Ronald S Higginbotham, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-50 Issued in ID

Legal business name

RONALD S HIGGINBOTHAM, DO PA

Doing business as

Boise Osteopathic Medical Clinic

Practice address

7685 W Emerald St
Boise, ID 83704-9018

Phone

(208) 376-2522

Fax

(208) 375-5860

NPI assigned

Feb 4, 2007

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy E Hummel

Title

Office Manager

Phone

(208) 376-2522

Specialties & licenses 1

Addresses

Other names 1

• Boise Osteopathic Medical Clinic Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Joan E. Ball, RN, CNM

  • Advanced Practice Midwife
  • Boise, ID
  • NPI 1497818413
  NPD (past)
• Brandon Micah Brevig, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Boise, ID
  • NPI 1306057641
  NPD (past)
• Melanie Britt Michaels, MPT

  • Physical Therapist
  • Boise, ID
  • NPI 1184765448
  NPD (past)
• Cynthia-Marie Capiral Dekuiper, CRNP

  • Acute Care Nurse Practitioner
  • Westerville, OH
  • NPI 1306892054
  NPD (past)

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1306984943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049018",
            "telephone_number": "208-376-2522",
            "fax_number": "208-375-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049018",
            "telephone_number": "208-376-2522",
            "fax_number": "208-375-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S HIGGINBOTHAM, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-376-2522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Osteopathic Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan N Romero, CPNP
• Maggie Romig, LMSW
• Kathleen M Romito, MD
• Ronald B Tye PSYD Associates PA (Treasure Valley Psychological Services)
• Ronald E Jutzy MD Inc
• Thomas Ronay, MD
• Matthew Patrick Ronayne
• Sindhu Rondla, DDS
• Kellen Joseph Ronnau, M.D.
• Joseph Ronquillo, DNP

• Family Medicine Physician in Boise, ID
• Providers in Boise, 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 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.