MS. SAMANTHA HERSRUD


Address: 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702
Phone: 2084221000

MS. SAMANTHA HERSRUD (NPI# 1518311679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518311679
Entity Type Individual
Full Name MS. SAMANTHA HERSRUD
Credential MD/PHD
Practice Address 500 W Fort St 111r
Internal Medicine Residency
Boise
ID 83702
Practice Telephone 2084221000
Mailing Telephone 2084221000
Enumeration Date 2016-04-14
Last Update Date 2019-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine M-14738 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 500 W FORT ST 111R
INTERNAL MEDICINE RESIDENCY
City BOISE
State ID
Zip Code 83702

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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891256004 Ryan Thompson Internal Medicine 400 W Fort St # 111r, Boise, ID 83702-4531 2019-03-29
1649634718 Elizabeth Ann Schackmann Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2016-04-05
1134513088 Alex Tanabe Internal Medicine 1000 E Park Blvd, Boise, ID 83712-7791 2015-03-27
1104169283 Jacqueline Kelly Internal Medicine 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 2013-03-27
1083980734 Shanaz Sikder Internal Medicine 403 S 11th St Ste 100, Boise, ID 83702 2012-03-27
1679869473 Allyson J Komori Internal Medicine 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 2011-06-21
1982929048 Sarita Anisha Kishore Internal Medicine 1970 Toluka Way, Boise, ID 83712-8547 2010-04-01
1568796282 Life Quest Center Inc Internal Medicine 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 2009-09-28
1164673968 Jenifer L Barry Internal Medicine 1525 S Owyhee St, Boise, ID 83705-6014 2008-10-10
1275722704 Allan M Salzberg Internal Medicine 10671 Sandpiper St, Boise, ID 83709-1249 2007-10-22
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City BOISE
Zip Code 83702

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Dataset Information

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.

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