GLENN HOWARD WEYHRICH (NPI# 1255450649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255450649 |
Entity Type | Individual |
Full Name | GLENN HOWARD WEYHRICH |
Credential | M.D. |
Practice Address |
222 N 2nd St Ste 206 Boise ID 83702-6130 |
Practice Telephone | 2083422516 |
Practice Fax Number | 2083421661 |
Mailing Telephone | 2083422516 |
Mailing Fax Number | 2083421661 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
M3119 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | DEA CONTROLLED SUBSTANCE | AW5162033 | 01 |
ID | IDAHO CONTROLLED SUBSTANC | MD1637 | 01 |
ID | 002523800 | 05 | |
ID | CLIA LAB ID NUMBER | 13D0521509 | 01 |
OR | OMAP OREGON MEDICAID | 140277 | 01 |
ID | IDAHO STATE LICENSE | M3119 | 01 |
ID | REGENCE BLUE SHIELD OF ID | 000010000709 | 01 |
ID | BLUE CROSS OF IDAHO | 50120 | 01 |
ID | AMA MEMBERSHIP | 01602650631 | 01 |
Street Address |
222 N 2ND ST STE 206 |
City | BOISE |
State | ID |
Zip Code | 83702-6130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508837154 | Mary Stone-arave | Nurse Practitioner | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2006-01-31 |
1487773701 | Darin L. Weyhrich, M.d.,p.a. | Obstetrics & Gynecology | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2007-03-28 |
1801860846 | Darin Lee Weyhrich | Obstetrics & Gynecology | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2006-02-15 |
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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 |
Find all providers in zip 83702 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407941453 | Anthony D Keys Md Pa | Obstetrics & Gynecology | 222 N 2nd St, Suite 315, Boise, ID 83702-6109 | 2006-10-04 |
1306880398 | Amy L. Cooper | Obstetrics & Gynecology | 100 E Idaho St, Boise, ID 83712-6267 | 2006-06-16 |
1275588949 | Tony D Keys | Obstetrics & Gynecology | 222 N 2nd St, Ste 315, Boise, ID 83702-6109 | 2006-05-23 |
1952351710 | Gerard Robert W. Klomp | Obstetrics & Gynecology | 125 E Idaho St, Suite 201, Boise, ID 83712-6212 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609245109 | Transformations Idaho Pllc | Obstetrics & Gynecology | 2857 S Meridian Rd, 100, Meridian, ID 83642-7960 | 2015-09-15 |
1710140165 | Adam Robert Duke | Obstetrics & Gynecology | 1551 E Mullan Ave Bldg A Ste 200a, Post Falls, ID 83854-5275 | 2008-07-07 |
1215082805 | E. Wayne Day | Obstetrics & Gynecology | 222 Southway Ave Ste A, Lewiston, ID 83501-2703 | 2007-01-24 |
1265512818 | Rocky Mountain Gyn and Hormone Center | Obstetrics & Gynecology | 951 East Plaza, Suite 170, Eagle, ID 83616 | 2006-10-17 |
1760884324 | Ppgnw - Idaho | Obstetrics & Gynecology | 2112 E Franklin Rd, Meridian, ID 83642-9024 | 2014-09-25 |
1629310347 | Laura Danielle Young | Obstetrics & Gynecology | 1551 E Mullan Ave Bldg A Ste 200a, Post Falls, ID 83854-5275 | 2013-03-20 |
1013256379 | Simply Womens Health LLC | Obstetrics & Gynecology | 2273 E Gala St, Suite 110, Meridian, ID 83642-7289 | 2013-02-06 |
1073874780 | Gregory N Schaefer M.d., P.a. | Obstetrics & Gynecology | 1603 12th Ave Rd, Suite B, Nampa, ID 83686-7712 | 2012-05-30 |
1336400043 | Randall L. Rudeen Md Pa | Obstetrics & Gynecology | 1603 12th Ave Rd, Suite B, Nampa, ID 83686-7712 | 2012-05-30 |
1891730917 | Tamara Marie Simon | Obstetrics & Gynecology | 951 E Plaza Dr, Suite 170, Eagle, ID 83616-6566 | 2006-06-20 |
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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.