GENESIS SURGICAL ASSISTING LLC (NPI# 1265829303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265829303 |
Entity Type | Organization |
Organization Name | GENESIS SURGICAL ASSISTING LLC |
Practice Address |
348 W Bloomington Dr Meridian ID 83642-6942 |
Practice Telephone | 2088668277 |
Mailing Telephone | 2088668277 |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-06-18 |
Authorized Official Name | DONALD CURTIS (MANAGER) |
Authorized Official Telephone | 2088668277 |
Authorized Official Credential | CSFA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
116257 | ID | Technologists, Technicians & Other Technical Service Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
116257 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194201640 | Genesis Surgical Assisting LLC | Specialist/Technologist, Other | 3758 E 104th Ave # 102, Thornton, CO 80233-4434 | 2018-07-18 |
Street Address |
348 W BLOOMINGTON DR |
City | MERIDIAN |
State | ID |
Zip Code | 83642-6942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982937066 | Don H Curtis | Physician Assistant | 348 W Bloomington Dr, Meridian, ID 83642-6942 | 2009-09-08 |
1801073655 | Tracy D. Mickelsen | Physician Assistant | 3015 E Magic View Dr, Meridian, ID 83642-3743 | 2008-01-23 |
1245789536 | Lauren Galligar | Physician Assistant | 3399 E Louise Dr, Meridian, ID 83642-5047 | 2016-09-27 |
1780086249 | Abby M Thames | Physician Assistant | 1521 A 22nd Avenue, Meridian, MS 39301 | 2014-09-16 |
1447688312 | Anne M Peterson | Physician Assistant | 3399 E Louise Dr, Ste 400, Meridian, ID 83642-5047 | 2013-10-31 |
1093853871 | William B Curtis | Physician Assistant | 520 S Eagle Rd, Suite 1201, Meridian, ID 83642-6308 | 2007-02-02 |
1497850424 | Lori Mcmullen | Physician Assistant | 2111 14th St, Meridian, MS 39301-4041 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218089 | Michael Keegan Huntsman | Physician Assistant | 730 Aspen Ave, Shelley, ID 83274-1400 | 2020-06-03 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1831647197 | Nicholas Hensley | Physician Assistant | 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 | 2016-09-15 |
1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
1356437172 | Clare Elizabeth York | Physician Assistant | 805 Main St., Salmon, ID 83467 | 2006-10-05 |
1891707618 | Brian Keith Lachapelle | Physician Assistant | 6140 W Curtisan, Ste 102, Boise, ID 83704 | 2006-08-12 |
1992743215 | Bill Stahlberg | Physician Assistant | 211 Forest St, Mccall, ID 83638-5256 | 2006-06-02 |
1780641530 | Alicia R Borst | Physician Assistant | 3960 W. Wainwright, Boise, ID 83713 | 2006-04-26 |
1275047409 | Alexx Sliman | Physician Assistant | 425 Idaho St, Gooding, ID 83330-1258 | 2017-11-27 |
1487168118 | Kami Bowcut | Physician Assistant | 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 | 2017-11-16 |
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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.