Elizabeth M Williams (NPI# 1215253240, PAC ID# 0143475095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1215253240 |
| PAC ID by PECOS | 0143475095 |
| Professional Enrollment ID | I20150724012518 |
| Full Name | Elizabeth M Williams |
| Organization Legal Name | BOISE PATHOLOGY GROUP P.A. |
| Address |
190 E Bannock St Boise ID 83712-6241 |
| Phone Number | 2083812378 |
| Gender | F |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 7113943291 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 190 E Bannock St, Boise, ID 83712-6241 | 2083812378 | BOISE PATHOLOGY GROUP P.A. |
| Organization Legal Name | BOISE PATHOLOGY GROUP P.A. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Kieckbusch | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Daniel J Walsh | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Karen A Johnson | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Robert J Teears | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Matthew A Burtelow | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Misty M Payne | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Jeffrey Bryan Walker | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Valerie A Holst | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Morgan M Ballard | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Michael J Carey | Pathology | Boise Pathology Group P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Street Address |
190 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip | 83712-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Warren Schneider | Physician Assistant | Manning Neurosurgery, Pllc | 190 E Bannock St, St Lukes Reg Med Ctr, Boise, ID 83702-6241 |
| Darby Webb | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Derek L Martinez | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Mikias A Kebede | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Michelle R Livingston | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Robert F Adams | Pediatric Medicine | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Gregory S Harrison | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Laurie L Noe | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Don A Bell | Diagnostic Radiology | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Albert Kang | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casi M Wyatt | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Birgitt L Dau | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Thomas J Coffman | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Alexandra M Nielsen | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Camilla M Reese | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Jonathan S Salberg | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Nicole K Klein | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Michael R Smith | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Douglas C Neurath | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David P Hansen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Find all physicians in zip 83712 | |||
| City | BOISE |
| Zip Code | 83712 |
| Specialty | PATHOLOGY |
| City + Specialty | BOISE + PATHOLOGY |
Please comment or provide details below to improve the information on Elizabeth M Williams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.