Q17 HEALTH PARTNERS LLC


Address: 100 East Idaho Street #317, Boise, ID 83712
Phone: 2084331736

Q17 HEALTH PARTNERS LLC (NPI# 1427523968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427523968
Entity Type Organization
Organization Name Q17 HEALTH PARTNERS LLC
Practice Address 100 East Idaho Street #317
Boise
ID 83712
Practice Telephone 2084331736
Practice Fax Number 2084331738
Mailing Telephone 2084331736
Mailing Fax Number 2084331738
Enumeration Date 2018-10-11
Last Update Date 2018-10-17
Authorized Official Name MR. RUSSELL H GRIFFITHS (PRESIDENT)
Authorized Official Telephone 2084331736
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 805132700 05

Office Location

Street Address 100 EAST IDAHO STREET #317
City BOISE
State ID
Zip Code 83712

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
1508290115 Tina Johnson Social Worker 190 E. Bannock, Boise, ID 83712 2013-08-30
Find all providers in zip 83712

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003823956 Craig B. Bass Surgery 250 Bobwhite Ct, # 275, Boise, ID 83706-6643 2006-08-02
1467678680 Jonathan Kramer, M.d., Pllc Surgery 100 E Idaho St, Suite 301, Boise, ID 83712-6223 2007-04-17
1326079609 Russell Hugh Griffiths Surgery 100 E Idaho St, Suite 303, Boise, ID 83712-6223 2006-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588877641 John Arthur Jarrell Iv Surgery 3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 2007-05-07
1265656268 David William Becker Jr. Surgery 668 Ballingrude Dr, Twin Falls, ID 83301-4403 2007-04-12
1912046210 Center for Aesthetics PC Surgery 2375 E Sunnyside Road, Suite G, Idaho Falls, ID 83404 2007-02-05
1073668042 Thomas Floyd Crais Jr. Surgery 315 S River St, Hailey, ID 83333-8426 2007-01-23
1427086164 Mark David Wigod Surgery 3630 E Louise Drive, Meridian, ID 83642 2006-06-29
1629069885 Patrick James Mullen Surgery 2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 2005-11-04
1477195931 Jarrell Plastic Surgery Surgery 3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 2019-10-16
1720381536 Patrick J Mullen Md Pllc Surgery 750 N Syringa St, Suite 204, Post Falls, ID 83854-5275 2010-12-16
1073757464 Michael R Dibenedetto Md Pllc Surgery 30544 Highway 200, Suite 102, Ponderay, ID 83852-5005 2009-04-29
1275772667 Rebecca D Shaw Surgery 3630 E Louise Dr, Meridian, ID 83642-7975 2009-02-09
Find all providers with the same taxonomy

Competitor

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City BOISE
Zip Code 83712

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Dataset Information

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.

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