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MERCY PHYSICIAN GROUP INC.
NPI 1104972983
Family Medicine - Adult Medicine in Nampa, ID

Active since January 26, 2007
1512 12TH AVE RD, NAMPA, ID 83686(208) 463-5000(208) 463-5578 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Physician Group Inc. NPPES

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

MERCY PHYSICIAN GROUP INC. (NPI 1104972983) is a healthcare organization registered as an adult medicine in Nampa, Idaho and active in the NPI registry since January 2007. The organization lists B Lannie Checketts, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104972983
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMERCY PHYSICIAN GROUP INC.
Location Address1512 12TH AVE RDNampa, ID 83686-6008
Mailing Address1512 12th Ave RdNampa, ID 83686-6008 · (208) 463-5000 · Fax (208) 463-5578
Phone(208) 463-5000
Fax(208) 463-5578
Organization SubpartNo
Authorized OfficialB Lannie CheckettsChief Financial Officer · (208) 463-5531
Enumeration DateJanuary 26, 2007
Last NPPES UpdateApril 14, 2008
✔ NPI 1104972983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedSurgeryTaxonomy 208600000X
1512 12TH AVE RD, Nampa, ID 83686
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Other Identifiers 1

Medicare PIN1366549

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. STEVE EDWARD ROBERTS MD
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 461-2883
NAMPA RADIOLOGISTS PA
Radiology (Vascular & Interventional Radiology)
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 463-5431
TREASURE VALLEY EMERGENCY PHYSICIANS
Emergency Medicine
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 463-5100
MATTHEW J. WOOD MD
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 463-5029
ANESTHESIOLOGY CONSULTANTS OF IDAHO PA
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 463-5029
MR. ERIC R MAUS PAC
Physician Assistant
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 463-5100
SHAWN L STATES M.D.
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 461-2883
DR. MICHAEL JOSEPH DECKER MD
Anesthesiology
1512 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 461-2883

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 Mercy Physician Group Inc.'s NPI number?

The NPI number for Mercy Physician Group Inc. is 1104972983. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Mercy Physician Group Inc. located?

Mercy Physician Group Inc. is located at 1512 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 463-5000.

What is Mercy Physician Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Mercy Physician Group Inc. was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.