TREASURE VALLEY METABOLIC MEDICINE (NPI# 1285271635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285271635 |
| Entity Type | Organization |
| Organization Name | TREASURE VALLEY METABOLIC MEDICINE |
| Practice Address |
951 E Plaza Dr Ste 110 Eagle ID 83616-6567 |
| Practice Telephone | 2082749580 |
| Practice Fax Number | 2082749581 |
| Mailing Telephone | 2082749580 |
| Mailing Fax Number | 2082749581 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2020-04-26 |
| Authorized Official Name | KATY CONNLEY (CEO, OWNER) |
| Authorized Official Telephone | 2088306773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
951 E PLAZA DR STE 110 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437661345 | Benjamin Prinzing | Nurse Practitioner | 951 E Plaza Dr Ste 110, Eagle, ID 83616-6567 | 2017-11-01 |
| 1265066849 | Kirsten Ceily Thomas | Dietitian, Registered | 951 E Plaza Dr Ste 110, Eagle, ID 83616-6567 | 2020-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1679968051 | Michael Dee Holyoak | Internal Medicine | 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 | 2015-04-01 |
| 1902143134 | Ennis Endocrinology, Pllc | Internal Medicine | 2450 E Gala St Ste 100, Meridian, ID 83642-4805 | 2013-01-08 |
| 1366647729 | Robert F. Ennis | Internal Medicine | 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 | 2007-06-18 |
| 1003881970 | Lynn Ge-zerbe | Internal Medicine | 1759 S Millenium Way, Meridian, ID 83642-1505 | 2006-02-22 |
| 1720068760 | Irinel N Stanciu | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2006-01-17 |
| 1619977600 | John E Liljenquist | Internal Medicine | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2005-07-30 |
| 1437159423 | Carl D Vance | Internal Medicine | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2005-07-30 |
| 1285142943 | Selkirk Endocrinology, Pllc | Internal Medicine | 1125 E Polston Ave Ste B, Post Falls, ID 83854-6045 | 2018-01-16 |
| 1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
| Find all providers with the same taxonomy | ||||
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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.