River Medical Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-8587 Issued in ID

Legal business name

RIVER MEDICAL FAMILY MEDICINE, PLLC

Practice address

100 Cottonwood CT BLDG D
Suite 150
Eagle, ID 83616-6576

Phone

(208) 939-3314

Fax

(208) 939-3315

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Michael R. Minas, MD

Title

Physician

Phone

(208) 939-3314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1194835546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1909",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836169108",
            "telephone_number": "208-939-3314",
            "fax_number": "208-939-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT BLDG D",
            "address_2": "SUITE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-939-3314",
            "fax_number": "208-939-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER MEDICAL FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MINAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-939-3314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew Michael Ripepi, DO
• Jillian Alexa Rippey, ARNP
• Natalie Ritchey
• Nicholas Ray Riveland, OTR/L
• River Bend Behavioral Health
• Roam Ind LLC
• Denise Michele Roberts, PT
• Jessica Marie Roberts
• Michael D. Roberts, RPH
• Rocky Mountain GYN and Hormone Center

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.