DR. RICHARD EMERY LALLY


Address: 709 N Lincoln Ave, Jerome, ID 83338-1851
Phone: 2083244301

DR. RICHARD EMERY LALLY (NPI# 1750489647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750489647
Entity Type Individual
Full Name DR. RICHARD EMERY LALLY
Credential M.D.
Practice Address 709 N Lincoln Ave
Jerome
ID 83338-1851
Mailing Address 11020 W Amity Rd
Boise
ID 83709-5051
Practice Telephone 2083244301
Practice Fax Number 2083242224
Mailing Telephone 2085621664
Mailing Fax Number 2085621565
Enumeration Date 2006-09-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
M8141 ID Allopathic & Osteopathic Physicians

Other Providers RICHARD LALLY

NPI Name Taxonomy Address Enumeration
1407964067 Richard A. Lally Counselor 5425 Golden Eagle Court, Wilmington, NC 28409 2006-08-25

Office Location

Street Address 709 N LINCOLN AVE
City JEROME
State ID
Zip Code 83338-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336138783 Brian Lee Johnson Family Medicine 709 N Lincoln Ave, Jerome, ID 83338-1851 2005-10-18
1609414051 Troy M Jackman Pharmacist 709 N Lincoln Ave, Jerome, ID 83338-1851 2019-12-17
1891165569 Anne B Fullmer Nurse Practitioner 709 N Lincoln Ave, Jerome, ID 83338-1851 2015-10-06
1366874877 St Luke's Magic Valley Regional Medical Center Ltd General Acute Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1730511254 St Lukes Magic Valley Regional Medical Center Ltd Medicare Defined Swing Bed Unit 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1912137175 Paul A Dickinson Nurse Anesthetist, Certified Registered 709 N Lincoln Ave, Jerome, ID 83338-1851 2009-07-22
1700053774 St Benedicts Fmc Physician Assistants Physician Assistant 709 N Lincoln Ave, Jerome, ID 83338-1851 2008-05-09
1083833933 Thomas Henry Zepeda Personal Emergency Response Attendant 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-04-25
1639211634 St. Benedicts Family Medical Center Long Term Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-02-13
1902856727 St Benedicts Family Medical Center Skilled Nursing Facility 709 N Lincoln Ave, Jerome, ID 83338-1851 2006-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1811391626 Summit Therapy Services In Home Supportive Care 113 East Ave. F, Jerome, ID 83338 2014-10-22
1952645285 Readings Community Pharmacy Inc Pharmacy 133 West A, Jerome, ID 83338 2012-11-27
1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1295898310 Ronald Gail Hendrickson Dentist 128 South Adams, Jerome, ID 83338 2006-12-19
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538516471 Anthony Christopher Derrico Emergency Medicine 366 Gunfighter Ave Ste 498, Mountain Home Afb, ID 83648-5258 2016-05-20
1881752913 Richard K Thurston Emergency Medicine 229 S 7th Street, St Maries, ID 83861 2006-12-04
1255399820 Warren William Gude Emergency Medicine 600 Robbins Road, The Center for Wound Healing and Hyperbaric Medicine, Boise, ID 83702 2006-05-03
1821529918 Jonathan Subaitani Emergency Medicine 11197 W Fairview Ave, Boise, ID 83713 2017-03-21
1841679669 Robert John Hagenberg IIi Emergency Medicine 3080 E Gentry Way Ste 210, Meridian, ID 83642 2015-05-26
1194019406 Michael Anderson Emergency Medicine 450 E Main St, Rexburg, ID 83440-2048 2011-06-03
1508003104 Rocky Mountain Emergency Physicians, LLC Emergency Medicine 777 Hospital Way, Pocatello, ID 83201 2009-01-19
1225201148 Rodney Gillman Jay Jr. Emergency Medicine 450 E Main St, Rexburg, ID 83440-2048 2008-04-11
1720114275 North Idaho Immediate Care Emergency Medicine 750 N Syringa St, Suite 100, Post Falls, ID 83854-5275 2007-02-26
1407903669 Debra K Mckinnon Emergency Medicine 700 S Main St, Moscow, ID 83843-3056 2007-01-03
Find all providers with the same taxonomy

Competitor

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City JEROME
Zip Code 83338

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Dataset Information

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.

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