DR. DANIEL KP NOONAN (NPI# 1942474853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942474853 |
| Entity Type | Individual |
| Full Name | DR. DANIEL KP NOONAN |
| Credential | MD |
| Practice Address |
287 W Jefferson St Boise ID 83702-6045 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083221680 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M-12094 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
M-12094 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1942474853 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376844647 | Daniel Trevor Noonan | Contractor | 1517 Crawford Way, Glenwood Springs, CO 81601-4577 | 2010-11-03 |
| 1952517997 | Daniel J Noonan | Obstetrics & Gynecology | 3915 Old Lee Hwy, Unit 21c, Fairfax, VA 22030-2432 | 2007-05-15 |
| 1669404620 | Daniel James Noonan | Emergency Medicine | 520 S Maple Ave, Rush Oak Park Hospital Emergency Room, Oak Park, IL 60304-1022 | 2006-07-07 |
| 1790711984 | Daniel E Noonan | Family Medicine | 50 Central Ave, Osseo, MN 55369-1241 | 2006-06-23 |
| Street Address |
287 W JEFFERSON ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720383 | Dana M Peachey | Nurse Practitioner | 287 W Jefferson St, Boise, ID 83702-6045 | 2006-05-23 |
| 1861935660 | Megan Larson | Nurse Practitioner | 287 W Jefferson St, Boise, ID 83702-6045 | 2016-11-28 |
| 1679733414 | Joshua I Mozes | Internal Medicine | 287 W Jefferson St, Boise, ID 83702-6045 | 2008-06-16 |
| 1770781155 | Betty R Trounson | Dietitian, Registered | 287 W Jefferson St, Boise, ID 83702-6045 | 2007-07-06 |
| 1639287329 | Boise Heart Clinic Pllc | Internal Medicine | 287 W Jefferson St, Boise, ID 83702 | 2006-08-25 |
| 1700814787 | James W Smith | Internal Medicine | 287 W Jefferson St, Boise, ID 83701 | 2006-06-29 |
| 1205871258 | Robert S Lee | Internal Medicine | 287 W Jefferson St, Boise, ID 83702-6045 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1629405857 | Western Pacemaker Clinic, Pllc | Internal Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2013-10-02 |
| 1679733414 | Joshua I Mozes | Internal Medicine | 287 W Jefferson St, Boise, ID 83702-6045 | 2008-06-16 |
| 1669409785 | Melinda L. Marks | Internal Medicine | 300 E Jefferson St, Ste 101, Boise, ID 83712-6246 | 2006-06-26 |
| 1720033459 | Walter L Seale | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190215 | Cardiovascular Specialists of America, LLC | Internal Medicine | 1515 E Clark St, Pocatello, ID 83201-4133 | 2020-10-08 |
| 1760928865 | University of Utah Pediatric Services | Internal Medicine | 110 Vista Dr, Pocatello, ID 83201-5824 | 2017-01-12 |
| 1144608308 | University of Utah Adult Services | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-05-08 |
| 1316325574 | University of Utah Adult Services | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404-6371 | 2015-05-08 |
| 1992182547 | University of Utah Adult Services | Internal Medicine | 3100 Channing Way, Ste 600, Idaho Falls, ID 83404-7533 | 2015-05-04 |
| 1124236393 | Alejandro Perez-verdia | Internal Medicine | 3242 S Woodruff Ave, Idaho Falls, ID 83404-8305 | 2007-05-19 |
| 1013961242 | Karl P Undesser | Internal Medicine | 745 S Progress Ave, Meridian, ID 83642-5619 | 2006-05-20 |
Please comment or provide details below to improve the information on DR. DANIEL KP NOONAN.
| 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.