| John D Foote, MD | |
|
910 Nw 16th Street, Ste 205, Fruitland, ID 83619 | |
| (208) 452-3111 | |
| (208) 452-3666 |
| Full Name | John D Foote |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 910 Nw 16th Street, Fruitland, 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 |
|---|---|---|---|
| 1154310597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M-10864 (Idaho) | Primary |
| 207X00000X | Orthopaedic Surgery | MD26309 (Oregon) | Secondary |
| 207X00000X | Orthopaedic Surgery | 26309 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Home Health And Hospice | Boise, ID | Home health agency |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 35 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 541 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Foote, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 452-3111 | John D Foote, MD 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Ph: (208) 452-3111 |
Jan Olof Dahlin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St, Suite C, Fruitland, ID 83619 Phone: 208-452-2510 Fax: 208-452-2513 | |
David M. Christensen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 205, Fruitland, ID 83619 Phone: 208-452-8100 Fax: 208-452-8111 |