| Hospitalist Medicine Physicians Of Idaho-tcg, Pllc | |
|
4300 E Flamingo Ave Nampa ID 83687-3138 | |
| (208) 205-1000 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Idaho-tcg, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4300 E Flamingo Ave, Nampa, Idaho |
| Authorized Official Name and Position | Laura Fall (MANAGER) |
| Authorized Official Contact | 2536826040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Idaho-tcg, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Idaho-tcg, Pllc 4300 E Flamingo Ave Nampa ID 83687-3138 Ph: (208) 205-1000 |
| NPI Number | 1104305648 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 03/07/2025 |
| Medicare PECOS PAC ID | 0345760849 |
|---|---|
| Medicare Enrollment ID | O20250227002174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104305648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hesham Hassaballa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440893 PECOS PAC ID: 7618915927 Enrollment ID: I20050418001261 |
| Provider Name | Arturo Vega |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710194626 PECOS PAC ID: 6608961867 Enrollment ID: I20071002000908 |
| Provider Name | Brian Douglas Sherman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942462056 PECOS PAC ID: 8224204201 Enrollment ID: I20111221000352 |
| Provider Name | Mirko Villanueva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174589501 PECOS PAC ID: 1850286899 Enrollment ID: I20131119001647 |
| Provider Name | Rajanigandha Dhokarh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144417130 PECOS PAC ID: 9335239409 Enrollment ID: I20180904002817 |
| Provider Name | Daniel Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20220525001307 |
| Provider Name | Dat Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982698528 PECOS PAC ID: 7810955994 Enrollment ID: I20250331003165 |
| Provider Name | Timothy Fernstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457552168 PECOS PAC ID: 3678665551 Enrollment ID: I20250403002258 |
| Provider Name | Sunkaru Touray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518220896 PECOS PAC ID: 3072745082 Enrollment ID: I20250403002633 |
| Provider Name | Kenneth Cruz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598705196 PECOS PAC ID: 6103861919 Enrollment ID: I20250404001676 |
| Provider Name | Himanshu Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669604450 PECOS PAC ID: 9234380999 Enrollment ID: I20250415001461 |
| Provider Name | Danial Arshed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174943732 PECOS PAC ID: 1658622121 Enrollment ID: I20250416000349 |
| Provider Name | Haala Rokadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376787333 PECOS PAC ID: 6901034321 Enrollment ID: I20250416003489 |
| Provider Name | Neeraj Katriyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396704573 PECOS PAC ID: 5890770812 Enrollment ID: I20250417001208 |
| Provider Name | Eugene Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518198274 PECOS PAC ID: 1052628856 Enrollment ID: I20250423000211 |
| Provider Name | Jacob Richard Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558595090 PECOS PAC ID: 6103043765 Enrollment ID: I20250521002275 |
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