ON SITE FOR SENIORS INC (NPI# 1265621908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265621908 |
Entity Type | Organization |
Organization Name | ON SITE FOR SENIORS INC |
Practice Address |
296 W Sunset Ave Ste 14 Coeur D Alene ID 83815-8367 |
Mailing Address |
Po Box 238 Hayden ID 83835-0238 |
Practice Telephone | 2089674771 |
Mailing Telephone | 2089674771 |
Mailing Fax Number | 2086838101 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2019-08-04 |
Authorized Official Name | SUSAN MELCHIORE (MANAGING PHYSICIAN) |
Authorized Official Telephone | 2089674771 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | MEDICARE RAILROAD CARRIER | DG7201 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1042 W Mill Ave, Ste 101 B, Coeur D'alene, ID 83814 | 2089674771 | 2086838101 |
296 W Sunset Ave Ste 15, Coeur D Alene, ID 838158366 | 2089674771 |
Street Address |
296 W SUNSET AVE STE 14 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83815-8367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326144932 | Lynda J Arnold | Nurse Practitioner | 296 W Sunset Ave Ste 14, Coeur D Alene, ID 83815-8367 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
Find all providers in zip 83815 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720187289 | Barry Justin Cusack | Internal Medicine | 500 West Fort St, (111), Boise, ID 83702-4598 | 2006-09-21 |
1962468025 | Charles E Boult | Internal Medicine | 5966 W Curtisian Ave, Boise, ID 83706 | 2006-04-26 |
City | COEUR D ALENE |
Zip Code | 83815 |
Please comment or provide details below to improve the information on ON SITE FOR SENIORS INC.
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.