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Pediatrics Health Providers - IDAHO - Page 3 of 4

208000000X - Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

List of 373 registered providers with a business address in Idaho whose primary or secondary health provider taxonomy code is Pediatrics, of which 57 are registered as organizations and 316 as individuals.

85% Individuals
15% Organizations
39% Female
46% Male
85% Individual Providers (316)15% Medical Organizations (57)39% Female Providers (145)46% Male Providers (171)

List of Providers

Provider Name Type AddressMedicarePECOS
KHRISTINE L. MILLERIndividual1620 S CELEBRATION AVE
MERIDIAN, ID 83642
(208) 884-1030		Non-Participating ProviderYES
RONALD MILLERIndividual630 ADDISON AVE W SUITE 100
TWIN FALLS, ID 83301
(208) 733-4343		Non-Participating ProviderNO
NATASHA MILLERIndividual315 E ELM STE 100
CALDWELL, ID 83605
(208) 459-7415		Non-Participating ProviderYES
LESLIE R MILLERIndividual2705 E 17TH ST
AMMON, ID 83406
(208) 346-7500		Non-Participating ProviderYES
ANN CATHERINE MILLERIndividual3280 E LANARK DR
MERIDIAN, ID 83642
(208) 377-4400		Non-Participating ProviderNO
YUKIKO MIURAIndividual100 E IDAHO ST
BOISE, ID 83712
(208) 381-2088		Non-Participating ProviderYES
GUILLERMO MODADIndividual700 S MAIN ST
MOSCOW, ID 83843
(208) 882-4511		Accepts MedicareYES
MITCHELL JACKSON MOFFITTIndividual775 POLE LINE RD W SUITE 111
TWIN FALLS, ID 83301
(208) 814-8000		Non-Participating ProviderYES
ANDREW NOLAN MONSONIndividual775 POLE LINE RD W STE 111
TWIN FALLS, ID 83301
(208) 814-8000		Non-Participating ProviderYES
JOSEPH REED MOOREIndividual3067 EAGLE DR
AMMON, ID 83406
(208) 522-4600		Non-Participating ProviderNO
ERIC NUNEZA MOSQUEDAIndividual2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
(208) 625-5187		Non-Participating ProviderYES
JEFFREY L MULERTIndividual2550 ADDISON AVE E SUITE A
TWIN FALLS, ID 83301
(208) 814-7700		Non-Participating ProviderYES
TERENCE EARL NEFFIndividual700 W IRONWOOD DR SUITE 155
COEUR D ALENE, ID 83814
(208) 667-0585		Non-Participating ProviderNO
DIANE RAE NIELSENIndividual3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
(208) 523-3060		Non-Participating ProviderNO
OASIS PEDIATRICSOrganization3217 W BAVARIA ST
EAGLE, ID 83616
(208) 602-2863		Non-Participating ProviderNO
LISA NICOLE ODOMIndividual1090 W PARK PL
COEUR D ALENE, ID 83814
(208) 215-2005		Non-Participating ProviderYES
ERIC PETER OLSONIndividual3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
(208) 523-3060		Non-Participating ProviderNO
PRESTON S OMERIndividual1510 12TH AVE RD STE 200
NAMPA, ID 83686
(208) 302-6800		Non-Participating ProviderYES
MICHAEL JUDE PANKAUIndividual3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 523-3060		Non-Participating ProviderNO
JOSEPH L PAPIEZIndividual215 E HAWAII AVE
NAMPA, ID 83686
(208) 468-5930		Non-Participating ProviderNO
MATTHEW PARKERIndividualLAKESIDE PEDIATRIC & ADOLESCENT MEDICINE 980 W IRONWOOD DRIVE SUITE 302
COEUR D'ALENE, ID 83814
(310) 267-9129		Non-Participating ProviderNO
ROBERT TODD PARKEYIndividual2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383		Accepts MedicareYES
JULENE M PARSONIndividual1441 PARKWAY DR
BLACKFOOT, ID 83221
(208) 785-2600		Non-Participating ProviderNO
CINDY ELIZABETH PARSONSIndividual1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201
(208) 232-1443		Non-Participating ProviderYES
THOMAS S PATTERSONIndividual777 N RAYMOND ST
BOISE, ID 83704
(208) 514-2500		Non-Participating ProviderYES
DAVID L PETERMANIndividual3280 E LANARK DR
MERIDIAN, ID 83642
(208) 377-4400		Non-Participating ProviderNO
ROBERT JOHN PETTITIndividual3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 523-3060		Non-Participating ProviderNO
PHYSICIAN CENTER , A PROFESSIONAL COMPANYOrganization775 POLE LINE RD W SUITES 105 & 111
TWIN FALLS, ID 83301
(208) 814-8000		Non-Participating ProviderNO
PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVELOrganization775 POLE LINE RD W SUITE 105 & 111
TWIN FALLS, ID 83301
(208) 814-8000		Non-Participating ProviderNO
DEANNA M PITMANIndividual215 E HAWAII AVE # 140
NAMPA, ID 83686
(208) 514-2502		Non-Participating ProviderYES
POCATELLO CHILDREN & ADOLESCENT CLINIC
POCATELLO CHILDREN'S CLINIC		Organization1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201
(208) 232-1443		Non-Participating ProviderNO
RON WADE PORTERIndividual3067 EAGLE DR
AMMON, ID 83406
(208) 522-4600		Non-Participating ProviderNO
ERIN R POWELLIndividual190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2900		Accepts MedicareYES
ANDREA ELISABETH PRASCHIndividual1620 S CELEBRATION AVE
MERIDIAN, ID 83642
(208) 884-1030		Non-Participating ProviderYES
JAMIE E PRICEIndividual2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
(208) 625-5930		Non-Participating ProviderYES
KEVIN PRIERIndividual3910 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 523-1122		Accepts MedicareYES
JEAN MARIE PRINCEIndividual980 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814
(208) 292-5437		Non-Participating ProviderNO
PULLMAN REGIONAL HOSPITAL CLINIC NETWORK LLC
PALOUSE PEDIATRICS - MOSCOW		Organization1420 S BLAINE ST STE 5
MOSCOW, ID 83843
(208) 882-2247		Non-Participating ProviderNO
RICHARD EPES RAINEYIndividual282 S MOBLEY LN
BOISE, ID 83712
(207) 620-6203		Non-Participating ProviderNO
THOMAS R RAUIndividual700 W IRONWOOD DR SUITE 155
COEUR D ALENE, ID 83814
(208) 667-0585		Non-Participating ProviderNO
NEPHI ANDERSEN REDDIndividual3320 S 25TH E
IDAHO FALLS, ID 83404
(208) 656-1500		Non-Participating ProviderNO
HANS THURGOOD REDDIndividual100 SHC
REXBURG, ID 83460
(208) 496-1300		Accepts MedicareYES
KAREN M REDWINEIndividual305 E JEFFERSON ST
BOISE, ID 83712
(208) 381-7336		Accepts MedicareYES
KATHRYN G REESEIndividual2550 ADDISON AVE E SUITE B
TWIN FALLS, ID 83301
(208) 814-7700		Non-Participating ProviderYES
ANNE E. RIFFLEIndividual3653 N. LOCUST GROVE ROAD
MERIDIAN, ID 83646
(208) 338-5437		Non-Participating ProviderYES
CHRISTY L RILEYIndividual980 W IRONWOOD DR SUITE 302
COEUR D ALENE, ID 83814
(208) 292-5437		Non-Participating ProviderNO
HAILEY J ROSEIndividual6615 COMANCHE ST KANIKSU HEALTH SERVICES
BONNERS FERRY, ID 83805
(208) 267-1718		Non-Participating ProviderYES
ANGELA RUTH ROTHIndividual2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383		Accepts MedicareYES
ERIC D. ROYIndividual1620 S CELEBRATION AVE
MERIDIAN, ID 83642
(208) 884-1030		Non-Participating ProviderYES
SAINT ALPHONSUS PHYSICIAN SERVICES INC
SAINT ALPHONSUS MEDICAL GROUP EAGLE HEALTH PLAZA		Organization323 EAST RIVERSIDE DRIVE SUITE 224
EAGLE, ID 83616
(208) 367-5750		Non-Participating ProviderNO
SAINT ALPHONSUS PHYSICIAN SERVICES INCOrganization315 E ELM ST SUITE 100
CALDWELL, ID 83605
(208) 459-7415		Non-Participating ProviderNO
SAINT ALPHONSUS REGIONAL MEDICAL CENTEROrganization315 E ELM ST SUITE 100
CALDWELL, ID 83605
(208) 459-7415		Non-Participating ProviderNO
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCOrganization315 E ELM ST STE 100
CALDWELL, ID 83605
(208) 459-7415		Non-Participating ProviderNO
JENNIFER SALAMEIndividual801 POLE LINE RD W
TWIN FALLS, ID 83301
(208) 381-2645		Accepts MedicareYES
SALTZER MEDICAL GROUP, PAOrganization215 E HAWAII AVE
NAMPA, ID 83686
(208) 463-3234		Non-Participating ProviderNO
VANESSA LYNN SANCHEZIndividual90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
(208) 828-7780		Non-Participating ProviderNO
SANDPOINT PEDIATRICS LLPOrganization6833 EL PASO
BONNERS FERRY, ID 83805
(208) 267-3773		Non-Participating ProviderNO
CATHY DIANE SANDSTROMIndividual6148 N DISCOVERY WAY SUITE 100
BOISE, ID 83713
(208) 322-5437		Non-Participating ProviderNO
ALICIA MARIE SAUTERIndividual700 W. IRONWOOD DRIVE SUITE 155
CEOUR D'ALENE, ID 83814
(208) 667-0585		Non-Participating ProviderYES
CHERI KATHLEEN SAVAGEIndividual700 W IRONWOOD DR SUITE 155
COEUR D ALENE, ID 83814
(208) 667-0585		Non-Participating ProviderNO
LINDA J. SCHAFFERIndividual100 E IDAHO ST SUITE 401
BOISE, ID 83712
(208) 345-0715		Non-Participating ProviderYES
GREGORY P SCHULTZIndividual2315 8TH ST
LEWISTON, ID 83501
(208) 746-1383		Non-Participating ProviderYES
JANE SCOTTIndividual630 ADDISON AVE W SUITE 100
TWIN FALLS, ID 83301
(208) 733-4343		Non-Participating ProviderNO
JOHN M SEAMANIndividual420 N 2ND AVE SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES
SANDPOINT, ID 83864
(208) 265-2242		Non-Participating ProviderYES
SEASONS MEDICAL, PLLCOrganization37 S 2ND E
REXBURG, ID 83440
(208) 356-0234		Non-Participating ProviderNO
SHANNON MARIE SECKELIndividual420 N 2ND AVE STE 100
SANDPOINT, ID 83864
(208) 265-2242		Non-Participating ProviderYES
GARY R SENAIndividual37 S 2ND E
REXBURG, ID 83440
(208) 356-0234		Non-Participating ProviderYES
MICHAEL J SEXTONIndividual190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222		Non-Participating ProviderNO
MARY JO SHAWIndividual700 W IRONWOOD DR SUITE 155
COEUR D ALENE, ID 83814
(208) 667-0585		Non-Participating ProviderNO
JEFFREY CHARLES SHIRTSIndividual980 W IRONWOOD DR STE 302
COEUR D ALENE, ID 83814
(208) 292-5437		Non-Participating ProviderNO
KELLY ROGERS SHOWALTERIndividual121 E FORT ST
BOISE, ID 83712
(208) 381-1780		Non-Participating ProviderYES
JASON BRYANT SLADEIndividual9850 ST LUKES DR
NAMPA, ID 83687
(208) 505-5200		Accepts MedicareYES
SCOTT ALAN SMITHIndividual3067 EAGLE DR
AMMON, ID 83406
(208) 522-4600		Non-Participating ProviderNO
JOSHUA MICHAEL SMITHIndividual3910 WASHINGTON PKWY
IDAHO FALLS, ID 83404
(208) 523-1122		Accepts MedicareYES
SNAKE RIVER PEDIATRICS, PCOrganization1100 NW 12TH ST
FRUITLAND, ID 83619
(208) 452-6556		Non-Participating ProviderNO
SNAKE RIVER PEDIATRICS, PCOrganization1100 NW 12TH ST
FRUITLAND, ID 83619
(208) 452-6556		Non-Participating ProviderNO
SETH CANNON SPENCERIndividual3067 EAGLE DR
AMMON, ID 83406
(208) 522-4600		Non-Participating ProviderYES
ST LUKE'S CLINIC LLC
ST LUKES CLINIC - MAGIC VALLEY/JEROME		Organization775 POLE LINE RD W
TWIN FALLS, ID 83301
(208) 814-1000		Non-Participating ProviderNO
ST LUKES CLINIC-TREASURE VALLEY LLCOrganization190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222		Non-Participating ProviderNO
ST LUKES CLINIC-TREASURE VALLEY LLC
ST LUKES RHC - TRINITY MOUNTAIN		Organization465 MCKENNA DR
MOUNTAIN HOME, ID 83647
(208) 587-9703		Non-Participating ProviderNO
ST LUKES REGIONAL MEDICAL CENTER
ST LUKES CLINIC BOISE/MERIDIAN		Organization190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222		Non-Participating ProviderNO
ST LUKES REGIONAL MEDICAL CENTER
ST LUKES CLINIC - CAPITAL CITY FAMILY MEDICINE		Organization1520 W STATE ST STE 100
BOISE, ID 83702
(208) 947-7700		Non-Participating ProviderNO
ST LUKE'S REGIONAL MEDICAL CENTER
SLRMC PHYSICIAN GROUP		Organization190 E BANNOCK ST
BOISE, ID 83712
(208) 381-2222		Non-Participating ProviderNO
MATTHEW A STELZERIndividual1151 HOSPITAL WAY BLDG F
POCATELLO, ID 83201
(208) 232-1443		Non-Participating ProviderYES
KATHERINE S STEVENSIndividual190 E BANNOCK ST PED. HOSPITALIST
BOISE, ID 83712
(208) 381-2222		Non-Participating ProviderYES
AMANDA BETH WARTNER STINGERIndividual450 W STATE ST
EAGLE, ID 83616
(208) 939-1035		Non-Participating ProviderYES
FAITH E STIRMIndividual8610 W OVERLAND RD
BOISE, ID 83709
(208) 954-8711		Non-Participating ProviderYES

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