Organization Active NPI

Wood River Family Medicine PLLC

  • Medical Physician Assistant
  • Hailey, ID
National Provider Identifier
1346441912
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
WOOD RIVER FAMILY MEDICINE PLLC
Practice address
706 S Main St
Hailey, ID 83333-8400
Phone
(208) 788-3434
Fax
(208) 788-2025
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Authorized official

Name
Carl A Barbee, M.D.
Title
Physician
Phone
(208) 788-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

706 S Main St
Hailey, ID 83333-8400

Mailing address

706 S Main St
Hailey, ID 83333-8400
Phone (208) 788-3434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1346441912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338400",
            "telephone_number": "208-788-3434",
            "fax_number": "208-788-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S MAIN ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338400",
            "telephone_number": "208-788-3434",
            "fax_number": "208-788-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD RIVER FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-788-3434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.