Bonnie M Reed (NPI# 1093155814, PAC ID# 5597081430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093155814 |
| PAC ID by PECOS | 5597081430 |
| Professional Enrollment ID | I20161007001481 |
| Full Name | Bonnie M Reed |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
3090 E Gentry Way Suite 200 Meridian ID 83642-3550 |
| Phone Number | 2088876813 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 | 2088876813 | 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 |
| 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 |
| Edward A Duckworth | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 608 W Hays St, Boise, ID 83702-5511 |
| Street Address |
3090 E GENTRY WAY SUITE 200 |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-3550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton Sanders | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 3090 E Gentry Way, Suite 100, Meridian, ID 83642-3548 |
| Tammy L Skidmore | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 3090 E Gentry Way, Suite 100, Meridian, ID 83642-3548 |
| James R Ernest | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 3090 E Gentry Way, Suite 100, Meridian, ID 83642-3548 |
| Hayley S Brown | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Kathryn M Fethke | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 3090 E Gentry Way, Suite 120, Meridian, ID 83642-3549 |
| Timothy A Powell | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 3090 E Gentry Way, Suite 100, Meridian, ID 83642-3548 |
| 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 | FAMILY MEDICINE |
| City + Specialty | MERIDIAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bonnie M Reed.
| 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.