JAMES TYLER CHRISTENSEN (NPI# 1578540498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578540498 |
| Entity Type | Individual |
| Full Name | JAMES TYLER CHRISTENSEN |
| Credential | PA |
| Practice Address |
3100 Channing Way Idaho Falls ID 83404-1647 |
| Mailing Address |
2860 Channing Way Suite 115 Po Box 1647 Idaho Falls ID 83404-1647 |
| Practice Telephone | 2085354130 |
| Practice Fax Number | 2085354125 |
| Mailing Telephone | 2085354130 |
| Mailing Fax Number | 2085354125 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2010-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA-402 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA402 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | PASQ2 | 01 |
| ID | 806420100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942316088 | James H Christensen | Social Worker | 3531 Lincoln Ave, Suite C, Ogden, UT 84401 | 2006-08-22 |
| 1285677625 | James Allen Christensen | Physician Assistant | 1660 S Columbian Way Stop Codes-01, Systems Redesign and Credentialing & Privileging, Seattle, WA 98108-1532 | 2006-06-14 |
| 1134600745 | James Dean Christensen | Nurse Practitioner | 1000 E 100 N, Payson, UT 84651-1600 | 2018-08-22 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1962746420 | James E Christensen | Psychologist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2012-11-21 |
| 1295094217 | James Kendall Christensen | Family Medicine | 2375 E Sunnyside Rd, Ste F, Idaho Falls, ID 83404-8280 | 2012-05-11 |
| 1093072019 | James E Christensen | Orthopaedic Surgery | 2501 W Beltline Hwy Ste 601, Madison, WI 53713 | 2012-04-15 |
| 1962609875 | James Anders Christensen | Psychiatry & Neurology | 1835 Gilmore Ave, Lakeland, FL 33805 | 2007-07-03 |
| 1518084045 | James R Christensen | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2007-03-22 |
| 1366506800 | James R Christensen | Physical Medicine & Rehabilitation | 707 N Broadway, Baltimore, MD 21205-1832 | 2006-12-20 |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1821697681 | Taylor Olivia Woodrow | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-10-22 |
| 1154944288 | Kristina Stickley | Dietitian, Registered | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-05-22 |
| 1487274932 | Bailey Elizabeth Kimbel | Registered Nurse | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-24 |
| 1952930109 | Chris Blaine | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
| 1700415023 | Nicole Rosemin | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-07 |
| 1639708027 | Victor Liu | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404 | 2020-04-07 |
| 1194354613 | Matthew James Baechle | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-06 |
| 1639707961 | Dale Carlson Keller | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386743862 | David Dean Buys | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2006-09-21 |
| 1316910797 | Stephanie Morgan | Physician Assistant | 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360 | 2006-02-08 |
| 1386626463 | Wade K Christensen | Physician Assistant | 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 | 2005-11-15 |
| 1851396519 | Jamie L Carter | Physician Assistant | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2005-06-17 |
| 1609492347 | Jason T Rinker | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-06-18 |
| 1821645870 | Benjamin J Atwood | Physician Assistant | 3446 S 15th E, Idaho Falls, ID 83404-8262 | 2019-08-23 |
| 1134647019 | Randall James Law | Physician Assistant | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2017-08-31 |
| 1144772237 | Alyssa Jenkins | Physician Assistant | 3820 Crestwood Ln, Idaho Falls, ID 83404 | 2016-10-25 |
| 1093103699 | Tara Powell | Physician Assistant | 2730 Channing Way, Idaho Falls, ID 83404-5049 | 2015-01-05 |
| 1235568742 | Shelley Leilani Davis | Physician Assistant | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2013-11-05 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on JAMES TYLER CHRISTENSEN.
| 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.