St. Joseph Regional Medical Center Physicians | |
415 6th St Lewiston ID 83501-2431 | |
(208) 743-2511 | |
(208) 799-5554 |
Full Name | St. Joseph Regional Medical Center Physicians |
---|---|
Speciality | Emergency Medicine |
Location | 415 6th St, Lewiston, Idaho |
Authorized Official Name and Position | Susan Colburn (DIRECTOR OF BUSINESS SERVICES) |
Authorized Official Contact | 2087995200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Joseph Regional Medical Center Physicians 415 6th St Lewiston ID 83501-2431 Ph: (208) 743-2511 | St. Joseph Regional Medical Center Physicians 415 6th St Lewiston ID 83501-2431 Ph: (208) 743-2511 |
NPI Number | 1790816262 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 11/05/2007 |
Medicare PECOS PAC ID | 2961497235 |
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Medicare Enrollment ID | O20041220001093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790816262 | NPI | - | NPPES |
000010005407 | Other | ID | REGENCE OF IDAHO |
000010005405 | Other | ID | REGENCE OF IDAHO |
8K552 | Other | ID | BLUE CROSS OF IDAHO |
000010005404 | Other | ID | REGENCE OF IDAHO |
7045891 | Medicaid | WA | |
7046543 | Medicaid | WA | |
8C576 | Other | ID | BLUE CROSS OF IDAHO |
7046279 | Medicaid | WA |
Provider Name | Barbara A Kammer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306957048 PECOS PAC ID: 9436053980 Enrollment ID: I20031125000725 |
Provider Name | Jennifer R Quick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770594020 PECOS PAC ID: 6305733502 Enrollment ID: I20040302001110 |
Provider Name | Michael S Stormes |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215069877 PECOS PAC ID: 0941273460 Enrollment ID: I20040813000660 |
Provider Name | William Conrad Dir |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376517268 PECOS PAC ID: 7315912136 Enrollment ID: I20040826000524 |
Provider Name | Jane A Fore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063445385 PECOS PAC ID: 0446243125 Enrollment ID: I20041025000045 |
Provider Name | Jeffrey Lynn Harris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942232285 PECOS PAC ID: 2365419835 Enrollment ID: I20051024000819 |
Provider Name | Graham Wetherley |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1821030586 PECOS PAC ID: 4082698972 Enrollment ID: I20051101000405 |
Provider Name | Edward Vivian |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1578689600 PECOS PAC ID: 8022085638 Enrollment ID: I20060104000688 |
Provider Name | Liliana C Saunero-nava |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902902737 PECOS PAC ID: 0840282299 Enrollment ID: I20060106000317 |
Provider Name | Gary M Thorne |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1841306339 PECOS PAC ID: 6608769153 Enrollment ID: I20060109000691 |
Provider Name | Larry D Harries |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033105994 PECOS PAC ID: 4486568581 Enrollment ID: I20060314000503 |
Provider Name | Michael C Minick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164536728 PECOS PAC ID: 3678580156 Enrollment ID: I20060322000021 |
Provider Name | Gerardo Midence |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1215981832 PECOS PAC ID: 1951304187 Enrollment ID: I20060816000265 |
Provider Name | Michael T Rooney |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1093753360 PECOS PAC ID: 8628040292 Enrollment ID: I20060816000284 |
Provider Name | Patricia A Brady |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922079037 PECOS PAC ID: 3274518535 Enrollment ID: I20070716000725 |
Provider Name | Barbara K Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699746859 PECOS PAC ID: 5193700458 Enrollment ID: I20070728000158 |
Provider Name | Daniel B Mcintosh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801831151 PECOS PAC ID: 1153480835 Enrollment ID: I20081110000808 |
Provider Name | Kevin J Chicoine |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1730121740 PECOS PAC ID: 1153483011 Enrollment ID: I20081231000242 |
Provider Name | Mark R Keane |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1427044643 PECOS PAC ID: 3870586126 Enrollment ID: I20091215000438 |
Provider Name | John G Peterson |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1013931997 PECOS PAC ID: 2769572445 Enrollment ID: I20100222000468 |
Provider Name | Jay A Hunter |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275698987 PECOS PAC ID: 9234253279 Enrollment ID: I20100827000813 |
Provider Name | Chad M Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174834535 PECOS PAC ID: 8224153200 Enrollment ID: I20100914000969 |
Provider Name | Albert W Merritt |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609992783 PECOS PAC ID: 5395938849 Enrollment ID: I20101018000371 |
Provider Name | Jamie Michelle Rambeau |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649248923 PECOS PAC ID: 4981633641 Enrollment ID: I20110106000959 |
Provider Name | John C Morgenstern |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740386432 PECOS PAC ID: 1456529536 Enrollment ID: I20110714000840 |
Provider Name | John W Ho |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1023096955 PECOS PAC ID: 9830002708 Enrollment ID: I20120716000498 |
Provider Name | Edward L Middleman |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1972540623 PECOS PAC ID: 3870504947 Enrollment ID: I20121023000558 |
Provider Name | Rebecca A Bohnenkamp |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063726826 PECOS PAC ID: 9931345030 Enrollment ID: I20130416000272 |
Provider Name | Ginger L Dattilo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1639240864 PECOS PAC ID: 8820184518 Enrollment ID: I20130620000445 |
Provider Name | Sallee E Jones |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1952635609 PECOS PAC ID: 4183867187 Enrollment ID: I20130823000153 |
Provider Name | Jean K Thomas |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1881695534 PECOS PAC ID: 1951442896 Enrollment ID: I20130912000830 |
Provider Name | Talmadge C Caviness |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1497870091 PECOS PAC ID: 2567596794 Enrollment ID: I20130913000458 |
Provider Name | Dustin Lee Elben |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1376976456 PECOS PAC ID: 8022243435 Enrollment ID: I20131021000075 |
Provider Name | April L Christenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912332370 PECOS PAC ID: 3870728546 Enrollment ID: I20131105001298 |
Provider Name | Nicole M Engledow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003248113 PECOS PAC ID: 9436385853 Enrollment ID: I20131113001064 |
Provider Name | Rachel Eron Clements |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598190217 PECOS PAC ID: 8224269873 Enrollment ID: I20140324001160 |
Provider Name | Miroslaw Tadeusz Sochanski |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1568447076 PECOS PAC ID: 4688697535 Enrollment ID: I20140508001630 |
Provider Name | Magdelena Greene |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740501238 PECOS PAC ID: 3971745225 Enrollment ID: I20140715001503 |
Provider Name | Stephen Kessinger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891007167 PECOS PAC ID: 1658597521 Enrollment ID: I20140729002947 |
Provider Name | April Golla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972919447 PECOS PAC ID: 8820216385 Enrollment ID: I20140825001316 |
Provider Name | Ashleigh T Bars |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356759948 PECOS PAC ID: 4981928371 Enrollment ID: I20150112002310 |
Provider Name | Mandi Lee Strohm |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568887156 PECOS PAC ID: 5193958163 Enrollment ID: I20150226000375 |
Provider Name | Dirk Denier Vandergon |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1659334316 PECOS PAC ID: 4688683378 Enrollment ID: I20150416002297 |
Provider Name | Michael Becker |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1811927726 PECOS PAC ID: 8921076589 Enrollment ID: I20150423001306 |
Provider Name | Hanna Konarzewska |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1316936982 PECOS PAC ID: 3173504032 Enrollment ID: I20150616000998 |
Provider Name | Laurel Andrechak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992907372 PECOS PAC ID: 6305873936 Enrollment ID: I20150708000750 |
Provider Name | Dorian Larsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356489041 PECOS PAC ID: 4587977780 Enrollment ID: I20150716002956 |
Provider Name | Clinton R Morgan |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1376779413 PECOS PAC ID: 4284899774 Enrollment ID: I20150812008306 |
Provider Name | Michele R Dickison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841687001 PECOS PAC ID: 5991012833 Enrollment ID: I20150910000042 |
Provider Name | James J Butler |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1679823926 PECOS PAC ID: 3173764073 Enrollment ID: I20160114001385 |
Provider Name | Rebekah Nation |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134497464 PECOS PAC ID: 9133389539 Enrollment ID: I20160225000484 |
Provider Name | Howard Edward Bowers |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1538484167 PECOS PAC ID: 3173751856 Enrollment ID: I20160301000933 |
Provider Name | Lee J Hixson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952314593 PECOS PAC ID: 7517956337 Enrollment ID: I20160324001906 |
Provider Name | Ryan Uptmor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508280256 PECOS PAC ID: 4587895602 Enrollment ID: I20160421002445 |
Provider Name | Michael S Richins |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497028609 PECOS PAC ID: 4981929767 Enrollment ID: I20160811000944 |
Provider Name | Kelsi Anne Froom |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1811287352 PECOS PAC ID: 1850688078 Enrollment ID: I20160930002117 |
Provider Name | Deepika Wali |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1144205295 PECOS PAC ID: 9032155973 Enrollment ID: I20161102002314 |
Provider Name | Brian Francis Ciezki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205221041 PECOS PAC ID: 5294056305 Enrollment ID: I20161108001344 |
Provider Name | Ho Cho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215489125 PECOS PAC ID: 4789964693 Enrollment ID: I20161212001832 |
Provider Name | Kenneth Andrew Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962543496 PECOS PAC ID: 1355319211 Enrollment ID: I20161228000274 |
Provider Name | Erin J Massey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376884593 PECOS PAC ID: 3779866140 Enrollment ID: I20170208002717 |
Provider Name | Betty Weeks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619241387 PECOS PAC ID: 1658654033 Enrollment ID: I20170208002849 |
Provider Name | Christopher J Ostromecki |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1497746390 PECOS PAC ID: 9537159579 Enrollment ID: I20170302001155 |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |