ELIZABETH ANN SCHACKMANN


Address: 500 W Fort St # 111r, Boise, ID 83702-4501
Phone: 2086959613

ELIZABETH ANN SCHACKMANN (NPI# 1649634718) 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) 1649634718
Entity Type Individual
Full Name ELIZABETH ANN SCHACKMANN
Credential MD
Practice Address 500 W Fort St # 111r
Boise
ID 83702-4501
Practice Telephone 2086959613
Mailing Telephone 2086959613
Enumeration Date 2016-04-05
Last Update Date 2019-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine M-14804 ID Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1959 Ne Pacific St, Room Bb-527, Box 356421, Seattle, WA 981956421 8015503533

Office Location

Street Address 500 W FORT ST # 111R
City BOISE
State ID
Zip Code 83702-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659909240 Trevor Smith Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4599 2020-03-30
1396373148 Irina Kratman Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-28
1316575319 Christina Topham Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1104454123 Braden Lawrence Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1255969101 David Yun Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1194353169 Aaron Spurlock Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2020-03-27
1285297861 Ryan Hirschi Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-18
1720540784 Dylan Mogk Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-01
1902368970 Abdullahi Ibrahim Mohamed Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2019-04-01
1316408370 Jared Cory Chin Student in an Organized Health Care Education/Training Program 500 W Fort St # 111r, Boise, ID 83702-4501 2019-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891256004 Ryan Thompson Internal Medicine 400 W Fort St # 111r, Boise, ID 83702-4531 2019-03-29
1518311679 Samantha Hersrud Internal Medicine 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 2016-04-14
1134513088 Alex Tanabe Internal Medicine 1000 E Park Blvd, Boise, ID 83712-7791 2015-03-27
1104169283 Jacqueline Kelly Internal Medicine 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 2013-03-27
1083980734 Shanaz Sikder Internal Medicine 403 S 11th St Ste 100, Boise, ID 83702 2012-03-27
1679869473 Allyson J Komori Internal Medicine 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 2011-06-21
1982929048 Sarita Anisha Kishore Internal Medicine 1970 Toluka Way, Boise, ID 83712-8547 2010-04-01
1568796282 Life Quest Center Inc Internal Medicine 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 2009-09-28
1164673968 Jenifer L Barry Internal Medicine 1525 S Owyhee St, Boise, ID 83705-6014 2008-10-10
1275722704 Allan M Salzberg Internal Medicine 10671 Sandpiper St, Boise, ID 83709-1249 2007-10-22
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Competitor

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City BOISE
Zip Code 83702

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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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