Family Health Care of Post Falls, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8602 Issued in ID

Legal business name

FAMILY HEALTH CARE OF POST FALLS, PLLC

Doing business as

Northwest Integrative Family Med

Practice address

1110 Polston Ave
Ste 1
Post Falls, ID 83854

Phone

(208) 773-1311

Fax

(208) 773-1644

NPI assigned

Jun 8, 2006

Last updated

May 2, 2019By 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. Michael L. Oglesbay, D.O.NPI 1659476844

Title

Owner/Physician

Phone

(208) 773-1311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwest Integrative Family Med Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Michael L Oglesbay, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hayden, ID
  • NPI 1659476844
  Medicare reassignment NPD Authorized official
• Richard R Samuel, MD

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1285644955
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1548200181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 W 5TH AVE STE 301",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546728",
            "telephone_number": "208-773-1311",
            "fax_number": "208-773-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 POLSTON AVE",
            "address_2": "STE 1",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-773-1311",
            "fax_number": "208-773-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE OF POST FALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "OGLESBAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "208-773-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806345800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Integrative Family Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel J Evens, APRN, CNM, FNP-C
• Exiges Imaging of Idaho LLC
• Exiges Ultrasound of Idaho LLC
• Eye Exam Near Me PLLC (Post Falls Eye Exam)
• Steven Ryan Facer, D.D.S.
• Sania Farooq
• Fearless Mental Health Club LLC
• Deborah Kay Ferguson, LCPC
• Thomas Lowell Fernandes, DDS
• Toby Andrew Ficklin, DC ATC

• Family Medicine Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.