DR. ROBERT A SWENSEN (NPI# 1225354244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225354244 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A SWENSEN |
| Credential | DPM |
| Practice Address |
1075 N Curtis Road Ste 300 Boise ID 83706 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083673330 |
| Practice Fax Number | 2083673331 |
| Mailing Telephone | 2083673330 |
| Mailing Fax Number | 2083673331 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2014-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P-225 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICAL LICENSE | P-225 | 01 |
| Street Address |
1075 N CURTIS ROAD STE 300 |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902867849 | Robert E Shumaker | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706 | 2006-03-30 |
| 1255867552 | Erin Jones | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706 | 2017-05-05 |
| 1558808501 | Jessica Braksiek | Nurse Practitioner | 1075 N Curtis Road, Ste 200, Boise, ID 83706 | 2017-01-30 |
| 1881084994 | Megan Rutte | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706 | 2015-01-27 |
| 1497153266 | Shane Haas | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706 | 2014-12-10 |
| 1326380544 | Megan Lane | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706-1348 | 2013-03-26 |
| 1447500210 | Rachel Garver | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706 | 2012-09-19 |
| 1710282074 | Kathleen Leigh Fossen | Physician Assistant | 1075 N Curtis Road, Ste 300, Boise, ID 83706-1309 | 2011-01-18 |
| 1659691210 | Wesley W Flint | Orthopaedic Surgery | 1075 N Curtis Road, Ste 300, Boise, ID 83706-1338 | 2010-06-07 |
| 1417181207 | Ryan Douglas Bibler | Internal Medicine | 1075 N Curtis Road, Ste 200, Boise, ID 83706 | 2009-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093135634 | Ankle & Foot Medical Center PC | Podiatrist | 222 N 2nd St, Suite 301, Boise, ID 83702-6109 | 2014-04-22 |
| 1104975168 | Clinton Clark Dpm LLC | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
| 1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
| 1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
| 1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
| 1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
| 1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
| 1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
| 1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
| 1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
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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.