Pioneer Family Medicine Pllc
LBN: Pioneer Family Medicine Pllc
Pioneer Family Medicine Pllc is an health care organization with primary practice located at 4740 N. Penngrove Way Ste. 100, Meridian ID 83646. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Pioneer Family Medicine Pllc can be contacted via phone (208) 938-3663, or through Ludwig, Jason Scott via phone (208) 938-3663.
Contact Information
Primary practice address
4740 N. Penngrove Way Ste. 100
Meridian ID 83646
Phone: (208) 938-3663
Fax: (208) 938-3664
Website:
Authorized official contact:
Name: Ludwig, Jason Scott Doctor of Osteopathy (DO)
Phone: (208) 938-3663
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-253 | Idaho |
Profile Details
NPI number | 1952335929 |
---|---|
LBN Legal business name | Pioneer Family Medicine Pllc |
DBA Doing business as | |
Authorized official | Ludwig, Jason Scott Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Aug 23rd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952335929 | NPPES |
Idaho | MEDICAID | 806456700 |
Popular Providers
-
Initial Point Family Medicine Pllc
2640 S Eagle Rd , Meridian ID 83642-6704 -
St Luke'S Regional Medical Center
3090 E Gentry Way Ste 200, Meridian ID 83642-3501 -
St. Alphonsus Physician Services Inc
3250 W Cherry Ln , Meridian ID 83642-1120 -
Saint Alphonsus Physician Services Inc
3025 W Cherry Ln Suite B, Meridian ID 83642-8531 -
St Luke'S Regional Medical Center
520 S Eagle Rd Suite 3201, Meridian ID 83642-6308 -
A New Leaf, Inc
2548 N Stokesberry Pl , Meridian ID 83646-1144 -
Cherry Lane Family Clinic, Pa
1001 N Meridian Rd , Meridian ID 83642-1610 -
Unity Health Center Pllc
1130 E Fairview Ave , Meridian ID 83642-1813