SUHREI ACEVEDO-DANIELS (NPI# 1508824640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508824640 |
| Entity Type | Individual |
| Full Name | SUHREI ACEVEDO-DANIELS |
| Credential | MD |
| Practice Address |
150 2nd St Melba ID 83641-5199 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084951011 |
| Practice Fax Number | 2084951012 |
| Mailing Telephone | 2084951011 |
| Mailing Fax Number | 2084951012 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-11831 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1215106695 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 2nd St, Melba, ID 836415199 | 2084951011 | 2084951012 |
| Street Address |
150 2ND ST |
| City | MELBA |
| State | ID |
| Zip Code | 83641-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538673769 | Melissa Myers Smith | Counselor | 150 2nd St, Melba, ID 83641-5199 | 2017-11-27 |
| 1225234578 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-06-25 |
| 1154527331 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-06-25 |
| 1225247398 | Community Health Clinics Inc | Clinical Medical Laboratory | 150 2nd St, Melba, ID 83641-5199 | 2007-05-22 |
| 1518173962 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-05-15 |
| 1487879292 | Anneliese Taylor Haws | Dentist | 150 2nd St, Melba, ID 83641-5199 | 2007-04-16 |
| 1043221807 | Drostan N Orme | Dentist | 150 2nd St, Box 218, Melba, ID 83641-5199 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1740239185 | Dan L Watt | Dentist | 150 2nd Avenue, Melba, ID 83641 | 2006-05-10 |
| 1003877986 | Terry Leonard Lewis | Physician Assistant | 150 2nd Ave, Melba, ID 83641 | 2006-03-30 |
| 1053458547 | County of Canyon School District Class B 136j | Local Education Agency (LEA) | 520 Broadway Ave, Melba, ID 83641 | 2007-01-31 |
| 1578574521 | Community Health Clinics Inc | Clinic/Center | 150 2nd Avenue, Melba, ID 83641 | 2006-08-11 |
| 1467964064 | Shanna Renee Dewey | Doula | 8274 Birmingham Rd, Melba, ID 83641-4210 | 2017-11-04 |
| 1669976957 | Community Health Clinics, Inc | Clinic/Center | 6870 Stokes Ave, Melba, ID 83641-5175 | 2018-03-21 |
| 1891197190 | Danielle H Bradshaw | Counselor | 104 Murphy Rd Ste 100a, Melba, ID 83641-5184 | 2014-09-18 |
| 1477029577 | Custom Rx LLC | Pharmacy | 112 4th St, Melba, ID 83641-5197 | 2018-10-17 |
| 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 |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUHREI ACEVEDO-DANIELS.
| 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.