NICOLAS J. ALLEN


Address: 703 S Americana Blvd, Ste 120, Boise, ID 83702-5099
Phone: 2083232600

NICOLAS J. ALLEN (NPI# 1205910551) 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) 1205910551
Entity Type Individual
Full Name NICOLAS J. ALLEN
Credential PA-C
Practice Address 703 S Americana Blvd
Ste 120
Boise
ID 83702-5099
Mailing Address 190 E Bannock St
Boise
ID 83712
Practice Telephone 2083232600
Mailing Telephone 2083812222
Enumeration Date 2006-10-24
Last Update Date 2012-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA644 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE SHIELD BOISE 000010159171 01
ID BLUE SHIELD MERIDIAN 000010159170 01
ID BLUE CROSS MERIDIAN PAD82 01

Office Location

Street Address 703 S AMERICANA BLVD
STE 120
City BOISE
State ID
Zip Code 83702-5099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225020993 April D Southwick Nurse Practitioner 703 S Americana Blvd, Ste 130, Boise, ID 83702-5099 2005-08-18
1003246778 Melissa Pirtle Physical Therapist 703 S Americana Blvd, Suite 130, Boise, ID 83702-5099 2013-11-18
1770790313 Cody D Heiner Preventive Medicine 703 S Americana Blvd, Boise, ID 83702-5099 2007-05-16
1104044247 David M Landis Physician Assistant 703 S Americana Blvd, Ste 130, Boise, ID 83702-5099 2007-04-23
1215948807 Ronald M Kristensen Orthopaedic Surgery 703 S Americana Blvd, Suite 120, Boise, ID 83702-5099 2006-08-10
1306856471 Robert N Walker Orthopaedic Surgery 703 S Americana Blvd, Ste 120, Boise, ID 83702-5099 2006-08-09
1659388783 Benjamin T Kerns Physician Assistant 703 S Americana Blvd, Suite 120, Boise, ID 83702-5099 2006-08-02
1043226715 Darby Webb Orthopaedic Surgery 703 S Americana Blvd, Suite 120, Boise, ID 83702-5099 2006-08-01
1801801576 Christopher T Lawler Orthopaedic Surgery 703 S Americana Blvd, Suite 120, Boise, ID 83702-5099 2006-07-30
1114940699 James M Johnston Orthopaedic Surgery 703 S Americana Blvd, Ste 120, Boise, ID 83702-5099 2006-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
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1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821695792 Chelsea Dylan Tennent Physician Assistant 1666 E Gentlewind St, Boise, ID 83706-5914 2020-10-05
1871114553 Samantha Tess Goodrich Physician Assistant 721 E Lenz St, Boise, ID 83712-7846 2020-05-04
1689131005 Aftin Jade Martens Physician Assistant 303 N Allumbaugh St, Boise, ID 83704-9208 2019-02-21
1215418140 Michael Edward Molnar Physician Assistant 2012 S Longmont Ave, Boise, ID 83706-4235 2018-08-28
1578059143 Mckenzie Hart Physician Assistant 4334 S Aleut Way, Boise, ID 83709-6033 2018-07-07
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1073040242 Nicole Ankenbrandt Physician Assistant 3151 S Terra Dr, Boise, ID 83709-3831 2017-05-17
1346792033 Samantha Rae Lange Physician Assistant 1072 N Liberty St Ste 203, Boise, ID 83704 2016-10-27
1174070098 Alexandra W Clapp Physician Assistant 6140 West Curtisian Avenue Suite 200, Boise, ID 83704 2016-09-08
1376914838 Morgan Grace Roskelley Physician Assistant 703 S. Americana Blvd, Ste 120, Boise, ID 83702 2015-10-09
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Competitor

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City BOISE
Zip Code 83702

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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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