Jude Boutkaska (NPI# 1801948591, PAC ID# 8527182997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801948591 |
| PAC ID by PECOS | 8527182997 |
| Professional Enrollment ID | I20100908000340 |
| Full Name | Jude Boutkaska |
| Organization Legal Name | SAGE HEALTHCARE PLLC |
| Address |
413 N Allumbaugh St Suite 101 Boise ID 83704-9219 |
| Phone Number | 2083231125 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7810974904 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | 2083231125 | SAGE HEALTHCARE PLLC |
| Organization Legal Name | SAGE HEALTHCARE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brady G Hamilton | Physician Assistant | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| James Piktel | Psychiatry | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Michelle T Cullinan | Nurse Practitioner | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Michael B Loegering | Nurse Practitioner | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Janet G Graf | Nurse Practitioner | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Christopher D Streeter | Psychiatry | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Katherine G Skelly | Physician Assistant | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Street Address |
413 N ALLUMBAUGH ST SUITE 101 |
| City | BOISE |
| State | ID |
| Zip | 83704-9219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc W Bostick | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| David A Kent | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Brady G Hamilton | Physician Assistant | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| James Piktel | Psychiatry | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| Eric C Gilbreath | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Ninon M Germain | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Michelle T Cullinan | Nurse Practitioner | Sage Healthcare Pllc | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 |
| John Robert Bates | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Hamilton Warren-sutton | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Charles C Novak | Psychiatry | 413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| 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 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOISE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jude Boutkaska.
| 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.