ANN C AGNEW (NPI# 1497797302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497797302 |
| Entity Type | Individual |
| Full Name | ANN C AGNEW |
| Credential | MD |
| Practice Address |
3080 E Gentry Way Ste 210 Meridian ID 83642-3013 |
| Mailing Address |
1070 E Opus St Boise ID 83716-5274 |
| Practice Telephone | 2089475390 |
| Practice Fax Number | 2089473465 |
| Mailing Telephone | 2083444824 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M9138 | ID | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | M9138 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806964100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 N Curtis Rd, Boise, ID 837061309 | 2083677350 | 2083673951 |
| Street Address |
3080 E GENTRY WAY STE 210 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167114 | Amy Michele Zappia | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2020-06-06 |
| 1780038711 | Alexander William Loehr | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2016-04-15 |
| 1477916310 | Tara Kenny | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2016-03-29 |
| 1841679669 | Robert John Hagenberg IIi | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642 | 2015-05-26 |
| 1619363520 | Adam Smith | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2015-04-08 |
| 1962842815 | Carly Anne Cox | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642 | 2013-06-25 |
| 1477748507 | Trevor Grubbs | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003278730 | Tyler T Birch | Internal Medicine | 520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352 | 2016-03-22 |
| 1932459997 | Thomas L Lucky | Internal Medicine | 1216 Constitution Ave, Meridian, MS 39301-4003 | 2012-09-17 |
| 1720342777 | Spencer Miller | Internal Medicine | 3525 E Louise Drive Suite 400, Meridian, ID 83642-6303 | 2012-06-25 |
| 1891086021 | Byron Elliott Brown | Internal Medicine | 7019 N Penncross Way, Meridian, ID 83646-5185 | 2011-04-21 |
| 1306086541 | Kristi Warren Durgin | Internal Medicine | 1800 45th Ct, Meridian, MS 39305-2733 | 2009-02-28 |
| 1912147240 | Edward G. Scott Jr. | Internal Medicine | 4714 11th Pl, Meridian, MS 39305-2768 | 2009-02-26 |
| 1285851337 | Frederick M Costello | Internal Medicine | 520 S. Eagle Rd, Ste 3104, Meridian, ID 83642 | 2007-04-19 |
| 1396833398 | Olugboyega O Ransome-kuti | Internal Medicine | 2701 Davis Street, Meridian, MS 39301-5708 | 2006-10-11 |
| 1518077437 | James H Gallafent | Internal Medicine | 520 S. Eagle Road, Suite #3102, Meridian, ID 83642 | 2006-08-30 |
| 1962451757 | Eniola O Otuseso | Internal Medicine | Anderson Regional Medical Center, 2124 14th Street, Meridian, MS 39301 | 2006-05-09 |
| Find all providers in MERIDIAN | ||||
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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.