MEDICAL DIRECTORS OF IDAHO PLLC (NPI# 1710392410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710392410 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIRECTORS OF IDAHO PLLC |
| Practice Address |
404 N Horton St Nampa ID 83651-6541 |
| Mailing Address |
2294 E Handel St Meridian ID 83646-1128 |
| Practice Telephone | 2084669292 |
| Mailing Telephone | 5025441780 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | RYAN WILLIAMS (RESPONSIBLE PARTY/REPRESENTATIVE) |
| Authorized Official Telephone | 5025441780 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M-10968 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
404 N HORTON ST |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-6541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265455273 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 404 N Horton St, Nampa, ID 83651-6541 | 2006-07-25 |
| 1811479298 | Christina Henry | Speech-Language Pathologist | 404 N Horton St, Nampa, ID 83651-6541 | 2018-09-03 |
| 1912418229 | Nampa West of Cascadia, LLC | Skilled Nursing Facility | 404 N Horton St, Nampa, ID 83651-6541 | 2017-10-13 |
| 1184886228 | Michael S Richards | Physical Therapist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-30 |
| 1912169418 | Christine Rene Noaker | Occupational Therapist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-26 |
| 1235390121 | Deborah Jo Taylor | Physical Therapist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-23 |
| 1225299134 | Debi Jean Juchau | Speech-Language Pathologist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-23 |
| 1235390139 | Rodney Durand Kimerling | Occupational Therapist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-23 |
| 1467613349 | Jeffrey Larkin England | Specialist | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-23 |
| 1437310943 | Susan Cooper | Occupational Therapy Assistant | 404 N Horton St, Nampa, ID 83651-6541 | 2008-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1265448476 | James J Mccabe | Internal Medicine | 215 W Hawaii Ave, Nampa, ID 83686 | 2006-07-31 |
| 1881615664 | Lauren Markelle Friedly | Internal Medicine | 9850 W St Lukes Dr, Nampa, ID 83687-7912 | 2006-07-21 |
| 1194715177 | James R Dzur | Internal Medicine | 217 W Georgia Ave, Suite 115, Nampa, ID 83686-6811 | 2005-10-21 |
| 1104305648 | Hospitalist Medicine Physicians of Idaho-tcg, Pllc | Internal Medicine | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2018-08-07 |
| 1093129751 | Justin Tomal | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2014-06-19 |
| 1285077701 | Ryan G Townsend | Internal Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687-3133 | 2013-04-15 |
| 1881973899 | Olawale Olaniyi | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2011-08-08 |
| 1750672481 | Jason Bryant Slade | Internal Medicine | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2011-04-28 |
| 1700010873 | Erin M Mccoy | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2009-05-05 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on MEDICAL DIRECTORS OF IDAHO PLLC.
| 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.