WESTERN PACEMAKER CLINIC, PLLC (NPI# 1629405857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629405857 |
| Entity Type | Organization |
| Organization Name | WESTERN PACEMAKER CLINIC, PLLC |
| Practice Address |
13960 W Wainwright Dr Boise ID 83713-1969 |
| Practice Telephone | 2089475390 |
| Practice Fax Number | 2089473465 |
| Mailing Telephone | 2089475390 |
| Mailing Fax Number | 2089473465 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | WALTER LOUIS SEALE (CEO) |
| Authorized Official Telephone | 2089475390 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
M-5874 | ID | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WESTERN PACEMAKER CLINIC, PLLC | 13960 W Wainwright Dr, Boise, ID 83713 |
| Street Address |
13960 W WAINWRIGHT DR |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676070 | Jamia E. Byrns | Internal Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2005-11-15 |
| 1194186437 | Table Rock Mobile Medicine Pllc | Nurse Practitioner | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2016-03-15 |
| 1235486960 | Jc Hospitalists Pllc | Hospitalist | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2012-08-13 |
| 1861703670 | Rachel Marie Thomas | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2010-06-25 |
| 1013228113 | Aaron L. Holsinger | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2010-06-24 |
| 1679705586 | Donald Gene Corson | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2009-08-12 |
| 1396903365 | Justin Charles Hamaker | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2008-05-27 |
| 1205875275 | Emergency Medicine of Idaho | Emergency Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679733414 | Joshua I Mozes | Internal Medicine | 287 W Jefferson St, Boise, ID 83702-6045 | 2008-06-16 |
| 1669409785 | Melinda L. Marks | Internal Medicine | 300 E Jefferson St, Ste 101, Boise, ID 83712-6246 | 2006-06-26 |
| 1720033459 | Walter L Seale | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190215 | Cardiovascular Specialists of America, LLC | Internal Medicine | 1515 E Clark St, Pocatello, ID 83201-4133 | 2020-10-08 |
| 1760928865 | University of Utah Pediatric Services | Internal Medicine | 110 Vista Dr, Pocatello, ID 83201-5824 | 2017-01-12 |
| 1144608308 | University of Utah Adult Services | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-05-08 |
| 1316325574 | University of Utah Adult Services | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404-6371 | 2015-05-08 |
| 1992182547 | University of Utah Adult Services | Internal Medicine | 3100 Channing Way, Ste 600, Idaho Falls, ID 83404-7533 | 2015-05-04 |
| 1124236393 | Alejandro Perez-verdia | Internal Medicine | 3242 S Woodruff Ave, Idaho Falls, ID 83404-8305 | 2007-05-19 |
| 1013961242 | Karl P Undesser | Internal Medicine | 745 S Progress Ave, Meridian, ID 83642-5619 | 2006-05-20 |
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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.