PHILLIP C AGRUSA (NPI# 1407826167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407826167 |
| Entity Type | Individual |
| Full Name | PHILLIP C AGRUSA |
| Credential | MD |
| Practice Address |
3520 E. Louise Dr Meridian ID 83642 |
| Practice Telephone | 2089550350 |
| Practice Fax Number | 2089550352 |
| Mailing Telephone | 2089550350 |
| Mailing Fax Number | 2089550352 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M7716 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 212843 | 05 | |
| ID | REGENCE BLUE SHIELD OF ID | 000010005656 | 01 |
| ID | BLUE CROSS OF IDAHO | J1742 | 01 |
| ID | 805522900 | 05 |
| Street Address |
3520 E. LOUISE DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898550 | Harmony R Schroeder | Obstetrics & Gynecology | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-02-01 |
| 1205806965 | Scott B Armstrong | Obstetrics & Gynecology | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| 1831169598 | Lee W Parsons | Obstetrics & Gynecology | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| 1225008998 | Julie A Stevens | Nurse Practitioner | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| 1306816079 | Ob-gyn Associates, Pa | Obstetrics & Gynecology | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043578784 | Meridian Ob/gyn, Pllc | Obstetrics & Gynecology | 1020 22nd Ave, Meridian, MS 39301-5001 | 2012-05-01 |
| 1205064888 | Seale Women's Care, LLC | Obstetrics & Gynecology | 1800 12th St Ste 4a, Meridian, MS 39301-4158 | 2009-06-23 |
| 1346481850 | Rush Medical Group of Newton, Pa | Obstetrics & Gynecology | 2303 13th St, Meridian, MS 39301-3940 | 2009-03-12 |
| 1730341280 | Ronnye D Purvis M.d. PC | Obstetrics & Gynecology | 2420 11th St, Meridian, MS 39301-5033 | 2008-06-26 |
| 1609934058 | Meridian Hma Inc | Obstetrics & Gynecology | 1020 22nd Avenue, Ste A, Meridian, MS 39301 | 2006-12-05 |
| 1780784496 | Elizabeth A. Trest | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2006-09-23 |
| 1598865206 | James John Purdy | Obstetrics & Gynecology | 1221 24th Avenue, Meridian, MS 39301 | 2006-09-23 |
| 1851495295 | Ronnye Dale Purvis | Obstetrics & Gynecology | 2420 11th Street, Meridian, MS 39301 | 2006-09-07 |
| 1144323387 | Virginia Carney Nelson | Obstetrics & Gynecology | 1702 14th St, Meridian, MS 39301-4140 | 2006-09-06 |
| 1134160062 | Marianne L. Zakarian | Obstetrics & Gynecology | 2536 N. Stokesberry Place, Meridian, ID 83646 | 2006-06-10 |
| 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.