UPPER VALLEY FAMILY MEDICINE PA (NPI# 1679737217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679737217 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY FAMILY MEDICINE PA |
| Practice Address |
530 Rigby Lake Dr Rigby ID 83442-1271 |
| Practice Telephone | 2087455021 |
| Practice Fax Number | 2087455026 |
| Mailing Telephone | 2087455021 |
| Mailing Fax Number | 2087455026 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | CONNIE LYNN SAFARIK (OFFICE MANAGER) |
| Authorized Official Telephone | 2087456717 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 RIGBY LAKE DR |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1821466376 | Chad Judy | Speech-Language Pathologist | 152 E Main Street, Suite 110, Rigby, ID 83442 | 2015-09-14 |
| 1740588276 | Jessica Brodie | Speech-Language Pathologist | 165 Front Street, Driggs, ID 83442 | 2011-03-08 |
| 1255636304 | Kathy Lebaron | Midwife | 297n 3855 East, Rigby, ID 83442 | 2011-01-21 |
| 1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
| 1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
| Find all providers in zip 83442 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508296476 | Quinn Donald Ranson | Physician Assistant | 703 Rigby Lake Dr, Rigby, ID 83442-5192 | 2013-11-13 |
| 1811043862 | Bryce Wylie | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.