TRANSFORMATIONS IDAHO PLLC (NPI# 1609245109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609245109 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONS IDAHO PLLC |
| Practice Address |
2857 S Meridian Rd 100 Meridian ID 83642-7960 |
| Practice Telephone | 2086397300 |
| Practice Fax Number | 2082878330 |
| Mailing Telephone | 2086397300 |
| Mailing Fax Number | 2082878330 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | JEFFREY R JACOMS (SOLE MEMBER) |
| Authorized Official Telephone | 2086397300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
2857 S MERIDIAN RD 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760884324 | Ppgnw - Idaho | Obstetrics & Gynecology | 2112 E Franklin Rd, Meridian, ID 83642-9024 | 2014-09-25 |
| 1013256379 | Simply Womens Health LLC | Obstetrics & Gynecology | 2273 E Gala St, Suite 110, Meridian, ID 83642-7289 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710140165 | Adam Robert Duke | Obstetrics & Gynecology | 1551 E Mullan Ave Bldg A Ste 200a, Post Falls, ID 83854-5275 | 2008-07-07 |
| 1215082805 | E. Wayne Day | Obstetrics & Gynecology | 222 Southway Ave Ste A, Lewiston, ID 83501-2703 | 2007-01-24 |
| 1265512818 | Rocky Mountain Gyn and Hormone Center | Obstetrics & Gynecology | 951 East Plaza, Suite 170, Eagle, ID 83616 | 2006-10-17 |
| 1629310347 | Laura Danielle Young | Obstetrics & Gynecology | 1551 E Mullan Ave Bldg A Ste 200a, Post Falls, ID 83854-5275 | 2013-03-20 |
| 1073874780 | Gregory N Schaefer M.d., P.a. | Obstetrics & Gynecology | 1603 12th Ave Rd, Suite B, Nampa, ID 83686-7712 | 2012-05-30 |
| 1336400043 | Randall L. Rudeen Md Pa | Obstetrics & Gynecology | 1603 12th Ave Rd, Suite B, Nampa, ID 83686-7712 | 2012-05-30 |
| 1255450649 | Glenn Howard Weyhrich | Obstetrics & Gynecology | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2007-03-28 |
| 1407941453 | Anthony D Keys Md Pa | Obstetrics & Gynecology | 222 N 2nd St, Suite 315, Boise, ID 83702-6109 | 2006-10-04 |
| 1891730917 | Tamara Marie Simon | Obstetrics & Gynecology | 951 E Plaza Dr, Suite 170, Eagle, ID 83616-6566 | 2006-06-20 |
| 1306880398 | Amy L. Cooper | Obstetrics & Gynecology | 100 E Idaho St, Boise, ID 83712-6267 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRANSFORMATIONS IDAHO PLLC.
| 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.