Calvin T Jewell (NPI# 1306026745, PAC ID# 0840200242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1306026745 |
| PAC ID by PECOS | 0840200242 |
| Professional Enrollment ID | I20060501000116 |
| Full Name | Calvin T Jewell |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Address |
6140 W Curtisian Ave 100 Samg General Surgery Suite 100 Boise ID 83704-0109 |
| Phone Number | 2083677090 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8527139435 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | ST ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 | 2083677090 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 6140 W Curtisian Ave, Boise, ID 83704-0109 | 2083677090 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Hostetler | Cardiovascular Disease (cardiology) | Saint Alphonsus Specialty Services Inc | 4400 E Flamingo, Nampa, ID 83687-9203 |
| Amanda E Keel | Physical Medicine and Rehabilitation | Saint Alphonsus Specialty Services Inc | 1055 N Curtis Rd, Samg Gynecology Oncology, Boise, ID 83706-1309 |
| Ronald W Cornwell | General Surgery | Saint Alphonsus Specialty Services Inc | 1906 Fairview Ave, Suite 430, Caldwell, ID 83605-5424 |
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Gail Miller | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 900 N Liberty St, 206 Samg Maternal Fetal Medicine, Boise, ID 83704-8729 |
| Street Address |
6140 W CURTISIAN AVE 100 SAMG GENERAL SURGERY SUITE 100 |
| City | BOISE |
| State | ID |
| Zip | 83704-0109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Brown | General Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8907 | |
| Kevin R Krafft | Physical Medicine and Rehabilitation | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8907 | |
| Christopher M Alessi | Vascular Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8907 | |
| Bryan J Anderson | General Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8907 | |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Brigett W Hollander | Clinical Social Worker | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Omar Anguiano | Chiropractic | 3211 N Milwaukee St, Boise, ID 83704-4446 | |
| Chad W Cleverly | Optometry | Boise Vision Care, P.a. | 3293 N Milwaukee St, Boise, ID 83704-4446 |
| Justin J Denison | Optometry | Boise Vision Care, P.a. | 3293 N Milwaukee St, Boise, ID 83704-4446 |
| Daniel R Boespflug | Optometry | Boise Vision Care, P.a. | 3293 N Milwaukee St, Boise, ID 83704-4446 |
| Scott D Smith | Chiropractic | Awic PC | 3211 N Milwaukee St, Boise, ID 83704-4446 |
| Chad C Hood | Chiropractic | Awic PC | 3211 N Milwaukee St, Boise, ID 83704-4446 |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BOISE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Calvin T Jewell.
| 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.