Daniel Kp Noonan (NPI# 1942474853, PAC ID# 8224262886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1942474853 |
| PAC ID by PECOS | 8224262886 |
| Professional Enrollment ID | I20131015000198 |
| Full Name | Daniel Kp Noonan |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
775 Pole Line W Rd 111w Twin Falls ID 83301-5819 |
| Phone Number | 2083369188 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 131312 | ST LUKE'S MCCALL |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E Bannock St, Boise, ID 83712-6241 | 2083812983 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 1520 W State St, Suite 100, Boise, ID 83702-4084 | 2089477700 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 190 E Bannock St, Boise, ID 83712-6241 | 2083819384 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 287 W Jefferson St, Boise, ID 83702-6045 | 2083437940 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 300 E Jefferson St, Suite 101, Boise, ID 83712-6221 | 2083221680 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 701 E Parkcenter Blvd, Boise, ID 83706-6528 | 2083816500 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 3101 E State St, Eagle, ID 83616-6232 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2084528600 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 3140 W Milano Dr, Suite 150, Meridian, ID 83646-7202 | 2088874775 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 3277 E Louise Dr, Suite 150, Meridian, ID 83642-9373 | 2087068346 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 3399 E Louise Dr, Meridian, ID 83642-5047 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 3525 E Louise Dr, Meridian, ID 83642-6303 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 520 S Eagle Rd, Meridian, ID 83642-6351 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 805 N 6th, Mountain Home, ID 83647-2207 | 2085872450 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 895 N 6th, Mountain Home, ID 83647-2207 | 2085878401 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2083643000 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 3165 E Greenhurst Rd, Nampa, ID 83686-8655 | 2084637330 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 9850 St Lukes Dr, Nampa, ID 83687-7912 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 775 Pole Line W Rd, 111w, Twin Falls, ID 83301-5819 | 2083369188 | 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 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| 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 |
| Street Address |
775 POLE LINE W RD 111W |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-5819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcos Daccarett | Cardiac Electrophysiology | St Lukes Clinic-treasure Valley LLC | 775 Pole Line W Rd, 111w, Twin Falls, ID 83301-5819 |
| Warren W Gude | Undersea and Hyperbaric Medicine | St Lukes Clinic-treasure Valley LLC | 775 Pole Line W Rd, 111w, Twin Falls, ID 83301-5819 |
| Melinda L Marks | Cardiac Electrophysiology | St Lukes Clinic-treasure Valley LLC | 775 Pole Line W Rd, 111w, Twin Falls, ID 83301-5819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | TWIN FALLS + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Daniel Kp Noonan.
| 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.