Stan A Eisele (NPI# 1306886767, PAC ID# 2668457946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1306886767 |
| PAC ID by PECOS | 2668457946 |
| Professional Enrollment ID | I20040621001692 |
| Full Name | Stan A Eisele |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Address |
323 E Riverside Dr Suite 224 Eagle ID 83616-6865 |
| Phone Number | 2083026000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476462359 |
| Number of Group Practice Members | 468 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 | 2083026000 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| 3025 W Cherry Ln, Meridian, ID 83642-8531 | 2083026400 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Physicians | 481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Micah Tobin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 315 E Elm St, Suite 100, Caldwell, ID 83605-4858 |
| Jayne A Derr | Clinical Social Worker | Saint Alphonsus Regional Medical Center Inc | 131 N Allumbaugh St, Boise, ID 83704-9204 |
| Michael R Partin | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 3123 Medical Dr, Caldwell, ID 83605-6972 |
| Ondrej Choutka | Neurosurgery | Saint Alphonsus Regional Medical Center Inc | 1072 N Liberty St, Boise, ID 83704-8708 |
| Mitchell A Mendenhall | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 11035 Karcher Rd, Nampa, ID 83651-8200 |
| Erika V Aragona | Osteopathic Manipulative Medicine | Saint Alphonsus Regional Medical Center Inc | 3217 W Bavaria St, Eagle, ID 83616-5171 |
| Todd R Woodward | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 6051 W Emerald St, Boise, ID 83704-8969 |
| Alanna E Lilly | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 757 E Wythe Creek Ct, Suite 100, Kuna, ID 83634-5006 |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Jennifer S Anderson | Cardiovascular Disease (cardiology) | Saint Alphonsus Regional Medical Center Inc | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 |
| Street Address |
323 E RIVERSIDE DR SUITE 224 |
| City | EAGLE |
| State | ID |
| Zip | 83616-6865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy J Lamers | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Joel C Swanson | Internal Medicine | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Jeffrey T Seabourn | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| John A Jackson | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| William L Taylor | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Bertram J Stemmler | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Carl B Kapadia | Interventional Cardiology | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Gabriel Garrett Guerrero | Dermatology | 323 E Riverside Dr, Suite 234, Eagle, ID 83616-6865 | |
| Dallas D Peck | Diagnostic Radiology | Intermountain Medical Imaging LLC | 323 E Riverside Dr, Suite 108, Eagle, ID 83616-6865 |
| Amber M Kirtley Perez | Physician Assistant | Saint Alphonsus Regional Medical Center Inc | 323 E Riverside Dr, Suite 224, Eagle, ID 83616-6865 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn H Nord | Chiropractic | 5337 W State St, Eagle, ID 83616-4313 | |
| Kari L Green | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Nicole L Barnes | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Mark L Moss | Physical Therapy | Therapeutic Associates Inc | 12 N Fisher Park Way, Suite 100, Eagle, ID 83616-4704 |
| Allison Andrews Boldridge | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Ryan D Huber | Optometry | Ryan D. Huber, O.d., P.a. | 27 N Fisher Park Way, Eagle, ID 83616-4796 |
| Cassandre Lynn Moore | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Jared W Simonson | Physical Therapy | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Danielle Marie Wallner | Qualified Speech Language Pathologist | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Alan Glen Neighbors | Clinical Social Worker | Caring Edge Op LLC | 77 N Fisher Park Way, Eagle, ID 83616-4796 |
| Find all physicians in zip 83616 | |||
| City | EAGLE |
| Zip Code | 83616 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EAGLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stan A Eisele.
| 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.