Caring Physician'S Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6692 Issued in ID

Legal business name

CARING PHYSICIAN'S MEDICAL CLINIC

Practice address

8827 N Government Way Unit 2
Hayden, ID 83835-8231

Phone

(208) 762-5577

Fax

(208) 762-5520

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald Anthony Baker, MD

Title

Owner

Phone

(208) 762-5577

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Christopher Ray Sundquist, PAC

  • Medical Physician Assistant
  • Athol, ID
  • NPI 1366510752
  NPD (past)
• John L. Torquato, M.D.

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1417901638

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1629139720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 2",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-762-5577",
            "fax_number": "208-762-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 2",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-762-5577",
            "fax_number": "208-762-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PHYSICIAN'S MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-762-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010151310",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003594300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PIN B5688 GR 8M925",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryll Butler, RPH
• Scout Moon-Shun Cai, DPT
• Bethany Ann Camarata, LCSW CCTP
• Julianne Jean Cameron, DO
• Cre'Elle Olivia Campa, LPC
• Selah Joy Carr, LMT
• Brian Carroll
• Jocelyn Casper, BCBA
• John B Casper, M.D.
• Cedar Mountain Respiratory, Inc.

• All providers in Hayden, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.