DR. MARK RYAN PAPENFUSS (NPI# 1326257064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326257064 |
| Entity Type | Individual |
| Full Name | DR. MARK RYAN PAPENFUSS |
| Credential | D.O. |
| Practice Address |
1055 N Curtis Road Boise ID 83706-1309 |
| Mailing Address |
Po Box 9649 Boise ID 83707-4649 |
| Practice Telephone | 2083672161 |
| Practice Fax Number | 2083672989 |
| Mailing Telephone | 2084728100 |
| Mailing Fax Number | 2084728172 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
4081 | IA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DO154120 | OR | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
O-0616 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4081 | IA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
125049736 | IL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
4081 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1055 N CURTIS ROAD |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435687 | Lauren D. Bales | Obstetrics & Gynecology | 1055 N Curtis Road, Boise, ID 83706 | 2005-08-23 |
| 1285109942 | Megan F Clark | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2018-10-09 |
| 1497296768 | Carolyn Punt | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2017-03-20 |
| 1326586413 | Matthew Daniel Phillips | Physician Assistant | 1055 N Curtis Road, Boise, ID 83706 | 2017-02-08 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1790131472 | Danielle Miller | Family Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-05-11 |
| 1447612262 | Nicholas Robert Homer | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-03-22 |
| 1679941850 | Rebecca Bishop | Physician Assistant | 1055 N Curtis Road, Samg Cancer Care Center, Boise, ID 83706 | 2015-09-04 |
| 1245607662 | David Cameron Nelson | Physician Assistant | 1055 N Curtis Road, S6, Boise, ID 83706 | 2015-09-02 |
| 1649664558 | Shaye Lewis | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2015-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376920553 | Creighton Lewis | Radiology | 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 | 2015-04-27 |
| 1295926061 | Michael Modica | Radiology | 877 W Main St, Suite 603, Boise, ID 83702-5883 | 2007-08-07 |
| 1346457298 | John Charles Kirkham | Radiology | 115 W Main St Ste 202, Boise, ID 83702-7303 | 2007-05-17 |
| 1811046386 | Frank J Daniels | Radiology | 5122 S Surprise Way Apt 202, Boise, ID 83716-9050 | 2007-01-10 |
| 1821039025 | Michael J Ryan | Radiology | 232 S Whisperwood Way, Boise, ID 83709-4900 | 2006-06-09 |
| 1679513303 | Intermountain Medical Imaging LLC | Radiology | 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 | 2006-06-08 |
| 1669423679 | Intermountain Medical Imaging LLC | Radiology | 927 W Myrtle St, Boise, ID 83702-7061 | 2006-05-15 |
| 1174589543 | Laura M Wike | Radiology | 2517 N Cisco Ln, Boise, ID 83702-5502 | 2006-04-25 |
| 1922077635 | Ryan Slaughter | Radiology | 907 Harrison Blvd, Boise, ID 83702-4052 | 2006-03-15 |
| 1336554740 | Geoffry De Gennaro Jr. | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2014-06-24 |
| 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.