FAMILY PRACTICE ASSOCIATES PA MID LEVEL (NPI# 1982888756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982888756 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE ASSOCIATES PA MID LEVEL |
| Practice Address |
21 E Maple St Suite A Hailey ID 83333-8401 |
| Practice Telephone | 2087883200 |
| Practice Fax Number | 2087883386 |
| Mailing Telephone | 2087883200 |
| Mailing Fax Number | 2087883386 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | DONALD LEVIN (PHYSICIAN) |
| Authorized Official Telephone | 2087883200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8076448 | 05 | |
| ID | BLUE CROSS | 8H716 | 01 |
| Street Address |
21 E MAPLE ST SUITE A |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258621 | Donald Levin | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2006-05-02 |
| 1679713150 | Sun Valley Pharmacies, Inc | Pharmacy | 21 E Maple St, Suite B, Hailey, ID 83333-4900 | 2009-02-24 |
| 1104977511 | Jennifer M Cook | Physical Therapist | 21 E Maple St, Suite D, Hailey, ID 83333-8401 | 2007-01-13 |
| 1376602136 | Mary A Hogan | Physical Therapist | 21 E Maple St, Suite D, Hailey, ID 83333-8401 | 2006-12-07 |
| 1194802108 | Karen E Fisher Ent | Durable Medical Equipment & Medical Supplies | 21 E Maple St, Suite B, Hailey, ID 83333-8401 | 2006-11-01 |
| 1033206297 | Karen's Family Pharmacy | Pharmacy | 21 E Maple St, Suite B, Hailey, ID 83333-8401 | 2006-10-09 |
| 1184657686 | Family Practice Associates, Pa | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-8401 | 2006-07-08 |
| 1427085596 | Carol A Wade | Nurse Practitioner | 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457481343 | Richard Charles Moore | Family Medicine | 309 East Spruce, Hailey, ID 83333-3530 | 2007-03-07 |
| 1841258621 | Donald Levin | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2006-05-02 |
| 1083842272 | Amy C Drumm | Family Medicine | 1450 Aviation Dr, Ste 100, Hailey, ID 83333-8785 | 2009-06-25 |
| 1982620787 | Julie A Lyons | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-07-14 |
| 1184657686 | Family Practice Associates, Pa | Family Medicine | 21 E Maple St, Suite A, Hailey, ID 83333-8401 | 2006-07-08 |
| 1003852849 | Cortney A Vandenburgh | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-21 |
| 1164463964 | Lois Adrian | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-10 |
| 1235170713 | Lucinda Leigh Morse | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-08 |
| 1083653661 | Kathryn A Woods | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-06 |
| 1255387874 | Richard F. Paris | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-05-25 |
| Find all providers in HAILEY | ||||
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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.