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MOUNTAIN STATES ONCOLOGY GROUP
NPI 1386750859
Specialist in Boise, ID

Active since August 21, 2006
100 E IDAHO ST, BOISE, ID 83712(208) 343-3223 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 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 1386750859) is a healthcare organization registered as a specialist in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Joni Sullivan, Business Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1386750859
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOUNTAIN STATES ONCOLOGY GROUP
Location Address100 E IDAHO STBoise, ID 83712-6223
Mailing AddressPo Box 1809Boise, ID 83701-1809 · (208) 343-3223
Phone(208) 343-3223
Organization SubpartNo
Authorized OfficialJoni SullivanBusiness Adminstrator · (208) 343-3223
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386750859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

100 E IDAHO ST, Boise, ID 83712
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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 20

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

DIRK T CARLSON MD
Obstetrics & Gynecology
100 E IDAHO ST, SUITE 302
BOISE, ID 83712
Ada County (208) 343-7501
EUGENIA CHANG MD
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
PEDIATRIC NEUROSURGRY OF IDAHO PC
Neurological Surgery
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-7360
WALTER BRUCE CHERNY MD
Neurological Surgery
100 E IDAHO ST, SUITE 202
BOISE, ID 83712
Ada County (208) 381-7360
DR. J TIMOTHY LEAVELL MD
Pediatrics (Developmental - Behavioral Pediatrics)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7312
DUSTIN K BOWMAN PA-C
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
DR. RUSSELL HUGH GRIFFITHS MD
Surgery (Plastic and Reconstructive Surgery)
100 E IDAHO ST, SUITE 303
BOISE, ID 83712
Ada County (208) 433-1736
DR. B KERRY LOWDER M.D.
Obstetrics & Gynecology
100 E IDAHO ST, SUITE 400
BOISE, ID 83712
Ada County (208) 345-5250

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 1386750859. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Mountain States Oncology Group located?

Mountain States Oncology Group is located at 100 E Idaho St, Boise, ID 83712. The listed phone number is (208) 343-3223.

What is Mountain States Oncology Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mountain States Oncology Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.