IRVIN E SACKMAN JR. MD
NPI 1003919473
Family Medicine in Boise, ID

Active since September 07, 2006
130 E BOISE AVE, BOISE, ID 83706(208) 345-4066(208) 345-4196 Get Directions Write a Review

NPPES record last updated: August 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Irvin E Sackman Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IRVIN E SACKMAN JR. MD (NPI 1003919473) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M4357) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003919473
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIRVIN E SACKMAN JR.Credential: MD
Location Address130 E BOISE AVEBoise, ID 83706
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 345-4066 · Fax (208) 345-4196
Fax(208) 345-4196
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 19, 2012
NPI 1003919473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M4357
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

130 E BOISE AVE, Boise, ID 83706

Other Identifiers 1

Medicare PIN11168502ID

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
130 E BOISE AVE
BOISE, ID 83706
Family Medicine
130 E BOISE AVE
BOISE, ID 83706
Family Medicine
130 E BOISE AVE
BOISE, ID 83706
Family Medicine
130 E BOISE AVE
BOISE, ID 83706
Family Medicine
130 E BOISE AVE
BOISE, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irvin Sackman's NPI number?

The NPI number for Irvin Sackman is 1003919473. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Irvin Sackman located?

Irvin Sackman practices at 130 E Boise Ave, Boise, ID 83706. The listed phone number is (208) 345-4066.

What is Irvin Sackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Irvin Sackman was last updated on August 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.