FUNCTIONAL MEDICINE OF IDAHO PC
NPI 1336656040
Family Medicine in Boise, ID
NPI Status: Active since January 03, 2018
Contact Information
3858 N GARDEN CENTER WAY STE 100
BOISE, ID
ZIP 83703
Phone: (208) 385-7711
Fax: (208) 385-0346
- Organization
- Family Medicine
- Accepts Insurance
About FUNCTIONAL MEDICINE OF IDAHO PC
This page provides the complete NPI Profile along with additional information for Functional Medicine Of Idaho Pc, a primary care provider established in Boise, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336656040 assigned on January 2018. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 8 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 Samuel James Warren (President)
- NPI
- 1336656040
- Provider Name
- FUNCTIONAL MEDICINE OF IDAHO PC
- Entity Type
- Organization
- Location Address
- 3858 N GARDEN CENTER WAY STE 100 BOISE, ID 83703
- Location Phone
- (208) 385-7711
- Location Fax
- (208) 385-0346
- Mailing Address
- 3858 N GARDEN CENTER WAY STE 100 BOISE, ID 83703
- Mailing Phone
- (208) 385-7711
- Mailing Fax
- (208) 385-0346
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2018
- Last Update Date
- 01-03-2018
- Code Navigator
A primary care provider (PCP) like Functional Medicine Of Idaho Pc 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- 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.
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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. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 5 | 6 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 5 | 12 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 5 + 1 + 2 + 0 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336656040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619582426 | MARIANNE PAMELA GREEN RD Individual | Dietitian, Registered | 3858 N GARDEN CENTER WAY STE 100 BOISE, ID 83703 (208) 385-7711 |
| 1174778898 | MS. AMY RAY FNP-BC Individual | Nurse Practitioner (Family) | 3858 N GARDEN CENTER WAY STE 100 BOISE, ID 83703 (208) 385-7711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336656040, enumerated in the NPI registry as an "organization" on January 03, 2018
The provider is located at 3858 N Garden Center Way Ste 100 Boise, Id 83703 and the phone number is (208) 385-7711
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Moda Health Plan, Inc. and 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 January 03, 2018. 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].
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