DR. RYAN DANIEL HEYBORNE (NPI# 1659573889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659573889 |
| Entity Type | Individual |
| Full Name | DR. RYAN DANIEL HEYBORNE |
| Credential | MD |
| Practice Address |
3025 W Cherry Lane Meridian ID 83642 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083026400 |
| Practice Fax Number | 2083026455 |
| Mailing Telephone | (208) 302-6400 |
| Mailing Fax Number | 2083026455 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M10210 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 01062424A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808011700 | 05 |
| Street Address |
3025 W CHERRY LANE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092101 | Albert Donald Bickford | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642-1026 | 2006-02-15 |
| 1639680051 | Chad Dennis Talford | Physician Assistant | 3025 W Cherry Lane, Meridian, ID 83642 | 2017-10-12 |
| 1326590498 | Katrina Merrell | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-25 |
| 1710438874 | Carin Bohan | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-24 |
| 1366993883 | Nathan James Richard | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-19 |
| 1629446661 | Lori Katherine Ebinger | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2015-09-08 |
| 1033504147 | Aaron Dunham | Psychiatry & Neurology | 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 | 2015-04-06 |
| 1508142613 | Kristina Huffaker | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2011-11-02 |
| 1629201249 | Cory M Martin | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2009-08-30 |
| 1659504314 | Mark B Cheney | Family Medicine | 3025 W Cherry Lane, Meridian, ID 83642 | 2009-08-28 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1295811867 | Randy Lee Barnes | Emergency Medicine | 3277 E Louise Dr Ste 410, Meridian, ID 83642-9360 | 2006-10-27 |
| 1417040015 | Joseph C. Sumrall | Emergency Medicine | 1102 Constitution Avenue, Meridian, MS 39302 | 2006-10-02 |
| 1588676597 | James Henderson | Emergency Medicine | 1201 22nd Ave Ste C, Meridian, MS 39301-4010 | 2006-08-12 |
| 1922044502 | Perry Wallace | Emergency Medicine | 2121 5th St, Suite 202, Meridian, MS 39301-5108 | 2006-06-21 |
| 1730133208 | Idaho Emergency Physicians, P.a. | Emergency Medicine | 2963 E Copper Point Dr, Suite 150, Meridian, ID 83642-9055 | 2006-05-20 |
| 1235189622 | Travis W Robbins | Emergency Medicine | 1900 W Chinden Blvd, Meridian, ID 83646-6690 | 2006-05-10 |
| 1376167114 | Amy Michele Zappia | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2020-06-06 |
| 1780038711 | Alexander William Loehr | Emergency Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2016-04-15 |
| Find all providers in MERIDIAN | ||||
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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.