D&G Medical Associates PLLC
Family Medicine in Meridian, ID. Organization (NPI-2).
NPI number1669975900
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1669975900
- Entity type
- Organization (NPI-2)
- Legal business name
- D&G Medical Associates PLLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2018
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1430 W Ustick Rd Ste 100Meridian, ID 83646-7734
Phone 208-286-8670 · Fax 888-990-2969
Mailing address
Po Box 1259Meridian, ID 83680-1259
Authorized official
Karen V Fraley
Revenue Cycle Director
2088617173
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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