Deer Point Family Practice PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DEER POINT FAMILY PRACTICE PC

Practice address

6023 N Eagle Rd
Boise, ID 83713-0997

Phone

(208) 322-7284

Fax

(208) 323-9070

NPI assigned

Apr 10, 2007

Last updated

Dec 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary A Tubbs, M.D.NPI 1902848989

Title

Owner

Phone

(208) 322-7284

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Arthur Tubbs, M.D.

  • Family Medicine Physician
  • Boise, ID
  • NPI 1902848989
  Authorized official Same address or phone

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1134342264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4979",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114979",
            "telephone_number": "208-322-7284",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130997",
            "telephone_number": "208-322-7284",
            "fax_number": "208-323-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER POINT FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-322-7284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010028455",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002643400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedric Joesph Decory Jr., LMSW
• Chelsea E Dedlow, NP
• Brenda Dee, LCSW
• Eric Deegear, LMT
• Ramatoulie Deen, LMSW
• Laura Mae Defenbach, MS, CGC
• Chanine Angelina Defensor, PHARMD
• Caroline Defrang, M.D.
• Francis Joseph Dega, MD
• Betsy K Degrandi, L.AC

• General Practice Physician in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.