CATALYST MEDICAL GROUP, PLLC


Address: 2315 8th St, Lewiston, ID 83501
Phone: 2087461383

CATALYST MEDICAL GROUP, PLLC (NPI# 1912458787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912458787
Entity Type Organization
Organization Name CATALYST MEDICAL GROUP, PLLC
Practice Address 2315 8th St
Lewiston
ID 83501
Mailing Address 2315 8th St
Lewiston
ID 83501-7301
Practice Telephone 2087461383
Practice Fax Number 2087466348
Mailing Telephone 2087461383
Mailing Fax Number 2087466348
Enumeration Date 2016-10-17
Last Update Date 2018-05-21
Authorized Official Name DAVID L SCHLACTUS (CO-CEO)
Authorized Official Telephone 2082983100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 1912458787 05
ID 1912458787 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023545373 Catalyst Medical Group, Pllc Durable Medical Equipment & Medical Supplies 320 Warner Dr, Lewiston, ID 83501 2017-05-17
1871033266 Catalyst Medical Group, Pllc Durable Medical Equipment & Medical Supplies 2315 8th St, Lewiston, ID 83501 2017-03-03
1609940501 Catalyst Medical Group, Pllc Physician Assistant 623 S Main St, Moscow, ID 83843-2983 2006-11-20

Office Location

Street Address 2315 8TH ST
City LEWISTON
State ID
Zip Code 83501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415404 Christine C Schaller Family Medicine 2315 8th St, Lewiston, ID 83501-7301 2005-05-31
1821614512 Cory A Gall Pathology 2315 8th St, Lewiston, ID 83501-7301 2020-06-18
1255800462 Rebecca Lyn Horne Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2018-11-16
1871033266 Catalyst Medical Group, Pllc Durable Medical Equipment & Medical Supplies 2315 8th St, Lewiston, ID 83501 2017-03-03
1376918383 Eric Fast Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2015-12-02
1629450218 Zachary S Ripley Family Medicine 2315 8th St, Lewiston, ID 83501-7301 2015-06-19
1023496908 Anita Ringering Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2015-05-12
1356747042 Danielle Barnes Physician Assistant 2315 8th St, Lewiston, ID 83501-7301 2014-11-07
1871900225 Lynley R James Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7301 2014-07-17
1629329537 Stephanie Margaret Carpenter Nurse Practitioner 2315 8th St, Lewiston, ID 83501-7303 2012-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881200517 Vannvei LLC Clinic/Center 1522 17th St, Lewiston, ID 83501-3652 2020-09-18
1215095252 Lewiston Orthopaedic Associates Pa Clinic/Center 320 Warner Dr, Lewiston, ID 83501-4441 2006-12-04
1942227699 Valley Medical Center, Pllc Clinic/Center 2315 8th St, Lewiston, ID 83501-7301 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1346799483 Healing Sanctuary LLC Clinic/Center 187 E 13th St, Idaho Falls, ID 83404-5305 2016-09-30
1760741334 Saint Alphonsus Regional Medical Center Inc Clinic/Center 131 Constitution Way, Nampa, ID 83686 2012-05-16
1750681607 Family Services, Pllc Clinic/Center 501 N 16th St Ste 108, Payette, ID 83661-2782 2010-10-26
1043545106 Ashwood Recovery LLC. Clinic/Center 7941 W Rifleman St, Boise, ID 83704-9001 2009-10-07
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
1659371870 Saint Alphonsus Medical Center Nampa, Inc. Clinic/Center 4300 E Flamingo Ave, Nampa, ID 83687-3138 2005-07-29
1831716182 Regenesis Health Centre Inc. Clinic/Center 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 2020-07-02
1568005809 Pure Healthcare of Idaho LLC Clinic/Center 6560 W Emerald St Ste 122, Boise, ID 83704-8781 2019-10-18
1699316190 Boise Plastic Surgery Boise Hand Center Pllc Clinic/Center 1070 N Curtis Rd Ste 135, Boise, ID 83706-1257 2019-10-05
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Competitor

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City LEWISTON
Zip Code 83501

Improve Information

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Dataset Information

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.

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