DR. DELRAY MAUGHAN (NPI# 1649253188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649253188 |
| Entity Type | Individual |
| Full Name | DR. DELRAY MAUGHAN |
| Credential | M.D. |
| Practice Address |
13900 W Wainwright Dr Ste 102 Boise ID 83713-5028 |
| Practice Telephone | 2089385823 |
| Practice Fax Number | 2089385306 |
| Mailing Telephone | 2089385823 |
| Mailing Fax Number | 2089385306 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M4908 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002592700 | 05 |
| Street Address |
13900 W WAINWRIGHT DR STE 102 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976983 | Idaho Ear Clinic LLC | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713-5028 | 2019-08-08 |
| 1548751563 | James V. Crawford, Md LLC | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713-5028 | 2018-05-24 |
| 1215904966 | James Vincent Crawford | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
| 1619067436 | Ryan Lewis Van De Graaff | Otolaryngology | 900 N Liberty St., Ste 400, Boise, ID 83704 | 2006-10-13 |
| 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.