Organization Active NPI

Sawtooth Epidemiology and Infectious Diseases P.C.

  • Medical Specialty Clinic/Center
  • Boise, ID
National Provider Identifier
1225326515
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C.
Practice address
125 E Idaho St Ste 203
Boise, ID 83712-6255
Phone
(208) 338-0148
Fax
(208) 336-4027
NPI assigned
Jul 20, 2011
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Casi Wyatt, D.O.NPI 1083716153
Title
Physician/Owner
Phone
(208) 338-0148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

125 E Idaho St Ste 203
Boise, ID 83712-6255

Mailing address

125 E Idaho St Ste 203
Boise, ID 83712-6255
Phone (208) 338-0148

National Provider Directory

National Provider Directory

Locations

125 E Idaho St
Ste 100
Boise, ID 83712
Phone (208) 338-0148

125 E Idaho St
Ste 203
Boise, ID 83712
Phone (208) 338-0148

4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1225326515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E IDAHO ST STE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126255",
            "telephone_number": "208-338-0148",
            "fax_number": "208-336-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E IDAHO ST STE 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126255",
            "telephone_number": "208-338-0148",
            "fax_number": "208-336-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "CASI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-338-0148",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "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 Apr 3, 2012; 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.