IDAGEM SERVICES INC


Address: 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471
Phone: 2082836678

IDAGEM SERVICES INC (NPI# 1831423557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831423557
Entity Type Organization
Organization Name IDAGEM SERVICES INC
Practice Address 1533 N Milwaukee St
Ste 321
Boise
ID 83704-8471
Practice Telephone 2082836678
Enumeration Date 2009-09-28
Last Update Date 2010-10-27
Authorized Official Name STEVEN KRAWTZ (CEO)
Authorized Official Telephone 2082836678
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
M9083 ID Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568764132 Idagem Services Inc Internal Medicine 200 S Virginia St, Reno, NV 89501-2405 2010-12-02

Office Location

Street Address 1533 N MILWAUKEE ST
STE 321
City BOISE
State ID
Zip Code 83704-8471

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1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
1558903328 Daring In Idaho, LLC Social Worker 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 2019-10-14
1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417102930 Joshua David Holweger Internal Medicine 1075 N Curtis, Ste 200, Boise, ID 83706-1350 2008-11-25
1659407716 Richard Keith Oehlschlager Internal Medicine 3036 Lakewood Way, Boise, ID 83706-5240 2007-02-25
1013946391 Janat E. O'donnell Internal Medicine 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 2006-06-30
1679797468 Idaho Pulmonary Associates, Pa Internal Medicine 1075 N Curtis Rd, Suite 200, Boise, ID 83706-1300 2007-04-12
1326186115 Kathleen R. Sutherland Internal Medicine 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 2007-02-02
1518005701 Norman John East Internal Medicine 1075 N Curtis Rd, Suite 200, Boise, ID 83706-1300 2007-02-01
1679611834 Joseph J. Crowley Internal Medicine 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 2007-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407124753 Idaho Falls Pulmonary Sleep & Critical Care Specialists Internal Medicine 2442 E 25th St, Idaho Falls, ID 83404-7549 2011-12-01
1194861534 Richard J Robinson Internal Medicine 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 2007-01-30
1528002029 Ronald F Fullmer Internal Medicine 570 Shoup Ave W, Twin Falls, ID 83301-5029 2006-06-15
1932169042 Cary V. Jackson Internal Medicine 401 E Hawaii, Nampa, ID 83686 2006-03-23
1932191319 Peter Lawrence Fort Internal Medicine 777 Hospital Way Ste 202, Pocatello, ID 83201-5175 2005-08-22
1932769700 Gritman Medical Center Inc Internal Medicine 700 S Main St, Moscow, ID 83843-3046 2019-06-14
1073027389 Jordan Joseph Cormier Internal Medicine 2330 Desoto St, Idaho Falls, ID 83404-7570 2017-11-22
1275979692 Katarzyna Kaczmarczyk Internal Medicine 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 2013-05-13
1245674050 Richard L Sheldon M D Professional Corporation Internal Medicine 600 N Cecil Rd, Post Falls, ID 83854-6200 2013-04-23
1063856151 Amanda Rose Liggett Internal Medicine 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814-4401 2013-04-19
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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