SANDRA A THOMPSON (NPI# 1326085713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326085713 |
| Entity Type | Individual |
| Full Name | SANDRA A THOMPSON |
| Credential | MD |
| Practice Address |
633 N 4th St Boise ID 83702-4510 |
| Practice Telephone | 2083429800 |
| Practice Fax Number | 2083424223 |
| Mailing Telephone | 2083429800 |
| Mailing Fax Number | 2083424223 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | M5883 | ID | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G156943 | CA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
M5883 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 004277900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1825 S Kimball Avenue, Caldwell, ID 836054510 | 2084553535 | 2084555190 |
| 900 N Liberty St Ste 300, Boise, ID 837048729 | 2089915293 | 8662691712 |
| 835 3rd Ave Ste C, Chula Vista, CA 919111352 | 6194254209 | 6194254763 |
| 4033 3rd Ave Ste 430, San Diego, CA 921032117 | 6195783740 | 8584376702 |
| 633 N 4th St, Boise, ID 837024510 | 2083429800 | 2083424223 |
| 2100 5th Ave Ste 200, San Diego, CA 921012102 | 6195783740 | 8584376702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346693827 | Sandra Thompson | Counselor | 5920 Tradewinds Ln, Orlando, FL 32819-3555 | 2016-07-19 |
| 1114325719 | Sandra Marie Thompson | Massage Therapist | 1005 Idaho Ave, Natrona Heights, PA 15065-1343 | 2014-12-12 |
| 1992077275 | Sandra Faye Thompson | Counselor | 99 Ravens Nest Ln, Cameron, NC 28326-6624 | 2012-02-02 |
| 1962697839 | Sandra Kay Thompson | Psychologist | 430 Bengor Road, Lawrence, MI 49064 | 2007-09-13 |
| 1538296850 | Sandra Thompson IIi | Counselor | 3321 Power Inn Rd Ste 110, Sacramento, CA 95826 | 2007-02-27 |
| 1104999895 | Sandra E Thompson | Counselor | 3578 S Fulton Ave, Hapeville, GA 30354-1756 | 2006-11-17 |
| 1992715874 | Sandra Charlene Thompson | Nurse Practitioner | 315n Washington Ave 130, Cookeville, TN 38501-2623 | 2006-08-09 |
| 1699704940 | Sandra Jean Thompson | Home Health Aide | 3016 5th St Se, Canton, OH 44707-2412 | 2006-06-30 |
| 1225029333 | Sandra A Thompson | Dentist | 339 5th Ave, Mckeesport, PA 15132-2631 | 2005-10-31 |
| 1902300205 | Sandra Rae Thompson | Registered Nurse | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2018-03-21 |
| Street Address |
633 N 4TH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891116653 | Alla Osipchuk | Registered Nurse | 633 N 4th St, Boise, ID 83702-4510 | 2013-12-20 |
| 1740582303 | Pain Center Inc | Clinic/Center | 633 N 4th St, Boise, ID 83702-4510 | 2010-12-02 |
| 1114140910 | Lee Ann Conrad | Physician Assistant | 633 N 4th St, Boise, ID 83702-4510 | 2007-04-10 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1114171519 | Advanced Pain Management Pllc | Anesthesiology | 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 | 2008-11-11 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| 1235472531 | Eli J Harris | Anesthesiology | 4424 E Flamingo, Ste 310, Nampa, ID 83687 | 2013-04-04 |
| 1801143029 | Teton Valley Health Care, Inc | Anesthesiology | 83 N Main St, Victor, ID 83455-0368 | 2012-08-07 |
| 1154681633 | Daric J Russell | Anesthesiology | 3385 Potomac Way, Idaho Falls, ID 83404-4978 | 2012-05-18 |
| 1992070809 | Pain Specialists of Idaho | Anesthesiology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2012-03-12 |
| 1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
| 1629227616 | Prashanth Sirigere Manjunath | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2008-09-15 |
| 1366622300 | Cornerstone Anesthesia Pa | Anesthesiology | 2841 Juniper Dr, Lewiston, ID 83501-4719 | 2007-11-07 |
| 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.