RYAN J HARRIS (NPI# 1952628745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952628745 |
| Entity Type | Individual |
| Full Name | RYAN J HARRIS |
| Credential | MD |
| Practice Address |
6051 N Eagle Rd Boise ID 83713-0997 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2085194333 |
| Practice Fax Number | 2082059134 |
| Mailing Telephone | 2089556500 |
| Mailing Fax Number | 2089556503 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | M12883 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
| 1548611049 | Ryan Harris | Family Medicine | 630 W Court St Ste B, Paragould, AR 72450-4247 | 2016-06-26 |
| 1336405372 | Ryan Michelle Harris | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2012-04-04 |
| 1770709438 | Ryan Gregory Harris | Dentist | 5138 Cedar Village Dr, Mason, OH 45040-3717 | 2007-04-18 |
| 1386299956 | Ryan Harris | Social Worker | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2019-08-09 |
| 1639737570 | Ryan K Harris | Dentist | 1003 W 3rd St, Grand Island, NE 68801-5831 | 2019-06-05 |
| 1801363601 | Ryan Keith Harris | Physician Assistant | 849 S Three Notch St, Andalusia, AL 36420-5325 | 2018-10-30 |
| 1043759657 | Ryan Harris | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2017-02-15 |
| 1811391402 | Ryan Harris | Counselor | 113 Metlakatla St, Sitka, AK 99835-7666 | 2014-10-10 |
| 1588079354 | Ryan Harris | Dentist | 1940 Tamiami Trl, Unit 102, Port Charlotte, FL 33948-2105 | 2014-06-30 |
| Street Address |
6051 N EAGLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-0997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063462075 | Gary J Millward | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2006-05-11 |
| 1598271645 | Treasure Valley Dermatology & Skin Cancer Center, Pllc | Dermatology | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2017-12-26 |
| 1154870251 | Jacob Shane Tebbs | Physician Assistant | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2016-09-29 |
| 1588002547 | Dustin Ray Portela | Dermatology | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2013-06-11 |
| 1407047202 | Mariya Rose Ostermiller | Physician Assistant | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2007-08-06 |
| 1104975168 | Clinton Clark Dpm LLC | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2007-01-09 |
| 1982711578 | Boise Podiatry Clinic, P. A. | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713 | 2006-08-23 |
| 1578514618 | Scott A Graviet | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713-0997 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345091 | Integrated Dermatology of Idaho LLC | Dermatology | 388 E Parkcenter Blvd, Boise, ID 83706-3942 | 2018-08-07 |
| 1104220797 | Boise Skin Clinic Pllc | Dermatology | 1636 S Hadley Ave, Boise, ID 83709-2684 | 2014-10-10 |
| 1487899365 | Jaclyn Golus Mentzer | Dermatology | 388 E. Parkcenter Blvd. Gem State Dermatology, Boise, ID 83706 | 2008-12-08 |
| 1982736435 | Joseph P. Fetzek M.d., P.a. | Dermatology | 10222 Summerwind Dr, Boise, ID 83704-3950 | 2007-03-11 |
| 1154475556 | Joseph Patrick Fetzek | Dermatology | 6111 W Overland Rd, Boise, ID 83709-3018 | 2007-01-22 |
| 1225107386 | Jhon R Hall | Dermatology | 13176 W Persimmon Lane, Boise, ID 83713 | 2006-11-06 |
| 1124106364 | Lindie K Borton | Dermatology | 3811 N Garden Center Way, Boise, ID 83703-5007 | 2006-11-02 |
| 1992808893 | Jared M Scott | Dermatology | 1906 S Vista Ave, Boise, ID 83705-3453 | 2006-09-06 |
| 1104870567 | James H Stewart | Dermatology | 7733 W Emerald St, Boise, ID 83704 | 2006-05-20 |
| 1548214265 | Steven M Mings | Dermatology | 388 E. Parkcenter Blvd., Boise, ID 83706 | 2006-05-19 |
| Find all providers in BOISE | ||||
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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.