Western Pacemaker Clinic, PLLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

M-5874 Issued in ID

Legal business name

WESTERN PACEMAKER CLINIC, PLLC

Practice address

13960 W Wainwright Dr
Boise, ID 83713-1969

Phone

(208) 947-5390

Fax

(208) 947-3465

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Walter Louis Seale, M.D.

Title

Ceo

Phone

(208) 947-5390

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1629405857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13960 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131969",
            "telephone_number": "208-947-5390",
            "fax_number": "208-947-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13960 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131969",
            "telephone_number": "208-947-5390",
            "fax_number": "208-947-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PACEMAKER CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "SEALE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-947-5390",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ID",
            "license": "M-5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Rollin Westerberg, LD LICENSED DENTURIS
• Stefani A. Westerberg, NP-C
• Victoria Amber Westergard
• Scott Westerlund, CRNA
• Western Aircraft Inc (Lanai Air)
• Mackenzie Westfall
• Rachel Westman, MS, CGC
• Jefferson Jackson Wetherington, MS, LAT, ATC
• Emily Wettstein
• Cherise M Wetzel, LMSW

• Clinical Cardiac Electrophysiology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Cardiac Electrophysiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.