HOSPITAL MEDICINE ASSOCIATES OF IDAHO PC (NPI# 1629425707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629425707 |
| Entity Type | Organization |
| Organization Name | HOSPITAL MEDICINE ASSOCIATES OF IDAHO PC |
| Practice Address |
1717 Arlington Ave Caldwell ID 83605-4802 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 2084594641 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-08-05 |
| Authorized Official Name | DR. JASEN W. GUNDERSEN (PRESIDENT) |
| Authorized Official Telephone | 8004243672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
1717 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767800 | West Valley Lifeline Services | Durable Medical Equipment & Medical Supplies | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-04-05 |
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1578103180 | David Michael Calley | Pharmacist | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-01-11 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
| 1609357003 | Sarina L Folwell | Registered Nurse | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2018-08-23 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| 1528429172 | Brett Bemis | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197036 | Megan Lenkersdorfer | Hospitalist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-11-06 |
| 1790343580 | Snake River Hospitalists, LLC | Hospitalist | 2325 Coronado St, Idaho Falls, ID 83404-7407 | 2019-06-05 |
| 1225564925 | Bryce L Arnold | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-05-02 |
| 1740715507 | Santibanez Aguirre PC | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2017-04-28 |
| 1528593381 | Lauren Franklin | Hospitalist | 1055 N Curtis Rd, Boise, ID 83706 | 2017-04-28 |
| 1114389665 | Farah Esther Vega | Hospitalist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2016-03-23 |
| 1790150514 | Pocatello Inpatient Services Pllc | Hospitalist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2015-12-04 |
| 1285014118 | Lyon Medical LLC | Hospitalist | 3080 E Gentry Way Ste 100, Meridian, ID 83642-3060 | 2015-06-05 |
| 1902285257 | Kanan Silvas | Hospitalist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2015-05-20 |
| 1780078626 | Hinah Gul Parker | Hospitalist | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2015-03-27 |
| 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.