TREASURE VALLEY SPINE & SPORTS CENTER, PLLC (NPI# 1245243096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245243096 |
| Entity Type | Organization |
| Organization Name | TREASURE VALLEY SPINE & SPORTS CENTER, PLLC |
| Practice Address |
1450 S Eagle Flight Way Ste 150 Boise ID 83709-1562 |
| Practice Telephone | 2086720100 |
| Practice Fax Number | 2086720200 |
| Mailing Telephone | 2086720100 |
| Mailing Fax Number | 2086720200 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN KYLE BURTENSHAW (OWNER/CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 2086720100 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CHIA-1159 | ID | Ambulatory Health Care Facilities |
| Street Address |
1450 S EAGLE FLIGHT WAY STE 150 |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1972821254 | Sohm Chiropractic Pa | Clinic/Center | 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 | 2010-05-11 |
| 1578898151 | Gott Chiropractic Inc. | Clinic/Center | 3183 N. Cole Rd., Boise, ID 83704 | 2009-10-15 |
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| 1023639622 | Idaho Street Medical Clinic | Clinic/Center | 126 W. Idaho Ave, Homedale, ID 83628-8362 | 2020-05-05 |
| 1316506413 | Sawtooth Family Medicine Pllc | Clinic/Center | 2320 E Gala St Ste 400, Meridian, ID 83642-4880 | 2019-06-12 |
| 1770059792 | New Plymouth Clinic | Clinic/Center | 213 N Plymouth Ave, New Plymouth, ID 83655-5532 | 2018-10-17 |
| 1477044543 | Place of Food | Clinic/Center | 1131 Cole St, Kimberly, ID 83341-5138 | 2018-05-24 |
| 1619351582 | Natural Family Health Inc. | Clinic/Center | 945 E River Spur, Priest River, ID 83856-5070 | 2015-07-10 |
| 1982026571 | Treasure Valley Family Health Care, LLC | Clinic/Center | 1055 N Echohawk Way, Eagle, ID 83616-5456 | 2014-01-16 |
| 1124303094 | N.e.x.t. Level Health Center, Inc. | Clinic/Center | 2105 Niagara, Idaho Falls, ID 83404 | 2011-10-11 |
| 1588991566 | Ashton Memorial, Inc. | Clinic/Center | 23 S. 8th, Ashton, ID 83420 | 2009-11-11 |
| 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.