MICHAEL OBRIEN MD PA (NPI# 1558517102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558517102 |
| Entity Type | Organization |
| Organization Name | MICHAEL OBRIEN MD PA |
| Practice Address |
901 N Curtis Rd Suite 101 Boise ID 83706-1338 |
| Practice Telephone | 2083672802 |
| Practice Fax Number | 2083758755 |
| Mailing Telephone | 2083672802 |
| Mailing Fax Number | 2083758755 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | JEREMY EVANS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 2083672802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M2977 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002425500 | 05 |
| Street Address |
901 N CURTIS RD SUITE 101 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569149 | Michael V Keiley | Allergy & Immunology | 901 N Curtis Rd, Ste 100, Boise, ID 83706-1394 | 2005-09-21 |
| 1952881336 | Nicholas Hayes | Physical Therapist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2018-08-15 |
| 1245738038 | Kyla Megan Byers | Physician Assistant | 901 N Curtis Rd, Ste 501, Boise, ID 83706 | 2018-01-26 |
| 1932640968 | Shasta Marie Slavkovsky | Nurse Practitioner | 901 N Curtis Rd, #503, Boise, ID 83706-1338 | 2017-03-09 |
| 1750731667 | Taylor Lynne Norby | Physical Therapist | 901 N Curtis Rd, Suite 204, Boise, ID 83706-1338 | 2016-06-21 |
| 1073969564 | Milodie Mae Long | Speech-Language Pathologist | 901 N Curtis Rd, Ste. 204, Boise, ID 83706-1338 | 2016-05-13 |
| 1033583117 | Tyson Daniel Cook | Physical Therapist | 901 N Curtis Rd, Suite 204, Boise, ID 83706-1338 | 2015-11-30 |
| 1720461759 | Tawnya M Moeller | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1932582954 | Sarah L Aguirre-kuester | Specialist/Technologist, Other | 901 N Curtis Rd, Ste 304, Boise, ID 83706-1338 | 2015-07-08 |
| 1770985988 | Lindsey Marie Colter | Speech-Language Pathologist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2014-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| 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.