GOODING FAMILY PHYSICIANS PLLC (NPI# 1396804415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396804415 |
| Entity Type | Organization |
| Organization Name | GOODING FAMILY PHYSICIANS PLLC |
| Practice Address |
134 4th Ave W Gooding ID 83330 |
| Practice Telephone | 2089344446 |
| Practice Fax Number | 2089344442 |
| Mailing Telephone | 2089344446 |
| Mailing Fax Number | 2089344442 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-10-03 |
| Authorized Official Name | MRS. TRUDY MCGINNIS (BILLING) |
| Authorized Official Telephone | 2089344446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
134 4TH AVE W |
| City | GOODING |
| State | ID |
| Zip Code | 83330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
| 1043613888 | Kimberly Diane Kearney | Nurse Practitioner | 134 4th Ave W, Gooding, ID 83330-1018 | 2014-10-08 |
| 1952716540 | Jennifer Parsons | Nurse Practitioner | 134 4th Ave W, Gooding, ID 83330-1018 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
| 1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
| 1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
| 1982173746 | Tdc Gooding Pllc | Dentist | 325 Main Street, Gooding, ID 83330 | 2018-11-21 |
| Find all providers in zip 83330 | ||||
| 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 |
|---|---|---|---|---|
| 1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
| 1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| 1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
| 1285925602 | Jennifer Marie Olsen | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2011-04-20 |
| 1144321753 | Reid Wayne Lofgran | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2006-09-26 |
| 1023030848 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-07-24 |
| 1508899295 | Greg C Boettcher | Family Medicine | 267 N Canyon Dr, Gooding, ID 83330 | 2006-07-08 |
| 1598720997 | Fred P Miller | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-19 |
| 1881659357 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-19 |
| 1598729824 | Florian John Gies | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
| Find all providers in GOODING | ||||
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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.