Chewelah Associated Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHEWELAH ASSOCIATED PHYSICIANS

Practice address

410 E King St
Chewelah, WA 99109

Phone

(509) 935-8711

Fax

(509) 935-4882

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas John Boone, MDNPI 1346325750

Title

Ceo

Phone

(509) 935-8711

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chewelah Associated Physicians PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chewelah Associated Physicians

  • Family Medicine Physician
  • Chewelah, WA
  • NPI 1063632388
  NPD tax ID

Practitioners 1

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

• Thomas John Boone, M.D.

  • Family Medicine Physician
  • Chewelah, WA
  • NPI 1346325750
  NPD (past) Authorized official

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1316167638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E KING ST",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "99109",
            "telephone_number": "509-935-8711",
            "fax_number": "509-935-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E KING ST",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "99109",
            "telephone_number": "509-935-8711",
            "fax_number": "509-935-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEWELAH ASSOCIATED PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-935-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7590946",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Carvalho, LMP
• Champion Family Chiropractic,
• John Robert Champion, D.C.
• Chewelah and Rural Ambulance Association
• Chewelah Associated Physicians
• Chewelah Associated Physicians PS
• Chewelah Orthopedic & Sports Physical Therapy Inc.
• Chewelah School District
• Chewelah School District
• Heidi M Clough

• Family Medicine Physician in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.