IRIS GINRON BAKER


Address: 3555 N Cole Rd, 105, Boise, ID 83704-0733
Phone: 2086298829

IRIS GINRON BAKER (NPI# 1649409269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649409269
Entity Type Individual
Full Name IRIS GINRON BAKER
Other Name JIN RONG ZHAO
Credential M.D.
Practice Address 3555 N Cole Rd
105
Boise
ID 83704-0733
Practice Telephone 2086298829
Practice Fax Number 2086298829
Mailing Telephone 2086298829
Mailing Fax Number 2086298829
Enumeration Date 2009-07-02
Last Update Date 2009-07-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist Other Service Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Providers IRIS BAKER

NPI Name Taxonomy Address Enumeration
1699138834 Iris Baker Dietitian, Registered 20890 Highland Lakes Blvd, Miami, FL 33179-1666 2016-04-04

Office Location

Street Address 3555 N COLE RD
105
City BOISE
State ID
Zip Code 83704-0733

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1972165579 Shh Medical Group Idaho, LLC Clinic/Center 3751 N Cloverdale Rd, Boise, ID 83713-3610 2019-07-03
1427443613 Sparkmd Clinic/Center 302 W Idaho St, Boise, ID 83702-6039 2015-04-03
1932506508 Access Behavioral Health Services, Inc Clinic/Center 1276 W River St, Suite 100, Boise, ID 83702-7066 2014-11-26
1568700128 Family Care Clinic LLC Clinic/Center 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 2013-01-16
1104177757 Erland Internal Medicine, PC Clinic/Center 6023 N Eagle Rd, Boise, ID 83713-0997 2012-09-23
1184948929 Affinity, Inc Clinic/Center 8100 W Emerald St Ste 150, Boise, ID 83704-9057 2010-03-23
1598929903 Healthworks Med Group of Colorado, PC Clinic/Center 8000 S Federal Way # Ms 1-706, Boise, ID 83716-9632 2008-07-15
1912189481 Emergency Responders Health Center, LLC Clinic/Center 9976 W Emerald St, Boise, ID 83704-9769 2007-11-27
1992741490 Genesis Medical Center Clinic/Center 10255 Overland Rd, Boise, ID 83709-1430 2006-06-22
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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