Mikias A Kebede (NPI# 1053622399, PAC ID# 2769626472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053622399 |
| PAC ID by PECOS | 2769626472 |
| Professional Enrollment ID | I20161024001806 |
| Full Name | Mikias A Kebede |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
190 E Bannock St Boise ID 83712-6241 |
| Phone Number | 2083819384 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 770 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 520103 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 190 E Bannock St, Boise, ID 83712-6241 | 2083819384 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| W180n8085 Town Hall Rd, Fl 3, Menomonee Falls, WI 53051-3518 | 2622511000 | FROEDTERT AND THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS IN |
| 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 4143295930 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Physicians | 831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Alex Mari Tanabe | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 600 N Robbins Rd, Boise, ID 83702-4565 |
| Jessica J Carpenter | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 1620 S Kimball Ave, Caldwell, ID 83605-4547 |
| Whitney B Conrad | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1226 W River St, Boise, ID 83702-7049 |
| Megan D Larson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 287 W Jefferson St, Boise, ID 83702-6045 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Scott J Chyna | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 |
| Sarah J Mooseau | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 510 N 2nd St, Suite 201, Boise, ID 83702-6078 |
| Nitya Alluri | Hematology | St Lukes Clinic-treasure Valley LLC | 100 E Idaho St, Suite 302, Boise, ID 83712-6269 |
| Street Address |
190 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip | 83712-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Warren Schneider | Physician Assistant | Manning Neurosurgery, Pllc | 190 E Bannock St, St Lukes Reg Med Ctr, Boise, ID 83702-6241 |
| Darby Webb | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Derek L Martinez | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Michelle R Livingston | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Robert F Adams | Pediatric Medicine | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Gregory S Harrison | Neurosurgery | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Laurie L Noe | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Don A Bell | Diagnostic Radiology | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Albert Kang | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 190 E Bannock St, Boise, ID 83712-6241 |
| Alan R Swajkoski | Obstetrics/gynecology | St Lukes Clinic-treasure Valley LLC | 190 E Bannock St, Boise, ID 83712-6241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casi M Wyatt | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Birgitt L Dau | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Thomas J Coffman | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Alexandra M Nielsen | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Camilla M Reese | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Jonathan S Salberg | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Nicole K Klein | Infectious Disease | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Michael R Smith | Nurse Practitioner | Sawtooth Epidemiology and Infectious Diseases P.C. | 125 E Idaho St, Suite 100, Boise, ID 83712-6202 |
| Douglas C Neurath | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| David P Hansen | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Boise, P.a. | 338 E Bannock St, Boise, ID 83712-6207 |
| Find all physicians in zip 83712 | |||
| City | BOISE |
| Zip Code | 83712 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOISE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mikias A Kebede.
| 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.