Hni Hospitalists Of Idaho, Llc | |
415 6th St Lewiston ID 83501-2431 | |
(512) 730-3056 | |
(888) 730-1925 |
Full Name | Hni Hospitalists Of Idaho, Llc |
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Speciality | Internal Medicine |
Location | 415 6th St, Lewiston, Idaho |
Authorized Official Name and Position | Ryan A Carletti (VP OF OPERATIONS) |
Authorized Official Contact | 3307273530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hni Hospitalists Of Idaho, Llc 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3056 | Hni Hospitalists Of Idaho, Llc 415 6th St Lewiston ID 83501-2431 Ph: (512) 730-3056 |
NPI Number | 1528568326 |
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Provider Enumeration Date | 02/19/2018 |
Last Update Date | 08/22/2023 |
Medicare PECOS PAC ID | 4284999889 |
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Medicare Enrollment ID | O20180601000777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528568326 | NPI | - | NPPES |
Provider Name | William Conrad Dir |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376517268 PECOS PAC ID: 7315912136 Enrollment ID: I20040826000524 |
Provider Name | Jane A Fore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063445385 PECOS PAC ID: 0446243125 Enrollment ID: I20041025000045 |
Provider Name | Jeffrey Lynn Harris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942232285 PECOS PAC ID: 2365419835 Enrollment ID: I20051024000819 |
Provider Name | Michael C Minick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164536728 PECOS PAC ID: 3678580156 Enrollment ID: I20060322000021 |
Provider Name | Jared Charles Morton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972592608 PECOS PAC ID: 7719877554 Enrollment ID: I20061010000464 |
Provider Name | Patricia A Brady |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922079037 PECOS PAC ID: 3274518535 Enrollment ID: I20070716000725 |
Provider Name | Murad Y Yunusov |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194992115 PECOS PAC ID: 7618038407 Enrollment ID: I20081215000672 |
Provider Name | Shawn Douglas Speirs |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104976653 PECOS PAC ID: 0042272031 Enrollment ID: I20100729000922 |
Provider Name | John J Loffarelli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194728329 PECOS PAC ID: 5890770259 Enrollment ID: I20110823000305 |
Provider Name | Jude A Fink |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720308661 PECOS PAC ID: 1456580521 Enrollment ID: I20140212001825 |
Provider Name | Julian Ken Powers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063703981 PECOS PAC ID: 1951554872 Enrollment ID: I20150807014371 |
Provider Name | Marshall Keith Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275556904 PECOS PAC ID: 5092757484 Enrollment ID: I20150812008658 |
Provider Name | Robert C Dobrowolski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154406437 PECOS PAC ID: 0941194542 Enrollment ID: I20160920002842 |
Provider Name | John Bradley Rudolph |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548503022 PECOS PAC ID: 1759604309 Enrollment ID: I20170116000186 |
Provider Name | Jessica R Six |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588117410 PECOS PAC ID: 3678856861 Enrollment ID: I20170214001074 |
Provider Name | Rahul R Malireddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376988055 PECOS PAC ID: 8022304310 Enrollment ID: I20170321000650 |
Provider Name | Ted Hideki Yamamoto |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689012015 PECOS PAC ID: 2466737960 Enrollment ID: I20170324000712 |
Provider Name | Wesley Douglas Wylie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548215197 PECOS PAC ID: 7416005491 Enrollment ID: I20170919002055 |
Provider Name | Alan C Sun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104076843 PECOS PAC ID: 2769518075 Enrollment ID: I20171122002311 |
Provider Name | Pamela Marie Spickler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497258016 PECOS PAC ID: 2567727480 Enrollment ID: I20180524001461 |
Provider Name | Reuben Tovar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20180605001612 |
Provider Name | Julia Cosma |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194711515 PECOS PAC ID: 0749207991 Enrollment ID: I20180625001005 |
Provider Name | Samantha Lynn Musser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174017701 PECOS PAC ID: 7416204193 Enrollment ID: I20180726001298 |
Provider Name | Donald Garrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841678489 PECOS PAC ID: 7214285543 Enrollment ID: I20180802003038 |
Provider Name | George Zhongshan Wang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20180813001923 |
Provider Name | Rajesh Mali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20181005002180 |
Provider Name | Jonathan A Guerra Rodriguez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265745335 PECOS PAC ID: 0042446486 Enrollment ID: I20190115002170 |
Provider Name | Wen Zhong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20190121000309 |
Provider Name | Larry A Sonna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912926783 PECOS PAC ID: 1658399977 Enrollment ID: I20190124000857 |
Provider Name | Eric John Malsam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134316060 PECOS PAC ID: 6204999873 Enrollment ID: I20190227000864 |
Provider Name | Daniel Shih |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790721967 PECOS PAC ID: 7315919156 Enrollment ID: I20190321001082 |
Provider Name | Emem Idem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190411003130 |
Provider Name | Ifiok Idem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20190412000225 |
Provider Name | Michael Romero |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1801117395 PECOS PAC ID: 2365761798 Enrollment ID: I20190513000315 |
Provider Name | Niba F Nchotu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366709792 PECOS PAC ID: 3274854153 Enrollment ID: I20190514001307 |
Provider Name | Jerilyn Bodey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932670866 PECOS PAC ID: 5991048993 Enrollment ID: I20190514002998 |
Provider Name | Justin Michael Chen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649633041 PECOS PAC ID: 1557652914 Enrollment ID: I20190619002323 |
Provider Name | Lesley Anne Portugal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023498532 PECOS PAC ID: 7012267057 Enrollment ID: I20190924003436 |
Provider Name | Hazera Khatun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477024867 PECOS PAC ID: 3779919402 Enrollment ID: I20200128003157 |
Provider Name | Ermita Bort |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649475120 PECOS PAC ID: 7416041140 Enrollment ID: I20200225001904 |
Provider Name | Zin M Tun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20200508001665 |
Provider Name | Joseph R Barthelemy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447567011 PECOS PAC ID: 5294960985 Enrollment ID: I20200612002537 |
Provider Name | Clara E Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023668738 PECOS PAC ID: 7012343767 Enrollment ID: I20200617002846 |
Provider Name | Mani N Sury |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922008382 PECOS PAC ID: 6002802626 Enrollment ID: I20200626000782 |
Provider Name | Klinton Chad Kilgore |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1295267631 PECOS PAC ID: 3678904158 Enrollment ID: I20200819002602 |
Provider Name | Margo Jane Simon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487000642 PECOS PAC ID: 8426340696 Enrollment ID: I20200904000596 |
Provider Name | Susheel R Ramasahayam |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1366763849 PECOS PAC ID: 8729236864 Enrollment ID: I20201014002465 |
Provider Name | Brandon L Whitlock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124353719 PECOS PAC ID: 9436572740 Enrollment ID: I20201124003092 |
Provider Name | Seth Six |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164039988 PECOS PAC ID: 3678985645 Enrollment ID: I20201218001298 |
Provider Name | James Lee Boysen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699779330 PECOS PAC ID: 9436180916 Enrollment ID: I20210426001939 |
Provider Name | Kellee Lorraine Randle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20210527001435 |
Provider Name | Joseph Messina |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20210614001446 |
Provider Name | Nathaniel Orland Staley |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316392137 PECOS PAC ID: 1153724604 Enrollment ID: I20210721004149 |
Provider Name | Jonathan Boyd |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306334974 PECOS PAC ID: 7113278680 Enrollment ID: I20210721004245 |
Provider Name | Suzanne M Decker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326373457 PECOS PAC ID: 9436281409 Enrollment ID: I20210929001993 |
Provider Name | Amy M Sprague |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20211007001470 |
Provider Name | Oanh Tran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952676108 PECOS PAC ID: 2264715192 Enrollment ID: I20211201002164 |
Provider Name | Kristina S Kezar |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1669452348 PECOS PAC ID: 9436174828 Enrollment ID: I20220308001069 |
Provider Name | Connie Spears |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881228781 PECOS PAC ID: 8123430709 Enrollment ID: I20220531001490 |
Provider Name | Esther Toe-mcpherson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336562974 PECOS PAC ID: 7416289236 Enrollment ID: I20220621001229 |
Provider Name | Esther Spataro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619611415 PECOS PAC ID: 4688045735 Enrollment ID: I20230127002080 |
Provider Name | Rajeev Nagarad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20230406002735 |
Provider Name | Irina Hillman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114422375 PECOS PAC ID: 6608126529 Enrollment ID: I20230412002069 |
Provider Name | Arthur Taylor |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407898588 PECOS PAC ID: 3779573977 Enrollment ID: I20230414002071 |
Provider Name | Gustavo A Avila Amat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437655131 PECOS PAC ID: 8628305182 Enrollment ID: I20230425002674 |
Provider Name | Tobore Kokoricha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962496307 PECOS PAC ID: 4284696865 Enrollment ID: I20230519002658 |
Provider Name | Mark E Houghton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760182984 PECOS PAC ID: 1658734371 Enrollment ID: I20230905000217 |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
St. Joseph Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Thain Grade, Lewiston, ID 83501 Phone: 208-717-3100 Fax: 208-717-3099 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
North Central District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-0349 |