Jordan David Smith, MD | |
323 E Riverside Dr Ste 224, Eagle, ID 83616-6865 | |
(208) 302-6000 | |
(208) 302-6055 |
Full Name | Jordan David Smith |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 323 E Riverside Dr Ste 224, Eagle, 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 |
---|---|---|---|
1336345263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD166846 (Oregon) | Secondary |
207R00000X | Internal Medicine | A105728 (California) | Secondary |
207R00000X | Internal Medicine | M-15536 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus 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 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 |
---|---|
Jordan David Smith, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-9345 | Jordan David Smith, MD 323 E Riverside Dr Ste 224, Eagle, ID 83616-6865 Ph: (208) 302-6000 |
Joel C Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr, Suite 224, Samg Ehp Family Medicine, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Dr. Benjamin Ari Satterfield, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-322-1680 Fax: 208-322-1695 | |
Dr. Marion Lynn Luque, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1139 E. Winding Creek Drive, Eagle, ID 83616 Phone: 208-938-8887 Fax: 208-938-8897 | |
Kimberly R Tanabe, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3101 E State St, Suite 2120, Eagle, ID 83616 Phone: 208-473-3275 Fax: 208-473-3276 | |
Dr. Robert John Haake, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Shore Dr, Suite 100, Eagle, ID 83616 Phone: 208-995-2802 Fax: 208-995-2804 | |
Dr. Stan A Eisele, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 |