ID DEPT OF HEALTH & WELFARE CSHP (GEN) (NPI# 1275655995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275655995 |
| Entity Type | Organization |
| Organization Name | ID DEPT OF HEALTH & WELFARE CSHP (GEN) |
| Practice Address |
450 W State St 4th Floor Boise ID 83702-6056 |
| Mailing Address |
Po Box 83720 4th Floor Boise ID 83720-0036 |
| Practice Telephone | 2083344935 |
| Practice Fax Number | 2083327307 |
| Mailing Telephone | 2083344935 |
| Mailing Fax Number | 2083327307 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAIGE FINCHER (ACTING PROGRAM MANAGER) |
| Authorized Official Telephone | 2083344935 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010022948 | 01 |
| ID | 0028234 | 05 | |
| ID | BLUE CROSS OF ID | HW207 | 01 |
| Street Address |
450 W STATE ST 4TH FLOOR |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194773804 | Ben H. Godfrey | Pediatrics | 450 W State St, Suite 100, Boise, ID 83702-6056 | 2006-05-05 |
| 1710269832 | Teresa Bernadette Kobza | Dietitian, Registered | 450 W State St, Boise, ID 83702 | 2011-09-14 |
| 1710287149 | Idaho Division of Behavioral Health | Community/Behavioral Health | 450 W State St, Boise, ID 83702-6056 | 2010-11-02 |
| 1174781959 | Christine Gabriele Hahn | Internal Medicine | 450 W State St, 4th Floor, Boise, ID 83702-6056 | 2008-05-28 |
| 1871716118 | Id Dept of Health & Welfare Cshp (pku Form) | Durable Medical Equipment & Medical Supplies | 450 W State St, 4th Floor, Boise, ID 83702-6056 | 2007-04-11 |
| 1770532350 | Mindy B. Gaddis | Pediatrics | 450 W State St, Suite 100, Boise, ID 83702-6056 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 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 | 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 |
| 1265544894 | Julie S Kikuchi | Pediatrics | 121 E Fort St, Boise, ID 83712-6322 | 2006-08-31 |
| 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 |
| 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.