BRYAN C POGUE MD (NPI# 1477558328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477558328 |
| Entity Type | Organization |
| Organization Name | BRYAN C POGUE MD |
| Other Organization Name | SELAH MEDICAL CENTER, PA |
| Practice Address |
6565 W Emerald St Boise ID 83704-8737 |
| Practice Telephone | 2083775055 |
| Practice Fax Number | 2083775335 |
| Mailing Telephone | 2083775055 |
| Mailing Fax Number | 2083775335 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MR. KELLI M SIZEMORE (ADMINISTRATOR) |
| Authorized Official Telephone | 2083775055 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M5125 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002789800 | 05 |
| Other Name | Type Code |
|---|---|
| Selah Medical Center, PA | Doing Business As Name - Organization |
| Street Address |
6565 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147565 | Kelly Segal | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2020-06-02 |
| 1104475870 | Kaysie M Murdock | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2019-09-05 |
| 1952825325 | Nicholas Jordan Wood | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2017-07-27 |
| 1083069322 | Christopher S Link | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2016-04-24 |
| 1629457155 | Loren T Colson | Family Medicine | 6565 W Emerald St, Boise, ID 83704 | 2015-05-29 |
| 1396156675 | Chelsea Lynn Carlson | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2014-05-08 |
| 1891047791 | The Family Medicine Residency of Idaho Inc | Pharmacy | 6565 W Emerald St, Boise, ID 83704-8737 | 2012-10-03 |
| 1700172442 | Martha E Franz | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2011-06-21 |
| 1801978135 | Stephanie Dalton | Physician Assistant | 6565 W Emerald St, Boise, ID 83704-8737 | 2006-10-19 |
| 1811086424 | Sabrina Lynn Allen | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1790269389 | Erin Michelle Love Mcdermott | Family Medicine | 2402 W Jefferson St, Boise, ID 83702-4811 | 2018-09-19 |
| 1336656040 | Functional Medicine of Idaho PC | Family Medicine | 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008 | 2018-01-03 |
| 1922456870 | Daniel Luftig | Family Medicine | 1041 S Dale St Apt 302, Boise, ID 83706-7641 | 2016-06-01 |
| 1942676598 | Robert F. Smith, Md, Pllc | Family Medicine | 320 N Collins Rd, Boise, ID 83702-4519 | 2015-08-18 |
| 1861827222 | Treasure Valley Neuropathy Relief Center PC | Family Medicine | 1755 N Westgate Dr, Suite 200, Boise, ID 83704-7174 | 2013-09-04 |
| 1205272986 | Shahla Walizada | Family Medicine | 2141 E Parkcenter Blvd, Samg Bhp Family Medicine, Boise, ID 83706 | 2013-05-21 |
| 1891057246 | Kara Mackenzie Kuntz | Family Medicine | 5966 W Curtisian Road, Boise, ID 83704 | 2012-06-12 |
| 1922366707 | Cottonwood Family Medicine | Family Medicine | 100 Cottonwood Court, Suite 150, Boise, ID 87616 | 2012-04-30 |
| 1720377476 | Steven Schneider | Family Medicine | 3775 W Quail Hollow Dr, Boise, ID 83703-3869 | 2011-04-04 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| Find all providers in BOISE | ||||
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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.