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FAMILY & FUNCTIONAL MEDICINE OF IDAHO PLLC
NPI 1114352242
Family Medicine in Eagle, ID

Active since September 09, 2013
450 W STATE ST, SUITE 250, EAGLE, ID 83616(208) 947-0925(208) 947-0926 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family & Functional Medicine Of Idaho Pllc NPPES

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

FAMILY & FUNCTIONAL MEDICINE OF IDAHO PLLC (NPI 1114352242) is a healthcare organization registered as a family medicine in Eagle, Idaho and active in the NPI registry since September 2013. The organization lists Angela L House, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1114352242
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY & FUNCTIONAL MEDICINE OF IDAHO PLLC
Location Address450 W STATE ST, SUITE 250Eagle, ID 83616-7057
Mailing Address450 W State St, Suite 250Eagle, ID 83616-7057 · (208) 947-0925 · Fax (208) 947-0926
Phone(208) 947-0925
Fax(208) 947-0926
Organization SubpartNo
Authorized OfficialAngela L HousePhysician / Owner · (208) 947-0925
Enumeration DateSeptember 9, 2013
✔ NPI 1114352242 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 · 0-O370
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.
450 W STATE ST, Eagle, ID 83616
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

NOREEN A. WOMACK MD
Pediatrics
450 W STATE ST, SUITE 100
EAGLE, ID 83616
Ada County (208) 939-1035
MRS. AMANDA BETH WARTNER STINGER M.D., M.P.H.
Pediatrics
450 W STATE ST
EAGLE, ID 83616
Ada County (208) 939-1035
PEINE OSTEOPATHIC MEDICINE PLLC
Family Medicine
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 947-0925
DAN STREEBY DDS
Dentist (Pediatric Dentistry)
450 W STATE ST, STE 180
EAGLE, ID 83616
Ada County (208) 939-0600
KINESIS, LLC
Physical Therapist
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 939-9895
NATHAN J HIRSCH MD
Pediatrics
450 W STATE ST, STE 100
EAGLE, ID 83616
Ada County (208) 939-1035
KATELYN BRIGHAM
Pediatrics
450 W STATE ST
EAGLE, ID 83616
Ada County (208) 939-1035
PEINE METABOLIC WELLNESS CENTER
Nutritionist (Nutrition, Education)
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 947-0925

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 Family & Functional Medicine Of Idaho PLLC's NPI number?

The NPI number for Family & Functional Medicine Of Idaho PLLC is 1114352242. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Family & Functional Medicine Of Idaho PLLC located?

Family & Functional Medicine Of Idaho PLLC is located at 450 W State St Suite 250, Eagle, ID 83616. The listed phone number is (208) 947-0925.

What is Family & Functional Medicine Of Idaho PLLC'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 Family & Functional Medicine Of Idaho PLLC was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.