ELISEO GUERRA (NPI# 1366767790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366767790 |
| Entity Type | Individual |
| Full Name | ELISEO GUERRA |
| Practice Address |
457 I St Idaho Falls ID 83402-2842 |
| Mailing Address |
457 I Steet Idaho Falls ID 83401 |
| Practice Telephone | 2082520081 |
| Mailing Telephone | 2082520081 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
457 I ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932429545 | Sherri Stacey | Specialist | 2862 Bungalow Dr, Idaho Falls, ID 83401-6011 | 2010-06-04 |
| 1609106079 | Danielle Joy Adams | Specialist | 777 Hoopes Ave, Apt I-103, Idaho Falls, ID 83401-4972 | 2010-01-07 |
| 1306075098 | Nevada Lee Walker | Specialist | 316 N Bellin Rd, Idaho Falls, ID 83402-2357 | 2009-07-02 |
| 1770729279 | Charles Todd Storms | Specialist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2009-01-05 |
| 1205030368 | Idaho Falls Hand Surgery | Specialist | 933 S Utah, Idaho Falls, ID 83404 | 2007-06-13 |
| 1093860710 | Brenda M Fritz | Specialist | 2570 Channing Way, Idaho Falls, ID 83404-7515 | 2007-01-24 |
| 1821106089 | Daniel K Hinckley | Specialist | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-08-28 |
| 1063527158 | Pro Heal Hyperbarics & Wound Care | Specialist | 2325 Coronaod, Idaho Falls, ID 83404 | 2006-08-20 |
| 1275552291 | Mark Edward Freeman | Specialist | 1855 Madison Avenue, Idaho Falls, ID 83404 | 2006-07-19 |
| 1477579613 | Laura Ann Punkoney | Specialist | District 7 Health Dept., 254 'e' Street, Idaho Falls, ID 83402-3597 | 2006-07-14 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on ELISEO GUERRA.
| 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.