Michael R Smith (NPI# 1942598446, PAC ID# 0547436966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1942598446 |
PAC ID by PECOS | 0547436966 |
Professional Enrollment ID | I20120105000561 |
Full Name | Michael R Smith |
Organization Legal Name | SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C. |
Address |
125 E Idaho St Suite 100 Boise ID 83712-6202 |
Phone Number | 2083380148 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8628242997 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
131312 | ST LUKE'S MCCALL |
131311 | ST LUKE'S ELMORE MEDICAL CENTER |
380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
Address | Phone | Organization |
---|---|---|
125 E Idaho St, Suite 100, Boise, ID 83712-6202 | 2083380148 | SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C. |
Organization Legal Name | SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C. |
Physicians | 8 |
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 |
Street Address |
125 E IDAHO ST SUITE 100 |
City | BOISE |
State | ID |
Zip | 83712-6202 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martha Ann Cline | Neurology | St Lukes Clinic-treasure Valley LLC | 125 E Idaho St, Suite 300, Boise, ID 83712-6256 |
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 |
Jennifer K Lee | Colorectal Surgery (proctology) | St Lukes Clinic-treasure Valley LLC | 125 E Idaho St, Suite 303, Boise, ID 83712-6256 |
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 |
Ryan M Smith | Neurology | St Lukes Clinic-treasure Valley LLC | 125 E Idaho St, Suite 300, Boise, ID 83712-6256 |
Nicole K Klein | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
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 |
Jesse D Vincent | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Steven J Love | Anesthesiology | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Robert E Cooks | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Stephen R Longo | Anesthesiology | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Melanie R Ahrens | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Clint Allred | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
David Phillips | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
Scott William Cantwell | Anesthesiology | 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 | NURSE PRACTITIONER |
City + Specialty | BOISE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael R Smith.
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.