JEFFREY B. SYMMONDS (NPI# 1154370328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154370328 |
Entity Type | Individual |
Full Name | JEFFREY B. SYMMONDS |
Credential | MD |
Practice Address |
6140 W Curtisian Suite 300 Boise ID 83704 |
Mailing Address |
3340 East Goldstone Way Meridian ID 83642-1026 |
Practice Telephone | 2083677787 |
Practice Fax Number | 2083677798 |
Mailing Telephone | 2083675170 |
Mailing Fax Number | 2083675180 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2010-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
M5182 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 003956300 | 05 | |
RR MEDICARE | 020029312 | 01 |
Street Address |
6140 W CURTISIAN SUITE 300 |
City | BOISE |
State | ID |
Zip Code | 83704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457328478 | Dale W. Mcgar Jr. | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2006-03-08 |
1588031272 | Finnegan Greer | Physician Assistant | 6140 W Curtisian, Ste 102, Boise, ID 83704 | 2015-08-28 |
1306274006 | Jocelyn L Mccullough | Clinical Nurse Specialist | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2013-10-16 |
1528316700 | Kelsey Field Babcock | Physician Assistant | 6140 W Curtisian, Ste 200, Boise, ID 83704-0107 | 2012-08-20 |
1487936829 | Frances Margaret Rogien | Nurse Practitioner | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2011-09-12 |
1831355957 | Benedict James Winston Taylor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6140 W Curtisian, Ste 102, Boise, ID 83704-0109 | 2008-07-29 |
1417081399 | Alex C Johnson | Internal Medicine | 6140 W Curtisian, Suite 200, Boise, ID 83704 | 2007-03-15 |
1376622985 | Matthew Ryan Nelson | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-11-03 |
1962501890 | David K Lee | Internal Medicine | 6140 W Curtisian, Suite 300, Boise, ID 83704-0107 | 2006-09-21 |
1730194150 | Ilyas Kaizar Colombowala | Internal Medicine | 6140 W Curtisian, Ste 300, Boise, ID 83704 | 2006-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598726960 | Christopher M Alessi | Surgery | 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 | 2006-03-28 |
1033608161 | Alessi Vascular Surgery PC | Surgery | 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 | 2018-05-03 |
1043527286 | Graham W Donald | Surgery | 6140 W Curtisian Ave, Ste 102, Boise, ID 83704 | 2010-09-09 |
1659699841 | St Luke's Regional Medical Center | Surgery | 333 N 1st St, Ste 280, Boise, ID 83702-6100 | 2010-05-12 |
1790738516 | Jeffery J. Gilbertson | Surgery | 333 N 1st St, Suite 280, Boise, ID 83702-6100 | 2006-05-19 |
1104878446 | Philippe A. Masser | Surgery | 333 N 1st St, Suite 280, Boise, ID 83702-6100 | 2006-05-16 |
1609828003 | Brian D Matteson | Surgery | 333 N 1st St, #280, Boise, ID 83702-6100 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770529240 | Wes Jon Arlein | Surgery | 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814 | 2006-06-21 |
1598717985 | Michael J. Tullis | Surgery | 3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005 | 2006-05-16 |
1598767196 | Douglas R Stafford | Surgery | 2109 N Main St, Coeur D Alene, ID 83814 | 2005-08-12 |
1164426771 | Gregory R. Hodson | Surgery | 2225 Teton Plz, Ste B, Idaho Falls, ID 83404-6494 | 2005-06-10 |
1609346303 | Superior Vein Care, Pllp | Surgery | 3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005 | 2018-11-26 |
1043322811 | Laser and Vein Center Pllc | Surgery | 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 | 2006-08-31 |
1922035104 | David A Johnson | Surgery | 775 Pole Line Rd W, Suite 213, Twin Falls, ID 83301-5814 | 2006-06-26 |
1841234069 | Venia, Pllc | Surgery | 2109 N Main St, Coeur D Alene, ID 83814-5768 | 2006-06-16 |
1467499418 | David Johnson, M.d., P. A. | Surgery | 775 Pole Line Rd W, Suite 213, Twin Falls, ID 83301-5814 | 2006-05-31 |
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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.