RONALD W ALM (NPI# 1033105275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033105275 |
| Entity Type | Individual |
| Full Name | RONALD W ALM |
| Credential | DPM |
| Practice Address |
803 16th Ave Lewiston ID 83501-3733 |
| Practice Telephone | 2087432091 |
| Practice Fax Number | 2087435444 |
| Mailing Telephone | 2087432091 |
| Mailing Fax Number | 2087435444 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-02-24 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
P127 | ID | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
P127 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0064483 | 01 |
| WA | WASHINGTON MEDICAID | 1048552 | 01 |
| ID | 0013290 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 S Main St, Moscow, ID 838433046 | 2088824511 |
| Street Address |
803 16TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223879 | James Dawn | Podiatrist | 1775 W State St # 299, Boise, ID 83702-3924 | 2018-11-05 |
| 1548564412 | Dpmgilbertnrid LLC | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2011-01-06 |
| 1093924813 | Craig D Holman | Podiatrist | 496 Shoup Ave W Ste B, Twin Falls, ID 83301-5043 | 2007-05-21 |
| 1598197857 | Christensen Foot & Ankle Clinic | Podiatrist | 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 | 2013-08-08 |
| 1063769297 | Snake River Podiatry Pllc | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2012-08-07 |
| 1962783233 | Boise Foot and Ankle Group | Podiatrist | 727 E Riverpark Ln, Suite 100, Boise, ID 83706-4069 | 2011-08-31 |
| 1588993018 | Dpmcallnrid LLC | Podiatrist | 718 Beulahs Ln, Idaho Falls, ID 83401-2340 | 2009-12-11 |
| 1891920476 | Don J Gilbert | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2009-05-26 |
| 1801071550 | Randy E Lowe | Podiatrist | 230 W Mallard Dr, Suite C, Boise, ID 83706-6600 | 2007-12-31 |
| 1982711578 | Boise Podiatry Clinic, P. A. | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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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.