| Russell D Crawford, DO | |
|
1055 N Curtis Rd, Boise, ID 83706-1309 | |
| (208) 367-5170 | |
| (208) 367-5180 |
| Full Name | Russell D Crawford |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1055 N Curtis 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 |
|---|---|---|---|
| 1609968635 | NPI | - | NPPES |
| 807531400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | O-0405 (Idaho) | Primary |
| Entity Name | Anesthesia Associates Of Boise, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
| Entity Name | St Alphonsus Professional Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
| Entity Name | Anesthesiology Consultants Of Idaho Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093703340 PECOS PAC ID: 5193742625 Enrollment ID: O20051025000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell D Crawford, DO Po Box 7411114, Chicago, IL 60674-1114 Ph: (208) 367-5170 | Russell D Crawford, DO 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-5170 |
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 | |
Kirk A. Miller, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Robbins Rd, Suite 401, Boise, ID 83702 Phone: 208-489-4279 Fax: 208-424-8555 | |
Raphael Joseph Streiff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 |