JULIE S KIKUCHI (NPI# 1265544894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265544894 |
| Entity Type | Individual |
| Full Name | JULIE S KIKUCHI |
| Credential | M.D. |
| Practice Address |
121 E Fort St Boise ID 83712-6322 |
| Mailing Address |
777 N Raymond St Boise ID 83704-9251 |
| Practice Telephone | 2085142525 |
| Practice Fax Number | 2083752217 |
| Mailing Telephone | (208) 367-6030 |
| Mailing Fax Number | 2083676123 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M-9466 | ID | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
M9466 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807362700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 N Raymond St, Boise, ID 837049251 | 2083676030 | 2083676123 |
| Street Address |
121 E FORT ST |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730537218 | Scott Hippe | Family Medicine | 121 E Fort St, Boise, ID 83712-6322 | 2016-05-25 |
| 1164801692 | Robert Crouch | Family Medicine | 121 E Fort St, Boise, ID 83712-6322 | 2015-05-29 |
| 1821484452 | Louissa Carolyn Gordon | Physician Assistant | 121 E Fort St, Boise, ID 83712-6322 | 2015-04-10 |
| 1073952016 | Hannah Elisabeth Underdahl | Nurse Practitioner | 121 E Fort St, Boise, ID 83712-6322 | 2013-06-24 |
| 1740303734 | Kelly Rogers Showalter | Pediatrics | 121 E Fort St, Boise, ID 83712-6322 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437577483 | Kaitlin Burke | Pediatrics | 100 E Idaho St Ste 401, Boise, ID 83712-6267 | 2014-04-06 |
| 1780918748 | Jerome Anthony Hirschfeld | Pediatrics | 3101 E Nature Dr, Boise, ID 83706-6921 | 2009-09-23 |
| 1306020086 | Ann Catherine Miller | Pediatrics | 6348 Emerald St, Boise, ID 83642-2376 | 2007-12-18 |
| 1851588644 | Richard Epes Rainey | Pediatrics | 2100 N Larch St, Boise, ID 83706-1022 | 2007-09-26 |
| 1174544829 | Allyson Ann Vansteenbergen | Pediatrics | 13960 W. Wainwright Dr., Suite B, Boise, ID 83713 | 2006-07-21 |
| 1609805779 | Ada Pediatrics, P.a. | Pediatrics | 650 N Cole Rd, Boise, ID 83704-9117 | 2006-07-01 |
| 1487693099 | John P Jambura | Pediatrics | 7722 Ustick Rd, Boise, ID 83704-5845 | 2006-06-06 |
| 1730131905 | Angella M Zieba | Pediatrics | 6348 W Emerald St, Boise, ID 83704-8732 | 2006-05-16 |
| 1194773804 | Ben H. Godfrey | Pediatrics | 450 W State St, Suite 100, Boise, ID 83702-6056 | 2006-05-05 |
| 1962491415 | Lynn M Luginbuhl | Pediatrics | 305 E Jefferson St, Boise, ID 83712-6273 | 2005-10-18 |
| 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.