SUSAN LEIGH BLOUGH M.D.
NPI 1336197870
Internal Medicine in Boise, ID

Q: What is Susan Blough's NPI number?

The NPI number for Susan Blough is 1336197870. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Susan Blough's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Blough was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 05, 2006

701 E PARKCENTER BLVD, BOISE, ID 83706(208) 381-6400(208) 381-6450 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Leigh Blough M.d. NPPES

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

SUSAN LEIGH BLOUGH M.D. (NPI 1336197870) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (M4556) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1336197870

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSAN LEIGH BLOUGHCredential: M.D.

Location Address701 E PARKCENTER BLVDBoise, ID 83706-6528

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 381-6400

Fax(208) 381-6450

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateJanuary 7, 2011

✔ NPI 1336197870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · M4556

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

701 E PARKCENTER BLVD, Boise, ID 83706

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Other Identifiers 3

Medicaid002251800ID

Medicare ID-Type Unspecified1115584

Medicare UPINC36913

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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. THORNTON E BRYAN III MD

Family Medicine