DR. JAMES WILLIAM PICKETT (NPI# 1275735045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275735045 |
| Entity Type | Individual |
| Full Name | DR. JAMES WILLIAM PICKETT |
| Credential | D.O. |
| Practice Address |
220 Bannock St Malad City ID 83252-5068 |
| Practice Telephone | 2087662600 |
| Practice Fax Number | 2087664258 |
| Mailing Telephone | 2087662600 |
| Mailing Fax Number | 2087664258 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | O-0838 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5012 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863112 | James Elwood Pickett IIi | Ophthalmology | 2430 S Ih 35 Ste 106, San Marcos, TX 78666-5921 | 2006-08-25 |
| 1750633665 | James William Pickett Jr. | Physical Therapy Assistant | 101 W Southway Blvd, Kokomo, IN 46902-3653 | 2012-10-03 |
| 1396004651 | James Pickett | Registered Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-05-08 |
| 1003904962 | James Dwayne Pickett | Internal Medicine | 508 Medical Center Blvd, Ste 200, Conroe, TX 77304-2808 | 2006-10-10 |
| Street Address |
220 BANNOCK ST |
| City | MALAD CITY |
| State | ID |
| Zip Code | 83252-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289659 | Shane Keith Anderson | Internal Medicine | 220 Bannock St, Malad City, ID 83252-1256 | 2005-10-14 |
| 1669026845 | Karen Marie Beck | Nurse Practitioner | 220 Bannock St, Malad City, ID 83252-5068 | 2019-07-26 |
| 1609341098 | Ariel Shantay Avis Taysom | Physician Assistant | 220 Bannock St, Malad City, ID 83252-5068 | 2018-10-11 |
| 1134417843 | Jennifer Felter | Nurse Practitioner | 220 Bannock St, Malad City, ID 83252-5068 | 2011-07-14 |
| 1225276454 | Oneida County Hospital | Clinic/Center | 220 Bannock St, Malad City, ID 83252-5068 | 2009-01-26 |
| 1134257876 | Mel Bingham | Physician Assistant | 220 Bannock St, Malad City, ID 83252-5068 | 2007-03-02 |
| 1710041785 | Oneida County Hospital | Clinic/Center | 220 Bannock St, Malad City, ID 83252-1256 | 2006-12-21 |
| 1639283302 | Catherine M. Harmston | Nurse Practitioner | 220 Bannock St, Malad City, ID 83252-5068 | 2006-08-18 |
| 1922026467 | Robert Todd Gillespie | Physician Assistant | 220 Bannock St, Suite B, Malad City, ID 83252-1256 | 2006-07-17 |
| 1265482905 | Robert David Hodson | Family Medicine | 220 Bannock St, Malad City, ID 83252-1256 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003179706 | David Teeples | Family Medicine | 220 Bannock Street, Malad, ID 83252 | 2012-06-19 |
| 1396046835 | A To Z Family Services, Inc. | Social Worker | 44 N Main, Malad, ID 83252 | 2010-11-16 |
| 1942855879 | Tylee Skinner | Behavior Technician | 611 N 500 W, Malad City, ID 83252-1021 | 2019-08-07 |
| 1982738662 | Southeastern Idaho Medical Clinics | Family Medicine | 230 W 200 N, Malad City, ID 83252-1109 | 2007-03-15 |
| 1861934473 | Bcs Healthcare, LLC | Nurse Practitioner | 300 N 100 W, Malad City, ID 83252-1144 | 2016-11-14 |
| 1689005845 | Rosemary Wells | Counselor | 444 N Main St, Malad City, ID 83252-1156 | 2013-12-12 |
| 1730459397 | A To Z Family Services | Clinic/Center | 44 N Main St, Malad City, ID 83252-1200 | 2012-01-12 |
| 1083913164 | Dallas R Spencer | Social Worker | 44 N Main St, Malad City, ID 83252-1200 | 2011-03-15 |
| 1003113390 | Kelly Steven Piersanti | Counselor | 44 N Main St, Malad City, ID 83252-1200 | 2011-02-22 |
| 1346477668 | Ronald Eugene Perry | Chiropractor | 60 N Main St, Malad City, ID 83252-1200 | 2009-06-12 |
| Find all providers in zip 83252 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738662 | Southeastern Idaho Medical Clinics | Family Medicine | 230 W 200 N, Malad City, ID 83252-1109 | 2007-03-15 |
| 1265482905 | Robert David Hodson | Family Medicine | 220 Bannock St, Malad City, ID 83252-1256 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MALAD CITY |
| Zip Code | 83252 |
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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.