Sandpoint Pediatrics LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M4954 Issued in ID

Legal business name

SANDPOINT PEDIATRICS LLP

Practice address

6833 El Paso
Bonners Ferry, ID 83805-8569

Phone

(208) 267-3773

Fax

(208) 267-1923

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Joyce Gilbert, MD

Title

Co Owner

Phone

(208) 265-2272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1043401920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 2ND AVE",
            "address_2": "100",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641552",
            "telephone_number": "208-265-2242",
            "fax_number": "208-265-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 EL PASO",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058569",
            "telephone_number": "208-267-3773",
            "fax_number": "208-267-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "208-265-2272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey J Rose, DO
• Robert Rossi, LCSW
• Janice Decordova Rudeen
• Lori Anne Sabin, LM, CPM
• Safeway Inc
• Kendra Lee Scarlett, LICENSED MIDWIFE
• John Patrick Schrom, M.S,, LPC
• Pamela Schudar-Svec, DC
• Schurmann Chiropractic & Wellness Center, LLC
• Sequel Alliance Family Services, LLC

• Pediatrics Physician in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Pediatrics Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.