STERLING PHYSICIAN GROUP PLLC (NPI# 1487994430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487994430 |
| Entity Type | Organization |
| Organization Name | STERLING PHYSICIAN GROUP PLLC |
| Practice Address |
740 S. Woodruff Ave Idaho Falls ID 83401 |
| Practice Telephone | 2085429111 |
| Practice Fax Number | 2085429114 |
| Mailing Telephone | 2085429111 |
| Mailing Fax Number | 2085429114 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | CORBIN BUNNAGE (MANAGER) |
| Authorized Official Telephone | 2085429111 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 S Main St Ste 110, Logan, UT 843218504 | 4357878504 | 4357878509 |
| 630 E 1400 N Ste 150, North Logan, UT 843412549 | 4355144465 | 4357993664 |
| 1404 Pomerelle Ave Ste A1, Burley, ID 833182013 | 2088788783 | 2088788786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826190 | Sterling Physician Group Pllc | Clinic/Center | 507 S Main St, Hailey, ID 83333-8428 | 2018-10-09 |
| 1205348935 | Sterling Physician Group Pllc | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110 | 2017-11-03 |
| 1467961664 | Sterling Physician Group Pllc | Clinic/Center | 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 | 2017-09-20 |
| Street Address |
740 S. WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| 1215160882 | Clifford Joshua Alexander | Social Worker | 345 Tabor Ave, Idaho Falls, ID 83401 | 2009-08-31 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| 1043722259 | Just 4 Kids Urgent Care LLC | Clinic/Center | 3320 S 25th E, Idaho Falls, ID 83404-4606 | 2017-10-27 |
| 1194190546 | Sterling Medical LLC | Clinic/Center | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2015-12-10 |
| 1558759803 | Sterling Healthcare | Clinic/Center | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291088 | Bloom Care LLC | Clinic/Center | 1610 Caldwell Blvd, Nampa, ID 83651-1728 | 2020-09-30 |
| 1679134126 | Bloom Care LLC | Clinic/Center | 6965 N Glenwood St, Boise, ID 83714-1967 | 2019-06-25 |
| 1770044703 | Two Rivers Medical Group | Clinic/Center | 151 W Galvani Dr Ste 151, Meridian, ID 83642-8008 | 2019-03-31 |
| 1912481292 | Falls Avenue Immediate Care Pa | Clinic/Center | 260 Falls Ave Ste D, Twin Falls, ID 83301-3370 | 2018-09-21 |
| 1396290953 | Gem Express Medical Group | Clinic/Center | 829b S Washington Ave, Emmett, ID 83617-3528 | 2016-08-23 |
| 1750621744 | Lakeland Immediate Care LLC | Clinic/Center | 15636 N Highway 41 Ste 100, Rathdrum, ID 83858-8710 | 2013-02-27 |
| 1790043693 | River View Urgent Care & Medical Center Inc | Clinic/Center | 382 N Overland Ave, Burley, ID 83318-3433 | 2012-04-27 |
| 1841596186 | Magic Valley Urgent Care, Pllc | Clinic/Center | 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 | 2011-02-03 |
| 1437214475 | Tamarack Medical Clinic | Clinic/Center | 610 Village Dr, Donnelly, ID 83615 | 2006-12-27 |
| 1821603382 | Quicker Care Pllc | Clinic/Center | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on STERLING PHYSICIAN GROUP PLLC.
| 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.