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MOUNTAIN STATES ONCOLOGY GROUP
NPI 1205093739
Nurse Practitioner in Boise, ID

Active since May 21, 2008
210 W JEFFERSON ST, BOISE, ID 83702(208) 343-3223(208) 343-3263 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountain States Oncology Group NPPES

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

MOUNTAIN STATES ONCOLOGY GROUP (NPI 1205093739) is a healthcare organization registered as a nurse practitioner in Boise, Idaho and active in the NPI registry since May 2008. The organization lists Joni Sullivan, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1205093739
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMOUNTAIN STATES ONCOLOGY GROUP
Location Address210 W JEFFERSON STBoise, ID 83702-6044
Mailing AddressPo Box 1809Boise, ID 83701-1809 · (208) 343-3223 · Fax (208) 343-3263
Phone(208) 343-3223
Fax(208) 343-3263
Organization SubpartNo
Authorized OfficialJoni SullivanBusiness Administrator · (208) 343-3223
Enumeration DateMay 21, 2008
✔ NPI 1205093739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

210 W JEFFERSON ST, Boise, ID 83702
Open in Google Maps ↗

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

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

C EUGENE SULLIVAN M.D.
Specialist
210 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 344-9424

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 Mountain States Oncology Group's NPI number?

The NPI number for Mountain States Oncology Group is 1205093739. It was assigned to this organization in the NPPES registry on May 21, 2008.

Where is Mountain States Oncology Group located?

Mountain States Oncology Group is located at 210 W Jefferson St, Boise, ID 83702. The listed phone number is (208) 343-3223.

What is Mountain States Oncology Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mountain States Oncology Group was last updated on May 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.