INDIAN CREEK FAMILY MEDICINE,LLC (NPI# 1487743845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487743845 |
| Entity Type | Organization |
| Organization Name | INDIAN CREEK FAMILY MEDICINE,LLC |
| Practice Address |
708 E Wythe Creek Ct Ste. 103 Kuna ID 83634-2473 |
| Practice Telephone | 2089225338 |
| Practice Fax Number | 2089225340 |
| Mailing Telephone | 2089225338 |
| Mailing Fax Number | 2089225340 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL D HOLDEN (OWNER) |
| Authorized Official Telephone | 2089225338 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ID | Allopathic & Osteopathic Physicians |
| Street Address |
708 E WYTHE CREEK CT STE. 103 |
| City | KUNA |
| State | ID |
| Zip Code | 83634-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144412719 | Kuna Minor Emergency LLC | Physician Assistant | 708 E Wythe Creek Ct, Kuna, ID 83634-2473 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1558896506 | Nicholas Tock | Social Worker | 190 W Main Street, Kuna, ID 83634 | 2017-04-27 |
| 1790137073 | Jeremy Walker | Dentist | 1353 N Meridian Rd, Ste 101, Kuna, ID 83634 | 2016-07-11 |
| 1194171678 | Kidspeak LLC | Occupational Therapist | 525b Main St, Kuna, ID 83634 | 2016-05-13 |
| 1447617139 | Matt Jordan | Nurse Practitioner | 13900 South Pleasant Valley Road, Kuna, ID 83634 | 2016-01-26 |
| 1386063980 | Colin Brown | Physician Assistant | 13500 S. Pleasant Valley, Kuna, ID 83634 | 2014-04-10 |
| 1912329806 | Brady Tucker | Pharmacist | 1403 North Meridian Rd, Kuna, ID 83634 | 2014-01-10 |
| 1427489954 | Ridley's Family Markets, Inc | Pharmacy | 1403 N Meridian Rd, Kuna, ID 83634 | 2013-12-10 |
| 1538414354 | William Lincoln Poulson | Nurse Practitioner | 13500 South Pleasant Valley Road, Kuna, ID 83634 | 2012-07-18 |
| 1508036286 | Michelle Marie Montoya | Counselor | 190 W. Main St, Kuna, ID 83634 | 2008-03-10 |
| Find all providers in zip 83634 | ||||
| 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 |
|---|---|---|---|---|
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1093750200 | Molly Beth Armijo | Family Medicine | 943 N Linder Rd, Suite 103, Kuna, ID 83634-3394 | 2006-06-19 |
| 1992782361 | Michael W Foutz | Family Medicine | 943 Linder Rd, Suite 103, Kuna, ID 83634-3394 | 2005-12-28 |
| 1134500515 | Amanda Berbert | Family Medicine | 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634 | 2015-06-11 |
| 1003296724 | Molly M Mccormick | Family Medicine | 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634-5005 | 2015-06-08 |
| 1730529553 | Justin Loren Parkinson | Family Medicine | 757 E Wythe Creek Ct, Kuna, ID 83634-5006 | 2013-06-25 |
| 1184930976 | Darrel Robert Porr | Family Medicine | 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634-5005 | 2010-08-31 |
| 1982832176 | Sarah G. Gerrish | Family Medicine | 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634-5005 | 2009-06-25 |
| 1598822231 | Advanced Family Medicine Pllc | Family Medicine | 943 Linder Rd, #103, Kuna, ID 83634-3395 | 2007-01-02 |
| Find all providers in KUNA | ||||
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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.