MR. SCOTT TREVOR FRISBY (NPI# 1982857702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982857702 |
| Entity Type | Individual |
| Full Name | MR. SCOTT TREVOR FRISBY |
| Credential | PA-C |
| Practice Address |
1525 E Leighfield Dr Meridian ID 83646-5371 |
| Mailing Address |
Po Box 44440 Boise ID 83711-0440 |
| Practice Telephone | 2088881199 |
| Practice Fax Number | 2088880807 |
| Mailing Telephone | 2088881199 |
| Mailing Fax Number | 2088880807 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 7164781-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-986 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1525 E LEIGHFIELD DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942250972 | David Butuk | Family Medicine | 1525 E Leighfield Dr, Ste. 150, Meridian, ID 83646-5371 | 2006-05-11 |
| 1740663657 | Meredith Mangum | Nurse Practitioner | 1525 E Leighfield Dr, Suite 150, Meridian, ID 83646-5371 | 2015-07-09 |
| 1437489895 | Jennifer L Nordquist | Nurse Practitioner | 1525 E Leighfield Dr, Ste 150, Meridian, ID 83646-5371 | 2010-01-07 |
| 1710174800 | David J Butuk Md Pa | Family Medicine | 1525 E Leighfield Dr, Suite 150, Meridian, ID 83646-5371 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134401326 | A Teresa Gabiola Shelton | Physician Assistant | 3025 E Cherry Lane, Ste B, Meridian, ID 83642-8531 | 2011-09-13 |
| 1386933513 | Laura Poly | Physician Assistant | 2971 E Copper Point Dr Ste 125, Meridian, ID 83642-9277 | 2011-03-28 |
| 1548265218 | Rick Steinburg | Physician Assistant | 3085 E Magic View Dr # 140, Meridian, ID 83642-3757 | 2005-06-17 |
| 1992337034 | Whitney Sloan Bancroft Trammell | Physician Assistant | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2020-02-06 |
| 1851957005 | Samantha Christine Verner | Physician Assistant | 260 S Ten Mile Rd, Meridian, ID 83642-6100 | 2019-05-14 |
| 1710438874 | Carin Bohan | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-24 |
| 1366993883 | Nathan James Richard | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-19 |
| 1013466200 | Benjamin Watson | Physician Assistant | 520 S Eagle Rd, Suite 1234, Meridian, ID 83642-6351 | 2016-09-28 |
| 1982944617 | Tate J Hansen | Physician Assistant | 520 S Eagle Rd, Ste 1222, Meridian, ID 83642-6351 | 2013-02-16 |
| 1508142613 | Kristina Huffaker | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2011-11-02 |
| Find all providers in MERIDIAN | ||||
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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.