Nicholas C Newman (NPI# 1063991743, PAC ID# 6800131277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063991743 |
| PAC ID by PECOS | 6800131277 |
| Professional Enrollment ID | I20181213001997 |
| Full Name | Nicholas C Newman |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
3101 E State St Eagle ID 83616-6232 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 770 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 3101 E State St, Eagle, ID 83616-6232 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 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 |
3101 E STATE ST |
| City | EAGLE |
| State | ID |
| Zip | 83616-6232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa E Balcerak | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Andrew U Chai | Cardiovascular Disease (cardiology) | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Bartholomew M Ripepi | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Suite 1100, Eagle, ID 83616-6232 |
| Eric G Bluemn | Vascular Surgery | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Philippe A Masser | Vascular Surgery | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Harmony R Schroeder | Obstetrics/gynecology | Ob-gyn Associates, Pa | 3101 E State St, Suite 2100, Eagle, ID 83616-6232 |
| Mont B Tolman | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Chara J Solich | Rheumatology | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| Karen D East | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| James C Field | Cardiovascular Disease (cardiology) | St Lukes Clinic-treasure Valley LLC | 3101 E State St, Eagle, ID 83616-6232 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | EAGLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicholas C Newman.
| 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.