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FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
NPI 1740524701
Family Medicine in Boise, ID

Active since November 15, 2012
3858 N GARDEN CENTER WAY, SUITE 100, BOISE, ID 83703(208) 385-7711(208) 385-0346 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Functional And Integrative Medicine Of Idaho Pa NPPES

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

FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA (NPI 1740524701) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since November 2012. The organization lists Gail M. Eberharter, President, as its authorized official.

NPPES Registry Identity

NPI1740524701
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
Location Address3858 N GARDEN CENTER WAY, SUITE 100Boise, ID 83703-5008
Mailing Address2905 W Jordan StBoise, ID 83702-2134 · (208) 863-1399
Phone(208) 385-7711
Fax(208) 385-0346
Organization SubpartNo
Authorized OfficialGail M. EberharterPresident · (208) 863-1399
Enumeration DateNovember 15, 2012
Last NPPES UpdateJanuary 29, 2015
✔ NPI 1740524701 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 · M4631
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.
3858 N GARDEN CENTER WAY, Boise, ID 83703
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Other Identifiers 2

Medicare PIN1118207ID
Medicare UPINB63788ID

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 6

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

DAWN PATRICIA TAMAGNI N.P.
Nurse Practitioner
3858 N GARDEN CENTER WAY
BOISE, ID 83703
Ada County (208) 385-7711
DR. STEVEN MAIER D.C.
Chiropractor
3858 N GARDEN CENTER WAY, SUITE 101
BOISE, ID 83703
Ada County (208) 336-0017
DR. GAIL M EBERHARTER RANKIN MD
Family Medicine
3858 N GARDEN CENTER WAY, SUITE 100
BOISE, ID 83703
Ada County (208) 385-7711
KATHLEEN MARIE BERG DPT, MS, CSCS, FAFS
Physical Therapist
3858 N GARDEN CENTER WAY, SUITE 102
BOISE, ID 83703
Ada County (208) 830-1668
VITAM PLLC
Physical Therapist (Orthopedic)
3858 N GARDEN CENTER WAY, SUITE 102
BOISE, ID 83703
Ada County (208) 830-1668
KAREN M CALLAGY PA-C
Physician Assistant (Medical)
3858 N GARDEN CENTER WAY, SUITE 100
BOISE, ID 83703
Ada County (208) 385-7711

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 Functional And Integrative Medicine Of Idaho PA's NPI number?

The NPI number for Functional And Integrative Medicine Of Idaho PA is 1740524701. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Functional And Integrative Medicine Of Idaho PA located?

Functional And Integrative Medicine Of Idaho PA is located at 3858 N Garden Center Way Suite 100, Boise, ID 83703. The listed phone number is (208) 385-7711.

What is Functional And Integrative Medicine Of Idaho PA'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 Functional And Integrative Medicine Of Idaho PA was last updated on January 29, 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.