IDAHO ALLERGY L.L.C. (NPI# 1477866606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477866606 |
| Entity Type | Organization |
| Organization Name | IDAHO ALLERGY L.L.C. |
| Practice Address |
379 E Shore Dr Suite 100 Eagle ID 83616-5410 |
| Practice Telephone | 2089383443 |
| Practice Fax Number | 2089383553 |
| Mailing Telephone | 2089383443 |
| Mailing Fax Number | 2089383553 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | DR. STEPHEN B FRITZ (PRESIDENT) |
| Authorized Official Telephone | 2089383443 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
M103 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
379 E SHORE DR SUITE 100 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108089 | Kathryn L Mcmullan | Allergy & Immunology | 323 E Riverside Dr, Ste 234, Eagle, ID 83616-6864 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073834974 | Dallas George Rindfleisch | Allergy & Immunology | 3155 Channing Way Ste A, Idaho Falls, ID 83404-7875 | 2010-06-15 |
| 1306832688 | Kenneth John Wakefield | Allergy & Immunology | 3731 N Ramsey Rd, Suite 150, Coeur D Alene, ID 83815-9000 | 2005-09-22 |
| 1306831045 | Gregory John Kadlec | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301-3366 | 2005-09-20 |
| 1124462494 | Upper Valley Ent & Allergy Pllc | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2013-04-17 |
| 1376877795 | David Aaron Petty | Allergy & Immunology | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2009-10-01 |
| 1447456272 | Barry John Peterson | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2007-06-27 |
| 1427138734 | Asthma & Allergy of Idaho Pllc | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301 | 2006-10-17 |
| 1972537892 | Jay Robert Mcmaster | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2006-07-10 |
| 1295769594 | David E Parry | Allergy & Immunology | 500 S 11th Ave, Suite 202, Pocatello, ID 83201-4835 | 2006-07-10 |
| 1609865880 | Charles Nephi Webb | Allergy & Immunology | 1000 N Curtis Rd, Ste 303, Boise, ID 83706-1347 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
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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.