DONALD J BEASLEY (NPI# 1770573750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770573750 |
| Entity Type | Individual |
| Full Name | DONALD J BEASLEY |
| Credential | MD |
| Practice Address |
901 N Curtis Road Ste 104 Boise ID 83706 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083676099 |
| Practice Fax Number | 2083676085 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2012-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M-7576 | ID | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | M7576 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | DM735 | 01 |
| ID | BLUE SHIELD | 000010004823 | 01 |
| ID | RAILROAD MEDICARE | 040013862 | 01 |
| ID | 805241200 | 05 | |
| ID | BLUE CROSS | 38117 | 01 |
| ID | BLUE SHIELD | 000010004824 | 01 |
| Street Address |
901 N CURTIS ROAD STE 104 |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740650316 | Jamie Jill Page | Physician Assistant | 901 N Curtis Road, Boise, ID 83706 | 2015-09-25 |
| 1124307665 | Erik K Hanson | Physician Assistant | 901 N Curtis Road, Ste 501, Boise, ID 83706 | 2011-08-16 |
| 1467618223 | Emily Rose Ann Squyer | Specialist | 901 N Curtis Road, Ste 501, Boise, ID 83706 | 2008-07-31 |
| 1346402757 | Ann Elizabeth Knierim | Orthopaedic Surgery | 901 N Curtis Road, Ste 501, Boise, ID 83706 | 2008-06-26 |
| 1104991868 | Megan C Mcdonell | Physician Assistant | 901 N Curtis Road, Ste 501, Boise, ID 83706 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
| 1649253188 | Delray Maughan | Otolaryngology | 13900 W Wainwright Dr Ste 102, Boise, ID 83713-5028 | 2005-11-29 |
| 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.