P Praxis·MD
● Active Type 2 · Organization Subpart

Page Family Medicine

Family Medicine·Burley, ID· NPI 1487151882 · Enumerated 2018 · 8 years on NPI
Page Family Medicine is 1 of 1691 family medicine organizations in Idaho.
NPI age
8 years
Enumerated 2018-04-11
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haymore
Medical Director
Last NPPES update
2019-02-01
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
8 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1252 Bennett Ave, Suite B
Burley, ID 83318
📞 2086170656fax 2086470659
Mailing address
260 Falls Ave Ste C
Twin Falls, ID 833013370
📞 2087367422fax 7087368905

Authorized official

Jeremy B Haymore, MD
Medical Director
📞 2083122242

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Ann Cueva, RNCFNP Nurse Practitioner NPI 1164563680

Specialties

  • Family Medicine Primary
    Family 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...
    ID license #M-4391 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (ID) 1487151882

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • c/o PHYSICIANS IMMEIDATE CARE OF TWIN
    Type code 5 recorded 2019-02-01

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Subpart of Physicians Immediate Care Of Twin Falls.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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