BRENDA S DAVIES (NPI# 1407826209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407826209 |
Entity Type | Individual |
Full Name | BRENDA S DAVIES |
Credential | MD |
Practice Address |
315 E Elm St Suite 310 Caldwell ID 83605-4857 |
Mailing Address |
3520 E. Louise Dr Meridian ID 83642 |
Practice Telephone | 2084542035 |
Practice Fax Number | 2084541065 |
Mailing Telephone | 2089550350 |
Mailing Fax Number | 2089550352 |
Enumeration Date | 2006-01-24 |
Last Update Date | 2009-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | G05134 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | REGENCE BLUE SHIELD OF ID | 000010001161 | 01 |
ID | 003658200 | 05 | |
ID | BLUE CROSS OF IDAHO | 15024 | 01 |
OR | 207527 | 05 |
Street Address |
315 E ELM ST SUITE 310 |
City | CALDWELL |
State | ID |
Zip Code | 83605-4857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285105544 | Trevor J Crapo | Physician Assistant | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2018-12-16 |
1174063036 | Ian Hotchkiss | Family Medicine | 315 E Elm St, Ste 200, Caldwell, ID 83605 | 2017-02-27 |
1326305004 | Roger Wyatt | Family Medicine | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2012-04-18 |
1770873572 | St Lukes Idaho Cardiology Associates | Internal Medicine | 315 E Elm St, Suite 350, Caldwell, ID 83605-4857 | 2011-04-13 |
1124354519 | Saint Alphonsus Regional Medical Center | Internal Medicine | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2009-10-20 |
1922261577 | Janel K. Murray | Nurse Practitioner | 315 E Elm St, Suite 350, Caldwell, ID 83605-4857 | 2008-07-03 |
1861676298 | Saint Alphonsus Regional Medical Center Inc | Nurse Practitioner | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2007-12-20 |
1992994776 | Carl William Steinmann | Physician Assistant | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2007-10-17 |
1578767117 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 | 2007-06-14 |
1740312859 | Tyler Carl Higgins | Pharmacist | 315 E Elm St, Suite 150, Caldwell, ID 83605-4857 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
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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 |
---|---|---|---|---|
1730146648 | Gina M Dado | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2006-04-26 |
1275533184 | Michael J Robinson | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2005-07-21 |
1922313253 | William Barrett Stinger | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2010-08-11 |
1710185111 | Jessica Elaine Fu | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2007-07-06 |
1770670473 | Nathan Tillotson | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2006-10-06 |
1598735391 | Theodore W Colwell | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609222355 | Brennan Anderson | Obstetrics & Gynecology | 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 | 2016-05-12 |
1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
1902179914 | Gary Gregerson Md Pa | Obstetrics & Gynecology | 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 | 2012-02-22 |
1073809729 | Morgan Ann Morton | Obstetrics & Gynecology | 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 | 2011-06-21 |
1972827582 | Carissa M Richardson | Obstetrics & Gynecology | 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 | 2010-03-25 |
1891932422 | Ihc Health Services Inc | Obstetrics & Gynecology | 1408 Pomerelle, Suite H, Burley, ID 83318-2682 | 2009-01-20 |
1457508947 | Gerald Elbert Mortimer | Obstetrics & Gynecology | 2095 Heather Ln, Ammon, ID 83406-6705 | 2008-08-26 |
1396914917 | Jason Oneal Parkinson | Obstetrics & Gynecology | 1408 Pomerelle Ave, Suite H, Burley, ID 83318-2067 | 2008-02-28 |
1811185184 | Teton Women's Health Center | Obstetrics & Gynecology | 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 | 2007-10-11 |
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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.