Michael Haderlie
IDAHO KIDNEY INSTITUTE LLP


Address: 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Phone: 2089044780

Michael Haderlie (NPI# 1700083813, PAC ID# 5890888317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1700083813
PAC ID by PECOS 5890888317
Professional Enrollment ID I20100723000560
Full Name Michael Haderlie
Organization Legal Name IDAHO KIDNEY INSTITUTE LLP
Address 444 Hospital Way
Suite 607
Pocatello
ID 83201-2714
Phone Number 2089044780
Gender M
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2005
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 9032155312
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
131325 BINGHAM MEMORIAL HOSPITAL
130018 EASTERN IDAHO REGIONAL MEDICAL CENTER
130028 PORTNEUF MEDICAL CENTER
130065 MOUNTAIN VIEW HOSPITAL
131304 POWER COUNTY HOSPITAL DISTRICT

Other Locations

Address Phone Organization
2375 E Sunnyside Rd, Suite F, Idaho Falls, ID 83404-8281 2089044780 IDAHO KIDNEY INSTITUTE LLP
444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 2089044780 IDAHO KIDNEY INSTITUTE LLP

Organization Information

Organization Legal Name IDAHO KIDNEY INSTITUTE LLP
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Naeem Rahim Nephrology Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Hira B Siktel Internal Medicine Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Lindsey A Zirker Registered Dietitian Or Nutrition Professional Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Denise L Barnes Nurse Practitioner Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714

Office Location

Street Address 444 HOSPITAL WAY
SUITE 607
City POCATELLO
State ID
Zip 83201-2714

Physicians in the same location

Name Specialty Organization Address
Rebecca Tufts Sulik Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744
Ryan Ned Miller Orthopedic Surgery Idaho Regional Hand and Upper Extremity Center Pllc 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717
Jeffrey D Stucki Orthopedic Surgery Idaho Regional Hand and Upper Extremity Center Pllc 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717
Kelly A Lind Clinical Social Worker Portneuf Valley Family Center 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744
Naeem Rahim Nephrology Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Anne Marie Crosser Occupational Therapy Hand and Upper Extremity Center Inc 444 Hospital Way, Suite 720, Pocatello, ID 83201-2745
Liva Michelle Rigney-cox Psychologist, Clinical Portneuf Valley Family Center 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744
Vermon Esplin Orthopedic Surgery Idaho Regional Hand and Upper Extremity Center Pllc 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717
Hira B Siktel Internal Medicine Idaho Kidney Institute LLP 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714
Julio C Vasquez Thoracic Surgery Pocatello Health Services LLC 444 Hospital Way, Suite 777, Pocatello, ID 83201-2744
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Timothy A Flicker Physical Therapy 2839 Margo Ln, Pocatello, ID 83201-1961
Michael D Lance Psychiatry St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Kenneth A Cogen Nephrology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Randall J Skeem Internal Medicine St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Martha Elizabeth Franz Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
John L Shuss General Surgery St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Ciara C Christensen Clinical Psychologist St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Robin L Hall Nurse Practitioner St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Laurence L Martens Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Terry J Buccambuso Diagnostic Radiology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Find all physicians in zip 83201

Competitor

Search similar physicians

City POCATELLO
Zip Code 83201
Specialty NEPHROLOGY
City + Specialty POCATELLO + NEPHROLOGY

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Dataset Information

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.

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