NPIMap

Organization Active NPI

Southwest Idaho Ear, Nose and Throat

  • Otolaryngology Physician
  • Boise, ID
National Provider Identifier
1306823125
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SOUTHWEST IDAHO EAR, NOSE AND THROAT
Practice address
900 N Liberty St
Ste 400
Boise, ID 83704-8704
Phone
(208) 367-3320
Fax
(208) 367-7474
NPI assigned
Dec 22, 2005
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Arthur C Jones III, M.D.NPI 1659354223
Title
President
Phone
(208) 367-3320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

900 N Liberty St
Ste 400
Boise, ID 83704-8704

Mailing address

900 N Liberty St
Ste 400
Boise, ID 83704-8704
Phone (208) 367-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101008000695 ID Part B Supplier - Clinic/Group Practice 0042402034 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Boise, ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0521880Southwest Idaho Ear Nose and Throat PA900 N Liberty St #400, Boise, ID 83704Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Locations

900 N Liberty St
Ste 350
Boise, ID 83704
Phone (208) 367-8350

4424 E Flamingo Ave
Ste 320
Nampa, ID 83687
Phone (208) 367-3320

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1306823125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N LIBERTY ST",
            "address_2": "STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048704",
            "telephone_number": "208-367-3320",
            "fax_number": "208-367-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N LIBERTY ST",
            "address_2": "STE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048704",
            "telephone_number": "208-367-3320",
            "fax_number": "208-367-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IDAHO EAR, NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-367-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.