SAINT ALPHONSUS PHYSICIAN SERVICES INC (NPI# 1366492084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366492084 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP GARRITY |
| Practice Address |
1200 Garrity Blvd Nampa ID 83687-3402 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084669092 |
| Practice Fax Number | 2084665322 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-12-22 |
| Authorized Official Name | MS. JANELLE G. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2083676490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Garrity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123468 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 Elm, Suite 100, Caldwell, ID 83605 | 2006-07-29 |
| 1801820501 | Saint Alphonsus Physician Services Inc | Family Medicine | 1001 N Meridian Rd, Meridian, ID 83642-2243 | 2006-07-10 |
| 1386680890 | Saint Alphonsus Physician Services Inc | Family Medicine | 1625 W State St, Boise, ID 83702-4041 | 2006-06-22 |
| 1073559449 | Saint Alphonsus Physician Services Inc | Physician Assistant | 1673 Shoreline Drive, Suite 120, Boise, ID 83702-6749 | 2006-06-22 |
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1871549394 | Saint Alphonsus Physician Services Inc | Family Medicine | 471 Baybrook Ct, Boise, ID 83706-3900 | 2006-05-26 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1477504090 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2006-05-16 |
| 1184674764 | Saint Alphonsus Physician Services Inc | Internal Medicine | 6094 W Emerald St, Boise, ID 83704-8855 | 2006-05-12 |
| 1487849147 | Saint Alphonsus Physician Services Inc | Advanced Practice Midwife | 900 N Liberty St, Suite 204, Boise, ID 83704-8707 | 2007-09-06 |
| Street Address |
1200 GARRITY BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093129751 | Justin Tomal | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2014-06-19 |
| 1417289729 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2010-02-11 |
| 1700010873 | Erin M Mccoy | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2009-05-05 |
| 1275737819 | Saint Alphonsus Physician Services Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2007-06-14 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1396278958 | Sean Michael Rutschke | Family Medicine | 9850 W St Lukes Dr Ste 290, Nampa, ID 83687-7912 | 2017-04-10 |
| 1407204225 | Sarah M Waterman | Family Medicine | 9850 W St Lukes Dr Ste 329, Nampa, ID 83687-7912 | 2016-06-02 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1588036396 | Andrew Leon Bennett | Family Medicine | 5102 Howard Ln, Nampa, ID 83687-8659 | 2015-10-21 |
| 1881033256 | Mitchell A Mendenhall | Family Medicine | 11035 Karcher Rd, Nampa, ID 83651-8200 | 2013-06-19 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1174834246 | Josh Leavitt | Family Medicine | 974 W Corporate Ln Ste 102, Nampa, ID 83651-1930 | 2010-06-23 |
| 1427099852 | Linda Lam | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-09 |
| 1548228844 | Austin J. Graham | Family Medicine | 824 S Diamond St, Nampa, ID 83686-5960 | 2006-05-03 |
| Find all providers in NAMPA | ||||
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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.