DAVID N. SIM, M.D.,P.A. (NPI# 1750371894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750371894 |
| Entity Type | Organization |
| Organization Name | DAVID N. SIM, M.D.,P.A. |
| Practice Address |
6014 W Emerald St Boise ID 83704-8855 |
| Practice Telephone | 2083768666 |
| Practice Fax Number | 2083769804 |
| Mailing Telephone | 2083768666 |
| Mailing Fax Number | 2083769804 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | DR. DAVID NEIL SIM (CARDIOLOGIST) |
| Authorized Official Telephone | 2083768666 |
| Authorized Official Credential | M.D.,P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
M3561 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 35618 | 01 |
| ID | BLUE SHIELD | 000010001844 | 01 |
| ID | 002451500 | 05 |
| Street Address |
6014 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114106952 | David N Sim | Internal Medicine | 6014 W Emerald St, Boise, ID 83704-8855 | 2007-10-29 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023201084 | St Lukes Regional Medical Center | Clinic/Center | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2007-08-23 |
| 1891104014 | Idaho Joint and Spine, PC | Clinic/Center | 9510 W Fairview Ave, Boise, ID 83704-8103 | 2014-08-13 |
| 1669727400 | Essential Life Boise, LLC | Clinic/Center | 13125 W Persimmon Ln, Suite 100, Boise, ID 83713 | 2012-07-18 |
| 1841550126 | Essential Life Boise | Clinic/Center | 13125 W Persimmon Ln, Ste 100, Boise, ID 83713-2086 | 2012-05-21 |
| 1225326515 | Sawtooth Epidemiology and Infectious Diseases P.C. | Clinic/Center | 125 E Idaho St Ste 203, Boise, ID 83712-6255 | 2011-07-20 |
| 1710166004 | L. William D. Nowierski, M.d. Pa | Clinic/Center | 100 Warm Springs Ave, Ste. A, Boise, ID 83712-6243 | 2007-11-02 |
| 1669666939 | St Lukes Regional Medical Center | Clinic/Center | 300 E Jefferson St, Boise, ID 83712-6246 | 2007-08-30 |
| 1114117611 | St Lukes Regional Medical Center | Clinic/Center | 333 N 1st St, Suite 120, Boise, ID 83702-6100 | 2007-07-31 |
| 1912040270 | Gem State Dermatology, Pa | Clinic/Center | 388 E. Parkcenter Blvd., Boise, ID 83706 | 2007-02-15 |
| 1841301934 | Oster Medical Group | Clinic/Center | 403 S 11th St, Boise, ID 83702-6968 | 2006-08-31 |
| Find all providers in BOISE | ||||
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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.