SUSAN LEIGH BLOUGH (NPI# 1336197870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336197870 |
| Entity Type | Individual |
| Full Name | SUSAN LEIGH BLOUGH |
| Credential | M.D. |
| Practice Address |
701 E Parkcenter Blvd Boise ID 83706-6528 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083816400 |
| Practice Fax Number | 2083816450 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M4556 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002251800 | 05 |
| Street Address |
701 E PARKCENTER BLVD |
| City | BOISE |
| State | ID |
| Zip Code | 83706-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808924 | Thornton E Bryan IIi | Family Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2005-08-17 |
| 1528524303 | Lucy Collins | Nurse Practitioner | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2019-02-16 |
| 1811380132 | Christal Boyce | Nurse Practitioner | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2015-03-11 |
| 1124464615 | Leah Freeman | Family Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2013-05-11 |
| 1659638864 | Sara C Wilson | Internal Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2012-04-12 |
| 1134363625 | Laron R Crosland | Family Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2009-04-28 |
| 1588840409 | Carly D Hammer | Physician Assistant | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2008-01-10 |
| 1811021884 | Timothy M. Nelson | Internal Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2007-03-14 |
| 1609963081 | Kelley Wolff | Physician Assistant | 701 E Parkcenter Blvd, Boise, ID 83706-7539 | 2006-10-06 |
| 1275559080 | John C Brosa | Family Medicine | 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2006-07-14 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1891256004 | Ryan Thompson | Internal Medicine | 400 W Fort St # 111r, Boise, ID 83702-4531 | 2019-03-29 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| 1649634718 | Elizabeth Ann Schackmann | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4501 | 2016-04-05 |
| 1134513088 | Alex Tanabe | Internal Medicine | 1000 E Park Blvd, Boise, ID 83712-7791 | 2015-03-27 |
| 1104169283 | Jacqueline Kelly | Internal Medicine | 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 | 2013-03-27 |
| 1083980734 | Shanaz Sikder | Internal Medicine | 403 S 11th St Ste 100, Boise, ID 83702 | 2012-03-27 |
| 1679869473 | Allyson J Komori | Internal Medicine | 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 | 2011-06-21 |
| 1982929048 | Sarita Anisha Kishore | Internal Medicine | 1970 Toluka Way, Boise, ID 83712-8547 | 2010-04-01 |
| 1568796282 | Life Quest Center Inc | Internal Medicine | 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 | 2009-09-28 |
| 1164673968 | Jenifer L Barry | Internal Medicine | 1525 S Owyhee St, Boise, ID 83705-6014 | 2008-10-10 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on SUSAN LEIGH BLOUGH.
| 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.