BRIAN DOTTER (NPI# 1346886777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346886777 |
| Entity Type | Individual |
| Full Name | BRIAN DOTTER |
| Practice Address |
3080 E Gentry Way Meridian ID 83642-3544 |
| Practice Telephone | 2083812494 |
| Mailing Telephone | 2083812494 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7336 | ID | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 190 E Bannock St, Boise, ID 837126241 | 2083812494 |
| Street Address |
3080 E GENTRY WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466167 | Andrew F Holtz | Family Medicine | 3080 E Gentry Way, Ste 200, Meridian, ID 83642-3544 | 2005-06-10 |
| 1861995102 | Daniel J Allen Do PC | Family Medicine | 3080 E Gentry Way, 100, Meridian, ID 83642-3060 | 2018-03-13 |
| 1922468792 | Alicia Rosales | Social Worker | 3080 E Gentry Way, 202, Meridian, ID 83642-3544 | 2016-03-07 |
| 1558766808 | George Condit II | Massage Therapist | 3080 E Gentry Way, #202, Meridian, ID 83642-3544 | 2014-10-29 |
| 1255676789 | Praxis Medical Group | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3544 | 2012-12-10 |
| 1972860815 | Katrina N Keller | Nurse Practitioner | 3080 E Gentry Way, Meridian, ID 83642-3544 | 2012-04-17 |
| 1104055383 | Maria Teresa Gomez Sirucek | Chiropractor | 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | 2009-07-08 |
| 1093975302 | Sirucek Chiropractic Neurology Clinic, Inc. | Chiropractor | 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | 2008-06-10 |
| 1669654935 | Dax Sirucek | Chiropractor | 3080 E Gentry Way, 110, Meridian, ID 83642-3544 | 2007-11-28 |
| 1629022116 | Louis Michael Schlickman | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3013 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1114370319 | Whitney Lauren Hurt | Pharmacist | 1280 S Ashlee Pl, Meridian, ID 83642-2489 | 2016-07-22 |
| 1831583053 | William Belau | Pharmacist | 2703 S Weber Rapids Pl, Meridian, ID 83642-7481 | 2015-03-25 |
| 1811305089 | Cassandra Carper | Pharmacist | 1968 N Golfview Way, Meridian, ID 83646 | 2014-07-31 |
| 1790101970 | Rebecca Barrios | Pharmacist | 2115 W Apgar Creek Dr, Meridian, ID 83646-5985 | 2014-03-11 |
| 1679909824 | Chelsey Wright | Pharmacist | 5621 N Larkwood Ave, Meridian, ID 83646-5972 | 2013-09-19 |
| 1174967012 | Amy S Isaacs | Pharmacist | 800 S Industry Way, Ste 240, Meridian, ID 83642-3059 | 2013-04-22 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1578847851 | Kathryn Handel | Pharmacist | 520 S Eagle Rd Ste 1000, Meridian, ID 83642-6353 | 2011-10-04 |
| Find all providers in MERIDIAN | ||||
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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.