TYSHAE JAGGI


Address: 465 Memorial Dr, Pocatello, ID 83201-4008
Phone: 2082327862

TYSHAE JAGGI (NPI# 1972127942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972127942
Entity Type Individual
Full Name TYSHAE JAGGI
Credential DO
Practice Address 465 Memorial Dr
Pocatello
ID 83201-4008
Mailing Address 500 S 11th Ave Ste 400
Pocatello
ID 83201-4880
Practice Telephone 2082327862
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MRO-1967 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 465 MEMORIAL DR
City POCATELLO
State ID
Zip Code 83201-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578555603 Nicole Murdock Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2005-08-16
1538785191 Kailey Jo Murphy Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-19
1568087435 Sye Speth Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-16
1376168013 Martin Steele Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-09
1356965396 Jokke Kokkonen Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-05
1649894692 Richard John Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-05
1003430174 Emily Davis Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-03
1134743628 Brandon Dean Comish Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-01
1598318792 Brandon Griffin Dentist 465 Memorial Dr, Pocatello, ID 83201-4008 2019-07-17
1942852595 Griffin Loutzenhiser Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2019-07-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891234332 Clair Enterprises Inc Family Medicine 2552 Oneida St, Pocatello, ID 83201-2145 2017-02-16
1124406186 Michael A Anderson Family Medicine 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 2015-05-11
1093078578 Sharla Clark Family Medicine 1951 Bench Road, Suite B, Pocatello, ID 83201-4008 2012-06-20
1508194580 Jared M Kam Family Medicine 353 N 4th Ave Ste 102, Pocatello, ID 83201-6391 2009-12-02
1417118787 Lavonne R. Mills, Md Family Medicine 3307 N Stephanie Rd, Pocatello, ID 83204-7285 2008-06-19
1801926035 Jack Pearson Summers Family Medicine 5418 W Buckskin Rd, Pocatello, ID 83201-9126 2007-03-06
1053483669 Mountain View Family Medicine, Inc Family Medicine 2006 Birdie Thompson Dr, Pocatello, ID 83201-2768 2006-11-15
1093884363 Jared Michael Price Family Medicine 1951 Bench Rd Ste B, Pocatello, ID 83201-2073 2006-11-08
1225124936 Jordan Lyle Bailey Family Medicine 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 2006-10-04
1396796199 Gary Walker Kearl Family Medicine 444 Hospital Way Suite 801, Pocatello Va Outpatiend Clinic, Pocatello, ID 83201 2006-05-15
Find all providers in POCATELLO

Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

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.

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