Unknown Individual – Cardiovascular Disease Physician, NPI 1063466423
Cardiovascular Disease Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 322-1680
Fax: (208) 322-1695
Type: Mailing
Saint Lukes Meridian Medical Center, 520, South Eagle Road, Meridian, Ada County, Idaho, 83642, United States
STE 3104
MERIDIAN, ID 83642
Phone: (208) 887-9828
Fax: (208) 884-3096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | ID | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 21 | 21 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 83 | 81 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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