ID DEPT OF HEALTH & WELFARE CSHP (HD2) (NPI# 1487776159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487776159 |
| Entity Type | Organization |
| Organization Name | ID DEPT OF HEALTH & WELFARE CSHP (HD2) |
| Practice Address |
215 10th St Lewiston ID 83501-1910 |
| Mailing Address |
Po Box 83720 4th Floor Boise ID 83720-0036 |
| Practice Telephone | 2087990386 |
| Practice Fax Number | 2087990349 |
| Mailing Telephone | 2083344935 |
| Mailing Fax Number | 2083327307 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAIGE FINCHER (ACTING PROGRAM MANAGER) |
| Authorized Official Telephone | 2083344935 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010022948 | 01 |
| ID | BLUE CROSS OF ID | HW207 | 01 |
| ID | 0028238 | 05 |
| Street Address |
215 10TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1881228781 | Connie Spears | Registered Nurse | 215 10th St, Lewiston, ID 83501-1910 | 2020-02-28 |
| 1003440082 | Snake River Community Clinic | Registered Nurse | 215 10th St, Lewiston, ID 83501-1910 | 2020-02-27 |
| 1508369745 | Kayla Sprenger | Health Educator | 215 10th St, Lewiston, ID 83501-1910 | 2018-03-14 |
| 1497258636 | Jennifer Weber | Health Educator | 215 10th St, Lewiston, ID 83501-1910 | 2018-03-14 |
| 1215177993 | North Central District Health Department | Public Health or Welfare | 215 10th St, Lewiston, ID 83501-1910 | 2009-02-20 |
| 1841210820 | Patricia A Urquhart | Nurse Practitioner | 215 10th St, Lewiston, ID 83501 | 2006-07-20 |
| 1154341196 | Mona M Davis | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-20 |
| 1225057813 | North Central District Health Department | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1164441473 | Diana L Kottkey | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013953991 | Gretchen A. Pianka | Pediatrics | 12 High St Ste 301, Lewiston, ME 04240-7690 | 2006-06-21 |
| 1922071521 | Shawn P Ferguson | Pediatrics | 733 Center Street, Lewiston, NY 14092 | 2006-02-13 |
| 1982262325 | Logan Andrew Phelps | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2019-05-31 |
| 1962853697 | Joseph Michael Anderson | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2016-06-23 |
| 1033585344 | Astrid Rivera Rodriguez | Pediatrics | 33 Mollison Way, Lewiston, ME 04240-5805 | 2015-08-20 |
| 1285017046 | Virginia Mcmaster | Pediatrics | 330 Sabattus St Ste B, Lewiston, ME 04240 | 2015-06-29 |
| 1750630307 | Jenisha Nandhlal | Pediatrics | 100 Campus Ave, Lewiston, ME 04240-6040 | 2012-08-29 |
| 1669734000 | Sara Carrie Tarolli | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2012-06-12 |
| 1669762746 | Elizabeth D Baker | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2011-04-11 |
| 1619296837 | Margaret T Curtis | Pediatrics | 300 Main St, Lewiston, ME 04240-7027 | 2010-05-27 |
| Find all providers in LEWISTON | ||||
Please comment or provide details below to improve the information on ID DEPT OF HEALTH & WELFARE CSHP (HD2).
| 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.