Joshua Edwin Albright
Individual provider Active NPI Pediatrics Physician · Meridian, ID
NPI 1134614985 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1134614985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- O-1828 (ID)
- Practice address
- 1620 S Celebration Ave
Meridian, ID 83642-2779 - Phone
- (208) 884-1030
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200805002497 | KS | Order and Referring Only - Pediatric Medicine |
8628493848 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-1828 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Regional Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 94-10323 | KS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | O-1828 | ID | Yes |
Addresses
Primary practice location
1620 S Celebration Ave
Meridian, ID 83642-2779
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752
Other practice location 1
1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone (316) 293-2665
Other providers in Meridian, ID
- Albertsons LLC
- Albertsons LLC
- Albertsons LLC
- Leslie C Albor
- Hunter Thomas Albrecht
- Caden Michael Alder
- Jennifer Alderson
- Maria Aldinger
- Jesse Dean Aldous
- Peyton Elizabeth Aldrich
All providers in Meridian, ID · Pediatrics Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.