IDAHO SLEEP SPECIALISTS PC (NPI# 1942782735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942782735 |
| Entity Type | Organization |
| Organization Name | IDAHO SLEEP SPECIALISTS PC |
| Other Organization Name | IDAHO SLEEP SPECIALISTS SLEEP LAB |
| Practice Address |
403 S 11th St Ste 210 Boise ID 83702-6968 |
| Mailing Address |
Po Box 9589 Boise ID 83707-4589 |
| Practice Telephone | 2088950411 |
| Practice Fax Number | 2088950406 |
| Mailing Telephone | 2084728107 |
| Mailing Fax Number | 2084728172 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | BRETT TROYER (OWNER) |
| Authorized Official Telephone | 2088950411 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | 8N847 | 01 |
| Other Name | Type Code |
|---|---|
| Idaho Sleep Specialists Sleep Lab | Other Name - Individual/Organization |
| Street Address |
403 S 11TH ST STE 210 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922599067 | Idaho Sleep Specialists, PC | Durable Medical Equipment & Medical Supplies | 403 S 11th St Ste 210, Boise, ID 83702-6968 | 2018-05-24 |
| 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 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922601 | Premier Home Sleep Testing | Clinic/Center | 644 Monte Vista Dr, Twin Falls, ID 83301-4345 | 2015-01-22 |
| 1316195035 | Inland Sleep Center, LLC | Clinic/Center | 609 N Calgary Ct, Suite 103, Post Falls, ID 83854-4906 | 2008-09-06 |
| 1740335991 | Idaho Diagnostic Sleep Lab, Inc. | Clinic/Center | 2423 S Georgia Ave, Caldwell, ID 83605-4477 | 2007-01-25 |
| 1992850671 | Idaho Diagnostic Sleep Lab, Inc. | Clinic/Center | 526 Shoup Ave W Ste C, Twin Falls, ID 83301-5050 | 2007-01-24 |
| 1972650521 | Patricia Ann Morgan | Clinic/Center | 1211 Michigan St, Suite A, Sandpoint, ID 83864-5185 | 2007-01-05 |
| 1285958991 | The Health and Wellness Sleep Institute of Pocatello LLC | Clinic/Center | 1553 E Center St, Pocatello, ID 83201-4135 | 2010-03-24 |
| 1396900742 | Kimberly A. Vorse Md PC | Clinic/Center | 380 Washington Ave, Suite 201, Ketchum, ID 83340 | 2008-07-25 |
| 1427100270 | Sleep Disorder Center of Eastern Idaho, Inc. | Clinic/Center | 2001 S Woodruff, Ste 11, Idaho Falls, ID 83404 | 2007-01-18 |
Please comment or provide details below to improve the information on IDAHO SLEEP SPECIALISTS PC.
| 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.