NPIMap

Individual provider Active NPI

George William Palmer, MD

  • Allergy & Immunology Physician
  • Boise, ID
National Provider Identifier
1033105259
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M9232 Issued in ID
Practice address
901 N Curtis Rd
Ste 100
Boise, ID 83706-1394
Phone
(208) 378-0080
Fax
(208) 378-0259
NPI assigned
Sep 22, 2005
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X M9232 ID Primary

Addresses

Primary practice location

901 N Curtis Rd
Ste 100
Boise, ID 83706-1394

Mailing address

901 N Curtis Rd
Ste 100
Boise, ID 83706-1394
Phone (208) 378-0080

Other identifiers 1

IdentifierTypeStateIssuer
1215061734MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000541 ID Practitioner - Allergy/Immunology 5092765560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Valley Asthma and Allergy PAGroup PAC ID 6901860014, 7 clinicians

Practice addresses (Care Compare)

901 N Curtis Rd
Suite 100
Boise, ID 83706-1339
Phone (208) 378-0080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M9232IDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Valley Asthma & Allergy PA Allergy & Immunology CurrentSince Jan 17, 2005 Accepting new patients
Gem State Neurology PLLC PastSince Jun 23, 2025 Accepting new patients
Shoreline Allergy & Asthma Associates LLP PastSince Feb 1, 2022 Accepting new patients
Boise Kidney & Hypertension PLLC PastSince Jan 17, 2005 Accepting new patients

Locations

901 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 378-0080

1825 S Kimball Ave
Caldwell, ID 83605
Phone (208) 454-0567

323 E Riverside Dr
Ste 204
Eagle, ID 83616
Phone (208) 378-0080

2320 E Gala St
Ste 500
Meridian, ID 83642
Phone (208) 378-0080

16060 Idaho Center Blvd
Nampa, ID 83687
Phone (208) 278-6338

4424 E Flamingo Ave
Ste 340
Nampa, ID 83687
Phone (208) 378-0080

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71115

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1033105259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061394",
            "telephone_number": "208-378-0080",
            "fax_number": "208-378-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061394",
            "telephone_number": "208-378-0080",
            "fax_number": "208-378-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "ID",
            "license": "M9232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215061734",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.