DR. RYAN LEWIS VAN DE GRAAFF (NPI# 1619067436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619067436 |
| Entity Type | Individual |
| Full Name | DR. RYAN LEWIS VAN DE GRAAFF |
| Credential | MD |
| Practice Address |
900 N Liberty St. Ste 400 Boise ID 83704 |
| Mailing Address |
900 N. Liberty St. Ste 400 Boise ID 83704 |
| Practice Telephone | 2083673320 |
| Practice Fax Number | 2083677474 |
| Mailing Telephone | 2083673320 |
| Mailing Fax Number | 2083677474 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M-10288 | ID | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 22476 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808096700 | 05 |
| Street Address |
900 N LIBERTY ST. STE 400 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346413192 | Robert E Digrazia, Dds, Pa | Dentist | 900 N Liberty St., Suite 202, Boise, ID 83704-8707 | 2008-04-11 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822942 | Delray Maughan, M.d. Pllc | Otolaryngology | 13900 W Wainwright Dr Ste 101, Boise, ID 83713-5028 | 2017-06-29 |
| 1649253188 | Delray Maughan | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713-5028 | 2005-11-29 |
| 1770573750 | Donald J Beasley | Otolaryngology | 901 N Curtis Road, Ste 104, Boise, ID 83706 | 2005-10-21 |
| 1255596771 | Jacob G Robison | Otolaryngology | 100 E Idaho St, Boise, ID 83712-6267 | 2008-07-24 |
| 1982656591 | Martin R Tubach | Otolaryngology | 6052 W State St, Boise, ID 83703-2739 | 2006-05-16 |
| 1306823125 | Southwest Idaho Ear, Nose and Throat | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-12-22 |
| 1992788434 | Matthew B Schwarz | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-29 |
| 1659354223 | Arthur Jones IIi | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-28 |
| 1306829973 | Todd Rustad | Otolaryngology | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414436 | Bonner General Hospital, Inc. | Otolaryngology | 606 N 3rd Ave Ste 102, Sandpoint, ID 83864-1594 | 2018-10-26 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1558809160 | Inland Empire Ear, Nose Throat and Allergy, Pllc | Otolaryngology | 2236 N Merrit Crk Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2017-02-02 |
| 1821318510 | Philip Dawson Affleck | Otolaryngology | 3645 Georgia Ln, Ammon, ID 83406-7809 | 2010-06-04 |
| 1497997092 | Daniel Edward Cannon | Otolaryngology | 700 W Ironwood Dr Ste 278, Coeur D Alene, ID 83814-4400 | 2009-03-27 |
| 1497953459 | Kent W. Davis | Otolaryngology | 3869 Canterbury Way, Idaho Falls, ID 83404-7971 | 2007-07-10 |
| 1588861918 | Leon Goldman | Otolaryngology | 127 Saddle Road, Bigwood E4, Ketchum, ID 83340 | 2007-06-29 |
| 1467667550 | Brandy Marie Tacia | Otolaryngology | 750 N Syringa St Ste 203a, Post Falls, ID 83854-5275 | 2007-05-11 |
| 1275698367 | Jeffrey Daniel Burry | Otolaryngology | 330 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-27 |
| 1427153097 | Temp Ray Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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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.