VITANOVU, P.C. (NPI# 1821490335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821490335 |
| Entity Type | Organization |
| Organization Name | VITANOVU, P.C. |
| Practice Address |
1525 S Owyhee St Boise ID 83705-6014 |
| Practice Telephone | 2083448482 |
| Practice Fax Number | 2083455426 |
| Mailing Telephone | 2083448482 |
| Mailing Fax Number | 2083455426 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | JENIFER LEAH BARRY (DIRECTOR/OWNER) |
| Authorized Official Telephone | 2083448482 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | M-11233 | ID | Ambulatory Health Care Facilities |
| Street Address |
1525 S OWYHEE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83705-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164673968 | Jenifer L Barry | Internal Medicine | 1525 S Owyhee St, Boise, ID 83705-6014 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
| 1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
| 1114432689 | Triton Elite Athletic Medicine | Clinic/Center | 2392 E Gowen Rd, Boise, ID 83716-6707 | 2017-12-06 |
| 1093034936 | Marston Family Chiropractic Pllc | Clinic/Center | 5275 S Deselm Way, Boise, ID 83716-6904 | 2010-05-17 |
| 1811101942 | Laser Vision Centers, Inc. | Clinic/Center | 7960 West Rifleman Street, Ste. 150, Boise, ID 83704 | 2007-05-09 |
| 1447376355 | Planned Parenthood of Idaho | Clinic/Center | 3668 N Harbor Lane, Boise, ID 83703 | 2007-03-22 |
| 1568587707 | Therapy Express Pa | Clinic/Center | 8024 W Scardale Ct, Boise, ID 83704-0713 | 2007-03-20 |
| 1548811441 | Catalyst Acupuncture & Integrative Medicine | Clinic/Center | 4477 W Emerald St Ste A150, Boise, ID 83706-2027 | 2019-09-23 |
| 1255985321 | Cde Services | Clinic/Center | 13150 W Persimmon Ln, Boise, ID 83713-1986 | 2019-07-27 |
| 1952815623 | Live Well Health and Nutrition Pllc | Clinic/Center | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2017-11-16 |
| Find all providers in BOISE | ||||
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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.