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NPI · 1063719292 · NPPES-sourced

St Clair Specialty Physicians

ActiveNephrology Physician
NPI Number
1063719292
Type 2 · Organisation
Taxonomy Code
207RN0300X
Contact
(208) 367-3370
Primary practice line
Last Updated
Enumerated
Primary practice addressID · 83706
5610 Gage Street, Suite ABoise, ID 83706
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About this NPIWhat this record shows.

NPI 1063719292 is registered to St Clair Specialty Physicians, a healthcare organisation classified as "Nephrology Physician" and located at 5610 Gage Street, Suite A in Boise, Idaho. The organisation's authorised official is Robert Provenzano. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans St Clair Specialty Physicians accepts. To confirm in-network status with your specific health plan, contact St Clair Specialty Physicians directly at (208) 367-3370.

Frequently asked

Yes. NPI 1063719292 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 367-3370.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. St Clair Specialty Physicians is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207RN0300X
Last updated
Enumerated
StatusActive
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