Ennis Endocrinology, PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

M-11309 Issued in ID

Legal business name

ENNIS ENDOCRINOLOGY, PLLC

Practice address

2450 E Gala St Ste 100
Meridian, ID 83642-4805

Phone

(208) 994-8180

Fax

(208) 908-4542

NPI assigned

Jan 8, 2013

Last updated

Apr 9, 2020By 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

Dr. Robert Frank Ennis, M.D.NPI 1366647729

Title

Physician

Phone

(208) 994-8180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Robert F. Ennis, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Meridian, ID
  • NPI 1366647729
  Medicare reassignment Authorized official
• Iley Scott Copeland, PA-C

  • Physician Assistant
  • Missoula, MT
  • NPI 1962998856

  ID

  Medicare reassignment NPD
• Chelsey Galipeau, PA-C

  • Medical Physician Assistant
  • Meridian, ID
  • NPI 1407335383
  Medicare reassignment
• Brianna Thomson, PA-C

  • Physician Assistant
  • Boise, ID
  • NPI 1487388997
  NPD (past)

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1902143134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 W TIMBER DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164665",
            "telephone_number": "208-994-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GALA ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424805",
            "telephone_number": "208-994-8180",
            "fax_number": "208-908-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS ENDOCRINOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-994-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "ID",
            "license": "M-11309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie England
• Evan Engle
• Janean Englesby
• Enlightened Therapy Solutions LLC
• Zachery Glen Enmark, RN
• Kimberly A Ennis, MA, CCC-SLP
• Robert F. Ennis, MD
• Lindsey Enriquez, APRN
• Enso Chiropractic PLLC
• Ep Services LLC

• Endocrinology, Diabetes & Metabolism Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Endocrinology, Diabetes & Metabolism Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.