Michael D Hostetler (NPI# 1932155082, PAC ID# 6901895408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1932155082 |
| PAC ID by PECOS | 6901895408 |
| Professional Enrollment ID | I20111227000755 |
| Full Name | Michael D Hostetler |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Address |
4400 E Flamingo Nampa ID 83687-9203 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8527139435 |
| Number of Group Practice Members | 119 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| Address | Phone | Organization |
|---|---|---|
| 1055 N Curtis Rd, Samg Gynecology Oncology, Boise, ID 83706-1309 | 2083675227 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 1055 N Curtis S Tower 6th, Samg Comprehensive Pain Spine, Boise, ID 83706-1309 | 2083674343 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 | 2083674278 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 4400 E Flamingo, Nampa, ID 83687-9203 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda E Keel | Physical Medicine and Rehabilitation | Saint Alphonsus Specialty Services Inc | 1055 N Curtis Rd, Samg Gynecology Oncology, Boise, ID 83706-1309 |
| Ronald W Cornwell | General Surgery | Saint Alphonsus Specialty Services Inc | 1906 Fairview Ave, Suite 430, Caldwell, ID 83605-5424 |
| 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 |
| Gail Miller | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 900 N Liberty St, 206 Samg Maternal Fetal Medicine, Boise, ID 83704-8729 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Street Address |
4400 E FLAMINGO |
| City | NAMPA |
| State | ID |
| Zip | 83687-9203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | NAMPA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Michael D Hostetler.
| 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.