Organization Active NPI

Owyhee Medical Clinic PA

  • Family Medicine Physician
  • Homedale, ID
National Provider Identifier
1992728976
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OWYHEE MEDICAL CLINIC PA
Practice address
106 West Idaho Avenue
Homedale, ID 83628
Phone
(208) 337-3233
NPI assigned
Jul 25, 2006
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
John F Noak, MD
Title
Owner
Phone
(208) 337-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

106 West Idaho Avenue
Homedale, ID 83628

Mailing address

PO Box 16820
Boise, ID 83715-6820
Phone (208) 337-3233

National Provider Directory

National Provider Directory

Locations

106 W Idaho Ave
Homedale, ID 83628
Phone (208) 337-3233

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1992728976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16820",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837156820",
            "telephone_number": "208-337-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST IDAHO AVENUE",
            "city": "HOMEDALE",
            "state": "ID",
            "postal_code": "83628",
            "telephone_number": "208-337-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWYHEE MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "NOAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-337-3233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homedale, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.