MEDICARE: ONYX HEALTH & MED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1346180130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONYX HEALTH & MED

Provider Business Mailing Address
First Line	:	219 S WOODDALE AVE
Second Line	:
City	:	EAGLE
State	:	ID
Zip	:	83616-7714
Country	:	US
Telephone Number	:	208-391-3877
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 S WOODDALE AVE
Second Line	:
City	:	EAGLE
State	:	ID
Zip	:	83616-7714
Country	:	US
Telephone Number	:	208-391-3877
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	JONATHAN FAHED SUBAITANI
Credential	:	PA-C
Telephone Number	:	703-928-7266

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ONYX HEALTH & MED ” Practice Location

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