LAVONNE R. MILLS, MD (NPI# 1417118787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417118787 |
| Entity Type | Organization |
| Organization Name | LAVONNE R. MILLS, MD |
| Practice Address |
3307 N Stephanie Rd Pocatello ID 83204-7285 |
| Mailing Address |
Po Box 4699 Pocatello ID 83205-4699 |
| Practice Telephone | 2087055116 |
| Mailing Telephone | 2082361600 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | LAVONNE R. MILLS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2082361600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M4489 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
3307 N STEPHANIE RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-7285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234332 | Clair Enterprises Inc | Family Medicine | 2552 Oneida St, Pocatello, ID 83201-2145 | 2017-02-16 |
| 1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
| 1093078578 | Sharla Clark | Family Medicine | 1951 Bench Road, Suite B, Pocatello, ID 83201-4008 | 2012-06-20 |
| 1508194580 | Jared M Kam | Family Medicine | 353 N 4th Ave Ste 102, Pocatello, ID 83201-6391 | 2009-12-02 |
| 1801926035 | Jack Pearson Summers | Family Medicine | 5418 W Buckskin Rd, Pocatello, ID 83201-9126 | 2007-03-06 |
| 1053483669 | Mountain View Family Medicine, Inc | Family Medicine | 2006 Birdie Thompson Dr, Pocatello, ID 83201-2768 | 2006-11-15 |
| 1093884363 | Jared Michael Price | Family Medicine | 1951 Bench Rd Ste B, Pocatello, ID 83201-2073 | 2006-11-08 |
| 1225124936 | Jordan Lyle Bailey | Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 | 2006-10-04 |
| 1396796199 | Gary Walker Kearl | Family Medicine | 444 Hospital Way Suite 801, Pocatello Va Outpatiend Clinic, Pocatello, ID 83201 | 2006-05-15 |
| 1841285590 | Kyle L Clifford | Family Medicine | 2006 Birdie Thompson Drive, Pocatello, ID 83201 | 2005-09-19 |
| Find all providers in POCATELLO | ||||
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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.