Dr Michael A Codina, MD | |
4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | |
(208) 302-0200 | |
(208) 302-0255 |
Full Name | Dr Michael A Codina |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 26 Years |
Location | 4424 E Flamingo Ave, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871540708 | NPI | - | NPPES |
100503714 | Medicaid | NV | |
M-10458 | Other | ID | IDAHO BOARD OF MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | M-10458 (Idaho) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 10982 (Nevada) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Entity Name | Saint Alphonsus Medical Center Nampa Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659371870 PECOS PAC ID: 7113821026 Enrollment ID: O20031121000788 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Codina, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-0200 | Dr Michael A Codina, MD 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 Ph: (208) 302-0200 |
Wesley David Pidcock, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 Phone: 208-302-2100 Fax: 208-302-2125 | |
Kenneth Wilhelm Jr., Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687 Phone: 208-288-4970 Fax: 208-288-4990 | |
Michael M Dee, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044 | |
Justin Tomal, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Garrity Blvd, Nampa, ID 83687 Phone: 208-343-6458 | |
Braden Lawrence, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-381-4100 | |
Ryan J. Williams, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 900 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-401-9639 | |
Nicholas W. Hodgman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 Phone: 208-302-0200 Fax: 208-302-0255 |