Virtare Health Physician Services of Idaho PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIRTARE HEALTH PHYSICIAN SERVICES OF IDAHO PLLC

Practice address

3597 E Monarch Sky LN Ste 240
Meridian, ID 83646-1055

Phone

(855) 745-8400

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Franklin Moses, MBBS

Title

Ceo

Phone

(855) 745-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1043099310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 THORNMINT RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272402",
            "telephone_number": "855-745-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 E MONARCH SKY LN STE 240",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461055",
            "telephone_number": "855-745-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTARE HEALTH PHYSICIAN SERVICES OF IDAHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-745-8400",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Meridian, ID
• Providers in Meridian, 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 7, 2024; 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.