WILLIAM JOSEPH SHORT (NPI# 1780928580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780928580 |
Entity Type | Individual |
Full Name | WILLIAM JOSEPH SHORT |
Credential | PAC |
Practice Address |
1031 W Sanetta St Nampa ID 83651 |
Mailing Address |
1775 W State St # 383 Boise ID 83702-3924 |
Practice Telephone | 2089658012 |
Practice Fax Number | 2084664561 |
Mailing Telephone | 2089124416 |
Mailing Fax Number | 2085495832 |
Enumeration Date | 2012-11-16 |
Last Update Date | 2019-12-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA160595 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1027 | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548685308 | William Frederick Short | Obstetrics & Gynecology | 634 S Owl Dr, Sarasota, FL 34236-1908 | 2014-03-03 |
1487765293 | William Joseph Short | Family Medicine | 2340 Carter Ave, Ashland, KY 41101-7826 | 2006-08-31 |
1669414827 | William R Short | Internal Medicine | 3910 N Powelton Ave, 2nd Flr, Philadelphia, PA 19104-2640 | 2006-06-12 |
1235608167 | William Charles Short | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920-1543 | 2018-11-20 |
1194114751 | William David Short | Dentist | 1619 Live Oak St, Beaufort, NC 28516-1520 | 2015-01-20 |
1720251036 | William L Short | Counselor | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2008-04-08 |
1841300340 | William L Short | Family Medicine | 1111 N Brady St, Abilene, KS 67410-1804 | 2006-08-30 |
1033190939 | William Joseph Short | Pathology | 2601 Veterans Dr, Harlingen, TX 78550-8942 | 2005-11-08 |
1720079569 | William M Short | Family Medicine | 1414 W Fair Ave, Ste 36, Marquette, MI 49855-2675 | 2005-11-01 |
Street Address |
1031 W SANETTA ST |
City | NAMPA |
State | ID |
Zip Code | 83651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447387964 | Molly C Collins | Counselor | 1031 W Sanetta St, Nampa, ID 83651 | 2007-02-28 |
1750991469 | Shatae Mullins | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-08-06 |
1508484312 | Pete Serra | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-08 |
1780201004 | Gabrielle Davis | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-02 |
1588281950 | Lindsay Wright | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-01 |
1952925604 | Tylar Swanson | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-05-28 |
1508493941 | Prianka Naomi Maharaj | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-03-25 |
1871123992 | Erika Wainaina | Social Worker | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-01-16 |
1538714852 | Nicole Sundstrom | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-08-04 |
1033779236 | Alba Rosa Williams | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-06-19 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
1609204890 | Rachel Sawyer | Physician Assistant | 7405 Wild Horse Way, Nampa, ID 83686-5496 | 2013-10-24 |
1437403441 | Rachel Elizabeth Nutting | Physician Assistant | 16459 N Midland Blvd, Nampa, ID 83687-5222 | 2012-10-30 |
1578524559 | Janine Marie Franco | Physician Assistant | 1611 12th Ave Rd Ste B, Nampa, ID 83686-6182 | 2006-03-30 |
1265950612 | Emily Ann Looze | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2017-09-06 |
1396293288 | Amanda Crisler | Physician Assistant | 824 S Diamond St, Nampa, ID 83686-5960 | 2016-09-20 |
1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
1407257025 | Lauryn Pyke | Physician Assistant | 353 W Iowa Ave, Nampa, ID 83686-2856 | 2014-09-15 |
1679918536 | Joel J Burch | Physician Assistant | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 | 2013-05-06 |
1285932202 | Centerpointe, Inc. | Physician Assistant | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2011-03-01 |
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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.