SAINT ALPHONSUS PHYSICIAN SERVICES INC (NPI# 1477504090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477504090 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP IOWA |
| Practice Address |
211 W Iowa Ave Nampa ID 83686-2834 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084657377 |
| Practice Fax Number | 2084657397 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-12-22 |
| Authorized Official Name | MS. JANELLE G. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2083676490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Iowa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123468 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 Elm, Suite 100, Caldwell, ID 83605 | 2006-07-29 |
| 1801820501 | Saint Alphonsus Physician Services Inc | Family Medicine | 1001 N Meridian Rd, Meridian, ID 83642-2243 | 2006-07-10 |
| 1386680890 | Saint Alphonsus Physician Services Inc | Family Medicine | 1625 W State St, Boise, ID 83702-4041 | 2006-06-22 |
| 1073559449 | Saint Alphonsus Physician Services Inc | Physician Assistant | 1673 Shoreline Drive, Suite 120, Boise, ID 83702-6749 | 2006-06-22 |
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1871549394 | Saint Alphonsus Physician Services Inc | Family Medicine | 471 Baybrook Ct, Boise, ID 83706-3900 | 2006-05-26 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1184674764 | Saint Alphonsus Physician Services Inc | Internal Medicine | 6094 W Emerald St, Boise, ID 83704-8855 | 2006-05-12 |
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1487849147 | Saint Alphonsus Physician Services Inc | Advanced Practice Midwife | 900 N Liberty St, Suite 204, Boise, ID 83704-8707 | 2007-09-06 |
| Street Address |
211 W IOWA AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326370636 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2010-02-11 |
| 1487858023 | Saint Alphonsus Physician Services Inc | Clinic/Center | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1396278958 | Sean Michael Rutschke | Family Medicine | 9850 W St Lukes Dr Ste 290, Nampa, ID 83687-7912 | 2017-04-10 |
| 1407204225 | Sarah M Waterman | Family Medicine | 9850 W St Lukes Dr Ste 329, Nampa, ID 83687-7912 | 2016-06-02 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1588036396 | Andrew Leon Bennett | Family Medicine | 5102 Howard Ln, Nampa, ID 83687-8659 | 2015-10-21 |
| 1881033256 | Mitchell A Mendenhall | Family Medicine | 11035 Karcher Rd, Nampa, ID 83651-8200 | 2013-06-19 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1174834246 | Josh Leavitt | Family Medicine | 974 W Corporate Ln Ste 102, Nampa, ID 83651-1930 | 2010-06-23 |
| 1427099852 | Linda Lam | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-09 |
| 1548228844 | Austin J. Graham | Family Medicine | 824 S Diamond St, Nampa, ID 83686-5960 | 2006-05-03 |
| Find all providers in NAMPA | ||||
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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.