NPIMap

Organization Active NPI

Treasure Valley Occupational Medicine

  • Occupational Medicine Physician
  • Boise, ID
National Provider Identifier
1497211148
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
TREASURE VALLEY OCCUPATIONAL MEDICINE
Practice address
8800 W Emerald St Ste 196
Boise, ID 83704-8205
Phone
(208) 375-1105
Fax
(208) 377-7707
NPI assigned
Feb 19, 2019
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Dr. Kevin J Chicoine, MD
Title
Owner
Phone
(208) 375-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

8800 W Emerald St Ste 196
Boise, ID 83704-8205

Mailing address

8800 W Emerald St Ste 196
Boise, ID 83704-8205
Phone (208) 375-1105

National Provider Directory

National Provider Directory

Locations

8800 W Emerald St
Ste 196
Boise, ID 83704
Phone (208) 375-1105

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1497211148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W EMERALD ST STE 196",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048205",
            "telephone_number": "208-375-1105",
            "fax_number": "208-377-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W EMERALD ST STE 196",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048205",
            "telephone_number": "208-375-1105",
            "fax_number": "208-377-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "CHICOINE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-375-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.