OASIS PEDIATRICS (NPI# 1558641274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558641274 |
| Entity Type | Organization |
| Organization Name | OASIS PEDIATRICS |
| Practice Address |
3217 W Bavaria St Eagle ID 83616-5171 |
| Practice Telephone | 2086022863 |
| Practice Fax Number | 2089473419 |
| Mailing Telephone | 2086022863 |
| Mailing Fax Number | 2089473419 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | CARRIE HUMPHREY (PRINCIPAL OFFICER) |
| Authorized Official Telephone | 2086022863 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M9582 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 80673100 | 05 |
| Street Address |
3217 W BAVARIA ST |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-5171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467498196 | Diane Turner | Emergency Medicine | 3217 W Bavaria St, Eagle, ID 83616-5171 | 2006-06-21 |
| 1346647526 | Bradley Morris | Physician Assistant | 3217 W Bavaria St, Eagle, ID 83616-5171 | 2014-12-03 |
| 1588987309 | Andrew Reed Crawford | Physician Assistant | 3217 W Bavaria St, Eagle, ID 83616-5171 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629370861 | Hafid Mantilla | Pediatrics | 3217 W Bavaria, Eagle, ID 83616 | 2010-11-19 |
| 1659329928 | Alan Paul Miller | Pediatrics | 125 Stierman Way, Eagle, ID 83616-5163 | 2006-05-05 |
| 1235405705 | Amanda Beth Wartner Stinger | Pediatrics | 450 W State St, Eagle, ID 83616-7057 | 2012-03-28 |
| 1295998862 | Daniela Grigore | Pediatrics | 3217 W Bavaria Street, Eagle, ID 83616 | 2008-07-03 |
| 1669556643 | Nathan J Hirsch | Pediatrics | 450 W State St, Ste 100, Eagle, ID 83616 | 2006-10-25 |
| 1033154828 | Noreen A. Womack | Pediatrics | 450 W State St, Suite 100, Eagle, ID 83616-7057 | 2006-06-17 |
| 1699721837 | Carrie Ann Humphrey | Pediatrics | 3217 W Bavaria Street, Eagle, ID 83616 | 2006-05-26 |
| 1275503682 | Janet M Engle | Pediatrics | 377 Sylvan Lake Rd, Suite 210, Eagle, CO 81631 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1316468002 | Shannon Marie Seckel | Pediatrics | 420 N 2nd Ave Ste 100, Sandpoint, ID 83864-1552 | 2017-07-03 |
| 1669918769 | University of Utah Pediatric Services | Pediatrics | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1366836843 | Andrew Nolan Monson | Pediatrics | 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 | 2015-03-23 |
| 1699172262 | Boundary Regional Community Health Center, Inc. | Pediatrics | 6833 El Paso St, Bonners Ferry, ID 83805-8569 | 2014-11-26 |
| 1801216940 | Seth Branahl | Pediatrics | 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | 2014-04-16 |
| 1437577483 | Kaitlin Burke | Pediatrics | 100 E Idaho St Ste 401, Boise, ID 83712-6267 | 2014-04-06 |
| 1700149887 | Cristina Leon | Pediatrics | 9927 W Gibson Jack Rd, Pocatello, ID 83204-4964 | 2012-06-22 |
| 1063775286 | Abram Collard | Pediatrics | 1236 Bond Ave Ste B, Rexburg, ID 83440-3503 | 2012-06-21 |
| 1205104593 | Pullman Regional Hospital Clinic Network LLC | Pediatrics | 1420 S Blaine St Ste 5, Moscow, ID 83843-3973 | 2011-12-01 |
| 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.