JONATHAN WALDEN HOUSLEY (NPI# 1457382244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457382244 |
| Entity Type | Individual |
| Full Name | JONATHAN WALDEN HOUSLEY |
| Credential | MD |
| Practice Address |
132 5th Ave W Jerome ID 83338-1825 |
| Practice Telephone | 2083245286 |
| Practice Fax Number | 2083249815 |
| Mailing Telephone | 2083245286 |
| Mailing Fax Number | 2083249815 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9862 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807879101 | 05 | |
| ID | BLUE SHIELD | 000010164639 | 01 |
| ID | BLUE CROSS | 76940 | 01 |
| ID | 807879100 | 05 | |
| ID | BLUE SHIELD | 000010164638 | 01 |
| ID | 807879102 | 05 | |
| ID | TRI CARE | 820227163B044 | 01 |
| Street Address |
132 5TH AVE W |
| City | JEROME |
| State | ID |
| Zip Code | 83338-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007465 | James S Irwin | Family Medicine | 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | 2005-10-18 |
| 1851612600 | Justin G Smith | Family Medicine | 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | 2010-06-16 |
| 1043459696 | Melissa D Merrill | Nurse Practitioner | 132 5th Ave W, Jerome, ID 83338-1825 | 2009-02-05 |
| 1356485767 | Elizabeth Hart Sugden | Family Medicine | 132 5th Ave W, Jerome, ID 83338-1825 | 2007-02-18 |
| 1366486003 | Joshua William Kern | Family Medicine | 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | 2006-06-15 |
| 1427028067 | Joseph Emilian Ollivier | Physician Assistant | 132 5th Ave W, Jerome, ID 83338-1825 | 2006-01-25 |
| 1245229558 | Alice R. Trabert | Nurse Practitioner | 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | 2005-10-19 |
| 1720077175 | James D. Lohmann | Family Medicine | 132 5th Ave W, Suite 2, Jerome, ID 83338-1825 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| 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 |
|---|---|---|---|---|
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1457799215 | Peter B Ferrara | Family Medicine | 132 5th Ave W Ste 1, Jerome, ID 83338-1825 | 2013-06-13 |
| 1023007465 | James S Irwin | Family Medicine | 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | 2005-10-18 |
| 1336138783 | Brian Lee Johnson | Family Medicine | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2005-10-18 |
| 1124015342 | Family Care Physicians, Pa | Family Medicine | 112 5th Ave W, Jerome, ID 83338-1825 | 2005-10-03 |
| 1336761063 | Lauren Nesbit | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2020-05-15 |
| 1639791361 | Jameson Bastow | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2020-05-15 |
| 1881259240 | Victoria Talbutt | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1538578687 | Urgent Care of Jerome | Family Medicine | 133 W Avenue A, Suite B, Jerome, ID 83338-2630 | 2014-08-02 |
| 1821419946 | Valley View Family Medical Pllc | Family Medicine | 1100 N Lincoln Ave, Jerome, ID 83338-1856 | 2013-12-16 |
| Find all providers in JEROME | ||||
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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.