Peripheral Vascular Partners of Boise

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PERIPHERAL VASCULAR PARTNERS OF BOISE

Practice address

3581 E Overland Rd
Meridian, ID 83642-6757

Phone

(385) 492-4064

Fax

(801) 689-3277

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Justin Cowley

Title

Managing Partner

Phone

(385) 492-4064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ryan S Kemp, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
  • NPI 1437442290
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1700456274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 S 1500 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844053926",
            "telephone_number": "385-492-4064",
            "fax_number": "801-689-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426757",
            "telephone_number": "385-492-4064",
            "fax_number": "801-689-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIPHERAL VASCULAR PARTNERS OF BOISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "COWLEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "385-492-4064"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pedersen, PT
• Lia Lynne Pele, FNP-C
• Peoplefirst Homecare & Hospice of Utah, LLC
• Azalia Jasmine Perez
• Performance and Rehabilitation Chiropractic
• Shelley Kathleen Perkins, M.D.
• Tanya Perkins, COTA/L
• Misa Perron-Burdick, MD
• Benjamin Merrill Perry, D.O.
• Katelyn A Perry, LPC

• Vascular & Interventional Radiology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Vascular & Interventional Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.