Active NPI
Jonathan Barrus DO PC
- Family Medicine Physician
- Emmett, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JONATHAN BARRUS DO PC
- Practice address
- 2020 S Johns Ave Ste B
Emmett, ID 83617-9410 - Phone
- (208) 369-4340
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bret Barrus
- Title
- Physician/Owner
- Phone
- (208) 369-4340
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Mailing address
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone (208) 369-4340
Other names 1
- Gem Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210630000052 | ID | Part B Supplier - Clinic/Group Practice | 8729489620 |
Receives reassigned benefits from 6 practitioners Practice locations: Emmett, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2227796 | Gem Family Medicine | Provider-performed microscopy | Jun 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
2020 S Johns Ave
Emmett, ID 83617
2020 S Johns Ave
Ste B
Emmett, ID 83617
Phone (208) 369-4340
Interoperability endpoints
- https://api.platform.athenahealth.com/23758/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
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": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1699375659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 S JOHNS AVE STE B",
"city": "EMMETT",
"state": "ID",
"postal_code": "836179410",
"telephone_number": "208-369-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 S JOHNS AVE STE B",
"city": "EMMETT",
"state": "ID",
"postal_code": "836179410",
"telephone_number": "208-369-4340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN BARRUS DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "BARRUS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "BRET",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "208-369-4340"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gem Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Emmett, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.