Ellis J Salloum (NPI# 1871540088, PAC ID# 4486616810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1871540088 |
| PAC ID by PECOS | 4486616810 |
| Professional Enrollment ID | I20190520001952 |
| Full Name | Ellis J Salloum |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Address |
6140 W Curtisian Ave Boise ID 83704-0109 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 3476462359 |
| Number of Group Practice Members | 468 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500039 | HARRISON MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672145 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 6140 W Curtisian Ave, Boise, ID 83704-0109 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | |
| 1225 Campbell Way, Suite 101, Bremerton, WA 98310-3323 | 3604794203 | FRANCISCAN MEDICAL GROUP |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Physicians | 481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah Tobin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 |
| Jayne A Derr | Clinical Social Worker | Saint Alphonsus Regional Medical Center Inc | 131 N Allumbaugh St, Boise, ID 83704-9204 |
| Michael R Partin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 3123 Medical Dr, Caldwell, ID 83605-6972 |
| Ondrej Choutka | Neurosurgery | Saint Alphonsus Regional Medical Center Inc | 1072 N Liberty St, Boise, ID 83704-8708 |
| Mitchell A Mendenhall | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 11035 Karcher Rd, Nampa, ID 83651-8200 |
| Erika V Aragona | Osteopathic Manipulative Medicine | Saint Alphonsus Regional Medical Center Inc | 3217 W Bavaria St, Eagle, ID 83616-5171 |
| Todd R Woodward | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 6051 W Emerald St, Boise, ID 83704-8969 |
| Alanna E Lilly | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Jennifer S Anderson | Cardiovascular Disease (cardiology) | Saint Alphonsus Regional Medical Center Inc | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Street Address |
6140 W CURTISIAN AVE |
| 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 | |
| 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 |
| Deborah N Svangstu | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8907 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| 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 |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | BOISE + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Ellis J Salloum.
| 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.