Dr Robert Calvin Root, DO | |
1501 Hiland Ave, Burley, ID 83318-2688 | |
(208) 678-4444 | |
Not Available |
Full Name | Dr Robert Calvin Root |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 1501 Hiland Ave, Burley, 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 |
---|---|---|---|
1619314036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q8785 (Texas) | Secondary |
207P00000X | Emergency Medicine | O-1947 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cassia Regional Hospital | Burley, ID | Hospital |
University Medical Center Of El Paso | El paso, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center El Paso | 7517864754 | 249 |
Entity Name | Texas Tech University Health Sciences Center El Paso |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Entity Name | Pearsall Emergency Medicine Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Calvin Root, DO Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Dr Robert Calvin Root, DO 1501 Hiland Ave, Burley, ID 83318-2688 Ph: (208) 678-4444 |
Daniel M Henrie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 | |
Jason Forgeon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |