Karl P Undesser (NPI# 1013961242, PAC ID# 9537167432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1013961242 |
| PAC ID by PECOS | 9537167432 |
| Professional Enrollment ID | I20061206000258 |
| Full Name | Karl P Undesser |
| Organization Legal Name | WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC |
| Address |
1906 Fairview Ave Suite 230 Caldwell ID 83605-5432 |
| Phone Number | 2087955075 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1989 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5799901815 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130014 | WEST VALLEY MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 131307 | WEISER MEMORIAL HOSPITAL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 | 2087955075 | WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Hunter | Obstetrics/gynecology | West Valley Medical Group Specialty Services LLC | 315 Elm St, Suite 310, Caldwell, ID 83605-4881 |
| Saeed Payvar | Cardiovascular Disease (cardiology) | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Lyndon C Box | Interventional Cardiology | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Michael J Robinson | Obstetrics/gynecology | West Valley Medical Group Specialty Services LLC | 1717 Arlington Ave, Caldwell, ID 83605-4802 |
| Sara Wilson | Nurse Practitioner | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Theodore W Colwell | Obstetrics/gynecology | West Valley Medical Group Specialty Services LLC | 315 Elm St, Suite 310, Caldwell, ID 83605-4881 |
| Daniel Paul Gay | General Surgery | West Valley Medical Group Specialty Services LLC | 1717 Arlington Ave, Caldwell, ID 83605-4802 |
| Karen Carloy | Nurse Practitioner | West Valley Medical Group Specialty Services LLC | 315 Elm St, Suite 310, Caldwell, ID 83605-4881 |
| Jessica E Fu | Obstetrics/gynecology | West Valley Medical Group Specialty Services LLC | 315 Elm St, Suite 310, Caldwell, ID 83605-4881 |
| Jon M Agee | General Surgery | West Valley Medical Group Specialty Services LLC | 1717 Arlington Ave, Caldwell, ID 83605-4802 |
| Street Address |
1906 FAIRVIEW AVE SUITE 230 |
| City | CALDWELL |
| State | ID |
| Zip | 83605-5432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Marie F Llenos | Family Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Heather M Hoewing | Physician Assistant | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Ryan S Harvey | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1906 Fairview Ave, Caldwell, ID 83605-5425 |
| Nadezhda Kravchuk | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| David Craig Sjostrand | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Lynn M Dammarell | Registered Dietitian Or Nutrition Professional | Saint Alphonsus Regional Medical Center Inc | 1906 Fairview Ave, Suite 430, Caldwell, ID 83605-5424 |
| Robert S Thacker | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Saeed Payvar | Cardiovascular Disease (cardiology) | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Steven J Koga | Internal Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Lyndon C Box | Interventional Cardiology | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | CALDWELL + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Karl P Undesser.
| 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.