DANIEL T WHITTED


Address: 6590 W Norwood Dr, Boise, ID 83704-8765
Phone: 2088552410

DANIEL T WHITTED (NPI# 1942590914) 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) 1942590914
Entity Type Individual
Full Name DANIEL T WHITTED
Credential PA-C
Practice Address 6590 W Norwood Dr
Boise
ID 83704-8765
Practice Telephone 2088552410
Practice Fax Number 2088550157
Mailing Telephone 2088552410
Mailing Fax Number 2088550157
Enumeration Date 2011-04-12
Last Update Date 2011-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-884 ID Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-884 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6590 W NORWOOD DR
City BOISE
State ID
Zip Code 83704-8765

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487799813 Roman Schwartsman Md PC Orthopaedic Surgery 6590 W Norwood Dr, Boise, ID 83704 2007-02-21
1346375417 Mark A Spelich Md PC Orthopaedic Surgery 6590 W Norwood Dr, Boise, ID 83704 2007-02-22

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073915963 Jessica Bishop Physician Assistant 1499 W Hays St, Boise, ID 83702-5029 2014-09-23
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1710231238 Alaina A Mccoy Physician Assistant 100 E. Idaho St., Suite 400, Boise, ID 83712 2012-11-06
1447534821 Addie Barnes Physician Assistant 900 N Liberty, Ste 101, Boise, ID 83704 2011-10-04
1134358104 Eric Culbertson Physician Assistant 633n 4th St, Boise, ID 83702-4510 2009-07-10
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1598921595 Karen B. Barrett Physician Assistant 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 2008-07-30
1972672111 Kara Mcgee Physician Assistant 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 2006-11-06
1265464036 Sharene E Watsen Physician Assistant 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06
1508802091 Heidi R Munro Physician Assistant 8000 S Federal Way, Boise, ID 83716-9632 2006-06-22
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Competitor

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City BOISE
Zip Code 83704

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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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