Right Choice Urgent Care and Family Medicine

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-368 Issued in ID

Legal business name

RIGHT CHOICE URGENT CARE AND FAMILY MEDICINE

Practice address

280 W Main St
Wendell, ID 83355-5201

Phone

(208) 536-9933

Fax

(208) 536-6214

NPI assigned

Feb 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gary D Myers, PA

Title

Owner

Phone

(208) 536-9933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1598005233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W MAIN ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833555201",
            "telephone_number": "208-536-9933",
            "fax_number": "208-536-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W MAIN ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833555201",
            "telephone_number": "208-536-9933",
            "fax_number": "208-536-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT CHOICE URGENT CARE AND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-16",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-536-9933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.