VASHU DEOOMAL THAKUR (NPI# 1235151077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235151077 |
| Entity Type | Individual |
| Full Name | VASHU DEOOMAL THAKUR |
| Credential | MD |
| Practice Address |
166 S 5th St Montpelier ID 83254-1557 |
| Practice Telephone | 2088471110 |
| Practice Fax Number | 2088470228 |
| Mailing Telephone | 2088471110 |
| Mailing Fax Number | 2088470228 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M9675 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | SUBPART NPI | 1174741441 | 01 |
| LA | 1360228 | 05 | |
| ID | BLUE CROSS | 8I011 | 01 |
| ID | IDAHO CONTROLLED SUBSTANC | CS11752 | 01 |
| ID | DEA | BT0711134 | 01 |
| ID | REGENCE BLUE SHIELD | 000010157855 | 01 |
| ID | IDAHO LICENSE | M9675 | 01 |
| ID | BLUE CROSS OF IDAHO | 8N475 | 01 |
| Street Address |
166 S 5TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366677759 | Trevor Dean Jacobson | Family Medicine | 166 S 5th St, Montpelier, ID 83254-4959 | 2009-05-28 |
| 1174741441 | Bear Lake County Memorial Hospital | Internal Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2007-04-23 |
| 1376613851 | Joseph Edward Podany Jr. | Surgery | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-11-09 |
| 1295813475 | Clay I. Campbell M.d.,p.c. | Family Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| Find all providers in zip 83254 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1144887050 | St Michael Nephrology, Pllc | Internal Medicine | 1674 S Loggers Pond Pl Apt 14, Boise, ID 83706-7517 | 2019-05-26 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1033483052 | Magic Valley Kidney Institute LLP | Internal Medicine | 350 N Haven St Ste 200, Twin Falls, ID 83301-5788 | 2012-03-08 |
| 1063719292 | St Clair Specialty Physicians | Internal Medicine | 5610 Gage Street, Suite A, Boise, ID 83706 | 2011-02-24 |
| 1558680587 | Brian Doxey Snow | Internal Medicine | 4424 E Flamingo Ave Ste 340, Nampa, ID 83687-9306 | 2010-06-01 |
| 1497931893 | Mark David Poirier | Internal Medicine | 5610 W Gage St Ste A, Boise, ID 83706 | 2008-01-15 |
| 1609952381 | Ajith J Kumar | Internal Medicine | 2124 12th Ave, Lewiston, ID 83501-3502 | 2006-10-27 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1780621771 | Nicholas C Hunt I | Internal Medicine | 5610 W Gage St, Suite A, Boise, ID 83706-1349 | 2006-05-31 |
| 1720074990 | Sherwin S. Foster | Internal Medicine | 8836 N Hess St, Suite C, Hayden, ID 83835-8718 | 2005-09-23 |
| Find all providers with the same taxonomy | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
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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.