NPIMap

Organization Active NPI

Genesis Medical Center

  • Primary Care Clinic/Center
  • Boise, ID
National Provider Identifier
1992741490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GENESIS MEDICAL CENTER
Practice address
10255 Overland Rd
Boise, ID 83709-1430
Phone
(208) 367-7205
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karl Watts, MDNPI 1578591053
Title
Senior Partner
Phone
(208) 367-7205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ID Primary

Addresses

Primary practice location

10255 Overland Rd
Boise, ID 83709-1430

Mailing address

10255 Overland Rd
Boise, ID 83709-1430
Phone (208) 367-7205

National Provider Directory

National Provider Directory

Locations

10255 W Overland Rd
Boise, ID 83709
Phone (208) 302-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992741490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091430",
            "telephone_number": "208-367-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091430",
            "telephone_number": "208-367-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "208-367-7205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.