Doc-Side Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-3276 Issued in ID

Legal business name

DOC-SIDE MEDICAL GROUP PC

Practice address

502 N 2ND Ave
Suite a
Sandpoint, ID 83864-1558

Phone

(208) 263-3111

Fax

(208) 265-0427

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven C Puffer, M.D.NPI 1326106279

Title

Owner

Phone

(208) 263-3111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven C Puffer, M.D.

  • Family Medicine Physician
  • Sandpoint, ID
  • NPI 1326106279
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629138656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 2ND AVE",
            "address_2": "SUITE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641558",
            "telephone_number": "208-263-3111",
            "fax_number": "208-265-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 2ND AVE",
            "address_2": "SUITE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641558",
            "telephone_number": "208-263-3111",
            "fax_number": "208-265-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC-SIDE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUFFER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-263-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Delucchi, LCSW
• Amy Rose Dephilippis, LCSW
• Lawrence Derbes Jr., MD
• Stacee Dineen
• Mercedes Dirks
• Docs Pharmacy Inc
• Rachel Dolph
• Kayla Dotson, PHARMD
• Tamar Nicole Doty, PHARMD
• Morgan Douglas

• Family Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, 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 Aug 22, 2020; 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.