NPIMap

Organization Active NPI

PMR Healthcare

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1316509656
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PMR HEALTHCARE
Practice address
2033 E Summersweet Dr
Boise, ID 83716-6695
Phone
(516) 882-1232
NPI assigned
Jul 8, 2019
Organization subpart
Yes
Parent organization
PREMIER MEDICAL RESOUCES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Joseph David Donadio
Title
VP, Operations
Phone
(317) 845-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2033 E Summersweet Dr
Boise, ID 83716-6695

Mailing address

7399 N Shadeland Ave # 103
Indianapolis, IN 46250-2052
Phone (516) 882-1232

Other names 1

  • PMR Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PMR Healthcare6 organizations share this tax ID, including this one
Part of
PMR Healthcare

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14191/brand/1/csg/21/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1316509656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7399 N SHADELAND AVE # 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502052",
            "telephone_number": "516-882-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E SUMMERSWEET DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166695",
            "telephone_number": "516-882-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER MEDICAL RESOUCES, INC",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "DONADIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "317-845-5974"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMR Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PMR Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2024; 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.