OrganizationActive
Theresa Weiland DO PA
NPI 1366616716 · Family Medicine Physician · Boise, ID
Provider details
- NPI number
- 1366616716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Csik, Corp Secretary(208) 333-8841
- License
- O-119 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
222 N 2nd St
Suite 201
Boise, ID 83702-6109
Phone: (208) 345-7727
Fax: (208) 345-4689
Street-level locationGet directions
Mailing address
2245 Toluka Way
Boise, ID 83712-8552
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.