DR. LLOYD D STOLWORTHY (NPI# 1831264878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831264878 |
| Entity Type | Individual |
| Full Name | DR. LLOYD D STOLWORTHY |
| Credential | M.D. |
| Practice Address |
1648 Nw 1st Street Meridian ID 83642 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2088889393 |
| Practice Fax Number | 2088889525 |
| Mailing Telephone | 2089556522 |
| Mailing Fax Number | 2089556503 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | M8815 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1648 NW 1ST STREET |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027253 | Timothy P Hodges | Family Medicine | 1648 Nw 1st Street, Meridian, ID 83642 | 2005-10-21 |
| 1306390380 | Suzanne Jardine | Nurse Practitioner | 1648 Nw 1st Street, Meridian, ID 83642-2720 | 2016-08-08 |
| 1407092794 | Alliance Medical Group, LLC | Family Medicine | 1648 Nw 1st Street, Meridian, ID 83642 | 2008-12-17 |
| 1376707034 | Mark A Johnson | Family Medicine | 1648 Nw 1st Street, Meridian, ID 83642 | 2008-07-11 |
| 1164450862 | Jeremy Daniel Frix | Physician Assistant | 1648 Nw 1st Street, Meridian, ID 83642 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740349257 | Hermogenes V Thomas | General Practice | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2006-12-08 |
| 1952701401 | Southern Idaho Health Partners LLC | General Practice | 360 E Montvue Dr, Meridian, ID 83642-6318 | 2014-09-02 |
| 1992864052 | Gloria F Gomez | General Practice | 1818 College Drive, Meridian, MS 39307-5429 | 2006-12-06 |
| 1578643565 | Norma E. Murillo-smith | General Practice | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2006-10-16 |
| 1154414191 | Steven M. Piper | General Practice | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2006-10-02 |
| 1245232495 | Francis E Harman | General Practice | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467051 | Janene Caldwell Witherite | General Practice | 1077 Stellar End Rd, Victor, ID 83455-4973 | 2020-11-02 |
| 1336797042 | Brightview Senior Health | General Practice | 1983 N Synergy Pl, Eagle, ID 83616-7332 | 2019-08-27 |
| 1346801941 | Daniel Campbell | General Practice | 2939 E Idavada Ct, Nampa, ID 83686-5899 | 2019-06-25 |
| 1932581089 | Matthew Hall | General Practice | 1232 Rigby Rd, Bancroft, ID 83217 | 2015-06-25 |
| 1881074201 | Lindsey Wells | General Practice | 2537 W State St Ste 110, Boise, ID 83702-2200 | 2015-06-01 |
| 1043697576 | William Chapman | General Practice | 1948 W. Blackwell Mill Road, Coeur D Alene, ID 83814 | 2015-05-05 |
| 1265824312 | Drugshield Inc | General Practice | 3085 N Cole Rd, Ste 108, Boise, ID 83704-5968 | 2015-02-26 |
| 1215344353 | Lanie Benson | General Practice | 460 N 3rd E, Driggs, ID 83422-5146 | 2014-07-22 |
| 1356614770 | Charles Thomas Mcgee | General Practice | 2385 W Bolivar Ave, Coeur D Alene, ID 83815-9134 | 2012-02-15 |
| 1487926564 | Boise Image Enhancement Centre, Inc. | General Practice | 9382 W Overland Rd, Boise, ID 83709-2505 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LLOYD D STOLWORTHY.
| 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.