MR. SEAN W PAGE (NPI# 1073840278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073840278 |
| Entity Type | Individual |
| Full Name | MR. SEAN W PAGE |
| Credential | PA-C |
| Practice Address |
1210 Nw 16th St Fruitland ID 83619-2202 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2084528600 |
| Mailing Telephone | 2083818746 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-826 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255779419 | Sean Page | Behavioral Analyst | 1010 Grandview Ave, Reno, NV 89503-2625 | 2013-06-10 |
| Street Address |
1210 NW 16TH ST |
| City | FRUITLAND |
| State | ID |
| Zip Code | 83619-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483562 | Clinton W Baker | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2005-11-02 |
| 1487290359 | Jared Anthony Bradford | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2019-11-26 |
| 1982074696 | Brett Johansen | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2015-10-07 |
| 1083001630 | Jesse Ray Cobb | Social Worker | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2015-04-21 |
| 1497998215 | Isaac L Elam | Internal Medicine | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2009-04-08 |
| 1578733234 | Nicole K Hoyt | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2008-03-08 |
| 1073720124 | George J Roth | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2007-05-17 |
| 1437240009 | Dwaine Anthony Tesnohlidek | Surgery | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2006-09-27 |
| 1487611877 | Morris H Smith | Emergency Medicine | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2006-04-28 |
| 1205813847 | Roman J Babij | Surgery | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2005-12-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322382 | Dallin Scott Wilkes | Physical Therapist | 2175 N Whitley Dr., Fruitland, ID 83619 | 2020-07-01 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1154563948 | Becky Jean Wolery | Social Worker | 910 Nw 16th St Ste 101, Fruitland, ID 83619 | 2009-03-25 |
| 1740426196 | John Wesley Linhart | Physical Therapist | 1116 Nw 16th Street, Fruitland, ID 83619 | 2009-01-06 |
| 1528263670 | Snake River Dermatology, Pa | Dermatology | 1611 N Whitley Dr, #7, Fruitland, ID 83619 | 2007-06-19 |
| 1568591204 | John Linton Close | Registered Nurse | 1509 N Whitley Drive, Suite 5, Fruitland, ID 83619 | 2007-03-05 |
| 1629110671 | Payette School Dist #373 | Local Education Agency (LEA) | 303 Sw 3rd Street, Fruitland, ID 83619 | 2007-02-13 |
| 1912075839 | William Frederick Martsch | Dentist | 315 N. Whitley, Fruitland, ID 83619 | 2006-11-30 |
| 1992880132 | Ryan David Hillam | Dentist | 1820 N.whitley Drive, Fruitland, ID 83619 | 2006-10-26 |
| Find all providers in zip 83619 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179620 | Lina M Abunora | Physician Assistant | 318 S Brown St, Fruitland, MD 21826-2106 | 2020-06-23 |
| 1861483562 | Clinton W Baker | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2005-11-02 |
| 1093228769 | Amanda Lynn Turner | Physician Assistant | 811 Nw 12th St, Fruitland, ID 83619-2268 | 2017-11-15 |
| 1215479019 | Samantha Paterson | Physician Assistant | 910 Nw 16th St, Suite 205, Fruitland, ID 83619-2265 | 2016-11-09 |
| 1497172555 | Christina Heninger Benson | Physician Assistant | 910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 | 2014-03-26 |
| 1598008419 | Anne Ingram | Physician Assistant | 910 Nw 16th Street, Ste 101, Fruitland, ID 83619 | 2013-03-28 |
| 1578733234 | Nicole K Hoyt | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2008-03-08 |
| 1073720124 | George J Roth | Physician Assistant | 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
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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.