Kellan J Kading (NPI# 1447517735, PAC ID# 4688995830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1447517735 |
| PAC ID by PECOS | 4688995830 |
| Professional Enrollment ID | I20170831002032 |
| Full Name | Kellan J Kading |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
100 E Warm Springs Ave Suite B Boise ID 83712-6243 |
| Phone Number | 2083816930 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 770 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E Warm Springs Ave, Suite B, Boise, ID 83712-6243 | 2083816930 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Physicians | 831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Alex Mari Tanabe | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 600 N Robbins Rd, Boise, ID 83702-4565 |
| Jessica J Carpenter | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 1620 S Kimball Ave, Caldwell, ID 83605-4547 |
| Whitney B Conrad | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1226 W River St, Boise, ID 83702-7049 |
| Megan D Larson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 287 W Jefferson St, Boise, ID 83702-6045 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Scott J Chyna | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 |
| Sarah J Mooseau | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 510 N 2nd St, Suite 201, Boise, ID 83702-6078 |
| Nitya Alluri | Hematology | St Lukes Clinic-treasure Valley LLC | 100 E Idaho St, Suite 302, Boise, ID 83712-6269 |
| Street Address |
100 E WARM SPRINGS AVE SUITE B |
| City | BOISE |
| State | ID |
| Zip | 83712-6243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon W Nowierski | Dermatology | L William D Nowierski Md Pa | 100 E Warm Springs Ave, Suite A, Boise, ID 83712-6243 |
| David B Talford | Physician Assistant | L William D Nowierski Md Pa | 100 E Warm Springs Ave, Suite A, Boise, ID 83712-6243 |
| Caroline L Arthur | General Surgery | St Lukes Clinic-treasure Valley LLC | 100 E Warm Springs Ave, Suite B, Boise, ID 83712-6243 |
| Cyrus Ali | General Surgery | St Lukes Clinic-treasure Valley LLC | 100 E Warm Springs Ave, Suite B, Boise, ID 83712-6243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casi M Wyatt | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Birgitt L Dau | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Thomas J Coffman | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Alexandra M Nielsen | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Camilla M Reese | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Jonathan S Salberg | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Nicole K Klein | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Michael R Smith | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Douglas C Neurath | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David P Hansen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Find all physicians in zip 83712 | |||
| City | BOISE |
| Zip Code | 83712 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BOISE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kellan J Kading.
| 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.