Natasha Miller, MD | |
315 E Elm, Ste 100, Caldwell, ID 83605-4858 | |
(208) 459-7415 | |
(208) 453-3307 |
Full Name | Natasha Miller |
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Gender | Female |
Speciality | Pediatrics |
Location | 315 E Elm, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144299678 | NPI | - | NPPES |
712598 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30301 (Arizona) | Secondary |
208000000X | Pediatrics | M-10367 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
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 |
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Natasha Miller, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5171 | Natasha Miller, MD 315 E Elm, Ste 100, Caldwell, ID 83605-4858 Ph: (208) 459-7415 |
Jee Hur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm Street, Ste 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3307 | |
Amanda Lee, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-505-2950 | |
Merle L. Keller Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E. Elm Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 | |
Matthew S Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm St Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7189 | |
Timothy Curtis Borup, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm St Ste 100, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 | |
David Babbel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 315 E Elm St, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 |