Patrick D Stowell, MD
Individual provider Active NPI Family Medicine Physician · Caldwell, ID
NPI 1720022239 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1720022239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M8471 (ID)
- Practice address
- 512 N 21St Ave
Caldwell, ID 83605-4368 - Phone
- (208) 809-2875
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nevada School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Medical Group LLC
Practice addresses (Care Compare)
512 N 21St Ave
Caldwell, ID 83605-4368
Phone (208) 809-2875
Hospital & facility affiliations
- Horizon Home Health West
- West Valley Medical Center
- St Luke'S Nampa Medical Center
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20040526001219 | ID | Practitioner - Family Practice | 8729069604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8471 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Alliance Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Alliance Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
8971 W Overland Rd
Boise, ID 83709
Phone (208) 378-4288
512 N 21st Ave
Caldwell, ID 83605
Phone (208) 809-2875
4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545
10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690
Interoperability endpoints
- patrick.stowell@phmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M8471 | ID | Yes |
Addresses
Primary practice location
512 N 21St Ave
Caldwell, ID 83605-4368
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805756100 | Medicaid | ID |
Other providers in Caldwell, ID
- Todd Stevens
- Kimberly Ann Stockwell
- Emilia Claudia Stoica
- Heather A Stolworthy
- Darren Michael Stout
- Straightway Health PLLC
- Donald K Stritzke
- Joshua Strole
- Margaret H Strowd
- Stephanie Cherie Stuck
All providers in Caldwell, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. 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.