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D&G MEDICAL ASSOCIATES PLLC

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Company Details

Name: D&G MEDICAL ASSOCIATES PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Feb 2018 (7 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 593776
Place of Formation: IDAHO
File Number: 593776
ZIP code: 83646
County: Ada County
Mailing Address: STE 100 1430 W USTICK RD MERIDIAN, ID 83646-7734

Agent

Name Role Address
ANTHONY UPSHAW Agent 1430 W USTICK RD, STE 100, MERIDIAN, ID 83646-7734

Manager

Name Role Address Appointed On Resigned On
DANIEL J ALLEN Manager 6712 N DOUBLE EAGLE LANE, MERIDIAN, ID 83646 2021-01-11 No data
GREG N BARRON Manager 2630 W WHITESTONE DR, MERIDIAN, ID 83646 2024-01-10 2024-01-10

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
DEZEREW895C3
UEI Expiration Date:
2026-04-29

Business Information

Activation Date:
2025-05-01
Initial Registration Date:
2024-06-28

National Provider Identifier

NPI Number:
1669975900
Certification Date:
2023-03-01

Authorized Person:

Name:
KAREN V FRALEY
Role:
REVENUE CYCLE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8889902969

Form 5500 Series

Employer Identification Number (EIN):
824412298
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006049815 2025-01-06
Amendment to Certificate 0005912343 2024-09-26
Annual Report Amendment 0005912334 2024-09-26
Annual Report 0005557000 2024-01-10
Annual Report 0005049088 2023-01-03

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State