SOUTHWEST IDAHO EAR, NOSE AND THROAT, PA (NPI# 1801838180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801838180 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST IDAHO EAR, NOSE AND THROAT, PA |
| Practice Address |
1000 State St Mccall ID 83638-3704 |
| Mailing Address |
900 N Liberty St Ste 400 Boise ID 83704-8704 |
| Practice Telephone | 2083673320 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RYAN PHARIS (ADMINISTRATOR) |
| Authorized Official Telephone | 2083673320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
1000 STATE ST |
| City | MCCALL |
| State | ID |
| Zip Code | 83638-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538107362 | Paul D Traughber | Radiology | 1000 State St, Mccall, ID 83638-3704 | 2006-06-03 |
| 1376163618 | Andrea Lingle | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-04-16 |
| 1780224618 | Heidi Lee Galyardt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-01-08 |
| 1942849781 | Megan Hatt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-26 |
| 1821636853 | Jesse Cook | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-20 |
| 1770927964 | Susan Mccandless | Dietitian, Registered | 1000 State St, Mccall, ID 83638-3704 | 2013-04-18 |
| 1881982510 | St Lukes Clinic - Mccall LLC | Emergency Medicine | 1000 State St, Mccall, ID 83638-3704 | 2011-07-15 |
| 1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
| 1417265810 | St Lukes Mccall, Ltd | Anesthesiology | 1000 State St, Mccall, ID 83638-3704 | 2010-09-20 |
| 1235447970 | St Lukes Mccall Ltd | General Acute Care Hospital | 1000 State St, Mccall, ID 83638-3704 | 2010-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255897708 | Seanne Jo Safaii | Dietitian, Registered | 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | 2019-02-20 |
| 1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
| 1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
| 1669923892 | Amy Leigh Forkan | Massage Therapist | 301 E Park St., Mccall, ID 83638 | 2016-10-24 |
| 1770982597 | Rachel L Smith | Acupuncturist | 106 E. Park St, Suite 102, Mc Call, ID 83638 | 2014-08-18 |
| 1275944498 | Central Idaho Counseling, Pllc | Social Worker | 125 Commerce St., Suite B, Mccall, ID 83638 | 2014-05-09 |
| 1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
| 1467882274 | Tamara Nagoda | Speech-Language Pathologist | 304 Edgewater Circle, Mccall, ID 83638 | 2013-11-14 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1659581585 | Barbara Gail Norton | Social Worker | 125 Commerce St, Suite B, Mccall, ID 83638 | 2007-05-22 |
| Find all providers in zip 83638 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952822942 | Delray Maughan, M.d. Pllc | Otolaryngology | 13900 W Wainwright Dr Ste 101, Boise, ID 83713-5028 | 2017-06-29 |
| 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 |
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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.