Charles Kaiser (NPI# 1477834109, PAC ID# 1355514910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1477834109 |
PAC ID by PECOS | 1355514910 |
Professional Enrollment ID | I20120612000016 |
Full Name | Charles Kaiser |
Organization Legal Name | ST LUKE'S CLINIC LLC |
Address |
746 N College Rd Twin Falls ID 83301-3486 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 1052217478 |
Number of Group Practice Members | 236 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
575 Pole Line Rd W, Twin Falls, ID 83301-9998 | 2088149200 | ST LUKE'S CLINIC LLC |
746 N College Rd, Twin Falls, ID 83301-3486 | ST LUKE'S CLINIC LLC | |
775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2088141500 | ST LUKE'S CLINIC LLC |
775 Pole Line Rd W, Twin Falls, ID 83301-5820 | ST LUKE'S CLINIC LLC |
Organization Legal Name | ST LUKE'S CLINIC LLC |
Physicians | 229 |
Name | Specialty | Organization | Address |
---|---|---|---|
Garrett A Bentley | Family Medicine | St Luke's Clinic LLC | 2550 Addison Ave W, Suite G, Twin Falls, ID 83301-6749 |
Abigail Louise Bell | Certified Clinical Nurse Specialist (cns) | St Luke's Clinic LLC | 775 Pole Line Rd W, Suite 115, Twin Falls, ID 83301-5819 |
Timothy D Crawley | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Robin M Lopez | Clinical Social Worker | St Luke's Clinic LLC | 2550 Addison Ave E, Twin Falls, ID 83301-6748 |
Brett J Buican | Psychologist, Clinical | St Luke's Clinic LLC | 1840 Canyon Crest Dr, Twin Falls, ID 83301-3007 |
Thomas H Zepeda | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
John Brandon Cory | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 575 Pole Line Rd W, Twin Falls, ID 83301-9998 |
Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
James S Irwin | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Michael P Dixon | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
Street Address |
746 N COLLEGE RD |
City | TWIN FALLS |
State | ID |
Zip | 83301-3486 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy D Crawley | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Chet R Dansie | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Lance G Hubsmith | Anesthesiology | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Benjamin R Watson | Physician Assistant | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Michael J Cannon | Obstetrics/gynecology | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Mark P Murphy | Psychiatry | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Brendan M Petersen | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Lesley D Goulding | Nurse Practitioner | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Amanda J Prestigiacomo | Nurse Practitioner | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
David V Dick | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
Find all physicians in zip 83301 |
City | TWIN FALLS |
Zip Code | 83301 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | TWIN FALLS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.