JANENE CALDWELL WITHERITE (NPI# 1508467051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508467051 |
| Entity Type | Individual |
| Full Name | JANENE CALDWELL WITHERITE |
| Credential | PA-C |
| Practice Address |
1077 Stellar End Rd Victor ID 83455-4973 |
| Practice Telephone | 3076904683 |
| Mailing Telephone | 3076904683 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | PA-1943 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1077 STELLAR END RD |
| City | VICTOR |
| State | ID |
| Zip Code | 83455-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050385 | Hunters Inc | Pharmacy | 81 N. Main St., Victor, ID 83455 | 2017-12-29 |
| 1194109306 | Emily Williams | Occupational Therapist | 73 N Main Street, Victor, ID 83455 | 2015-07-17 |
| 1073918173 | Teton Valley Vision PC | Optometrist | 7389 S Hwy 33, Ste B, Victor, ID 83455 | 2014-10-31 |
| 1437440591 | Nathan Richard George | Dentist | 7726 Lupine Lane, Victor, ID 83455 | 2011-04-25 |
| 1245537695 | Erin N Borbet | Acupuncturist | 108 W Center St Unit 3, Victor, ID 83455 | 2011-02-22 |
| 1336457837 | Grand Teton Dental Care | Clinic/Center | 741 South 50 West, Suite A, Victor, ID 83455 | 2010-09-17 |
| 1598086126 | Childs Play, LLC | Speech-Language Pathologist | 73 North Main, Victor, ID 83455 | 2010-06-17 |
| 1891025656 | Phillips Therapy Incorporated | Occupational Therapist | 73 North Main St., Suite 3, Victor, ID 83455 | 2009-12-30 |
| 1861621278 | Elmer Raymond Cherry Iv | Dentist | 7389 S. Hwy. 33 Suite A, Victor, ID 83455 | 2009-07-07 |
| 1861534133 | Amy Herzog | Counselor | 175 Brome Dr., #7, Victor, ID 83455 | 2007-02-13 |
| Find all providers in zip 83455 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510755 | Jude Steven Sauer | General Practice | 7796 Victor Mendon Rd, Victor, NY 14564-8966 | 2014-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797042 | Brightview Senior Health | General Practice | 1983 N Synergy Pl, Eagle, ID 83616-7332 | 2019-08-27 |
| 1346801941 | Daniel Campbell | General Practice | 2939 E Idavada Ct, Nampa, ID 83686-5899 | 2019-06-25 |
| 1932581089 | Matthew Hall | General Practice | 1232 Rigby Rd, Bancroft, ID 83217 | 2015-06-25 |
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1043697576 | William Chapman | General Practice | 1948 W. Blackwell Mill Road, Coeur D Alene, ID 83814 | 2015-05-05 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1215344353 | Lanie Benson | General Practice | 460 N 3rd E, Driggs, ID 83422-5146 | 2014-07-22 |
| 1356614770 | Charles Thomas Mcgee | General Practice | 2385 W Bolivar Ave, Coeur D Alene, ID 83815-9134 | 2012-02-15 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| 1922377027 | Preventative Health | General Practice | 531 S Fitness Pl Ste 100, Eagle, ID 83616-6552 | 2011-12-19 |
| Find all providers with the same taxonomy | ||||
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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.