KATHLEEN M SCANLAN (NPI# 1972545465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972545465 |
| Entity Type | Individual |
| Full Name | KATHLEEN M SCANLAN |
| Credential | MD |
| Practice Address |
12273 W Mcmillan Rd Boise ID 83713-0555 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083676330 |
| Practice Fax Number | 2083674765 |
| Mailing Telephone | 2083675189 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M7309 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003922300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096467 | Kathleen Marie Scanlan | Specialist/Technologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2018-09-11 |
| 1477830735 | Kathleen Therese Scanlan | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2011-11-14 |
| 1801847140 | Kathleen Scanlan | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2006-05-12 |
| Street Address |
12273 W MCMILLAN RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-0555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043261803 | Robert Perko | Family Medicine | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2006-05-15 |
| 1912375460 | Madeline L King | Physician Assistant | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2015-09-14 |
| 1093182479 | Alanna Elizabeth Lilly | Physician Assistant | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2015-09-01 |
| 1265820229 | Jie Yan | Physician Assistant | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2014-12-29 |
| 1710315577 | Joseph Robinson | Physician Assistant | 12273 W Mcmillan Rd, Boise, ID 83713 | 2013-10-14 |
| 1053698167 | Jeremey Cureton | Nurse Practitioner | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2011-11-03 |
| 1639490006 | Kristine M. Reinhardt | Nurse Practitioner | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2010-06-18 |
| 1619112216 | Amanda Rose Schwartz | Physician Assistant | 12273 W Mcmillan Rd, Boise, ID 83713 | 2008-12-10 |
| 1063448538 | Saint Alphonsus Physician Services Inc | Internal Medicine | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2006-06-24 |
| 1851331045 | Snehlata Mehta | Internal Medicine | 12273 W Mcmillan Rd, Boise, ID 83713-0555 | 2006-06-07 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790269389 | Erin Michelle Love Mcdermott | Family Medicine | 2402 W Jefferson St, Boise, ID 83702-4811 | 2018-09-19 |
| 1336656040 | Functional Medicine of Idaho PC | Family Medicine | 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008 | 2018-01-03 |
| 1922456870 | Daniel Luftig | Family Medicine | 1041 S Dale St Apt 302, Boise, ID 83706-7641 | 2016-06-01 |
| 1942676598 | Robert F. Smith, Md, Pllc | Family Medicine | 320 N Collins Rd, Boise, ID 83702-4519 | 2015-08-18 |
| 1861827222 | Treasure Valley Neuropathy Relief Center PC | Family Medicine | 1755 N Westgate Dr, Suite 200, Boise, ID 83704-7174 | 2013-09-04 |
| 1205272986 | Shahla Walizada | Family Medicine | 2141 E Parkcenter Blvd, Samg Bhp Family Medicine, Boise, ID 83706 | 2013-05-21 |
| 1891057246 | Kara Mackenzie Kuntz | Family Medicine | 5966 W Curtisian Road, Boise, ID 83704 | 2012-06-12 |
| 1922366707 | Cottonwood Family Medicine | Family Medicine | 100 Cottonwood Court, Suite 150, Boise, ID 87616 | 2012-04-30 |
| 1720377476 | Steven Schneider | Family Medicine | 3775 W Quail Hollow Dr, Boise, ID 83703-3869 | 2011-04-04 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on KATHLEEN M SCANLAN.
| 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.