Maryann Ozier, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-282 Issued in ID

Practice address

1702 W Fairview Ave
Boise, ID 83702-5121

Phone

(208) 957-7400

Fax

(877) 287-3117

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Treasure Valley Hospital Hospital, Boise, ID, CCN 130063
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael J Gustavel, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boise, ID
  • NPI 1306842182
  Medicare reassignment
• Gustavel Orthopedics PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boise, ID
  • NPI 1861961732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Treasure Valley Hospital Limited Partnership

  • Special Hospital
  • Boise, ID
  • NPI 1720040132
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1811002900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025121",
            "telephone_number": "208-957-7400",
            "fax_number": "877-287-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025121",
            "telephone_number": "208-957-7400",
            "fax_number": "877-287-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 W. Curtisian Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83704",
            "country_code": "US",
            "telephone_number": "208-367-3500",
            "fax_number": "208-367-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83706",
            "country_code": "US",
            "telephone_number": "208-336-8250",
            "fax_number": "208-345-9514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZIER",
        "first_name": "MARYANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811002900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Victoria Owens, LMFT
• Marianne Owens, OTRL
• Owyhee Health and Rehab Center
• Dick Oyler, DDS
• Kenyon L Oyler, DDS
• Susan M Ozimkiewicz, MA, NCC, LCPC
• Gary R. Pabalis, O.D.
• Ashlynn Irene Pabawena
• Jose Gerardo Pacheco, LICSW, MSW
• Martha Marie Pacheco, M.D.

• Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.