Peine Osteopathic Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0366 Issued in ID

Legal business name

PEINE OSTEOPATHIC MEDICINE PLLC

Practice address

450 W State St
Suite 250
Eagle, ID 83616-7057

Phone

(208) 947-0925

Fax

(208) 947-0926

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher C Peine, D,O,NPI 1073529202

Title

Owner

Phone

(208) 947-0925

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Christopher C Peine, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Eagle, ID
  • NPI 1073529202
  NPD (past) Authorized official
• Peter Voss Abraham, D.O.

  • Family Medicine Physician
  • Eagle, ID
  • NPI 1043650633
  NPD (past)
• Benjamin Prinzing

  • Family Nurse Practitioner
  • Eagle, ID
  • NPI 1437661345
  NPD (past)
• Chloe Waham, DO

  • General Practice Physician
  • Twisp, WA
  • NPI 1295484616
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1306010046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "address_2": "SUITE 250",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167057",
            "telephone_number": "208-947-0925",
            "fax_number": "208-947-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "address_2": "SUITE 250",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167057",
            "telephone_number": "208-947-0925",
            "fax_number": "208-947-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEINE OSTEOPATHIC MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PEINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-947-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,O,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Parsons
• Tina Pasillas
• Jeremy Lamont Payne, DC
• James Michael Pease, PTA
• Peine Metabolic Wellness Center
• Christopher C Peine, D.O.
• Anthony Todd Peppley, PT
• Renee Perran
• Trenton Lucas Perry, PA
• Ramsay L Peters

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, 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 Apr 14, 2008; 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.