DINU MISTRY WOLF (NPI# 1811943285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811943285 |
| Entity Type | Individual |
| Full Name | DINU MISTRY WOLF |
| Other Name | DINU G MISTRY |
| Credential | MD |
| Practice Address |
341 E Bannock St Boise ID 83712-6208 |
| Practice Telephone | 2083428180 |
| Mailing Telephone | 2083428180 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M8327 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
341 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164272 | James A Wolf | Surgery | 341 E Bannock St, Boise, ID 83712-6208 | 2005-06-17 |
| 1932446127 | Dinu G Mistry Md Pa | Clinic/Center | 341 E Bannock St, Boise, ID 83712-6208 | 2013-01-09 |
| 1710163456 | Stacey Carda | Specialist/Technologist, Other | 341 E Bannock St, Boise, ID 83712-6208 | 2008-01-11 |
| 1003092743 | Ronae Martinez | Specialist/Technologist, Other | 341 E Bannock St, Boise, ID 83712-6208 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899973 | Russell H Griffiths Md Pa | Plastic Surgery | 100 E Idaho St Ste 303, Boise, ID 83712-6269 | 2008-04-23 |
| 1841307147 | Thomas D Mckim | Plastic Surgery | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2006-08-23 |
| 1245645589 | Jason Nealy | Plastic Surgery | 4305 N Eagle Rd, Boise, ID 83713-4722 | 2014-06-25 |
| 1487958161 | Susan J. Hegstad, M.d., Pa | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2011-01-10 |
| 1003125758 | Jordan E Miller | Plastic Surgery | 777 N Raymond St, Boise, ID 83704-9251 | 2010-09-29 |
| 1689860736 | Dean Sorensen | Plastic Surgery | 250 Bobwhite Ct, 275, Boise, ID 83706-6643 | 2007-09-22 |
| 1306870761 | Sumiko Joan Hegstad | Plastic Surgery | 222 N 2nd St Ste 102, Boise, ID 83702-6129 | 2006-07-10 |
| 1134181621 | Jonathan D Kramer | Plastic Surgery | 100 E Idaho St, Suite 301, Boise, ID 83712-6267 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902228737 | Mark E Freeman M.d. PC | Plastic Surgery | 3760 Washington Parkway, Idaho Falls, ID 83404 | 2014-01-14 |
| 1467704049 | Bruce Alan Kaplan | Plastic Surgery | 190 Bigwood Drive South, Ketchum, ID 83340 | 2012-10-08 |
| 1043578115 | David Lyons Dingman | Plastic Surgery | 10 Lone Pine Rd, Hailey, ID 83333-5172 | 2012-04-26 |
| 1730450016 | Michael Gregory Pugsley-christensen | Plastic Surgery | 4790 Inverness Drive, Post Falls, ID 83854 | 2012-01-19 |
| 1770589814 | Dell P Smith | Plastic Surgery | 1880 Fillmore St, Twin Falls, ID 83301-3049 | 2005-06-23 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1831534924 | Mark E Freeman Md PC | Plastic Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2013-05-03 |
| 1023267895 | East Falls Plastic Surgery LLC | Plastic Surgery | 2860 Channing Way, Suite 114a, Idaho Falls, ID 83404-7531 | 2008-09-16 |
| 1447368758 | William P.d. Wilson IIi | Plastic Surgery | 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7531 | 2006-08-27 |
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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.