NPIMap

Organization Active NPI

Caldwell Internal Medicine Professional Association

  • Internal Medicine Physician
  • Caldwell, ID
National Provider Identifier
1649225616
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CALDWELL INTERNAL MEDICINE PROFESSIONAL ASSOCIATION
Practice address
211 E Logan St
Suite 201
Caldwell, ID 83605-4835
Phone
(208) 459-4667
Fax
(208) 459-3372
NPI assigned
May 24, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Steven J Koga, M.D.NPI 1144275512
Title
President
Phone
(208) 459-4667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

211 E Logan St
Suite 201
Caldwell, ID 83605-4835

Mailing address

211 E Logan St
Suite 303
Caldwell, ID 83605-4835
Phone (208) 459-4667

National Provider Directory

National Provider Directory

Locations

211 E Logan St
Ste 303
Caldwell, ID 83605
Phone (208) 250-2834

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1649225616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST",
            "address_2": "SUITE 303",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054835",
            "telephone_number": "208-459-4667",
            "fax_number": "208-459-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST",
            "address_2": "SUITE 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054835",
            "telephone_number": "208-459-4667",
            "fax_number": "208-459-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL INTERNAL MEDICINE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "KOGA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-459-4667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.