STEPHEN A DENAGY (NPI# 1336273085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336273085 |
| Entity Type | Individual |
| Full Name | STEPHEN A DENAGY |
| Credential | M4915 |
| Practice Address |
2705 E 17th St Ammon ID 83406-6601 |
| Practice Telephone | 2083467500 |
| Practice Fax Number | 2083467501 |
| Mailing Telephone | 2083467500 |
| Mailing Fax Number | 2083467501 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M4915 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 49155 | 01 |
| ID | BLUE SHIELD OF IDAHO | 000010005201 | 01 |
| ID | UPIN | C36950 | 01 |
| ID | MEDICARE GROUP | 1370128 | 01 |
| ID | CIGNA BEHAVIORAL HEALTH | 820428306 | 01 |
| ID | TRICARE | G526301 | 01 |
| ID | 002648500 | 05 |
| Street Address |
2705 E 17TH ST |
| City | AMMON |
| State | ID |
| Zip Code | 83406-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820996 | Sara Pinson | Counselor | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-08-05 |
| 1043829062 | Siu Ling Chi | Counselor | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-07-26 |
| 1790308823 | Alannah Nunez | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-05-22 |
| 1952934580 | Leticia Marlen Ramos | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-02-21 |
| 1245863935 | Kristina Joy Bischoff | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2020-02-20 |
| 1174161608 | Michael Patrick Pressler | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-12-16 |
| 1740827807 | Amanda E Sturgeon | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-12-06 |
| 1326684507 | Kathryn Griggs | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-11-21 |
| 1649816182 | Kevin Ryan Anderson | Social Worker | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-11-19 |
| 1851935431 | Madison Tena Pilster | Case Manager/Care Coordinator | 2705 E 17th St, Ammon, ID 83406-6601 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1306385950 | Basis Internal Medicine | Internal Medicine | 723 W Headwaters Dr, Eagle, ID 83616-5749 | 2017-02-15 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| 1649634718 | Elizabeth Ann Schackmann | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4501 | 2016-04-05 |
| 1003278730 | Tyler T Birch | Internal Medicine | 520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352 | 2016-03-22 |
| 1134513088 | Alex Tanabe | Internal Medicine | 1000 E Park Blvd, Boise, ID 83712-7791 | 2015-03-27 |
| 1932512811 | Cory Spicer | Internal Medicine | 2265 E Sunnyside Rd, Idaho Falls, ID 83404-7598 | 2014-06-09 |
| 1598196784 | Gabriela Anghel | Internal Medicine | 500 S 11th Ave Ste 303, Pocatello, ID 83201-4879 | 2013-12-12 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1386083764 | Avery Jeffers | Internal Medicine | 44 N. 1st E., Attn: Colleen Jensen, Preston, ID 83263-1326 | 2013-06-19 |
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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.