COLIN BROWN (NPI# 1386063980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386063980 |
| Entity Type | Individual |
| Full Name | COLIN BROWN |
| Credential | PA-C |
| Practice Address |
13500 S. Pleasant Valley Kuna ID 83634 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2089228312 |
| Mailing Telephone | 8052863826 |
| Mailing Fax Number | 8052216843 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1176 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 51458 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689057135 | Colin Elliot Brown | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-2128 | 2015-07-01 |
| 1982034666 | Colin Brown | Specialist | 1228 Elm St, Manchester, NH 03101-1349 | 2013-11-18 |
| 1780025114 | Colin Brown | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-07-15 |
| 1164627725 | Colin Nathan Brown | Radiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2007-06-15 |
| 1083793400 | Colin Gary Brown | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-11-05 |
| 1053371203 | Colin Christopher Brown | Internal Medicine | 222 Schanck Rd, Suite 302, Freehold, NJ 07728-3068 | 2006-03-23 |
| 1881676237 | Colin D Brown | Nurse Anesthetist, Certified Registered | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2005-11-18 |
| Street Address |
13500 S. PLEASANT VALLEY |
| City | KUNA |
| State | ID |
| Zip Code | 83634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1558896506 | Nicholas Tock | Social Worker | 190 W Main Street, Kuna, ID 83634 | 2017-04-27 |
| 1790137073 | Jeremy Walker | Dentist | 1353 N Meridian Rd, Ste 101, Kuna, ID 83634 | 2016-07-11 |
| 1194171678 | Kidspeak LLC | Occupational Therapist | 525b Main St, Kuna, ID 83634 | 2016-05-13 |
| 1447617139 | Matt Jordan | Nurse Practitioner | 13900 South Pleasant Valley Road, Kuna, ID 83634 | 2016-01-26 |
| 1912329806 | Brady Tucker | Pharmacist | 1403 North Meridian Rd, Kuna, ID 83634 | 2014-01-10 |
| 1427489954 | Ridley's Family Markets, Inc | Pharmacy | 1403 N Meridian Rd, Kuna, ID 83634 | 2013-12-10 |
| 1538414354 | William Lincoln Poulson | Nurse Practitioner | 13500 South Pleasant Valley Road, Kuna, ID 83634 | 2012-07-18 |
| 1508036286 | Michelle Marie Montoya | Counselor | 190 W. Main St, Kuna, ID 83634 | 2008-03-10 |
| 1811180946 | April Charlene Dawson | Preventive Medicine | 13400 South Pleasant Valley Road, Idaho Maximum Security Institution, Kuna, ID 83634 | 2007-08-22 |
| Find all providers in zip 83634 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386867778 | Paul Halvorson Delaplain | Physician Assistant | 13200 Pleasant Valley Rd, Kuna, ID 83634-2720 | 2007-04-11 |
| 1598790560 | Jeffrey V Ball | Physician Assistant | 757 E Wythe Creek Ct, Kuna, ID 83634-5006 | 2006-07-11 |
| 1841233160 | David Tomey | Physician Assistant | 708 E Wythe Creek Court, Ste 103, Kuna, ID 83634 | 2006-06-14 |
| 1336754324 | Taylor Ramos | Physician Assistant | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| 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.