| Prime Sports Med | |
|
1601 12th Ave Rd, Suite 101, Nampa, ID 83686-5015 | |
| (208) 466-0200 | |
| Not Available |
| Full Name | Prime Sports Med |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1601 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407354574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1618 (Idaho) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Jared W Simonson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194001297 PECOS PAC ID: 5597939645 Enrollment ID: I20111129000696 |
| Provider Name | Jacob Bower |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891153391 PECOS PAC ID: 0547678716 Enrollment ID: I20210428001499 |
| Provider Name | Samuel Tanner Field |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023588019 PECOS PAC ID: 6901208396 Enrollment ID: I20210707003241 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Sports Med 1601 12th Ave Rd, Suite 101, Nampa, ID 83686-5015 Ph: () - | Prime Sports Med 1601 12th Ave Rd, Suite 101, Nampa, ID 83686-5015 Ph: (208) 466-0200 |
Whole Health Chiropractic, Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 430 W. Iowa Ave., Suite A, Nampa, ID 83686 Phone: 208-442-1123 Fax: 208-442-1127 | |
Dr. Samuel Tanner Field, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1601 12th Ave Rd, Suite 101, Nampa, ID 83686 Phone: 208-466-0200 Fax: 208-648-4080 | |
Franklin Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2023 12th Ave Rd, Nampa, ID 83686 Phone: 208-467-5756 Fax: 208-467-1368 | |
Dr. Kasey K Lewis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16017 Idaho Center Blvd, Nampa, ID 83687 Phone: 208-461-4460 Fax: 208-461-4326 | |
Dr. William Edward Perry, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3225 S Oxbow Dr, Nampa, ID 83686 Phone: 563-676-7984 | |
Dr. Shannon Dee Gaertner-ewing, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 217 W Georgia Ave Ste 120, Nampa, ID 83686 Phone: 208-467-5994 Fax: 208-467-5127 | |
Dr. James Wilson Wear, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 124 12th Ave Rd, Nampa, ID 83686 Phone: 208-466-5459 Fax: 208-466-5803 |