-03-27 |
| 1285971416 | Children's Home Society of Idaho | General Practice | 740 E Warm Springs Ave, Boise, ID 83712-6420 | 2013-01-08 |
| 1104179670 | Zldmd Pllc | General Practice | 6000 W Overland Rd, Boise, ID 83709-3013 | 2012-10-22 |
| 1639481286 | Nomsiri Group Inc | General Practice | 950 W Bannock St, Suite 1100, Boise, ID 83702-5999 | 2010-07-12 |
| 1073757308 | James Hunter Schrader | General Practice | 190 E Bannock St, St. Luke's Internal Medicine, Boise, ID 83712-6241 | 2009-04-30 |
| Find all providers in BOISE | ||||
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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.