David B Souvenir, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

M-9267 Issued in ID

Practice address

415 6TH St
Lewiston, ID 83501-2431

Phone

(208) 750-7204

Fax

(208) 746-0134

NPI assigned

Aug 3, 2006

Last updated

Feb 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Peter's Health

  dba Sound Health Imaging

  • Radiology Clinic/Center
  • Butte, MT
  • NPI 1194785154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1023026457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-750-7204",
            "fax_number": "208-746-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-750-7204",
            "fax_number": "208-746-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUVENIR",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M9267",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ID",
            "license": "M-9267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807175200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy Lee Sorensen, D.M.D.
• Sound Physicians of Idaho (Sound Physicians)
• Mary Sousa
• Southway Internists PLLC
• Southway Orthodontics PLLC (Christensen Orthodontics)
• Connie Spears, FNP
• David A Spencer, MD
• Pamela Spickler, NP
• Kayla Sprenger
• Carolyn Ann Spurling, P.T.

• Infectious Disease Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Infectious Disease Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.