GEORGE CONDIT II (NPI# 1558766808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558766808 |
Entity Type | Individual |
Full Name | GEORGE CONDIT II |
Practice Address |
3080 E Gentry Way #202 Meridian ID 83642-3544 |
Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
Practice Telephone | 2087065287 |
Mailing Telephone | 2083812222 |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | IBOL MASG-121 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3080 E GENTRY WAY #202 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-3544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568466167 | Andrew F Holtz | Family Medicine | 3080 E Gentry Way, Ste 200, Meridian, ID 83642-3544 | 2005-06-10 |
1346886777 | Brian Dotter | Pharmacist | 3080 E Gentry Way, Meridian, ID 83642-3544 | 2019-11-20 |
1861995102 | Daniel J Allen Do PC | Family Medicine | 3080 E Gentry Way, 100, Meridian, ID 83642-3060 | 2018-03-13 |
1922468792 | Alicia Rosales | Social Worker | 3080 E Gentry Way, 202, Meridian, ID 83642-3544 | 2016-03-07 |
1255676789 | Praxis Medical Group | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3544 | 2012-12-10 |
1972860815 | Katrina N Keller | Nurse Practitioner | 3080 E Gentry Way, Meridian, ID 83642-3544 | 2012-04-17 |
1104055383 | Maria Teresa Gomez Sirucek | Chiropractor | 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | 2009-07-08 |
1093975302 | Sirucek Chiropractic Neurology Clinic, Inc. | Chiropractor | 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | 2008-06-10 |
1669654935 | Dax Sirucek | Chiropractor | 3080 E Gentry Way, 110, Meridian, ID 83642-3544 | 2007-11-28 |
1629022116 | Louis Michael Schlickman | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3013 | 2006-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
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Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467069468 | Joanna Patricia Downer | Massage Therapist | 2596 N Stokesberry Pl Ste 130, Meridian, ID 83646-6087 | 2020-09-24 |
1689145039 | Jonathon Peter Buffington | Massage Therapist | 25 E Fairview Ave Ste 112, Meridian, ID 83642-4931 | 2018-12-11 |
1457881138 | Linda M Dayton | Massage Therapist | 40 W Franklin Rd Ste A, Meridian, ID 83642-2992 | 2017-06-15 |
1720521727 | Sydney Ariel Mchugo | Massage Therapist | 323 W. Pine Ave., Meridian, ID 83642 | 2016-11-22 |
1386090249 | Denny Dismuke | Massage Therapist | 2000 15th St, Meridian, MS 39301-4138 | 2016-05-10 |
1114306271 | Karmen Porter | Massage Therapist | 1529 W Crescent Ct, Meridian, ID 83646-1149 | 2015-05-22 |
1346633419 | Westfall Ventures | Massage Therapist | 2572 N Stokesberry Pl, #300, Meridian, ID 83646-6421 | 2015-03-12 |
1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
1265822001 | Michele Atkinson | Massage Therapist | 2960 S. Eagle Rd, Suite 100, Meridian, ID 83642 | 2015-02-02 |
1477943165 | Jennifer Bohl | Massage Therapist | 1821 Highway 39 N, Suite I, Meridian, MS 39301-2702 | 2015-02-02 |
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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.