Active NPI
Daniel Stephen Lambert, PA
- Physician Assistant
- Lewiston, ID
National Provider Identifier
1376626150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-835
- Practice address
- 2315 8TH St
Lewiston, ID 83501-7301 - Phone
- (208) 746-1383
- Fax
- (208) 746-6348
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3802 | AZ | |
| Medical Physician Assistant | 363AM0700X | 3802 | AZ | |
| Physician Assistant | 363A00000X | PA-835 | ID | Primary |
Addresses
Primary practice location
2315 8TH St
Lewiston, ID 83501-7301
Mailing address
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 746-1383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | AZ | NONE |
| 2065624 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1937 | AZ | MD | Family Medicine Physician |
| 3802 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Thoracic & Cardiovascular Surgeons, LTD | Past | Accepting new patients | |
| Jeffrey a. Copoloff, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1225084627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1376626150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "DANIEL",
"middle_name": "STEPHEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3802",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3802",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2065624",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.