NPI age
5 years
Enumerated 2021-04-13
● Active Type 2 · Organization
Senior Doc Idaho Pc
Senior Doc Idaho Pc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Geiss
Owner/doctor
Last NPPES update
2025-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4301 Garrity Blvd Ste 103
Nampa, ID 836879222
Mailing address
5 Hutton Centre Dr Ste 950
Santa Ana, CA 927078714
Authorized official
John Geiss
Owner/doctor
📞 8554347763
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Samantha Hoskins, AGNP-C Nurse Practitioner NPI 1265134985
- Emily Lesuer, NURSE PRACTITIONER Nurse Practitioner NPI 1538999461
- Nohe Mata, PTA Physical Therapy Assistant NPI 1083141394
- Daniel McConnell, MSPA Physician Assistant NPI 1376888735
- Samantha Meshack-Hart, NP Nurse Practitioner NPI 1922240498
- Kaleb Pulsipher, DPT Physical Therapist NPI 1467927129
- Melissa Walsh, PA-C Physician Assistant NPI 1821304007
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...
Practice context
Multi-provider organization. 7 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.