Mary E River MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M8111 Issued in ID

Legal business name

MARY E RIVER MD PA

Practice address

222 N 2ND St
Suite 103
Boise, ID 83702-6109

Phone

(208) 381-3699

Fax

(208) 381-3697

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Mary E River, MDNPI 1205882743

Title

Owner

Phone

(208) 381-3699

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mary E River, MD

  • Neurology Physician
  • Nampa, ID
  • NPI 1205882743
  NPD (past) Authorized official
• Karin Marie Lindholm, D.O.

  • Neurology Physician
  • Hailey, ID
  • NPI 1083660583
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295921237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-381-3699",
            "fax_number": "208-381-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-381-3699",
            "fax_number": "208-381-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E RIVER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "RIVER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-381-3699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M8111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Martinez, LCPC
• Stephen C Martinez, MD
• Laura Elizabeth Marx, MS
• Steven V Marx, M.D.
• Mary Davis, PHD PLLC
• Mary Lynn Young, MD PLLC
• Enock Masengesho
• Autumn Rose Mason, AGACNP-BC
• Barbara J Mason, PHARM D
• Charley Mason

• Neurological Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Neurological Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.