GRAHAM K WETHERLEY (NPI# 1821030586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821030586 |
| Entity Type | Individual |
| Full Name | GRAHAM K WETHERLEY |
| Credential | M.D. |
| Practice Address |
900 N Liberty St Suite 302 Boise ID 83704-8704 |
| Mailing Address |
Po Box 7098 Boise ID 83707-1098 |
| Practice Telephone | 2083221686 |
| Mailing Telephone | 2084728117 |
| Mailing Fax Number | 2083441926 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M5449 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002755800 | 05 |
| Street Address |
900 N LIBERTY ST SUITE 302 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470274 | Gerard Patrick Connor | Obstetrics & Gynecology | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2005-07-08 |
| 1659909935 | Emily Dawn Clay | Dietitian, Registered | 900 N Liberty St, Boise, ID 83704-8704 | 2020-03-31 |
| 1114455334 | Andrea Suzette Page | Audiologist | 900 N Liberty St, Boise, ID 83704-8704 | 2017-06-01 |
| 1669822672 | Adam Reyes | Audiologist | 900 N Liberty St, 305, Boise, ID 83704-8704 | 2016-06-21 |
| 1346601176 | Melissa Rincon | Massage Therapist | 900 N Liberty St, Boise, ID 83704-8704 | 2016-03-07 |
| 1508268616 | Elizabeth A Rutten-turner | Social Worker | 900 N Liberty St, Suite 200, Boise, ID 83704-8704 | 2014-09-19 |
| 1013342468 | Polina Kokoulina | Physician Assistant | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2013-09-04 |
| 1538456900 | Michael Dean Bateman | Audiologist | 900 N Liberty St, Ste 400, Boise, ID 83704-8704 | 2011-07-06 |
| 1336309434 | Linsey Etherington | Surgery | 900 N Liberty St, Ste 101, Boise, ID 83704-8704 | 2008-06-11 |
| 1548433790 | Ada Plastic and Reconstructive Surgery | Clinic/Center | 900 N Liberty St, Suite 300, Boise, ID 83704-8704 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
| 1841234747 | Samual Bass | Internal Medicine | 300 E Jefferson, Ste 101, Boise, ID 83712 | 2006-06-15 |
| 1407814411 | Frederick R. Badke | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2006-05-02 |
| 1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
| 1326045428 | Patrick Scott Coleman | Internal Medicine | 6140 W Curtisian Ave Ste 200, 6140 W Curtisian Ave Ste 200, Boise, ID 83704 | 2005-07-05 |
| 1114305091 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-12 |
| 1790162345 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-04 |
| 1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
| Find all providers in BOISE | ||||
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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.