IndividualActive
Frederick Emge, MD
NPI 1013984517 · Pediatric Cardiology Physician · Boise, ID
Provider details
- NPI number
- 1013984517
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2011037702 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 E Idaho St
Suite 200
Boise, ID 83712-6267
Phone: (208) 381-7384
Fax: (208) 381-7387
Approximate (ZIP-level) locationGet directions
Mailing address
4115 N Sage Hill Ln
Eagle, ID 83616-2944
Additional practice locations (1)
- 1100 N Kentucky AveWest Plains, MO 65775-2029Phone: (417) 256-9111
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.