Healthcare Provider Details

I. General information

NPI: 1215566955
Provider Name (Legal Business Name): ABEL A JOSEPH MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6259 W EMERALD ST
BOISE ID
83704-8731
US

IV. Provider business mailing address

6259 W EMERALD ST
BOISE ID
83704-8731
US

V. Phone/Fax

Practice location:
  • Phone: 208-489-1900
  • Fax: 208-375-5286
Mailing address:
  • Phone: 208-489-1900
  • Fax: 208-375-5286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA185185
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2271098
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: