Philip Eric Dayley, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Nampa, ID
NPI 1306377361 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1306377361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 5861065 (ID)
- Practice address
- 9850 W St Lukes Dr Ste 320a
Nampa, ID 83687-7912 - Phone
- (208) 706-3220
- Fax
- (208) 706-3221
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Alabama College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711
9850 St Lukes Dr
Nampa, ID 83687-7912
9850 W St Luke'S Dr
Nampa, ID 83687-7912
Hospital & facility affiliations
- St Luke'S Nampa Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816003695 | ID | Practitioner - Obstetrics/Gynecology | 0244628949 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5861065 | ID | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Current |
Accepting new patients | |
| Summa Health System | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
9850 W St Lukes Dr
Ste 229
Nampa, ID 83687
Phone (208) 205-7700
9850 W St Lukes Dr
Ste 320A
Nampa, ID 83687
Phone (208) 323-3767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34.014064 | OH | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 34.014064 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | 5861065 | ID | Yes |
Addresses
Primary practice location
9850 W St Lukes Dr Ste 320a
Nampa, ID 83687-7912
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752
Other practice location 1
525 E Market St
Akron, OH 44304-1619
Phone (330) 375-6119
Other providers in Nampa, ID
- Richard Fredrick Davis
- Steffani Davis
- Daniel Clark Day
- Joann Day
- Myia Day
- Elizabeth A Dayton
- Mayra De Anda Hernandez
- Jacqueline De la Paz
- Christine Hope De Langen
- Dean Rosecrans
All providers in Nampa, ID · Obstetrics & Gynecology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.