Active NPI
West Valley Medical Group Specialty Services LLC
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Caldwell, ID
National Provider Identifier
1245659093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Legal business name
- WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
- Practice address
- 315 Elm Street
Ste 310
Caldwell, ID 83605 - Phone
- (208) 454-2035
- Fax
- (208) 454-1065
- NPI assigned
- Apr 9, 2014
- Last updated
- Jan 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Joseph
- Title
- VP
- Phone
- (615) 373-7630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | NU | Primary |
Addresses
Primary practice location
315 Elm Street
Ste 310
Caldwell, ID 83605
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 373-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
300 E Jefferson St
Ste 1010
Boise, ID 83712
Phone (208) 336-4141
16458 N Midland Blvd
Nampa, ID 83687
Phone (208) 795-5075
645 E 5th St
Ste Cc
Weiser, ID 83672
Practitioners & affiliated clinicians
Practitioners 61
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.
-
- Surgery Physician
- Caldwell, ID
- NPI 1942463799
-
- Interventional Cardiology Physician
- Caldwell, ID
- NPI 1174620512
-
- Surgery Physician
- Caldwell, ID
- NPI 1477593648
-
- Surgery Physician
- Meridian, ID
- NPI 1962597948
-
- Physician Assistant
- Caldwell, ID
- NPI 1336952662
-
- Clinical Cardiac Electrophysiology Physician
- Caldwell, ID
- NPI 1013961242
-
- Nurse Practitioner
- Caldwell, ID
- NPI 1326132432
-
- Family Nurse Practitioner
- Caldwell, ID
- NPI 1780303966
-
- Gynecology Physician
- Caldwell, ID
- NPI 1457419210
-
- Internal Medicine Physician
- Caldwell, ID
- NPI 1144275512
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1003073560
-
- Obstetrics & Gynecology Nurse Practitioner
- Meridian, ID
- NPI 1710132931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1245659093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274525",
"telephone_number": "615-373-7600",
"fax_number": "866-346-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ELM STREET",
"address_2": "STE 310",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83605",
"telephone_number": "208-454-2035",
"fax_number": "208-454-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-09",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "615-373-7630"
},
"taxonomies": [
{
"code": "207VB0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
- West Valley Medical Center, Inc. (West Valley Therapy Services)
- West Valley Medical Center, Inc. (West Valley Medical Center)
- West Valley Medical Center, Inc. (West Valley Medical Center)
- West Valley Medical Center, Inc. (West Valley Medical Center)
- West Valley Medical Group LLC
- West Valley Professional Fee Billing, LLC
- West Valley Therapy Services, LLC
- Allan Lee West, LMFT
- Josh Robert Westerberg, DENTURIST/DENTURITRY
- Rebecca Lynn Westerberg, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.