DPMGILBERTNRID LLC (NPI# 1548564412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548564412 |
Entity Type | Organization |
Organization Name | DPMGILBERTNRID LLC |
Practice Address |
3690 Ridgewood Rd Pocatello ID 83201-7704 |
Practice Telephone | 2083394355 |
Mailing Telephone | 2083394355 |
Enumeration Date | 2011-01-06 |
Last Update Date | 2011-01-06 |
Authorized Official Name | DON J GILBERT (OWNER) |
Authorized Official Telephone | 2083394355 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
P-64 | ID | Podiatric Medicine & Surgery Service Providers |
Street Address |
3690 RIDGEWOOD RD |
City | POCATELLO |
State | ID |
Zip Code | 83201-7704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063769297 | Snake River Podiatry Pllc | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2012-08-07 |
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 | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598197857 | Christensen Foot & Ankle Clinic | Podiatrist | 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 | 2013-08-08 |
1063769297 | Snake River Podiatry Pllc | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2012-08-07 |
1891920476 | Don J Gilbert | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2009-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497223879 | James Dawn | Podiatrist | 1775 W State St # 299, Boise, ID 83702-3924 | 2018-11-05 |
1093924813 | Craig D Holman | Podiatrist | 496 Shoup Ave W Ste B, Twin Falls, ID 83301-5043 | 2007-05-21 |
1033105275 | Ronald W Alm | Podiatrist | 803 16th Ave, Lewiston, ID 83501-3733 | 2005-09-22 |
1962783233 | Boise Foot and Ankle Group | Podiatrist | 727 E Riverpark Ln, Suite 100, Boise, ID 83706-4069 | 2011-08-31 |
1588993018 | Dpmcallnrid LLC | Podiatrist | 718 Beulahs Ln, Idaho Falls, ID 83401-2340 | 2009-12-11 |
1801071550 | Randy E Lowe | Podiatrist | 230 W Mallard Dr, Suite C, Boise, ID 83706-6600 | 2007-12-31 |
1982711578 | Boise Podiatry Clinic, P. A. | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713 | 2006-08-23 |
1548276165 | Dr. William Stano | Podiatrist | 220 W Jefferson St, Boise, ID 83702-6044 | 2006-08-01 |
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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.