| Michael B Aldous, MD | |
|
1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | |
| (208) 302-6800 | |
| (208) 302-6855 |
| Full Name | Michael B Aldous |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1510 12th Ave Rd Ste 200, 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 |
|---|---|---|---|
| 1386616431 | NPI | - | NPPES |
| 8077516 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20376 (Arizona) | Secondary |
| 208000000X | Pediatrics | M9890 (Idaho) | Primary |
| 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 | Southern Idaho Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Aldous, MD Po Box 190930, Boise, ID 83719-0930 Ph: (082) 367-5170 | Michael B Aldous, MD 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 Ph: (208) 302-6800 |
Thomas J Hammer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1209 N Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-8700 Fax: 208-461-8705 | |
Dr. Brian S Liddell, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr Ste 270, Nampa, ID 83687 Phone: 208-205-7820 | |
Dr. Joseph Gregory Wilbanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr Ste 270, Nampa, ID 83687 Phone: 208-205-7820 Fax: 208-205-7822 | |
Mrs. Jeannette E Jain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044 | |
Joseph L Papiez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044 | |
Dr. Alicia Mary Suski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 |