LES BOIS NEUROLOGY CHARTERED (NPI# 1275721912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275721912 |
| Entity Type | Organization |
| Organization Name | LES BOIS NEUROLOGY CHARTERED |
| Practice Address |
3875 E Overland Rd Meridian ID 83642-9005 |
| Practice Telephone | 2083436200 |
| Practice Fax Number | 2083448355 |
| Mailing Telephone | 2083436200 |
| Mailing Fax Number | 2083448355 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | LESLIE ANN ERNST (OFFICE MANAGER) |
| Authorized Official Telephone | 2082876606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M7321 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BOARD OF MEDICINE | PA654 | 01 |
| Street Address |
3875 E OVERLAND RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568443158 | Paul Calvin Collins | Orthopaedic Surgery | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2005-11-10 |
| 1417335860 | St Alphonsus Regional Medical Center Inc | Clinic/Center | 3875 E Overland Rd, Meridian, ID 83642 | 2015-05-18 |
| 1366849572 | Exodus Pain Clinic | Pain Medicine | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2014-12-03 |
| 1891048773 | Amy Kathryn Thompson | Physical Therapist | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2012-10-17 |
| 1508187428 | Kristi J. Mcmahan | Physical Therapist | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2010-06-15 |
| 1316128036 | Sage Diagnostics & Imaging | Clinic/Center | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2007-11-21 |
| 1396945069 | James H Morland, Md | Physical Medicine & Rehabilitation | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2007-07-20 |
| 1922201615 | Heidi T Orme | Psychiatry & Neurology | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2007-06-08 |
| 1235166885 | James Michael Herrold | Psychiatry & Neurology | 3875 E Overland Rd, Suite 201, Meridian, ID 83642-9005 | 2006-06-27 |
| 1215975164 | James H Morland | Physical Medicine & Rehabilitation | 3875 E Overland Rd, Suite 200, Meridian, ID 83642-9005 | 2006-06-03 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486812 | Tami Sue Lee | Specialist | 841 E Fairview Ave Ste 100, Meridian, ID 83642-9386 | 2014-12-29 |
| 1164822029 | Robert Francis Malison | Specialist | 3975 E Clocktower Ln Apt 326, Meridian, ID 83642-9141 | 2014-08-28 |
| 1073788337 | Cheree L Eveland | Specialist | 3455 Woodmont Dr, Meridian, ID 83646-1166 | 2008-04-28 |
| 1952504623 | Benjamin Edgar Box | Specialist | 4807 11th Pl, Meridian, MS 39305-2771 | 2007-06-08 |
| 1669594974 | Mark Garry Murray | Specialist | 1400 20th Ave Ste C, Meridian, MS 39301-4103 | 2007-04-06 |
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1366536609 | Charles Guy Riddle | Specialist | 1626 S Wells Ave Ste 105, Meridian, ID 83642-4528 | 2006-10-03 |
| 1043318280 | Lee Kinsey Thornton | Specialist | 5002 Highway 39 N Bldg C, Meridian, MS 39301-1078 | 2006-09-20 |
| 1154423804 | Woody D. Davis | Specialist | 5002 Highway 39 N, Bldg. B, Meridian, MS 39301-1078 | 2006-09-02 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| Find all providers in MERIDIAN | ||||
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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.