Stuart Coldsnow

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1927 Issued in ID

Practice address

1907 S Broadway Ave Ste 101
Boise, ID 83706-4229

Phone

(208) 345-1222

NPI assigned

Jun 2, 2020

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dwyer & Harrington, PLLC

  • Nurse Practitioner
  • Boise, ID
  • NPI 1568589596

  ID

  Medicare reassignment Care Compare group

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dwyer and Harrington, PLLC 12 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2020.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1265056568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BROADWAY AVE STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064229",
            "telephone_number": "208-345-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDSNOW",
        "first_name": "STUART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Cohea, MASSAGE THERAPIST
• Andrew Ross Cohen, MD
• Madison Cohen
• Coire Weathers, MD, PLLC
• Rosemary Coldsnow, PT, DPT
• Cole Dental
• Cole Diagnostics, Inc
• Cole Family Eye Center, PA
• Michelle Denise Cole-Riccardi
• Mycellia Cole-Thurow

• All providers in Boise, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.