ST CLAIR SPECIALTY PHYSICIANS – NPI #1063719292
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ST CLAIR SPECIALTY PHYSICIANS is a provider located in BOISE, ID. NPPES has assigned the NPI number 1063719292 to ST CLAIR SPECIALTY PHYSICIANS on February 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

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 ST CLAIR SPECIALTY PHYSICIANS below.

NPI Profile for
ST CLAIR SPECIALTY PHYSICIANS

NPI Number
1063719292
Enumeration Date

(more than 15 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
ST CLAIR SPECIALTY PHYSICIANS
Primary location
5610 GAGE STREET
SUITE A
BOISE, ID 83706
Phone: (208) 367-3370 Fax:
Mailing address
45640 SCHOENHERR ROAD
SHELBY TWP, MI 48315
Phone: (586) 247-4300 Fax: (586) 532-6496
Organization Subpart
No
Authorized Official
ROBERT PROVENZANO
PRESIDENT/PARTNER
Phone: (313) 886-8787
Updated
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
207RN0300X
- Internal Medicine / Nephrology (Primary)

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.