DR. RANDOLPH C BYRD (NPI# 1356339618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356339618 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH C BYRD |
| Credential | MD |
| Practice Address |
4424 E Flamingo Ave Suite 300 Nampa ID 83687-9306 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083020200 |
| Practice Fax Number | 2083020255 |
| Mailing Telephone | 2083020200 |
| Mailing Fax Number | 2083020255 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-6985 | ID | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32416 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4424 E FLAMINGO AVE SUITE 300 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840270 | Emma Nelson | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2017-09-11 |
| 1750839502 | Boyd Layton | Physician Assistant | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9289 | 2016-09-21 |
| 1386191500 | Tarasue C Maness | Nurse Practitioner | 4424 E Flamingo Ave, Ste 310, Nampa, ID 83687 | 2016-09-06 |
| 1477932523 | Steen Edwards | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2015-05-22 |
| 1477949261 | John Lattin | Physical Medicine & Rehabilitation | 4424 E Flamingo Ave, Suite 310, Nampa, ID 83687 | 2015-04-08 |
| 1588084453 | Jeffery Reese | Obstetrics & Gynecology | 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2014-04-18 |
| 1588096804 | Branson J Collins | Anesthesiology | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2013-08-09 |
| 1033473285 | Purushothaman Muthusamy | Internal Medicine | 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | 2012-07-02 |
| 1639214216 | Tosha Jo Johnson | Nurse Practitioner | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2007-02-21 |
| 1053467852 | Linda Kay Walker | Obstetrics & Gynecology | 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1588618250 | Andrew David Michaels | Internal Medicine | 4424 E Flamingo, Ave Ste 300, Nampa, ID 83687 | 2006-05-19 |
| 1033473285 | Purushothaman Muthusamy | Internal Medicine | 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | 2012-07-02 |
| 1306137633 | St Lukes Idaho Cardiology Associates | Internal Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2011-04-20 |
| 1164439725 | Nicholas W. Hodgman | Internal Medicine | 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | 2006-08-03 |
| 1871540708 | Michael A Codina | Internal Medicine | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1811201312 | Providence Health & Services | Internal Medicine | 715 S Washington, Suite A, Moscow, ID 83843-0000 | 2010-07-27 |
| 1730323080 | Wayne Wright | Internal Medicine | 2664 E 3700 N, Twin Falls, ID 83301-0145 | 2009-04-29 |
| 1184824617 | Michael D Kenner, Md,pc | Internal Medicine | 1721 S 10th Ave, Caldwell, ID 83605-4839 | 2007-07-23 |
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1700983137 | Lee Walter Gould | Internal Medicine | 307 St. John's Way, Suite 114, Lewiston, ID 83501-2456 | 2006-09-20 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
| 1477578300 | John E Lassetter | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404 | 2006-07-13 |
| 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.