BEAU G WALKER


Address: 333 N 1st St, Suite 280, Boise, ID 83702-6100
Phone: 2083456545

BEAU G WALKER (NPI# 1558508085) 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) 1558508085
Entity Type Individual
Full Name BEAU G WALKER
Credential P.A.
Practice Address 333 N 1st St
Suite 280
Boise
ID 83702-6100
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083456545
Practice Fax Number 2083451213
Mailing Telephone 2083456545
Mailing Fax Number 2083451213
Enumeration Date 2009-01-21
Last Update Date 2012-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-788 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 333 N 1ST ST
SUITE 280
City BOISE
State ID
Zip Code 83702-6100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417935966 Heidi Louise Nagel Genetic Counselor, MS 333 N 1st St, Suite 150, Boise, ID 83702-6100 2006-01-05
1558715235 Laura Mae Defenbach Genetic Counselor, MS 333 N 1st St, Suite 150, Boise, ID 83702-6100 2016-04-19
1558799270 Nita M Barrelier Verner Nurse Practitioner 333 N 1st St, Suite #140, Boise, ID 83702-6100 2013-10-15
1780949164 Cortney Lynn Schnupp Nurse Practitioner 333 N 1st St, 240, Boise, ID 83702-6100 2012-07-11
1538476239 Tyler S Stewart Physician Assistant 333 N 1st St, Ste 280, Boise, ID 83702-6100 2010-09-02
1659699841 St Luke's Regional Medical Center Surgery 333 N 1st St, Ste 280, Boise, ID 83702-6100 2010-05-12
1366675985 Sarah R. Sparks Nurse Practitioner 333 N 1st St, Suite 140, Boise, ID 83702-6100 2009-08-30
1730311564 Aaron L Thomason Nurse Practitioner 333 N 1st St, Suite 280, Boise, ID 83702-6100 2009-08-12
1295900744 Jordan D Keyes Spec/Tech, Cardiovascular 333 N 1st St, Ste 280, Boise, ID 83702-6100 2008-04-25
1306026745 Calvin Thomas Jewell Surgery 333 N 1st St, Suite 120, Boise, ID 83702-6100 2007-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1891707618 Brian Keith Lachapelle Physician Assistant 6140 W Curtisan, Ste 102, Boise, ID 83704 2006-08-12
1780641530 Alicia R Borst Physician Assistant 3960 W. Wainwright, Boise, ID 83713 2006-04-26
1679090617 Joel Timothy Mathews Physician Assistant 100 E Warm Springs Ave Ste B, Boise, ID 83712-6243 2017-08-29
1073982245 Kim Wilson Physician Assistant 1055 N Curtis Rd, Boise, ID 83706-1309 2015-09-17
1710362710 Andrew P Swenson Physician Assistant 6165 W Emerald, Boise, ID 83704 2015-07-21
1275936981 Shaylan Pease Physician Assistant 6259 W Emerald St, Boise, ID 83704-8731 2014-10-08
1194127472 Anna Hoskins Physician Assistant 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 2014-09-18
1568891638 Dominick Valentine Physician Assistant 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 2013-11-08
1013342468 Polina Kokoulina Physician Assistant 900 N Liberty St, Ste 101, Boise, ID 83704-8704 2013-09-04
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Competitor

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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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