Helicase LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HELICASE LLC

Practice address

1717 Arlington Ave
Caldwell, ID 83605-4802

Phone

(919) 886-0690

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Thadeus Koontz, MDNPI 1609010156

Title

MD,PHD/Owner

Phone

(919) 886-0690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Helicase LLC

  • Clinical Medical Laboratory
  • Boise, ID
  • NPI 1952006959
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thadeus B Koontz, MD

  • Psychiatry Physician
  • Santa Barbara, CA
  • NPI 1609010156

  ID

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1083343388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44795",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837110795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802",
            "telephone_number": "919-886-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELICASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "THADEUS",
        "authorized_official_title_or_position": "MD,PHD/OWNER",
        "authorized_official_telephone_number": "919-886-0690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Gib Hein, D.C.
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• Travis Henderson, CRNA
• Savanah J Hendrickson

• Psychiatry Physician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.