BMH, INC. (NPI# 1548450034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548450034 |
Entity Type | Organization |
Organization Name | BMH, INC. |
Other Organization Name | DR. ADAM WRAY'S DERMATOLOGY |
Practice Address |
1151 Hospital Way Ste D Pocatello ID 83201-5091 |
Practice Telephone | 2082331451 |
Mailing Telephone | 2082331451 |
Enumeration Date | 2007-07-31 |
Last Update Date | 2008-04-17 |
Authorized Official Name | LISA RUDOLPH (PSO SUPPORT SPECIALIST) |
Authorized Official Telephone | 2087823992 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE CROSS GRP | 8N220 | 01 |
Other Name | Type Code |
---|---|
Dr. Adam Wray's Dermatology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
1114192986 | Bmh, Inc. | Psychologist | 1151 Hospital Way # D-100, Pocatello, ID 83201-5091 | 2008-04-23 |
1780123950 | Bmh, Inc. | Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2017-02-21 |
1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
1649460130 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-31 |
1255539193 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-03 |
1487851424 | Bmh, Inc. | Family Medicine | 315 W Idaho St, Blackfoot, ID 83221-1711 | 2007-07-02 |
1578760518 | Bmh, Inc. | Anesthesiology | 2375 E Sunnyside Rd, Idaho Falls, ID 83404-8280 | 2007-07-02 |
1477750313 | Bmh, Inc. | Obstetrics & Gynecology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-02 |
Street Address |
1151 HOSPITAL WAY STE D |
City | POCATELLO |
State | ID |
Zip Code | 83201-5091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790948040 | Bmh Inc | Obstetrics & Gynecology | 1151 Hospital Way Ste D, Suite 201, Pocatello, ID 83201-5091 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053469668 | Earl Cephas Chester Jr. | Dermatology | 115 S 15th Ave, Pocatello, ID 83201 | 2007-01-08 |
1760653059 | Earl C Chester Jr. Md Pa | Dermatology | 115 S 15th Ave, Suite E, Pocatello, ID 83201-4068 | 2008-03-14 |
1366626483 | Blake D. Alexander, Md, Pa | Dermatology | 500 S 11th Ave, Suite 203, Pocatello, ID 83201-4835 | 2007-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356942437 | Stoddard & Bingham Medical of Rexburg Pllc | Dermatology | 859 S Yellowstone Hwy Ste 3302, Rexburg, ID 83440-6200 | 2020-11-04 |
1508345091 | Integrated Dermatology of Idaho LLC | Dermatology | 388 E Parkcenter Blvd, Boise, ID 83706-3942 | 2018-08-07 |
1306209556 | Garrett Coman | Dermatology | St. Luke's Dermatology, 191 5th Street West, Ketchum, ID 83340 | 2016-04-04 |
1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
1104220797 | Boise Skin Clinic Pllc | Dermatology | 1636 S Hadley Ave, Boise, ID 83709-2684 | 2014-10-10 |
1164834073 | Colby Bingham | Dermatology | 1344 Hiland Ave Ste D, Burley, ID 83318-1564 | 2014-05-27 |
1699194530 | Dustin Larsen | Dermatology | 2199 N Merrit Crk Loop, Coeur D Alene, ID 83814-4949 | 2014-04-08 |
1265795660 | Richard Scott Thomas | Dermatology | 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 | 2012-06-20 |
1316216369 | Ashley Anne Hamstra | Dermatology | 421 E Lakeside Ave Ste 105, Coeur D Alene, ID 83814-2848 | 2011-12-20 |
1487899365 | Jaclyn Golus Mentzer | Dermatology | 388 E. Parkcenter Blvd. Gem State Dermatology, Boise, ID 83706 | 2008-12-08 |
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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.