DR. NICHOLAS GARRETT (NPI# 1841673183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841673183 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS GARRETT |
| Credential | D.O. |
| Practice Address |
700 S Main St Moscow ID 83843 |
| Mailing Address |
700 S Main St Moscow ID 83843-3046 |
| Practice Telephone | 2088824511 |
| Practice Fax Number | 2088836580 |
| Mailing Telephone | 2088824511 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | O-1226 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1841673183 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 6th St, Lewiston, ID 83501 | 5127303056 | 8887301925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477034304 | Nicholas Garrett | Counselor | 359 Fenn St, Pittsfield, MA 01201-5261 | 2018-08-28 |
| Street Address |
700 S MAIN ST |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687031 | Panhandle Anesthesia Associates of Moscow | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-10-19 |
| 1962015149 | James Lee Hug | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-08-26 |
| 1720616188 | Kaylee Drenker | Pharmacist | 700 S Main St, Moscow, ID 83843-3046 | 2020-03-31 |
| 1083245377 | Jill Lynn Lawrence | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2020-01-27 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1669975207 | Colleen Cochran | Pharmacist | 700 S Main St, Moscow, ID 83843-3056 | 2018-03-09 |
| 1427566751 | Duane Dale | Speech-Language Pathologist | 700 S Main St, Moscow, ID 83843-3056 | 2018-01-22 |
| 1962913061 | Lori Marie Mages | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-16 |
| 1245740638 | Kristen Topliff | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-11 |
| 1124547401 | Dorothy Plaza | Registered Nurse | 700 S Main St, Moscow, ID 83843-3056 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1861693483 | Joseph Jameel Khan | Emergency Medicine | 1855 Moscow Cemetary Rd, Moscow, OH 45153-9792 | 2007-05-30 |
| 1881680312 | Thomas D Sprinkle | Emergency Medicine | 2500 W A St Ste 101, Moscow, ID 83843-6000 | 2005-09-20 |
| 1003267493 | Lauren Brogis | Emergency Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2016-06-27 |
| 1912008095 | John Barclay Brown IIi | Emergency Medicine | 700 S Main St, Moscow, ID 83843-3056 | 2006-09-25 |
| 1902917834 | Musa Modad | Emergency Medicine | 719 S Main St, Moscow, ID 83843-3041 | 2006-08-31 |
| 1386698322 | Randall F Kloepfer | Emergency Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2006-05-22 |
| 1578523577 | James M Clark | Emergency Medicine | 700 S Main St, Moscow, ID 83843 | 2006-03-24 |
| 1770557662 | William E Caldwell | Emergency Medicine | 623 S Main St, Moscow, ID 83843-2983 | 2006-02-15 |
| 1982678579 | Sara Martin Lawrence | Emergency Medicine | 700 S Main St, Moscow, ID 83843 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104851 | Cep America, LLC | Emergency Medicine | 4300 E. Flamingo Ave, Nampa, ID 83687-9203 | 2017-06-21 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1972914406 | Jonathan Robert Jerkins | Emergency Medicine | 700 W Ironwood Dr Ste 155, Coeur D Alene, ID 83814-4462 | 2014-05-19 |
| 1457619074 | William P. Martin | Emergency Medicine | 1279 E Regatta St, Boise, ID 83706-6349 | 2012-05-02 |
| 1922365436 | Colby Austin | Emergency Medicine | 2963 E Copper Point Dr Ste 150, Meridian, ID 83642-9056 | 2012-04-20 |
| 1245514454 | Todd Robert Smith | Emergency Medicine | 3835 S Firenze Way, Meridian, ID 83642-1434 | 2011-10-06 |
| 1124306295 | Austin Heath Rasmussen | Emergency Medicine | 637 Pine St, Gooding, ID 83330-1755 | 2011-07-23 |
| 1962799460 | Tyler James Harris | Emergency Medicine | 1510 12th Ave Rd Ste 100, Nampa, ID 83686 | 2011-07-05 |
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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.