MARK RANDALL ENSMINGER (NPI# 1871607523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871607523 |
| Entity Type | Individual |
| Full Name | MARK RANDALL ENSMINGER |
| Credential | M.D. |
| Practice Address |
486 W First Ave Glenns Ferry ID 83623-0266 |
| Mailing Address |
Po Box 266 Glenns Ferry ID 83623-0266 |
| Practice Telephone | 2083667416 |
| Practice Fax Number | 2083662717 |
| Mailing Telephone | 2083667416 |
| Mailing Fax Number | 2083662717 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-12457 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD00023657 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
486 W FIRST AVE |
| City | GLENNS FERRY |
| State | ID |
| Zip Code | 83623-0266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263394 | Frances Hammons | Non-emergency Medical Transport (VAN) | 60 East 2nd Ave, Glenns Ferry, ID 83623 | 2018-01-26 |
| 1205348356 | Tnt Apothecary LLC | Pharmacy | 30 Idaho Ave, Glenns Ferry, ID 83623 | 2017-10-30 |
| 1629114939 | County of Elmor Consolidated Class A 192 | Local Education Agency (LEA) | 800 Old Hwy 30, Glenns Ferry, ID 83623 | 2007-01-30 |
| 1396875720 | John P Boothe | Physician Assistant | 486 West 1st Ave, Glenns Ferry, ID 83623 | 2007-03-06 |
| 1851604763 | Glenns Ferry Health Center, Inc. | Counselor | 486 West First Avenue, Glenns Ferry, ID 83623-0266 | 2010-07-20 |
| 1962654673 | Rachelle Alice Jaramillo | Physician Assistant | 486 W First St, Glenns Ferry, ID 83623-0266 | 2008-10-14 |
| 1902936362 | Malya Bingham | Counselor | 486 West 1st Ave, Glenns Ferry, ID 83623-0266 | 2007-03-06 |
| 1649441627 | John C Welch | General Practice | 486 W 1st Ave, Glenns Ferry, ID 83623-0266 | 2008-03-18 |
| 1376673137 | Glenns Ferry Health Center, Inc. | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2007-03-07 |
| 1649828229 | Anson Call Dpt Inc | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2019-08-28 |
| Find all providers in zip 83623 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | GLENNS FERRY |
| Zip Code | 83623 |
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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.