Amaya Basta (NPI# 1457589699, PAC ID# 0042434524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457589699 |
| PAC ID by PECOS | 0042434524 |
| Professional Enrollment ID | I20160630001463 |
| Full Name | Amaya Basta |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Address |
520 S Eagle Rd Meridian ID 83642-6308 |
| Phone Number | 2087065000 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9638153257 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 190 E Bannock, Boise, ID 83712-6241 | 2083812094 | BOISE RADIOLOGY GROUP PLLC |
| 520 S Eagle Rd, Meridian, ID 83642-6308 | 2087065000 | BOISE RADIOLOGY GROUP PLLC |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven V Marx | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Michael T Fisher | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Jeffrey M Pugsley | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Zachary J Beatty | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Adam S Maxfield | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| James A Hill | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Daniel D Ririe | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Michael D Carroll | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Tara B Anthes | Diagnostic Radiology | Boise Radiology Group Pllc | 520 S Eagle Rd, Meridian, ID 83642-6308 |
| Russell W Wright | Diagnostic Radiology | Boise Radiology Group Pllc | 520 S Eagle Rd, Meridian, ID 83642-6308 |
| Street Address |
520 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-6308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maggie D Vuturo | Urology | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Dustin I Judd | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Natalie M Hague | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Lindsay O Stepp | General Surgery | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Suite 1241, Meridian, ID 83642-6355 |
| Sandeep S Pangarkar | Hospitalist | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Craig R Spencer | Urology | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Carolyn Barnhart | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6355 |
| Alejandro J Necochea | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Shannon C Gower | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6355 |
| Carla Alessandra Apezzato | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 520 S Eagle Rd, Meridian, ID 83642-6351 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MERIDIAN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Amaya Basta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.