DR. MARK S MCCONNELL (NPI# 1477546208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477546208 |
Entity Type | Individual |
Full Name | DR. MARK S MCCONNELL |
Credential | MD |
Practice Address |
190 E Bannock St Picu Boise ID 83712-6241 |
Mailing Address |
500 E. Fort Mail Code 111 Boise ID 83702-6241 |
Practice Telephone | 2083812900 |
Practice Fax Number | 2083813255 |
Mailing Telephone | 2084221325 |
Enumeration Date | 2005-08-26 |
Last Update Date | 2020-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M9326 | ID | Allopathic & Osteopathic Physicians |
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M9326 | ID | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013112846 | Mark Kevin Mcconnell | Hearing Instrument Specialist | 4156 Fulton Dr Nw, Suite C, Canton, OH 44718-2820 | 2007-06-20 |
1124362520 | Mark Mcconnell | Social Worker | 7250 Clearvista Drive, Ste 227, Indianapolis, IN 46256-5600 | 2012-11-26 |
1184942039 | Mark Alan Mcconnell | Internal Medicine | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2010-05-16 |
1528191392 | Mark Steven Mcconnell | Dentist | 5925 Wyoming Blvd Ne, Suite B, Albuquerque, NM 87109 | 2007-03-13 |
1922176098 | Mark Edward Mcconnell | Dentist | 118 Kendra Dr, Mooresville, NC 28117-5816 | 2006-11-30 |
1538239272 | Mark William Mcconnell | Physician Assistant | 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904-3374 | 2006-11-09 |
1992731962 | Mark E Mcconnell | Internal Medicine | 325 E H St, Iron Mountain, MI 49801-4760 | 2006-06-23 |
1184667008 | Mark Seals Mcconnell | Physical Therapist | 3030 University Pkwy, Sarasota, FL 34243-2502 | 2006-06-14 |
Street Address |
190 E BANNOCK ST PICU |
City | BOISE |
State | ID |
Zip Code | 83712-6241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
1275133944 | St Lukes Health System Ltd | General Acute Care Hospital | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-30 |
1750980017 | Andrea Johnson Murray | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-19 |
1679180103 | Katie Marie Pond | Social Worker | 190 E Bannock St, Boise, ID 83712-6241 | 2020-09-29 |
1780297762 | Alexandria Marie Schultz | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-28 |
1225640048 | Tania Michelle Villanueva-sanchez | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-21 |
1154931426 | Brittany Nichole Galop | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-03 |
1558970046 | Emily Michelle Bush | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-30 |
1699393447 | Chadd Miller Ramos | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-08 |
1740819127 | Lindzee Searle | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-04-07 |
Find all providers in the same location |
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 |
1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
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 |
Find all providers in zip 83712 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356350664 | Anil S Patel | Internal Medicine | 1075 N. Curtis Road, Ste 200, Boise, ID 83706-1350 | 2006-08-05 |
1952462798 | Michael R Blumhardt | Internal Medicine | 1075 N. Curtis Road, Ste. 200, Boise, ID 83706 | 2006-12-13 |
1023195708 | Nirmal B. Charan | Internal Medicine | 500 W Fort St, Boise, ID 83702-4501 | 2006-11-01 |
1255432910 | Paula G Carvalho | Internal Medicine | 1075 N Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518016062 | Kenneth E Krell | Internal Medicine | 7711 S 1st E, Idaho Falls, ID 83404-7731 | 2007-01-10 |
1083728430 | Robert Scoggins | Internal Medicine | 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814-4401 | 2006-08-19 |
1588649412 | Thomas E O'mara | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2005-12-14 |
1396740668 | Peter Stevan Jerome | Internal Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2005-06-14 |
1447253968 | Francis T Johansen | Internal Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2005-05-30 |
1326412644 | Kenneth E Krell Md Pa | Internal Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2015-11-24 |
1013335157 | Wesley David Pidcock | Internal Medicine | 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 | 2014-04-05 |
1598085490 | Pranabh Shrestha | Internal Medicine | 700 S Main St, Moscow, ID 83843 | 2010-06-03 |
1316185903 | Eastern Idaho Health Services, Inc | Internal Medicine | 3100 Channing Way, Idaho Falls, ID 83404 | 2009-02-04 |
1164619656 | James P Osmanski II Do | Internal Medicine | 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 | 2007-09-27 |
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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.