| Saint Alphonsus Regional Medical Center Inc | |
|
315 E Elm St Ste 100 Caldwell ID 83605 | |
| (208) 459-7415 | |
| Not Available |
| Full Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 315 E Elm St, Caldwell, Idaho |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Regional Medical Center Inc 3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-5170 | Saint Alphonsus Regional Medical Center Inc 315 E Elm St Ste 100 Caldwell ID 83605 Ph: (208) 459-7415 |
| NPI Number | 1861676298 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 3476462359 |
|---|---|
| Medicare Enrollment ID | O20130801000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861676298 | NPI | - | NPPES |
| 806290700 | Medicaid | ID |
| Provider Name | Bonnie K Kittleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851394464 PECOS PAC ID: 5193797819 Enrollment ID: I20040811001365 |
| Provider Name | Mark G Parent |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558301515 PECOS PAC ID: 6709846462 Enrollment ID: I20101026001308 |
| Provider Name | Kerry P Pulver |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376596247 PECOS PAC ID: 8426180936 Enrollment ID: I20110920000745 |
| Provider Name | Andrew S Pierson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992760664 PECOS PAC ID: 3476520321 Enrollment ID: I20111115000893 |
| Provider Name | Karl J Schultheiss |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265478325 PECOS PAC ID: 5799819157 Enrollment ID: I20111123000652 |
| Provider Name | Alan D Langerak |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902853294 PECOS PAC ID: 4688682982 Enrollment ID: I20111229000527 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417081399 PECOS PAC ID: 0345332433 Enrollment ID: I20120119000824 |
| Provider Name | Gerard P Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669470274 PECOS PAC ID: 5294756540 Enrollment ID: I20130430000056 |
| Provider Name | Rory R Ramsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174634737 PECOS PAC ID: 4789602640 Enrollment ID: I20130731000838 |
| Provider Name | Jennifer B Hale |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1831143338 PECOS PAC ID: 8123079506 Enrollment ID: I20131219001624 |
| Provider Name | Carl B Kapadia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164682720 PECOS PAC ID: 6709015936 Enrollment ID: I20160208000045 |
| Provider Name | Michael E Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972759124 PECOS PAC ID: 4082938188 Enrollment ID: I20160215000010 |
| Provider Name | Bobby Chawla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598956963 PECOS PAC ID: 3072785633 Enrollment ID: I20160921001400 |
| Provider Name | Ilyas K Colombowala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730194150 PECOS PAC ID: 0042363160 Enrollment ID: I20170425000871 |
| Provider Name | Matthew R Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376622985 PECOS PAC ID: 6204908023 Enrollment ID: I20170616001240 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20180406002127 |
| Provider Name | Jeffrey J Heslop |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144544644 PECOS PAC ID: 0244541522 Enrollment ID: I20180705001467 |
| Provider Name | Beth R Malasky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730285719 PECOS PAC ID: 2062306897 Enrollment ID: I20190524001410 |
| Provider Name | Laura A Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477597573 PECOS PAC ID: 5890873079 Enrollment ID: I20190612003133 |
| Provider Name | Purushothaman Muthusamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033473285 PECOS PAC ID: 8426287871 Enrollment ID: I20191015003067 |
| Provider Name | Nicholas T Gorden |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568805810 PECOS PAC ID: 4385888643 Enrollment ID: I20191023001490 |
| Provider Name | Nicholas W Hodgman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164439725 PECOS PAC ID: 1153472006 Enrollment ID: I20200212000875 |
| Provider Name | Erin Michaelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578628 PECOS PAC ID: 8628391422 Enrollment ID: I20200309001106 |
| Provider Name | Sophia Airhart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427379825 PECOS PAC ID: 7810299369 Enrollment ID: I20200324001957 |
| Provider Name | Erik Valenti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276223 PECOS PAC ID: 0244539393 Enrollment ID: I20200416002455 |
| Provider Name | Joshua D Holweger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417102930 PECOS PAC ID: 0840430799 Enrollment ID: I20200423003349 |
| Provider Name | Aaron Dunham |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033504147 PECOS PAC ID: 9638470461 Enrollment ID: I20200722000482 |
| Provider Name | Katarzyna Kaczmarczyk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275979692 PECOS PAC ID: 5092139485 Enrollment ID: I20201203001748 |
| Provider Name | Wesley D Pidcock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013335157 PECOS PAC ID: 8820340672 Enrollment ID: I20201228002025 |
| Provider Name | Jonelle Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175614 PECOS PAC ID: 1052728235 Enrollment ID: I20210519003116 |
| Provider Name | Sonia C Hasbun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578940441 PECOS PAC ID: 4981953734 Enrollment ID: I20210812002887 |
| Provider Name | Esther Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932137684 PECOS PAC ID: 0244252468 Enrollment ID: I20220502001722 |
| Provider Name | Michael Benedict Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457399560 PECOS PAC ID: 0143294926 Enrollment ID: I20220803000900 |
| Provider Name | Megan E Foeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568728939 PECOS PAC ID: 7618297797 Enrollment ID: I20220803001335 |
| Provider Name | Maria Palmquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942369285 PECOS PAC ID: 6002992047 Enrollment ID: I20220803003467 |
| Provider Name | Kathryn Sisterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942485891 PECOS PAC ID: 5698807162 Enrollment ID: I20220926001005 |
| Provider Name | Patrick Coleman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326045428 PECOS PAC ID: 7810891447 Enrollment ID: I20221222001457 |
| Provider Name | Adam Grimaldi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730422296 PECOS PAC ID: 4284933979 Enrollment ID: I20230109000446 |
| Provider Name | Spencer Craven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992169452 PECOS PAC ID: 1153616230 Enrollment ID: I20230216001770 |
| Provider Name | Joseph Aloysius Walsh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063674505 PECOS PAC ID: 0749406619 Enrollment ID: I20230226000001 |
| Provider Name | Russell Hamilton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952785362 PECOS PAC ID: 7416264379 Enrollment ID: I20230926003336 |
| Provider Name | Joan Kramer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407804032 PECOS PAC ID: 1254343700 Enrollment ID: I20231012002457 |
| Provider Name | Yujean Han |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154611010 PECOS PAC ID: 9537390877 Enrollment ID: I20231106002310 |
| Provider Name | Kara Denby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285053892 PECOS PAC ID: 7315240983 Enrollment ID: I20231211001253 |
| Provider Name | Margot Vloka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174517775 PECOS PAC ID: 6608881743 Enrollment ID: I20240131004946 |
Saint Alphonsus Medical Group Ellis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Elm, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-454-5113 | |
Terry Reilly Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-318-1362 Fax: 208-345-3502 | |
Core Medicine Of Idaho Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4605 Enterprise Way, Ste 101, Caldwell, ID 83605 Phone: 208-353-7518 | |
Alliance Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 N 21st Ave, Caldwell, ID 83605 Phone: 208-985-2875 Fax: 208-985-2876 | |
Saint Alphonsus Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3232 | |
West Valley Medical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-3669 Fax: 208-947-3465 | |
No8 Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |