JOHN R TRUMBO (NPI# 1982640132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982640132 |
| Entity Type | Individual |
| Full Name | JOHN R TRUMBO |
| Credential | MD |
| Practice Address |
315 E Elm St Suite 100 Caldwell ID 83605-4857 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2084597415 |
| Practice Fax Number | 2084533200 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M8478 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806396500 | 05 |
| Street Address |
315 E ELM ST SUITE 100 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826209 | Brenda S Davies | Obstetrics & Gynecology | 315 E Elm St, Suite 310, Caldwell, ID 83605-4857 | 2006-01-24 |
| 1285105544 | Trevor J Crapo | Physician Assistant | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2018-12-16 |
| 1174063036 | Ian Hotchkiss | Family Medicine | 315 E Elm St, Ste 200, Caldwell, ID 83605 | 2017-02-27 |
| 1326305004 | Roger Wyatt | Family Medicine | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2012-04-18 |
| 1770873572 | St Lukes Idaho Cardiology Associates | Internal Medicine | 315 E Elm St, Suite 350, Caldwell, ID 83605-4857 | 2011-04-13 |
| 1124354519 | Saint Alphonsus Regional Medical Center | Internal Medicine | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2009-10-20 |
| 1922261577 | Janel K. Murray | Nurse Practitioner | 315 E Elm St, Suite 350, Caldwell, ID 83605-4857 | 2008-07-03 |
| 1861676298 | Saint Alphonsus Regional Medical Center Inc | Nurse Practitioner | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2007-12-20 |
| 1992994776 | Carl William Steinmann | Physician Assistant | 315 E Elm St, Ste 100, Caldwell, ID 83605 | 2007-10-17 |
| 1578767117 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 | 2007-06-14 |
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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 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609929 | Merle L. Keller IIi | Pediatrics | 315 E. Elm Ste 100, Caldwell, ID 83605 | 2008-05-13 |
| 1306931787 | David J Strader | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1508809914 | Matthew S Brown | Pediatrics | 315 E Elm St Ste 100, Caldwell, ID 83605-4858 | 2006-06-14 |
| 1144209248 | Paul William Fleenor | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605-4858 | 2006-01-17 |
| 1841604089 | Jared Thompson | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2014-06-16 |
| 1053555326 | Jee Hur | Pediatrics | 315 E Elm Street, Ste 100, Caldwell, ID 83605 | 2009-04-29 |
| 1700032372 | Verona Pediatrics | Pediatrics | 80 Bloomfield Ave, Second Floor, Caldwell, NJ 07006-5343 | 2008-08-14 |
| 1730275207 | Cynthia R Prestigiacomo | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-04 |
| 1811081409 | Sarah Nielsen | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1912092453 | Nancy Mallon | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
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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.