MICHAEL E. ESTESS, M. D. CHARTERED (NPI# 1558585455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558585455 |
| Entity Type | Organization |
| Organization Name | MICHAEL E. ESTESS, M. D. CHARTERED |
| Practice Address |
1471 Shoreline Dr Suite 119 Boise ID 83702-6879 |
| Practice Telephone | 2083452630 |
| Practice Fax Number | 2083456504 |
| Mailing Telephone | 2083452630 |
| Mailing Fax Number | 2083456504 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL E. ESTESS (PRESIDENT) |
| Authorized Official Telephone | 2083452630 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | M-3173 | ID | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | DG399 | 01 |
| ID | BLUE SHIELD | 000010003612 | 01 |
| Street Address |
1471 SHORELINE DR SUITE 119 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 1609078104 | Michael E. Estess | Psychiatry & Neurology | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-06-05 |
| 1003030099 | Michael E. Estess | Psychiatry & Neurology | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-12 |
| 1376766378 | Timothy J Collias | Social Worker | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366811267 | Celebrate Life Wellness | Preferred Provider Organization | 7750 W Crestwood Dr, Boise, ID 83704-3000 | 2015-09-21 |
| 1043643844 | Burks Counseling, Pllc | Preferred Provider Organization | 1674 W Hill Rd, Suite 17, Boise, ID 83702-0958 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720521719 | Advanced Chiropractic of Blackfoot | Preferred Provider Organization | 1395 Nw Main St, Blackfoot, ID 83221-3936 | 2016-11-23 |
| 1326414673 | Douglas R. Schultz | Preferred Provider Organization | 2285 E 25th St, Idaho Falls, ID 83404-4724 | 2015-08-20 |
| 1770995219 | Divinity Healthcare Services Pllc | Preferred Provider Organization | 620 S Elder St, Nampa, ID 83686-5212 | 2014-06-02 |
| 1609113455 | Stone Ridge Dental P.C. | Preferred Provider Organization | 380 W Judicial St, Blackfoot, ID 83221-2122 | 2013-01-14 |
| 1558512277 | Stone Ridge Dental Inc. | Preferred Provider Organization | 1035 October Cv, Shelley, ID 83274-5068 | 2008-10-01 |
| 1629266424 | Victoria L Johnson | Preferred Provider Organization | 18168 Spicebush Ave, Nampa, ID 83687-5003 | 2007-10-05 |
| 1700890068 | Better Health & Play Therapy, Inc. | Preferred Provider Organization | 213 11th Ave S, Nampa, ID 83651-3920 | 2006-07-29 |
| 1235670704 | Douglas R. Schultz | Preferred Provider Organization | 859 S Yellowstone Hwy Ste 301, Rexburg, ID 83440-5321 | 2017-03-16 |
| 1063764462 | Active Family Healthcare Pllc | Preferred Provider Organization | 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2012-10-09 |
| 1790925576 | Total Care Chiropractic | Preferred Provider Organization | 2060 E 25th St, Idaho Falls, ID 83404-6490 | 2009-03-06 |
| 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.