Active NPI
Capital City Family Medicine PA
- Family Medicine Physician
- Boise, ID
National Provider Identifier
1992731319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAPITAL CITY FAMILY MEDICINE PA
- Practice address
- 1520 W State St
Ste 100
Boise, ID 83702-4084 - Phone
- (208) 947-7700
- Fax
- (208) 947-7711
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Liz A Frisbey
- Title
- Office Manager
- Phone
- (208) 947-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1520 W State St
Ste 100
Boise, ID 83702-4084
Mailing address
1520 W State St
Ste 100
Boise, ID 83702-4084
Phone (208) 947-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052516 | Other | ID | MEDICAID MID-LEVEL GROUP |
| 8052796 | Medicaid | ID |
Other names 1
- CAPITAL CITY FAMILY MEDICINE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Boise, ID
- NPI 1114907524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1992731319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W STATE ST",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024084",
"telephone_number": "208-947-7700",
"fax_number": "208-947-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W STATE ST",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024084",
"telephone_number": "208-947-7700",
"fax_number": "208-947-7711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CITY FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "FRISBEY",
"authorized_official_first_name": "LIZ",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "208-947-7700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID MID-LEVEL GROUP",
"identifier": "8052516",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052796",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAPITAL CITY FAMILY MEDICINE",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.