Michael Haderlie (NPI# 1700083813, PAC ID# 5890888317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1700083813 |
| PAC ID by PECOS | 5890888317 |
| Professional Enrollment ID | I20100723000560 |
| Full Name | Michael Haderlie |
| Organization Legal Name | IDAHO KIDNEY INSTITUTE LLP |
| Address |
444 Hospital Way Suite 607 Pocatello ID 83201-2714 |
| Phone Number | 2089044780 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9032155312 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 130028 | PORTNEUF MEDICAL CENTER |
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 131304 | POWER COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 2375 E Sunnyside Rd, Suite F, Idaho Falls, ID 83404-8281 | 2089044780 | IDAHO KIDNEY INSTITUTE LLP |
| 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 | 2089044780 | IDAHO KIDNEY INSTITUTE LLP |
| Organization Legal Name | IDAHO KIDNEY INSTITUTE LLP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naeem Rahim | Nephrology | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Hira B Siktel | Internal Medicine | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Lindsey A Zirker | Registered Dietitian Or Nutrition Professional | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Denise L Barnes | Nurse Practitioner | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Street Address |
444 HOSPITAL WAY SUITE 607 |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Tufts Sulik | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 |
| Ryan Ned Miller | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Jeffrey D Stucki | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Kelly A Lind | Clinical Social Worker | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Naeem Rahim | Nephrology | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Anne Marie Crosser | Occupational Therapy | Hand and Upper Extremity Center Inc | 444 Hospital Way, Suite 720, Pocatello, ID 83201-2745 |
| Liva Michelle Rigney-cox | Psychologist, Clinical | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Vermon Esplin | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Hira B Siktel | Internal Medicine | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Julio C Vasquez | Thoracic Surgery | Pocatello Health Services LLC | 444 Hospital Way, Suite 777, Pocatello, ID 83201-2744 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | NEPHROLOGY |
| City + Specialty | POCATELLO + NEPHROLOGY |
Please comment or provide details below to improve the information on Michael Haderlie.
| 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.