ERIK J HEGGLAND


Address: 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970
Phone: 2083830201

ERIK J HEGGLAND (NPI# 1780694182) 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) 1780694182
Entity Type Individual
Full Name ERIK J HEGGLAND
Credential MD
Practice Address 1109 W Myrtle St
Suite 200
Boise
ID 83702-6970
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083830201
Practice Fax Number 2084894300
Enumeration Date 2006-08-08
Last Update Date 2013-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
M-8266 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 1109 W MYRTLE ST
SUITE 200
City BOISE
State ID
Zip Code 83702-6970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477581122 Kurt J Nilsson Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-06-30
1801249545 Zachary Braddock Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2016-07-18
1194193334 Candice Chessum Physical Therapist 1109 W Myrtle St, Boise, ID 83702-6970 2015-09-04
1083015929 Julia Hassell Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2014-09-10
1982940011 Lucas Bahnmaier Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2012-12-18
1831475284 Timothy Steven Nicolello Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-31
1992089858 Joel Eric Vander Lugt Physical Therapist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2011-10-10
1639372709 Forrest Q Pecha Specialist/Technologist 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2007-06-07
1518978337 Alejandro A Homaechevarria Family Medicine 1109 W Myrtle St, Suite 200, Boise, ID 83702-6970 2006-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063418903 George A. Wade Orthopaedic Surgery 1188 University Dr, Boise, ID 83706-3009 2005-06-24
1306842182 Michael J Gustavel Orthopaedic Surgery 1702 W Fairview Ave, Boise, ID 83702-5121 2005-06-24
1861961732 Gustavel Orthopedics Pllc Orthopaedic Surgery 1702 W Fairview Ave, Boise, ID 83702-5121 2018-11-20
1245236983 Jennifer Rawlings Miller Orthopaedic Surgery 1188 University Dr, Boise, ID 83706 2005-06-27
1033115803 Kirk J Lewis Orthopaedic Surgery 1188 University Dr, Boise, ID 83706 2005-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790399517 Delaney Bergen Orthopaedic Surgery 738 N College Rd Ste C, Twin Falls, ID 83301-3387 2020-08-31
1164597431 Douglas Alan Cipriano Orthopaedic Surgery 606 N. 3rd Avenue, Suite 201, Sandpoint, ID 83864-1689 2006-11-22
1558375568 Joseph R Liljenquist Orthopaedic Surgery 3405 Merlin Drive, Idaho Falls, ID 83404 2006-07-27
1124061163 Sun Valley Sports Medicine, P.a. Orthopaedic Surgery 191 5th St W, Ketchum, ID 83340 2006-06-14
1568443158 Paul Calvin Collins Orthopaedic Surgery 3875 E Overland Rd, Meridian, ID 83642-9005 2005-11-10
1114445087 Bmh Inc. Orthopaedic Surgery 560 Memorial Dr, Pocatello, ID 83201-4070 2017-08-31
1982060984 Bonner General Hospital, Inc Orthopaedic Surgery 606 N 3rd Ave, Ste 201, Sandpoint, ID 83864-1594 2016-01-06
1477965952 Gregory M. Ford, Md Pllc Orthopaedic Surgery 950 Hospital Way, Ste A, Pocatello, ID 83201-2789 2014-06-02
1932532686 Jason P Richards Md Pllc Orthopaedic Surgery 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 2013-08-16
1013264183 Teton Valley Health Care Inc Orthopaedic Surgery 283 N 1st E, Driggs, ID 83422-5109 2012-08-08
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Competitor

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City BOISE
Zip Code 83702

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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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