Kenneth M Little (NPI# 1023039468, PAC ID# 9032199922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1023039468 |
| PAC ID by PECOS | 9032199922 |
| Professional Enrollment ID | I20040721001527 |
| Full Name | Kenneth M Little |
| Organization Legal Name | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC |
| Address |
4424 E Flamingo Ave Suite 110 Nampa ID 83687-9291 |
| Phone Number | 2083023200 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3476462359 |
| Number of Group Practice Members | 468 |
| 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 |
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| 131312 | ST LUKE'S MCCALL |
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E Bannock St, Boise, ID 83712-6241 | 2083812983 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 190 E Bannock St, Boise, ID 83712-6241 | 2083819384 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 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 | |
| 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 | 2083023200 | 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 |
4424 E FLAMINGO AVE SUITE 110 |
| City | NAMPA |
| State | ID |
| Zip | 83687-9291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse Dylan Chlebeck | Orthopedic Surgery | Saint Alphonsus Regional Medical Center Inc | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 |
| Todd M Waldmann | Urology | Saint Alphonsus Regional Medical Center Inc | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 |
| Colin E Poole | Orthopedic Surgery | Saint Alphonsus Regional Medical Center Inc | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 |
| Megan Elizabeth Kasper | Obstetrics/gynecology | Saint Alphonsus Regional Medical Center Inc | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 |
| Spencer L Cheshire | Qualified Audiologist | Southwest Idaho Ear Nose and Throat | 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306 |
| Shalise Adams | Qualified Audiologist | Southwest Idaho Ear Nose and Throat | 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306 |
| Dawn K King | Urology | Saint Alphonsus Regional Medical Center Inc | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9291 |
| Arthur C Jones Iii | Otolaryngology | Southwest Idaho Ear Nose and Throat | 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306 |
| Laurel D Morgan | Nurse Practitioner | Gem State Radiology LLP | 4424 E Flamingo Ave, Suite 230, Nampa, ID 83687-9300 |
| Matthew B Schwarz | Otolaryngology | Southwest Idaho Ear Nose and Throat | 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jocelyn A Benton | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jeffrey Ryan Moreno | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Allyson A Bates | Nurse Practitioner | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Juliette E Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Jynnah Leigh Snow | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Janine M Franco | Physician Assistant | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Michelle Chin | Nurse Practitioner | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Dustan T Hughes | Obstetrics/gynecology | Lifestages Ob-gyn Pllc | 3908 E Flamingo Ave, Nampa, ID 83687-3102 |
| Rick A Heikkila | Clinical Social Worker | Stellar Mental Health and Mediation, LLC | 3904 E Flamingo Ave, Nampa, ID 83687-3102 |
| Christoffer A Spoja | Internal Medicine | Sound Physicians of Idaho | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Find all physicians in zip 83687 | |||
| City | NAMPA |
| Zip Code | 83687 |
| Specialty | NEUROSURGERY |
| City + Specialty | NAMPA + NEUROSURGERY |
Please comment or provide details below to improve the information on Kenneth M Little.
| 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.