BOISE OSTEOPATHIC MEDICAL CLINIC
NPI 1306984943
Family Medicine in Boise, ID

Q: What is Ronald S Higginbotham, Do PA's NPI number?

The NPI number for Ronald S Higginbotham, Do PA is 1306984943. It was assigned to this organization in the NPPES registry on February 4, 2007. The provider is doing business as Boise Osteopathic Medical Clinic.

Q: What is Ronald S Higginbotham, Do PA's specialty?

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

Active since February 04, 2007CLIA 13D2122047 · Waiver

7685 W EMERALD ST, BOISE, ID 83704(208) 376-2522(208) 375-5860 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Boise Osteopathic Medical Clinic NPPES

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

BOISE OSTEOPATHIC MEDICAL CLINIC (NPI 1306984943) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Amy E Hummel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306984943

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRONALD S HIGGINBOTHAM, DO PA

Location Address7685 W EMERALD STBoise, ID 83704-9018

Mailing Address7685 W Emerald StBoise, ID 83704-9018 · (208) 376-2522 · Fax (208) 375-5860

Phone(208) 376-2522

Fax(208) 375-5860

Organization SubpartNo

Authorized OfficialAmy E HummelOffice Manager · (208) 376-2522

Enumeration DateFebruary 4, 2007

Last NPPES UpdateApril 9, 2015

✔ NPI 1306984943 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 · O-50

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.

7685 W EMERALD ST, Boise, ID 83704

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Other Names 1

Doing Business AsBoise Osteopathic Medical Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2122047

Boise Osteopathic Medical Clinic · Boise, ID

Active · expires Nov 17, 2026

CLIA Number13D2122047

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2024

Certificate Expiration DateNovember 17, 2026

Laboratory DirectorRonald S. Higginbotham

Laboratory Phone(208) 376-2522

Laboratory LocationBoise Osteopathic Medical Clinic7685 W Emerald St, Boise, ID 83704

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. RONALD SCOTT HIGGINBOTHAM D.O.

Family Medicine

7685 W EMERALD ST
BOISE, ID 83704

Ada County (208) 376-2522

BRITTANY LOUISE AITCHISON FNP

Nurse Practitioner (Family)

7685 W EMERALD ST
BOISE, ID 83704

Ada County (208) 376-2522

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 Ronald S Higginbotham, Do PA's NPI number?

The NPI number for Ronald S Higginbotham, Do PA is 1306984943. It was assigned to this organization in the NPPES registry on February 4, 2007. The provider is doing business as Boise Osteopathic Medical Clinic.

Where is Ronald S Higginbotham, Do PA located?

Ronald S Higginbotham, Do PA is located at 7685 W Emerald St, Boise, ID 83704. The listed phone number is (208) 376-2522.

What is Ronald S Higginbotham, Do PA's specialty?

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

Does Ronald S Higginbotham, Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2122047) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ronald S Higginbotham, Do PA was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.