D&G Medical Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

D&G MEDICAL ASSOCIATES PLLC

Practice address

1430 W Ustick Rd Ste 100
Meridian, ID 83646-7734

Phone

(208) 286-8670

Fax

(888) 990-2969

NPI assigned

Mar 13, 2018

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen V Fraley

Title

Revenue Cycle Director

Phone

(208) 861-7173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• D, G, and S Behavioral Health LLC

  dba Altitude Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1497359715

  Member Of

  NPD member

Locations (25 of 26)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCBGBD

Practitioners 22

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.

• Daniel Jude Allen, DO

  • Family Medicine Physician
  • Middleton, ID
  • NPI 1720017247
  Medicare reassignment Care Compare group NPD
• Gregory R Ball, DO

  • Pulmonary Disease Physician
  • Twin Falls, ID
  • NPI 1407985278
  Medicare reassignment Care Compare group NPD
• Steven Boehmer, DO

  • Family Medicine Physician
  • Burley, ID
  • NPI 1336563063
  Medicare reassignment Care Compare group NPD
• Travis Chandler, NP-C

  • Primary Care Nurse Practitioner
  • Burley, ID
  • NPI 1861927634
  Medicare reassignment Care Compare group NPD
• Autumn Grant, FNP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1184206872
  Medicare reassignment Care Compare group NPD
• Brandi Hyer, FNP

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1578217022
  Medicare reassignment Care Compare group NPD
• Stephanie Ann Orr, FNP-C

  • Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1285392720
  Medicare reassignment Care Compare group NPD
• Shaylynn Sherrick Smith, FNP-C

  • Family Nurse Practitioner
  • Burley, ID
  • NPI 1013764224
  Medicare reassignment Care Compare group NPD
• John Tyler Starr, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1609366624
  Medicare reassignment Care Compare group NPD
• Tina Michelle Thorne, AGNP

  • Adult Health Nurse Practitioner
  • Nampa, ID
  • NPI 1063970168
  Medicare reassignment Care Compare group NPD
• Monica Lena White, NP

  • Family Nurse Practitioner
  • Salmon, ID
  • NPI 1548772338
  Medicare reassignment Care Compare group NPD
• Emily Dawn Anderson, AGNP

  • Gerontology Nurse Practitioner
  • Meridian, ID
  • NPI 1982359006
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1669975900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W USTICK RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467734",
            "telephone_number": "208-286-8670",
            "fax_number": "888-990-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&G MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "208-861-7173"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Curtis, APRN
• William B Curtis, O.P.A.-C
• Bretta Lee Cyr, PA
• Hrefna Czaja, MS, CCC-SLP
• Collin Anthony Czajka, DMD
• Michael Verlyn Dabell, DMD
• John Keith Dahl
• N Eric Dahl, D.C.
• Ryan Dale, DPT
• Abigail D Daley, PA-C

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.