TEZO A KAREDAN (NPI# 1679887376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679887376 |
| Entity Type | Individual |
| Full Name | TEZO A KAREDAN |
| Credential | MD |
| Practice Address |
1055 N Curtis Road Boise ID 83706 |
| Mailing Address |
3340 E Goldstone Dr Merician ID 83642 |
| Practice Telephone | 0836731312 |
| Practice Fax Number | 2083673174 |
| Mailing Telephone | 2083673131 |
| Mailing Fax Number | 2083673174 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301097275 | MI | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M-14790 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2016011679 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE | 000015401 | 01 |
| MO | 507013605 | 05 |
| Street Address |
1055 N CURTIS ROAD |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435687 | Lauren D. Bales | Obstetrics & Gynecology | 1055 N Curtis Road, Boise, ID 83706 | 2005-08-23 |
| 1285109942 | Megan F Clark | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2018-10-09 |
| 1497296768 | Carolyn Punt | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2017-03-20 |
| 1326586413 | Matthew Daniel Phillips | Physician Assistant | 1055 N Curtis Road, Boise, ID 83706 | 2017-02-08 |
| 1124562491 | Kimberly Telfer | Nurse Practitioner | 1055 N Curtis Road, Boise, ID 83706 | 2016-12-06 |
| 1790131472 | Danielle Miller | Family Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-05-11 |
| 1447612262 | Nicholas Robert Homer | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2016-03-22 |
| 1679941850 | Rebecca Bishop | Physician Assistant | 1055 N Curtis Road, Samg Cancer Care Center, Boise, ID 83706 | 2015-09-04 |
| 1245607662 | David Cameron Nelson | Physician Assistant | 1055 N Curtis Road, S6, Boise, ID 83706 | 2015-09-02 |
| 1649664558 | Shaye Lewis | Internal Medicine | 1055 N Curtis Road, Boise, ID 83706 | 2015-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568805810 | Nicholas Tyler Gorden | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-04-16 |
| 1912036005 | St Lukes Regional Medical Center | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2007-03-05 |
| 1184733917 | Paul G Montgomery | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2006-08-29 |
| 1821010455 | William H Kreisle | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2006-07-24 |
| 1568484053 | Norman Zuckerman | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2006-07-24 |
| 1821016718 | Theodore A Walters | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2006-07-18 |
| 1790717742 | Thomas M Beck | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6267 | 2006-07-07 |
| 1376596247 | Kerry P Pulver | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706 | 2006-05-19 |
| 1992760664 | Andrew S Pierson | Internal Medicine | 1055 N Curtis Rd, Boise, ID 83706 | 2006-04-18 |
| 1023093507 | Dan S Zuckerman | Internal Medicine | 100 E Idaho St, Boise, ID 83712-6223 | 2005-12-07 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on TEZO A KAREDAN.
| 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.