MARTIN R TUBACH (NPI# 1982656591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982656591 |
| Entity Type | Individual |
| Full Name | MARTIN R TUBACH |
| Credential | MD |
| Practice Address |
6052 W State St Boise ID 83703-2739 |
| Practice Telephone | 2089471947 |
| Practice Fax Number | 2089471945 |
| Mailing Telephone | 2089471947 |
| Mailing Fax Number | 2089471945 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M8065 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805751800 | 05 |
| Street Address |
6052 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83703-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635977 | Nathan John Church | Physician Assistant | 6052 W State St, Boise, ID 83703-2739 | 2005-11-02 |
| 1275175291 | Hailey M Gordon | Nurse Practitioner | 6052 W State St, Boise, ID 83703-2739 | 2019-10-10 |
| 1659939031 | Brian C Cey | Nurse Practitioner | 6052 W State St, Boise, ID 83703-2739 | 2019-05-31 |
| 1467803957 | Brenna Elizabeth Sweeney | Specialist/Technologist | 6052 W State St, Boise, ID 83703-2739 | 2016-06-25 |
| 1033595905 | Ryan Anthony Baugher | Family Medicine | 6052 W State St, Boise, ID 83703-2739 | 2015-08-03 |
| 1871904698 | Matthew Mors | Otolaryngology | 6052 W State St, Boise, ID 83703-2739 | 2014-05-14 |
| 1285068056 | Valerie Romanello | Physical Therapist | 6052 W State St, Boise, ID 83703-2739 | 2013-08-28 |
| 1902230923 | Barbara Susan Kerr | Physical Therapist | 6052 W State St, Boise, ID 83703-2739 | 2013-08-27 |
| 1245522036 | Kelly Catherine Wilkinson | Family Medicine | 6052 W State St, Boise, ID 83703-2739 | 2011-05-11 |
| 1396981643 | Alliance Medical Group, LLC | Family Medicine | 6052 W State St, Boise, ID 83703-2739 | 2008-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822942 | Delray Maughan, M.d. Pllc | Otolaryngology | 13900 W Wainwright Dr Ste 101, Boise, ID 83713-5028 | 2017-06-29 |
| 1619067436 | Ryan Lewis Van De Graaff | Otolaryngology | 900 N Liberty St., Ste 400, Boise, ID 83704 | 2006-10-13 |
| 1649253188 | Delray Maughan | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713-5028 | 2005-11-29 |
| 1770573750 | Donald J Beasley | Otolaryngology | 901 N Curtis Road, Ste 104, Boise, ID 83706 | 2005-10-21 |
| 1255596771 | Jacob G Robison | Otolaryngology | 100 E Idaho St, Boise, ID 83712-6267 | 2008-07-24 |
| 1306823125 | Southwest Idaho Ear, Nose and Throat | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-12-22 |
| 1992788434 | Matthew B Schwarz | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-29 |
| 1659354223 | Arthur Jones IIi | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-28 |
| 1306829973 | Todd Rustad | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414436 | Bonner General Hospital, Inc. | Otolaryngology | 606 N 3rd Ave Ste 102, Sandpoint, ID 83864-1594 | 2018-10-26 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1558809160 | Inland Empire Ear, Nose Throat and Allergy, Pllc | Otolaryngology | 2236 N Merrit Crk Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2017-02-02 |
| 1821318510 | Philip Dawson Affleck | Otolaryngology | 3645 Georgia Ln, Ammon, ID 83406-7809 | 2010-06-04 |
| 1497997092 | Daniel Edward Cannon | Otolaryngology | 700 W Ironwood Dr Ste 278, Coeur D Alene, ID 83814-4400 | 2009-03-27 |
| 1497953459 | Kent W. Davis | Otolaryngology | 3869 Canterbury Way, Idaho Falls, ID 83404-7971 | 2007-07-10 |
| 1588861918 | Leon Goldman | Otolaryngology | 127 Saddle Road, Bigwood E4, Ketchum, ID 83340 | 2007-06-29 |
| 1467667550 | Brandy Marie Tacia | Otolaryngology | 750 N Syringa St Ste 203a, Post Falls, ID 83854-5275 | 2007-05-11 |
| 1275698367 | Jeffrey Daniel Burry | Otolaryngology | 330 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-27 |
| 1427153097 | Temp Ray Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | 2006-09-14 |
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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.