EMERGENCY MEDICINE OF IDAHO – NPI #1205875275
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

EMERGENCY MEDICINE OF IDAHO is a provider located in MERIDIAN, ID. NPPES has assigned the NPI number 1205875275 to EMERGENCY MEDICINE OF IDAHO on June 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Feb 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMERGENCY MEDICINE OF IDAHO below.

NPI Profile for
EMERGENCY MEDICINE OF IDAHO

NPI Number
1205875275
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMERGENCY MEDICINE OF IDAHO
Primary location
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone: (208) 615-8201 Fax: (208) 779-2971
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN BISHOP
EXECUTIVE DIRECTOR
Phone: (208) 615-8201
Updated
Certification Date
Feb 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EMERGENCY MEDICINE OF IDAHO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS OF IDAHOID8K743
otherREGENCE BLUE SHIELD IF IDID000010148698
medicaidID807026800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
ID

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.