COTTONWOOD FAMILY MEDICINE (NPI# 1922366707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922366707 |
| Entity Type | Organization |
| Organization Name | COTTONWOOD FAMILY MEDICINE |
| Practice Address |
100 Cottonwood Court Suite 150 Boise ID 87616 |
| Mailing Address |
100 Cottonwood Court Suite 150 Boise ID 83616 |
| Practice Telephone | 2089952875 |
| Practice Fax Number | 2089952874 |
| Mailing Telephone | 2089952875 |
| Mailing Fax Number | 2089952874 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MARCIA DEE PRICE-MILLER (OWNER/OPERATOR) |
| Authorized Official Telephone | 2089952875 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003874400 | 05 | |
| BLUE CROSS | 51276 | 01 |
| Street Address |
100 COTTONWOOD COURT SUITE 150 |
| City | BOISE |
| State | ID |
| Zip Code | 87616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174411 | K-now Behavioral Solutions, LLC | Behavioral Analyst | 9917 W Antietam St, Boise, ID 83709-3405 | 2020-11-06 |
| 1497356612 | Golden Hour Care Services, LLC | Technician | 3185 S Apple St Apt 104, Boise, ID 83706-6823 | 2020-11-04 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1487253233 | Miller Organization LLC | Hearing Instrument Specialist | 7974 W Fairview Ave, Boise, ID 83704-8421 | 2020-10-22 |
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1740889989 | Sarah Lorraine Gill | Behavior Technician | 1015 W University Dr, Boise, ID 83706-3006 | 2020-10-20 |
| 1124626502 | Michael Corey | Behavior Technician | 4618 W Gage St, Boise, ID 83706-2124 | 2020-10-16 |
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| Find all providers in BOISE | ||||
| 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 |
|---|---|---|---|---|
| 1790269389 | Erin Michelle Love Mcdermott | Family Medicine | 2402 W Jefferson St, Boise, ID 83702-4811 | 2018-09-19 |
| 1336656040 | Functional Medicine of Idaho PC | Family Medicine | 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008 | 2018-01-03 |
| 1922456870 | Daniel Luftig | Family Medicine | 1041 S Dale St Apt 302, Boise, ID 83706-7641 | 2016-06-01 |
| 1942676598 | Robert F. Smith, Md, Pllc | Family Medicine | 320 N Collins Rd, Boise, ID 83702-4519 | 2015-08-18 |
| 1861827222 | Treasure Valley Neuropathy Relief Center PC | Family Medicine | 1755 N Westgate Dr, Suite 200, Boise, ID 83704-7174 | 2013-09-04 |
| 1205272986 | Shahla Walizada | Family Medicine | 2141 E Parkcenter Blvd, Samg Bhp Family Medicine, Boise, ID 83706 | 2013-05-21 |
| 1891057246 | Kara Mackenzie Kuntz | Family Medicine | 5966 W Curtisian Road, Boise, ID 83704 | 2012-06-12 |
| 1720377476 | Steven Schneider | Family Medicine | 3775 W Quail Hollow Dr, Boise, ID 83703-3869 | 2011-04-04 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1497991749 | Alliance Medical Group, LLC | Family Medicine | 1907 Broadway Ave, Suite 101, Boise, ID 83706-4201 | 2008-12-16 |
| Find all providers in BOISE | ||||
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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.