KENNETH WILHELM JR. (NPI# 1053301416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053301416 |
| Entity Type | Individual |
| Full Name | KENNETH WILHELM JR. |
| Practice Address |
4400 E Flamingo Ave Nampa ID 83687-9203 |
| Mailing Address |
217 W Georgia Ave Suite 115 Nampa ID 83686-6811 |
| Practice Telephone | 2082884970 |
| Practice Fax Number | 2082884990 |
| Mailing Telephone | 2084633000 |
| Mailing Fax Number | 2084633034 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
M9346 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHEILD | 000010151677 | 01 |
| ID | BLUE CROSS | 75721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287414 | Kenneth R Wilhelm | Podiatrist | 6101 Redwood Square Ctr, Suite 303, Centreville, VA 20121-4265 | 2005-09-29 |
| 1992916159 | Kenneth Michael Wilhelm | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2007-05-26 |
| 1932169018 | Kenneth George Wilhelm Sr. | Surgery | 5333 Mcauley Dr, Suite R-5017, Ypsilanti, MI 48197-1014 | 2006-03-24 |
| Street Address |
4400 E FLAMINGO AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421291 | Kathy A Dufur | Physical Therapist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2005-10-21 |
| 1902441272 | Krista Carico | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2019-11-11 |
| 1366952285 | Andrea Cortes Dobson | Surgery | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2017-10-05 |
| 1659880276 | Matthew Ries | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2017-09-26 |
| 1174072243 | Michael Ryan Partin | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687 | 2016-09-29 |
| 1629454566 | Terence Michael Niland | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2015-08-03 |
| 1689065377 | Jill Hart | Nurse Practitioner | 4400 E Flamingo Ave, Nampa, ID 83687 | 2015-02-17 |
| 1275979692 | Katarzyna Kaczmarczyk | Internal Medicine | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2013-05-13 |
| 1750620159 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687 | 2013-02-05 |
| 1972861375 | Treasure Valley Surgery Center Nampa Lp | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2012-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1679968051 | Michael Dee Holyoak | Internal Medicine | 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 | 2015-04-01 |
| 1902143134 | Ennis Endocrinology, Pllc | Internal Medicine | 2450 E Gala St Ste 100, Meridian, ID 83642-4805 | 2013-01-08 |
| 1366647729 | Robert F. Ennis | Internal Medicine | 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 | 2007-06-18 |
| 1003881970 | Lynn Ge-zerbe | Internal Medicine | 1759 S Millenium Way, Meridian, ID 83642-1505 | 2006-02-22 |
| 1720068760 | Irinel N Stanciu | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2006-01-17 |
| 1619977600 | John E Liljenquist | Internal Medicine | 2220 E 25th St, Idaho Falls, ID 83404-7542 | 2005-07-30 |
| 1437159423 | Carl D Vance | Internal Medicine | 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 | 2005-07-30 |
| 1285142943 | Selkirk Endocrinology, Pllc | Internal Medicine | 1125 E Polston Ave Ste B, Post Falls, ID 83854-6045 | 2018-01-16 |
| 1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
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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.