NPIMap

Individual provider Active NPI

Talmadge Clifford Caviness, M.D.

  • Surgery Physician
  • Lewiston, ID
National Provider Identifier
1497870091
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A89627 Issued in CA
Practice address
415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431
Phone
(208) 743-2511
NPI assigned
Mar 20, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M-12119 ID
Surgery Physician 208600000X A89627 CA Primary

Addresses

Primary practice location

415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431

Mailing address

415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431
Phone (208) 743-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000458 ID Practitioner - Anesthesiology 2567596794 Reassigns benefits to 2 organizations
I20191209000221 WA Practitioner - Anesthesiology 2567596794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Memorial HospitalGroup PAC ID 4082502422, 33 clinicians

Practice addresses (Care Compare)

1119 Highland Ave
Clarkston, WA 99403-2836
Phone (509) 758-5511

1221 Highland Ave
Clarkston, WA 99403-2829

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12119IDMDAnesthesiology Physician
A89627CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince May 1, 2017 Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 4, 2019 Accepting new patients
Tri-State Memorial Hospital Surgery Current Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 4, 2019 Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 4, 2019 Accepting new patients
Golden State Emergency Physicians Inc Past Accepting new patients

Locations

2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001

307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450

1119 Highland Ave
Ste 11
Clarkston, WA 99403
Phone (509) 758-4450

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Interoperability endpoints

  • Direct secure messaging: talmadge.caviness@tsmh.medicity.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1497870091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "address_2": "VALLEY ANESTHESIA",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "address_2": "VALLEY ANESTHESIA",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINESS",
        "first_name": "TALMADGE",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M-12119",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A89627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.