Ryan S Mckinnon (NPI# 1821087859, PAC ID# 2163437187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1821087859 |
| PAC ID by PECOS | 2163437187 |
| Professional Enrollment ID | I20100315000833 |
| Full Name | Ryan S Mckinnon |
| Organization Legal Name | SOUTHERN IDAHO HEALTH PARTNERS LLC |
| Address |
1818 S 10th Ave Suite 220 Caldwell ID 83605-4880 |
| Phone Number | 2084552355 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5395063564 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130014 | WEST VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1818 S 10th Ave, Suite 220, Caldwell, ID 83605-4880 | 2084552355 | SOUTHERN IDAHO HEALTH PARTNERS LLC |
| 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2084633000 | SOUTHERN IDAHO HEALTH PARTNERS LLC |
| Organization Legal Name | SOUTHERN IDAHO HEALTH PARTNERS LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia M Boulton | Nurse Practitioner | Southern Idaho Health Partners LLC | 7272 W Potomac Dr, Boise, ID 83704-9149 |
| Michael M Dee | Internal Medicine | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Mark Allen Rasmus | Pulmonary Disease | Southern Idaho Health Partners LLC | 210 W Georgia Ave, Suite 120, Nampa, ID 83686-5688 |
| Elaine S Davidson | Family Medicine | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| William J Jensen | Physician Assistant | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Patricia M Buersmeyer | Internal Medicine | Southern Idaho Health Partners LLC | 3277 E Louise Dr, Meridian, ID 83642-9359 |
| Trenton J Hart | Physician Assistant | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Nicholas J Lewis | Internal Medicine | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Mary R Kerr | Family Medicine | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Jon L Hlavinka | Family Medicine | Southern Idaho Health Partners LLC | 215 E Hawaii Ave, Nampa, ID 83686-6011 |
| Street Address |
1818 S 10TH AVE SUITE 220 |
| City | CALDWELL |
| State | ID |
| Zip | 83605-4880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle R George | Physician Assistant | Idaho Arthritis and Osteoporosis Center PC | 1818 S 10th Ave, Suite 120, Caldwell, ID 83605-4880 |
| Megan Lane | Physician Assistant | Idaho Arthritis and Osteoporosis Center PC | 1818 S 10th Ave, Suite 120, Caldwell, ID 83605-4880 |
| Rulin J Hawks | Physical Therapy | 1818 S 10th Ave, Suite 100a, Caldwell, ID 83605-4880 | |
| Kenneth M Hainsworth | Ophthalmology | Southern Idaho Health Partners LLC | 1818 S 10th Ave, Suite 220, Caldwell, ID 83605-4880 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CALDWELL + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Ryan S Mckinnon.
| 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.