Pivot Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PIVOT HEALTH LLC

Practice address

808 S Vanguard Way
Meridian, ID 83642-7552

Phone

(208) 817-2008

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

John Thomas Ahlquist III, MD

Title

Owner, MD

Phone

(208) 616-1050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1417535329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44595",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837110595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S VANGUARD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427552",
            "telephone_number": "208-817-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 W Myrtle St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026945",
            "country_code": "US",
            "telephone_number": "208-616-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "AHLQUIST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "208-616-1050",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Jo Piper
• Lori Pirnie, PA
• Alan J.a. Pitt, MD
• Darren Scott Pittard, M.D.
• Justin Matthew Pittman, PT, DPT
• PKHW LLC
• Kimberly Platter, LMT
• Tyler Johnathan Pletcher
• Melissa A Plourde, LMSW
• Colton John Plouzek, PHARMD

• General Practice Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.