Magic Valley Medicine PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NP1452A Issued in ID

Legal business name

MAGIC VALLEY MEDICINE PLLC

Practice address

844 Washington St N Ste 400
Twin Falls, ID 83301-3874

Phone

(208) 734-0000

Fax

(208) 735-5053

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Samuel Barker, NP-CNPI 1043301682

Title

President

Phone

(208) 734-0000

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samuel Harrison Barker, D.C., NP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1043301682
  NPD Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1831644608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-734-0000",
            "fax_number": "208-735-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-734-0000",
            "fax_number": "208-735-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC VALLEY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-734-0000",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "NP1452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magic Valley Denture Center Inc
• Magic Valley Family Practice, PLLC
• Magic Valley Foot and Ankle Specialists PLLC
• Magic Valley Kidney Institute LLP
• Magic Valley Medicine PLLC
• Magic Valley Oral Surgery
• Magic Valley Orthodontics PLLC
• Magic Valley Paramedics , LTD.
• Magic Valley Paramedics L L C
• Magic Valley Regional Medical Center

• All providers in Twin Falls, ID
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.