FAMILY MEDICINE & MEDICINE
NPI 1194136515
Physician Assistant in Ketchum, ID

NPI Status: Active since May 20, 2014

Contact Information

380 WASHINGTON AVE
SUITE 204
KETCHUM, ID
ZIP 83340
Phone: (208) 725-0900
Fax: (208) 725-0901

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  • Organization
  • Physician Assistant
  • Accepts Insurance

About FAMILY MEDICINE & MEDICINE

This page provides the complete NPI Profile along with additional information for Family Medicine & Medicine, a primary care provider established in Ketchum, Idaho operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1194136515 assigned on May 2014. The practitioner's primary taxonomy code is 363A00000X with license number PA-126 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Nanette Ford P.a.-c (President)

NPI
1194136515
Provider Name
FAMILY MEDICINE & MEDICINE
Entity Type
Organization
Location Address
380 WASHINGTON AVE SUITE 204 KETCHUM, ID 83340
Location Phone
(208) 725-0900
Location Fax
(208) 725-0901
Mailing Address
PO BOX 1575 KETCHUM, ID 83340
Mailing Phone
(208) 725-0900
Mailing Fax
(208) 725-0901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2014
Last Update Date
05-20-2014
Code Navigator

A primary care provider (PCP) like Family Medicine & Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA-126
License State
ID
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NANETTE FORD P.A.-C

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 725-0900

Reviews for FAMILY MEDICINE & MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194136515
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184231252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 3 + 1 + 2 + 5 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1194136515 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043242613DR. KIMBERLY A VORSE MD
Individual
Internal Medicine (Sleep Medicine)380 WASHINGTON AVE SUITE 201
KETCHUM, ID 83340
(208) 726-0000
1396900742KIMBERLY A. VORSE MD PC
Organization
Clinic/Center (Sleep Disorder Diagnostic)380 WASHINGTON AVE SUITE 201
KETCHUM, ID 83340
(208) 342-7700
1134506256DR. CATHRYN ERICKSON DO
Individual
Internal Medicine380 WASHINGTON AVE SUITE 204
KETCHUM, ID 83340
(208) 291-1985
1316744360 KARA MAXWELL L.AC
Individual
Acupuncturist380 WASHINGTON AVE SUITE 201
KETCHUM, ID 83340
(208) 720-9991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194136515, enumerated in the NPI registry as an "organization" on May 20, 2014

The provider is located at 380 Washington Ave Suite 204 Ketchum, Id 83340 and the phone number is (208) 725-0900

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 20, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.