MARTHA CLINTON WILSON (NPI# 1417268574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417268574 |
| Entity Type | Individual |
| Full Name | MARTHA CLINTON WILSON |
| Credential | MD |
| Practice Address |
207 1st St S Nampa ID 83651-3703 |
| Mailing Address |
777 N Raymond St Boise ID 83704-9251 |
| Practice Telephone | 2084667869 |
| Practice Fax Number | 2084665359 |
| Mailing Telephone | 2085142500 |
| Mailing Fax Number | 2083227018 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-1127 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740576081 | Martha Loflin Wilson | Social Worker | 904 Government St., Denham Springs, LA 70726 | 2011-06-24 |
| 1063744217 | Martha Jane Wilson | Counselor | 15 Dartford Ct, Chapel Hill, NC 27517-8667 | 2010-02-12 |
| 1437219789 | Martha Wilson | Counselor | 124 S 24th St Ste 100, Omaha, NE 68102-1226 | 2006-12-09 |
| 1285700237 | Martha C Wilson | Ophthalmology | 14615 San Pedro Ave Ste 120, San Antonio, TX 78232-4364 | 2006-11-28 |
| 1144726670 | Martha Jo Wilson | Nurse Practitioner | 719 Washington Blvd, Newcastle, WY 82701-2987 | 2018-04-03 |
| 1821518887 | Martha Raye Wilson | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2017-06-21 |
| 1285046466 | Martha Wilson | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2014-05-22 |
| 1720374614 | Martha Jane Wilson | Counselor | 300 N Dalton Ave, Valliant, OK 74764-0673 | 2011-06-20 |
| 1144455486 | Martha Tae-anyene Wilson | Family Medicine | 2901 Montopolis Dr, Austin, TX 78741-6411 | 2009-05-15 |
| 1225225469 | Martha Wilder Wilson | Audiologist | 1199 Haley Center, Auburn University, AL 36849-5232 | 2007-10-02 |
| Street Address |
207 1ST ST S |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926136 | Paul E Barrus | Family Medicine | 207 1st St S, Nampa, ID 83651-3703 | 2005-07-20 |
| 1649888454 | Chelsea Chantel Bagby | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2020-07-17 |
| 1306495668 | Rebekah Dunkley | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2019-09-10 |
| 1720542269 | Rachel L Krick | Dietitian, Registered | 207 1st St S, Nampa, ID 83651-3703 | 2019-01-29 |
| 1972079820 | Penny S Mcclain | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-18 |
| 1902372956 | James J Hunt | Pharmacist | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-17 |
| 1699259044 | Brenda L Lee | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2018-09-21 |
| 1447734892 | Daniel A Squire | Physician Assistant | 207 1st St S, Nampa, ID 83651-3703 | 2018-09-21 |
| 1235625914 | Duke M Nyarecha | Nurse Practitioner | 207 1st St S, Nampa, ID 83651 | 2018-07-06 |
| 1134610546 | Taylor Rae Postler | Dentist | 207 1st St S, Nampa, ID 83651 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| 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 |
|---|---|---|---|---|
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1396278958 | Sean Michael Rutschke | Family Medicine | 9850 W St Lukes Dr Ste 290, Nampa, ID 83687-7912 | 2017-04-10 |
| 1407204225 | Sarah M Waterman | Family Medicine | 9850 W St Lukes Dr Ste 329, Nampa, ID 83687-7912 | 2016-06-02 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1588036396 | Andrew Leon Bennett | Family Medicine | 5102 Howard Ln, Nampa, ID 83687-8659 | 2015-10-21 |
| 1881033256 | Mitchell A Mendenhall | Family Medicine | 11035 Karcher Rd, Nampa, ID 83651-8200 | 2013-06-19 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1174834246 | Josh Leavitt | Family Medicine | 974 W Corporate Ln Ste 102, Nampa, ID 83651-1930 | 2010-06-23 |
| 1427099852 | Linda Lam | Family Medicine | 1510 12th Ave Rd, Ste 200, Nampa, ID 83686 | 2006-06-09 |
| 1548228844 | Austin J. Graham | Family Medicine | 824 S Diamond St, Nampa, ID 83686-5960 | 2006-05-03 |
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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.