Derek B Hamblin (NPI# 1790713204, PAC ID# 1658371620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790713204 |
| PAC ID by PECOS | 1658371620 |
| Professional Enrollment ID | I20100924000666 |
| Full Name | Derek B Hamblin |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Address |
512 N 21st Ave Caldwell ID 83605-4368 |
| Phone Number | 2088092875 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3971544685 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4971 W Overland Rd, Boise, ID 83705-2822 | 2084725050 | ALLIANCE MEDICAL GROUP LLC |
| 6052 W State St, Boise, ID 83703-2739 | 2089471947 | ALLIANCE MEDICAL GROUP LLC |
| 8971 W Overland Rd, Boise, ID 83709-1651 | 2083784288 | ALLIANCE MEDICAL GROUP LLC |
| 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2084553545 | ALLIANCE MEDICAL GROUP LLC |
| 512 N 21st Ave, Caldwell, ID 83605-4368 | 2088092875 | ALLIANCE MEDICAL GROUP LLC |
| 435 S Eagle Rd, Eagle, ID 83616-6067 | 2089398222 | ALLIANCE MEDICAL GROUP LLC |
| 5601 W Chinden Blvd, Garden City, ID 83714-1463 | 2088092865 | ALLIANCE MEDICAL GROUP LLC |
| 1623 S Wells Ave, Meridian, ID 83642-5040 | 2084891450 | ALLIANCE MEDICAL GROUP LLC |
| 260 S Ten Mile Rd, Meridian, ID 83642-6100 | 2088092872 | ALLIANCE MEDICAL GROUP LLC |
| 1375 N Happy Valley Rd, Nampa, ID 83687-5280 | 2088092869 | ALLIANCE MEDICAL GROUP LLC |
| 700 Caldwell Blvd, Nampa, ID 83651-1707 | 2084666567 | ALLIANCE MEDICAL GROUP LLC |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiago D Alberto | Nurse Practitioner | Alliance Medical Group LLC | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 |
| Ryan Anthony Baugher | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Kelsey Martin | Nurse Practitioner | Alliance Medical Group LLC | 3280 E Lanark Dr, Meridian, ID 83642-5982 |
| Nicole Augusta Lafleur | Family Medicine | Alliance Medical Group LLC | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Jedd D Moore | Nurse Practitioner | Alliance Medical Group LLC | 4971 W Overland Rd, Boise, ID 83705-2822 |
| Kelly Moore | Nurse Practitioner | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Michael Vincen-brown | Physician Assistant | Alliance Medical Group LLC | 435 S Eagle Rd, Eagle, ID 83616-6067 |
| Steven Barnum | Nurse Practitioner | Alliance Medical Group LLC | 1115 12th Ave Rd, Nampa, ID 83686-5738 |
| Street Address |
512 N 21ST AVE |
| City | CALDWELL |
| State | ID |
| Zip | 83605-4368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Raul Godina | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Natalie D Merz | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Tim R Loewenstein | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Ryan A Moore | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Samuel Shinkle | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Greg D Maloney | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Patrick D Stowell | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Cyrus H Vania | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Anne Blanchette | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Ramon A Relyea | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CALDWELL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Derek B Hamblin.
| 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.