SAINT ALPHONSUS PHYSICIAN SERVICES INC (NPI# 1487849147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487849147 |
| Entity Type | Organization |
| Organization Name | SAINT ALPHONSUS PHYSICIAN SERVICES INC |
| Other Organization Name | SAINT ALPHONSUS MEDICAL GROUP WOMEN'S HEALTH LIBERTY |
| Practice Address |
900 N Liberty St Suite 204 Boise ID 83704-8707 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083674529 |
| Practice Fax Number | 2083674242 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | MS. JANELLE G. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2083676490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saint Alphonsus Medical Group Women's Health Liberty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123468 | Saint Alphonsus Physician Services Inc | Clinic/Center | 315 Elm, Suite 100, Caldwell, ID 83605 | 2006-07-29 |
| 1801820501 | Saint Alphonsus Physician Services Inc | Family Medicine | 1001 N Meridian Rd, Meridian, ID 83642-2243 | 2006-07-10 |
| 1386680890 | Saint Alphonsus Physician Services Inc | Family Medicine | 1625 W State St, Boise, ID 83702-4041 | 2006-06-22 |
| 1073559449 | Saint Alphonsus Physician Services Inc | Physician Assistant | 1673 Shoreline Drive, Suite 120, Boise, ID 83702-6749 | 2006-06-22 |
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1871549394 | Saint Alphonsus Physician Services Inc | Family Medicine | 471 Baybrook Ct, Boise, ID 83706-3900 | 2006-05-26 |
| 1184677692 | Saint Alphonsus Physician Services Inc | Internal Medicine | 323 East Riverside Drive, Suite 224, Eagle, ID 83616-6865 | 2006-05-18 |
| 1477504090 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 211 W Iowa Ave, Nampa, ID 83686-2834 | 2006-05-16 |
| 1184674764 | Saint Alphonsus Physician Services Inc | Internal Medicine | 6094 W Emerald St, Boise, ID 83704-8855 | 2006-05-12 |
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| Street Address |
900 N LIBERTY ST SUITE 204 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470274 | Gerard Patrick Connor | Obstetrics & Gynecology | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2005-07-08 |
| 1659909935 | Emily Dawn Clay | Dietitian, Registered | 900 N Liberty St, Boise, ID 83704-8704 | 2020-03-31 |
| 1114455334 | Andrea Suzette Page | Audiologist | 900 N Liberty St, Boise, ID 83704-8704 | 2017-06-01 |
| 1669822672 | Adam Reyes | Audiologist | 900 N Liberty St, 305, Boise, ID 83704-8704 | 2016-06-21 |
| 1346601176 | Melissa Rincon | Massage Therapist | 900 N Liberty St, Boise, ID 83704-8704 | 2016-03-07 |
| 1508268616 | Elizabeth A Rutten-turner | Social Worker | 900 N Liberty St, Suite 200, Boise, ID 83704-8704 | 2014-09-19 |
| 1013342468 | Polina Kokoulina | Physician Assistant | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2013-09-04 |
| 1538456900 | Michael Dean Bateman | Audiologist | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2011-07-06 |
| 1336309434 | Linsey Etherington | Surgery | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2008-06-11 |
| 1548433790 | Ada Plastic and Reconstructive Surgery | Clinic/Center | 900 N Liberty St, Suite 300, Boise, ID 83704-8704 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295001170 | Anne Feighner | Obstetrics & Gynecology | 400 E Idaho St #400, St. Luke's Clinic - The Woman's Clinic, Boise, ID 83712 | 2012-03-26 |
| 1497790075 | Horizon Health Pa | Obstetrics & Gynecology | 311 W Idaho St, Boise, ID 83702-6040 | 2006-06-18 |
| 1588605364 | Patricia Ann Caplinger | Obstetrics & Gynecology | 1055 W. Curtis Rd, Boise, ID 83706-1309 | 2006-06-10 |
| 1740255504 | Shashi Ajmani | Obstetrics & Gynecology | 1072 N Liberty, Suite 100, Boise, ID 83704-8708 | 2006-02-22 |
| 1366435687 | Lauren D. Bales | Obstetrics & Gynecology | 1055 N Curtis Road, Boise, ID 83706 | 2005-08-23 |
| 1316333107 | Karissa Deann Keenan | Obstetrics & Gynecology | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-04-08 |
| 1932547338 | Paula Jean Durst | Obstetrics & Gynecology | 1055 N Curtis Rd, Boise, ID 83706 | 2013-06-06 |
| 1033554480 | Maryalice Lopez | Obstetrics & Gynecology | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2013-04-29 |
| 1790028405 | Jessica Marie Riordan | Obstetrics & Gynecology | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-04-01 |
| 1154680072 | Eve Preus | Obstetrics & Gynecology | 1072 N Liberty, Ste 100, Boise, ID 83704 | 2012-05-12 |
| Find all providers in BOISE | ||||
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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.