NPIMap

Organization Active NPI

Family Care Physicians, PA

  • Family Medicine Physician
  • Jerome, ID
National Provider Identifier
1124015342
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE PHYSICIANS, PA
Practice address
112 5TH Ave W
Jerome, ID 83338-1825
Phone
(208) 324-1157
Fax
(208) 324-3604
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. James S Irwin, M.D.NPI 1023007465
Title
Owner/President
Phone
(208) 324-1157

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

112 5TH Ave W
Jerome, ID 83338-1825

Mailing address

112 5TH Ave W
Jerome, ID 83338-1825
Phone (208) 324-1157

Other identifiers 2

IdentifierTypeStateIssuer
8064244MedicaidID
8041512MedicaidID

National Provider Directory

National Provider Directory

Locations

112 5th Ave W
Jerome, ID 83338
Phone (208) 324-1157

Practitioners & affiliated clinicians

Practitioners 8

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1124015342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 5TH AVE W",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381825",
            "telephone_number": "208-324-1157",
            "fax_number": "208-324-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 5TH AVE W",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381825",
            "telephone_number": "208-324-1157",
            "fax_number": "208-324-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-324-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8064244",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8041512",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerome, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.