South Hill Suboxone

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

SOUTH HILL SUBOXONE

Practice address

1103 E Best Ave
Ste C
Coeur D Alene, ID 83814-4878

Phone

(866) 805-0885

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Pamil Sidhu, MD

Title

Owner

Phone

(866) 805-0885

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1649649807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162529",
            "telephone_number": "866-805-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BEST AVE",
            "address_2": "STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144878",
            "telephone_number": "866-805-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL SUBOXONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "PAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-805-0885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Sommers, LCP
• Sheila Sonntag
• Arturo Ramos Soria, M.D.
• Erin Sousley, DC
• Ryan Sousley, DC
• Tanner Souza, DO
• Cierra Heaven Sovenski, LMSW
• Marcus Stephen Sowder
• Spencer C Wirig, DMD, Inc
• Erika Spencer, RN

• Addiction Medicine (Family Medicine) Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Addiction Medicine (Family Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.