Main Family Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-6062 Issued in ID

Legal business name

MAIN FAMILY MEDICAL

Practice address

203 W Main St
Boise, ID 83702-7263

Phone

(208) 336-7722

NPI assigned

Jun 5, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Gee, M.D.NPI 1073541983

Title

Owner

Phone

(208) 336-7722

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Gee, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1073541983
  NPD (past) Authorized official
• Laura Joanne Bainbridge, FNP-C, APRN, MSN

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1144434556
  NPD (past)
• Jody Cacioppo, FNP-C

  • Family Medicine Physician
  • Boise, ID
  • NPI 1487515938
  NPD (past)
• Michele Miles, PA-C,MS

  • Physician Assistant
  • Emmett, ID
  • NPI 1710011325
  NPD (past)
• Julie L Scott, PA-C

  • Medical Physician Assistant
  • Boise, ID
  • NPI 1811001415
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1023498920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027263",
            "telephone_number": "208-336-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027263",
            "telephone_number": "208-336-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-336-7722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-6062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Mahrt, RN
• Elysia Maier, BA
• Eric L Maier, MD
• Michael K Maier, MD
• Steven Maier, D.C.
• Linda Mainvil-Fischer, PHARMD
• Maitri House Yoga, LLC
• Jessica Dee Maitri, LCSW
• Kelly Majcher, RN
• Aleksandra Majkut, LCSW

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.