MICHEAL JOHN ADCOX (NPI# 1851345193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851345193 |
| Entity Type | Individual |
| Full Name | MICHEAL JOHN ADCOX |
| Credential | M.D. |
| Practice Address |
333 N 1st St Suite 140 Boise ID 83702-6100 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083819026 |
| Practice Fax Number | 2083819027 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M-6054 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
333 N 1ST ST SUITE 140 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935966 | Heidi Louise Nagel | Genetic Counselor, MS | 333 N 1st St, Suite 150, Boise, ID 83702-6100 | 2006-01-05 |
| 1558715235 | Laura Mae Defenbach | Genetic Counselor, MS | 333 N 1st St, Suite 150, Boise, ID 83702-6100 | 2016-04-19 |
| 1558799270 | Nita M Barrelier Verner | Nurse Practitioner | 333 N 1st St, Suite #140, Boise, ID 83702-6100 | 2013-10-15 |
| 1780949164 | Cortney Lynn Schnupp | Nurse Practitioner | 333 N 1st St, 240, Boise, ID 83702-6100 | 2012-07-11 |
| 1538476239 | Tyler S Stewart | Physician Assistant | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2010-09-02 |
| 1659699841 | St Luke's Regional Medical Center | Surgery | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2010-05-12 |
| 1366675985 | Sarah R. Sparks | Nurse Practitioner | 333 N 1st St, Suite 140, Boise, ID 83702-6100 | 2009-08-30 |
| 1730311564 | Aaron L Thomason | Nurse Practitioner | 333 N 1st St, Suite 280, Boise, ID 83702-6100 | 2009-08-12 |
| 1558508085 | Beau G Walker | Physician Assistant | 333 N 1st St, Suite 280, Boise, ID 83702-6100 | 2009-01-21 |
| 1295900744 | Jordan D Keyes | Spec/Tech, Cardiovascular | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2008-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887050 | St Michael Nephrology, Pllc | Internal Medicine | 1674 S Loggers Pond Pl Apt 14, Boise, ID 83706-7517 | 2019-05-26 |
| 1063719292 | St Clair Specialty Physicians | Internal Medicine | 5610 Gage Street, Suite A, Boise, ID 83706 | 2011-02-24 |
| 1497931893 | Mark David Poirier | Internal Medicine | 5610 W Gage St Ste A, Boise, ID 83706 | 2008-01-15 |
| 1780621771 | Nicholas C Hunt I | Internal Medicine | 5610 W Gage St, Suite A, Boise, ID 83706-1349 | 2006-05-31 |
| 1598789950 | Idaho Nephrology Associates, L.l.c | Internal Medicine | 5610 Gage St, Suite A, Boise, ID 83706-1349 | 2006-07-27 |
| 1164459541 | Jon Parker Wagnild | Internal Medicine | 5610 Gage St, Suite A, Boise, ID 83706-1349 | 2006-06-28 |
| 1952343352 | Thomas J Pintar | Internal Medicine | 5610 W Gage St, Suite A, Boise, ID 83706-1349 | 2006-06-11 |
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| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1033483052 | Magic Valley Kidney Institute LLP | Internal Medicine | 350 N Haven St Ste 200, Twin Falls, ID 83301-5788 | 2012-03-08 |
| 1558680587 | Brian Doxey Snow | Internal Medicine | 4424 E Flamingo Ave Ste 340, Nampa, ID 83687-9306 | 2010-06-01 |
| 1609952381 | Ajith J Kumar | Internal Medicine | 2124 12th Ave, Lewiston, ID 83501-3502 | 2006-10-27 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1235151077 | Vashu Deoomal Thakur | Internal Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-07-24 |
| 1720074990 | Sherwin S. Foster | Internal Medicine | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2005-09-23 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1013395268 | University of Utah Adult Services | Internal Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2015-05-08 |
| 1588041131 | University of Utah Adult Services | Internal Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2015-05-04 |
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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.