Michael D Lahey MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M5743 Issued in ID

Legal business name

MICHAEL D LAHEY MD LLC

Practice address

323 E Riverside Drive
Suite 234
Eagle, ID 83616

Phone

(208) 938-4080

Fax

(208) 938-8922

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Duane Lahey, M.D.

Title

M.D.

Phone

(208) 938-4080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1982779815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E RIVERSIDE DRIVE",
            "address_2": "SUITE 234",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-4080",
            "fax_number": "208-938-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E RIVERSIDE DRIVE",
            "address_2": "SUITE 234",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-4080",
            "fax_number": "208-938-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D LAHEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "LAHEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "208-938-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M5743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002913000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Meduna, MSPT
• Bethany Joy Mello, NP-C
• Lindsey Mepham
• Jordan W Merrill, MD
• Metabolic Health and Longevity Center
• Michael Wellness Ventures PLLC
• Dillon Jade Michael, DC
• Linda Mikitish
• Shannon Marie Miles, M.A., LMFT
• Iris June Miller Gallegos, LCSW

• Specialist in Eagle, ID
• Providers in Eagle, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.