DEVIN DOUGLAS DREDGE (NPI# 1720468101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720468101 |
| Entity Type | Individual |
| Full Name | DEVIN DOUGLAS DREDGE |
| Credential | D.O. |
| Practice Address |
1717 Arlington Ave Dept Of Caldwell ID 83605 |
| Mailing Address |
1717 Arlington Ave Dept Of Caldwell ID 83605-4802 |
| Practice Telephone | 2084594641 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | O-1169 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R-10301 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1717 ARLINGTON AVE DEPT OF |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1104239169 | Nichelle Daigle | Pharmacist | 622 E Ustick Rd, Caldwell, ID 83605 | 2014-06-08 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1548219801 | Muhammad Idrees Khan | Emergency Medicine | 1101 Woodson Dr, Caldwell, TX 77836-1052 | 2006-05-06 |
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1861837965 | Natalya B Izakov | Emergency Medicine | 105 Roseland Ave, Unit 1104, Caldwell, NJ 07006-5943 | 2013-05-02 |
| 1033384201 | Brian W Moss | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2008-04-28 |
| 1902816952 | Joseph N. Piper | Emergency Medicine | 1101 Woodson Dr, Caldwell, TX 77836-1052 | 2006-08-09 |
| 1689606667 | Brandon Lane | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-07-07 |
| Find all providers in CALDWELL | ||||
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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.