Kerry W Saurey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4817 Issued in ID

Practice address

1218 9TH St
Ste 7
Rupert, ID 83350

Phone

(208) 436-3161

Fax

(208) 436-3163

NPI assigned

Jul 8, 2006

Last updated

Jun 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rupert Medical Center Partnership

  • Family Medicine Physician
  • Rupert, ID
  • NPI 1982786232
  NPD Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1598798282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 9TH ST",
            "address_2": "STE 7",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "83350",
            "telephone_number": "208-436-3161",
            "fax_number": "208-436-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST",
            "address_2": "STE 7",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "83350",
            "telephone_number": "208-436-3161",
            "fax_number": "208-436-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUREY",
        "first_name": "KERRY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010000787",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "48173",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02263400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Rencher, DDS
• Ridley's Family Markets, Inc (Ridley's Pharmacy #8447)
• William Robar, DO
• Rupert Medical Center Partnership
• Margo Saunders, M.D.
• Allison Roper Serr, FNP-C
• Nichole Blair Shumway, DO
• John Arthur Simpson, DDS
• Todd Gordon Slusser, O.D., M.S., F.A.A.O.
• Southern Idaho Therapy Services

• Family Medicine Physician in Rupert, ID
• Providers in Rupert, 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 Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.