| Mr Tod Alan Sijan, PA-C | |
|
8836 N Hess St, Suite C, Hayden, ID 83835-8718 | |
| (208) 762-7760 | |
| (208) 762-7740 |
| Full Name | Mr Tod Alan Sijan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 8836 N Hess St, Hayden, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083646301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA15406 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-1237 (Idaho) | Primary |
| Entity Name | North Idaho Nephrology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912181090 PECOS PAC ID: 2567519218 Enrollment ID: O20090415000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tod Alan Sijan, PA-C 8836 N Hess St, Suite C, Hayden, ID 83835-8718 Ph: (208) 762-7760 | Mr Tod Alan Sijan, PA-C 8836 N Hess St, Suite C, Hayden, ID 83835-8718 Ph: (208) 762-7760 |
Jonathan T Adams, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8181 N Cornerstone Dr, Hayden, ID 83835 Phone: 208-772-0785 |
Rita Lynn Warner, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 265 W. Prairie Shopping Center, Hayden, ID 83835 Phone: 208-772-7850 Fax: 208-772-2313 |
Nicole Marie Parquette, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9321 N Government Way Ste E, Hayden, ID 83835 Phone: 208-502-2744 Fax: 208-635-0135 |
Drew August Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8836 N Hess St, Suite C, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 |
Laura K. Burgeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1986 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 |
Kaitlyn Friesen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 1017, Hayden, ID 83835 Phone: 123-123-1234 |