MR. ZACHARY L HALE (NPI# 1801830914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801830914 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY L HALE |
| Credential | MD |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Mailing Address |
7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 |
| Practice Telephone | 5127303056 |
| Practice Fax Number | 8887301925 |
| Mailing Telephone | 5127303056 |
| Mailing Fax Number | 8887301925 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M10172 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M-10172 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD21951 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD21951 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8293383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992028 | Zachary James Hale | Nurse Practitioner | 68 Darst Rd, Beavercreek, OH 45440-3442 | 2019-09-24 |
| 1558749879 | Zachary Hale | Physical Therapist | 1006 Bankton Cir, Hanahan, SC 29410-2957 | 2015-05-07 |
| 1043615909 | Zachary Hale | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2014-11-04 |
| 1770929655 | Zachary Hale | Internal Medicine | 6720 Bertner Ave # Mc1-133, Houston, TX 77030-2604 | 2013-05-17 |
| 1265718308 | Zachary Hale | Case Manager/Care Coordinator | 7500 Dollarway Rd Ste 105, White Hall, AR 71602-3082 | 2011-11-02 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851685572 | Stephen A Murak | Emergency Medicine | 5290 Military Rd Ste 10a&b, Lewiston, NY 14092-1953 | 2011-05-31 |
| 1356594477 | Vein and Wound Care Pa | Emergency Medicine | 93 Campus Ave., Lewiston, ME 04240 | 2008-11-03 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| 1033181409 | William D Collins | Emergency Medicine | 91 Campus Ave, Lewiston, ME 04240 | 2006-02-01 |
| 1194725465 | Ronald M. Reilly | Emergency Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2005-07-28 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1265895510 | Heather Beasley | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2016-04-04 |
| 1033521208 | Sheldon Stevenson | Emergency Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2014-05-22 |
| 1881032613 | Justin Daniel Valiquet | Emergency Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2013-06-14 |
| 1457692980 | Riley Cooper | Emergency Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2013-03-07 |
| Find all providers in LEWISTON | ||||
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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.