Individual provider Active NPI

Sean S Lamb, PA-C

  • Physician Assistant
  • Meridian, ID
National Provider Identifier
1053763896
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1900 W Chinden Blvd
Meridian, ID 83646-6690
Phone
(208) 809-2860
Fax
(208) 809-2861
NPI assigned
Jul 5, 2016
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X ID Primary

Addresses

Primary practice location

1900 W Chinden Blvd
Meridian, ID 83646-6690

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 985-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002224 ID Practitioner - Physician Assistant 9830483007

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC Family Medicine Current Accepting new patients

Locations

11197 W Fairview Ave
Boise, ID 83713
Phone (208) 378-8011

1475 N Cole Rd
Boise, ID 83704
Phone (208) 375-9964

1907 S Broadway Ave
Ste 101
Boise, ID 83706
Phone (208) 345-1222

4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050

6052 W State St
Boise, ID 83703
Phone (208) 344-7799

8971 W Overland Rd
Boise, ID 83709
Phone (208) 378-4288

4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545

512 N 21st Ave
Caldwell, ID 83605
Phone (208) 809-2875

1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

5601 W Chinden Blvd
Garden City, ID 83714
Phone (208) 809-2865

1474 N Meridian Rd
Kuna, ID 83634
Phone (208) 809-2885

1623 S Wells Ave
Meridian, ID 83642
Phone (208) 489-1450

1648 NW 1st St
Meridian, ID 83642
Phone (208) 888-9393

1900 W Chinden Blvd
Meridian, ID 83646
Phone (208) 809-2860

260 S Ten Mile Rd
Meridian, ID 83642
Phone (208) 809-2872

3280 E Lanark Dr
Meridian, ID 83642
Phone (208) 377-4400

1115 12th Ave Rd
Nampa, ID 83686
Phone (208) 498-1080

1375 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 809-2869

700 Caldwell Blvd
Nampa, ID 83651
Phone (208) 466-6567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1053763896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-985-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W CHINDEN BLVD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466690",
            "telephone_number": "208-809-2860",
            "fax_number": "208-809-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "SEAN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.