Diehl Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIEHL INTERNAL MEDICINE

Practice address

6640 Kaniksu St
Bonners Ferry, ID 83805-7532

Phone

(540) 454-1848

NPI assigned

Apr 22, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Paul Diehl IV, DONPI 1275038093

Title

Owner

Phone

(540) 454-1848

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Paul Diehl IV, D.O.

  • Internal Medicine Physician
  • Bonners Ferry, ID
  • NPI 1275038093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1396489696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838050960",
            "telephone_number": "540-454-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 KANIKSU ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "540-454-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641507",
            "country_code": "US",
            "telephone_number": "540-454-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIEHL INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-454-1848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.boundarycommunityhospital.org/?gclid=Cj0KCQjwgYSTBhDKARIsAB8KuksRX1NoTtbf_YHtpTGBWLeF_3P70XffeJ3pQVa-nYBitl2EsUcxPukaAh6SEALw_wcB",
            "affiliation": "N",
            "endpointDescription": "Website link",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6640 Kaniksu St",
            "city": "Bonners Ferry",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838057532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Cobb
• Nelson Comerci, L.AC
• Cornerstone Urgent Care & Family Medicine
• Daisy Crabtree
• Jennfier L Dickison, RND
• Riley Diehl, DO
• William Paul Diehl IV, D.O.
• Eastport PSR, L.L.P.
• Edna Faye Eby, REGISTERED DIETICIAN
• Echo Spring Center for Transitional Studies

• Internal Medicine Physician in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.