Mark J Michaud
ALLIANCE MEDICAL GROUP LLC


Address: 1907 S Broadway Ave, Suite 101, Boise, ID 83706-4229
Phone: 2083451222

Mark J Michaud (NPI# 1780621128, PAC ID# 6406890912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1780621128
PAC ID by PECOS 6406890912
Professional Enrollment ID I20050615000813
Full Name Mark J Michaud
Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Address 1907 S Broadway Ave
Suite 101
Boise
ID 83706-4229
Phone Number 2083451222
Gender M
Credential MD
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3971544685
Number of Group Practice Members 106
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130007 SAINT ALPHONSUS REGIONAL MEDICAL CENTER
130006 ST LUKE'S REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1907 S Broadway Ave, Suite 101, Boise, ID 83706-4229 2083451222 ALLIANCE MEDICAL GROUP LLC

Organization Information

Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Physicians 116

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Kelsey Martin Nurse Practitioner Alliance Medical Group LLC 3280 E Lanark Dr, Meridian, ID 83642-5982
Nicole Augusta Lafleur Family Medicine Alliance Medical Group LLC 1375 N Happy Valley Rd, Nampa, ID 83687-5280
Alishia Cairl Physician Assistant Alliance Medical Group LLC 512 N 21st Ave, Caldwell, ID 83605-4368
Jedd D Moore Nurse Practitioner Alliance Medical Group LLC 4971 W Overland Rd, Boise, ID 83705-2822
Kelly Moore Nurse Practitioner Alliance Medical Group LLC 1648 Nw 1st St, Meridian, ID 83642-2212
Trent B Giles Family Medicine Alliance Medical Group LLC 700 Caldwell Blvd, Nampa, ID 83651-1707
Michael Vincen-brown Physician Assistant Alliance Medical Group LLC 435 S Eagle Rd, Eagle, ID 83616-6067
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Office Location

Street Address 1907 S BROADWAY AVE
SUITE 101
City BOISE
State ID
Zip 83706-4229

Physicians in the same location

Name Specialty Organization Address
Donald David Hartman Family Medicine Alliance Medical Group LLC 1907 S Broadway Ave, Suite 101, Boise, ID 83706-4229
Lois R Niska Family Medicine Alliance Medical Group LLC 1907 S Broadway Ave, Suite 101, Boise, ID 83706-4229

Physicians in the same zip code

Name Specialty Organization Address
Sharon L Saul Clinical Social Worker 3350 Americiana Blvd, Suite 210b, Boise, ID 83706
Afshin Mofid Chiropractic 880 N Curtis Rd, Boise, ID 83706-1306
James W Kranz Chiropractic 910 N Curtis Rd, Boise, ID 83706-1308
Kenneth C Stratton Jr. Certified Registered Nurse Anesthetist (crna) Boise Anesthesia, Pa 1055 N Curtis Rd, Boise, ID 83706-1309
Kyle P Noorlander Certified Registered Nurse Anesthetist (crna) Boise Anesthesia, Pa 1055 N Curtis Rd, Boise, ID 83706-1309
Robert L Petersen Hospitalist Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd, Boise, ID 83706-1309
Brett E Curley Certified Registered Nurse Anesthetist (crna) Boise Anesthesia, Pa 1055 N Curtis Rd, Boise, ID 83706-1309
Dianna Lee Binnion Emergency Medicine Cep America LLC 1055 N Curtis Rd, Boise, ID 83706-1309
Charles M Reynolds Emergency Medicine Cep America LLC 1055 N Curtis Rd, Boise, ID 83706-1309
Shane Kenneth Marshall Emergency Medicine Cep America LLC 1055 N Curtis Rd, Boise, ID 83706-1309
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Competitor

Search similar physicians

City BOISE
Zip Code 83706
Specialty FAMILY MEDICINE
City + Specialty BOISE + FAMILY MEDICINE

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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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