| Dr Eric Paul Kendall, MD | |
| 
					1512 12th Ave Rd, Nampa, ID 83686-6008  | |
| (208) 463-5100 | |
| Not Available | 
| Full Name | Dr Eric Paul Kendall | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1512 12th Ave Rd, Nampa, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386674976 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9493 (Idaho) | Primary | 
| Entity Name | North Canyon Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304  | 
| Entity Name | St Lukes Clinic-treasure Valley Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Eric Paul Kendall, MD 2 Fenwick Dr, Farmington, CT 06032-1448 Ph: (860) 805-0026  | Dr Eric Paul Kendall, MD 1512 12th Ave Rd, Nampa, ID 83686-6008 Ph: (208) 463-5100  | 
Dr. John Kodatt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855  | |
Dr. Richard C Ballantyne, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-364-3000  | |
William R England, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044  | |
Thomas Ronay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-505-2800  | |
John Mullins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave Rd, Nampa, ID 83686 Phone: 208-498-1080  | |
Dr. Mitchell D Long, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100  |