MS. PENNY MICHELLE FAIRES M.D.
NPI 1700827508
Family Medicine in Boise, ID

NPI Status: Active since June 10, 2006

Contact Information

777 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 367-6030
Fax: (208) 367-6123

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  • Individual
  • Female
  • Family Medicine

About PENNY FAIRES

This page provides the complete NPI Profile along with additional information for Penny Faires, a primary care provider established in Boise, Idaho with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1700827508 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MR0824 (ID). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1700827508
Provider Name
MS. PENNY MICHELLE FAIRES M.D.
Gender
Female
Entity Type
Individual
Location Address
777 N RAYMOND ST BOISE, ID 83704
Location Phone
(208) 367-6030
Location Fax
(208) 367-6123
Mailing Address
777 N RAYMOND ST BOISE, ID 83704
Mailing Phone
(208) 367-6030
Mailing Fax
(208) 367-6123
Is Sole Proprietor?
Yes
Enumeration Date
06-10-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Penny Faires 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
License No.
MR0824
License State
ID
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.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RES000MEDICARE UPIN (02) 

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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.
1700827508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001621450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 2 + 1 + 4 + 5 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1700827508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144212689DR. KIMBERLY KAHLER STUTZMAN MD
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6042
1912968892 ANN PENDLETON BEACH MD
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 514-2500
1770532780 MARGARET K MORTIMER NP
Individual
Nurse Practitioner (Family)777 N RAYMOND ST
BOISE, ID 83704
(208) 514-2500
1386697399 CYNTHIA R HAYES MD
Individual
Obstetrics & Gynecology777 N RAYMOND ST
BOISE, ID 83704
(208) 514-2500
1134176548 TED D EPPERLY M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6042
1215975677DR. OLIVIA ANN GALVEZ M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1558300475DR. ELIZABETH ANNE RULON M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1669414728DR. KARA LANE CADWALLADER M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1215979000MR. CHARLES T SHERWOOD PA-C
Individual
Physician Assistant777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1275577207 CATHERINE DEVANY SERIO PH.D.
Individual
Psychologist777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1346286044DR. SUZANNE M ALLEN M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1720024060DR. PERRY STERN BROWN JR. M.D.
Individual
Pediatrics777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1447287644 MARIETTA IONE BUNN THOMPSON M.D.
Individual
Obstetrics & Gynecology777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1083641625MR. STEVE J KERR MSW, LCSW
Individual
Counselor (Professional)777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1982632550FAMILY PRACTICE RESIDENCY OF IDAHO, INC
Organization
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1972529790 STEPHEN MICHAEL BROWN M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1609884014 SARAH REDBIRD COX C.N.M.
Individual
Advanced Practice Midwife777 N RAYMOND ST
BOISE, ID 83704
(208) 514-2500
1194820852 JUSTIN A GLASS M.D.
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1568595270DR. TODD RANDALL PALMER MD
Individual
Family Medicine777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6030
1013135078MR. TOM C AHLRICHS LCSW
Individual
Social Worker (Clinical)777 N RAYMOND ST
BOISE, ID 83704
(208) 367-6044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700827508, enumerated in the NPI registry as an "individual" on June 10, 2006

The provider is located at 777 N Raymond St Boise, Id 83704 and the phone number is (208) 367-6030

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 June 10, 2006. 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.