Cody D Heiner, MD | |
703 S Americana Blvd, Boise, ID 83702-5099 | |
(208) 706-5445 | |
(208) 706-7501 |
Full Name | Cody D Heiner |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 703 S Americana Blvd, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770790313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | M10755 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Cody D Heiner, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Cody D Heiner, MD 703 S Americana Blvd, Boise, ID 83702-5099 Ph: (208) 706-5445 |
Rachael Ann Crawford, ATC Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6875 W Preece Ln, Boise, ID 83704 Phone: 208-297-9504 | |
Thomas Barrett Eschen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Provident, Boise, ID 83706 Phone: 208-343-6703 Fax: 208-343-6703 | |
Jacob Kammer, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 6533 W Emerald St, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 | |
Glenn C Bothwell, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Boise, ID 83702 Phone: 208-706-7500 | |
Dr. Stephen David Leonard, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3815 W Rickenbacker St, Suite 213, Boise, ID 83705 Phone: 208-901-4493 Fax: 208-917-8605 | |
Dr. Margaret Kay Cook-shimanek, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 Emerald Street, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 | |
Michael P Gibson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 W Emerald St, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 |