Keith G Holley (NPI# 1386616183, PAC ID# 1658418371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1386616183 |
| PAC ID by PECOS | 1658418371 |
| Professional Enrollment ID | I20110805000191 |
| Full Name | Keith G Holley |
| Organization Legal Name | ALLIED ORTHOPAEDICS LLC |
| Address |
7979 W Rifleman St Boise ID 83704-9066 |
| Phone Number | 2088552410 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1994 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8325351638 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130063 | TREASURE VALLEY HOSPITAL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7979 W Rifleman St, Boise, ID 83704-9066 | 2088552410 | ALLIED ORTHOPAEDICS LLC |
| Organization Legal Name | ALLIED ORTHOPAEDICS LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy P Toomey | Hand Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Richard A Trump | Physician Assistant | Allied Orthopaedics LLC | 3015 E Magic View Dr, Suite 120, Meridian, ID 83642-3750 |
| Andrea J Metzler | Physician Assistant | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| David H Clements | Physician Assistant | Allied Orthopaedics LLC | 16818 N Marketplace Blvd, Nampa, ID 83687-5140 |
| Travis J Kemp | Orthopedic Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Mark A Spelich | Orthopedic Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| William C Lindner | Orthopedic Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| David E Hassinger | Orthopedic Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Street Address |
7979 W RIFLEMAN ST |
| City | BOISE |
| State | ID |
| Zip | 83704-9066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy P Toomey | Hand Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Andrea J Metzler | Physician Assistant | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Margaret B Holmes | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Scott M Astley | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Lindsey J Carmichael | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Laura M Ewersmann | Physical Therapy | Sawtooth Physical Therapy | 7979 W Rifleman St, Suite 100, Boise, ID 83704-9066 |
| Sean M Hassinger | Orthopedic Surgery | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Travis J Kemp | Orthopedic Surgery | Allied Orthopaedics LLC | 7979 W Rifleman St, Boise, ID 83704-9066 |
| Jackie B Callaway | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Arthur T Nease | Physician Assistant | Direct Orthopedic Care LLC | 7979 W Rifleman St, Suite 110, Boise, ID 83704-9066 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BOISE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Keith G Holley.
| 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.