Jennifer S Anderson (NPI# 1093825903, PAC ID# 7214063379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1093825903 |
| PAC ID by PECOS | 7214063379 |
| Professional Enrollment ID | I20130827000458 |
| Full Name | Jennifer S Anderson |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Address |
402 Lake Cascade Pkwy Cascade ID 83611-7702 |
| Phone Number | 2083020000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476462359 |
| Number of Group Practice Members | 468 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 131308 | CASCADE MEDICAL CENTER |
| 131318 | VALOR HEALTH |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 1055 N Curtis Rd, Boise, ID 83706-1309 | 2083672145 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 6140 W Curtisian Ave, Boise, ID 83704-0107 | 2083020000 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2083020000 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 | 2083026000 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2083026400 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 4400 E Flamingo Ave, Suite 302, Nampa, ID 83687-9203 | 2083022200 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Physicians | 481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah Tobin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 |
| Jayne A Derr | Clinical Social Worker | Saint Alphonsus Regional Medical Center Inc | 131 N Allumbaugh St, Boise, ID 83704-9204 |
| Michael R Partin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 3123 Medical Dr, Caldwell, ID 83605-6972 |
| Ondrej Choutka | Neurosurgery | Saint Alphonsus Regional Medical Center Inc | 1072 N Liberty St, Boise, ID 83704-8708 |
| Mitchell A Mendenhall | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 11035 Karcher Rd, Nampa, ID 83651-8200 |
| Erika V Aragona | Osteopathic Manipulative Medicine | Saint Alphonsus Regional Medical Center Inc | 3217 W Bavaria St, Eagle, ID 83616-5171 |
| Todd R Woodward | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 6051 W Emerald St, Boise, ID 83704-8969 |
| Alanna E Lilly | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Forrest R Fredline | General Surgery | Saint Alphonsus Regional Medical Center Inc | 4400 E Flamingo Ave, Suite 302, Nampa, ID 83687-9203 |
| Street Address |
402 LAKE CASCADE PKWY |
| City | CASCADE |
| State | ID |
| Zip | 83611-7702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc T Nagel | Physician Assistant | Cascade Medical Center Hospital District | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| James W Dardis | Family Medicine | Cascade Medical Center Hospital District | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Ronald K Ellsworth | Family Medicine | Cascade Medical Center Hospital District | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Chantell Williams | Nurse Practitioner | Cascade Medical Center Hospital District | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Jamie Coffey Kelly | Clinical Social Worker | Cascade Medical Center Hospital District | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael John Housley | Physician Assistant | Mountain West Derm - Blackhart Pllc | 271 Duffers Ln, Cascade, ID 83611-5506 |
| Chelsea Faust | Physician Assistant | Mountain West Derm - Blackhart Pllc | 271 Duffers Ln, Cascade, ID 83611-5506 |
| Tyler Jordan Mckinnon | Physician Assistant | Mountain West Derm - Blackhart Pllc | 271 Duffers Ln, Cascade, ID 83611-5506 |
| City | CASCADE |
| Zip Code | 83611 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CASCADE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Jennifer S Anderson.
| 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.