Owyhee Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OWYHEE FAMILY MEDICINE PLLC

Practice address

9858 W State St
Star, ID 83669-5210

Phone

(208) 286-9471

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Rory Hawker, MDNPI 1710509443

Title

Owner

Phone

(208) 422-7887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEHDDD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rory Hawker, MD

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1710509443
  Medicare reassignment Care Compare group NPD Authorized official
• Elena Jacobs

  • Family Nurse Practitioner
  • Star, ID
  • NPI 1316617681
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1245910470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695210",
            "telephone_number": "208-286-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9858 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695210",
            "telephone_number": "208-286-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWYHEE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "HAWKER",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-422-7887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrithrive LLC
• Audrey Oliver, LICSW
• Mark Olsen, D.D.S.
• Carrie Otterness
• Ami Laura Owen, LMFT
• Marian Therese Peloquin, MS, CCC-SLP
• Dell Rocco Pike, DPT
• Melanie Pilot
• Brian Raymond, LCSW
• Ridleys Family Markets Inc

• Family Medicine Physician in Star, ID
• Providers in Star, 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 Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.