Cottonwood Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COTTONWOOD FAMILY MEDICINE

Practice address

100 Cottonwood Court
Suite 150
Boise, ID 87616

Phone

(208) 995-2875

Fax

(208) 995-2874

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Marcia Dee Price-Miller, MD

Title

Owner/Operator

Phone

(208) 995-2875

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1922366707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD COURT",
            "address_2": "SUITE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-995-2875",
            "fax_number": "208-995-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD COURT",
            "address_2": "SUITE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "87616",
            "telephone_number": "208-995-2875",
            "fax_number": "208-995-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "PRICE-MILLER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-995-2875",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003874400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian E. Cothern, MD
• Rebekah Lynn Keturah Cotner, MSW, LSWAIC/LCSW
• Rebecca Cotterell, RN-BC, BSN
• Teri J Cottingham, M.D.
• Jesse Alan Cottle, PA-C
• Jennifer Cottrell, RD
• Couch Holistic Therapy, LLC
• Rachel E Couch, LCPC
• Brandon Lee Couchman, D.C.
• Curtis H Coulam, M.D.

• 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 Apr 30, 2012; 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.