DR. MARK S MCCONNELL


Address: 190 E Bannock St, Picu, Boise, ID 83712-6241
Phone: 2083812900

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).

Provider Overview

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

Taxonomy

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

Other Providers MARK MCCONNELL

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

Office Location

Street Address 190 E BANNOCK ST
PICU
City BOISE
State ID
Zip Code 83712-6241

Providers in the same location

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
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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
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
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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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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