Talmadge Clifford Caviness, M.D.
Individual provider Active NPI Surgery Physician · Lewiston, ID
NPI 1497870091 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1497870091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- A89627 (CA)
- Practice address
- 415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431 - Phone
- (208) 743-2511
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Memorial Hospital
Practice addresses (Care Compare)
1119 Highland Ave
Clarkston, WA 99403-2836
Phone (509) 758-5511
1221 Highland Ave
Clarkston, WA 99403-2829
Hospital & facility affiliations
- Tri-State Memorial Hospital
- St Joseph Regional Medical Center
- Syringa General Hospital
- Gritman Medical Center
- St Mary'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000458 | ID | Practitioner - Anesthesiology | 2567596794 | Reassigns benefits to 2 organizations |
| I20191209000221 | WA | Practitioner - Anesthesiology | 2567596794 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-12119 | ID | MD | Anesthesiology Physician |
| A89627 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital LLC | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Surgery | Current | Accepting new patients |
| Tri-State Memorial Hospital | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Current |
Accepting new patients | |
| Golden State Emergency Physicians Inc | Past | Accepting new patients |
Locations
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462
2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001
307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055
1119 Highland Ave
Ste 11
Clarkston, WA 99403
Phone (509) 758-4450
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450
Interoperability endpoints
- talmadge.caviness@tsmh.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A89627 | CA | Yes |
| Anesthesiology Physician | 207L00000X | M-12119 | ID |
Addresses
Primary practice location
415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431
Mailing address
415 6TH St
Valley Anesthesia
Lewiston, ID 83501-2431
Phone (208) 743-2511
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.