John A Boyajian (NPI# 1942205604, PAC ID# 9537067475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1942205604 |
| PAC ID by PECOS | 9537067475 |
| Professional Enrollment ID | I20070707000038 |
| Full Name | John A Boyajian |
| Organization Legal Name | SPECIALTY CLINICS OF IDAHO INC |
| Address |
1210 Nw 16th St Fruitland ID 83619-2202 |
| Phone Number | 2084522323 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3072619683 |
| Number of Group Practice Members | 2 |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 1210 Nw 16th St, Fruitland, ID 83619-2202 | 2084522323 | SPECIALTY CLINICS OF IDAHO INC |
| Organization Legal Name | SPECIALTY CLINICS OF IDAHO INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick Lee Steinburg | Physician Assistant | Specialty Clinics of Idaho Inc | 3085 E Magic View Dr, Suite 140, Meridian, ID 83642-3757 |
| Street Address |
1210 NW 16TH ST |
| City | FRUITLAND |
| State | ID |
| Zip | 83619-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Brett C Johnson | Family Medicine | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Wendi M Norris | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| William J Dittrich | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Patrick D Weis | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| David E Fonseca | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Sogol Nowbar | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Michael S Morris | Urology | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Shannon R Vaughn | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Davis T Katseanes | Obstetrics/gynecology | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jock C Perkins | Physician Assistant | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| David J Owens | Chiropractic | 2007 N Whitley Dr, Fruitland, ID 83619-2132 | |
| Brock Arben Andersen | Dermatology | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Candice L Louise | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Michael A Duncan | Chiropractic | 1710 N Whitley Dr, Suite C, Fruitland, ID 83619-2183 | |
| Bret J Rodgers | Otolaryngology | 1210 Nw 16th St, Fruitland, ID 83619-2202 | |
| Find all physicians in zip 83619 | |||
| City | FRUITLAND |
| Zip Code | 83619 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FRUITLAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on John A Boyajian.
| 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.