MERCY PHYSICIAN GROUP, INC. (NPI# 1396916789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396916789 |
| Entity Type | Organization |
| Organization Name | MERCY PHYSICIAN GROUP, INC. |
| Practice Address |
4400 E Flamingo Ave Suite 301 Nampa ID 83687-9203 |
| Practice Telephone | 2084656970 |
| Practice Fax Number | 2084656990 |
| Mailing Telephone | 2084656970 |
| Mailing Fax Number | 2084656990 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | MS. DENISE C MCCLURE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2084635549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053582197 | Mercy Physician Group, Inc. | Durable Medical Equipment & Medical Supplies | 214 S Midland Blvd, Nampa, ID 83686-2602 | 2008-03-17 |
| Street Address |
4400 E FLAMINGO AVE SUITE 301 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421291 | Kathy A Dufur | Physical Therapist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2005-10-21 |
| 1902441272 | Krista Carico | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2019-11-11 |
| 1366952285 | Andrea Cortes Dobson | Surgery | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2017-10-05 |
| 1659880276 | Matthew Ries | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2017-09-26 |
| 1174072243 | Michael Ryan Partin | Physician Assistant | 4400 E Flamingo Ave, Nampa, ID 83687 | 2016-09-29 |
| 1629454566 | Terence Michael Niland | Pharmacist | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2015-08-03 |
| 1689065377 | Jill Hart | Nurse Practitioner | 4400 E Flamingo Ave, Nampa, ID 83687 | 2015-02-17 |
| 1275979692 | Katarzyna Kaczmarczyk | Internal Medicine | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2013-05-13 |
| 1750620159 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687 | 2013-02-05 |
| 1972861375 | Treasure Valley Surgery Center Nampa Lp | Clinic/Center | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1013335454 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 175 N Middleton Rd, Nampa, ID 83651-7538 | 2014-04-02 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| 1811122765 | Eyemart Express, Ltd | Durable Medical Equipment & Medical Supplies | 16449 N Midland Blvd, Nampa, ID 83687 | 2009-05-21 |
| 1356589469 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 932 Caldwell Blvd, Nampa, ID 83651-1711 | 2009-01-27 |
| 1699943332 | Idaho Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia, Nampa, ID 83686 | 2008-02-15 |
| 1386839678 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2219 12th Ave Rd, Nampa, ID 83686-6313 | 2007-09-10 |
| 1134323306 | Peace of Mind Medical Supply Co LLC | Durable Medical Equipment & Medical Supplies | 7112 E Canterbury Ln, Nampa, ID 83687-9432 | 2007-06-12 |
| 1477695617 | Saltzer Medical Group Pa | Durable Medical Equipment & Medical Supplies | 210 W Georgia Avenue, Nampa, ID 83686 | 2007-02-13 |
| Find all providers in NAMPA | ||||
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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.