PRACTICE PROS INC (NPI# 1326565516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326565516 |
| Entity Type | Organization |
| Organization Name | PRACTICE PROS INC |
| Practice Address |
2674 N Arrowwood Way Meridian ID 83646-4406 |
| Practice Telephone | 2082840473 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Authorized Official Name | BRIAN RONNING (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2082305849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
2674 N ARROWWOOD WAY |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083660021 | Cherry Lane Dental | Point of Service | 1104 W Cherry Ln, Meridian, ID 83642-1513 | 2006-05-25 |
| 1154718740 | Siena Einerprises, LLC | Point of Service | 667 E Grouse Ct, Meridian, ID 83646-4414 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417442484 | Corbett Sousa | Point of Service | 16 12th Ave S Ste 208, Nampa, ID 83651-3937 | 2018-06-22 |
| 1679026447 | Kimberly Drewrey, Aprn, Np-c | Point of Service | 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 | 2016-07-28 |
| 1063839124 | City of Blackfoot | Point of Service | 960 S Fisher Ave, Blackfoot, ID 83221-3370 | 2014-03-26 |
| 1487823886 | Bonaventure Place Retirement & Assisted Living Community | Point of Service | 5850 N Five Mile Rd, Boise, ID 83713-5466 | 2008-02-29 |
| 1689855173 | Maximum Security Inc | Point of Service | 357 W Center St, Suite 212, Pocatello, ID 83204-3236 | 2007-11-26 |
| 1700078524 | Wilkinson Georgia Idaho Senior Housing LLC | Point of Service | 840 E Dalton Ave, Coeur D Alene, ID 83815-9338 | 2007-08-15 |
| 1437208899 | Hisway, LLC | Point of Service | 348 N Orchard St, Boise, ID 83706-1627 | 2007-01-08 |
| 1740661388 | Loftus Family Dental | Point of Service | 2615 N Fruitland Ln, Coeur D Alene, ID 83815-7914 | 2015-06-09 |
| 1831468651 | Crump Enterprises | Point of Service | 11311 W Chinden Blvd, Boise, ID 83714-1021 | 2011-12-22 |
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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.