NPI age
19 years
Enumerated 2007-05-18
● Active
Type 1 · Individual
Nathan R. Mason, MD
Mason is 1 of 5 family medicine providers in Star and 1 of 1,722 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-15
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1722 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2007 → 2021
2007-05Enumerated in NPPES
2007
2021
Where they practice
Practice location
10717 W State St
Star, ID 836696046
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
Additional practice locations
1 secondary location on file with NPPES.
Location 2
679 Main St
Sweet Home, OR 973863305
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 500608912 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Medicare specialties
Family Practice
Largest Medicare group
672 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Saint Alphonsus Regional Medical Center Inc
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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