NPI 1952785362 · live from the CMS NPI Registry
Russell D Hamilton, DO
Internal Medicine, Cardiovascular Disease in Nampa, ID. National Provider Identifier 1952785362, active.
NPI record
| NPI | 1952785362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 4424 E Flamingo Ave Ste 300, Nampa, ID 83687 |
| Practice phone | 208-302-0200 |
| Mailing address | Po Box 190930, Boise, ID 83719 |
| Enumerated | July 15, 2015 |
| Last updated | December 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | DO-05173 (IA) |
| Hospitalist | 208M00000X | DO-05173 (IA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | O-1832 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.