Organization Active NPI

MN Operations LLC

  • General Practice Physician
  • Meridian, ID
National Provider Identifier
1639838865
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MN OPERATIONS LLC
Practice address
2775 W Navigator Dr Ste 220
Meridian, ID 83642-7592
Phone
(208) 440-8496
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
John Thomas Ahlquist III, MD
Title
Owner
Phone
(208) 810-2298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2775 W Navigator Dr Ste 220
Meridian, ID 83642-7592

Mailing address

2775 W Navigator Dr Ste 220
Meridian, ID 83642-7592
Phone (208) 440-8496

Other names 1

  • Medical Network Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

2775 W Navigator Dr
Ste 220
Meridian, ID 83642
Phone (208) 440-8496

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1639838865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 W NAVIGATOR DR STE 220",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427592",
            "telephone_number": "208-440-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 W NAVIGATOR DR STE 220",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427592",
            "telephone_number": "208-440-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "AHLQUIST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-810-2298",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Network Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.