| Dr Robert Calvin Root, DO | |
|
1501 Hiland Ave, Burley, ID 83318-2688 | |
| (208) 678-4444 | |
| Not Available |
| Full Name | Dr Robert Calvin Root |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 1501 Hiland Ave, Burley, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619314036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | Q8785 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | O-1947 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cassia Regional Hospital | Burley, ID | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Emergency Physicians | 1153307277 | 139 |
| Ihc Health Services Inc | 1850209420 | 3531 |
| Minidoka Memorial Hospital | 7315908894 | 30 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| 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 | Utah Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20241126002646 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Calvin Root, DO Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Dr Robert Calvin Root, DO 1501 Hiland Ave, Burley, ID 83318-2688 Ph: (208) 678-4444 |
Jennifer Raae-nielsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 516-593-1380 Fax: 516-320-8983 | |
Taryn Bradley Collins, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 801-507-9700 | |
Daniel M Henrie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 | |
Jason Forgeon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |