Thomas Lawrence Lark, MD | |
8800 W Emerald St, Boise, ID 83704-8205 | |
(208) 373-5000 | |
Not Available |
Full Name | Thomas Lawrence Lark |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 8800 W Emerald St, Boise, 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 |
---|---|---|---|
1609818699 | NPI | - | NPPES |
022753 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M7000 (Idaho) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | M7000 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Treasure Valley Hospital | Boise, ID | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Consultants Of Treasure Valley Pllc | 4981661196 | 18 |
Entity Name | Anesthesiology Consultants Of Treasure Valley Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096 |
Mailing Address | Practice Location Address |
---|---|
Thomas Lawrence Lark, MD Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740 | Thomas Lawrence Lark, MD 8800 W Emerald St, Boise, ID 83704-8205 Ph: (208) 373-5000 |
John Mather Hine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Steven J Love, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Dr. Tomasz Adam Murawski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-5170 Fax: 208-367-5180 | |
Dr. Timothy A Bialobrzeski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 E Bannock St, Boise, ID 83712 Phone: 208-336-0895 | |
Brent Kenner Childers, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Kirk A. Miller, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Robbins Rd, Suite 401, Boise, ID 83702 Phone: 208-489-4279 Fax: 208-424-8555 | |
Raphael Joseph Streiff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |