OBHG IDAHO PC (NPI# 1881204261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881204261 |
| Entity Type | Organization |
| Organization Name | OBHG IDAHO PC |
| Practice Address |
1717 Arlington Ave Caldwell ID 83605-4802 |
| Mailing Address |
777 Lowndes Hill Rd Bldg 1 Greenville SC 29607-2101 |
| Practice Telephone | 8649083530 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MR. CLIFF LAWRENCE (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 8649083530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
1717 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767800 | West Valley Lifeline Services | Durable Medical Equipment & Medical Supplies | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-04-05 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1578103180 | David Michael Calley | Pharmacist | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-01-11 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
| 1609357003 | Sarina L Folwell | Registered Nurse | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2018-08-23 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| 1629425707 | Hospital Medicine Associates of Idaho PC | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-05-19 |
| 1528429172 | Brett Bemis | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730146648 | Gina M Dado | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2006-04-26 |
| 1407826209 | Brenda S Davies | Obstetrics & Gynecology | 315 E Elm St, Suite 310, Caldwell, ID 83605-4857 | 2006-01-24 |
| 1275533184 | Michael J Robinson | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2005-07-21 |
| 1922313253 | William Barrett Stinger | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2010-08-11 |
| 1710185111 | Jessica Elaine Fu | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2007-07-06 |
| 1770670473 | Nathan Tillotson | Obstetrics & Gynecology | 315 E Elm St Ste 310, Caldwell, ID 83605-4881 | 2006-10-06 |
| 1598735391 | Theodore W Colwell | Obstetrics & Gynecology | 315 Elm Street, Ste 310, Caldwell, ID 83605 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609222355 | Brennan Anderson | Obstetrics & Gynecology | 4424 E Flamingo Ave Ste 200, Nampa, ID 83687-9300 | 2016-05-12 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1902179914 | Gary Gregerson Md Pa | Obstetrics & Gynecology | 1611 12th Ave Road, Suite A, Nampa, ID 83686-6182 | 2012-02-22 |
| 1073809729 | Morgan Ann Morton | Obstetrics & Gynecology | 423 North 3rd Ave., Ste. 210, Sandpoint, ID 83864-1505 | 2011-06-21 |
| 1972827582 | Carissa M Richardson | Obstetrics & Gynecology | 980 W Ironwood Dr #101, Coeur D'alene, ID 83814 | 2010-03-25 |
| 1891932422 | Ihc Health Services Inc | Obstetrics & Gynecology | 1408 Pomerelle, Suite H, Burley, ID 83318-2682 | 2009-01-20 |
| 1457508947 | Gerald Elbert Mortimer | Obstetrics & Gynecology | 2095 Heather Ln, Ammon, ID 83406-6705 | 2008-08-26 |
| 1396914917 | Jason Oneal Parkinson | Obstetrics & Gynecology | 1408 Pomerelle Ave, Suite H, Burley, ID 83318-2067 | 2008-02-28 |
| 1811185184 | Teton Women's Health Center | Obstetrics & Gynecology | 2001 S Woodruff Ave Ste 10, Idaho Falls, ID 83404-6372 | 2007-10-11 |
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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.