DR. PAUL DAVID SONNTAG (NPI# 1760682066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760682066 |
| Entity Type | Individual |
| Full Name | DR. PAUL DAVID SONNTAG |
| Credential | MD |
| Practice Address |
190 E Bannock Boise ID 83712 |
| Mailing Address |
115 W Main St #202 Boise ID 83702 |
| Practice Telephone | 2083812094 |
| Practice Fax Number | 2083811791 |
| Mailing Telephone | 2084339466 |
| Mailing Fax Number | 2084331149 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
M11950 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412920 | Paul L Sonntag | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2006-06-07 |
| Street Address |
190 E BANNOCK |
| City | BOISE |
| State | ID |
| Zip Code | 83712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124002191 | Don Antonio Bell | Radiology | 190 E Bannock, Boise, ID 83712 | 2005-12-02 |
| 1700076619 | Nicholas A. Lazzaro | Radiology | 190 E Bannock, Boise, ID 83712 | 2007-07-26 |
| 1316157332 | Einav Shochat | Radiology | 190 E Bannock, Boise, ID 83712 | 2007-05-22 |
| 1326156282 | James A Hill | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-08-29 |
| 1518906312 | John Perl II | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-06-06 |
| 1508816471 | Cody J. Boyce | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083842033 | Andrew Albert Peterson | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2009-06-29 |
| 1154584712 | Gem State Radiology LLP | Radiology | 161 E Mallard Dr, Suite 130, Boise, ID 83706-3974 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508224379 | Teton Vascular Institute of Pocatello A Series of Teton Group | Radiology | 444 Hospital Way Bldg 100, Ste 111, Pocatello, ID 83201-2745 | 2016-02-08 |
| 1851871172 | Russell L Evans | Radiology | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-08-16 |
| 1629007844 | Idaho Vascular Institute Pllc | Radiology | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2006-07-01 |
| 1386685535 | David Shelley | Radiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2006-06-09 |
| 1316913254 | John H Whiting Jr. | Radiology | 444 Hospital Way, Suite 701, Pocatello, ID 83201-2701 | 2006-02-28 |
| 1356329783 | David Reed Condie | Radiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2006-01-05 |
| 1023096955 | John W. Ho | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2005-12-30 |
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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.