SARA L. JOHNSON, MD (NPI# 1346306974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306974 |
| Entity Type | Organization |
| Organization Name | SARA L. JOHNSON, MD |
| Practice Address |
496 Shoup Ave W Suite E Twin Falls ID 83301-5043 |
| Practice Telephone | 2087332885 |
| Practice Fax Number | 2087343352 |
| Mailing Telephone | 2087332885 |
| Mailing Fax Number | 2087343352 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. SARA JOHNSON (OWNER) |
| Authorized Official Telephone | 2087332885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | M4188 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD OF ID | 000010017978 | 01 |
| ID | BLUE CROSS OF IDAHO | 8H757 | 01 |
| Street Address |
496 SHOUP AVE W SUITE E |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116908 | Balanced Health PC | Family Medicine | 496 Shoup Ave W, Twin Falls, ID 83301-5043 | 2006-06-02 |
| 1609296326 | Magic Valley Foot and Ankle Specialists Pllc | Podiatrist | 496 Shoup Ave W, Twin Falls, ID 83301-5834 | 2014-04-21 |
| 1114288891 | Katie Marie Wyatt | Nurse Practitioner | 496 Shoup Ave W, Suite E, Twin Falls, ID 83301-5834 | 2012-05-30 |
| 1447581574 | Donald P. Workman, Md Pa | Surgery | 496 Shoup Ave W, Suite D, Twin Falls, ID 83301-5043 | 2010-01-29 |
| 1194909598 | Gladys Marie Rasch | Physician Assistant | 496 Shoup Ave W, Suite #e, Twin Falls, ID 83301-5043 | 2007-12-20 |
| 1881601698 | Sara L Johnson | Family Medicine | 496 Shoup Ave W, Suite E, Twin Falls, ID 83301 | 2006-08-02 |
| 1750396222 | Anna Makovec-fuller | Nurse Practitioner | 496 Shoup Ave W, Suite E, Twin Falls, ID 83301 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801376256 | Ideal Option, Pllc | Clinic/Center | 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 | 2018-08-15 |
| 1043739592 | Warren Dopson Md, PC | Clinic/Center | 706 N College Rd Ste A, Twin Falls, ID 83301-5824 | 2017-09-15 |
| 1154709863 | Caldwell Immediate Care | Clinic/Center | 2701 Carriage Way, Twin Falls, ID 83301-5257 | 2015-05-13 |
| 1699971192 | Magic Valley Surgery Clinic, Pa | Clinic/Center | 630 Addison Ave W Ste 230, Twin Falls, ID 83301-5474 | 2007-06-22 |
| 1063540136 | Twin Falls Imaging & Diagnostic Center LLC | Clinic/Center | 1330 Filer Ave E, Twin Falls, ID 83301-4119 | 2007-03-01 |
| 1124185053 | Twin Falls Imaging & Diagnostic Center LLC | Clinic/Center | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2007-01-02 |
| 1952414609 | Addison Surgery Center Inc | Clinic/Center | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323216 | Wolf Pack LLC | Clinic/Center | 939 S 25th E Ste 115, Ammon, ID 83406-5736 | 2020-07-13 |
| 1831730118 | Falls Medical Aesthetics, Pllc | Clinic/Center | 814 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2019-10-08 |
| 1164072187 | Peter John Leichtnam | Clinic/Center | 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 | 2019-09-12 |
| 1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
| 1093368276 | Korena Popp Fnp Medical Services LLC | Clinic/Center | 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 | 2019-07-17 |
| 1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1912487646 | Ideal Option, Pllc | Clinic/Center | 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 | 2018-08-21 |
| 1649759374 | North Canyon Mountain Home Clinic | Clinic/Center | 840 N 4th E, Mountain Home, ID 83647-2166 | 2018-08-13 |
| 1104316785 | Pend Oreille Vision Care | Clinic/Center | 6132 Highway 2, Priest River, ID 83856 | 2018-05-18 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.