| Kirk A Miller, MD | |
|
600 Robbins Rd, Suite 401, Boise, ID 83702-4565 | |
| (208) 489-4279 | |
| (208) 424-8555 |
| Full Name | Kirk A Miller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 600 Robbins Rd, 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 |
|---|---|---|---|
| 1124075056 | NPI | - | NPPES |
| 003819100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | M6844 (Idaho) | Secondary |
| 208D00000X | General Practice | M6844 (Idaho) | Secondary |
| 207L00000X | Anesthesiology | M6844 (Idaho) | Primary |
| Entity Name | Intermountain Ambulatory Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073546289 PECOS PAC ID: 0345235180 Enrollment ID: O20040420000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk A Miller, MD Po Box 9589, Boise, ID 83707-4589 Ph: (208) 472-8123 | Kirk A Miller, MD 600 Robbins Rd, Suite 401, Boise, ID 83702-4565 Ph: (208) 489-4279 |
John Mather Hine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Steven J Love, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 | |
Dr. Tomasz Adam Murawski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-5170 Fax: 208-367-5180 | |
Dr. Timothy A Bialobrzeski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 E Bannock St, Boise, ID 83712 Phone: 208-336-0895 | |
Brent Kenner Childers, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8800 W Emerald St, Boise, ID 83704 Phone: 208-373-5000 | |
Raphael Joseph Streiff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |