KALEB REDDEN (NPI# 1366822892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366822892 |
Entity Type | Individual |
Full Name | KALEB REDDEN |
Credential | DO |
Practice Address |
777 N Raymond St Boise ID 83704-9251 |
Practice Telephone | 2085142500 |
Practice Fax Number | 2083752217 |
Mailing Telephone | 2085142500 |
Mailing Fax Number | 2083752217 |
Enumeration Date | 2015-05-29 |
Last Update Date | 2019-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
O-0995 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1366822892 | 05 |
Street Address |
777 N RAYMOND ST |
City | BOISE |
State | ID |
Zip Code | 83704-9251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566253 | Jeffrey Karl Edwards | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2005-05-24 |
1619599347 | Kim Mcgrath | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1437771169 | Kevin Mcnamee | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1003438730 | Tracy Adams | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1093337727 | Angela Bangs | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1902428634 | Amanda Aman | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1275155905 | Paige Ely | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1457973182 | Zara Bowden | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1992327621 | Kelsey Harding | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
1366064099 | Jeffrey Chase | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2020-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508152257 | Tobias P Gopon | Family Medicine | 600 N Robbins Rd Ste 400, Boise, ID 83702-4566 | 2011-06-21 |
1215137526 | Dean Edward Lapinel | Family Medicine | 1437 E Braemere Rd, Boise, ID 83702-1857 | 2007-07-24 |
1881629202 | Craig M Smith | Family Medicine | 5959 N Discovery Place, Boise, ID 83713-1556 | 2006-07-12 |
1477581122 | Kurt J Nilsson | Family Medicine | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-06-30 |
1417143926 | Richard Radnovich Do PC | Family Medicine | 4850 N Rosepoint Way, Suite 100, Boise, ID 83713-5262 | 2007-09-18 |
1407944655 | Richard Radnovich | Family Medicine | 4850 N Rosepoint Way, Ste 100, Boise, ID 83713 | 2006-10-11 |
1518978337 | Alejandro A Homaechevarria | Family Medicine | 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 | 2006-08-10 |
1043216823 | Scot B Scheffel | Family Medicine | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
1801292115 | Idaho State University | Family Medicine | 921 S 8th Ave Stop 8173, Sports and Orthopaedic Center, Pocatello, ID 83209-8173 | 2014-11-13 |
1659870517 | Orthoidaho LLC | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2018-02-06 |
1295094217 | James Kendall Christensen | Family Medicine | 2375 E Sunnyside Rd, Ste F, Idaho Falls, ID 83404-8280 | 2012-05-11 |
1770877888 | Anthony Joseph Md Inc | Family Medicine | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2011-06-06 |
1033417035 | Idaho Sports & Spine Pllc | Family Medicine | 950 Hospital Way, Ste A, Pocatello, ID 83201-2789 | 2011-03-01 |
1124115944 | Tony C Roisum Md Pa | Family Medicine | 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404-8333 | 2006-10-05 |
1528092202 | Christopher R Johnson | Family Medicine | 950 Hospital Way, Suite A, Pocatello, ID 83201-2789 | 2006-07-10 |
1922092741 | Anthony E Joseph | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2005-09-08 |
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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.