NPIMap

Organization Active NPI

Zldmd PLLC

  • General Practice Physician
  • Boise, ID
National Provider Identifier
1104179670
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ZLDMD PLLC
Practice address
6000 W Overland Rd
Boise, ID 83709-3013
Phone
(208) 323-7588
Fax
(208) 515-3468
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Hugh G Sterling, MDNPI 1538198098
Title
Owner
Phone
(208) 323-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6000 W Overland Rd
Boise, ID 83709-3013

Mailing address

6000 W Overland Rd
Boise, ID 83709-3013
Phone (208) 323-7588

Other names 1

  • FIRSTLINE MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000104 ID Part B Supplier - Clinic/Group Practice 0749433159 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

9205 W Overland Rd
Boise, ID 83709

9161 W Black Eagle Dr
Boise, ID 83709
Phone (208) 321-1500

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1104179670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093013",
            "telephone_number": "208-323-7588",
            "fax_number": "208-515-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093013",
            "telephone_number": "208-323-7588",
            "fax_number": "208-515-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZLDMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-323-7588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTLINE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.