TREASURE VALLEY FAMILY MEDICINE, PLLC (NPI# 1841603768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841603768 |
| Entity Type | Organization |
| Organization Name | TREASURE VALLEY FAMILY MEDICINE, PLLC |
| Practice Address |
2428 N Stokesberry Pl Meridian ID 83646-5035 |
| Practice Telephone | 2088950050 |
| Practice Fax Number | 2088870033 |
| Mailing Telephone | 2088950050 |
| Mailing Fax Number | 2088870033 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | DR. BRIAN KEITH CROWNOVER (OWNER/PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 2088950050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
M11819 | ID | Ambulatory Health Care Facilities |
| Street Address |
2428 N STOKESBERRY PL |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729085 | Brian Keith Crownover | Family Medicine | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2005-09-07 |
| 1376955013 | Cheryl Botting-hammack | Community Health Worker | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2014-05-29 |
| 1265857999 | Judith Lynn Carroll | Social Worker | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2014-03-05 |
| 1588913214 | Russell Neal Singleton | Physician Assistant | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983462 | Amh Series II Id, LLC | Clinic/Center | 3875 E Overland Rd Ste 1e, Meridian, ID 83642-9005 | 2020-02-07 |
| 1275186835 | Bella Family Healthcare & Aesthetics | Clinic/Center | 1545 E Leighfield Dr Ste 100, Meridian, ID 83646-5371 | 2019-07-22 |
| 1821032376 | Saint Alphonsus Physician Services Inc | Clinic/Center | 3250 W Cherry Ln, Meridian, ID 83642-1120 | 2006-06-15 |
| 1891355392 | Kaylor Family Medicine Pllc | Clinic/Center | 2536 N Stokesberry Pl, Meridian, ID 83646-1144 | 2019-06-17 |
| 1457894339 | Mountain West Medical Services Pllc | Clinic/Center | 1067 S Wells St, Suite#110, Meridian, ID 83642-7997 | 2016-11-28 |
| 1033424429 | Borron Family Medicine Pllc | Clinic/Center | 790 W Ustick Rd, Ste 110, Meridian, ID 83646-5558 | 2010-08-10 |
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| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1073031118 | Clover Creek Medical | Clinic/Center | 175 North Main Street, Bloomington, ID 83223-8322 | 2017-09-08 |
| 1104351972 | Salmon River Clinic | Clinic/Center | 102 Courthouse Dr, Suite F, Salmon, ID 83467-3904 | 2017-04-28 |
| 1154877918 | Boise House Calls, LLC | Clinic/Center | 303 Elk Creek Road, Suite Box 88, Idaho City, ID 83631 | 2016-08-31 |
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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.