NPI age
19 years
Enumerated 2006-06-19
● Active Type 2 · Organization
Glen S Lovelace MD PA
Glen S Lovelace MD PA is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lovelace
Owner
Last NPPES update
2009-06-01
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
333 N 1st St Ste 260
Boise, ID 837026132
Mailing address
333 N 1st St Ste 260
Boise, ID 837026132
Authorized official
Glen S Lovelace, MD
Owner
📞 2083453136
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Scott Christensen, MD Specialist NPI 1386672228
- Megan Kitterman, CNM Advanced Practice Midwife NPI 1013412402
- Angela Latta, NP-C Nurse Practitioner NPI 1346687654
- Glen Lovelace, MD Obstetrics & Gynecology NPI 1720023930
- Kristina Rhodes, CNM Advanced Practice Midwife NPI 1417389222
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8D608 | BLUE CROSS GROUP NUMBER |
| 01 (ID) | 000010028711 | BLUE SHIELD GROUP NUMBER |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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