Todd B Burt (NPI# 1255367348, PAC ID# 3577469121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1255367348 |
| PAC ID by PECOS | 3577469121 |
| Professional Enrollment ID | I20100427000642 |
| Full Name | Todd B Burt |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Address |
190 E Bannock Boise ID 83712-6241 |
| Phone Number | 2083812094 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 190 E Bannock, Boise, ID 83712-6241 | 2083812094 | 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 |
| Amaya Basta | Diagnostic Radiology | Boise Radiology Group Pllc | 520 S Eagle Rd, Meridian, ID 83642-6308 |
| 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 |
| Street Address |
190 E BANNOCK |
| City | BOISE |
| State | ID |
| Zip | 83712-6241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Fisher | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Zachary J Beatty | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Michael D Carroll | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOISE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Todd B Burt.
| 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.