Valley View Family Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M8898 Issued in ID

Legal business name

VALLEY VIEW FAMILY MEDICAL PLLC

Practice address

1100 N Lincoln Ave
Jerome, ID 83338-1856

Phone

(208) 324-6656

Fax

(208) 324-1492

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Robert Mena, MD

Title

Owner/Provider

Phone

(208) 324-6656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1821419946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381856",
            "telephone_number": "208-324-6656",
            "fax_number": "208-324-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381856",
            "telephone_number": "208-324-6656",
            "fax_number": "208-324-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-324-6656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Torgerson, M. S., CCC-SLP
• Alice R. Trabert, F.N.P.
• Urgent Care of Idaho, LLC (Urgent Care of Jerome)
• Johnny Michael Urrutia Sr.
• Valley Therapy Services, Inc.
• Priscilla Concepzion Vega
• Wal-Mart Stores, Inc (Vision Center 30-2831)
• Emily Walgamott, RN
• Gerlyn Danette Walker, LPC-7901
• Thomas Walker, HOUSING PROVIDER

• Family Medicine Physician in Jerome, ID
• Providers in Jerome, 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 Dec 16, 2013; 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.