Organization Active NPI

Idaho Family Physicians

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1124121595
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IDAHO FAMILY PHYSICIANS
Practice address
130 E Boise Ave
Boise, ID 83706
Phone
(208) 345-4066
Fax
(208) 345-4196
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Barbara A Heschke
Title
Clinic Manager
Phone
(208) 345-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

130 E Boise Ave
Boise, ID 83706

Mailing address

130 E Boise Ave
Boise, ID 83706
Phone (208) 345-4066

National Provider Directory

National Provider Directory

Locations

130 E Boise Ave
Boise, ID 83706
Phone (208) 345-4066

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1124121595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-345-4066",
            "fax_number": "208-345-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-345-4066",
            "fax_number": "208-345-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "HESCHKE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "208-345-4066"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 2007; 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.