BOISE OBSTETRIC & GYNECOLOGIC ASSOCIATES PA (NPI# 1487693032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487693032 |
| Entity Type | Organization |
| Organization Name | BOISE OBSTETRIC & GYNECOLOGIC ASSOCIATES PA |
| Practice Address |
5966 Curtisian Ave Boise ID 83704 |
| Practice Telephone | 2083758100 |
| Practice Fax Number | 2083732643 |
| Mailing Telephone | 2083758100 |
| Mailing Fax Number | 2083732643 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | CHERYL R GLEASON (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 2083758100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808037700 | 05 | |
| ID | BLUE SHIELD | 290426 | 01 |
| ID | BLUE CROSS | 89300 | 01 |
| ID | BLUE CROSS | 8E936 | 01 |
| ID | BLUE SHIELD | 29381 | 01 |
| Street Address |
5966 CURTISIAN AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073566089 | Georgianna T Ainslie | Advanced Practice Midwife | 5966 Curtisian Ave, Boise, ID 83704-8801 | 2006-05-19 |
| 1033158787 | Beverly J Ludders | Family Medicine | 5966 Curtisian Ave, Boise, ID 83704-8801 | 2006-06-06 |
| 1790738706 | Barbara A Gehrke | Nurse Practitioner | 5966 Curtisian Ave, Boise, ID 83704-8801 | 2006-05-19 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1497790075 | Horizon Health Pa | Obstetrics & Gynecology | 311 W Idaho St, Boise, ID 83702-6040 | 2006-06-18 |
| 1588605364 | Patricia Ann Caplinger | Obstetrics & Gynecology | 1055 W. Curtis Rd, Boise, ID 83706-1309 | 2006-06-10 |
| 1740255504 | Shashi Ajmani | Obstetrics & Gynecology | 1072 N Liberty, Suite 100, Boise, ID 83704-8708 | 2006-02-22 |
| 1366435687 | Lauren D. Bales | Obstetrics & Gynecology | 1055 N Curtis Road, Boise, ID 83706 | 2005-08-23 |
| 1316333107 | Karissa Deann Keenan | Obstetrics & Gynecology | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-04-08 |
| 1932547338 | Paula Jean Durst | Obstetrics & Gynecology | 1055 N Curtis Rd, Boise, ID 83706 | 2013-06-06 |
| 1033554480 | Maryalice Lopez | Obstetrics & Gynecology | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2013-04-29 |
| 1790028405 | Jessica Marie Riordan | Obstetrics & Gynecology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-04-01 |
| 1154680072 | Eve Preus | Obstetrics & Gynecology | 1072 N Liberty, Ste 100, Boise, ID 83704 | 2012-05-12 |
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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.