Kurt A Mildenstein (NPI# 1619238276, PAC ID# 4082904602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1619238276 |
| PAC ID by PECOS | 4082904602 |
| Professional Enrollment ID | I20160609000758 |
| Full Name | Kurt A Mildenstein |
| Organization Legal Name | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| Address |
3551 E Overland Rd Meridian ID 83642-6757 |
| Phone Number | 2088841333 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2016 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 3971579954 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2083026400 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 3551 E Overland Rd, Meridian, ID 83642-6757 | 2088841333 | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| 840 N 4th, Mountain Home, ID 83647-2166 | 2085809806 | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| 335 Southwest 13th St, Ontario, OR 97914-4547 | 5414613600 | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| Organization Legal Name | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monte H Moore | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Christian G Gussner | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Barbara E Quattrone | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Travis J Williams | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Robert Friedman | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Shane A Maxwell | Pain Management | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Mark J Harris | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Nancy E Greenwald | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 600 N Robbins Rd, Suite 300, Boise, ID 83702-4568 |
| Street Address |
3551 E OVERLAND RD |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-6757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monte H Moore | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Christian G Gussner | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Barbara E Quattrone | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Travis J Williams | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Robert Friedman | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Shane A Maxwell | Pain Management | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Mark J Harris | Physical Medicine and Rehabilitation | Idaho Physical Medicine and Rehabilitation Pa | 3551 E Overland Rd, Meridian, ID 83642-6757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | MERIDIAN + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Kurt A Mildenstein.
| 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.