| Saint Alphonsus Regional Medical Center Inc | |
|
712 Aviation Way Caldwell ID 83605-1154 | |
| (208) 302-1000 | |
| (208) 302-1035 |
| Full Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 712 Aviation Way, Caldwell, Idaho |
| Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd Boise ID 83706-1309 Ph: (208) 367-5170 | Saint Alphonsus Regional Medical Center Inc 712 Aviation Way Caldwell ID 83605-1154 Ph: (208) 302-1000 |
| NPI Number | 1861676298 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 12/30/2025 |
| Medicare PECOS PAC ID | 3476462359 |
|---|---|
| Medicare Enrollment ID | O20130801000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861676298 | NPI | - | NPPES |
| 806290700 | Medicaid | ID |
| Provider Name | Mark G Parent |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558301515 PECOS PAC ID: 6709846462 Enrollment ID: I20101026001308 |
| Provider Name | Kerry P Pulver |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376596247 PECOS PAC ID: 8426180936 Enrollment ID: I20110920000745 |
| Provider Name | Andrew S Pierson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992760664 PECOS PAC ID: 3476520321 Enrollment ID: I20111115000893 |
| Provider Name | Karl J Schultheiss |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265478325 PECOS PAC ID: 5799819157 Enrollment ID: I20111123000652 |
| Provider Name | Laura Lynne Asaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003916636 PECOS PAC ID: 1951302371 Enrollment ID: I20120103000778 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417081399 PECOS PAC ID: 0345332433 Enrollment ID: I20120119000824 |
| Provider Name | Gerard P Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669470274 PECOS PAC ID: 5294756540 Enrollment ID: I20130430000056 |
| Provider Name | Rory R Ramsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174634737 PECOS PAC ID: 4789602640 Enrollment ID: I20130731000838 |
| Provider Name | Michael E Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972759124 PECOS PAC ID: 4082938188 Enrollment ID: I20160215000010 |
| Provider Name | Bobby Chawla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598956963 PECOS PAC ID: 3072785633 Enrollment ID: I20160921001400 |
| Provider Name | Matthew R Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376622985 PECOS PAC ID: 6204908023 Enrollment ID: I20170616001240 |
| Provider Name | Jeffrey J Heslop |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144544644 PECOS PAC ID: 0244541522 Enrollment ID: I20180705001467 |
| Provider Name | Nicholas W Hodgman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164439725 PECOS PAC ID: 1153472006 Enrollment ID: I20200212000875 |
| Provider Name | Sophia Elizabeth Airhart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427379825 PECOS PAC ID: 7810299369 Enrollment ID: I20200324001957 |
| Provider Name | Erik Valenti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276223 PECOS PAC ID: 0244539393 Enrollment ID: I20200416002455 |
| Provider Name | Joshua D Holweger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417102930 PECOS PAC ID: 0840430799 Enrollment ID: I20200423003349 |
| Provider Name | Aaron Dunham |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033504147 PECOS PAC ID: 9638470461 Enrollment ID: I20200722000482 |
| Provider Name | Wesley D Pidcock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013335157 PECOS PAC ID: 8820340672 Enrollment ID: I20201228002025 |
| Provider Name | Jonelle Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175614 PECOS PAC ID: 1052728235 Enrollment ID: I20210519003116 |
| Provider Name | Michael Benedict Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457399560 PECOS PAC ID: 0143294926 Enrollment ID: I20220803000900 |
| Provider Name | Maria Palmquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942369285 PECOS PAC ID: 6002992047 Enrollment ID: I20220803003467 |
| Provider Name | Patrick Coleman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326045428 PECOS PAC ID: 7810891447 Enrollment ID: I20221222001457 |
| Provider Name | Adam Grimaldi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730422296 PECOS PAC ID: 4284933979 Enrollment ID: I20230109000446 |
| Provider Name | Spencer Craven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992169452 PECOS PAC ID: 1153616230 Enrollment ID: I20230216001770 |
| Provider Name | Joseph Aloysius Walsh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063674505 PECOS PAC ID: 0749406619 Enrollment ID: I20230226000001 |
| Provider Name | Russell Hamilton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952785362 PECOS PAC ID: 7416264379 Enrollment ID: I20230926003336 |
| Provider Name | Yujean Han |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154611010 PECOS PAC ID: 9537390877 Enrollment ID: I20231106002310 |
| Provider Name | Kara Denby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285053892 PECOS PAC ID: 7315240983 Enrollment ID: I20231211001253 |
| Provider Name | Margot Vloka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174517775 PECOS PAC ID: 6608881743 Enrollment ID: I20240131004946 |
| Provider Name | William Kogler |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1629572839 PECOS PAC ID: 2365984713 Enrollment ID: I20240612004504 |
| Provider Name | Janessa Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346933405 PECOS PAC ID: 5698121424 Enrollment ID: I20240717003646 |
| Provider Name | Ryley Mcpeters |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730543646 PECOS PAC ID: 1658670922 Enrollment ID: I20241113004409 |
| Provider Name | Karmin Maher-hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346767563 PECOS PAC ID: 4789031808 Enrollment ID: I20241122000875 |
| Provider Name | Kendra Coonse |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699181214 PECOS PAC ID: 4385860428 Enrollment ID: I20241205003277 |
| Provider Name | George Samaan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255794756 PECOS PAC ID: 9234400128 Enrollment ID: I20250116003546 |
| Provider Name | Srikanth Seethala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982803292 PECOS PAC ID: 1850425109 Enrollment ID: I20250326003732 |
| Provider Name | Karson Kalian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699262527 PECOS PAC ID: 2062764475 Enrollment ID: I20250418001546 |
| Provider Name | Petar Igic |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053365494 PECOS PAC ID: 9638182801 Enrollment ID: I20250422000666 |
| Provider Name | Paul Sarkaria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902463300 PECOS PAC ID: 7315392362 Enrollment ID: I20250507002521 |
| Provider Name | Justin Blaty |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1548766835 PECOS PAC ID: 8022355460 Enrollment ID: I20250516001409 |
| Provider Name | Martine Nicole Troy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114371895 PECOS PAC ID: 8729378765 Enrollment ID: I20250528002790 |
Saint Alphonsus Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Elm, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-454-5113 | |
Core Medicine Idaho, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4605 Enterprise Way, Ste 101, Caldwell, ID 83605 Phone: 208-353-7518 | |
Alliance Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 N 21st Ave, Caldwell, ID 83605 Phone: 208-809-2875 Fax: 208-809-2876 | |
Saint Alphonsus Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St, Suite 100, Caldwell, ID 83605 Phone: 208-459-7415 Fax: 208-453-3232 | |
West Idaho Imedcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22872 Aura Vista Way, Caldwell, ID 83607 Phone: 808-294-7862 | |
West Valley Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 Medical Dr, Caldwell, ID 83605 Phone: 208-459-4641 | |
No8 Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |