Treasure Valley Neuropathy Relief Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TREASURE VALLEY NEUROPATHY RELIEF CENTER PC

Practice address

1755 N Westgate Dr
Suite 200
Boise, ID 83704-7174

Phone

(208) 472-8113

Fax

(208) 472-8172

NPI assigned

Sep 4, 2013

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas R Hull, MD

Title

Owner

Phone

(208) 350-6450

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, and the practitioner matching its NPPES authorized official.

• Glenn R. Waite, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Boise, ID
  • NPI 1295742948

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1861827222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WHISPERWOOD WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094900",
            "telephone_number": "208-350-6450",
            "fax_number": "208-350-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N WESTGATE DR",
            "address_2": "SUITE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047174",
            "telephone_number": "208-472-8113",
            "fax_number": "208-472-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY NEUROPATHY RELIEF CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-350-6450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Home Care Services L.L.C.
• Treasure Valley Hospital Limited Partnership
• Treasure Valley Mental Health
• Treasure Valley Mental Health, LLC
• Treasure Valley Midwives, LLC
• Treasure Valley Occupational Medicine
• Treasure Valley Oral and Facial Surgery PLLC
• Treasure Valley Pediatric Dentistry
• Treasure Valley Periodontics
• Treasure Valley Podiatry, Inc

• Family Medicine Physician in Boise, ID
• Providers in Boise, 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 Mar 18, 2014; 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.