DONALD K STOTT (NPI# 1649264003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649264003 |
| Entity Type | Individual |
| Full Name | DONALD K STOTT |
| Credential | MD |
| Practice Address |
3025 W Cherry Ln Meridian ID 83642-1125 |
| Mailing Address |
3210 E Chinden Blvd #111 Suite 115 Eagle ID 83616-6763 |
| Practice Telephone | 2083678484 |
| Practice Fax Number | 2083678456 |
| Mailing Telephone | 2083678484 |
| Mailing Fax Number | 2083678456 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M2905 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 29058 | 01 | |
| REGENCE BS | 000010001858 | 01 |
| Street Address |
3025 W CHERRY LN |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538251 | Jill Harris | Physical Therapist | 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2019-09-25 |
| 1073053518 | Peter Larson | Nurse Practitioner | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-8531 | 2017-03-02 |
| 1033669908 | Sarah Hayden | Physician Assistant | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-8531 | 2016-10-04 |
| 1407303340 | Olivia Rochelle Mangeac | Physician Assistant | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-8531 | 2016-09-08 |
| 1558741033 | Allyson Barton | Physical Therapist | 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2015-06-01 |
| 1477747632 | Idaho Heart Care | Internal Medicine | 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 | 2007-08-30 |
| 1568664506 | Vision Quest Medical Center, Pa | Optometrist | 3025 W Cherry Ln, Suite 207, Meridian, ID 83642-1125 | 2007-06-01 |
| 1104045392 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 3025 W Cherry Ln, Suite D, Meridian, ID 83642 | 2007-04-25 |
| 1619018926 | Diane M Hulbert | Advanced Practice Midwife | 3025 W Cherry Ln, Suite B, Meridian, ID 83642-1125 | 2007-02-09 |
| 1508877788 | Crystal L Jencks | Family Medicine | 3025 W Cherry Ln, Ste B, Meridian, ID 83642-8531 | 2006-08-11 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204284 | John B Hicks | Internal Medicine | 1213 56th St, Meridian, MS 39305-1447 | 2005-06-01 |
| 1407858541 | Randall Scott Joransen | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| 1932540960 | Usman I Salahuddin | Internal Medicine | 1800 12th St, Meridian, MS 39301-4190 | 2013-07-05 |
| 1295085892 | Zaid Fakhri Altheeb | Internal Medicine | 4909 Great River Drive, Meridian, MS 39305 | 2012-09-12 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1477747632 | Idaho Heart Care | Internal Medicine | 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 | 2007-08-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1538282678 | Brian P Nolan | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2007-04-06 |
| 1578620746 | Meridian Hma LLC | Internal Medicine | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2007-01-03 |
| 1932200524 | Kristin M Linzmeyer | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642-6302 | 2006-09-26 |
| Find all providers in MERIDIAN | ||||
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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.