DR. DEAN SORENSEN (NPI# 1689860736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689860736 |
| Entity Type | Individual |
| Full Name | DR. DEAN SORENSEN |
| Credential | M.D. |
| Practice Address |
250 Bobwhite Ct 275 Boise ID 83706-6643 |
| Practice Telephone | 2083330200 |
| Practice Fax Number | 2083330399 |
| Mailing Telephone | 2083330200 |
| Mailing Fax Number | 2083330399 |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2007-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M-2958 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
250 BOBWHITE CT 275 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-6643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003823956 | Craig B. Bass | Surgery | 250 Bobwhite Ct, # 275, Boise, ID 83706-6643 | 2006-08-02 |
| 1225247182 | Maxim Healthcare Services, Inc. | Nursing Care | 250 Bobwhite Ct, Suite 203, Boise, ID 83706-6643 | 2007-05-21 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899973 | Russell H Griffiths Md Pa | Plastic Surgery | 100 E Idaho St Ste 303, Boise, ID 83712-6269 | 2008-04-23 |
| 1841307147 | Thomas D Mckim | Plastic Surgery | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2006-08-23 |
| 1245645589 | Jason Nealy | Plastic Surgery | 4305 N Eagle Rd, Boise, ID 83713-4722 | 2014-06-25 |
| 1487958161 | Susan J. Hegstad, M.d., Pa | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2011-01-10 |
| 1003125758 | Jordan E Miller | Plastic Surgery | 777 N Raymond St, Boise, ID 83704-9251 | 2010-09-29 |
| 1306870761 | Sumiko Joan Hegstad | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2006-07-10 |
| 1811943285 | Dinu Mistry Wolf | Plastic Surgery | 341 E Bannock St, Boise, ID 83712-6208 | 2006-05-26 |
| 1134181621 | Jonathan D Kramer | Plastic Surgery | 100 E Idaho St, Suite 301, Boise, ID 83712-6267 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228737 | Mark E Freeman M.d. PC | Plastic Surgery | 3760 Washington Parkway, Idaho Falls, ID 83404 | 2014-01-14 |
| 1467704049 | Bruce Alan Kaplan | Plastic Surgery | 190 Bigwood Drive South, Ketchum, ID 83340 | 2012-10-08 |
| 1043578115 | David Lyons Dingman | Plastic Surgery | 10 Lone Pine Rd, Hailey, ID 83333-5172 | 2012-04-26 |
| 1730450016 | Michael Gregory Pugsley-christensen | Plastic Surgery | 4790 Inverness Drive, Post Falls, ID 83854 | 2012-01-19 |
| 1770589814 | Dell P Smith | Plastic Surgery | 1880 Fillmore St, Twin Falls, ID 83301-3049 | 2005-06-23 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1831534924 | Mark E Freeman Md PC | Plastic Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2013-05-03 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| 1447368758 | William P.d. Wilson IIi | Plastic Surgery | 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | 2006-08-27 |
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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.