Saint Alphonsus Specialty Services Inc

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

SAINT ALPHONSUS SPECIALTY SERVICES INC

Practice address

6140 W Curtisian Ave
Ste 200
Boise, ID 83704-0107

Phone

(208) 367-4278

NPI assigned

Oct 2, 2009

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Odette Bolano

Title

President

Phone

(208) 367-2118

Specialties & licenses 15

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saint Alphonsus Regional Medical Center Inc

  • Psychologist
  • Boise, ID
  • NPI 1649357716

  Member Of

  NPD member

Locations

Practitioners 135

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas W. Hodgman, MD

  • Interventional Cardiology Physician
  • Nampa, ID
  • NPI 1164439725

  Cardiovascular Disease

  NPD
• Linda Lam, DO

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1427099852
  NPD
• Daniel Arrington, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Oklahoma City, OK
  • NPI 1396065165
  NPD
• Dennis Wayne Dunning, M.D.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1508847765
  NPD
• Brennan Anderson

  • Obstetrics & Gynecology Physician
  • Nampa, ID
  • NPI 1609222355
  NPD (past)
• Nicholas Anderson, PA-C

  • Physician Assistant
  • Idaho Falls, ID
  • NPI 1093281016

  Surgery

  NPD (past)
• David Babbel, DO

  • Pediatrics Physician
  • Caldwell, ID
  • NPI 1861434961
  NPD (past)
• Addie Barnes, PA-C

  • Surgical Physician Assistant
  • Boise, ID
  • NPI 1447534821
  NPD (past)
• Allyson Anne Bates, FNP-BC

  • Family Nurse Practitioner
  • Nampa, ID
  • NPI 1114479862
  NPD (past)
• Brett Bemis

  • Medical Physician Assistant
  • Caldwell, ID
  • NPI 1528429172
  NPD (past)
• Ashley W Bennett, MD

  • Surgery Physician
  • Boise, ID
  • NPI 1326252545
  NPD (past)
• Phillip Clayton Berryhill, MD

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1225122690
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1093040479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD",
            "address_2": "STE 250",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061258",
            "telephone_number": "208-367-4593",
            "fax_number": "208-367-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040107",
            "telephone_number": "208-367-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS SPECIALTY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "BOLANO",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-367-2118"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Alphonsus Regional Medical Center Inc
• Saint Alphonsus Regional Medical Center Inc
• Saint Alphonsus Regional Medical Center Inc
• Saint Alphonsus Regional Medical Center, Inc (SAHS Corporate Wellness)
• Saint Alphonsus Regional Rehabilitation Hospital, LLC (Saint Alphonsus Regional Rehabilitation Hospital, an affiliate of Enco)
• A Joseph Salais, PH.D.
• Elisa M Salazar, NP
• Jason P Salber, M.D.
• Jonathan Salberg, D.O.
• Tamara Saleen, PT

• Trauma Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Trauma Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.