POOLE JOINT REPLACEMENT SPECIALISTS (NPI# 1265903736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265903736 |
| Entity Type | Organization |
| Organization Name | POOLE JOINT REPLACEMENT SPECIALISTS |
| Practice Address |
2365 E Gala St Ste 1 Meridian ID 83642-4881 |
| Mailing Address |
2965 E Tarpon Dr Ste 150 Meridian ID 83642-9007 |
| Practice Telephone | 2083915811 |
| Mailing Telephone | 2082879420 |
| Mailing Fax Number | 2082879426 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | COLIN POOLE (MD, OWNER) |
| Authorized Official Telephone | 2083915811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2365 E GALA ST STE 1 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821006289 | Jared P Tadje | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2006-08-03 |
| 1336747120 | Mikayla Lynn Taugher | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2020-10-13 |
| 1356719108 | Tadje Orthopaedics, LLC | Orthopaedic Surgery | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2015-09-10 |
| 1174896419 | Virginia R Jeppesen | Nurse Practitioner | 2365 E Gala St Ste 1, Meridian, ID 83642 | 2012-02-16 |
| 1205020914 | Troy Alan Smith | Dentist | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174798334 | Don S Davis Md Pa | Clinic/Center | 5002 Hwy 39 N Bldg A, Meridian, MS 39301-1078 | 2008-04-28 |
| 1932553245 | Saul Dermatology Pa | Clinic/Center | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2016-04-22 |
| 1316980345 | St Lukes Regional Medical Center | Clinic/Center | 520 S Eagle Rd, Suite 3102, Meridian, ID 83642-6351 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
| 1982015822 | Kenneth C Romney Md Inc | Clinic/Center | 526 Shoup Ave W Ste E, Twin Falls, ID 83301-5050 | 2014-05-14 |
| 1588802391 | Alpine Dermatology Clinic P.C. | Clinic/Center | 1049 Summers Dr, Rexburg, ID 83440-5335 | 2009-02-02 |
| 1275715559 | Dr. James D. Tanner, D.c., P.a. | Clinic/Center | 6070 E Sagewood Dr, Idaho Falls, ID 83406-5077 | 2007-11-29 |
| 1023201084 | St Lukes Regional Medical Center | Clinic/Center | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2007-08-23 |
| 1750371894 | David N. Sim, M.d.,p.a. | Clinic/Center | 6014 W Emerald St, Boise, ID 83704-8855 | 2005-10-27 |
| 1740812320 | Back To Health Chiropractic LLC | Clinic/Center | 60 S 2nd W, Rexburg, ID 83440-1819 | 2020-02-11 |
| 1891104014 | Idaho Joint and Spine, PC | Clinic/Center | 9510 W Fairview Ave, Boise, ID 83704-8103 | 2014-08-13 |
| 1477897726 | James Rex Cutler Dpm Pllc | Clinic/Center | 76 E 1st S, Rexburg, ID 83440-1936 | 2012-11-26 |
| 1669727400 | Essential Life Boise, LLC | Clinic/Center | 13125 W Persimmon Ln, Suite 100, Boise, ID 83713 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
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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.