Peak Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEAK FAMILY MEDICINE, LLC

Practice address

1495 Parkway Dr Ste C
Blackfoot, ID 83221-1639

Phone

(208) 643-4231

Fax

(208) 643-4235

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Daniel J Barney, NPNPI 1104320324

Title

Owner

Phone

(208) 643-4231

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 2

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

• Daniel Joseph Barney, NP

  • Family Nurse Practitioner
  • Blackfoot, ID
  • NPI 1104320324
  NPD (past) Authorized official
• Max Barney

  • Family Nurse Practitioner
  • Blackfoot, ID
  • NPI 1720448590
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1316601156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 PARKWAY DR STE C",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211639",
            "telephone_number": "208-643-4231",
            "fax_number": "208-643-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 PARKWAY DR STE C",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211639",
            "telephone_number": "208-643-4231",
            "fax_number": "208-643-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-643-4231",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Page Palmer, D.O.
• Parkway Surgery Center LLC
• Parkway Surgery Center LLC
• Julene M Parson
• Roshan S Patel, M.D.
• McKenna Peck
• Tayler Peck, COTA
• Kayla Pedigo, LPC
• Peggy J Trebilcock DDS PC
• Darin Perry, LMFT

• All providers in Blackfoot, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.