| David Michael Lewis, DO | |
|
900 N Liberty St Ste 400, Boise, ID 83704-8707 | |
| (208) 367-3320 | |
| Not Available |
| Full Name | David Michael Lewis |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 900 N Liberty St Ste 400, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346706520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | O-1931 (Idaho) | Primary |
| Entity Name | Southwest Idaho Ear Nose And Throat |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306823125 PECOS PAC ID: 0042402034 Enrollment ID: O20101008000695 |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Lewis, DO 6191 S Bosch Way, Meridian, ID 83642-7841 Ph: (661) 578-8087 | David Michael Lewis, DO 900 N Liberty St Ste 400, Boise, ID 83704-8707 Ph: (208) 367-3320 |
Seung Yong Ji, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-336-4368 | |
Mrs. Tiffany Kearny, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-7423 | |
Dr. Eric T Garner, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Dr. Jacob G Robison, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-9590 | |
Dr. Todd Rustad, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Tyson Nielsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-267-3979 |