John E Guicheteau, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M8078 Issued in ID

Practice address

6140 W Curtisian
Suite 300
Boise, ID 83704-0107

Phone

(208) 367-6575

Fax

(208) 367-6597

NPI assigned

Jun 15, 2006

Last updated

Feb 20, 2013By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Saint Alphonsus Physician Services Inc

  dba Saint Alphonsus Medical Group Elm

  • Rural Health Clinic/Center
  • Caldwell, ID
  • NPI 1578767117
  NPD (past)
• Saint Alphonsus Physician Services Inc

  dba Saint Alphonsus Medical Group Park Center

  • Internal Medicine Physician
  • Boise, ID
  • NPI 1871549394
  NPD (past)
• Saint Alphonsus Regional Medical Center Inc

  • Family Medicine Physician
  • Caldwell, ID
  • NPI 1861676298

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1902840473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN",
            "address_2": "SUITE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040107",
            "telephone_number": "208-367-6575",
            "fax_number": "208-367-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICHETEAU",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M8078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805782500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Guaspari, LPC
• Warren William Gude, MD
• Christine V Guenther, DO
• Leana A. Guerin, M.D.
• Gracie Guerra
• Cade Alan Guidera, BS
• Guiding Star Residence
• Annette Guidry, ADC, 12954
• Ashley Guier, DNP, PMHNP-BC
• Timothy Alan Guill

• Internal Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.