Provider / Pharmacy Directory Directorio De Proveedores Y Farmacias IDAHO Kootenai and Twin Falls

Provider / Pharmacy Directory Directorio de proveedores y farmacias IDAHO Kootenai and Twin Falls

Molina Medicare Options HMO If you have additional questions, please call Member Services: (844) 560-9811, TTY 711 7 days a week, 8 a.m. – 8 p.m., local time

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (844) 560-9811, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local

2018 H5628_18_0010_NM_IDPD H5628_18_0010_NM_IDPD es 7386949MED0918

Table of Contents / Índice Section 1 / Sección 1 - Introduction / Introducción ...... ii / vii What is the service area for Molina Medicare Options? / ¿Cuál es el área de servicio para Molina Medicare Options?...... v / x How do you find Molina Medicare Options providers in your area? / ¿Cómo encontrar proveedores de Molina Medicare Options en su área?...... v / xi Section 2 / Sección 2 - List of Network Providers / Lista de los proveedores de la red...... 1 Primary Care Providers / Proveedores de atención primaria...... 1 Specialists / Especialistas...... 59 Hospitals / Hospitales ...... 215 Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF)...... 216 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios ...... 218 Pharmacies / Farmacias...... 225

Molina Healthcare (Molina) complies with all Federal civil rights laws that relate to healthcare services. Molina offers healthcare services to all members without regard to race, color, national origin, age, disability, or sex. Molina does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. This includes gender identity, pregnancy and sex stereotyping.

To help you talk with us, Molina provides services free of charge:

• Aids and services to people with disabilities o Skilled sign language interpreters o Written material in other formats (large print, audio, accessible electronic formats, Braille) • Language services to people who speak another language or have limited English skills o Skilled interpreters o Written material translated in your language o Material that is simply written in plain language

If you need these services, contact Molina Member Services at (800) 665-3086; TTY 711, 7 days a week, 8 a.m. - 8 p.m., local time.

If you think that Molina failed to provide these services or treated you differently based on your race, color, national origin, age, disability, or sex, you can file a complaint. You can file a complaint in person, by mail, fax, or email. If you need help writing your complaint, we will help you. Call our Civil Rights Coordinator at (866) 606-3889, or TTY, 711. Mail your complaint to:

Civil Rights Coordinator 200 Oceangate Long Beach, CA 90802

You can also email your complaint to [email protected]. Or, fax your complaint to (562) 499-0610.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can mail it to:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

You can also send it to a website through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

If you need help, call 1-800-368-1019; TTY 800-537-7697. English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-665-3086 (TTY: 711).

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-665-3086 (TTY: 711).

Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-665-3086（TTY：711).

Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-665-3086 (TTY: 711).

French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-665-3086 (ATS : 711).

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-665-3086 (TTY: 711).

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-665-3086 (TTY: 711).

Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-665- 3086 (TTY: 711) 번으로 전화해 주십시오.

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-665-3086 (телетайп: 711).

Arabic ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 3086-665-800-1 )رقم هاتف الصم

والبكم: 711(.

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Hindi (उपलब्ध ℂ। 1-800-665-3086 (TTY: 711 ﴂदी बोलते ℂ तो आपके ललए मुफ्त मᴂ भाषा स ायता सेवाएﴂ 鵍यान दᴂ: यदद आप द पर कॉल करᴂ।

Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-665-3086 (TTY: 711).

Portugués ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-800-665-3086 (TTY: 711).

French Creole ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-665-3086 (TTY: 711).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-800-665-3086 (TTY: 711).

Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-665-3086（TTY: 711 ）まで、お電話にてご連絡ください。

Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800- 665-3086 (TTY: 711).

Farsi توجه: اگر به زبان فارسی گفتگو می کنید، تسهیالت زبانی بصورت رایگان برای شما فراهم می باشد. با :TTY) 1-800-665-3086 (711 تماس بگیرید. Armenian ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-665-3086 (TTY (հեռատիպ)՝ 711):

Cambodian

ប្រយ័㿒ន៖ បរើសិនᾶ诒នកនិ架យ 徶羶ខ្មែរ, បស玶ជំនួយខ្ននក徶羶 បោយមិនគិ㿒⏒ន ួល

គឺ讶ច掶នសំ殶រ់រំបរ ើ诒នក។ ចូរ ទូរស័寒ទ 1-800-665-3086 (TTY: 711)។ Albanian KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-800-665-3086 (TTY: 711).

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1- 800-665-3086 (መስማት ለተሳናቸው: 711).

Bengali লক্ষ্য ক쇁নঃ যদি আপদন বাাংলা, কথা বলতে পাতেন, োহতল দনঃখেচায় ভাষা সহায়ো পদেতষবা উপলব্ধ আতে। ফ ান ক쇁ন ১-800-665-3086 (TTY: 711)।

Cushite (Oromo language) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-665-3086 (TTY: 711).

Dutch AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-800- 665-3086 (TTY: 711).

Greek ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-800-665-3086 (TTY: 711).

Gujarati સચનાુ : જો તમે ગજરાતીુ બોલતા હો, તો નન:શ쫍કુ ભાષા સહાય સેવાઓ તમારા માટે ઉપલ닍ધ છે. ફોન કરો 1- 800-665-3086 (TTY: 711).

Kru(Bassa language) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 1-800-665-3086 (TTY:711) Ibo Ige nti: O buru na asu Ibo asusu, enyemaka diri gi site na call 1-800-665-3086 (TTY: 711). Yoruba AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-800-665-3086 (TTY: 711).

Laotian ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-665-3086 (TTY: 711).

Navajo

Nepali शु쥍क 셂पमा उपल녍ध छ ।ﴃध्यान दिनुहोस:् तपार्इंले नेपाली बो쥍नुहुन्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाह셂 नन फोन गनुुहोस ्1-800-665-3086 (दिदिवार्इ: 711) ।

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Panjabi ਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-800-665-3086ﹱਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧਵ (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।

Pennsylvania Dutch Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-665-3086 (TTY: 711).

Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-665-3086 (TTY: 711).

Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-800-665-3086 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711).

Syriac (Assyrian language) ܲ ܲ ܵ ܵ ܲ ܵ ܵ ܵ ܲ ܲ ܲ ܲ ܲ ܵ ܵ ܲ ܵ ܵ ܵ ܲ ܲ ܲ ܲ ܵ ܵ ܼܙܘܗܪܐ: ܸܐܢ ܼܐܚܬܘܢ ܹܟܐ ܼܗ ܸܡܙ ܼܡܝܬܘܢ ܸܠܫܢܐ ܐܬܘܪ ܵܝܐ، ܡ ܼܨܝܬܘܢ ܼܕܩ ܼܒܠܝܬܘܢ ܸܚ ܼܠܡ ܹܬܐ ܼܕܗ ܼܲܝܪܬܐ ܸܒܠܫܢܐ ܼܡܓܢ ܼܐܝܬ. ܩܪܘܢ ܼܥܠ ܵ 1-800-665-3086 (TTY: 711) ܐܢܝܢܵ ܡܸ Thai เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-800-665-3086 (TTY: 711).

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-800-665-3086 (TTY: 711).

Ukrainian УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-665-3086 (телетайп: 711).

Urdu خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کريں (TTY: 711) 3086-665-800-1

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 Molina Medicare Options HMO Plan Provider Directory

This directory is current as of September 4, 2018. This directory provides a list of Molina Medicare Options' current network providers. This directory is for the State of Idaho in the counties of Kootenai and Twin Falls.

To access Molina Medicare Options' online provider directory, you can visit www.MolinaHealthcare.com/Medicare. For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Department at (844) 560-9811, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. Molina Medicare Options HMO is a Health Plan with a Medicare Contract. Enrollment in Molina Medicare Options depends on contract renewal.

This information is available in other formats, such as Braille, large print, and audio.

The provider network may change at any time. You will receive notice when necessary.

Y0050_18_1080_67_NM_LRProvPharmDir

i Section 1 – Introduction

This directory provides a list of Molina Medicare Options' network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

Network providers such as healthcare professionals, medical groups, hospitals and other types of providers have been contracted with Molina Medicare Options to provide you with covered services. You may utilize this directory to help you select a Primary Care Provider, Specialist, Hospital, Skilled Nursing Facility, Outpatient Mental Health Provider and/or Pharmacy.

Choosing your Primary Care Provider (PCP)

Your provider can be a physician, nurse practitioner, or other health care professional who meets state requirements and is trained to give you basic medical care. Health professionals are eligible to provide services as PCPs in our Plan when they practice in the areas of family medicine, general practice, geriatrics, internal medicine, nurse assistant, nurse practitioner or obstetrics/gynecology.

You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. A PCP has a contract with Molina Medicare Options to deliver primary care services to members.

Your PCP is responsible for all your routine health care services; therefore it is important for you to call your PCP first with any health concerns. Selecting a PCP is up to you. Your relationship with your PCP is an important one. We strongly recommend that you choose a PCP close to home. Having your PCP nearby makes receiving medical care easier through developing a trusting and open relationship with your PCP.

If there is a particular specialist or hospital that you want to use, check first to be sure that your PCP can make referrals to that specialist or uses that hospital. A specialist is a provider who renders health care services for a specific disease or part of the body. There are many kinds of specialists such as oncologists who treat patients for cancer; cardiologists who care for patients with heart conditions; and orthopedists who care for patients with certain bone, joint, or muscle conditions.

If you discover any errors in this directory, please call Member Services so that we can correct the issue and assist you with selecting a new PCP.

How to change your PCP?

You may change your PCP for any reason, at any time. To change your PCP, simply call Member Services at (844) 560-9811, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711.

When you call, be sure to tell Member Services if you are seeing specialists or getting other covered services that needed your PCP’s approval (such as home health services and durable

ii medical equipment). Member Services will help make sure that you can continue with the specialty care and other services you have been getting when you change to a new PCP. They will also check to be sure that the PCP you want to switch to is accepting new patients. Sometimes a doctor, specialist, clinic, or other network provider that you are using might leave the Plan. If this happens, you will have to switch to another provider who is part of the Molina Medicare Options plan. If your PCP leaves Molina Medicare Options, we will let you know and help you switch to another PCP so that you can continue to receive covered services. Member Services will change your membership record to show the name of your new PCP, and will tell you when the change will take effect. They will also send you a new membership card that shows the name and phone number of your new PCP.

Getting care from your PCP

Your PCP will provide, arrange, and/or coordinate all your routine medical care. You are encouraged to develop a close relationship with your PCP. Your PCP will get to know you as an individual, become acquainted with your medical history, and assist in developing a health care program to fit your lifestyle and medical needs. Your PCP will provide most of your care and will help you arrange or coordinate laboratory tests, x-rays, therapies, specialty care, hospital admissions, and follow-up care. Except for emergency services or as stated elsewhere in the Evidence of Coverage, services and supplies obtained without an advance referral from your PCP will not be covered under your Plan.

Getting care from specialists and other network providers

Routine medical care will be provided by your PCP. During the course of treatment, your PCP may decide that you need specialized treatment and give you a “referral” (approval in advance) to see a network specialist.

Molina Medicare Options maintains a network of specialty providers to care for its Members. A referral from your PCP is required (unless otherwise allowed – i.e. women’s health services, etc.) to receive specialty services; however, no prior authorization is required when your PCP refers you to a network provider.

The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory. However, some services may require a referral.

Each PCP has certain network specialists they use for referrals. The Molina Medicare Options specialists you can use may depend on which PCP you choose. If there are specific specialists you want to use, find out whether your PCP refers patients to these specialists.

You can change your PCP at any time if you want to see a network specialist that your current PCP does not refer to. If you want to change your PCP, simply call Member Services.

iii If there are specific hospitals you wish to use, find out whether your PCP uses these hospitals.

It is very important to get a referral from your PCP before you see a network specialist or certain other providers (there are a few exceptions, but not limited to the following: physical exams and women’s preventive healthcare). If you don’t have a referral before you get services from a specialist, you may have to pay for these services yourself.

If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers.

If you have any questions about whether we will pay for any medical service or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care.

At times, your PCP may request a service that is unavailable or not provided within your network. Your PCP may need to get approval ahead of time from Molina Medicare Options to authorize this type of specialty referral. This process is called “prior authorization.” If you have questions or concerns about a prior authorization, you may call Member Services.

Out-Of-Network Provider Bills

If you receive a bill from an out-of-network provider do not pay this bill, please submit the bill to Molina Medicare Options for processing and determination of your liability, if any.

Getting care if you have a medical emergency or an urgent need for care

A “medical emergency” is when you believe that your health is in serious danger. A medical emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is quickly getting much worse. You may get covered emergency medical care whenever you need, anywhere in the United States. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don’t need to get approval or a referral first from your doctor or other network provider.

“Urgent Care” is when you need medical help for an unforeseen illness, injury, or condition, but your health is not in serious danger. If you have a pressing, non-emergency medical need while in the service area call your PCP first. If they are not available, look in this Provider Directory for an urgent care center. You generally must use network providers (refer to the Evidence of Coverage). If, while temporarily outside the Plan’s service area, you require urgently needed care, then you may get this care from any provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider.

Getting care when traveling outside the Plan’s service area

If you need care when you are outside the service area, your health care coverage is limited. The only services covered when you are outside the service area is care for a medical emergency, including urgently needed care, renal dialysis (kidney), and care that Molina Medicare Options

iv or a network provider has approved in advance. For Molina Medicare Options there is no coverage when traveling outside the country except in limited areas.

If you have questions whether a service is covered when you travel, please call Member Services.

You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor Molina Medicare Options will be responsible for the costs.

What is the service area for Molina Medicare Options? The counties in our service area are listed below. Our service area includes these counties: Kootenai and Twin Falls.

How do you find Molina Medicare Options providers in your area?

When you enroll in Molina Medicare Options plan, you must choose a PCP to provide your basic medical care and to coordinate your care. You may find a PCP close to where you live by locating your county, city, zip code, provider type, and providers in alphabetical format.

If you have questions about Molina Medicare Options or require assistance in selecting a PCP, please call our Member Service Department at (844) 560-9811, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. You can also visit www.MolinaHealthcare.com/Medicare.

v Molina Medicare Options HMO Plan Directorio de proveedores

Este directorio se actualizó el 4.o de septiembre del 2018. Este directorio proporciona una lista actualizada de los proveedores dentro de la red de Molina Medicare Options. Este directorio es para el estado de Idaho en los condados de Kootenai y Twin Falls.

Para acceso al directorio de proveedores en línea de Molina Medicare Options visite www.MolinaHealthcare.com/Medicare. Si tiene alguna pregunta acerca de la información contenida en este directorio (impreso o en línea), por favor llame a nuestro Departamento de Servicios para Miembros al (844) 560-9811, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. Molina Medicare Options HMO es un plan de salud con un contrato con Medicare. La inscripción en Molina Medicare Options depende de la renovación del contrato.

Esta información está disponible en otros formatos, que incluyen braille, letra grande y audio. La red de proveedores puede cambiar en cualquier momento. Usted recibirá notificación cuando sea necesario.

Y0050_18_1080_67_NM_LRProvPharmDir es

vi Sección 1 – Introducción

Este directorio proporciona una lista de los proveedores dentro de la red de Molina Medicare Options. Para obtener información detallada acerca de su cobertura médica, por favor consulte su "Evidencia de cobertura".

Los proveedores de la red tal como profesionales de salud, grupos médicos, hospitales y otros tipos de proveedores de salud que están contratados con Molina Medicare Options para proveerle los servicios que están cubiertos. Usted puede usar este directorio para ayudarle a seleccionar un proveedor de atención primaria, especialista, hospital, centro de enfermería especializada, proveedores de salud mental ambulatorio o farmacia.

Cómo seleccionar su proveedor de atención médica primaria (PCP)

Su proveedor puede ser un médico, enfermero especializado u otro profesional médico que cumple con requisitos estatales y está capacitado para brindarle atención médica básica. Los profesionales médicos son elegibles para proveer servicios como un PCP en nuestro plan de salud cuando practican las especialidades de medicina de familia, medicina general, geriatría, medicina interna, auxiliar de enfermería, enfermera especializada o tocoginecología.

Usted tendrá que elegir uno de nuestros proveedores de la red que aparece en este directorio para ser su Proveedor de Atención Primaria (PCP, por sus siglas en inglés). En general, usted debe recibir servicios médicos de su PCP. Un PCP tiene un contrato con Molina Medicare Options para brindar los servicios de atención médica primaria a los miembros. Todos los proveedores tienen acceso a intérpretes por teléfono.

Su PCP será responsable de todos sus servicios médicos rutinarios. Por lo tanto, si tiene alguna inquietud relacionada con la salud, consulte primero a su proveedor. Usted tiene la opción de seleccionar un PCP. Su relación con su PCP es importante. Le recomendamos encarecidamente que elija un PCP cerca de su casa. Tener a su PCP de atención primaria cerca facilita la atención médica por medio del desarrollo de una relación más confiable y abierta.

Si hay un especialista u hospital en particular que usted desea utilizar, primero verifique si su PCP puede ordenar una remisión a ese especialista u hospital. Un especialista es un proveedor que presta servicios de atención médica para una enfermedad particular o parte del cuerpo. Existen varios tipos de especialistas, como oncólogos que tratan a pacientes con cáncer; cardiólogos que atienden a pacientes con condiciones del corazón; y ortopedistas que tratan a pacientes con ciertos tipos de condiciones de los huesos, articulaciones y músculos.

Llame al Departamento de Servicios para Miembros si usted encuentra algún error en este directorio, y así darnos la oportunidad de corregir el problema y ayudarle a seleccionar un nuevo PCP.

vii ¿Cómo puede cambiar su PCP?

Puede cambiar de PCP por cualquier razón y en cualquier momento. Para cambiar su PCP, simplemente llame al Departamento de Servicios para Miembros al (844) 560-9811 los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711.

Cuando llame, asegúrese de informar al Departamento de Servicios para Miembros si usted está consultando especialistas o si está recibiendo otros servicios cubiertos que necesitan la aprobación de su PCP (como los servicios de atención médica domiciliaria y equipo médico duradero). El Departamento de Servicios para Miembros le puede ayudar a asegurar que usted continúe recibiendo atención especializada y otros servicios que usted ha estado recibiendo cuando cambie a un nuevo PCP. También verificarán que el PCP al que quiere cambiarse está aceptando nuevos pacientes. En ocasiones un médico, especialista, clínica u otro proveedor de la red que usted está utilizando podría dejar de participar en el plan de salud. Si esto ocurre, usted tendrá que cambiarse a otro proveedor que participe en el plan de Molina Medicare Options. Si su PCP abandona Molina Medicare Options, nosotros se lo informaremos y le ayudaremos a cambiar a otro PCP para que usted pueda continuar recibiendo los servicios cubiertos. El Departamento de Servicios para Miembros cambiará su registro de membresía para indicar el nombre de su nuevo PCP y le informará cuándo el cambio entrará en vigor. También le enviarán una nueva tarjeta de membresía que indica el nombre y número de teléfono de su nuevo PCP.

Cómo recibir atención médica de su PCP

Su PCP proporcionará, ordenará y coordinará toda su atención médica de rutina. Se le recomienda que desarrolle una relación de confianza con su PCP. Su PCP llegará a conocerlo personalmente, se familiarizará con su historia médica y le ayudará a desarrollar un programa de salud que se adapte a su estilo de vida y sus necesidades médicas. Su PCP le brindará la mayor parte de su atención médica y le ayudará a organizar y coordinar: análisis de laboratorio, radiografías, terapias, atención especializada, ingresos al hospital y atención de seguimiento. Exceptuando los servicios de emergencia o como se indique en otra parte de la Evidencia de Cobertura, los servicios y suministros obtenidos sin una remisión por adelantado de su PCP no estarán cubiertos bajo su plan.

Cómo obtener atención médica de especialistas y otros proveedores dentro de la red

Su PCP le brindará atención médica de rutina. Durante el tratamiento, es posible que su PCP decida que usted necesita un tratamiento especializado y le dé una "remisión" (autorización previa) para consultar con un especialista de la red.

Molina Medicare Options mantiene una red de proveedores especializados para atender a sus miembros. Se necesita una remisión de parte de su PCP (a menos que esté permitido - por ejemplo, servicios de salud femenina, etc.) para recibir servicios especializados; sin embargo, no necesita autorización previa cuando su PCP lo remite a un proveedor dentro la red.

viii Los proveedores de la red que aparecen en este directorio han acordado brindarle servicios de atención médica. Puede acudir a cualquiera de nuestros proveedores de la red enumerados en este directorio. Sin embargo, algunos servicios pueden requerir una remisión.

Cada PCP tiene ciertos especialistas de la red que utiliza para hacer remisiones. Los especialistas de Molina Medicare Options que usted puede utilizar dependerán del PCP que usted elija. Si hay especialistas específicos que usted quiera utilizar, averigüe si su PCP remite a sus pacientes a dichos especialistas.

Usted puede cambiar su PCP en cualquier momento si quiere consultar a un especialista de la red al cual su PCP actual no pueda remitirlo. Si usted quiere cambiar de PCP, solo tiene que llamar al Departamento de Servicios para Miembros.

Si usted desea utilizar hospitales específicos, verifique si su PCP trabaja con dichos hospitales.

Es muy importante que obtenga una remisión de su PCP antes de visitar a un especialista de la red o ciertos otros proveedores (existen algunas excepciones, pero sin limitarse a las siguientes: exámenes físicos y atención médica preventiva para la mujer). Si no obtiene una remisión antes de recibir servicios de un especialista, es posible que usted mismo tenga que pagar por estos servicios.

Si usted ha estado consultando a un proveedor de la red, no se requiere que continúe con el mismo proveedor. En algunos casos, es posible que reciba servicios cubiertos con proveedores fuera de la red.

Si usted tiene alguna duda sobre si pagaremos algún servicio o atención médica que está considerando, tiene derecho a preguntar si lo cubriremos antes de recibir tal servicio o atención médica.

En ocasiones, su PCP puede solicitar un servicio que no está disponible o que no se proporciona dentro de su red. Es posible que su PCP necesite obtener una aprobación por adelantado de Molina Medicare Options para autorizar este tipo de remisión a una especialidad. Este proceso se denomina "autorización previa". Si usted tiene preguntas o preocupaciones acerca de una autorización previa, puede comunicarse al Departamento de Servicios para Miembros.

Facturas si usted usa proveedores fuera de la red

Si usted recibe una factura de un proveedor fuera de la red, no pague esta factura. Envíe la factura a Molina Medicare Options para procesamiento y determinación de su responsabilidad, si existe alguna.

ix Cómo obtener atención médica si tiene una emergencia médica o una necesidad de atención urgente

Una "emergencia médica" existe cuando usted cree que su salud está en serio peligro. Una emergencia médica incluye un dolor intenso, lesión grave, una enfermedad repentina o una condición médica que empeora rápidamente. Usted puede recibir cobertura para atención médica de emergencia cuando la necesite y en cualquier parte de los Estados Unidos. Llame al 911 para obtener ayuda o acuda a la sala de emergencias, hospital o centro de atención urgente más cercano. No es necesario que primero obtenga una autorización o remisión de su médico u otro proveedor de la red.

La "atención médica urgente" es necesaria cuando necesita ayuda médica con una enfermedad, lesión o condición inesperada, pero su salud no está en serio peligro. Si tiene una necesidad médica apremiante pero no de emergencia, mientras que está en el área de servicio, primero llame a su PCP. Si este no está disponible, consulte este Directorio de proveedores para localizar un centro de cuidado urgente. Generalmente debe recurrir a los proveedores de la red (consulte su "Evidencia de cobertura"). Si se encuentra temporalmente fuera del área de servicio del plan y necesita atención médica urgente, puede recibir esta atención de cualquier proveedor. Además, cuando se encuentre fuera del área de servicio, puede obtener tratamiento de diálisis con cualquier proveedor de diálisis calificado.

Cómo recibir atención médica cuando viaja fuera del área de servicio del plan

Si necesita atención médica cuando está fuera del área de servicio, su cobertura médica está limitada. Los únicos servicios cubiertos cuando se encuentra fuera del área de servicio es la atención para una emergencia médica, incluyendo la atención médica urgente, diálisis renal (riñones) y la atención que Molina Medicare Options o un proveedor de la red haya aprobado por adelantado. Molina Medicare Options no ofrece cobertura al viajar fuera del país, salvo en áreas limitadas.

Si tiene preguntas si un servicio está cubierto mientras está de viaje, por favor llame al Departamento de Servicios para Miembros.

Usted debe utilizar proveedores de la red, salvo en una emergencia o situación de cuidado urgente o para diálisis renal u otros servicios fuera del área. Si usted recibe atención médica de rutina de proveedores fuera de la red, ni Medicare ni Molina Medicare Options será responsable de los costos.

¿Cuál es el área de servicio de Molina Medicare Options?

Los condados en nuestra área de servicio están indicados a continuación. Nuestra área de servicio incluye estos condados: Kootenai y Twin Falls.

x ¿Cómo puede encontrar proveedores de Molina Medicare Options en su área?

Cuando se inscribe en el plan de Molina Medicare Options, debe elegir un PCP para proporcionar y coordinar su atención médica básica. Usted puede encontrar un PCP cerca de donde vive conforme a su condado, ciudad, código postal, tipo de proveedor y proveedores de salud en orden alfabética.

Si tiene preguntas acerca de Molina Medicare Options o si necesita ayuda para elegir un PCP, comuníquese al Departamento de Servicios para Miembros al (844) 560-9811, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. También puede visitar www.MolinaHealthcare.com/Medicare.

xi Section 2 - List of Network Providers / Sección 2 – Lista de los proveedores de la red Primary Care Providers/Médicos de Cuidados Proveedores Total count / Cuenta total: 1494

Ada Carrasco, Alicia MD ~✤ Dillion - Bialobzeski, Gerrish, Sarah MD ~ April DO ~ Family Medicine Boise Internal Medicine NPI: 1124319421 Family Medicine NPI: 1982832176 83702 300 S 23Rd St NPI: 1033329842 121 E Fort St Boise, ID 83702 300 W Myrtle St Ste 300 Boise, ID 83702 Ashby, Laurie MD ~✤ (208) 344-3512 Boise, ID 83702 (208) 514-2525 Family Medicine Spanish (208) 472-9082 NPI: 1730169178 Gopon, Tobias MD ~✤ 1520 W State St Ste 100 Chasin, Judith MD ~✤ Dirocco, Melissa NP ~✤ Family Medicine Boise, ID 83702 Family Nurse Practitioner NPI: 1508152257 (208) 947-7700 Family Medicine NPI: 1427256841 NPI: 1770879942 1109 W Myrtle St Ste 200 420 W Main St Ste 206 Boise, ID 83702 Barnes, Daryn PA ~ 1520 W State St Ste 100 Boise, ID 83702 Boise, ID 83702 (208) 706-2663 Medical - Physician (208) 426-9200 German Assistant (208) 947-7700 NPI: 1245321942 Spanish 300 W Myrtle St Ste 300 Doran, Michelle NP ~✤ Gopon, Tobias MD ~✤ Boise, ID 83702 Cook, Jennifer MD ~ Family Nurse Practitioner Family Medicine (208) 472-9082 Family Medicine NPI: 1316346059 NPI: 1508152257 NPI: 1265680417 1520 W State St Ste 100 703 S Americana Blvd Ste Bastian, Allison MD ~ 121 E Fort St Boise, ID 83702 120 Family Medicine Boise, ID 83702 (208) 947-7700 Boise, ID 83702 NPI: 1164862058 (208) 514-2525 (208) 706-2663 121 E Fort St Dsouza, Sherwin MD ~✤ German Boise, ID 83702 Crawford, Christian PA ~ Internal Medicine (208) 514-2525 Physician Assistant NPI: 1225061351 Holliday, Jennifer MD ~ NPI: 1427303478 1226 W River St Family Medicine Beach, Kelly PA ~ 300 W Myrtle St Ste 300 Boise, ID 83702 NPI: 1538320676 Physician Assistant Boise, ID 83702 (208) 331-1155 121 E Fort St NPI: 1649668765 (208) 472-9082 Haitian Creole Boise, ID 83702 300 W Myrtle St Ste 300 (208) 514-2525 Boise, ID 83702 Crum, Sonya NP ~ (208) 472-9082 Family Nurse Practitioner Dsouza, Sherwin MD ~✤ Holliday, Jennifer Internal Medicine NPI: 1720341456 MD ~✤ 300 W Myrtle St Ste 300 NPI: 1225061351 Birch, Christine PA ~ 403 S 11Th St Ste 100 Family Medicine Physician Assistant Boise, ID 83702 NPI: 1538320676 (208) 472-9082 Boise, ID 83702 NPI: 1871912634 (208) 429-0300 1520 W State St Ste 100 300 W Myrtle St Ste 300 Haitian Creole Boise, ID 83702 Boise, ID 83702 Cyprus, Idalyn MD ~✤ (208) 947-7700 (208) 472-9082 Family Medicine Erbele, Tara MD ~✤ NPI: 1245210228 Jones, William PA ~✤ 1520 W State St Ste 100 Family Medicine Briggs, Jessica PA ~✤ NPI: 1427081744 Physician Assistant Medical - Physician Boise, ID 83702 NPI: 1770835597 (208) 947-7700 1520 W State St Ste 100 Assistant Boise, ID 83702 115 W Main St Ste 202 NPI: 1053311084 (208) 947-7700 Boise, ID 83702 1520 W State St Ste 100 (208) 433-9466 Boise, ID 83702 (208) 947-7700

~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

1 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Kantayya, Vivek MD ~✤ Munting, Babette NP ~ Ross, Daniel MD ~ Whitaker, Tara MD ~✤ Family Medicine Family Nurse Practitioner Family Medicine Family Medicine NPI: 1437132479 NPI: 1417910506 NPI: 1104112853 NPI: 1134416647 300 S 23Rd St 121 E Fort St 121 E Fort St 1520 W State St Ste 100 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 (208) 344-3512 (208) 514-2525 (208) 514-2525 (208) 947-7700 Tamil Spanish, Dutch Spanish Wonderlich, Thomas ~ King, Ashley MD ~✤ Nasser, Wajeeh MD ~✤ Ross, Daniel MD ~✤ Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1982016788 NPI: 1235440314 NPI: 1083694053 NPI: 1104112853 121 E Fort St 1520 W State St Ste 100 1520 W State St Ste 100 1520 W State St Ste 100 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 (208) 514-2525 (208) 947-7700 (208) 947-7700 (208) 947-7700 Spanish You, Phyllis MD ~✤ Nichols, Heather MD ~ Family Medicine Kornfield, Lee MD ~✤ Family Medicine Internal Medicine Tenley, Clifford MD ~✤ NPI: 1265693394 NPI: 1144246950 Internal Medicine 1520 W State St Ste 100 NPI: 1275527186 121 E Fort St 600 N Robbins Rd Ste 301 NPI: 1700835790 Boise, ID 83702 Boise, ID 83702 600 N Robbins Rd Ste 301 (208) 947-7700 Boise, ID 83702 (208) 514-2525 (208) 385-3329 Boise, ID 83702 (208) 385-3329 83703 Patterson, Julie PA ~✤ Latta, Angela NP ~✤ Physician Assistant, Family Vanden Beld, Klaas Barnes, Daryn PA ~✤ Family Nurse Practitioner Medicine Medical - Physician NPI: 1346687654 NP ~✤ Assistant NPI: 1275866139 Nurse Practitioner 333 N 1St St Ste 260 703 S Americana Blvd Ste NPI: 1245321942 Boise, ID 83702 NPI: 1073049235 6052 W State St 120 600 N Robbins Rd Ste 100 (208) 345-3136 Boise, ID 83702 Boise, ID 83703 Boise, ID 83702 (208) 947-1947 (208) 706-2663 (208) 706-2663 Loewenstein, Timothy PA Chinese Medical - Physician Beach, Kelly PA ~✤ Assistant Walker, Craig NP ~ Proffitt, Frannie PA ~ Family Nurse Practitioner Physician Assistant NPI: 1376597377 Physician Assistant NPI: 1649668765 300 W Myrtle St Ste 300 NPI: 1184021263 NPI: 1356694384 300 W Myrtle St Ste 300 6052 W State St Boise, ID 83702 300 W Myrtle St Ste 300 Boise, ID 83703 (208) 472-9082 Boise, ID 83702 Boise, ID 83702 (208) 472-9082 (208) 947-1947 (208) 472-9082 Mudge, Sandy MD ~ Crawford, Christian Family Medicine Rios, Raul PA ~ Weinrobe, Mark MD ~✤ NPI: 1366704017 Physician Assistant Internal Medicine PA ~✤ 121 E Fort St NPI: 1376851725 NPI: 1891740338 Physician Assistant Boise, ID 83702 300 W Myrtle St Ste 300 600 N Robbins Rd Ste 301 NPI: 1427303478 (208) 514-2525 Boise, ID 83702 Boise, ID 83702 6052 W State St French (208) 472-9082 (208) 385-3329 Boise, ID 83703 Spanish (208) 947-1947 Munn, Stacia MD ~✤ Wells, Becky PA ~ Family Medicine Medical - Physician Crum, Sonya NP ~✤ NPI: 1477586162 Assistant Family Nurse Practitioner 1520 W State St Ste 100 NPI: 1780617811 NPI: 1720341456 Boise, ID 83702 300 W Myrtle St Ste 300 6052 W State St (208) 947-7700 Boise, ID 83702 Boise, ID 83703 (208) 472-9082 (208) 947-1947

2 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Erbele, Tara MD ~ 83704 Boutkaska, Jude PA ~✤ Deblieck, Timothy Family Medicine Medical - Physician MD ~✤ NPI: 1427081744 Allen, Suzanne MD ~✤ Assistant Family Medicine 3858 N Garden Cntr Wy Family Medicine NPI: 1801948591 NPI: 1114961042 Boise, ID 83703 NPI: 1346286044 413 N Allumbaugh St Ste 777 N Raymond St (208) 385-7711 777 N Raymond St 101 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 514-2500 Loewenstein, Timothy (208) 514-2500 (208) 323-1125 PA ✤ Alviso, Marvin MD ~ Doyle, Catherine MD ~✤ Medical - Physician Family Medicine Cadwallader, Kara Family Medicine Assistant NPI: 1932365533 MD ~✤ NPI: 1952712242 NPI: 1376597377 6565 W Emerald St Family Medicine 777 N Raymond St 6052 W State St Boise, ID 83704 NPI: 1669414728 Boise, ID 83704 Boise, ID 83703 (208) 514-2510 777 N Raymond St (208) 514-2500 (208) 947-1947 Boise, ID 83704 (208) 514-2500 Axtell, Ricky MD ~✤ Edwards, Jeffrey MD ~✤ Proffitt, Frannie PA ~✤ Family Medicine Family Medicine Physician Assistant NPI: 1548482771 Carlson, Chelsea MD ~ NPI: 1578566253 NPI: 1356694384 3301 N Sawgrass Wy Family Medicine 777 N Raymond St 6052 W State St Boise, ID 83704 NPI: 1396156675 Boise, ID 83704 Boise, ID 83703 (208) 375-0862 6565 W Emerald St (208) 514-2500 (208) 947-1947 Boise, ID 83704 French (208) 514-2510 Bailey, Justin MD ~ Rios, Raul PA ~✤ Family Medicine Epperly, Ted MD ~✤ Physician Assistant NPI: 1659484509 Colson, Kathryn PA ~✤ Family Medicine NPI: 1376851725 6565 W Emerald St Medical - Physician NPI: 1134176548 6052 W State St Boise, ID 83704 Assistant 777 N Raymond St Boise, ID 83703 (208) 514-2510 NPI: 1457363970 Boise, ID 83704 (208) 947-1947 8854 W Emerald Ste 102 (208) 514-2500 Spanish Barinaga, Mary MD ~ Boise, ID 83704 Family Medicine (208) 323-4747 Esplin, Andrea MD ~ Wells, Becky PA ~✤ NPI: 1801882881 Family Medicine Medical - Physician 6565 W Emerald St Cooperrider, Jaclyn NPI: 1508177684 Assistant Boise, ID 83704 MD ~✤ 6565 W Emerald St NPI: 1780617811 (208) 514-2510 Family Medicine Boise, ID 83704 6052 W State St NPI: 1518372846 (208) 514-2510 Boise, ID 83703 Bastian, Allison MD ~✤ 777 N Raymond St (208) 947-1947 Family Medicine Boise, ID 83704 Franz, Martha MD ~ NPI: 1164862058 (208) 514-2500 Family Medicine Wilkinson, Kelly MD ~✤ 777 N Raymond St NPI: 1700172442 Family Medicine Boise, ID 83704 Davids, Abby MD ~ 6565 W Emerald St NPI: 1245522036 (208) 514-2500 Family Medicine Boise, ID 83704 6052 W State St NPI: 1780970491 (208) 514-2510 6565 W Emerald St Boise, ID 83703 Bethel, Tamara NP ~✤ (208) 947-1947 Boise, ID 83704 Glass, Justin MD ~✤ Family Nurse Practitioner (208) 514-2510 NPI: 1538175757 Family Medicine 2308 N Cole Rd Ste H NPI: 1194820852 Boise, ID 83704 777 N Raymond St (208) 375-8806 Boise, ID 83704 (208) 514-2500

3 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Gunderson, Christopher Kittelson, Brian NP ~✤ Maier, Michael MD ~✤ Palmer, Todd MD ~✤ PAC ~✤ Family Nurse Practitioner Family Medicine Family Medicine Physician Assistant NPI: 1730234345 NPI: 1912963828 NPI: 1568595270 NPI: 1417066143 7272 W Potomac Dr 3301 N Sawgrass Wy 777 N Raymond St 777 N Raymond St Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 884-2922 (208) 375-0862 (208) 514-2500 (208) 514-2500 Kocemba, Russell Mering, Mark MD ~✤ Pinsky, Maia MD ~ Heidt, Tiffany NP ~✤ MD ~✤ Family Medicine Family Medicine Nurse Practitioner Family Medicine NPI: 1578527990 NPI: 1053722298 NPI: 1689683518 NPI: 1588629406 777 N Raymond St 6565 W Emerald St 900 N Liberty St Ste 201 3301 N Sawgrass Wy Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 514-2500 (208) 514-2510 (208) 367-6740 (208) 375-0862 French Mortimer, Margaret NP ~ Heidt, Tiffany NP ~✤ Kroll, Becky MD ~✤ Family Nurse Practitioner Rich, Kevin MD ~✤ Nurse Practitioner Family Medicine NPI: 1770532780 Family Medicine NPI: 1689683518 NPI: 1457648230 6565 W Emerald St NPI: 1902833031 900 N Liberty Ste 201 3301 N Sawgrass Wy Boise, ID 83704 777 N Raymond St Boise, ID 83704 Boise, ID 83704 (208) 514-2510 Boise, ID 83704 (208) 367-6740 (208) 375-0862 Spanish, French (208) 514-2500 Mulder, Gertjan MD ~✤ Romito, Kathleen MD ~ Jackson, Derek MD ~✤ Larkin, Brian DO ~✤ Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1659336691 NPI: 1619919933 NPI: 1225299357 NPI: 1205278355 6565 W Emerald St 777 N Raymond St 777 N Raymond St 3301 N Sawgrass Wy Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 514-2510 (208) 514-2500 (208) 514-2500 (208) 375-0862 Dutch Romito, Kathleen Johnson, Mark MD ~✤ Lewis, Jennifer MD ~✤ Munting, Babette NP ~ MD ~✤ Family Medicine Family Medicine Family Nurse Practitioner Family Medicine NPI: 1831155365 NPI: 1356784201 NPI: 1417910506 NPI: 1619919933 3301 N Sawgrass Wy 777 N Raymond St 6565 W Emerald St 777 N Raymond St Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 375-0862 (208) 514-2500 (208) 514-2510 (208) 514-2500 Spanish, Dutch Kennedy, Andrea NP ~✤ Loegering, Michael Ross, Daniel MD ~ Family Nurse Practitioner NP ~✤ Nelson, Aurelia MD ~✤ Family Medicine NPI: 1831321348 Nurse Practitioner General Practice NPI: 1104112853 2036 N Cole Rd NPI: 1821038704 NPI: 1376761437 6565 W Emerald St Boise, ID 83704 413 N Allumbaugh St Ste 3301 N Sawgrass Wy Boise, ID 83704 (208) 375-0722 101 Boise, ID 83704 (208) 514-2510 Boise, ID 83704 (208) 375-0862 Spanish (208) 323-1125 Kipp, Adam MD ~✤ Schneider, Kathryn Family Medicine Nelson, Aurelia MD ~✤ NPI: 1982968665 Maier, Eric MD ~✤ General Practice MD ~✤ 777 N Raymond St Family Medicine NPI: 1376761437 Family Medicine Boise, ID 83704 NPI: 1831154707 777 N Raymond St NPI: 1457589640 (208) 514-2500 3301 N Sawgrass Wy Boise, ID 83704 777 N Raymond St Boise, ID 83704 (208) 514-2500 Boise, ID 83704 (208) 375-0862 (208) 514-2500

4 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Schneider, Steven 83705 Barnes, Darryl PA ~ Crosland, Laron MD ~✤ Medical - Physician MD ~✤ Barrus, Paul DO ~✤ Family Medicine Family Medicine Assistant NPI: 1134363625 Family Medicine NPI: 1891733663 NPI: 1720377476 NPI: 1114926136 701 E Parkcenter Blvd 777 N Raymond St 1907 S Broadway Ave Ste Boise, ID 83706 848 S La Casssia Dr 101 Boise, ID 83704 Boise, ID 83705 (208) 381-6500 (208) 514-2500 Boise, ID 83706 Spanish (208) 344-0086 (208) 345-1222 Spanish, French Serio Iii, Vincent MD ~✤ Beach, Kelly PA ~ Erwin, Ann MD ~✤ General Practice Kantayya, Vivek MD ~✤ Physician Assistant Family Medicine NPI: 1750509725 Family Medicine NPI: 1649668765 NPI: 1851494223 777 N Raymond St NPI: 1437132479 1907 S Broadway Ave Ste 130 E Boise Ave Boise, ID 83704 848 S La Casssia Dr 101 Boise, ID 83706 (208) 514-2500 Boise, ID 83705 Boise, ID 83706 (208) 345-4066 (208) 344-0086 (208) 345-1222 Skelly, Katherine PA ~✤ Tamil Freeman, Leah DO ~✤ Physician Assistant Blough, Susan MD ~✤ Family Medicine NPI: 1972906824 Leonard, Bryce PA ~ Internal Medicine NPI: 1124464615 413 N Allumbaugh St Ste Physician Assistant NPI: 1336197870 701 E Parkcenter Blvd 101 NPI: 1356743843 701 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83704 4971 W Overland Rd Boise, ID 83706 (208) 381-6500 (208) 323-1125 Boise, ID 83705 (208) 381-6400 Spanish (208) 472-5050 French Sparks, Toni NP ~ Hartman, D David MD Family Nurse Practitioner Shinkle, Samuel PA ~ Family Medicine NPI: 1356454839 Physician Assistant Boyce, Christal NP ~✤ NPI: 1588669410 6565 W Emerald St NPI: 1558735514 Family Nurse Practitioner 1907 S Broadway Ave Ste Boise, ID 83704 4971 W Overland Rd NPI: 1811380132 101 (208) 514-2510 Boise, ID 83705 701 E Parkcenter Blvd Boise, ID 83706 (208) 472-5050 Boise, ID 83706 (208) 345-1222 Turner, Mark MD ~ (208) 381-6500 Family Medicine Sparks, Toni NP ~✤ Hawkes, James MD ~ NPI: 1962443101 Family Nurse Practitioner Brosa, John MD ~✤ Internal Medicine 10020 W Fairview Ave Ste NPI: 1356454839 Family Medicine NPI: 1184858029 204 1111 S Orchard St Ste 155 NPI: 1275559080 3550 W Americana Boise, ID 83704 Boise, ID 83705 701 E Parkcenter Blvd Terrace (208) 901-4649 Boise, ID 83706 Boise, ID 83706 (208) 333-0103 (208) 381-6500 (208) 947-5390 Wilkinson, Kelly MD ~✤ 83706 Family Medicine Bryan, Thornton MD ~✤ Johnson, Gregory NPI: 1245522036 Ballance, David MD ~ Family Medicine MD ~✤ 777 N Raymond St Family Medicine NPI: 1003808924 Family Medicine Boise, ID 83704 NPI: 1881654820 701 E Parkcenter Blvd NPI: 1508969973 (208) 514-2500 1075 N Curtis Rd Ste 100 Boise, ID 83706 130 E Boise Ave Boise, ID 83706 (208) 381-6500 Boise, ID 83706 Williams, John MD ~ (208) 377-5166 (208) 345-4066 Family Medicine NPI: 1235122714 6565 W Emerald St Boise, ID 83704 (208) 514-2510

5 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Maloney, Gregory PA ~ Ruth, Timothy MD ~✤ Wilson, Sara MD ~✤ Zapp, Lyndsi PA ~ Physician Assistant Family Medicine Internal Medicine Physician Assistant NPI: 1689035404 NPI: 1588695944 NPI: 1659638864 NPI: 1780054619 1907 S Broadway Ave Ste 701 E Parkcenter Blvd 701 E Parkcenter Blvd 8971 W Overland Rd 101 Boise, ID 83706 Boise, ID 83706 Boise, ID 83709 Boise, ID 83706 (208) 381-6500 (208) 381-6400 (208) 378-4288 (208) 345-1222 Rutherford, Mark 83709 Zeimantz, Stephen Nelson, Timothy MD ~✤ MD ~✤ Barnes, Darryl PA ~ NP ~✤ Internal Medicine Family Medicine Medical - Physician Nurse Practitioner NPI: 1811021884 NPI: 1972693786 Assistant NPI: 1922001478 701 E Parkcenter Blvd 130 E Boise Ave NPI: 1891733663 10112 W Overland Rd Boise, ID 83706 Boise, ID 83706 8971 W Overland Rd Boise, ID 83709 (208) 381-6400 (208) 345-4066 Boise, ID 83709 (208) 780-3900 (208) 378-4288 83712 Pelton, Michael MD ~✤ Sackman, Irvin MD ~✤ Internal Medicine Family Medicine Byrns, Jamia MD ~✤ Babcock, Jennifer NPI: 1548219090 NPI: 1003919473 Internal Medicine ARNP ~✤ 701 E Parkcenter Blvd 130 E Boise Ave NPI: 1881676070 Nurse Practitioner Boise, ID 83706 Boise, ID 83706 6651 W Franklin Rd NPI: 1972864833 (208) 381-6400 (208) 345-4066 Boise, ID 83709 190 E Bannock St 10Th (208) 947-5390 Floor Pucciarelli, Irene DO ~✤ Stubbs, Leslie MD ~✤ Boise, ID 83712 Internal Medicine Internal Medicine Lyon, Julie MD ~✤ (208) 381-5500 NPI: 1871559948 NPI: 1588613483 Internal Medicine 701 E Parkcenter Blvd 701 E Parkcenter Blvd NPI: 1285685891 Bafus, Dana ARNP ~✤ Boise, ID 83706 Boise, ID 83706 6651 W Franklin Rd Nurse Practitioner (208) 381-6400 (208) 381-6400 Boise, ID 83709 NPI: 1780007260 Spanish, Bosnian (208) 947-5390 190 E Bannock St Richardson, Rosalia Boise, ID 83712 MD ~✤ Weitemier, Kenneth Robbins, Jeffrey NP (208) 381-2235 Family Medicine MD ~✤ Family Nurse Practitioner NPI: 1134150998 Family Medicine NPI: 1669408514 Bollinger, William 701 E Parkcenter Blvd NPI: 1699717926 8971 W Overland Rd MD ~✤ Boise, ID 83706 701 E Parkcenter Blvd Boise, ID 83709 Internal Medicine (208) 381-6500 Boise, ID 83706 (208) 378-4288 NPI: 1942258439 Spanish (208) 381-6500 Spanish, Portugese 300 E Jefferson St Ste 300 Boise, ID 83712 Ross, Daniel MD ~✤ Wells, Becky PA ~ Thornton, Eli NP ~ (208) 381-4100 Family Medicine Medical - Physician Family Nurse Practitioner NPI: 1104112853 Assistant NPI: 1427480201 8971 W Overland Rd Bruce, Jessica NP ~✤ 701 E Parkcenter Blvd NPI: 1780617811 Nurse Practitioner Boise, ID 83706 1907 S Broadway Ave Ste Boise, ID 83709 (208) 378-4288 NPI: 1205029162 (208) 381-6500 101 300 E Jefferson St Ste 201 Spanish Boise, ID 83706 Boise, ID 83712 (208) 345-1222 Vania, Cyrus DO Family Medicine (208) 381-4100 Rulon, Elizabeth MD ~✤ NPI: 1740593862 Family Medicine 8971 W Overland Rd NPI: 1558300475 Boise, ID 83709 130 E Boise Ave (208) 378-4288 Boise, ID 83706 (208) 345-4066 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

6 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Demars, Damon DO ~ Giffen, J Perry MD ~✤ Madison, Michael DO ~ Nelson, Tyley NP ~✤ Internal Medicine Internal Medicine Internal Medicine Family Nurse Practitioner NPI: 1063826758 NPI: 1275583643 NPI: 1508286790 NPI: 1972552925 190 E Bannock St 190 E Bannock St 190 E Bannock St 300 E Jefferson St Ste 300 Boise, ID 83712 Boise, ID 83712 Boise, ID 83712 Boise, ID 83712 (208) 381-2222 (208) 381-5015 (208) 381-2222 (208) 381-4100 Dolan, Rachel NP ~ Matthews, Brittany Nurse Practitioner Goulding, Lesley ~✤ Nona, Leslie MD ~✤ Nurse Practitioner NP ~✤ Internal Medicine NPI: 1891074506 Family Nurse Practitioner 190 E Bannock St NPI: 1043730302 NPI: 1497704316 100 E Idaho St NPI: 1962958892 300 E Jefferson St Ste 300 Boise, ID 83712 300 E Jefferson St Ste 300 (208) 381-2222 Boise, ID 83712 Boise, ID 83712 (208) 381-2711 Boise, ID 83712 (208) 381-4100 (208) 381-4100 Donovan, Jodie MD ~✤ Pascual, Lena NP ~ Internal Medicine Hall, Stanley NP ~✤ Family Nurse Practitioner Mcgeorge, Laura MD ~✤ Nurse Practitioner NPI: 1295027688 Internal Medicine NPI: 1134657042 300 E Jefferson St Ste 300 NPI: 1114996451 190 E Bannock St NPI: 1629029699 190 E Bannock St Boise, ID 83712 300 E Jefferson St Ste 201 Boise, ID 83712 (208) 381-4100 Boise, ID 83712 (208) 381-1615 Boise, ID 83712 (208) 381-2222 (208) 381-4100 Eiriksson Jr, Charles Herzog, Hazen PA ~✤ Pereda, Carissa MD ~✤ MD ~✤ Montamat, Stephen Internal Medicine Internal Medicine Physician Assistant, Family Medicine MD ~✤ NPI: 1538486923 NPI: 1932153137 Internal Medicine 190 E Bannock St 300 E Jefferson St Ste 101 NPI: 1932433190 125 E Idaho St Ste 202 NPI: 1548210958 Boise, ID 83712 Boise, ID 83712 300 E Jefferson St Ste 201 (208) 381-5015 (208) 322-1680 Boise, ID 83712 (208) 381-7215 Boise, ID 83712 (208) 381-4100 Pontickio, Steven MD ~✤ Elder, Becky NP ~✤ Internal Medicine Nurse Practitioner Jones, William PA ~✤ Montgomery, Jason Physician Assistant NPI: 1497097778 NPI: 1417938473 NP ~✤ 190 E Bannock St 100 E Idaho St Ste 400 NPI: 1770835597 190 E Bannock St Family Nurse Practitioner Boise, ID 83712 Boise, ID 83712 NPI: 1013270792 (208) 381-5015 (208) 345-5250 Boise, ID 83712 (208) 381-2094 190 E Bannock St 10Th Floor Ripepi, Bartholomew Figueroa, April CNP ~✤ Boise, ID 83712 DO ~✤ Nurse Practitioner Komori, Allyson DO ~✤ (208) 381-5500 Internal Medicine Family Medicine NPI: 1982952529 NPI: 1073873188 100 E Idaho St Ste 401 NPI: 1679869473 190 E Bannock St Moran, Gregory NP ~✤ 190 E Bannock St Boise, ID 83712 Adult Health Nurse Boise, ID 83712 (208) 381-7330 Boise, ID 83712 (208) 381-5015 Practitioner (208) 381-2222 NPI: 1780006916 Gallafent, James MD ~✤ 190 E Bannock St Lewis, Erika MD ~✤ Roscoe, Janet NP ~✤ Internal Medicine Boise, ID 83712 Nurse Practitioner NPI: 1518077437 Internal Medicine (208) 381-1615 NPI: 1659320570 NPI: 1376573170 300 E Jefferson St Ste 201 100 E Idaho St Ste 302 Boise, ID 83712 300 E Jefferson St Ste 300 Boise, ID 83712 Boise, ID 83712 (208) 381-4100 (208) 343-7501 French (208) 381-4100

7 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Rulon, Elizabeth MD ~✤ Thompson, E Gregory Bateman, Wade MD ~✤ Cron, Andrew MD ~✤ Family Medicine MD ~✤ Family Medicine Family Medicine NPI: 1558300475 Internal Medicine NPI: 1730131038 NPI: 1497707897 100 E Idaho St Ste 200 NPI: 1497705826 12080 W Mcmillan Rd 12080 W Mcmillan Rd Boise, ID 83712 300 E Jefferson St Ste 201 Boise, ID 83713 Boise, ID 83713 (208) 381-7092 Boise, ID 83712 (208) 375-4955 (208) 375-4955 (208) 381-4100 Rush, Audrey NP ~✤ Baxter, Susan MD ~✤ Crum, Sonya NP ~ Nurse Practitioner Thompson, John PA ~ Internal Medicine Family Nurse Practitioner NPI: 1215242086 Physician Assistant NPI: 1417959842 NPI: 1720341456 100 E Idaho St Ste 200 NPI: 1942483490 4840 N Cloverdale Rd 11197 W Fairview Ave Boise, ID 83712 190 E Bannock St Boise, ID 83713 Boise, ID 83713 (208) 381-9590 Boise, ID 83712 (208) 706-8000 (208) 378-8011 (208) 381-2222 Schell, Amy MD ~✤ Beach, Kelly PA ~ Ewings, Maria MD ~✤ Internal Medicine Turcotte, Roger MD ~✤ Physician Assistant Internal Medicine NPI: 1275581753 Internal Medicine NPI: 1649668765 NPI: 1255422747 300 E Jefferson St Ste 201 NPI: 1255574109 11197 W Fairview Ave 4840 N Cloverdale Rd Boise, ID 83712 300 E Jefferson St Ste 201 Boise, ID 83713 Boise, ID 83713 (208) 381-4100 Boise, ID 83712 (208) 378-8011 (208) 706-8000 (208) 381-4100 Birch, Christine PA ~ Farmer, Josie NP ~✤ Shanahan, Alexis MD ~✤ Wagner, Christine NP ~ Physician Assistant Internal Medicine Family Nurse Practitioner Nurse Practitioner NPI: 1871912634 NPI: 1730414947 NPI: 1376665471 NPI: 1457515710 11197 W Fairview Ave 190 E Bannock St 13150 W Persimmon Ln 190 E Bannock St Boise, ID 83713 Boise, ID 83713 Boise, ID 83712 Boise, ID 83712 (208) 378-8011 (208) 381-5015 (208) 938-3663 (208) 381-2222 Spanish Shoebridge, Nicholas Bronner, Jason MD ~✤ Young, Mark MD ~ Internal Medicine DO ~ Internal Medicine Franden, Julie NP ~✤ Internal Medicine NPI: 1245267541 Family Medicine NPI: 1821226093 4840 N Cloverdale Rd NPI: 1760809958 190 E Bannock St NPI: 1457652661 190 E Bannock St Boise, ID 83713 13150 W Persimmon Ln Boise, ID 83712 (208) 706-8000 Boise, ID 83712 (208) 381-2222 Boise, ID 83713 (208) 381-2222 (208) 938-3663 Burke, Ryan PA ~ 83713 Physician Assistant Slade, Jason MD ~✤ Barnes, Darryl PA ~ NPI: 1194132860 Holbrook, Mark MD ~✤ Internal Medicine Medical - Physician 11197 W Fairview Ave Internal Medicine NPI: 1750672481 Assistant Boise, ID 83713 NPI: 1205884616 190 E Bannock St NPI: 1891733663 (208) 378-8011 4840 N Cloverdale Rd Boise, ID 83712 11197 W Fairview Ave Boise, ID 83713 (208) 381-2222 Boise, ID 83713 Crawford, Christian PA ~ (208) 706-8000 (208) 378-8011 Physician Assistant Tanabe, Alex MD ~✤ NPI: 1427303478 Jordan, Anthony MD ~✤ Internal Medicine Barron, Gregory NP ~✤ 11197 W Fairview Ave Family Medicine NPI: 1134513088 Family Nurse Practitioner Boise, ID 83713 NPI: 1144212549 300 E Jefferson Ste 201 NPI: 1932447695 (208) 378-8011 12080 W Mcmillan Rd Boise, ID 83712 13150 W Persimmon Ln Boise, ID 83713 (208) 381-4100 Boise, ID 83713 (208) 375-4955 (208) 938-3663

8 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Kohler, Gretchen MD ~✤ Radnovich, Richard Ribbens, Terry MD ~✤ Chan, Rylan PA ~ Internal Medicine DO ~✤ Family Medicine Physician Assistant NPI: 1982698502 Family Medicine NPI: 1548210552 NPI: 1306874623 4840 N Cloverdale Rd NPI: 1407944655 2083 Hospitality Ln 435 S Eagle Rd Boise, ID 83713 4850 N Rosepoint Way Ste Boise, ID 83716 Eagle, ID 83616 (208) 706-8000 100 (208) 333-8345 (208) 939-8200 Boise, ID 83713 Loewenstein, Timothy PA (208) 577-5904 Crum, Sonya NP ~ Sur, Mousoomi MD ~✤ Family Nurse Practitioner Medical - Physician Family Medicine Assistant NPI: 1720341456 Rheder, Jan NP ~✤ NPI: 1518968841 435 S Eagle Rd NPI: 1376597377 Family Nurse Practitioner 2083 Hospitality Ln 11197 W Fairview Ave Eagle, ID 83616 NPI: 1083038335 Boise, ID 83716 (208) 939-8200 Boise, ID 83713 13150 W Persimmon Ln (208) 333-8345 (208) 378-8011 Boise, ID 83713 Bengali, Haitian Creole Dancer, Amy NP ~ (208) 938-3663 Family Nurse Practitioner Ludwig, Jason DO ~✤ Eagle NPI: 1407214497 Family Medicine Rios, Raul PA ~ 83616 868 E Riverside Dr Ste 170 NPI: 1144258534 Physician Assistant Eagle, ID 83616 13150 W Persimmon Ln NPI: 1376851725 Aiken, Dawn NP ~✤ (208) 514-0670 Boise, ID 83713 11197 W Fairview Ave Family Nurse Practitioner (208) 938-3663 Boise, ID 83713 NPI: 1295175313 Dawson, Jill NP ~✤ (208) 378-8011 3101 E State St Ste 2120 Maffey, Jenna PA ~ Spanish Nurse Practitioner Eagle, ID 83616 NPI: 1801908140 Medical - Physician (208) 473-3275 Assistant Wells, Becky PA ~ 3101 E State St Ste 2100 NPI: 1467787598 Medical - Physician Eagle, ID 83616 Barnes, Darryl PA ~ (208) 938-2220 11197 W Fairview Ave Assistant Medical - Physician Boise, ID 83713 NPI: 1780617811 Assistant (208) 378-8011 11197 W Fairview Ave NPI: 1891733663 East, Karen MD ~✤ Boise, ID 83713 435 S Eagle Rd Internal Medicine Moorhouse, Aaron (208) 378-8011 Eagle, ID 83616 NPI: 1255380150 DO ~✤ (208) 939-8200 3101 E State St Ste 2120 Family Medicine Willoughby, Scott NP ~✤ Eagle, ID 83616 (208) 473-3275 NPI: 1689602914 Family Nurse Practitioner Bellomy, Kami NP ~✤ 13150 W Persimmon Ln NPI: 1457897852 Family Nurse Practitioner Boise, ID 83713 13150 W Persimmon Ln NPI: 1952852642 Franklin, Robert DO ~✤ (208) 938-3663 Boise, ID 83713 1159 E Iron Eagle Dr Ste Family Medicine (208) 938-3663 170D NPI: 1487753067 Nielsen, David MD ~✤ Eagle, ID 83616 3101 E State St Ste 2107 Internal Medicine 83716 (208) 209-3242 Eagle, ID 83616 (208) 473-3500 NPI: 1821048364 Moses, Nicole MD ~✤ 4840 N Cloverdale Rd Family Medicine Burch, Joel PA ~ Boise, ID 83713 NPI: 1881801322 Medical - Physician Gerrish, Sarah MD ~✤ (208) 706-8000 2083 Hospitality Ln Assistant Family Medicine Chinese Boise, ID 83716 NPI: 1679918536 NPI: 1982832176 (208) 333-8345 435 S Eagle Rd 3101 E State St Ste 1100 Proffitt, Frannie PA ~ Eagle, ID 83616 Eagle, ID 83616 Physician Assistant (208) 939-8200 (208) 473-3500 NPI: 1356694384 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011

9 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Hedemark, Michael Luque, Marion MD ✤ Tanabe, Kimberly Foutz, Michael MD ~✤ MD ~✤ Internal Medicine MD ~✤ Family Medicine Internal Medicine NPI: 1124088331 Internal Medicine NPI: 1992782361 NPI: 1992805931 1139 E Winding Creek Dr NPI: 1194773598 943 N Linder Rd Ste 103 3101 E State St Ste 2120 Eagle, ID 83616 3101 E State St Ste 2120 Kuna, ID 83634 Eagle, ID 83616 (208) 938-8887 Eagle, ID 83616 (208) 922-3355 (208) 473-3275 (208) 473-3275 Vietnamese Maffey, Jenna PA ~ Hulbert, Coleen MD ~✤ Medical - Physician Terrell, Stephanie NP ~✤ Meridian Family Medicine Assistant Nurse Practitioner 83642 NPI: 1396970612 NPI: 1467787598 NPI: 1336127190 3101 E State St Ste 1100 435 S Eagle Rd 3101 E State St Ste 2100 Adams, Brenda MD ~✤ Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 Family Medicine (208) 473-3500 (208) 939-8200 (208) 938-2220 NPI: 1205887288 3090 Gentry Wy Ste 200 Hulbert, David MD ~✤ Miller, Alisha NP ~✤ Tolman, Mont DO ~✤ Meridian, ID 83642 Family Medicine Family Nurse Practitioner Family Medicine (208) 887-6813 NPI: 1730313586 NPI: 1205207313 NPI: 1124069828 3101 E State St Ste 1100 450 W State St Ste 100 3101 E State St Ste 1100 Atup Leavitt, Catherine Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 MD ~✤ (208) 473-3500 (208) 939-1035 (208) 473-3500 Family Medicine NPI: 1386698363 Huntington, Mary Ann Oliver, Rachel MD ~✤ Garden City 520 S Eagle Rd Ste 3102 Meridian, ID 83642 MD ~✤ Obstetrics & Gynecology 83714 Internal Medicine NPI: 1043449366 (208) 706-5100 NPI: 1801057708 3101 E State St Ste 2100 Horan, Donna NP ~ Tagalog 3101 E State St Ste 2120 Eagle, ID 83616 Family Nurse Practitioner Eagle, ID 83616 (208) 938-2220 NPI: 1053395772 Barnes, Darryl PA ~✤ (208) 473-3275 Spanish 5601 W Chinden Blvd Medical - Physician Spanish Garden City, ID 83714 Assistant Reed, Daniel MD (208) 809-2865 NPI: 1891733663 Family Medicine 3115 E Florence St Jensen, Leonard NP ~✤ NPI: 1699719807 Kuna Meridian, ID 83642 Family Nurse Practitioner 435 S Eagle Rd (208) 895-8670 NPI: 1851604904 Eagle, ID 83616 83634 1159 E Iron Eagle Dr Ste (208) 939-8200 Armijo, Molly MD ~✤ Barnes, Daryn PA ~✤ 170D Family Medicine Eagle, ID 83616 Relyea, Ramon PA ~ Medical - Physician NPI: 1093750200 Assistant (208) 209-3242 Medical - Physician 943 N Linder Rd Ste 103 Assistant NPI: 1245321942 Kuna, ID 83634 1623 S Wells Ave Kaylor, Michael MD NPI: 1972805943 (208) 922-3355 Family Medicine 435 S Eagle Rd Meridian, ID 83642 NPI: 1104878610 Eagle, ID 83616 (208) 489-1450 435 S Eagle Rd (208) 939-8200 Finnegan, Jordan PA ~✤ Eagle, ID 83616 Medical - Physician Barron, Gregory NP ~✤ (208) 939-8200 Assistant Schlickman, Louis MD ✤ Family Nurse Practitioner NPI: 1396106928 NPI: 1932447695 Internal Medicine 943 N Linder Rd Ste 103 Lair, Susanne MD ~✤ NPI: 1629022116 3080 E Gentry Way Ste Kuna, ID 83634 100 Internal Medicine 1139 E Winding Creek Dr (208) 922-3355 NPI: 1437198884 Eagle, ID 83616 Meridian, ID 83642 3101 E State St Ste 2120 (208) 938-8887 (208) 286-8670 Eagle, ID 83616 (208) 473-3275 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

10 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Beach, A Pendleton MD ~ Bordes, Shannon NP ~✤ Castellano, Patrick Crum, Sonya NP ~✤ Family Medicine Nurse Practitioner PA ~✤ Family Nurse Practitioner NPI: 1912968892 NPI: 1851831200 Physician Assistant NPI: 1720341456 2275 S Eagle Rd Ste 120 3115 E Florence St NPI: 1689856809 1623 S Wells Ave Meridian, ID 83642 Meridian, ID 83642 1623 S Wells Ave Meridian, ID 83642 (208) 514-2500 (208) 895-8670 Meridian, ID 83642 (208) 489-1450 Spanish (208) 489-1450 Brown, Hayley NP ~✤ Crump, William MD ~✤ Beach, Kelly PA ~✤ Family Nurse Practitioner Church, Nathan PA ~✤ Family Medicine Physician Assistant NPI: 1518395169 Medical - Physician NPI: 1740232529 NPI: 1649668765 3399 E Louise Dr Ste 100 Assistant 3399 E Louise Dr Ste 100 1623 S Wells Ave Meridian, ID 83642 NPI: 1386635977 Meridian, ID 83642 Meridian, ID 83642 (208) 887-6813 1623 S Wells Ave (208) 887-6813 (208) 489-1450 Meridian, ID 83642 Buersmeyer, Patricia (208) 489-1450 Davies, Danielle MD ~ Beaufort, Bradley DO ~✤ MD ~✤ Family Medicine Family Medicine Internal Medicine Cook, Jennifer NP ~✤ NPI: 1871904789 NPI: 1063851434 NPI: 1104816198 Nurse Practitioner 2275 S Eagle Rd Ste 120 2347 E Gala St Ste 150 3277 E Louise Dr Ste 200 NPI: 1073858049 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 1618 S Millennium Wy Ste (208) 514-2500 (208) 345-3530 (208) 884-2920 100 Tagalog Meridian, ID 83642 Davis, Toby DO ~✤ (208) 884-3376 Family Medicine Berglund, J Alexander Burch, Joel PA ~✤ Medical - Physician NPI: 1891987467 MD ~✤ Assistant Crawford, Christian 3399 E Louise Dr Ste 100 Internal Medicine NPI: 1679918536 PA ~✤ Meridian, ID 83642 NPI: 1184915183 1623 S Wells Ave Physician Assistant (208) 288-2255 520 S Eagle Rd Ste 3102 Meridian, ID 83642 NPI: 1427303478 Meridian, ID 83642 (208) 489-1450 1623 S Wells Ave Dawson, Jill NP ~✤ (208) 706-5100 Meridian, ID 83642 Nurse Practitioner (208) 489-1450 NPI: 1801908140 Blanchard, Jordan Burch, Joel PA ~✤ Medical - Physician 3520 E Louise Dr MD ~✤ Assistant Crawford, Christian Meridian, ID 83642 Family Medicine NPI: 1679918536 PA ~✤ (208) 888-0909 NPI: 1356630941 3115 E Florence St Physician Assistant 2855 E Magic View Dr Meridian, ID 83642 NPI: 1427303478 Dirmann, Carla NP ~✤ Meridian, ID 83642 (208) 895-8670 1648 Nw 1St St Family Nurse Practitioner (208) 639-4900 Meridian, ID 83642 NPI: 1851624282 Carles, Toni NP ~✤ (208) 888-9393 2131 S Bonito Way Bordes, Shannon NP ~✤ Family Nurse Practitioner Meridian, ID 83642 Nurse Practitioner NPI: 1144527607 Cressey, Yvette DO ~✤ (208) 489-9500 NPI: 1851831200 1623 S Wells Ave Family Medicine 1130 E Fairview Ave Meridian, ID 83642 NPI: 1497759088 Downey, Paddy PA ~✤ Meridian, ID 83642 (208) 489-1450 3277 E Louise Dr Ste 200 Medical - Physician (208) 888-9393 Meridian, ID 83642 Assistant (208) 884-2920 NPI: 1972905453 Bordes, Shannon NP ~✤ 1623 S Wells Ave Nurse Practitioner Meridian, ID 83642 NPI: 1851831200 (208) 489-1450 1648 Nw 1St St Meridian, ID 83642 (208) 888-9393 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

11 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Downey, Paddy PA ~✤ Gopon, Tobias MD ~✤ Holland, Robert MD ~✤ King, Amanda NP ~✤ Medical - Physician Family Medicine Family Medicine Nurse Practitioner Assistant NPI: 1508152257 NPI: 1356348015 NPI: 1790053338 NPI: 1972905453 520 S Eagle Rd Ste 3213 3399 E Louise Dr Ste 100 2016 S Eagle Rd 1648 Nw 1St St Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 706-2663 (208) 288-2255 (208) 887-6810 (208) 888-9393 German Holliday, Jennifer MD ~ Kittelson, Brian NP ~✤ Downey, Paddy PA ~✤ Hall, D Eric DO ~✤ Family Medicine Family Nurse Practitioner Medical - Physician Family Medicine NPI: 1538320676 NPI: 1730234345 Assistant NPI: 1780671347 2275 S Eagle Rd Ste 120 3277 E Louise Dr Ste 200 NPI: 1972905453 3399 E Louise Dr Ste 100 Meridian, ID 83642 Meridian, ID 83642 3115 E Florence St Meridian, ID 83642 (208) 514-2500 (208) 884-2920 Meridian, ID 83642 (208) 887-6813 (208) 895-8670 Spanish Hudon, Tyler MD ~✤ Laky, Devin MD ~✤ Family Medicine Family Medicine Elder, Becky NP ~✤ Hasty, Robert DO ~✤ NPI: 1295097012 NPI: 1154732212 Nurse Practitioner Internal Medicine 1130 E Fairview Ave 3399 E Louise Dr Ste 100 NPI: 1417938473 NPI: 1407812175 Meridian, ID 83642 Meridian, ID 83642 520 S Eagle Rd Ste 3209 520 S Eagle Rd (208) 888-9393 (208) 288-2255 And 3219 Meridian, ID 83642 Meridian, ID 83642 (208) 706-5000 Jardine, Suzanne NP ~✤ Lamb, Sean PA ~✤ (208) 345-5250 Spanish Family Nurse Practitioner Physician Assistant NPI: 1306390380 NPI: 1053763896 Ellefson, Shauna NP ~✤ Henao, Gloria MD ~✤ 1648 Nw 1St St 1130 E Fairview Ave Nurse Practitioner Internal Medicine Meridian, ID 83642 Meridian, ID 83642 NPI: 1588943435 NPI: 1306036835 (208) 888-9393 (208) 888-9393 1620 S Celebration Ave 2131 S Bonito Way Meridian, ID 83642 Meridian, ID 83642 Johnson, Frank MD ~✤ Leonard, Bryce PA ~ (208) 884-1030 (208) 489-9500 Internal Medicine Physician Assistant Spanish NPI: 1841249307 NPI: 1356743843 Frix, Jeremy PA ✤ 520 S Eagle Rd Ste 3102 520 S Eagle Rd Ste 1241 Physician Assistant Hicks, Michelle NP ~✤ Meridian, ID 83642 Meridian, ID 83642 NPI: 1164450862 Adult Health Nurse (208) 706-5100 (208) 381-6930 1623 S Wells Ave Practitioner, Family Meridian, ID 83642 Medicine Kerr, Mary MD ~✤ Loewenstein, Timothy (208) 489-1450 NPI: 1508973991 Family Medicine PA ✤ 520 S Eagle Rd Ste 3211 NPI: 1144244054 Medical - Physician Frix, Jeremy PA ✤ Meridian, ID 83642 3277 E Louise Dr Ste 200 Assistant Physician Assistant (208) 706-5930 Meridian, ID 83642 NPI: 1376597377 NPI: 1164450862 (208) 884-2920 1623 S Wells Ave 1648 Nw 1St St Hodges, Timothy DO ✤ Spanish Meridian, ID 83642 Meridian, ID 83642 Family Medicine (208) 489-1450 (208) 888-9393 NPI: 1225027253 Kfoury, Abdallah MD ~✤ 1648 Nw 1St St Internal Medicine Loewenstein, Timothy Meridian, ID 83642 NPI: 1134132681 PA ✤ (208) 888-9393 3525 E Louise Dr Ste 400 Medical - Physician Meridian, ID 83642 Assistant (208) 322-1680 NPI: 1376597377 French 3115 E Florence St Meridian, ID 83642 (208) 895-8670 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

12 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Loveland, William Michaud, Mark MD ✤ Pellant, Angela MD ~✤ Relyea, Ramon PA ~✤ MD ~✤ Family Medicine Family Medicine Medical - Physician Family Medicine NPI: 1780621128 NPI: 1780626358 Assistant NPI: 1831140854 1623 S Wells Ave 1828 S Millennium Way NPI: 1972805943 1828 S Millennium Way Meridian, ID 83642 Ste 300 3115 E Florence St Ste 300 (208) 489-1450 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 895-8775 (208) 895-8670 (208) 895-8775 Miltner, Natasha MD ~✤ Japanese Internal Medicine Poinier, Anne MD ~✤ Reynolds, Catherine NPI: 1396832770 Internal Medicine MD ~✤ Maffey, Jenna PA ~✤ 520 S Eagle Rd Ste 3102 NPI: 1962451138 Family Medicine Medical - Physician Meridian, ID 83642 520 S Eagle Rd Ste 3102 NPI: 1104868884 Assistant (208) 706-5100 Meridian, ID 83642 2347 E Gala St Ste 150 NPI: 1467787598 (208) 706-5100 Meridian, ID 83642 1623 S Wells Ave Morgan, Tracy MD ~✤ (208) 345-3530 Meridian, ID 83642 Family Medicine Powers, Benjamin (208) 489-1450 NPI: 1346277118 MD ~✤ Rios, Raul PA ~✤ 2347 E Gala St Ste 150 Internal Medicine Physician Assistant Maffey, Jenna PA ~✤ Meridian, ID 83642 NPI: 1841204567 NPI: 1376851725 Medical - Physician (208) 345-3530 520 S Eagle Rd Ste 3102 1623 S Wells Ave Assistant Meridian, ID 83642 Meridian, ID 83642 NPI: 1467787598 Morrill, Scott PA ~✤ (208) 706-5100 (208) 489-1450 3115 E Florence St Medical - Physician Spanish Meridian, ID 83642 Assistant Proffitt, Frannie PA ~✤ (208) 895-8670 NPI: 1033354915 Physician Assistant Robbins, Jeffrey NP ✤ 1623 S Wells Ave NPI: 1356694384 Family Nurse Practitioner Martin-Thompson, Meridian, ID 83642 3115 E Florence St NPI: 1669408514 Michelle MD ~✤ (208) 489-1450 Meridian, ID 83642 1130 E Fairview Ave Internal Medicine (208) 895-8670 Meridian, ID 83642 NPI: 1730306705 Noel, Brenton PA ~✤ (208) 888-9393 520 S Eagle Rd Physician Assistant Reed, Bonnie MD ~✤ Spanish, Portugese Meridian, ID 83642 NPI: 1275961765 Family Medicine (208) 706-5000 1623 S Wells Ave NPI: 1093155814 Robbins, Jeffrey NP ✤ Meridian, ID 83642 3399 E Louise Dr Ste 100 Family Nurse Practitioner Mcdermott, J David (208) 489-1450 Meridian, ID 83642 NPI: 1669408514 PA ~✤ (208) 887-6813 1623 S Wells Ave Physician Assistant Olsen, Shayne DO ~✤ Meridian, ID 83642 NPI: 1689627069 Internal Medicine Relyea, Ramon PA ~✤ (208) 489-1450 520 S Eagle Rd Ste 3102 NPI: 1841320900 Medical - Physician Spanish, Portugese Meridian, ID 83642 520 S Eagle Rd Assistant (208) 706-5100 Meridian, ID 83642 NPI: 1972805943 Robbins, Jeffrey NP ✤ (208) 706-5000 1623 S Wells Ave Family Nurse Practitioner Mcrae, John NP ~ Meridian, ID 83642 NPI: 1669408514 Family Nurse Practitioner Patterson, Julie PA ~✤ (208) 489-1450 3115 E Florence St NPI: 1750838504 Meridian, ID 83642 1067 S Wells St Ste 110 Physician Assistant, Family Medicine (208) 895-8670 Meridian, ID 83642 Spanish, Portugese (208) 895-8486 NPI: 1275866139 520 S Eagle Rd Ste 3213 Meridian, ID 83642 (208) 706-2663 Chinese

13 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Roberts, Rick MD ~✤ Slade, Jason MD ~✤ Thurmond, Elizabeth Wilson, Ryan PA ~✤ Internal Medicine Internal Medicine NP ~✤ Physician Assistant NPI: 1558351551 NPI: 1750672481 Nurse Practitioner NPI: 1174980346 3277 E Louise Dr Ste 200 2131 S Bonito Way NPI: 1902124142 1623 S Wells Ave Meridian, ID 83642 Meridian, ID 83642 520 S Eagle Rd Meridian, ID 83642 (208) 884-2920 (208) 489-9500 Meridian, ID 83642 (208) 489-1450 Spanish (208) 706-5000 Snyder, Nancy NP ~ Wilson, Sara NP ~✤ Ross, Allyson MD ~ Family Nurse Practitioner Tomey, David PA ~✤ Nurse Practitioner Family Medicine NPI: 1801910435 Physician Assistant NPI: 1417338104 NPI: 1306157466 2275 S Eagle Rd Ste 120 NPI: 1841233160 745 S Progress Ave Ste 120 2275 S Eagle Rd Ste 120 Meridian, ID 83642 2985 S Meridian Rd Ste Meridian, ID 83642 Meridian, ID 83642 (208) 514-2500 100 (208) 795-5073 (208) 514-2500 Meridian, ID 83642 Sparks, Toni NP ~ (208) 287-9444 Ross, Daniel MD ~ Family Nurse Practitioner Woodlief, Justin MD ~✤ Internal Medicine Family Medicine NPI: 1356454839 Vanden Beld, Klaas NPI: 1104112853 2275 S Eagle Rd Ste 120 NPI: 1184062911 2275 S Eagle Rd Ste 120 Meridian, ID 83642 NP ~✤ 520 S Eagle Rd Ste 3102 Meridian, ID 83642 (208) 514-2500 Nurse Practitioner Meridian, ID 83642 (208) 514-2500 NPI: 1073049235 (208) 706-5100 Spanish 3277 E Louise Dr Ste 410 Stone, Janine MD ~✤ Meridian, ID 83642 83646 Family Medicine (208) 489-5800 Scott, Julie PA ~✤ NPI: 1306948062 Beattie, Christie NP ~ Medical - Physician 1648 Nw 1St St Nurse Practitioner Assistant Meridian, ID 83642 Vickers, Amber PA ~✤ NPI: 1164734240 NPI: 1811001415 (208) 888-9393 Physician Assistant 790 W Ustick Rd Ste 110 1828 S Millennium Way NPI: 1114964616 Meridian, ID 83646 1623 S Wells Ave (208) 639-3990 Ste 300 Stowell, Patrick MD ✤ Meridian, ID 83642 Meridian, ID 83642 Family Medicine (208) 489-1450 (208) 895-8775 NPI: 1720022239 Clinger, Mark MD ✤ 1623 S Wells Ave Family Medicine Serio Iii, Vincent MD ~ Meridian, ID 83642 Vickers, Amber PA ~✤ NPI: 1699769471 General Practice (208) 489-1450 Physician Assistant 1900 W Chinden Blvd NPI: 1750509725 NPI: 1114964616 Meridian, ID 83646 2275 S Eagle Rd Ste 120 3115 E Florence St (208) 809-2860 Meridian, ID 83642 Terrell, Stephanie NP ~✤ Meridian, ID 83642 Cantonese (208) 514-2500 Nurse Practitioner (208) 895-8670 NPI: 1336127190 Crownover, Brian 3520 E Louise Dr Shalz, Jennifer MD ~✤ Meridian, ID 83642 Wells, Becky PA ~✤ MD ~✤ Internal Medicine (208) 888-0909 Medical - Physician Family Medicine NPI: 1245346303 Assistant NPI: 1295729085 3525 E Louise Dr Ste 500 NPI: 1780617811 2428 N Stokesberry Pl Meridian, ID 83642 Thornton, Eli NP ~✤ 1623 S Wells Ave Meridian, ID 83646 (208) 706-7050 Family Nurse Practitioner Meridian, ID 83642 (208) 895-0050 NPI: 1427480201 (208) 489-1450 Shepherdson, Nikole 1623 S Wells Ave Develle, Robyn NP ~ DO ~ Meridian, ID 83642 Wertzler, Kelsey MD ~ Nurse Practitioner Family Medicine (208) 489-1450 Family Medicine NPI: 1215954862 NPI: 1760610950 NPI: 1659782829 750 W Ustick Rd Ste 100 2275 S Eagle Rd Ste 120 2275 S Eagle Rd Ste 120 Meridian, ID 83646 Meridian, ID 83642 Meridian, ID 83642 (208) 639-1397 (208) 514-2500 (208) 514-2500 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

14 Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido

Galloway, Amy NP ~✤ Adams Carbol, Courtland Kjos, Melissa MD ~✤ Family Nurse Practitioner Council MD ~✤ Family Medicine NPI: 1306817226 Family Medicine NPI: 1164861340 3140 W Milano Dr Ste 150 83612 NPI: 1780610071 79 N Main St Meridian, ID 83646 Blanchard, Jordan 79 N Main St Downey, ID 83234 (208) 887-4775 Downey, ID 83234 (208) 897-5600 MD ~✤ (208) 897-5600 Family Medicine Morrison, Chelsie Guy, Rebecca NP ~✤ NPI: 1356630941 Family Nurse Practitioner 205 N Berkley St Edmo, Helene NP ~✤ MD ~✤ NPI: 1740532720 Council, ID 83612 Primary Care Nurse Family Medicine 3140 W Milano Dr Ste 150 (208) 253-4242 Practitioner, Nurse NPI: 1710111935 Meridian, ID 83646 Practitioner 79 N Main St (208) 887-4775 NPI: 1699767004 Downey, ID 83234 Warner, Susan NP ~✤ 79 N Main St (208) 897-5600 Family Nurse Practitioner Kropf, Mark MD ~✤ Downey, ID 83234 NPI: 1942359898 (208) 897-5600 Family Medicine 205 N Berkley St Pabawena, Amy NP ~✤ NPI: 1528052636 Council, ID 83612 Family Nurse Practitioner 3140 W Milano Dr Ste 150 (208) 253-4242 Fletcher, Zuzana NP ~✤ NPI: 1821545211 Meridian, ID 83646 Family Nurse Practitioner 79 N Main St (208) 887-4775 Bannock NPI: 1902234701 Downey, ID 83234 Italian 79 N Main St (208) 897-5600 Chubbuck Downey, ID 83234 Partridge, Christopher 83202 (208) 897-5600 Ragan, Joseph MD ~✤ MD ~✤ Family Medicine Family Medicine Clifford, Kyle MD ~✤ Fries-Geslin, Kelli NP ~✤ NPI: 1659324499 NPI: 1497848766 Family Medicine Family Nurse Practitioner 79 N Main St 2428 N Stokesberry Pl NPI: 1841285590 NPI: 1518415942 Downey, ID 83234 Meridian, ID 83646 4750 Yellowstone Ave 79 N Main St (208) 897-5600 (208) 895-0050 Chubbuck, ID 83202 Downey, ID 83234 (208) 251-0316 (208) 897-5600 Sanderson, Jennifer Ross, Allyson MD ~✤ NP ~✤ Family Medicine Downey Higbee, Logan PA ~✤ Family Nurse Practitioner NPI: 1306157466 83234 Physician Assistant NPI: 1730582271 3140 W Milano Dr Ste 150 NPI: 1992019202 79 N Main St Meridian, ID 83646 Bieniasz, Paul PA ~✤ 79 N Main St Downey, ID 83234 (208) 887-4775 Medical - Physician Downey, ID 83234 (208) 897-5600 Assistant (208) 897-5600 NPI: 1518934181 Wilson, Kevin MD ~✤ 79 N Main St Schaper, Heather PA ~✤ Family Medicine Downey, ID 83234 Horrocks, Mark MD ~✤ Medical - Physician NPI: 1225080732 (208) 897-5600 Family Medicine Assistant 3140 W Milano Dr Ste 150 NPI: 1700885258 NPI: 1073840401 Meridian, ID 83646 79 N Main St 79 N Main St (208) 887-4775 Bokelmann, Jean MD ~✤ Downey, ID 83234 Downey, ID 83234 Spanish Family Medicine (208) 897-5600 (208) 897-5600 NPI: 1487649141 Spanish 79 N Main St Downey, ID 83234 Karroum, Brandi NP ~✤ (208) 897-5600 Family Nurse Practitioner NPI: 1548517972 79 N Main St Downey, ID 83234 (208) 897-5600

15 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Smith, Dean DO ~✤ Fletcher, Zuzana NP ~✤ Pabawena, Amy NP ~✤ Adams, Karla NP ~✤ Family Medicine Family Nurse Practitioner Family Nurse Practitioner Nurse Practitioner NPI: 1144252099 NPI: 1902234701 NPI: 1821545211 NPI: 1851791115 79 N Main St 85 S 5Th W 85 S 5Th W 353 N 4Th Ave Ste 102 Downey, ID 83234 Lava Hot Spring, ID 83246 Lava Hot Spring, ID 83246 Pocatello, ID 83201 (208) 897-5600 (208) 776-5202 (208) 776-5202 (208) 478-7900

Weinhold, Ana MD ~✤ Fries-Geslin, Kelli NP ~✤ Ragan, Joseph MD ~✤ Adams, Rebecca MD ~✤ Family Medicine Family Nurse Practitioner Family Medicine Family Medicine NPI: 1932369568 NPI: 1518415942 NPI: 1659324499 NPI: 1689610842 79 N Main St 85 S 5Th W 85 S 5Th W 1595 Yellowstone Ave Downey, ID 83234 Lava Hot Spring, ID 83246 Lava Hot Spring, ID 83246 Pocatello, ID 83201 (208) 897-5600 (208) 776-5202 (208) 776-5202 (208) 233-0032

Lava Hot Spring Higbee, Logan PA ~✤ Schaper, Heather PA ~✤ Andres, Matthew DO ~✤ 83246 Physician Assistant Medical - Physician Family Medicine NPI: 1992019202 Assistant NPI: 1366602963 Bieniasz, Paul PA ~✤ 85 S 5Th W NPI: 1073840401 1000 N 8Th Ave Medical - Physician Lava Hot Spring, ID 83246 85 S 5Th W Pocatello, ID 83201 Assistant (208) 776-5202 Lava Hot Spring, ID 83246 (208) 232-6260 NPI: 1518934181 (208) 776-5202 85 S 5Th W Horrocks, Mark MD ~✤ Spanish Andres, Matthew DO ~✤ Lava Hot Spring, ID 83246 Family Medicine Family Medicine (208) 776-5202 NPI: 1700885258 Smith, Dean DO ~✤ NPI: 1366602963 85 S 5Th W Family Medicine 465 Memorial Dr Bokelmann, Jean MD ~✤ Lava Hot Spring, ID 83246 NPI: 1144252099 Pocatello, ID 83201 Family Medicine (208) 776-5202 85 S 5Th W (208) 234-4700 NPI: 1487649141 Lava Hot Spring, ID 83246 85 S 5Th W Karroum, Brandi NP ~✤ (208) 776-5202 Anghel, Gabriela MD ~✤ Lava Hot Spring, ID 83246 Family Nurse Practitioner Internal Medicine (208) 776-5202 NPI: 1548517972 Weinhold, Ana MD ~✤ NPI: 1598196784 85 S 5Th W Family Medicine 500 S 11Th St Ste 303 Carbol, Courtland Lava Hot Spring, ID 83246 NPI: 1932369568 Pocatello, ID 83201 MD ~✤ (208) 776-5202 85 S 5Th W (208) 239-3815 Family Medicine Lava Hot Spring, ID 83246 Romanian NPI: 1780610071 Kjos, Melissa MD ~✤ (208) 776-5202 85 S 5Th W Family Medicine Bailey, Jordan MD ~✤ Lava Hot Spring, ID 83246 Pocatello (208) 776-5202 NPI: 1164861340 Family Medicine 85 S 5Th W 83201 NPI: 1225124936 Lava Hot Spring, ID 83246 151 N 4Th Ave Ste B Edmo, Helene NP ~✤ (208) 776-5202 Adams, Karla NP ~✤ Pocatello, ID 83201 Primary Care Nurse Nurse Practitioner (208) 269-7147 Practitioner, Nurse Morrison, Chelsie NPI: 1851791115 Practitioner MD ~✤ 1151 Hospital Way Bldg D Bailey, Jordan MD ~✤ NPI: 1699767004 Family Medicine Ste 100 Family Medicine 85 S 5Th W NPI: 1710111935 Pocatello, ID 83201 NPI: 1225124936 Lava Hot Spring, ID 83246 85 S 5Th W (208) 239-8010 777 Hospital Way (208) 776-5202 Lava Hot Spring, ID 83246 Pocatello, ID 83201 (208) 776-5202 (208) 239-1417

16 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Barnhart, Carolyn Blake Odoherty, Beverley Burton, Bradley MD ~✤ Christensen, Kelli NP ~✤ NP ~✤ Family Medicine MD ~✤ Nurse Practitioner Family Nurse Practitioner NPI: 1093818239 Family Medicine NPI: 1033190582 NPI: 1821166539 2006 Birdie Thompson Dr NPI: 1366443699 110 Vista Dr 777 Hospital Way Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201 Pocatello, ID 83201 (208) 232-1132 Pocatello, ID 83201 (801) 213-3599 (208) 239-1417 (208) 239-1417 Burton, Bradley MD ~✤ Bartlett, Trevor NP ~✤ Bokelmann, Jean MD ~✤ Family Medicine Clark, Sharla DO ~ Family Nurse Practitioner Family Medicine NPI: 1093818239 Family Medicine NPI: 1639442973 NPI: 1487649141 2006 Birdie Thompson Ln NPI: 1093078578 1595 Yellowstone Ave 1000 N 8Th Ave Pocatello, ID 83201 777 Hospital Way Bldg A Pocatello, ID 83201 Pocatello, ID 83201 (208) 232-1132 Ste 300 (208) 233-0032 (208) 232-6260 Pocatello, ID 83201 (208) 232-6100 Burton, Bradley MD ~✤ Battaglia, Marisa MD ~✤ Bokelmann, Jean MD ~ Family Medicine Family Medicine Family Medicine NPI: 1093818239 Clegg, Michelle NP ~✤ NPI: 1093074577 NPI: 1487649141 777 Hospital Way Nurse Practitioner, Family 110 Vista Dr 1901 Alvin Ricken Dr Pocatello, ID 83201 Medicine, Obstetrics & Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-1417 Gynecology (801) 213-3599 (208) 233-9080 NPI: 1770653917 Carbol, Courtland 495 Yellowstone Ave Bokelmann, Jean MD ~✤ Pocatello, ID 83201 Battaglia, Sam MD ~✤ MD ~✤ (208) 478-7422 Family Medicine Family Medicine Family Medicine NPI: 1255383055 NPI: 1487649141 NPI: 1780610071 110 Vista Dr 465 Memorial Dr 1000 N 8Th Ave Clinger, Mark MD ✤ Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 Family Medicine (801) 213-3599 (208) 234-4700 (208) 232-6260 NPI: 1699769471 110 Vista Dr Pocatello, ID 83201 Belzer, Bruce MD ~✤ Boll, Kara NP ~✤ Carbol, Courtland Family Nurse Practitioner (801) 213-3599 Family Medicine MD ~✤ Cantonese NPI: 1083666382 NPI: 1417498890 Family Medicine 110 Vista Dr 1595 Yellowstone Ave NPI: 1780610071 Pocatello, ID 83201 Pocatello, ID 83201 465 Memorial Dr Cree, Jonathan MD ~✤ (801) 213-3599 (208) 233-0032 Pocatello, ID 83201 Family Medicine (208) 234-4700 NPI: 1144213554 Bowers, Paul NP ~✤ 1000 N 8Th Ave Bieniasz, Paul PA ~✤ Pocatello, ID 83201 Medical - Physician Family Nurse Practitioner Christensen, Kelli NPI: 1386682862 (208) 232-6260 Assistant MD ~✤ French, German NPI: 1518934181 1133 Call Creek Pl Ste A Family Medicine 1000 N 8Th Ave Pocatello, ID 83201 NPI: 1366443699 Pocatello, ID 83201 (208) 232-1000 465 Memorial Dr Cree, Jonathan MD ~✤ (208) 232-6260 Pocatello, ID 83201 Family Medicine Brumfield, Troy DO ~✤ (208) 234-4700 NPI: 1144213554 Family Medicine 465 Memorial Dr Bieniasz, Paul PA ~✤ Pocatello, ID 83201 Medical - Physician NPI: 1265541494 1595 Yellowstone Ave (208) 234-4700 Assistant French, German NPI: 1518934181 Pocatello, ID 83201 465 Memorial Dr (208) 233-0032 Pocatello, ID 83201 Spanish, American Sign (208) 234-4700 Language

17 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Cree, Jonathan MD ~✤ Dillion - Bialobzeski, Fenstermaker, John Fletcher, Zuzana NP ~✤ Family Medicine April DO ~✤ DO ~✤ Family Nurse Practitioner NPI: 1144213554 Family Medicine Family Medicine NPI: 1902234701 777 Hospital Way NPI: 1033329842 NPI: 1548581390 465 Memorial Dr Pocatello, ID 83201 110 Vista Dr 465 Memorial Dr Pocatello, ID 83201 (208) 239-1417 Pocatello, ID 83201 Pocatello, ID 83201 (208) 234-4700 French, German (801) 213-3599 (208) 234-4700 Follett, Stephanie NP ~✤ Curtis, Larry MD ~✤ Dockter, Lisa MD ~✤ Fenstermaker, John Family Nurse Practitioner Family Medicine Family Medicine DO ~✤ NPI: 1912311929 NPI: 1295804425 NPI: 1285689034 Family Medicine 110 Vista Dr 1595 Yellowstone Ave 110 Vista Dr NPI: 1548581390 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 777 Hospital Way (801) 213-3599 (208) 233-0032 (801) 213-3599 Pocatello, ID 83201 Spanish (208) 239-1417 Follett, Stephanie NP ~✤ Daniels, David DO ~✤ Family Nurse Practitioner Family Medicine Duff, Robert NP ~✤ Fernandez, Luis MD ~✤ NPI: 1912311929 NPI: 1972549137 Nurse Practitioner Family Medicine 1951 Bench Rd Ste B 1595 Yellowstone Ave NPI: 1801089255 NPI: 1841299302 Pocatello, ID 83201 Pocatello, ID 83201 110 Vista Dr 465 Memorial Dr (208) 238-1000 (208) 233-0032 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (208) 234-4700 Fowler, Randall MD ~✤ Danowski, Dustin Spanish Family Medicine DO ~✤ Edmo, Helene NP ~✤ NPI: 1154344059 Family Medicine Primary Care Nurse Fernandez, Luis MD ~✤ 500 S 11Th St Ste 500 NPI: 1821435868 Practitioner, Nurse Family Medicine Pocatello, ID 83201 110 Vista Dr Practitioner NPI: 1841299302 (208) 239-1940 Pocatello, ID 83201 NPI: 1699767004 500 S 11Th St Ste 303 (801) 213-3599 1000 N 8Th Ave Pocatello, ID 83201 Fries-Geslin, Kelli NP ~✤ Pocatello, ID 83201 (208) 239-3815 Family Nurse Practitioner Davenport, Melissa (208) 232-6260 Spanish NPI: 1518415942 PA ~✤ 1000 N 8Th Ave Medical - Physician Edmo, Helene NP ~✤ Fernandez, Luis MD ~✤ Pocatello, ID 83201 Assistant Primary Care Nurse Family Medicine (208) 232-6260 NPI: 1538425822 Practitioner, Nurse NPI: 1841299302 1595 Yellowstone Ave Practitioner 777 Hospital Way Ste 201 Fries-Geslin, Kelli NP ~✤ Pocatello, ID 83201 NPI: 1699767004 Pocatello, ID 83201 Family Nurse Practitioner (208) 233-0032 465 Memorial Dr (208) 239-2620 NPI: 1518415942 Pocatello, ID 83201 Spanish 465 Memorial Dr Dekker, Ruth ARNP ~✤ (208) 234-4700 Pocatello, ID 83201 Nurse Practitioner Fletcher, Zuzana NP ~✤ (208) 234-4700 NPI: 1275667685 Evans, Travis NP ~✤ Family Nurse Practitioner 777 Hospital Way Nurse Practitioner NPI: 1902234701 Hamblin, Derek MD ~✤ Pocatello, ID 83201 NPI: 1861742702 1000 N 8Th Ave Family Medicine (208) 239-1417 1151 Hospital Way Bldg D Pocatello, ID 83201 NPI: 1790713204 Ste 100 (208) 232-6260 110 Vista Dr Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-8010 (801) 213-3599

18 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Hammar, Bryan MD ~✤ Hill, Kevin MD ~✤ Hudon, Tyler MD ~✤ Kjos, Melissa MD ~✤ Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1841219987 NPI: 1780769075 NPI: 1295097012 NPI: 1164861340 1595 Yellowstone Ave 777 Hospital Way Ste 201 110 Vista Dr 777 Hospital Way Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 233-0032 (208) 239-2722 (801) 213-3599 (208) 239-1417

Hampton, Nicolette Hodges, Timothy DO ~✤ Johnson, Mark DO ~✤ Lyons, Robert MD ~✤ NP ~✤ Family Medicine Family Medicine Family Medicine Nurse Practitioner NPI: 1225027253 NPI: 1376707034 NPI: 1699712034 NPI: 1184083818 110 Vista Dr 110 Vista Dr 110 Vista Dr 1951 Bench Rd Ste B Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (801) 213-3599 (801) 213-3599 (208) 238-1000 Hoffman, Sandra MD ~✤ Karroum, Brandi NP ~✤ Macdonald, Frank Hartman, D David Internal Medicine Family Nurse Practitioner MD ~✤ MD ~✤ NPI: 1518039189 NPI: 1548517972 Family Medicine Family Medicine 777 Hospital Way 1000 N 8Th Ave NPI: 1255602918 NPI: 1588669410 Pocatello, ID 83201 Pocatello, ID 83201 110 Vista Dr 110 Vista Dr (208) 239-1417 (208) 232-6260 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (801) 213-3599 Holmstead, Earl MD ~✤ Karroum, Brandi NP ~✤ Family Medicine Family Nurse Practitioner Maguire, James DO ~✤ Higbee, Logan PA ~✤ NPI: 1790870400 NPI: 1548517972 Family Medicine Physician Assistant 2006 Birdie Thompson Ln 465 Memorial Dr NPI: 1811006091 NPI: 1992019202 Pocatello, ID 83201 Pocatello, ID 83201 1595 Yellowstone Ave 1000 N 8Th Ave (208) 232-1132 (208) 234-4700 Pocatello, ID 83201 Pocatello, ID 83201 (208) 233-0032 (208) 232-6260 Horrocks, Mark MD ~✤ Kjos, Melissa MD ~✤ Family Medicine Family Medicine Mansfield, Mark MD ~✤ Higbee, Logan PA ~ NPI: 1700885258 NPI: 1164861340 Family Medicine Physician Assistant 1000 N 8Th Ave 1000 N 8Th Ave NPI: 1134113251 NPI: 1992019202 Pocatello, ID 83201 Pocatello, ID 83201 110 Vista Dr 1000 N 8Th Ave (208) 232-6260 (208) 232-6260 Pocatello, ID 83201 Pocatello, ID 83201 (208) 234-2300 (208) 232-7862 Horrocks, Mark MD ~✤ Kjos, Melissa MD ~ Family Medicine Family Medicine Mansfield, Mark MD ~✤ Higbee, Logan PA ~✤ NPI: 1700885258 NPI: 1164861340 Family Medicine Physician Assistant 465 Memorial Dr 1000 N 8Th Ave NPI: 1134113251 NPI: 1992019202 Pocatello, ID 83201 Pocatello, ID 83201 110 Vista Dr 465 Memorial Dr (208) 234-4700 (208) 232-7862 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (208) 234-4700 House, Angela DO ~✤ Kjos, Melissa MD ~✤ Family Medicine Family Medicine Martin, Brady DO ~✤ Hill, Jennilee NP ~✤ NPI: 1700828241 NPI: 1164861340 Family Medicine Nurse Practitioner 110 Vista Dr 465 Memorial Dr NPI: 1477840239 NPI: 1386877017 Pocatello, ID 83201 Pocatello, ID 83201 1151 Hospital Way Bldg D 1151 Hospital Way Bldg D (801) 213-3599 (208) 234-4700 Ste 100 Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-8010 (208) 239-8010 Spanish ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

19 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Martin, Brady DO ~✤ Mickelsen, Brandon Moore, Ryan MD ~✤ Nielson, Tyrell PAC ✤ Family Medicine MD ~✤ Family Medicine Physician Assistant NPI: 1477840239 Family Medicine NPI: 1386664654 NPI: 1376858209 2302 E Terry St NPI: 1417987686 110 Vista Dr 1133 Call Creek Pl Ste A Pocatello, ID 83201 1951 Bench Rd Ste B Pocatello, ID 83201 Pocatello, ID 83201 (208) 235-5910 Pocatello, ID 83201 (801) 213-3599 (208) 232-1000 (208) 238-1000 Martin, Brady DO ~✤ Dutch Morrison, Chelsie Olsen, Blaine DO ~✤ Family Medicine MD ~✤ Family Medicine NPI: 1477840239 Mickelsen, Brandon Family Medicine NPI: 1922236454 353 N 4Th Ave Ste 102 MD ~✤ NPI: 1710111935 1951 Bench Rd Ste B Pocatello, ID 83201 Family Medicine 1000 N 8Th Ave Pocatello, ID 83201 (208) 478-7900 NPI: 1417987686 Pocatello, ID 83201 (208) 238-1000 465 Memorial Dr (208) 232-6260 Martinez, Stephen Pocatello, ID 83201 Olsen, Blaine DO ~✤ MD ~✤ (208) 234-4700 Morrison, Chelsie Family Medicine Family Medicine Dutch MD ~✤ NPI: 1922236454 NPI: 1154362804 Family Medicine 777 Hospital Way 110 Vista Dr Mickelsen, Brandon NPI: 1710111935 Pocatello, ID 83201 Pocatello, ID 83201 MD ~✤ 465 Memorial Dr (208) 239-1417 (801) 213-3599 Family Medicine Pocatello, ID 83201 NPI: 1417987686 (208) 234-4700 Pabawena, Amy NP ~✤ Martinsen, Misty NP ~✤ 777 Hospital Way Family Nurse Practitioner Nurse Practitioner Pocatello, ID 83201 Moss, Sheila NP ✤ NPI: 1821545211 NPI: 1467685511 (208) 239-1417 Family Nurse Practitioner 1000 N 8Th Ave 151 N 4Th Ave Ste B Dutch NPI: 1538322060 Pocatello, ID 83201 Pocatello, ID 83201 1151 Hospital Way Bldg D (208) 232-6260 (208) 269-7147 Miller, Whittney NP ~✤ Ste 100 Family Nurse Practitioner Pocatello, ID 83201 Pabawena, Amy NP ~✤ Maynard, Richard NPI: 1467880773 (208) 239-8010 Family Nurse Practitioner DO ~✤ 1595 Yellowstone Ave NPI: 1821545211 Family Medicine Pocatello, ID 83201 Mullins, John MD ~✤ 465 Memorial Dr NPI: 1952395063 (208) 233-0032 Family Medicine Pocatello, ID 83201 110 Vista Dr NPI: 1558307280 (208) 234-4700 Pocatello, ID 83201 Mills, Lavonne MD ✤ 110 Vista Dr (801) 213-3599 Family Medicine Pocatello, ID 83201 Packer, Adam NP ~✤ NPI: 1023036647 (801) 213-3599 Family Nurse Practitioner Mckinlay, Matthew PA ~ 1951 Bench Rd NPI: 1669858734 Physician Assistant Pocatello, ID 83201 Nielsen, Travis DO ~✤ 495 Yellowstone Ave NPI: 1851385538 (208) 233-1167 Family Medicine Pocatello, ID 83201 2240 E Center St NPI: 1730340365 (208) 478-7422 Pocatello, ID 83201 Mills, Lavonne MD ✤ 1951 Bench Rd Ste B Tagalog (208) 233-8344 Family Medicine Pocatello, ID 83201 NPI: 1023036647 (208) 238-1000 Park, Ryan NP ✤ Michaud, Mark MD ✤ 3307 N Stephanie Rd Spanish Family Nurse Practitioner Family Medicine Pocatello, ID 83201 NPI: 1760738728 NPI: 1780621128 (208) 233-1167 1151 Hospital Way Bldg D 110 Vista Dr Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (208) 239-8010

20 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Park, Ryan NP ✤ Redding, Jessica PA ~✤ Rodriguez-Valdivia, Smith, Charalee MD ~✤ Family Nurse Practitioner Physician Assistant Yolanda MD ~✤ Family Medicine NPI: 1760738728 NPI: 1588909261 Family Medicine NPI: 1609036086 285 Vista Dr 2006 Birdie Thompson Ln NPI: 1093701351 110 Vista Dr Pocatello, ID 83201 Pocatello, ID 83201 500 S 11Th St Ste 303 Pocatello, ID 83201 (208) 239-8023 (208) 232-1132 Pocatello, ID 83201 (801) 213-3599 (208) 239-3815 Phail, Paul DO ~✤ Redding, Jessica PA ~✤ Smith, Dean DO ~✤ Family Medicine Physician Assistant Sanderson, Jennifer Family Medicine NPI: 1336554674 NPI: 1588909261 NP ~✤ NPI: 1144252099 110 Vista Dr 333 N 18Th St Ste B3 Family Nurse Practitioner 1000 N 8Th Ave Pocatello, ID 83201 Pocatello, ID 83201 NPI: 1730582271 Pocatello, ID 83201 (801) 213-3599 (208) 232-2146 396 Yellowstone Ave (208) 232-6260 Pocatello, ID 83201 Powell, Kay NP ~✤ Reed, Daniel MD ~✤ (208) 538-3122 Smith, Dean DO ~✤ Nurse Practitioner Family Medicine Family Medicine NPI: 1174581425 NPI: 1699719807 Schaper, Heather PA ~✤ NPI: 1144252099 2302 E Terry St 110 Vista Dr Medical - Physician 465 Memorial Dr Pocatello, ID 83201 Pocatello, ID 83201 Assistant Pocatello, ID 83201 (208) 235-5910 (801) 213-3599 NPI: 1073840401 (208) 234-4700 1000 N 8Th Ave Price, Jared DO ~✤ Reis, Laura DO ~✤ Pocatello, ID 83201 Solbrig, Ronald MD ~✤ Family Medicine Family Medicine (208) 232-6260 Family Medicine NPI: 1093884363 NPI: 1902139066 Spanish NPI: 1487794939 777 Hospital Way Ste G1 110 Vista Dr 465 Memorial Dr Pocatello, ID 83201 Pocatello, ID 83201 Schaper, Heather PA ~✤ Pocatello, ID 83201 (208) 239-2722 (801) 213-3599 Medical - Physician (208) 234-4700 Assistant Ragan, Joseph MD ~✤ Rick, Daniel PA ~✤ NPI: 1073840401 Solbrig, Ronald MD ~✤ Family Medicine Medical - Physician 465 Memorial Dr Family Medicine NPI: 1659324499 Assistant Pocatello, ID 83201 NPI: 1487794939 1000 N 8Th Ave NPI: 1770764136 (208) 234-4700 777 Hospital Way Pocatello, ID 83201 110 Vista Dr Spanish Pocatello, ID 83201 (208) 232-6260 Pocatello, ID 83201 (208) 239-1417 (801) 213-3599 Schelhaas, Kristyn Ragan, Joseph MD ~✤ DO ~✤ Speakman, William Family Medicine Ringo, Shelley MD ~✤ Family Medicine DO ~✤ NPI: 1659324499 Family Medicine NPI: 1366453524 Family Medicine 465 Memorial Dr NPI: 1316143886 110 Vista Dr NPI: 1821034562 Pocatello, ID 83201 110 Vista Dr Pocatello, ID 83201 1595 Yellowstone Ave (208) 234-4700 Pocatello, ID 83201 (801) 213-3599 Pocatello, ID 83201 (801) 213-3599 (208) 233-0032 Shields, Christopher Ragan, Joseph MD ~✤ Family Medicine Robertson, Codie NP ~✤ MD ~✤ Stadler, Patricia NP ~✤ NPI: 1659324499 Family Nurse Practitioner Family Medicine Family Nurse Practitioner 777 Hospital Way NPI: 1134477870 NPI: 1285633065 NPI: 1124569108 Pocatello, ID 83201 110 Vista Dr 465 Memorial Dr 1595 Yellowstone Ave (208) 239-1417 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (208) 234-4700 (208) 233-0032 Spanish

21 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

Stevens, Jordan NP ~✤ Vania, Amber DO ~✤ Warnock, Zachary Weller, Katie NP ~✤ Family Nurse Practitioner Family Medicine MD ~✤ Nurse Practitioner NPI: 1851839542 NPI: 1922311042 Family Medicine NPI: 1275584534 110 Vista Dr 110 Vista Dr NPI: 1164717419 110 Vista Dr Pocatello, ID 83201 Pocatello, ID 83201 777 Hosptial Way Pocatello, ID 83201 (801) 213-3599 (801) 213-3599 Pocatello, ID 83201 (801) 213-3599 (208) 239-1417 Stolworthy, Lloyd Vania, Cyrus DO ~✤ West, Brandon DO ~✤ MD ~✤ Family Medicine Wedler, Trilby NP ~✤ Family Medicine General Practice NPI: 1740593862 Family Nurse Practitioner, NPI: 1750490660 NPI: 1831264878 110 Vista Dr Family Medicine 1133 Call Creek Pl Ste A 110 Vista Dr Pocatello, ID 83201 NPI: 1710232616 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 495 Yellowstone Ave (208) 232-1000 (801) 213-3599 Pocatello, ID 83201 Walker, Kris MD ~✤ (208) 478-7422 Wilkinson, Kelly MD ~✤ Stowell, Patrick MD ~✤ Family Medicine Family Medicine Family Medicine NPI: 1861500613 Wehrle, Lance MD ~✤ NPI: 1245522036 NPI: 1720022239 1951 Bench Rd Ste B Internal Medicine 110 Vista Dr 110 Vista Dr Pocatello, ID 83201 NPI: 1184919607 Pocatello, ID 83201 Pocatello, ID 83201 (208) 238-1000 1151 Hospital Way Bldg D (801) 213-3599 (801) 213-3599 Ste 100 Walsh, Andrea NP ~✤ Pocatello, ID 83201 Willey, Jay DO ~✤ Tews, Megan PA ~✤ Family Nurse Practitioner (208) 239-8010 Family Medicine Physician Assistant NPI: 1376992503 NPI: 1922029412 NPI: 1689965618 1133 Call Creek Pl Ste A Wehrle, Lance MD ~✤ 495 Yellowstone Ave 1595 Yellowstone Ave Pocatello, ID 83201 Internal Medicine Pocatello, ID 83201 Pocatello, ID 83201 (208) 232-1000 NPI: 1184919607 (208) 478-7422 (208) 233-0032 2302 E Terry St Ward, Nathan DO ~✤ Pocatello, ID 83201 Woodhouse, William Thayne, Andrew MD ~✤ Family Medicine (208) 235-5910 MD ~✤ Family Medicine NPI: 1487967089 Family Medicine NPI: 1669405791 110 Vista Dr Weinhold, Ana MD ~✤ NPI: 1760531859 1951 Bench Rd Ste B Pocatello, ID 83201 Family Medicine 465 Memorial Dr Pocatello, ID 83201 (801) 213-3599 NPI: 1932369568 Pocatello, ID 83201 (208) 238-1000 Portugese 1000 N 8Th Ave (208) 234-4700 Pocatello, ID 83201 Thayne, Andrew MD ~✤ Warnock, Zachary (208) 232-6260 Woodhouse, William Family Medicine MD ~✤ MD ~✤ NPI: 1669405791 Family Medicine Weinhold, Ana MD ~✤ Family Medicine 777 Hosptial Way Ste 202 NPI: 1164717419 Family Medicine NPI: 1760531859 Pocatello, ID 83201 1951 Bench Rd Ste B NPI: 1932369568 777 Hospital Way (208) 239-2655 Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 (208) 238-1000 Pocatello, ID 83201 (208) 239-1417 Thomas, George DO ✤ (208) 234-4700 Family Medicine Warnock, Zachary Yerger, James MD ~✤ NPI: 1972540870 MD ~✤ Weinhold, Ana MD ~✤ Family Medicine 110 Vista Dr Family Medicine Family Medicine NPI: 1265477962 Pocatello, ID 83201 NPI: 1164717419 NPI: 1932369568 110 Vista Dr (801) 213-3599 465 Memorial Dr 777 Hospital Way Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 (208) 234-4700 (208) 239-1417

22 Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido

83202 Willey, Jay DO ~✤ Fletcher, Zuzana NP ~✤ Pabawena, Amy NP ~✤ Clegg, Michelle NP ~✤ Family Medicine Family Nurse Practitioner Family Nurse Practitioner Nurse Practitioner, Family NPI: 1922029412 NPI: 1902234701 NPI: 1821545211 Medicine, Obstetrics & 134 W Chubbuck Rd Ste B 880 W Quinn Rd 880 W Quinn Rd Gynecology Pocatello, ID 83202 Pocatello, ID 83204 Pocatello, ID 83204 NPI: 1770653917 (208) 478-7422 (208) 238-3368 (208) 238-3368 134 W Chubbuck Rd Ste B Pocatello, ID 83202 83204 Fries-Geslin, Kelli NP ~✤ Ragan, Joseph MD ~✤ (208) 478-7422 Adams, Karla NP ~✤ Family Nurse Practitioner Family Medicine Nurse Practitioner NPI: 1518415942 NPI: 1659324499 Clifford, Kyle MD ~✤ NPI: 1851791115 880 W Quinn Rd 880 W Quinn Rd Family Medicine 1595 Bannock Hwy Pocatello, ID 83204 Pocatello, ID 83204 NPI: 1841285590 Pocatello, ID 83204 (208) 238-3368 (208) 238-3368 1009 W Quinn Rd (208) 478-8529 Pocatello, ID 83202 Higbee, Logan PA ~✤ Schaper, Heather PA ~✤ (208) 238-0088 Bieniasz, Paul PA ~✤ Physician Assistant Medical - Physician Medical - Physician NPI: 1992019202 Assistant Clifford, Kyle MD ~ Assistant 880 W Quinn Rd NPI: 1073840401 Family Medicine NPI: 1518934181 Pocatello, ID 83204 880 W Quinn Rd NPI: 1841285590 880 W Quinn Rd (208) 238-3368 Pocatello, ID 83204 4750 Yellowstone Ave Pocatello, ID 83204 (208) 238-3368 Pocatello, ID 83202 (208) 238-3368 Horrocks, Mark MD ~✤ Spanish (208) 251-0316 Family Medicine Bokelmann, Jean MD ~✤ NPI: 1700885258 Smith, Dean DO ~✤ Knouf, Gerald MD ~✤ Family Medicine 880 W Quinn Rd Family Medicine Family Medicine NPI: 1487649141 Pocatello, ID 83204 NPI: 1144252099 NPI: 1609989359 880 W Quinn Rd (208) 238-3368 880 W Quinn Rd 190 W Burnside Ave Ste C Pocatello, ID 83204 Pocatello, ID 83204 Pocatello, ID 83202 (208) 238-3368 Karroum, Brandi NP ~✤ (208) 238-3368 (208) 238-0400 Family Nurse Practitioner Carbol, Courtland NPI: 1548517972 Weinhold, Ana MD ~✤ Packer, Adam NP ~✤ MD ~✤ 880 W Quinn Rd Family Medicine Family Nurse Practitioner Family Medicine Pocatello, ID 83204 NPI: 1932369568 NPI: 1669858734 NPI: 1780610071 (208) 238-3368 880 W Quinn Rd 134 W Chubbuck Rd Ste B 880 W Quinn Rd Pocatello, ID 83204 Pocatello, ID 83202 Pocatello, ID 83204 Kjos, Melissa MD ~✤ (208) 238-3368 (208) 478-7422 (208) 238-3368 Family Medicine Tagalog NPI: 1164861340 83209 Edmo, Helene NP ~✤ 880 W Quinn Rd Andres, Matthew DO ~✤ Wedler, Trilby NP ~✤ Primary Care Nurse Pocatello, ID 83204 Family Medicine Family Nurse Practitioner, Practitioner, Nurse (208) 238-3368 NPI: 1366602963 Family Medicine Practitioner 990 Cesar Chavez Ave NPI: 1710232616 NPI: 1699767004 Morrison, Chelsie Pocatello, ID 83209 134 W Chubbuck Rd Ste B 880 W Quinn Rd MD ~✤ (208) 282-2330 Pocatello, ID 83202 Pocatello, ID 83204 Family Medicine (208) 478-7422 (208) 238-3368 NPI: 1710111935 Solbrig, Ronald MD ~✤ 880 W Quinn Rd Family Medicine Pocatello, ID 83204 NPI: 1487794939 (208) 238-3368 990 Cesar Chavez Ave Pocatello, ID 83209 (208) 282-2330

23 Primary Care Providers / Médicos de Cuidados Proveedores

Benewah Fletcher, Zuzana NP ~✤ Pabawena, Amy NP ~✤ Anderson, Shane DO ~✤ Plummer Family Nurse Practitioner Family Nurse Practitioner Internal Medicine NPI: 1902234701 NPI: 1821545211 NPI: 1841289659 83851 330 N Main St 330 N Main St 1350 Pkwy Dr Ste 2 Griffin, June ARNP ~ Aberdeen, ID 83210 Aberdeen, ID 83210 Blackfoot, ID 83221 Family Nurse Practitioner (208) 397-4126 (208) 397-4126 (208) 782-2410 NPI: 1841695574 427 N 12Th Fries-Geslin, Kelli NP ~✤ Ragan, Joseph MD ~✤ Anderson, Shane DO ~✤ Plummer, ID 83851 Family Nurse Practitioner Family Medicine Internal Medicine (208) 686-1931 NPI: 1518415942 NPI: 1659324499 NPI: 1841289659 330 N Main St 330 N Main St 98 Poplar St Vetter, Nichole ARNP ~ Aberdeen, ID 83210 Aberdeen, ID 83210 Blackfoot, ID 83221 Nurse Practitioner (208) 397-4126 (208) 397-4126 (208) 785-4100 NPI: 1881010833 427 N 12Th Plummer, ID 83851 Higbee, Logan PA ~✤ Schaper, Heather PA ~✤ Andres, Matthew DO ~✤ (208) 686-1931 Physician Assistant Medical - Physician Family Medicine NPI: 1992019202 Assistant NPI: 1366602963 330 N Main St NPI: 1073840401 98 Poplar St Bingham Aberdeen, ID 83210 330 N Main St Blackfoot, ID 83221 Aberdeen (208) 397-4126 Aberdeen, ID 83210 (208) 785-4100 (208) 397-4126 83210 Horrocks, Mark MD ~✤ Spanish Averett, Shandra NP ~ Bieniasz, Paul PA ~✤ Family Medicine Family Nurse Practitioner Medical - Physician NPI: 1700885258 Smith, Dean DO ~✤ NPI: 1720580848 Assistant 330 N Main St Family Medicine 98 Poplar St NPI: 1518934181 Aberdeen, ID 83210 NPI: 1144252099 Blackfoot, ID 83221 330 N Main St (208) 397-4126 330 N Main St (208) 785-4100 Aberdeen, ID 83210 Aberdeen, ID 83210 (208) 397-4126 (208) 397-4126 Averett, Shandra NP ~ Karroum, Brandi NP ~✤ Family Nurse Practitioner Family Nurse Practitioner NPI: 1720580848 Bokelmann, Jean MD ~✤ NPI: 1548517972 Weinhold, Ana MD ~✤ 98 Poplar St 3Rd Floor Family Medicine 330 N Main St Family Medicine Blackfoot, ID 83221 NPI: 1487649141 Aberdeen, ID 83210 NPI: 1932369568 (208) 785-3800 330 N Main St (208) 397-4126 330 N Main St Aberdeen, ID 83210 Aberdeen, ID 83210 Barney, Max NP ~ (208) 397-4126 Kjos, Melissa MD ~✤ (208) 397-4126 Family Nurse Practitioner Family Medicine NPI: 1720448590 Carbol, Courtland NPI: 1164861340 Blackfoot 1441 Parkway Dr MD ~✤ 330 N Main St 83221 Blackfoot, ID 83221 Family Medicine Aberdeen, ID 83210 (208) 785-2600 NPI: 1780610071 (208) 397-4126 Adams, Karla NP ~✤ 330 N Main St Nurse Practitioner Beckett, Paul DO ~ Aberdeen, ID 83210 Morrison, Chelsie NPI: 1851791115 Family Medicine (208) 397-4126 315 W Idaho St NPI: 1831115757 MD ~✤ Blackfoot, ID 83221 1441 Parkway Dr Family Medicine (208) 782-3990 Blackfoot, ID 83221 Edmo, Helene NP ~✤ NPI: 1710111935 (208) 785-2600 Primary Care Nurse 330 N Main St Practitioner, Nurse Aberdeen, ID 83210 Adams, Karla NP ~✤ Practitioner (208) 397-4126 Nurse Practitioner NPI: 1699767004 NPI: 1851791115 330 N Main St 98 Poplar St Aberdeen, ID 83210 Blackfoot, ID 83221 (208) 397-4126 (208) 785-4100

24 Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido

Brown, Bradly PA ~✤ Dixon, Gordon DO ~ Harris, Michael MD ~✤ Mckinlay, Kirt MD ~ Family Medicine Family Medicine Family Medicine Family Medicine NPI: 1043598477 NPI: 1578518395 NPI: 1952579021 NPI: 1902843089 326 Poplar St 1441 Parkway Dr 98 Poplar St 1441 Parkway Dr Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 782-2980 (208) 785-2600 (208) 785-4100 (208) 785-2600 French Evans, Travis NP ~✤ Montgomery, Jason NP ~ Brown, Bradly PA ~✤ Family Nurse Practitioner Family Medicine Nurse Practitioner Heatherton, Christopher NPI: 1861742702 NPI: 1013270792 NPI: 1043598477 DO ~✤ 98 Poplar St 98 Poplar St 1350 Pkwy Dr Ste 2 Family Medicine Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 NPI: 1972626786 (208) 785-4100 (208) 785-4100 (208) 782-2410 98 Poplar St Blackfoot, ID 83221 Moser, Francis DO ~ Call, Thomas DO ~✤ Evans, Travis NP ~✤ (208) 782-2980 Family Medicine Family Medicine Nurse Practitioner NPI: 1770541146 NPI: 1699723569 NPI: 1861742702 Hill, Jennilee NP ~✤ 1441 Parkway Dr 98 Poplar St 98 Poplar At Nurse Practitioner Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 NPI: 1386877017 (208) 785-2600 (208) 785-4100 (208) 235-2277 98 Poplar St Blackfoot, ID 83221 Moss, Sheila NP ✤ Clark, Sharla DO ~✤ Evans, Travis NP ~✤ (208) 782-2930 Family Nurse Practitioner Family Medicine Nurse Practitioner Spanish NPI: 1538322060 NPI: 1093078578 NPI: 1861742702 1350 Pkwy Dr Ste 2 98 Poplar St 98 Poplar St Johnson, Brian NP ~✤ Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 Nurse Practitioner (208) 782-2410 (208) 785-4100 (208) 782-3701 NPI: 1962895888 1350 Pkwy Dr Ste 2 Moss, Sheila NP ✤ Clinger, Steven MD ~ Fackrell, Matthew DO ~ Blackfoot, ID 83221 Family Medicine Family Nurse Practitioner Family Medicine (208) 782-2410 NPI: 1538322060 NPI: 1790722841 NPI: 1215968045 1441 Parkway Dr 98 Poplar St 1441 Parkway Dr Kam, Jared MD ~✤ Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 785-2600 Family Medicine (208) 785-4100 (208) 785-2600 NPI: 1508194580 Grimmett, Guss NP ~ 98 Poplar St Park, Ryan NP ✤ Crandall, Alan PA ~✤ Nurse Practitioner Blackfoot, ID 83221 Family Nurse Practitioner Physician Assistant NPI: 1881620730 (208) 785-4100 NPI: 1760738728 NPI: 1770002974 1441 Parkway Dr 98 Poplar St 1350 Pkwy Dr Ste 2 Blackfoot, ID 83221 Martin, Brady DO ~✤ Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 785-2600 Family Medicine (208) 782-3701 (208) 782-2410 NPI: 1477840239 1350 Pkwy Dr Ste 2 Crandall, Alan PA ~ Harris, Michael MD ~✤ Powell, Kay NP ~✤ Family Medicine Blackfoot, ID 83221 Nurse Practitioner Physician Assistant (208) 782-2410 NPI: 1770002974 NPI: 1952579021 NPI: 1174581425 98 Poplar St 98 Poplar At 1350 Pkwy Dr Ste 2 Blackfoot, ID 83221 Blackfoot, ID 83221 Martin, Brady DO ~✤ Blackfoot, ID 83221 (208) 785-4100 (208) 235-2277 Family Medicine (208) 782-2410 French NPI: 1477840239 98 Poplar St Blackfoot, ID 83221 (208) 785-4100

25 Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido

Powell, Kay NP ~✤ Taylor, Joy NP ~ Walker, Bradley NP ✤ Clinger, Steven MD ~ Nurse Practitioner Nurse Practitioner Family Nurse Practitioner Family Medicine NPI: 1174581425 NPI: 1184850141 NPI: 1871563007 NPI: 1790722841 98 Poplar At 1441 Parkway Dr 98 Poplar At 210 S Emerson Ave Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 Shelley, ID 83274 (208) 235-2277 (208) 785-2600 (208) 235-2277 (208) 357-7404 Tew, Kody PA ~ Dixon, Gordon DO ~ Powell, Kay NP ~✤ Medical - Physician Walker, Bradley NP ✤ Family Medicine Nurse Practitioner Assistant Family Nurse Practitioner NPI: 1578518395 NPI: 1174581425 NPI: 1760724744 NPI: 1871563007 210 S Emerson Ave 98 Poplar St 1441 Parkway Dr 98 Poplar St Shelley, ID 83274 Blackfoot, ID 83221 Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 357-7404 (208) 782-2980 (208) 785-2600 (208) 785-4100 Spanish Erickson, Travis DO ~ Reid, Jason MD ~✤ Weatherly, Joseph Family Medicine Internal Medicine Ullery, Gary DO ~✤ DO ~✤ NPI: 1952350431 NPI: 1962727834 Internal Medicine Family Medicine 210 S Emerson Ave 98 Poplar St NPI: 1164785382 NPI: 1417392697 Shelley, ID 83274 Blackfoot, ID 83221 1350 Pkwy Dr Ste 2 1350 Pkwy Dr Ste 2 (208) 357-7404 (208) 785-4100 Blackfoot, ID 83221 Blackfoot, ID 83221 Spanish (208) 782-2410 (208) 782-2410 Evans, Travis NP ~✤ Nurse Practitioner Weatherly, Joseph Rice, Cynthia NP ~✤ Ullery, Gary DO ~✤ NPI: 1861742702 Nurse Practitioner Internal Medicine DO ~✤ 275 W Locust St NPI: 1427041763 NPI: 1164785382 Family Medicine Shelley, ID 83274 98 Poplar At 98 Poplar St NPI: 1417392697 (208) 357-3960 Blackfoot, ID 83221 Blackfoot, ID 83221 98 Poplar At (208) 235-2277 (208) 785-4100 Blackfoot, ID 83221 Fackrell, Matthew DO ~ (208) 235-2277 Family Medicine NPI: 1215968045 Rice, Cynthia NP ~✤ Ulrich, William PA ~✤ 210 S Emerson Ave Nurse Practitioner Medical - Physician Wehrle, Lance MD ~✤ Shelley, ID 83274 NPI: 1427041763 Assistant Internal Medicine (208) 357-7404 98 Poplar St NPI: 1942537923 NPI: 1184919607 Blackfoot, ID 83221 1350 Pkwy Dr Ste 2 625 W Pacific Ste 3 Grimmett, Guss NP ~ (208) 785-4100 Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 782-2410 Nurse Practitioner (208) 782-0500 NPI: 1881620730 Siktel, Hira MD ~✤ Portugese 210 S Emerson Ave Internal Medicine Shelley Shelley, ID 83274 NPI: 1477790962 Wachter, Susan MD ~ 83274 (208) 357-7404 98 Poplar At Internal Medicine Beckett, Paul DO ~ Blackfoot, ID 83221 NPI: 1740450014 Mckinlay, Kirt MD ~ (208) 235-2277 1441 Parkway Dr Family Medicine NPI: 1831115757 Family Medicine Haitian Creole Blackfoot, ID 83221 NPI: 1902843089 (208) 785-2600 210 S Emerson Ave Shelley, ID 83274 210 S Emerson Ave Soucie, Gary MD ~ (208) 357-7404 Shelley, ID 83274 Family Medicine Walker, Bradley NP ✤ (208) 357-7404 NPI: 1255386082 Family Nurse Practitioner 1441 Parkway Dr NPI: 1871563007 Blackfoot, ID 83221 1350 Pkwy Dr Ste 2 (208) 785-2600 Blackfoot, ID 83221 (208) 782-2410

26 Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido

Moser, Francis DO ~ Blaine Hobbs, Caroline Thomas, Laira NP ~✤ Family Medicine Hailey ARNP ~✤ Family Nurse Practitioner NPI: 1770541146 Nurse Practitioner NPI: 1629036264 210 S Emerson Ave 83333 NPI: 1619015385 21 E Maple Ste A Shelley, ID 83274 21 E Maple Ste A Hailey, ID 83333 (208) 357-7404 Batcha, Frank MD ~✤ Hailey, ID 83333 (208) 788-3200 Family Medicine (208) 788-3200 Soucie, Gary MD ~ NPI: 1013961143 Vandenburgh, Cortney Family Medicine 1450 Aviation Dr Ste 100 NPI: 1255386082 Hailey, ID 83333 Levin, Donald DO ~✤ DO ~✤ 210 S Emerson Ave (208) 788-3434 Family Medicine Family Medicine Shelley, ID 83274 NPI: 1841258621 NPI: 1003852849 (208) 357-7404 21 E Maple Ste A 1450 Aviation Dr Ste 100 Busby, Tracey MD ~✤ Hailey, ID 83333 Hailey, ID 83333 Family Medicine (208) 788-3200 (208) 788-3434 Taylor, Joy NP ~ NPI: 1124072251 Nurse Practitioner 1450 Aviation Dr Ste 100 NPI: 1184850141 Hailey, ID 83333 Lyons, Julie MD ~✤ Wade, Carol NP ~✤ 210 S Emerson Ave (208) 788-3434 Family Medicine Nurse Practitioner Shelley, ID 83274 NPI: 1982620787 NPI: 1427085596 (208) 357-7404 1450 Aviation Dr Ste 100 21 E Maple Ste A Drumm, Amy MD ~✤ Hailey, ID 83333 Hailey, ID 83333 Tew, Kody PA ~ Family Medicine, (208) 788-3434 (208) 788-3200 Medical - Physician Obstetrics Assistant NPI: 1083842272 NPI: 1760724744 1450 Aviation Dr Ste 100 Morse, Lucinda MD ~✤ Woods, Kathryn MD ~✤ 210 S Emerson Ave Hailey, ID 83333 Family Medicine Family Medicine Shelley, ID 83274 (208) 788-3434 NPI: 1235170713 NPI: 1083653661 (208) 357-7404 1450 Aviation Dr Ste 100 1450 Aviation Dr Ste 100 Greenberg, Steven Hailey, ID 83333 Hailey, ID 83333 Spanish (208) 788-3434 (208) 788-3434 MD ~✤ Spanish Wachter, Susan MD ~ Family Medicine Internal Medicine NPI: 1407817364 Ketchum NPI: 1740450014 1450 Aviation Dr Ste 100 Paris, Richard MD ~✤ 83340 210 S Emerson Ave Hailey, ID 83333 Family Medicine Shelley, ID 83274 (208) 788-3434 NPI: 1255387874 Busby, Tracey MD ~✤ (208) 357-7404 1450 Aviation Dr Ste 100 Family Medicine Hatzenbuehler, John Hailey, ID 83333 NPI: 1124072251 (208) 788-3434 100 Hospital Dr Ste 109 Walker, Bradley NP ✤ MD ~✤ Ketchum, ID 83340 Family Nurse Practitioner Family Medicine (208) 727-8811 NPI: 1871563007 NPI: 1699844365 Prouty, Jp MD ✤ 275 W Locust St 1450 Aviation Dr Ste 100 Family Medicine Shelley, ID 83274 Hailey, ID 83333 NPI: 1548689318 Fairman, Dan MD ~✤ (208) 357-3960 (208) 788-3434 1450 Aviation Dr Ste 100 Internal Medicine Hailey, ID 83333 NPI: 1023059250 Hobbs, Caroline (208) 788-3434 100 Hospital Dr Ste 201 Wehrle, Lance MD ~✤ Ketchum, ID 83340 Internal Medicine ARNP ~✤ (208) 727-8888 NPI: 1184919607 Nurse Practitioner Thomas, Laira NP ~✤ 275 W Locust St NPI: 1619015385 Family Nurse Practitioner Shelley, ID 83274 1450 Aviation Dr Ste 100 NPI: 1629036264 (208) 357-3960 Hailey, ID 83333 1450 Aviation Dr Ste 100 (208) 788-3434 Hailey, ID 83333 (208) 788-3434

27 Primary Care Providers / Médicos de Cuidados Proveedores Blaine County continued / Condado seguido

Hobbs, Caroline Cox, Ann ARNP ~✤ Lawrence, Thomas Kelterborn, Peter DO ~ ARNP ~✤ Family Nurse Practitioner MD ~✤ Internal Medicine Nurse Practitioner NPI: 1033270236 Family Medicine NPI: 1972948420 NPI: 1619015385 30410 Hwy 200 NPI: 1427055813 6509 Hwy 2 Ste 101 191 W 5Th St Ponderay, ID 83852 30410 Hwy 200 Priest River, ID 83856 Ketchum, ID 83340 (208) 263-7101 Ponderay, ID 83852 (208) 448-2321 (208) 725-2171 (208) 263-7101 Spanish Lawrence, Thomas MD ~ Dardine, Jade MD ~✤ NPI: 1427055813 Mcclure, Royal MD ~✤ Family Medicine 6509 Hwy 2 Ste 101 Internal Medicine NPI: 1720493638 Simm, Kendell PA ~✤ Priest River, ID 83856 NPI: 1093768368 30410 Hwy 200 Physician Assistant (208) 448-2321 100 Hospital Dr Ste 201 Ponderay, ID 83852 NPI: 1811936545 Spanish Ketchum, ID 83340 (208) 263-7101 30410 Hwy 200 (208) 727-8888 Ponderay, ID 83852 Sandpoint Fuhrman, Kelly (208) 263-7101 Rosenblum, Joseph ARNP ~✤ 83864 DO ~✤ Nurse Practitioner Sweeney, Katie ARNP ~✤ Antoniuk, Nelson Internal Medicine NPI: 1750682605 Nurse Practitioner MD ~✤ NPI: 1609861509 30410 Hwy 200 NPI: 1437405966 Family Medicine 100 Hospital Dr Ste 201 Ponderay, ID 83852 30410 Hwy 200 NPI: 1588609176 Ketchum, ID 83340 (208) 263-7101 Ponderay, ID 83852 420 N 2Nd Ave Ste 100 (208) 727-8888 (208) 263-7101 Sandpoint, ID 83864 Hudson, Jennifer DO ~✤ (208) 265-2242 Bonner Family Medicine Priest River Spanish, Portugese Ponderay NPI: 1154617017 83856 30410 Hwy 200 Bass, Erin ARNP ~ Crane, Charles MD ~✤ 83852 Ponderay, ID 83852 Internal Medicine (208) 263-7101 Family Nurse Practitioner Antoniuk, Nelson NPI: 1063872604 NPI: 1194762732 MD ~✤ 6509 Hwy 2 Ste 101 102 S Euclid Ave Ste 202 Family Medicine Jabbour, Albert PA ~✤ Priest River, ID 83856 Sandpoint, ID 83864 NPI: 1588609176 Medical - Physician (208) 448-2321 (208) 263-4876 30410 Hwy 200 Assistant Ponderay, ID 83852 NPI: 1013131119 Dryden, Chelsy PAC ~ Dardine, Jade MD ~✤ (208) 263-7101 30410 Hwy 200 Physician Assistant Family Medicine Spanish, Portugese Ponderay, ID 83852 NPI: 1578994356 NPI: 1720493638 (208) 263-7101 6509 Hwy 2 Ste 101 420 N 2Nd Ave Ste 100 Bass, Erin ARNP ~✤ Priest River, ID 83856 Sandpoint, ID 83864 Family Nurse Practitioner Kelterborn, Peter DO ~✤ (208) 448-2321 (208) 265-2242 NPI: 1063872604 Internal Medicine 30410 Hwy 200 NPI: 1972948420 Jabbour, Albert PA ~ Dunn, Scott MD ~ Ponderay, ID 83852 30410 Hwy 200 Medical - Physician Family Medicine (208) 263-7101 Ponderay, ID 83852 Assistant NPI: 1952308405 (208) 263-7101 NPI: 1013131119 606 N 3Rd Ave Ste 101 Christensen, Stephen 6509 Hwy 2 Ste 101 Sandpoint, ID 83864 Priest River, ID 83856 (208) 263-1435 MD ~✤ (208) 448-2321 Family Medicine Halversen, Zachary MD ~ NPI: 1154714343 Family Medicine 30410 Hwy 200 NPI: 1902169485 Ponderay, ID 83852 606 N 3Rd Ave Ste 101 (208) 263-7101 Sandpoint, ID 83864 (208) 263-1435

28 Primary Care Providers / Médicos de Cuidados Proveedores Bonner County continued / Condado seguido

Hudson, Jennifer DO ~ Waters, Jeremy MD ~ Buitrago, Martha MD ~ Rasmussen, Austin Family Medicine Family Medicine Infectious Disease PA ~✤ NPI: 1154617017 NPI: 1760452049 NPI: 1356349492 Medical - Physician 1327 Superior St Ste 100 606 N 3Rd Ave Ste 101 1250 Hollipark Dr Assistant Sandpoint, ID 83864 Sandpoint, ID 83864 Idaho Falls, ID 83401 NPI: 1124306295 (208) 263-7101 (208) 263-1435 (208) 522-0310 740 S Woodruff Ave Spanish Idaho Falls, ID 83401 Hudson, Jennifer DO ~✤ Waters, Kara DO ~ (208) 542-9111 Family Medicine Family Medicine Bunnage, Corbin PA ~✤ NPI: 1154617017 NPI: 1922078260 Medical - Physician 606 N 3Rd Ave Ste 101 Sutherlin, Ralph DO ~✤ 420 N 2Nd Ave Ste 100 Assistant Family Medicine Sandpoint, ID 83864 Sandpoint, ID 83864 NPI: 1447325485 (208) 263-1435 NPI: 1245291772 (208) 265-2242 740 S Woodruff Ave 740 S Woodruff Ave Idaho Falls, ID 83401 Bonneville Idaho Falls, ID 83401 Lawrence, Thomas MD ~ (208) 542-9111 (208) 542-9111 Family Medicine Ammon NPI: 1427055813 Fenwick, Sterling PA ~✤ Tabor, Laura PA ~✤ 1327 Superior St Ste 100 83406 Physician Assistant, Family Sandpoint, ID 83864 Medical - Physician Denagy, Stephen MD ~✤ Medicine Assistant (208) 263-7101 NPI: 1063828291 Spanish Internal Medicine NPI: 1538121322 NPI: 1336273085 740 S Woodruff Ave 1880 John Adams Pkwy Idaho Falls, ID 83401 Lawrence, Thomas 2705 E 17Th St Idaho Falls, ID 83401 Ammon, ID 83406 (208) 542-9111 (208) 524-6633 MD ~✤ (208) 346-7500 Spanish Family Medicine 83402 NPI: 1427055813 Idaho Falls Klingler, Amy PA ~ 420 N 2Nd Ave Ste 100 Physician Assistant Adams, Rebecca MD ~✤ Sandpoint, ID 83864 83401 NPI: 1568429082 Family Medicine (208) 265-2242 Baker, Wallace MD ~ 1250 Hollipark Dr NPI: 1689610842 Spanish Family Medicine Idaho Falls, ID 83401 765 S Utah Ave NPI: 1083696967 (208) 522-0310 Idaho Falls, ID 83402 Meulenberg, Daniel 1250 Hollipark Dr Spanish (208) 525-2600 MD ~ Idaho Falls, ID 83401 Family Medicine (208) 522-0310 Nielsen, Justin PA ~✤ Bartlett, Trevor NP ~✤ NPI: 1043217599 Spanish Physician Assistant 606 N 3Rd Ave Ste 101 Family Nurse Practitioner NPI: 1235443193 NPI: 1639442973 Sandpoint, ID 83864 740 S Woodruff Ave (208) 263-1435 Baker, Wallace MD ~✤ 765 S Utah Ave Family Medicine Idaho Falls, ID 83401 Idaho Falls, ID 83402 NPI: 1083696967 (208) 542-9111 (208) 525-2600 Simm, Kendell PA ~✤ 1880 John Adams Pkwy Physician Assistant Idaho Falls, ID 83401 Portalski, Nicholas Bates, Melissa PA ~ NPI: 1811936545 (208) 524-6633 PA ~✤ Physician Assistant 420 N 2Nd Ave Ste 100 Spanish Physician Assistant NPI: 1962571331 Sandpoint, ID 83864 NPI: 1922546027 808 Pancheri Dr (208) 265-2242 Barto, Allison PAC ~ 740 S Woodruff Ave Idaho Falls, ID 83402 Physician Assistant Idaho Falls, ID 83401 (208) 552-6900 Sweeney, Katie ARNP ~ NPI: 1285971465 (208) 542-9111 NPI: 1437405966 1250 Hollipark Dr German 1327 Superior St Ste 100 Idaho Falls, ID 83401 Sandpoint, ID 83864 (208) 522-0310 (208) 263-7101

29 Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido

Boll, Kara NP ~✤ Maguire, James DO ~✤ Woodbury, Lori PA ~ Blair, Victoria NP ~ Family Nurse Practitioner Family Medicine Physician Assistant Nurse Practitioner NPI: 1417498890 NPI: 1811006091 NPI: 1639248008 NPI: 1629128483 765 S Utah Ave 765 S Utah Ave 808 Pancheri Dr 2001 S Woodruff Ave Ste Idaho Falls, ID 83402 Idaho Falls, ID 83402 Idaho Falls, ID 83402 15B (208) 525-2600 (208) 525-2600 (208) 552-6900 Idaho Falls, ID 83404 (208) 357-4633 83404 Brumfield, Troy DO ~✤ Masse, Amber NP ~ Family Medicine Family Nurse Practitioner Adams, Rebecca MD ~✤ Boll, Kara NP ~✤ NPI: 1265541494 NPI: 1235208687 Family Medicine Family Nurse Practitioner 765 S Utah Ave 808 Pancheri Dr NPI: 1689610842 NPI: 1417498890 Idaho Falls, ID 83402 Idaho Falls, ID 83402 2725 Channing Wy 2725 Channing Wy (208) 525-2600 (208) 552-6900 Idaho Falls, ID 83404 Idaho Falls, ID 83404 Spanish, American Sign (208) 525-8448 (208) 525-8448 Language Miller, Whittney NP ~✤ Family Nurse Practitioner Adams, Rebecca MD ~✤ Boll, Kara NP ~✤ Curtis, Larry MD ~✤ NPI: 1467880773 Family Medicine Family Nurse Practitioner Family Medicine 765 S Utah Ave NPI: 1689610842 NPI: 1417498890 NPI: 1295804425 Idaho Falls, ID 83402 2730 Channing Wy 2730 Channing Wy 765 S Utah Ave (208) 525-2600 Idaho Falls, ID 83404 Idaho Falls, ID 83404 Idaho Falls, ID 83402 (208) 542-7100 (208) 542-7100 (208) 525-2600 Nelson, Barbara MD ~ Obstetrics & Gynecology Brown, Bradly PA ~✤ NPI: 1023187879 Bartlett, Trevor NP ~✤ Family Medicine Daniels, David DO ~✤ 808 Pancheri Dr Family Nurse Practitioner Family Medicine NPI: 1043598477 Idaho Falls, ID 83402 NPI: 1639442973 2375 E Sunnyside Rd Ste F NPI: 1972549137 (208) 552-6900 2725 Channing Wy 765 S Utah Ave Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 535-3626 Idaho Falls, ID 83402 Speakman, William (208) 525-8448 (208) 525-2600 DO ~✤ Bartlett, Trevor NP ~✤ Brumfield, Troy DO ~✤ Davenport, Melissa Family Medicine Family Medicine NPI: 1821034562 Family Nurse Practitioner NPI: 1265541494 PA ~✤ 765 S Utah Ave NPI: 1639442973 Medical - Physician 2725 Channing Wy Idaho Falls, ID 83402 2730 Channing Wy Idaho Falls, ID 83404 Assistant (208) 525-2600 Idaho Falls, ID 83404 NPI: 1538425822 (208) 542-7100 (208) 525-8448 765 S Utah Ave Spanish, American Sign Language Idaho Falls, ID 83402 Stadler, Patricia NP ~✤ Bates, Melissa PA ~ (208) 525-2600 Family Nurse Practitioner Physician Assistant NPI: 1124569108 NPI: 1962571331 Brumfield, Troy DO ~✤ 765 S Utah Ave Hammar, Bryan MD ~✤ 3450 Potomac Way Family Medicine Idaho Falls, ID 83402 Idaho Falls, ID 83404 NPI: 1265541494 Family Medicine (208) 525-2600 NPI: 1841219987 (208) 557-2900 2730 Channing Wy 765 S Utah Ave Idaho Falls, ID 83404 (208) 542-7100 Idaho Falls, ID 83402 Tews, Megan PA ~✤ Black, Ryan PA ~✤ (208) 525-2600 Physician Assistant Spanish, American Sign Physician Assistant Language NPI: 1689965618 NPI: 1932452091 765 S Utah Ave 2725 Channing Wy Idaho Falls, ID 83402 Idaho Falls, ID 83404 (208) 525-2600 (208) 525-8448

30 Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido

Curtis, Larry MD ~✤ Debruyn Kops, Julian Gregersen, Heidi NP ~✤ Ivie, Matthew PA ~✤ Family Medicine MD ✤ Nurse Practitioner Family Medicine NPI: 1295804425 Family Medicine NPI: 1467953125 NPI: 1003325937 2725 Channing Wy NPI: 1922086552 2990 Cortez Ave 2725 Channing Wy Idaho Falls, ID 83404 2065 E 17Th St Ste C Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 525-8448 Idaho Falls, ID 83404 (208) 535-0440 (208) 525-8448 (208) 522-6106 Curtis, Larry MD ~✤ Hammar, Bryan MD ~✤ Johnson, Brian NP ~✤ Family Medicine Dixon, Gordon DO ~✤ Family Medicine Nurse Practitioner NPI: 1295804425 Family Medicine NPI: 1841219987 NPI: 1962895888 2730 Channing Wy NPI: 1578518395 2725 Channing Wy 1740 E 17Th St Idaho Falls, ID 83404 2325 Coronado St Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 542-7100 Idaho Falls, ID 83404 (208) 525-8448 (208) 535-3615 (208) 557-2700 Daniels, David DO ~✤ Hammar, Bryan MD ~✤ Johnson, Teresa MD ~✤ Family Medicine Dixon, Gordon DO ~✤ Family Medicine Family Medicine NPI: 1972549137 Family Medicine NPI: 1841219987 NPI: 1285642322 2725 Channing Wy NPI: 1578518395 2730 Channing Wy 1995 E 17Th St Ste 5 Idaho Falls, ID 83404 2377 Coronado St Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 525-8448 Idaho Falls, ID 83404 (208) 542-7100 (208) 529-2544 (208) 557-2570 Daniels, David DO ~✤ Hansen, Ivy PA ~✤ Leonardson, Stephanie Family Medicine Dragotoiu, Dan MD ~✤ Physician Assistant NP ~✤ NPI: 1972549137 Internal Medicine NPI: 1164755104 Nurse Practitioner 2730 Channing Wy NPI: 1346395746 2065 E 17Th St Ste D NPI: 1194128025 Idaho Falls, ID 83404 1327 E 17Th St Idaho Falls, ID 83404 2985 Cortez Ave (208) 542-7100 Idaho Falls, ID 83404 (208) 522-0747 Idaho Falls, ID 83404 (208) 538-3122 (208) 523-3373 Davenport, Melissa Harris, Michael MD ~✤ PA ~✤ Erikson, Brad DO ~✤ Family Medicine Machen, Shane DO ~✤ Medical - Physician Family Medicine NPI: 1952579021 Family Medicine Assistant NPI: 1164477931 2375 E Sunnyside Rd Ste F NPI: 1932330370 NPI: 1538425822 2375 E Sunnyside Rd Ste J Idaho Falls, ID 83404 3500 Potomac Wy Ste 100 2725 Channing Wy Idaho Falls, ID 83404 (208) 535-3626 Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 542-7060 French (208) 522-7666 (208) 525-8448 Spanish Gordon, Lindsi PA ~ Harris, Michael MD ~✤ Davenport, Melissa Physician Assistant Family Medicine Maguire, James DO ~✤ PA ~✤ NPI: 1689194706 NPI: 1952579021 Family Medicine Medical - Physician 2001 S Woodruff Ave Ste 8 3422 S 15Th E NPI: 1811006091 Assistant Idaho Falls, ID 83404 Idaho Falls, ID 83404 2725 Channing Wy NPI: 1538425822 (208) 529-0633 (208) 535-3615 Idaho Falls, ID 83404 2730 Channing Wy French (208) 525-8448 Idaho Falls, ID 83404 Gordon, Lindsi PA ~✤ (208) 542-7100 Physician Assistant Hill, David DO ~ Maguire, James DO ~✤ NPI: 1689194706 Family Medicine Family Medicine 2001 S Woodruff Ste 4 NPI: 1689993271 NPI: 1811006091 Idaho Falls, ID 83404 2860 Channing Way Ste 2730 Channing Wy (208) 524-4511 100 Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 542-7100 (208) 535-4567

31 Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido

Masse, Amber NP ~ Rindfleisch, Dallas Speakman, William Tews, Megan PA ~✤ Family Nurse Practitioner DO ~✤ DO ~✤ Physician Assistant NPI: 1235208687 Family Medicine Family Medicine NPI: 1689965618 3450 Potomac Way NPI: 1073834974 NPI: 1821034562 2730 Channing Wy Idaho Falls, ID 83404 3155 Channing Way Ste A 2325 Coronado St Idaho Falls, ID 83404 (208) 557-2900 Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 542-7100 (208) 227-0551 (208) 557-2700 Miller, Whittney NP ~✤ Spanish Walker, Bradley NP ✤ Family Nurse Practitioner Speakman, William Family Nurse Practitioner NPI: 1467880773 Robison, Matthew DO ~ DO ~✤ NPI: 1871563007 2725 Channing Wy Obstetrics & Gynecology Family Medicine 2375 E Sunnyside Rd Ste F Idaho Falls, ID 83404 NPI: 1194757393 NPI: 1821034562 Idaho Falls, ID 83404 (208) 525-8448 3450 Potomac Way 2725 Channing Wy (208) 535-3626 Idaho Falls, ID 83404 Idaho Falls, ID 83404 Miller, Whittney NP ~✤ (208) 557-2900 (208) 525-8448 Weatherly, Joseph Spanish Family Nurse Practitioner DO ~✤ NPI: 1467880773 Speakman, William Family Medicine 2730 Channing Wy Roisum, Tony MD ~ Family Medicine DO ~✤ NPI: 1417392697 Idaho Falls, ID 83404 Family Medicine 1740 E 17Th St (208) 542-7100 NPI: 1770688426 3360 Washington Pkwy NPI: 1821034562 Idaho Falls, ID 83404 Idaho Falls, ID 83404 2730 Channing Wy (208) 535-3615 Moss, Sheila NP ✤ (208) 524-3416 Idaho Falls, ID 83404 Family Nurse Practitioner Spanish (208) 542-7100 Weatherly, Joseph NPI: 1538322060 DO ~✤ 2375 E Sunnyside Rd Ste F Sanderson, Jennifer Stadler, Patricia NP ~✤ Family Medicine Idaho Falls, ID 83404 Family Nurse Practitioner NPI: 1417392697 (208) 535-3626 NP ~✤ Family Nurse Practitioner NPI: 1124569108 2375 E Sunnyside Rd Ste F 2725 Channing Wy Idaho Falls, ID 83404 Nelson, Barbara MD ~ NPI: 1730582271 1327 E 17Th St Idaho Falls, ID 83404 (208) 535-3626 Obstetrics & Gynecology (208) 525-8448 NPI: 1023187879 Idaho Falls, ID 83404 3450 Potomac Way (208) 538-3122 Wehrle, Lance MD ~✤ Idaho Falls, ID 83404 Stadler, Patricia NP ~✤ Internal Medicine (208) 557-2900 Siktel, Hira MD ~✤ Family Nurse Practitioner NPI: 1184919607 Internal Medicine NPI: 1124569108 2375 E Sunnyside Rd Ste F 2730 Channing Wy Idaho Falls, ID 83404 Newby, Rebecca PA ~✤ NPI: 1477790962 2381 E Sunnyside Rd Idaho Falls, ID 83404 (208) 535-3626 Physician Assistant (208) 542-7100 NPI: 1457685265 Idaho Falls, ID 83404 (208) 904-4780 Westergard, Rebecca 1550 Elk Creek Dr Stevens, Audra PA ~ Idaho Falls, ID 83404 Haitian Creole PA ~✤ Obstetrics & Gynecology Physician Assistant (208) 529-5942 NPI: 1487877619 Spanish Siktel, Hira MD ~✤ NPI: 1477700573 3450 Potomac Way 2065 E 17Th St Ste D Internal Medicine Idaho Falls, ID 83404 NPI: 1477790962 Idaho Falls, ID 83404 Park, Ryan NP ✤ (208) 557-2900 (208) 522-0747 Family Nurse Practitioner 2381 E Sunnyside Rd Ste NPI: 1760738728 607 Idaho Falls, ID 83404 Tews, Megan PA ~✤ Woodbury, Lori PA ~ 2375 E Sunnyside Rd Ste F Physician Assistant Physician Assistant Idaho Falls, ID 83404 (208) 904-4780 Haitian Creole NPI: 1689965618 NPI: 1639248008 (208) 535-3626 2725 Channing Wy 3450 Potomac Way Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 525-8448 (208) 557-2900

32 Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido

83406 Camas Knopp, Kalen PA ~ Stringam, Joshua DO ~ Physician Assistant Family Medicine Hill, Deborah NP ~ Fairfield Nurse Practitioner NPI: 1184094344 NPI: 1164860078 83327 401 W Camas Ave 401 W Camas Ave NPI: 1821016015 Fairfield, ID 83327 Fairfield, ID 83327 3412 S 25Th E Allred, Debbie NP ~ (208) 764-2611 (208) 764-2611 Idaho Falls, ID 83406 Nurse Practitioner (208) 497-0680 NPI: 1285691865 Long, Erik MD ~ Thorne, Todd PA ~ 401 W Camas Ave Family Medicine Medical - Physician Tew, Joshua PA ~✤ Fairfield, ID 83327 NPI: 1609834621 Assistant Physician Assistant, Family (208) 764-2611 401 W Camas Ave NPI: 1194198929 Medicine Fairfield, ID 83327 401 W Camas Ave NPI: 1679997779 Anderson, Basil MD ~ (208) 764-2611 Fairfield, ID 83327 2088 E 25Th St Family Medicine (208) 764-2611 Idaho Falls, ID 83406 NPI: 1518282110 Mcallister, Taylor PA ~ Spanish (208) 528-7655 401 W Camas Ave Physician Assistant Spanish Fairfield, ID 83327 NPI: 1477902161 Ziebarth, Dustin DO ~ (208) 764-2611 401 W Camas Ave Family Medicine Spanish Ulrich, William PA ~✤ Fairfield, ID 83327 NPI: 1750644456 Medical - Physician (208) 764-2611 401 W Camas Ave Detemple, Matthew DO ~ Spanish Fairfield, ID 83327 Assistant Family Medicine NPI: 1942537923 (208) 764-2611 NPI: 1467419150 Miller, Toni NP ~ 2088 E 25Th St 401 W Camas Ave Idaho Falls, ID 83406 Family Nurse Practitioner Canyon Fairfield, ID 83327 NPI: 1194158246 (208) 528-7655 (208) 764-2611 Portugese 401 W Camas Ave Caldwell Fairfield, ID 83327 Duersch, Matthew MD ~ 83605 Boundary (208) 764-2611 Family Medicine Abul Husn, Nina MD ~✤ Bonners Ferry NPI: 1902941750 Nelson, Matthew PA ~ Family Medicine 401 W Camas Ave 83805 Physician Assistant NPI: 1538421094 Fairfield, ID 83327 NPI: 1437584752 2005 Arlington Christensen, Stephen (208) 764-2611 401 W Camas Ave Caldwell, ID 83605 MD ~ German Fairfield, ID 83327 (208) 459-1025 Family Medicine (208) 764-2611 Spanish NPI: 1154714343 Family Health Services 6615 Comanche St Fairfield ~ Richins, Adam PA ~ Bonners Ferry, ID 83805 Federally Qualified Health Barrus, Paul DO ~✤ Physician Assistant Family Medicine (208) 267-1718 Center (Fqhc) NPI: 1023381860 NPI: 1316984529 NPI: 1114926136 401 W Camas Ave 2005 Arlington Lawrence, Thomas MD ~ 401 W Camas Ave Fairfield, ID 83327 NPI: 1427055813 Fairfield, ID 83327 Caldwell, ID 83605 (208) 764-2611 (208) 459-1025 6615 Comanche St (208) 764-2611 Spanish Bonners Ferry, ID 83805 Spanish, French (208) 267-1718 Hodges, Ryan PA ~ Rodemack, Dean PAC ~ Spanish Physician Assistant Physician Assistant Bitters, J'cinda MD ~✤ NPI: 1033413240 NPI: 1548543424 Family Medicine Sweeney, Katie ARNP ~ 401 W Camas Ave 401 W Camas Ave NPI: 1104089556 Nurse Practitioner Fairfield, ID 83327 Fairfield, ID 83327 211 E Logan St Ste 303 NPI: 1437405966 (208) 764-2611 (208) 764-2611 And 203 6615 Comanche St Spanish Caldwell, ID 83605 Bonners Ferry, ID 83805 (208) 459-4667 (208) 267-1718

33 Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido

Burch, Joel PA ~ Mccallister, Ashley NP ~ Rosin, Kirsten NP ~✤ Burch, Joel PA ~ Medical - Physician Family Nurse Practitioner Family Nurse Practitioner Medical - Physician Assistant NPI: 1083167357 NPI: 1730615741 Assistant NPI: 1679918536 1717 Arlington Ave 13307 Miami Ln NPI: 1679918536 4815 Cleveland Blvd Caldwell, ID 83605 Caldwell, ID 83607 700 Caldwell Blvd Caldwell, ID 83605 (208) 459-4641 (208) 455-5300 Nampa, ID 83651 (208) 455-3545 (208) 466-6567 Mccallister, Ashley NP ~ Crawford, Andrew Family Nurse Practitioner Thibault, Cheryl NP ~✤ Danowski, Dustin DO ~ Family Nurse Practitioner PA ~✤ NPI: 1083167357 Family Medicine 1906 Fairview Ave Ste 230 NPI: 1346301967 NPI: 1821435868 Physician Assistant 13307 Miami Ln NPI: 1588987309 Caldwell, ID 83605 700 Caldwell Blvd (208) 459-4667 Caldwell, ID 83607 Nampa, ID 83651 2005 Arlington (208) 455-5300 Caldwell, ID 83605 (208) 466-6567 (208) 459-1025 Radnovich, Richard DO ~✤ Melba Grote, Heather PA ~ Godina, Raul PA ~ Family Medicine 83641 Physician Assistant NPI: 1477920817 Physician Assistant NPI: 1407944655 Acevedo-Daniels, Suhrei NPI: 1336499730 4109 E Elm St 700 Caldwell Blvd 4815 Cleveland Blvd Caldwell, ID 83605 MD ~✤ Nampa, ID 83651 Caldwell, ID 83605 (208) 939-2100 Family Medicine (208) 466-6567 (208) 455-3545 NPI: 1508824640 Relyea, Ramon PA ~ 150 2Nd St Ingram, Rory NP ~ Melba, ID 83641 Nurse Practitioner Hickey, Samantha NP ~✤ Medical - Physician Assistant (208) 495-1011 NPI: 1225567431 Family Nurse Practitioner Spanish 700 Caldwell Blvd NPI: 1306157862 NPI: 1972805943 4815 Cleveland Blvd Nampa, ID 83651 1620 S Kimball Ave Nampa (208) 466-6567 Caldwell, ID 83605 Caldwell, ID 83605 (208) 505-2950 (208) 455-3545 83651 Kantayya, Vivek MD ~✤ Barnes, Daryn PA ~ Hoewing, Heather PA ~ Robbins, Jeffrey NP Family Medicine Family Nurse Practitioner Medical - Physician NPI: 1437132479 Medical - Physician Assistant Assistant NPI: 1669408514 207 1St St S 4815 Cleveland Blvd NPI: 1245321942 Nampa, ID 83651 NPI: 1013148725 700 Caldwell Blvd 1906 Fairview Ave Ste 230 Caldwell, ID 83605 (208) 466-7869 (208) 455-3545 Nampa, ID 83651 Tamil Caldwell, ID 83605 (208) 466-6567 (208) 459-4667 Spanish, Portugese Maffey, Jenna PA ~ Ingram, Rory NP ~ Wiberg, Ralene MD ~✤ Barrus, Paul DO ~✤ Medical - Physician Nurse Practitioner Family Medicine Family Medicine Assistant NPI: 1225567431 NPI: 1912956806 NPI: 1114926136 NPI: 1467787598 4815 Cleveland Blvd 2005 Arlington 207 1St St S 700 Caldwell Blvd Caldwell, ID 83605 Caldwell, ID 83605 Nampa, ID 83651 Nampa, ID 83651 (208) 455-3545 (208) 459-1025 (208) 466-7869 (208) 466-6567 Spanish, French Partridge, Christopher Llenos, Joe MD ~✤ 83607 Black, Stuart MD ~✤ MD ~✤ Family Medicine Renak, Mandy NP ~✤ NPI: 1003073560 Family Medicine Family Medicine Family Nurse Practitioner NPI: 1053351361 NPI: 1497848766 211 E Logan St Ste 303 NPI: 1205241650 And 203 207 1St St S 207 1St St S 13307 Miami Ln Nampa, ID 83651 Nampa, ID 83651 Caldwell, ID 83605 Caldwell, ID 83607 (208) 459-4667 (208) 466-7869 (208) 466-7869 (208) 455-5300 Spanish

34 Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido

Relyea, Ramon PA ~ Casebolt, Alex PA ~✤ Dee, Michael MD ~✤ Heywood, Nicole PA ~✤ Medical - Physician Physician Assistant Internal Medicine Physician Assistant Assistant NPI: 1346283363 NPI: 1053302182 NPI: 1831564954 NPI: 1972805943 215 E Hawaii Ave 215 E Hawaii Ave 215 E Hawaii Ave 700 Caldwell Blvd Nampa, ID 83686 Nampa, ID 83686 Nampa, ID 83686 Nampa, ID 83651 (208) 463-3000 (208) 463-3000 (208) 463-3000 (208) 466-6567 Spanish Rios, Raul PA ~ Cook, Hannah NP ~✤ Dehaven, Erin PA ~✤ Physician Assistant Family Nurse Practitioner Physician Assistant Hlavinka, Jon MD ~✤ NPI: 1376851725 NPI: 1992199210 NPI: 1518075852 Family Medicine 700 Caldwell Blvd 3165 E Greenhurst Rd 215 E Hawaii Ave NPI: 1194715136 Nampa, ID 83651 Nampa, ID 83686 Nampa, ID 83686 215 E Hawaii Ave (208) 466-6567 (208) 463-7330 (208) 463-3000 Nampa, ID 83686 Spanish (208) 463-3000 Cressey, Yvette DO ~✤ Freeman, John MD ~✤ Family Medicine Internal Medicine Ingram, Rory NP ~ Staller, Sarah MD ~✤ Nurse Practitioner Family Medicine NPI: 1497759088 NPI: 1437279031 215 E Hawaii Ave 215 E Hawaii Ave NPI: 1225567431 NPI: 1336450402 1115 12Th Ave Rd 207 1St St S Nampa, ID 83686 Nampa, ID 83686 (208) 463-3000 (208) 463-3000 Nampa, ID 83686 Nampa, ID 83651 (208) 498-1080 (208) 466-7869 French Crownson, Bayo MD ~✤ Gill, Taya PA ~✤ Family Medicine Physician Assistant Keefe, Tricia DO ~✤ Family Medicine Sullivan, Cara MD ~✤ NPI: 1376589689 NPI: 1790058618 3165 E Greenhurst Rd 215 E Hawaii Ave NPI: 1730123043 Family Medicine 3165 E Greenhurst Rd NPI: 1912347303 Nampa, ID 83686 Nampa, ID 83686 (208) 463-7330 (208) 463-3000 Nampa, ID 83686 207 1St St S (208) 463-7330 Nampa, ID 83651 (208) 466-7869 Davidson, Elaine MD ~✤ Grote, Heather PA ~ Spanish Family Medicine Physician Assistant Kerr, Mary MD ~✤ NPI: 1093705022 NPI: 1477920817 Family Medicine 83686 215 E Hawaii Ave 1115 12Th Ave Rd NPI: 1144244054 Nampa, ID 83686 215 E Hawaii Ave Barnes, Daryn PA ~ Nampa, ID 83686 (208) 463-3000 (208) 498-1080 Nampa, ID 83686 Medical - Physician (208) 463-3000 Assistant Spanish NPI: 1245321942 Davis, Elizabeth MD ~✤ Hansen, Jeffrey MD ~✤ 1115 12Th Ave Rd Family Medicine Family Medicine Nampa, ID 83686 NPI: 1801074232 NPI: 1932199981 Kittelson, Brian NP ~✤ (208) 498-1080 215 E Hawaii Ave 215 E Hawaii Ave Family Nurse Practitioner Nampa, ID 83686 Nampa, ID 83686 NPI: 1730234345 Barnhart, Carolyn NP (208) 463-3000 (208) 463-3000 215 E Hawaii Ave Nurse Practitioner Nampa, ID 83686 (208) 463-3000 NPI: 1033190582 Dawson, Jill NP ~✤ Hart, Trenton PA ~✤ 1115 12Th Ave Rd Nurse Practitioner Physician Assistant Nampa, ID 83686 NPI: 1801908140 NPI: 1114231693 Kroon, Melissa PA ~✤ (208) 498-1080 9850 W St Lukes Dr Ste 215 E Hawaii Ave Physician Assistant 221 Nampa, ID 83686 NPI: 1962892240 Nampa, ID 83686 (208) 463-3000 215 E Hawaii Ave (208) 455-1784 Spanish Nampa, ID 83686 (208) 463-3000

35 Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido

Kunz, Harold MD ~✤ Patterson, Julie PA ~✤ Smith, Preston PA ~✤ Buersmeyer, Patricia Family Medicine Physician Assistant, Family Physician Assistant MD ~✤ NPI: 1437148467 Medicine NPI: 1992794929 Internal Medicine 215 E Hawaii Ave NPI: 1275866139 215 E Hawaii Ave NPI: 1104816198 Nampa, ID 83686 215 E Hawaii Ave Nampa, ID 83686 9850 W St Lukes Dr Ste (208) 463-3000 Nampa, ID 83686 (208) 463-3000 129 Spanish (208) 706-2663 Spanish Nampa, ID 83687 Chinese (208) 288-4930 Lewis, Nicholas MD ~✤ Terrell, Stephanie NP ~✤ Internal Medicine, Family Poulter, Luke DO ~✤ Nurse Practitioner Casebolt, Alex PA ~✤ Medicine Family Medicine NPI: 1336127190 Physician Assistant NPI: 1134372386 NPI: 1700290947 9850 W St Lukes Dr Ste NPI: 1346283363 215 E Hawaii Ave 3165 E Greenhurst Rd 221 9850 W St Lukes Dr Ste Nampa, ID 83686 Nampa, ID 83686 Nampa, ID 83686 129 (208) 463-3000 (208) 463-7330 (208) 455-1784 Nampa, ID 83687 (208) 288-4930 Lundberg, Joshua Reis, Laura DO Underkofler, Kari NP ~✤ MD ~✤ Family Medicine Nurse Practitioner Cressey, Yvette DO ~✤ Family Medicine NPI: 1902139066 NPI: 1841456191 Family Medicine NPI: 1386938165 1115 12Th Ave Rd 215 E Hawaii Ave NPI: 1497759088 215 E Hawaii Ave Nampa, ID 83686 Nampa, ID 83686 9850 W St Lukes Dr Ste Nampa, ID 83686 (208) 498-1080 (208) 463-3000 129 (208) 463-3000 Nampa, ID 83687 Riley, Mari MD ~✤ Zeimantz, Stephen (208) 288-4930 Martin, David MD ~✤ Family Medicine NP ~✤ Family Medicine NPI: 1821108317 Nurse Practitioner Davis, Elizabeth MD ~✤ NPI: 1306836267 215 E Hawaii Ave NPI: 1922001478 Family Medicine 215 E Hawaii Ave Nampa, ID 83686 3165 E Greenhurst Rd NPI: 1801074232 Nampa, ID 83686 (208) 463-3000 Nampa, ID 83686 9850 W St Lukes Dr Ste (208) 463-3000 (208) 463-7330 129 Siegersma, Wendy Nampa, ID 83687 Mcmeekin, David PA ~ MD ~✤ 83687 (208) 288-4930 Physician Assistant Family Medicine NPI: 1841674405 NPI: 1720077753 Ashaye, Jaiyeola MD ~✤ Gill, Taya PA ~✤ 1115 12Th Ave Rd 215 E Hawaii Ave Family Medicine Physician Assistant Nampa, ID 83686 Nampa, ID 83686 NPI: 1952488561 NPI: 1790058618 (208) 498-1080 (208) 463-3000 9850 W St Lukes Dr Ste 9850 W St Lukes Dr Ste 329 129 Mullins, John MD Smedshammer, Margo Nampa, ID 83687 (208) 463-7300 Nampa, ID 83687 Family Medicine PA ~✤ (208) 288-4930 NPI: 1558307280 Physician Assistant 1115 12Th Ave Rd NPI: 1932110939 Bates, Allyson NP ~✤ Gopon, Tobias MD ~✤ Nampa, ID 83686 215 E Hawaii Ave Family Nurse Practitioner (208) 498-1080 Family Medicine Nampa, ID 83686 NPI: 1114479862 NPI: 1508152257 (208) 463-3000 3908 E Flamingo Ave Ste B Noel, Brenton PA ~ Nampa, ID 83687 9850 W St Lukes Dr Physician Assistant (208) 442-8035 Nampa, ID 83687 NPI: 1275961765 (208) 706-2663 1115 12Th Ave Rd German Nampa, ID 83686 (208) 498-1080

36 Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido

Graham, Austin MD ~✤ Kroon, Melissa PA ~✤ Richardson, Erik DO ~✤ Wiberg, Ralene MD ~✤ Family Medicine Physician Assistant Family Medicine Family Medicine NPI: 1548228844 NPI: 1962892240 NPI: 1942307640 NPI: 1912956806 9850 W St Lukes Dr Ste 9850 W St Lukes Dr Ste 9850 W St Lukes Dr Ste 3908 E Flamingo Ave Ste B 329 129 129 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 (208) 442-8035 (208) 463-7300 (208) 288-4930 (208) 288-4930 Spanish Cassia Hansen, Jay MD ~✤ Kunz, Harold MD ~✤ Burley Family Medicine Family Medicine Riley, Mari MD ~✤ NPI: 1710084363 NPI: 1437148467 Family Medicine 83318 9850 W St Lukes Dr Ste 9850 W St Lukes Dr Ste NPI: 1821108317 Allred, Debbie NP ~ 329 129 9850 W St Lukes Dr Ste Nurse Practitioner Nampa, ID 83687 Nampa, ID 83687 129 NPI: 1285691865 (208) 463-7300 (208) 288-4930 Nampa, ID 83687 1309 Bennett Ave Spanish Spanish (208) 288-4930 Burley, ID 83318 (208) 678-0101 Hart, Trenton PA ~✤ Mello, Bethany NP ~✤ Roberts, Rick MD ~✤ Physician Assistant Family Nurse Practitioner Internal Medicine Anderson, Basil MD ~ NPI: 1114231693 NPI: 1033479696 NPI: 1558351551 Family Medicine 9850 W St Lukes Dr Ste 16111 N Brinson St Ste 9850 W St Lukes Dr Ste NPI: 1518282110 129 110 129 1309 Bennett Ave Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 Burley, ID 83318 (208) 288-4930 (208) 468-9400 (208) 288-4930 (208) 678-0101 Spanish Spanish Spanish Olsen, Shayne DO ~✤ Heywood, Nicole PA ~✤ Internal Medicine Smedshammer, Margo Anderson, Jacob NP ~✤ Physician Assistant NPI: 1841320900 PA ~✤ Family Nurse Practitioner NPI: 1831564954 9850 W St Lukes Dr Ste Physician Assistant NPI: 1316329220 9850 W St Lukes Dr Ste 207 NPI: 1932110939 1404 Pomerelle Ave Ste A1 129 Nampa, ID 83687 9850 W St Lukes Dr Ste Burley, ID 83318 Nampa, ID 83687 (208) 505-2712 129 (208) 878-8783 (208) 288-4930 Nampa, ID 83687 Spanish Porter, Sarah MD ~✤ (208) 288-4930 Asher, Lacie NP ~✤ Family Medicine Family Nurse Practitioner Kerr, Mary MD ~✤ NPI: 1427491737 Smith, Preston PA ~✤ NPI: 1609107176 Family Medicine 9850 W St Lukes Dr Ste Physician Assistant 2311 Park Ave Ste 4 NPI: 1144244054 329 NPI: 1992794929 Burley, ID 83318 9850 W St Lukes Dr Ste Nampa, ID 83687 9850 W St Lukes Dr Ste (208) 878-6413 129 (208) 463-7300 129 Nampa, ID 83687 Nampa, ID 83687 Barker, Samuel NP ~✤ (208) 288-4930 Powell, Heather NP ~✤ (208) 288-4930 Family Nurse Practitioner Spanish Family Nurse Practitioner Spanish NPI: 1043301682 NPI: 1083079784 1404 Pomerelle Ave Ste A1 Kittelson, Brian NP ~✤ 9850 W St Lukes Dr Ste Underkofler, Kari NP ~✤ Burley, ID 83318 Family Nurse Practitioner 329 Nurse Practitioner (208) 878-8783 NPI: 1730234345 Nampa, ID 83687 NPI: 1841456191 Spanish 9850 W St Lukes Dr Ste (208) 463-7300 9850 W St Lukes Dr Ste 129 129 Nampa, ID 83687 Nampa, ID 83687 (208) 288-4930 (208) 288-4930

37 Primary Care Providers / Médicos de Cuidados Proveedores Cassia County continued / Condado seguido

Boehmer, Bernard Hodges, Ryan PA ~ Nelson, Matthew PA ~ Custer Physician Assistant Physician Assistant MD ~✤ Challis Family Medicine NPI: 1033413240 NPI: 1437584752 NPI: 1902891484 1309 Bennett Ave 1309 Bennett Ave 83226 Burley, ID 83318 Burley, ID 83318 1335 S Albion Ave Andrews, Deana Burley, ID 83318 (208) 678-0101 (208) 678-0101 (208) 878-2271 Spanish ARNP ~✤ Spanish Rasmussen, Austin Family Nurse Practitioner Judd, Ellen PA ~ PA ~✤ NPI: 1659679447 Physician Assistant 611 Clinic Rd Bunnage, Corbin PA ~✤ Medical - Physician NPI: 1972560480 Assistant Challis, ID 83226 Medical - Physician 1309 Bennett Ave (208) 879-4351 Assistant NPI: 1124306295 Burley, ID 83318 1404 Pomerelle Ave Ste A1 NPI: 1447325485 (208) 678-0101 1404 Pomerelle Ave Ste A1 Burley, ID 83318 Fortuin, Brian MD ~✤ (208) 878-8783 Internal Medicine Burley, ID 83318 Knopp, Kalen PA ~ (208) 878-8783 NPI: 1740221191 Physician Assistant Richins, Adam PA ~ 611 Clinic Rd NPI: 1184094344 Physician Assistant Challis, ID 83226 Detemple, Matthew DO ~ 1309 Bennett Ave Family Medicine NPI: 1023381860 (208) 879-4351 Burley, ID 83318 1309 Bennett Ave NPI: 1467419150 (208) 678-0101 1309 Bennett Ave Burley, ID 83318 Elmore (208) 678-0101 Burley, ID 83318 Long, Erik MD ~ Mountain Home (208) 678-0101 Spanish Family Medicine 83647 NPI: 1609834621 Rodemack, Dean PAC ~ Duersch, Matthew MD ~ 1309 Bennett Ave Family Medicine Physician Assistant Baldridge, Scott DO ~✤ Burley, ID 83318 NPI: 1548543424 Family Medicine NPI: 1902941750 (208) 678-0101 1309 Bennett Ave 1309 Bennett Ave NPI: 1295728897 Burley, ID 83318 805 N 6Th E Burley, ID 83318 Mcallister, Taylor PA ~ (208) 678-0101 (208) 678-0101 Mountain Home, ID Physician Assistant 83647 German NPI: 1477902161 Stickler, Brittany NP ~✤ (208) 587-2450 1309 Bennett Ave Spanish Family Health Services Burley, ID 83318 Family Nurse Practitioner Burley ~ NPI: 1427415835 (208) 678-0101 Brininger, Timothy Federally Qualified Health Spanish 1404 Pomerelle Ave Ste A1 Center (Fqhc) Burley, ID 83318 MD ~✤ NPI: 1033165550 Miller, Toni NP ~ (208) 878-8783 Family Medicine 1309 Bennett Ave Family Nurse Practitioner NPI: 1124008164 Burley, ID 83318 NPI: 1194158246 Stringam, Joshua DO ~ 465 Mckenna Dr (208) 678-0101 1309 Bennett Ave Family Medicine Mountain Home, ID Burley, ID 83318 NPI: 1164860078 83647 Fenwick, Sterling PA ~✤ (208) 678-0101 1309 Bennett Ave (208) 587-9703 Physician Assistant, Family Burley, ID 83318 Medicine Morgan, Christopher (208) 678-0101 Casto, Jonathan PAC ~✤ NPI: 1063828291 NP ~✤ Medical - Physician 1404 Pomerelle Ave Ste A1 Thorne, Todd PA ~ Assistant Family Nurse Practitioner Medical - Physician Burley, ID 83318 NPI: 1245550268 NPI: 1952738577 (208) 878-8783 Assistant 2280 American Legion 1252 Bennett Ave NPI: 1194198929 Spanish Burley, ID 83318 Blvd 1309 Bennett Ave Mountain Home, ID (208) 878-8783 Burley, ID 83318 Spanish 83647 (208) 678-0101 (208) 587-3988 Spanish

38 Primary Care Providers / Médicos de Cuidados Proveedores Elmore County continued / Condado seguido

Crossley, Dennis MD ~✤ Olson, Karl MD ~✤ Franklin Fletcher, Zuzana NP ~✤ Family Medicine Family Medicine Preston Family Nurse Practitioner NPI: 1558341594 NPI: 1508846353 NPI: 1902234701 465 Mckenna Dr 465 Mckenna Dr 83263 655 S 4Th E Ste 600 Mountain Home, ID Mountain Home, ID Beckstead, David MD ~ Preston, ID 83263 83647 83647 Family Medicine (208) 852-3200 (208) 587-9703 (208) 587-9703 NPI: 1801909122 Greek 44 N 100 E Fries-Geslin, Kelli NP ~✤ Crossley, Dennis MD ~ Preston, ID 83263 Family Nurse Practitioner Family Medicine Pehrson, Michelle NP ~✤ (208) 852-0137 NPI: 1518415942 NPI: 1558341594 Nurse Practitioner 655 S 4Th E Ste 600 895 N 6Th St E NPI: 1619224896 Preston, ID 83263 Mountain Home, ID Bieniasz, Paul PA ~✤ 805 N 6Th E Medical - Physician (208) 852-3200 83647 Mountain Home, ID (208) 587-8401 Assistant 83647 NPI: 1518934181 Higbee, Logan PA ~✤ (208) 587-2450 655 S 4Th E Ste 600 Physician Assistant Hijazi, Saad MD ~✤ Preston, ID 83263 NPI: 1992019202 Internal Medicine Pehrson, Michelle NP ~✤ (208) 852-3200 655 S 4Th E Ste 600 NPI: 1942410212 Nurse Practitioner Preston, ID 83263 2280 American Legion NPI: 1619224896 (208) 852-3200 Blvd Bokelmann, Jean MD ~✤ 895 N 6Th E Family Medicine Mountain Home, ID Mountain Home, ID 83647 NPI: 1487649141 Horrocks, Mark MD ~✤ 83647 655 S 4Th E Ste 600 Family Medicine (208) 587-3988 (208) 587-8401 Haitian Creole, Punjabi, Preston, ID 83263 NPI: 1700885258 Urdu (208) 852-3200 655 S 4Th E Ste 600 Smith, Justin MD ~✤ Preston, ID 83263 Hoskin, Joseph PA ~ Family Medicine Carbol, Courtland (208) 852-3200 Physician Assistant NPI: 1851612600 MD ~✤ NPI: 1871092189 465 Mckenna Dr Family Medicine Karroum, Brandi NP ~✤ 465 Mckenna Dr Mountain Home, ID NPI: 1780610071 Family Nurse Practitioner Mountain Home, ID 83647 655 S 4Th E Ste 600 NPI: 1548517972 83647 (208) 587-9703 Preston, ID 83263 655 S 4Th E Ste 600 (208) 587-9703 (208) 852-3200 Preston, ID 83263 Swanson, Todd MD ~✤ (208) 852-3200 Johnson, Brett DO ~✤ Family Medicine Curtis, Jacob DO ~ Family Medicine Family Medicine NPI: 1871556514 Kjos, Melissa MD ~✤ NPI: 1023337185 895 N 6Th E NPI: 1770684003 47 North 1St East Family Medicine 895 N 6Th E Mountain Home, ID NPI: 1164861340 Mountain Home, ID 83647 Preston, ID 83263 (208) 852-3511 655 S 4Th E Ste 600 83647 (208) 587-8401 Preston, ID 83263 (208) 587-8401 Spanish (208) 852-3200 Edmo, Helene NP ~✤ Johnson, Stephen DO ~✤ Ziola, Krzysztof MD ~✤ Primary Care Nurse Morrison, Chelsie Family Medicine Internal Medicine Practitioner, Nurse Practitioner MD ~✤ NPI: 1427041201 NPI: 1073692166 Family Medicine 895 N 6Th E 2280 American Legion NPI: 1699767004 655 S 4Th E Ste 600 NPI: 1710111935 Mountain Home, ID Blvd 655 S 4Th E Ste 600 83647 Mountain Home, ID Preston, ID 83263 (208) 852-3200 Preston, ID 83263 (208) 587-8401 83647 (208) 852-3200 (208) 587-3988 Polish, Russian

39 Primary Care Providers / Médicos de Cuidados Proveedores Franklin County continued / Condado seguido

Pabawena, Amy NP ~✤ Weinhold, Ana MD ~✤ Gem Mcguffey, Tina MD ~✤ Family Nurse Practitioner Family Medicine Emmett Family Medicine NPI: 1821545211 NPI: 1932369568 NPI: 1306873435 655 S 4Th E Ste 600 655 S 4Th E Ste 600 83617 426 Hwy 16 Preston, ID 83263 Preston, ID 83263 Emmett, ID 83617 (208) 852-3200 (208) 852-3200 Barrus, Jonathan DO ~✤ (208) 365-2735 Family Medicine Fremont NPI: 1346654589 Patten, Daniel MD ~✤ 426 Hwy 16 Mumford, Brett DO ~✤ Family Medicine, Ashton Emmett, ID 83617 Family Medicine Obstetrics (208) 365-2735 NPI: 1164463113 NPI: 1245490390 83420 119 N Wardwell Ave 44 N 1St E Gudmunson, Jamie Emmett, ID 83617 Preston, ID 83263 Dodge, Elmer NP ~✤ (208) 365-6311 (208) 852-0137 NP ~✤ Family Medicine Spanish, Portugese Family Nurse Practitioner NPI: 1508918236 NPI: 1669853719 119 N Wardwell Ave Phillips, Debra NP ~✤ 23 S 8Th St Emmett, ID 83617 Family Nurse Practitioner Ragan, Joseph MD ~✤ Ashton, ID 83420 (208) 365-6311 NPI: 1366741019 Family Medicine (208) 652-3396 119 N Wardwell Ave NPI: 1659324499 Emmett, ID 83617 Isaksen, Lisa NP ~✤ 655 S 4Th E Ste 600 Saint Anthony (208) 365-6311 Preston, ID 83263 Family Nurse Practitioner (208) 852-3200 83445 NPI: 1841655826 1102 E Locust St Renak, Mandy NP ~✤ Curtis, Jacob DO ~✤ Emmett, ID 83617 Family Nurse Practitioner Schaper, Heather PA ~✤ Family Medicine (208) 365-6004 NPI: 1205241650 Medical - Physician NPI: 1770684003 1008 E Locust Assistant 20 N 3Rd E Emmett, ID 83617 NPI: 1073840401 Saint Anthony, ID 83445 Isaksen, Lisa NP ~✤ (208) 365-6371 655 S 4Th E Ste 600 (208) 624-4100 Family Nurse Practitioner Preston, ID 83263 NPI: 1841655826 119 N Wardwell Ave Rosin, Kirsten NP ~✤ (208) 852-3200 Family Nurse Practitioner Spanish Miller, Whittney NP ~✤ Emmett, ID 83617 Family Nurse Practitioner (208) 365-6311 NPI: 1730615741 NPI: 1467880773 1008 E Locust Smith, Dean DO ~✤ 20 N 3Rd E Emmett, ID 83617 Family Medicine Saint Anthony, ID 83445 Mcguffey, Tina MD ~✤ (208) 365-6371 NPI: 1144252099 (208) 624-4100 Family Medicine 655 S 4Th E Ste 600 NPI: 1306873435 119 N Wardwell Ave Rothwell, Tara PA ~✤ Preston, ID 83263 Spaulding, Tiffany Physician Assistant (208) 852-3200 Emmett, ID 83617 DO ~✤ (208) 365-6311 NPI: 1912087438 119 N Wardwell Ave Thomas, Stephanie MD ~ Family Medicine NPI: 1679704753 Emmett, ID 83617 Family Medicine Mcguffey, Tina MD ~✤ (208) 365-6311 NPI: 1043520489 20 N 3Rd E Family Medicine 44 N 100 E Saint Anthony, ID 83445 NPI: 1306873435 Preston, ID 83263 (208) 624-4100 1202 E Locust St Sebastian, Robin MD ~✤ (208) 852-0137 Emmett, ID 83617 Family Medicine Spanish (208) 365-3561 NPI: 1568559029 1102 E Locust St Emmett, ID 83617 (208) 365-6004

40 Primary Care Providers / Médicos de Cuidados Proveedores Gem County continued / Condado seguido

Sebastian, Robin MD ~✤ Jefferson Brumfield, Troy DO ~✤ Maguire, James DO ~✤ Family Medicine Rigby Family Medicine Family Medicine NPI: 1568559029 NPI: 1265541494 NPI: 1811006091 119 N Wardwell Ave 83442 167 E 1St S 167 E 1St S Emmett, ID 83617 Rigby, ID 83442 Rigby, ID 83442 (208) 365-6311 Adams, Rebecca MD ~✤ (208) 745-8747 (208) 745-8747 Family Medicine Spanish, American Sign NPI: 1689610842 Language Sebastian, Robin MD ~✤ 167 E 1St S Miller, Whittney NP ~✤ Family Medicine Rigby, ID 83442 Family Nurse Practitioner NPI: 1568559029 (208) 745-8747 Curtis, Larry MD ~✤ NPI: 1467880773 207 E 12Th St Family Medicine 167 E 1St S Emmett, ID 83617 Adams, William DO ~ NPI: 1295804425 Rigby, ID 83442 (208) 365-1065 Family Medicine 167 E 1St S (208) 745-8747 NPI: 1467403733 Rigby, ID 83442 Steiner, Susan NP ~✤ 711 Rigby Lake Dr Ste 115 (208) 745-8747 Ricks, Deron PA ~ Family Nurse Practitioner Rigby, ID 83442 Physician Assistant NPI: 1740250596 (208) 745-5021 Daniels, David DO ~✤ NPI: 1639156573 1102 E Locust St Family Medicine 711 Rigby Lake Dr Ste 115 Emmett, ID 83617 NPI: 1972549137 Rigby, ID 83442 Bartlett, Trevor NP ~✤ (208) 745-5021 (208) 365-6004 Family Nurse Practitioner 167 E 1St S NPI: 1639442973 Rigby, ID 83442 (208) 745-8747 Spaulding, Tiffany DO ~ Thibault, Cheryl NP ~✤ 167 E 1St S Family Medicine Family Nurse Practitioner Rigby, ID 83442 Davenport, Melissa NPI: 1679704753 NPI: 1346301967 (208) 745-8747 711 Rigby Lake Dr Ste 115 1008 E Locust PA ~✤ Rigby, ID 83442 Emmett, ID 83617 Black, Ryan PA ~✤ Medical - Physician (208) 745-5021 (208) 365-6371 Physician Assistant Assistant NPI: 1932452091 NPI: 1538425822 Speakman, William 167 E 1St S Thomson, James MD ~✤ 167 E 1St S DO ~✤ Family Medicine Rigby, ID 83442 Rigby, ID 83442 (208) 745-8747 Family Medicine NPI: 1760453781 (208) 745-8747 NPI: 1821034562 1102 E Locust St 167 E 1St S Emmett, ID 83617 Blakeman, Adam PAC ~ Hammar, Bryan MD ~✤ Rigby, ID 83442 (208) 365-6004 Medical - Physician Family Medicine (208) 745-8747 Assistant NPI: 1841219987 NPI: 1275071128 167 E 1St S Vetter, William MD ~✤ 711 Rigby Lake Dr Ste 115 Stadler, Patricia NP ~✤ Family Medicine Rigby, ID 83442 Rigby, ID 83442 (208) 745-8747 Family Nurse Practitioner NPI: 1992775480 (208) 745-5021 NPI: 1124569108 1102 E Locust St 167 E 1St S Emmett, ID 83617 Harper, Richard DO ~ Family Medicine Rigby, ID 83442 (208) 365-6004 Boll, Kara NP ~✤ (208) 745-8747 Family Nurse Practitioner NPI: 1477599538 711 Rigby Lake Dr Ste 115 NPI: 1417498890 Tew, Kody PA ~ 167 E 1St S Rigby, ID 83442 (208) 745-5021 Medical - Physician Rigby, ID 83442 Assistant (208) 745-8747 NPI: 1760724744 Ivie, Matthew PA ~✤ 711 Rigby Lake Dr Ste 115 Family Medicine Rigby, ID 83442 NPI: 1003325937 (208) 745-5021 167 E 1St S Spanish Rigby, ID 83442 (208) 745-8747 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

41 Primary Care Providers / Médicos de Cuidados Proveedores Jefferson County continued / Condado seguido

Tews, Megan PA ~✤ Hurst, Cindy NP ~✤ Renaldi, Janet NP ~✤ Sugden, Elizabeth Physician Assistant Nurse Practitioner Nurse Practitioner MD ~✤ NPI: 1689965618 NPI: 1265887319 NPI: 1831481233 Family Medicine 167 E 1St S 132 5Th Ave W Ste 1 132 5Th Ave W Ste 1 NPI: 1356485767 Rigby, ID 83442 Jerome, ID 83338 Jerome, ID 83338 132 5Th Ave W Ste 1 (208) 745-8747 (208) 814-9800 (208) 814-9800 Jerome, ID 83338 (208) 814-9800 Jerome Irwin, James MD ~✤ Romney, Kenneth Thorne, Todd PA ~ Jerome Family Medicine MD ~✤ NPI: 1023007465 Family Medicine Medical - Physician 83338 132 5Th Ave W Ste 1 NPI: 1831272772 Assistant NPI: 1194198929 Anderson, Basil MD ~ Jerome, ID 83338 115 W 5Th Ave (208) 814-9800 Jerome, ID 83338 114 Pioneer Ct Family Medicine Jerome, ID 83338 NPI: 1518282110 American Sign Language (208) 814-9840 French (208) 324-3471 114 Pioneer Ct Spanish Jerome, ID 83338 Johnson, Brian MD ~✤ (208) 324-3471 Family Medicine Ruske, Nicole MD ~✤ Spanish NPI: 1336138783 Family Medicine Trabert, Alice NP ~✤ 709 N Lincoln Ave NPI: 1750721148 Family Nurse Practitioner Jerome, ID 83338 132 5Th Ave W Ste 1 NPI: 1245229558 Doyle, Catherine MD ~✤ 132 5Th Ave W Ste 1 Family Medicine (208) 324-4301 Jerome, ID 83338 (208) 814-9800 Jerome, ID 83338 NPI: 1952712242 (208) 814-9800 132 5Th Ave W Ste 1 Kern, Joshua MD ~✤ Spanish Jerome, ID 83338 Family Medicine (208) 814-9800 NPI: 1366486003 Sedano, Yolanda PA ~✤ Wortham, Rex MD ~✤ 132 5Th Ave W Ste 1 Physician Assistant Family Medicine Family Health Services Jerome, ID 83338 NPI: 1801121298 NPI: 1679580492 Jerome ~ (208) 814-9800 132 5Th Ave W Ste 1 709 N Lincoln Ave Federally Qualified Health Jerome, ID 83338 Jerome, ID 83338 Center (Fqhc) Miller, Toni NP ~ (208) 814-9800 (208) 324-4301 NPI: 1730135310 Family Nurse Practitioner Spanish 114 Pioneer Ct NPI: 1194158246 Kootenai Jerome, ID 83338 114 Pioneer Ct (208) 324-3471 Solbrig, Ronald MD ~✤ Coeur D Alene Jerome, ID 83338 Family Medicine (208) 324-3471 NPI: 1487794939 83814 Ferrara, Peter MD ~✤ 709 N Lincoln Ave Jarstad, Katie PAC ~ Family Medicine Nelson, Dean DO ~✤ Jerome, ID 83338 Physician Assistant NPI: 1457799215 Family Medicine (208) 324-4301 NPI: 1326099672 132 5Th Ave W Ste 1 NPI: 1285749101 1025 W Ironwood Dr Ste 3 Jerome, ID 83338 709 N Lincoln Ave Stringam, Joshua DO ~ Coeur D Alene, ID 83814 (208) 814-9800 Jerome, ID 83338 Family Medicine (208) 667-2600 (208) 324-4301 NPI: 1164860078 Franz, Martha MD ~✤ Spanish 114 Pioneer Ct 83815 Family Medicine Jerome, ID 83338 Nelson, Matthew PA ~ (208) 324-3471 Bond, Meeka NP ~✤ NPI: 1700172442 Family Nurse Practitioner 132 5Th Ave W Ste 1 Physician Assistant NPI: 1437584752 NPI: 1063934487 Jerome, ID 83338 315 W Dalton Ave Ste B (208) 814-9800 114 Pioneer Ct Jerome, ID 83338 Coeur D Alene, ID 83815 (208) 324-3471 (208) 209-2066

42 Primary Care Providers / Médicos de Cuidados Proveedores Kootenai County continued / Condado seguido

Neal, Thomas MD ~✤ Bean, Matthew MD ~✤ Burns, Timothy MD ~✤ Daugharty-Fowler, Susan Family Medicine Family Medicine Family Medicine MD ~✤ NPI: 1922079235 NPI: 1053675009 NPI: 1609847615 Internal Medicine 315 W Dalton Ave Ste B 1919 Lincoln Way Ste 315 1919 Lincoln Way Ste 315 NPI: 1073648945 Coeur D Alene, ID 83815 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 2003 Kootenai Health Way (208) 209-2066 (208) 625-6000 (208) 625-6000 Coeur D'alene, ID 83814 (208) 625-4000 Nicholson, Douglas Bertsch, Rebecca MD ~✤ Burns-Price, Melissa DO ~✤ Internal Medicine PA ~✤ Dinning, Andrea DO ~✤ Family Medicine NPI: 1811205297 Medical - Physician Internal Medicine NPI: 1538233796 1919 Lincoln Way Ste 110 Assistant NPI: 1265642607 315 W Dalton Ave Ste B Coeur D'alene, ID 83814 NPI: 1174961288 1919 Lincoln Way Ste 110 Coeur D Alene, ID 83815 (208) 625-4515 1090 W Park Place Coeur D'alene, ID 83814 (208) 209-2066 Coeur D'alene, ID 83814 (208) 625-4515 Bertsch, Rebecca MD ~✤ (208) 215-2005 Sarkis, Heather PA ~✤ Internal Medicine Dinning, Andrea DO ~✤ Physician Assistant NPI: 1811205297 Cabell, Karen DO ~✤ Internal Medicine NPI: 1023118122 2003 Kootenai Health Wy Internal Medicine NPI: 1265642607 315 W Dalton Ave Ste B Coeur D'alene, ID 83814 NPI: 1528177284 2003 Kootenai Health Way Coeur D Alene, ID 83815 (208) 666-2000 2003 Kootenai Health Way Coeur D'alene, ID 83814 (208) 209-2066 Coeur D'alene, ID 83814 (208) 625-4987 Bowen, Brittney NP ~✤ (208) 625-4000 Wester, Daniel MD ~✤ Family Nurse Practitioner Emry, Geoffrey MD ~✤ Family Medicine NPI: 1801337753 Chambers, David MD ~✤ Family Medicine NPI: 1407965544 1919 Lincoln Way Ste 315 Family Medicine NPI: 1902891518 315 W Dalton Ave Ste B Coeur D'alene, ID 83814 NPI: 1700857729 2003 Kootenai Health Way Coeur D Alene, ID 83815 (208) 625-6000 2003 Kootenai Health Wy Coeur D'alene, ID 83814 (208) 209-2066 Coeur D'alene, ID 83814 (208) 625-4000 Bowen, Brittney NP ~✤ (208) 666-2000 Coeur D'alene Family Nurse Practitioner Estonian Ficek, Brittany NP ~✤ 83814 NPI: 1801337753 Nurse Practitioner 700 Ironwood Dr Ste 158 Chisholm, Donald NPI: 1417356213 Atkins, David PA ~✤ Coeur D'alene, ID 83814 MD ~✤ 1919 Lincoln Way Ste 315 Physician Assistant (208) 625-5100 Family Medicine Coeur D'alene, ID 83814 NPI: 1689987794 NPI: 1336119932 (208) 625-6000 1090 W Park Place Brancheau, Shaun 2003 Kootenai Health Way Coeur D'alene, ID 83814 DO ~✤ Coeur D'alene, ID 83814 Fogarty, Shana MD ~✤ (208) 215-2005 Family Medicine (208) 625-4000 Family Medicine NPI: 1891019493 NPI: 1104879899 Atkins, David PA ~ 1701 Lincoln Wy Daugharty, Barbara 2003 Kootenai Health Wy Physician Assistant Coeur D'alene, ID 83814 MD ~✤ Coeur D'alene, ID 83814 NPI: 1689987794 (208) 625-4955 Internal Medicine (208) 666-2000 2025 W Park Pl Ste B NPI: 1841397304 Coeur D'alene, ID 83814 920 Ironwood Dr (208) 620-5210 Burns, Brittany MD ~✤ Gilles, Ryan MD ~✤ Family Medicine Coeur D'alene, ID 83814 Family Medicine NPI: 1730395310 (208) 664-9205 NPI: 1053519553 Barnes, Cindy NP ~✤ 1919 Lincoln Way Ste 315 French 1919 Lincoln Way Ste 315 Family Nurse Practitioner Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1215129333 (208) 625-6000 (208) 625-6000 1701 Lincoln Wy Coeur D'alene, ID 83814 (208) 625-4955 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

43 Primary Care Providers / Médicos de Cuidados Proveedores Kootenai County continued / Condado seguido

Greene, Magdelena Mclandress, Richard Purrington, Peter Smith, Gayle DO ~✤ MD ~✤ MD ~✤ MD ~✤ Family Medicine Internal Medicine Family Medicine, Family Medicine NPI: 1598779746 NPI: 1740501238 Obstetrics NPI: 1114020666 1090 W Park Place 1919 Lincoln Way Ste 110 NPI: 1194723908 1090 W Park Place Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 1919 Lincoln Way Ste 110 Coeur D'alene, ID 83814 (208) 215-2005 (208) 625-4515 Coeur D'alene, ID 83814 (208) 215-2005 (208) 625-4515 Stabler, Jonathan MD ~ Hartzell, Sarah PAC ~✤ Purrington, Peter Internal Medicine Physician Assistant Meza, Michael MD ~✤ MD ~✤ NPI: 1528486560 NPI: 1407049356 Family Medicine Family Medicine 1701 Lincoln Wy 1090 W Park Place NPI: 1134124506 NPI: 1114020666 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 1090 W Park Place 2003 Kootenai Health Wy (208) 667-7845 (208) 215-2005 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 215-2005 (208) 666-2000 Stabler, Jonathan MD ~ Heidenreich, Tanya Internal Medicine NPI: 1528486560 NP ~✤ Mroczko, Mark MD ~✤ Pyrak, Crystal MD ~✤ 2003 Kootenai Health Way Nurse Practitioner Family Medicine Family Medicine Coeur D'alene, ID 83814 NPI: 1689689085 NPI: 1528089885 NPI: 1093077760 (208) 666-2000 2199 Ironwood Ctr Dr 2003 Kootenai Health Wy 1919 Lincoln Way Ste 315 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 625-4888 (208) 666-2000 (208) 625-6000 Stow, Marti NP ~✤ Polish Family Nurse Practitioner NPI: 1689719601 Kastens, Valerie ARNP ✤ Scarola, Chad MD ~✤ Nearing, Sandra 980 Ironwood Dr Ste 104 Nurse Practitioner Family Medicine Coeur D'alene, ID 83814 NPI: 1104878867 ARNP ~✤ NPI: 1760592125 (208) 667-0621 920 Ironwood Dr Nurse Practitioner 1701 Lincoln Wy Coeur D'alene, ID 83814 NPI: 1437400496 Coeur D'alene, ID 83814 (208) 664-9205 2003 Kootenai Health Wy (208) 625-4955 Sturges, John MD ~✤ Coeur D'alene, ID 83814 Family Medicine (208) 666-2000 NPI: 1164507166 King, Heather NP ~✤ Shupe, Jonathan MD ~✤ 2710 W Ironwood Dr Ste Nurse Practitioner Family Medicine A NPI: 1164895371 Panos, Craig MD ~✤ NPI: 1417241597 Coeur D'alene, ID 83814 1090 W Park Place Family Medicine 1919 Lincoln Way Ste 315 (208) 665-5596 Coeur D'alene, ID 83814 NPI: 1104855188 Coeur D'alene, ID 83814 (208) 215-2005 1701 Lincoln Wy (208) 625-6000 Coeur D'alene, ID 83814 Sullivan, Erika NP ~✤ Mcfarland, Robert (208) 625-4955 Family Nurse Practitioner Siemers, Rebecca MD ~✤ NPI: 1568828812 MD ~✤ Family Medicine 2710 W Ironwood Dr Ste Family Medicine Panos, Craig MD ~✤ NPI: 1982832093 A NPI: 1699771469 Family Medicine 1919 Lincoln Way Ste 315 Coeur D'alene, ID 83814 1919 Lincoln Way Ste 315 NPI: 1104855188 Coeur D'alene, ID 83814 (208) 665-5596 Coeur D'alene, ID 83814 1919 Lincoln Way Ste 315 (208) 625-6000 (208) 625-6000 Coeur D'alene, ID 83814 Suriano, Catherine (208) 625-6000 Simpson, Mclane MD ~✤ MD ~✤ Family Medicine Family Medicine NPI: 1528177151 NPI: 1255441135 2003 Kootenai Health Way 1701 Lincoln Wy Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 625-4000 (208) 625-4955 Spanish

44 Primary Care Providers / Médicos de Cuidados Proveedores Kootenai County continued / Condado seguido

Volyn, Glen MD ~✤ Kelly, Erik NP ✤ Dutkiewicz, James PA ~ Stenhouse, Faine MD ~✤ Family Medicine Family Nurse Practitioner Physician Assistant Family Medicine NPI: 1801831235 NPI: 1396195269 NPI: 1114992179 NPI: 1912928136 1701 Lincoln Wy 265 W Prairie Shopping 185 W 4Th Ave Ste B 1300 E Mullan Ave Coeur D'alene, ID 83814 Center Post Falls, ID 83854 Post Falls, ID 83854 (208) 625-4955 Hayden, ID 83835 (208) 773-1592 (208) 777-9110 (208) 772-7850 Wheatley, Alison PA ~ Gibbon, Lawrence MD ~ Tickemyer, Krista Family Medicine NPI: 1932503596 Post Falls ARNP ~✤ 1090 W Park Pl NPI: 1053465559 83854 185 W 4Th Ave Ste B Family Nurse Practitioner Coeur D'alene, ID 83814 NPI: 1114393618 (208) 292-0292 Post Falls, ID 83854 Barnes, Cindy NP ~✤ (208) 773-1592 925 E Polston Family Nurse Practitioner Post Falls, ID 83854 Wheatley, Alison PA ~✤ NPI: 1215129333 (208) 625-5640 Physician Assistant 1300 E Mullan Ave Glenn, David MD ~✤ NPI: 1932503596 Post Falls, ID 83854 Family Medicine Wright, Vanessa MD ~ 1090 W Park Place (208) 777-9110 NPI: 1619381852 Family Medicine Coeur D'alene, ID 83814 1300 E Mullan Ave NPI: 1952721011 (208) 215-2005 Post Falls, ID 83854 925 E Polston Ave Bassler, Holly DO ~✤ (208) 777-9110 Family Medicine Post Falls, ID 83854 83815 NPI: 1437103009 (208) 618-0787 Lindblad, Donald MD ~ 1300 E Mullan Ave Kim, Anna MD ~✤ Family Medicine Post Falls, ID 83854 Internal Medicine Rathdrum (208) 777-9110 NPI: 1588682769 NPI: 1528178472 925 E Polston 83858 566 W Prairie Ave Post Falls, ID 83854 Cameron, Julianne Coeur D'alene, ID 83815 Benson, Eric MD ~✤ (208) 625-5640 (208) 772-8263 Internal Medicine DO ~✤ Family Medicine NPI: 1639272644 Marsh, Joni ARNP ~ 750 N Syringa St Ste 100 A NPI: 1306280029 Snyders, Brian DO ✤ NPI: 1134257538 16760 N Hwy 41 Family Medicine Post Falls, ID 83854 1641 E Poulston Ave Ste (208) 262-2311 Rathdrum, ID 83858 NPI: 1023129244 102 (208) 687-5627 1130 W Prairie Ave Post Falls, ID 83854 Brancheau, Shaun Coeur D'alene, ID 83815 (509) 462-2273 Linford, Douglas MD ~ (208) 209-0288 DO ~✤ Family Medicine Family Medicine Rousseau, Leanne NPI: 1821180134 Hayden NPI: 1891019493 MD ~✤ 16760 N Hwy 41 83835 1300 E Mullan Ave Family Medicine Rathdrum, ID 83858 Post Falls, ID 83854 Fernando, Rachel NPI: 1093768707 (208) 687-9113 (208) 777-9110 925 E Polston PAC ~✤ Post Falls, ID 83854 Smith, Gayle DO ~ NPI: 1083028047 Brown, Peter NP ~✤ (208) 625-5640 Family Medicine 265 W Prairie Shopping Family Nurse Practitioner NPI: 1598779746 Center NPI: 1033555941 Stabler, Jonathan MD ~ 15622 N Highway 41 Hayden, ID 83835 750 N Syringa St Ste 100 B Internal Medicine Rathdrum, ID 83858 (208) 772-7850 Post Falls, ID 83854 NPI: 1528486560 (208) 687-4878 (208) 262-2213 1300 E Mullan Ave Ste 1600 Post Falls, ID 83854 (208) 773-0721

45 Primary Care Providers / Médicos de Cuidados Proveedores

Latah Elsbury, Nancy Jo Powers, Julian MD ~✤ Shearer, Helen MD ~✤ Moscow MD ~✤ Family Medicine Family Medicine Family Medicine NPI: 1063703981 NPI: 1104890177 83843 NPI: 1891732319 623 S Main St West Side Clinic 2500 W Quickcare 2500 West A St Moscow, ID 83843 A St Amiel, Terry MD ~✤ Moscow, ID 83843 (208) 882-2011 Moscow, ID 83843 Family Medicine (208) 882-0540 (208) 882-2011 NPI: 1194832832 Powers, Julian MD ~✤ 623 S Main St Elsbury, Nancy Jo Moscow, ID 83843 Family Medicine Ting, Robert MD ~✤ (208) 882-2011 MD ~✤ NPI: 1063703981 Family Medicine Family Medicine Quickcare 2500 West A St NPI: 1992778708 NPI: 1891732319 Moscow, ID 83843 623 S Main St Amiel, Terry MD ~✤ U Of I Student Health (208) 882-0540 Moscow, ID 83843 Family Medicine Clinic 831 Ash St (208) 882-2011 NPI: 1194832832 Moscow, ID 83843 Powers, Julian MD ~✤ Quickcare 2500 West A St (208) 885-6693 Moscow, ID 83843 Family Medicine Ting, Robert MD ~✤ (208) 882-0540 NPI: 1063703981 Family Medicine Elsbury, Nancy Jo U Of I Student Health NPI: 1992778708 MD ~✤ Clinic 831 Ash St Quickcare 2500 West A St Amiel, Terry MD ~✤ Family Medicine Moscow, ID 83843 Moscow, ID 83843 Family Medicine NPI: 1891732319 (208) 885-6693 (208) 882-0540 NPI: 1194832832 West Side Clinic 2500 W U Of I Student Health A St Clinic 831 Ash St Powers, Julian MD ~✤ Ting, Robert MD ~✤ Moscow, ID 83843 Family Medicine Family Medicine Moscow, ID 83843 (208) 882-2011 (208) 885-6693 NPI: 1063703981 NPI: 1992778708 West Side Clinic 2500 W U Of I Student Health Knigge, Prudence DO ~✤ A St Clinic 831 Ash St Amiel, Terry MD ~✤ Family Medicine Moscow, ID 83843 Moscow, ID 83843 Family Medicine NPI: 1700032323 (208) 882-2011 (208) 885-6693 NPI: 1194832832 623 S Main St West Side Clinic 2500 W Moscow, ID 83843 Shearer, Helen MD ~✤ Ting, Robert MD ~✤ A St (208) 882-2011 Moscow, ID 83843 Family Medicine Family Medicine (208) 882-2011 NPI: 1104890177 NPI: 1992778708 Marciano, Patricia 623 S Main St West Side Clinic 2500 W Elsbury, Nancy Jo MD ~ MD ~✤ Moscow, ID 83843 A St Family Medicine Family Medicine (208) 882-2011 Moscow, ID 83843 NPI: 1891732319 NPI: 1053398578 (208) 882-2011 2500 West A St 623 S Main St Shearer, Helen MD ~✤ Moscow, ID 83843 Moscow, ID 83843 Family Medicine Lincoln (208) 882-2011 (208) 882-0540 NPI: 1104890177 Shoshone Quickcare 2500 West A St Elsbury, Nancy Jo Parker, Bryn MD ~✤ Moscow, ID 83843 83352 NPI: 1598058711 (208) 882-0540 MD ~✤ Davis, Keith MD ~✤ Family Medicine West Side Clinic 2500 W A St Family Medicine NPI: 1891732319 Shearer, Helen MD ~✤ NPI: 1043277635 623 S Main St Moscow, ID 83843 Family Medicine (208) 882-2011 113 S Apple St Moscow, ID 83843 NPI: 1104890177 Shoshone, ID 83352 (208) 882-2011 U Of I Student Health (208) 886-2224 Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693

46 Primary Care Providers / Médicos de Cuidados Proveedores Lincoln County continued / Condado seguido

Sandy, Janet NP ~✤ Brumfield, Troy DO ~✤ Gillette, Austin MD ~✤ Speakman, William Nurse Practitioner Family Medicine Family Medicine DO ~✤ NPI: 1770653990 NPI: 1265541494 NPI: 1083810287 Family Medicine 113 S Apple St 72 E Main St 21 Winn Dr NPI: 1821034562 Shoshone, ID 83352 Rexburg, ID 83440 Rexburg, ID 83440 72 E Main St (208) 886-2224 (208) 359-1770 (208) 881-5222 Rexburg, ID 83440 Spanish, American Sign Spanish (208) 359-1770 Sedano, Yolanda PA ~✤ Language Physician Assistant Hammar, Bryan MD ~✤ Stadler, Patricia NP ~✤ NPI: 1801121298 Curtis, Jacob DO ~✤ Family Medicine Family Nurse Practitioner 113 S Apple St Family Medicine NPI: 1841219987 NPI: 1124569108 Shoshone, ID 83352 NPI: 1770684003 72 E Main St 72 E Main St (208) 886-2224 72 S 1St E Rexburg, ID 83440 Rexburg, ID 83440 Spanish Rexburg, ID 83440 (208) 359-1770 (208) 359-1770 (208) 356-4900 Madison Ivie, Matthew PA ~✤ Tews, Megan PA ~✤ Rexburg Curtis, Larry MD ~✤ Family Medicine Physician Assistant Family Medicine NPI: 1003325937 NPI: 1689965618 83440 NPI: 1295804425 72 E Main St 72 E Main St 72 E Main St Rexburg, ID 83440 Rexburg, ID 83440 Adams, Rebecca MD ~✤ Rexburg, ID 83440 (208) 359-1770 (208) 359-1770 Family Medicine (208) 359-1770 NPI: 1689610842 Minidoka 72 E Main St Larsen, Brennen PA ~✤ Rexburg, ID 83440 Daniels, David DO ~✤ Physician Assistant Rupert (208) 359-1770 Family Medicine NPI: 1740659010 NPI: 1972549137 21 Winn Dr 83350 72 E Main St Rexburg, ID 83440 Bartlett, Trevor NP ~✤ Allred, Debbie NP ~ Rexburg, ID 83440 (208) 881-5222 Nurse Practitioner Family Nurse Practitioner (208) 359-1770 NPI: 1639442973 NPI: 1285691865 Maguire, James DO ~✤ 1024 8Th St 72 E Main St Davenport, Melissa Rexburg, ID 83440 Family Medicine Rupert, ID 83350 (208) 359-1770 PA ~✤ NPI: 1811006091 (208) 650-7941 Medical - Physician 72 E Main St Assistant Rexburg, ID 83440 Anderson, Basil MD ~ Black, Ryan PA ~✤ NPI: 1538425822 (208) 359-1770 Family Medicine Physician Assistant 72 E Main St NPI: 1518282110 NPI: 1932452091 1024 8Th St Rexburg, ID 83440 Miller, Whittney NP ~✤ 72 E Main St (208) 359-1770 Rupert, ID 83350 Rexburg, ID 83440 Family Nurse Practitioner (208) 650-7941 (208) 359-1770 NPI: 1467880773 Spanish Dustin, Kelly DO ~✤ 72 E Main St Family Medicine Rexburg, ID 83440 Boll, Kara NP ~✤ NPI: 1114957362 (208) 359-1770 Carroll, Robbie NP ~ Family Nurse Practitioner 21 Winn Dr Nurse Practitioner NPI: 1417498890 NPI: 1417349515 Rexburg, ID 83440 Packer, Michael MD ~✤ 72 E Main St (208) 881-5222 1024 8Th St Rexburg, ID 83440 Family Medicine Rupert, ID 83350 (208) 359-1770 NPI: 1659454734 (208) 650-7941 450 East Main St Rexburg, ID 83440 (208) 359-9888

47 Primary Care Providers / Médicos de Cuidados Proveedores Minidoka County continued / Condado seguido

Detemple, Matthew DO ~ Miller, Toni NP ~ Nez Perce Ellis, Carol ARNP ~✤ Family Medicine Family Nurse Practitioner Lewiston Family Nurse Practitioner NPI: 1467419150 NPI: 1194158246 NPI: 1194919647 1024 8Th St 1024 8Th St 83501 2315 8Th St Rupert, ID 83350 Rupert, ID 83350 Lewiston, ID 83501 (208) 650-7941 (208) 650-7941 Brady, Patricia MD ~ Internal Medicine (208) 746-1383 Duersch, Matthew MD ~ Nelson, Matthew PA ~ NPI: 1922079037 Family Medicine Physician Assistant 222 Southway Ave Ste C Fast, Eric APRN ~✤ NPI: 1902941750 NPI: 1437584752 Lewiston, ID 83501 NPI: 1376918383 1024 8Th St 1024 8Th St (208) 746-1333 2315 8Th St Rupert, ID 83350 Rupert, ID 83350 Lewiston, ID 83501 (208) 650-7941 (208) 650-7941 Carpenter, Todd (208) 746-1383 German ARNP ~✤ Richins, Adam PA ~ NPI: 1255629267 Giolitti, Dino ARNP ~ Family Health Services Physician Assistant 2315 8Th St Family Nurse Practitioner Rupert ~ NPI: 1023381860 Lewiston, ID 83501 NPI: 1346530557 Federally Qualified Health 1024 8Th St (208) 746-1383 428 6Th St Center (Fqhc) Rupert, ID 83350 Lewiston, ID 83501 NPI: 1093761694 (208) 650-7941 Cho, Ho NP ~ (208) 743-2511 1024 8Th St Spanish Family Nurse Practitioner Rupert, ID 83350 NPI: 1215489125 Grinage, Jennifer PA ~✤ (208) 650-7941 Rodemack, Dean PAC ~ 415 6Th St NPI: 1396151395 Physician Assistant Lewiston, ID 83501 2315 8Th St Hodges, Ryan PA ~ NPI: 1548543424 (208) 298-3005 Lewiston, ID 83501 Physician Assistant 1024 8Th St Korean (208) 746-1383 NPI: 1033413240 Rupert, ID 83350 1024 8Th St (208) 650-7941 Davis, Barbara MD ~ Jefferson Jr, Glenn Rupert, ID 83350 Internal Medicine (208) 650-7941 Stringam, Joshua DO ~ NPI: 1699746859 MD ~✤ Spanish Family Medicine 222 Southway Ave Ste C Family Medicine, NPI: 1164860078 Lewiston, ID 83501 Obstetrics (208) 746-1333 NPI: 1326121286 Knopp, Kalen PA ~ 1024 8Th St 2315 8Th St Physician Assistant Rupert, ID 83350 Lewiston, ID 83501 NPI: 1184094344 (208) 650-7941 Dykstra, Timothy (208) 746-1383 1024 8Th St MD ~✤ Rupert, ID 83350 Thorne, Todd PA ~ Internal Medicine (208) 650-7941 Medical - Physician NPI: 1376592758 Knight, Lynley ARNP ~✤ Assistant 2315 8Th St Family Nurse Practitioner Long, Erik MD ~ NPI: 1194198929 Lewiston, ID 83501 NPI: 1871900225 Family Medicine 1024 8Th St (208) 746-1383 2315 8Th St NPI: 1609834621 Rupert, ID 83350 Lewiston, ID 83501 1024 8Th St (208) 650-7941 Eggleston, Melanie (208) 746-1383 Rupert, ID 83350 Spanish (208) 650-7941 MD ~✤ Larson, Amy NP ~ Ziebarth, Dustin DO ~ Internal Medicine Family Nurse Practitioner Mcallister, Taylor PA ~ Family Medicine NPI: 1932159258 NPI: 1679963284 Physician Assistant NPI: 1750644456 2315 8Th St 338 6Th St NPI: 1477902161 1024 8Th St Lewiston, ID 83501 Lewiston, ID 83501 1024 8Th St Rupert, ID 83350 (208) 746-1383 (208) 848-8300 Rupert, ID 83350 (208) 650-7941 (208) 650-7941 Spanish

48 Primary Care Providers / Médicos de Cuidados Proveedores Nez Perce County continued / Condado seguido

Morris, Katherine Oneida Marsing Erlandson, Linda NP ~✤ ARNP ~✤ Malad City 83639 Nurse Practitioner NPI: 1427241447 NPI: 1184699480 2315 8Th St 83252 Clark, Kate NP ~✤ 1118 Nw 16Th St Ste D Lewiston, ID 83501 Family Nurse Practitioner Fruitland, ID 83619 (208) 746-1383 Felter, Jennifer NP ~✤ NPI: 1780052183 (208) 452-7677 Nurse Practitioner 201 Main St NPI: 1134417843 Marsing, ID 83639 Holland, Benjamin Petersen, David MD ~✤ 220 Bannock St (208) 896-4159 Family Medicine, Malad City, ID 83252 Spanish MD ~✤ Obstetrics (208) 766-2600 Family Medicine NPI: 1619050424 NPI: 1508206327 2315 8Th St Payette 1210 Nw 16Th St Pickett, James DO ~✤ Lewiston, ID 83501 Fruitland Fruitland, ID 83619 (208) 746-1383 Family Medicine (208) 452-8600 NPI: 1275735045 83619 Saunero-Nava, Liliana 220 Bannock St Malad City, ID 83252 Akin, Melissa NP ~✤ Johnson, Brett DO ~✤ MD ~ Family Medicine Internal Medicine (208) 766-2600 Primary Care Nurse German Practitioner NPI: 1023337185 NPI: 1902902737 1210 Nw 16Th St 222 Southway Ave Ste C NPI: 1013298033 1210 Nw 16Th St Fruitland, ID 83619 Lewiston, ID 83501 Teeples, David DO ~✤ (208) 452-8600 (208) 746-1333 Family Medicine Fruitland, ID 83619 NPI: 1003179706 (208) 452-8600 Smith, Morris MD ~✤ Stolte, Carmen ARNP ~✤ 220 Bannock St Malad City, ID 83252 Baker, Clinton PA ~✤ Internal Medicine NPI: 1699858415 NPI: 1487611877 2315 8Th St (208) 766-2600 Family Medicine NPI: 1861483562 1210 Nw 16Th St Lewiston, ID 83501 Fruitland, ID 83619 (208) 746-1383 Owyhee 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8700 Grand View Taylor, Julie NP ~ (208) 452-8600 Family Nurse Practitioner 83624 Payette NPI: 1114221546 Cabrera, Nani Jane 83661 338 6Th St Ste 101 Casto, Jonathan PAC ~✤ DO ~✤ Lewiston, ID 83501 Medical - Physician Family Medicine Carrell, Kenneth MD ~✤ (208) 848-8300 Assistant NPI: 1730180092 Family Medicine NPI: 1952738577 1210 Nw 16Th St NPI: 1295764900 Vonbargen, Elizabeth 350 Main St Fruitland, ID 83619 1441 Ne 10Th Ave ARNP ~ Grand View, ID 83624 (208) 452-8600 Payette, ID 83661 Family Nurse Practitioner (208) 834-2929 (208) 642-9376 NPI: 1336571942 Homedale David, Ryan DO ~✤ 415 6Th St Family Medicine Carroll, Ronald MD ~✤ Lewiston, ID 83501 83628 NPI: 1699112870 Family Medicine (208) 298-3005 1210 Nw 16Th St NPI: 1790821122 Barrus, Paul DO ~✤ Fruitland, ID 83619 823 Center Ave Family Medicine (208) 452-8600 Payette, ID 83661 NPI: 1114926136 (208) 642-3396 108 E Idaho Homedale, ID 83628 Elam, Isaac MD ~✤ (208) 337-3189 Internal Medicine Spanish, French NPI: 1497998215 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8700

49 Primary Care Providers / Médicos de Cuidados Proveedores Payette County continued / Condado seguido

Phillips, Alisha NP ~✤ Power Fletcher, Zuzana NP ~✤ Pabawena, Amy NP ~✤ Family Nurse Practitioner American Falls Family Nurse Practitioner Family Nurse Practitioner NPI: 1205972544 NPI: 1902234701 NPI: 1821545211 823 Center Ave 83211 823 Reed St 823 Reed St Payette, ID 83661 Babb, Kristine NP ~ American Falls, ID 83211 American Falls, ID 83211 (208) 642-3396 Family Nurse Practitioner (208) 226-2822 (208) 226-2822 NPI: 1942304498 Renak, Mandy NP ~✤ 502 Tyhee Ave Fries-Geslin, Kelli NP ~✤ Ragan, Joseph MD ~✤ Family Nurse Practitioner American Falls, ID 83211 Family Nurse Practitioner Family Medicine NPI: 1205241650 (208) 226-1057 NPI: 1518415942 NPI: 1659324499 1155 3Rd Ave N 823 Reed St 823 Reed St Payette, ID 83661 Bieniasz, Paul PA ~✤ American Falls, ID 83211 American Falls, ID 83211 (208) 642-9321 Medical - Physician (208) 226-2822 (208) 226-2822 Assistant Rosin, Kirsten NP ~✤ NPI: 1518934181 Higbee, Logan PA ~✤ Schaper, Heather PA ~✤ Family Nurse Practitioner 823 Reed St Physician Assistant Medical - Physician NPI: 1730615741 American Falls, ID 83211 NPI: 1992019202 Assistant 1155 3Rd Ave N (208) 226-2822 823 Reed St NPI: 1073840401 Payette, ID 83661 American Falls, ID 83211 823 Reed St (208) 642-9321 Bokelmann, Jean MD ~✤ (208) 226-2822 American Falls, ID 83211 Family Medicine (208) 226-2822 Schantz, Shannon NPI: 1487649141 Horrocks, Mark MD ~✤ Spanish MD ~✤ 823 Reed St Family Medicine Family Medicine American Falls, ID 83211 NPI: 1700885258 Seibold, Spencer DO ~ NPI: 1215907704 (208) 226-2822 823 Reed St Family Medicine 1441 Ne 10Th Ave American Falls, ID 83211 NPI: 1114214731 Payette, ID 83661 Carbol, Courtland (208) 226-2822 502 Tyhee Ave (208) 642-9376 American Falls, ID 83211 MD ~✤ (208) 226-1057 Family Medicine Karroum, Brandi NP ~✤ Polish Smith, Morris MD ~✤ NPI: 1780610071 Family Nurse Practitioner Internal Medicine 823 Reed St NPI: 1548517972 NPI: 1487611877 American Falls, ID 83211 823 Reed St Seibold, Spencer DO ~✤ 1441 Ne 10Th Ave (208) 226-2822 American Falls, ID 83211 Family Medicine Payette, ID 83661 (208) 226-2822 NPI: 1114214731 (208) 642-9376 Christensen, Kelli 510 Roosevelt St American Falls, ID 83211 MD ~✤ Kjos, Melissa MD ~✤ (208) 226-1057 Thibault, Cheryl NP ~✤ Family Medicine Family Medicine Polish Family Nurse Practitioner NPI: 1366443699 NPI: 1164861340 NPI: 1346301967 823 Reed St 823 Reed St 1155 3Rd Ave N American Falls, ID 83211 American Falls, ID 83211 Smith, Dean DO ~✤ Payette, ID 83661 (208) 226-2822 (208) 226-2822 Family Medicine (208) 642-9321 NPI: 1144252099 Mickelsen, Brandon 823 Reed St Edmo, Helene NP ~✤ American Falls, ID 83211 Primary Care Nurse MD ~✤ (208) 226-2822 Practitioner, Nurse Family Medicine Practitioner NPI: 1417987686 NPI: 1699767004 823 Reed St Weinhold, Ana MD ~✤ 823 Reed St American Falls, ID 83211 Family Medicine American Falls, ID 83211 (208) 226-2822 NPI: 1932369568 (208) 226-2822 Dutch 823 Reed St American Falls, ID 83211 (208) 226-2822 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

50 Primary Care Providers / Médicos de Cuidados Proveedores

Shoshone Twin Falls Knopp, Kalen PA ~ Richins, Adam PA ~ Physician Assistant Physician Assistant Kellogg Buhl NPI: 1184094344 NPI: 1023381860 83837 83316 725 Fair St 725 Fair St Buhl, ID 83316 Buhl, ID 83316 Grattic, Taryn PA ~ Allred, Debbie NP ~ (208) 543-8271 (208) 543-8271 NPI: 1093073926 Nurse Practitioner Spanish 740 Mckinley Ave NPI: 1285691865 Long, Erik MD ~ Kellogg, ID 83837 725 Fair St Family Medicine Rodemack, Dean PAC ~ (208) 783-1267 Buhl, ID 83316 NPI: 1609834621 Physician Assistant (208) 543-8271 725 Fair St NPI: 1548543424 Herold, Heidi MD ~ Buhl, ID 83316 725 Fair St Family Medicine Anderson, Basil MD ~ (208) 543-8271 Buhl, ID 83316 NPI: 1043322217 Family Medicine (208) 543-8271 740 Mckinley Ave NPI: 1518282110 Kellogg, ID 83837 725 Fair St Mason, Bryan MD ~✤ (208) 783-1267 Buhl, ID 83316 Family Medicine Snapp, Jordan NP ~✤ (208) 543-8271 NPI: 1316268295 Family Nurse Practitioner Spanish 529 Broadway Ave S NPI: 1609320126 Yawn, Linda RN ~✤ Buhl, ID 83316 529 Broadway Ave S Family Nurse Practitioner Detemple, Matthew DO ~ (208) 814-8000 Buhl, ID 83316 NPI: 1457508301 Portugese (208) 814-8000 740 Mckinley Ave Family Medicine Kellogg, ID 83837 NPI: 1467419150 725 Fair St Mcallister, Taylor PA ~ Thorne, Todd PA ~ (208) 292-0292 Physician Assistant Medical - Physician German Buhl, ID 83316 (208) 543-8271 NPI: 1477902161 Assistant 725 Fair St NPI: 1194198929 Wallace Duersch, Matthew MD ~ Buhl, ID 83316 725 Fair St 83873 Family Medicine (208) 543-8271 Buhl, ID 83316 NPI: 1902941750 Spanish (208) 543-8271 Miller, Joseph MD ~ Spanish Family Medicine 725 Fair St Buhl, ID 83316 Miller, Toni NP ~ NPI: 1861411126 Family Nurse Practitioner 610 Cedar St (208) 543-8271 Castleford German NPI: 1194158246 Wallace, ID 83873 725 Fair St 83321 (208) 556-1561 Family Health Services Buhl, ID 83316 Carter, Janice NP ~✤ (208) 543-8271 Teton Buhl ~ Family Medicine Federally Qualified Health NPI: 1033154513 Driggs Center (Fqhc) Nelson, Matthew PA ~ 425 Main St NPI: 1003862525 Physician Assistant Castleford, ID 83321 83422 725 Fair Ave NPI: 1437584752 (208) 944-2548 Thomas, Scott MD ~ Buhl, ID 83316 725 Fair St Family Medicine (208) 543-8271 Buhl, ID 83316 Kimberly NPI: 1144237975 (208) 543-8271 852 Valley Centre Dr Hodges, Ryan PA ~ 83341 Driggs, ID 83422 Physician Assistant Nofziger, Dan MD ~✤ Allred, Debbie NP ~ (208) 354-4757 NPI: 1033413240 Family Medicine Nurse Practitioner 725 Fair St NPI: 1548354707 NPI: 1285691865 Buhl, ID 83316 709 Fair St 132 Main St N (208) 543-8271 Buhl, ID 83316 Kimberly, ID 83341 Spanish (208) 543-8237 (208) 735-3938

51 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Detemple, Matthew DO ~ Miller, Toni NP ~ Twin Falls Anderson, Basil MD ~ Family Medicine Family Nurse Practitioner Family Medicine NPI: 1467419150 NPI: 1194158246 83301 NPI: 1518282110 132 Main St N 132 Main St N Allen, Nathan DO ~✤ 794 Eastland Dr Kimberly, ID 83341 Kimberly, ID 83341 Family Medicine Twin Falls, ID 83301 (208) 735-3938 (208) 735-3938 NPI: 1881908366 (208) 292-0697 2550 Addison Ave E Ste F Spanish Duersch, Matthew MD ~ Nelson, Matthew PA ~ Twin Falls, ID 83301 Family Medicine Physician Assistant (208) 814-8000 Anderson, Basil MD ~ NPI: 1902941750 NPI: 1437584752 Spanish Family Medicine 132 Main St N 132 Main St N NPI: 1518282110 Kimberly, ID 83341 Kimberly, ID 83341 Allred, Debbie NP ~ 826 Eastland Dr (208) 735-3938 (208) 735-3938 Nurse Practitioner Twin Falls, ID 83301 German NPI: 1285691865 (208) 732-7101 Richins, Adam PA ~ 325 Martin St Spanish Family Health Services Physician Assistant Twin Falls, ID 83301 Kimberly ~ NPI: 1023381860 (208) 732-7101 Baker, John MD ~✤ Federally Qualified Health 132 Main St N Internal Medicine Center (Fqhc) Kimberly, ID 83341 Allred, Debbie NP ~ NPI: 1124061262 NPI: 1538405410 (208) 735-3938 Nurse Practitioner 775 Pole Line Rd W Ste 132 Main St N Spanish NPI: 1285691865 312 Kimberly, ID 83341 388 Martin St Twin Falls, ID 83301 (208) 735-3938 Rodemack, Dean PAC ~ Twin Falls, ID 83301 (208) 814-8600 Physician Assistant (208) 734-0451 Hodges, Ryan PA ~ NPI: 1548543424 Physician Assistant 132 Main St N Barker, Samuel NP ~✤ Allred, Debbie NP ~ Family Nurse Practitioner NPI: 1033413240 Kimberly, ID 83341 Nurse Practitioner 132 Main St N (208) 735-3938 NPI: 1043301682 NPI: 1285691865 844 N Washington St Ste Kimberly, ID 83341 794 Eastland Dr (208) 735-3938 Stringam, Joshua DO ~ 400 Twin Falls, ID 83301 Twin Falls, ID 83301 Spanish Family Medicine (208) 292-0697 NPI: 1164860078 (208) 734-0000 Spanish Knopp, Kalen PA ~ 132 Main St N Allred, Debbie NP ~ Physician Assistant Kimberly, ID 83341 Nurse Practitioner NPI: 1184094344 (208) 735-3938 NPI: 1285691865 Bartschi, Corinne NP ~✤ 132 Main St N 826 Eastland Dr Nurse Practitioner Kimberly, ID 83341 Thorne, Todd PA ~ Twin Falls, ID 83301 NPI: 1063681054 (208) 735-3938 Medical - Physician (208) 732-7101 730 N College Rd Ste A Assistant Twin Falls, ID 83301 Long, Erik MD ~ NPI: 1194198929 Anderson, Basil MD ~ (208) 814-7300 Family Medicine 132 Main St N Family Medicine NPI: 1609834621 Kimberly, ID 83341 NPI: 1518282110 Bartschi, Corinne NP ~✤ 132 Main St N (208) 735-3938 325 Martin St Nurse Practitioner Kimberly, ID 83341 Spanish Twin Falls, ID 83301 NPI: 1063681054 (208) 735-3938 (208) 732-7101 775 Pole Line Rd W Ste Ziebarth, Dustin DO ~ Spanish 105 And 111 Mcallister, Taylor PA ~ Family Medicine Twin Falls, ID 83301 Physician Assistant NPI: 1750644456 Anderson, Basil MD ~ (208) 814-8000 NPI: 1477902161 132 Main St N Family Medicine 132 Main St N Kimberly, ID 83341 NPI: 1518282110 Kimberly, ID 83341 (208) 735-3938 388 Martin St (208) 735-3938 Twin Falls, ID 83301 Spanish (208) 734-0451 Spanish ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

52 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Bostrom, Lauren PA ~✤ Clark, Cameron PA ~✤ Detemple, Matthew DO ~ Duersch, Matthew MD ~ Physician Assistant Physician Assistant Family Medicine Family Medicine NPI: 1740614015 NPI: 1407049422 NPI: 1467419150 NPI: 1902941750 1363 Fillmore St 775 Pole Line Rd W Ste 388 Martin St 794 Eastland Dr Twin Falls, ID 83301 312 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 736-7090 Twin Falls, ID 83301 (208) 734-0451 (208) 292-0697 (208) 814-8600 German Spanish Detemple, Matthew DO ~ Bostrom, Lauren PA ~✤ Family Medicine Duersch, Matthew MD ~ Physician Assistant NPI: 1467419150 Family Medicine NPI: 1740614015 Cook, Gail PA ~✤ 794 Eastland Dr NPI: 1902941750 1411 Fillmore St Ste 600 Medical - Physician Twin Falls, ID 83301 826 Eastland Dr Twin Falls, ID 83301 Assistant (208) 292-0697 Twin Falls, ID 83301 (208) 933-4400 NPI: 1447217955 (208) 732-7101 775 Pole Line Rd W Ste Detemple, Matthew DO ~ German Brown, Aaron MD ~✤ 105 And 111 Family Medicine Family Medicine Twin Falls, ID 83301 NPI: 1467419150 Family Health Services ~ NPI: 1326128612 (208) 814-8000 826 Eastland Dr Federally Qualified Health 730 N College Rd Ste A Twin Falls, ID 83301 Center (Fqhc) Twin Falls, ID 83301 Curtis, Mary MD ~✤ (208) 732-7101 NPI: 1750566386 (208) 814-7300 Family Medicine 325 Martin St Spanish, Portugese NPI: 1205870417 Dimaggio, Lucie MD ~✤ Twin Falls, ID 83301 2550 Addison Ave E Ste B Internal Medicine (208) 732-7101 Burgett, Lisa MD ~✤ Twin Falls, ID 83301 NPI: 1336188267 Internal Medicine (208) 814-8000 2550 Addison Ave E Ste E Family Health Services NPI: 1891731139 Twin Falls, ID 83301 388 Martin St ~ (208) 814-7780 Federally Qualified Health 2550 Addison Ave E Ste E Curtis, Mary MD ~✤ Center (Fqhc) Twin Falls, ID 83301 Family Medicine NPI: 1669449450 (208) 814-7780 NPI: 1205870417 Dopp, Matthew MD ~✤ 388 Martin Street 730 N College Rd Ste A Internal Medicine Twin Falls, ID 83301 Carter, Janice NP ~✤ Twin Falls, ID 83301 NPI: 1255575619 (208) 734-0451 Family Medicine (208) 814-7300 2550 Addison Ave E Ste E NPI: 1033154513 Twin Falls, ID 83301 Family Health Services 2086 Addison Ave E Dalley, Jeremy PAC ~✤ (208) 814-7780 Corporation - Fqhc ~ Twin Falls, ID 83301 Physician Assistant Federally Qualified Health (208) 733-9697 NPI: 1306273552 Duersch, Matthew MD ~ Center (Fqhc) 1411 Fillmore St Ste 600 Family Medicine NPI: 1124571815 Clark, Cameron PA ~✤ Twin Falls, ID 83301 NPI: 1902941750 826 Eastland Dr Physician Assistant (208) 933-4400 325 Martin St Twin Falls, ID 83301 Spanish Twin Falls, ID 83301 (208) 732-7101 NPI: 1407049422 (208) 732-7101 775 Pole Line Rd W Ste German 103 Detemple, Matthew DO ~ Ficklin, Daryl DO ~✤ Twin Falls, ID 83301 Family Medicine Duersch, Matthew MD ~ Internal Medicine (208) 814-8375 NPI: 1467419150 NPI: 1346213303 Spanish 325 Martin St Family Medicine Twin Falls, ID 83301 NPI: 1902941750 775 Pole Line Rd W Ste (208) 732-7101 388 Martin St 312 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 734-0451 (208) 814-8600 German

53 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Fortuin, Brian MD ~✤ Halverson, Nichole Helms, Jared DO ~✤ Johnson, Chad DO ~✤ Internal Medicine MD ~✤ Internal Medicine Family Medicine NPI: 1740221191 Family Medicine NPI: 1407035371 NPI: 1871881052 775 Pole Line Rd W Ste NPI: 1164629887 2550 Addison Ave E Ste E 738 N College Rd Ste A 312 1020 Washington St N Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 814-7780 (208) 814-7000 (208) 814-8600 (208) 737-5900 Spanish Hicks, Laurence DO ~✤ Fuller, Chuck PA ~ Halverson, Nichole Family Medicine Johnson, Elizabeth Physician Assistant MD ~✤ NPI: 1730283250 MD ~✤ NPI: 1124015102 Family Medicine 236 Martin St Family Medicine 260 Falls Ave Ste C NPI: 1164629887 Twin Falls, ID 83301 NPI: 1891784245 Twin Falls, ID 83301 2550 Addison Ave E Ste B (208) 733-4444 775 Pole Line Rd W Ste (208) 736-7422 Twin Falls, ID 83301 Spanish, Tagalog 103 (208) 814-8000 Twin Falls, ID 83301 Fullmer, Anne NP ~✤ Hodges, Ryan PA ~ (208) 814-8375 Family Nurse Practitioner Harris, Kenneth MD ~✤ Physician Assistant NPI: 1891165569 Family Medicine NPI: 1033413240 Johnson, Mayben DO ~✤ 2550 Addison Ave E Ste E NPI: 1447295480 325 Martin St Family Medicine Twin Falls, ID 83301 730 N College Rd Ste A Twin Falls, ID 83301 NPI: 1306920202 (208) 814-7780 Twin Falls, ID 83301 (208) 732-7101 526 E Shoup Ave W Ste D (208) 814-7300 Spanish Twin Falls, ID 83301 Goodman, Taryna (208) 733-1112 Hodges, Ryan PA ~ NP ~✤ Harris, Vaughn MD ~✤ Family Nurse Practitioner Physician Assistant Family Medicine NPI: 1033413240 Johnson, Sara MD ~✤ NPI: 1104928878 NPI: 1447519160 Family Medicine 496 Shoup Ave W Ste E 794 Eastland Dr 2550 Addison Ave E Ste B Twin Falls, ID 83301 NPI: 1881601698 Twin Falls, ID 83301 Twin Falls, ID 83301 496 Shoup Ave W Ste E (208) 733-2885 (208) 292-0697 (208) 814-8000 Spanish Twin Falls, ID 83301 Spanish (208) 733-2885 Goulding, Lesley ~✤ Hodges, Ryan PA ~ Spanish Nurse Practitioner Harris, Vaughn MD ~✤ Physician Assistant NPI: 1043730302 Family Medicine NPI: 1033413240 Jorgensen, Jennifer 775 Pole Line Rd W Ste NPI: 1447519160 826 Eastland Dr NP ~✤ 302 775 Pole Line Rd W Ste Twin Falls, ID 83301 Nurse Practitioner Twin Falls, ID 83301 105 (208) 732-7101 NPI: 1225446180 (208) 814-8725 Twin Falls, ID 83301 Spanish 2550 Addison Ave E Ste A (208) 814-8000 Twin Falls, ID 83301 Goulding, Lesley ~✤ Spanish Hyatt, Brad DO ~✤ (208) 814-8000 Nurse Practitioner Family Medicine NPI: 1043730302 Haymore, Jeremy MD ~ NPI: 1932420783 King, Jonathan DO ~✤ 801 Pole Line Rd W Family Medicine 2550 Addison Ave E Ste F Internal Medicine Twin Falls, ID 83301 NPI: 1265547582 Twin Falls, ID 83301 NPI: 1891114666 (208) 814-0361 260 Falls Ave Ste C (208) 814-8000 775 Pole Line Rd W Ste Twin Falls, ID 83301 312 Guthrie, Jennifer NP ~ (208) 736-7422 Ippolito, Joseph MD ✤ Twin Falls, ID 83301 Nurse Practitioner (208) 814-8600 NPI: 1518494152 Family Medicine 2167 Village Park Ave Ste NPI: 1306862792 300 526 Shoup Ave W Ste F Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 733-5117 (208) 736-7620

54 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Knopp, Kalen PA ~ Long, Erik MD ~ Martens, Laurence Miller, Toni NP ~ Physician Assistant Family Medicine MD ~✤ Family Nurse Practitioner NPI: 1184094344 NPI: 1609834621 Family Medicine NPI: 1194158246 325 Martin St 325 Martin St NPI: 1821024621 388 Martin St Twin Falls, ID 83301 Twin Falls, ID 83301 730 N College Rd Ste A Twin Falls, ID 83301 (208) 732-7101 (208) 732-7101 Twin Falls, ID 83301 (208) 734-0451 (208) 814-7300 Knopp, Kalen PA ~ Long, Erik MD ~ Miller, Toni NP ~ Physician Assistant Family Medicine Mcallister, Taylor PA ~ Family Nurse Practitioner NPI: 1184094344 NPI: 1609834621 Physician Assistant NPI: 1194158246 388 Martin St 388 Martin St NPI: 1477902161 794 Eastland Dr Twin Falls, ID 83301 Twin Falls, ID 83301 325 Martin St Twin Falls, ID 83301 (208) 734-0451 (208) 734-0451 Twin Falls, ID 83301 (208) 292-0697 (208) 732-7101 Knopp, Kalen PA ~ Long, Erik MD ~ Spanish Miller, Toni NP ~ Physician Assistant Family Medicine Family Nurse Practitioner NPI: 1184094344 NPI: 1609834621 Mcallister, Taylor PA ~ NPI: 1194158246 794 Eastland Dr 794 Eastland Dr Physician Assistant 826 Eastland Dr Twin Falls, ID 83301 Twin Falls, ID 83301 NPI: 1477902161 Twin Falls, ID 83301 (208) 292-0697 (208) 292-0697 794 Eastland Dr (208) 732-7101 Twin Falls, ID 83301 Knopp, Kalen PA ~ Long, Erik MD ~ (208) 292-0697 Nelson, Matthew PA ~ Physician Assistant Family Medicine Spanish Physician Assistant NPI: 1184094344 NPI: 1609834621 NPI: 1437584752 826 Eastland Dr 826 Eastland Dr Mcallister, Taylor PA ~ 325 Martin St Twin Falls, ID 83301 Twin Falls, ID 83301 Physician Assistant Twin Falls, ID 83301 (208) 732-7101 (208) 732-7101 NPI: 1477902161 (208) 732-7101 826 Eastland Dr Kohring, Heather NP ~✤ Mancari, Roanne NP ~✤ Twin Falls, ID 83301 Nelson, Matthew PA ~ Nurse Practitioner Family Nurse Practitioner (208) 732-7101 Physician Assistant NPI: 1285742452 NPI: 1922329416 Spanish NPI: 1437584752 775 Pole Line Rd W Ste 476 Cheney Dr W Ste 160 388 Martin St 203 Twin Falls, ID 83301 Twin Falls, ID 83301 Mccomas, Stacie NP ~✤ (208) 734-0451 Twin Falls, ID 83301 (208) 944-0497 Nurse Practitioner (208) 814-8300 NPI: 1366982621 Nelson, Matthew PA ~ Manning, Jared MD ~ 476 Cheney Dr W Ste 160 Internal Medicine Physician Assistant Kohtz, Steven MD ~✤ Twin Falls, ID 83301 NPI: 1437584752 Family Medicine NPI: 1326209701 (208) 944-0497 725 Pole Line Rd 794 Eastland Dr NPI: 1093830598 Twin Falls, ID 83301 775 Pole Line Rd W Ste Twin Falls, ID 83301 (208) 706-2333 Melvin, Ryan DO ~✤ (208) 292-0697 105 And 111 Family Medicine Twin Falls, ID 83301 NPI: 1679519276 Nelson, Matthew PA ~ (208) 814-8000 Manning, Jared MD ~✤ 2550 Addison Ave E Ste B Physician Assistant Internal Medicine Twin Falls, ID 83301 NPI: 1437584752 Laucius, Victorija DO ~✤ NPI: 1326209701 (208) 814-8000 826 Eastland Dr Internal Medicine 725 Pole Line Rd W Twin Falls, ID 83301 NPI: 1780624122 Twin Falls, ID 83301 Miller, Toni NP ~ (208) 732-7101 2550 Addison Ave E Ste E (208) 814-1600 Family Nurse Practitioner Twin Falls, ID 83301 NPI: 1194158246 (208) 814-7780 325 Martin St Twin Falls, ID 83301 (208) 732-7101

55 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Page, Travis DO ~ Richins, Adam PA ~ Rodemack, Dean PAC ~ Smith, Camille DO ~✤ Family Medicine Physician Assistant Physician Assistant Family Medicine NPI: 1396760385 NPI: 1023381860 NPI: 1548543424 NPI: 1598846826 260 Falls Ave Ste C 325 Martin St 826 Eastland Dr 526 Shoup Ave W Ste D Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 736-7422 (208) 732-7101 (208) 732-7101 (208) 733-1112 Spanish Spanish Perrin, Michael NP ~✤ Rosenblum, Joseph Family Nurse Practitioner Richins, Adam PA ~ DO ~✤ Physician Assistant Snapp, Jordan NP ~✤ NPI: 1184979783 Internal Medicine Family Nurse Practitioner 801 Pole Line Rd W NPI: 1023381860 NPI: 1609861509 388 Martin St NPI: 1609320126 Twin Falls, ID 83301 775 Pole Line Rd W Ste 730 N College Rd Ste A (208) 814-0361 Twin Falls, ID 83301 112 (208) 734-0451 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 814-7300 Pittard, Jonathan PA ~ Spanish (208) 814-8200 Medical - Physician Assistant Richins, Adam PA ~ Rudeen, Walter MD ~ Snapp, Jordan NP ~✤ NPI: 1376876599 Physician Assistant Family Medicine Family Nurse Practitioner 260 Falls Ave Ste C NPI: 1023381860 NPI: 1023019957 NPI: 1609320126 Twin Falls, ID 83301 794 Eastland Dr 260 Falls Ave Ste C 844 N Washington St Ste (208) 736-7422 Twin Falls, ID 83301 Twin Falls, ID 83301 400 (208) 292-0697 (208) 736-7422 Twin Falls, ID 83301 Spanish (208) 734-0000 Preucil, Daniel MD ~✤ Sandison, Richard Family Medicine Richins, Adam PA ~ NPI: 1215971593 Physician Assistant MD ~✤ Spearing, Casie NP ~✤ 2550 Addison Ave E Ste B NPI: 1023381860 Family Medicine Nurse Practitioner Twin Falls, ID 83301 826 Eastland Dr NPI: 1649216961 NPI: 1780115048 (208) 814-8000 Twin Falls, ID 83301 775 Pole Line Rd W Ste 775 Pole Line Rd W Ste (208) 732-7101 105 And 111 112 Twin Falls, ID 83301 Twin Falls, ID 83301 Preucil, Jennifer MD ~✤ Spanish (208) 814-8200 Family Medicine (208) 814-8000 NPI: 1922042209 Rodemack, Dean PAC ~ 2550 Addison Ave E Ste B Physician Assistant Satterfield, Trevor Spritzer, David MD ~✤ Twin Falls, ID 83301 NPI: 1548543424 MD ~✤ Family Medicine (208) 814-8000 325 Martin St Family Medicine NPI: 1245272970 Twin Falls, ID 83301 NPI: 1619169299 2550 Addison Ave E Ste F (208) 732-7101 775 Pole Line Rd W Ste Twin Falls, ID 83301 Renaldi, Janet NP ~✤ (208) 814-8000 Nurse Practitioner 105 And 111 NPI: 1831481233 Rodemack, Dean PAC ~ Twin Falls, ID 83301 730 N College Rd Ste A Physician Assistant (208) 814-8000 Steffens, Bonnie NP ~✤ Twin Falls, ID 83301 NPI: 1548543424 Nurse Practitioner (208) 814-7300 388 Martin St Singleton, Russell PA ~✤ NPI: 1407136823 Twin Falls, ID 83301 738 N College Rd Ste C (208) 734-0451 Physician Assistant Reynolds, Merrick NPI: 1588913214 Twin Falls, ID 83301 (208) 814-7100 PA ~✤ 1411 Fillmore St Ste 600 Rodemack, Dean PAC ~ Twin Falls, ID 83301 Medical - Physician Physician Assistant Stringam, Joshua DO ~ Assistant (208) 933-4400 NPI: 1548543424 Spanish Family Medicine NPI: 1891097234 794 Eastland Dr NPI: 1164860078 526 E Shoup Ave W Ste D Twin Falls, ID 83301 325 Martin St Twin Falls, ID 83301 (208) 292-0697 Twin Falls, ID 83301 (208) 733-1112 (208) 732-7101

56 Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido

Stringam, Joshua DO ~ Thorne, Todd PA ~ Ziebarth, Dustin DO ~ Mccall Family Medicine Medical - Physician Family Medicine NPI: 1164860078 Assistant NPI: 1750644456 83638 794 Eastland Dr NPI: 1194198929 794 Eastland Dr Arndt, Todd MD ~✤ Twin Falls, ID 83301 826 Eastland Dr Twin Falls, ID 83301 Family Medicine (208) 292-0697 Twin Falls, ID 83301 (208) 292-0697 NPI: 1265454276 (208) 732-7101 209 Forest St Stringam, Joshua DO ~ Spanish Ziebarth, Dustin DO ~ Mccall, ID 83638 Family Medicine Family Medicine (208) 634-1776 NPI: 1164860078 Tripp, Jonathan DO ~✤ NPI: 1750644456 Spanish, German, Swahili 826 Eastland Dr Family Medicine 826 Eastland Dr Twin Falls, ID 83301 NPI: 1558491936 Twin Falls, ID 83301 (208) 732-7101 (208) 732-7101 Burica, David MD ~✤ 1411 Fillmore St Ste 600 Internal Medicine Twin Falls, ID 83301 Valley NPI: 1265599096 Suljevic, Amra NP ~✤ (208) 933-4400 209 Forest St Family Nurse Practitioner Spanish Cascade Mccall, ID 83638 NPI: 1811354640 (208) 634-1776 775 Pole Line Rd W Ste Waters, Joseph MD ~✤ 83611 312 Family Medicine Bedell, Mikael MD ~✤ Currey, Jonathan MD ~✤ Twin Falls, ID 83301 NPI: 1578503926 (208) 814-8600 Family Medicine Family Medicine 550 Polk St Ste B NPI: 1871665752 NPI: 1912224890 Twin Falls, ID 83301 402 Lake Cascade Pkwy 211 Forest St Thorne, Todd PA ~ (208) 814-7265 Medical - Physician Cascade, ID 83611 Mccall, ID 83638 (208) 382-4242 (208) 630-2330 Assistant Willes, Jeremy PA ~ NPI: 1194198929 Physician Assistant 325 Martin St NPI: 1356314843 Ellsworth, Ron MD ~✤ Curtin, Sarah MD ~✤ Twin Falls, ID 83301 260 Falls Ave Ste C Family Medicine Family Medicine (208) 732-7101 Twin Falls, ID 83301 NPI: 1245556141 NPI: 1538258850 Spanish (208) 736-7422 402 Lake Cascade Pkwy 211 Forest St Cascade, ID 83611 Mccall, ID 83638 Thorne, Todd PA ~ Wyatt, Katie NP ~ (208) 382-4242 (208) 630-2330 Medical - Physician Family Nurse Practitioner Spanish Assistant NPI: 1114288891 Ferguson, Maureen NPI: 1194198929 260 Falls Ave Ste C Thurston, Christina MD ~✤ 388 Martin St Twin Falls, ID 83301 PA ~✤ Family Medicine Twin Falls, ID 83301 (208) 736-7422 Medical - Physician NPI: 1619263373 (208) 734-0451 Assistant 211 Forest St Spanish Ziebarth, Dustin DO ~ NPI: 1295088490 Mccall, ID 83638 Family Medicine 402 Lake Cascade Pkwy (208) 630-2330 Thorne, Todd PA ~ NPI: 1750644456 Cascade, ID 83611 Medical - Physician 325 Martin St (208) 382-4242 Fitzmaurice, Megan Assistant Twin Falls, ID 83301 NP ~✤ NPI: 1194198929 (208) 732-7101 Williams, Chantell 794 Eastland Dr Family Nurse Practitioner Twin Falls, ID 83301 NP ~✤ NPI: 1336523703 Ziebarth, Dustin DO ~ Family Nurse Practitioner 211 Forest St (208) 292-0697 Family Medicine Spanish NPI: 1720432230 Mccall, ID 83638 NPI: 1750644456 402 Lake Cascade Pkwy (208) 630-2330 388 Martin St Cascade, ID 83611 Twin Falls, ID 83301 (208) 382-4242 (208) 734-0451

57 Primary Care Providers / Médicos de Cuidados Proveedores Valley County continued / Condado seguido

Gustafson, Caitlin Peterson, Faith NP ~✤ Thibault, Cheryl NP ~✤ MD ~✤ Family Nurse Practitioner Family Nurse Practitioner Family Medicine NPI: 1548220874 NPI: 1346301967 NPI: 1295764405 211 Forest St 46 W Ct St 211 Forest St Mccall, ID 83638 Weiser, ID 83672 Mccall, ID 83638 (208) 630-2330 (208) 549-2370 (208) 630-2330 Spanish Spanish Welty, Julie MD ~✤ Hall, David MD ~✤ Family Medicine Family Medicine NPI: 1487795605 NPI: 1902948516 211 Forest St 211 Forest St Mccall, ID 83638 Mccall, ID 83638 (208) 630-2330 (208) 630-2330 Witte, Marcia MD ~✤ Latta, Angela NP ~✤ Internal Medicine Family Nurse Practitioner NPI: 1134271570 NPI: 1346687654 209 Forest St 211 Forest St Mccall, ID 83638 Mccall, ID 83638 (208) 634-1776 (208) 630-2330 Washington Lewis, Jennifer MD ~✤ Weiser Family Medicine NPI: 1356784201 83672 211 Forest St Blanchard, Jordan Mccall, ID 83638 (208) 630-2330 MD ~✤ Family Medicine Ostermiller, Daniel NPI: 1356630941 360 E Liberty MD ~✤ Weiser, ID 83672 Family Medicine (208) 549-4424 NPI: 1861533135 203 Hewitt St Mccall, ID 83638 Drake, Bryan DO ~✤ (208) 634-1400 Family Medicine NPI: 1144264011 Ostermiller, Daniel 360 E Liberty Weiser, ID 83672 MD ~✤ (208) 549-4424 Family Medicine NPI: 1861533135 211 Forest St Renak, Mandy NP ~✤ Mccall, ID 83638 Family Nurse Practitioner (208) 630-2330 NPI: 1205241650 46 W Ct St Weiser, ID 83672 (208) 549-2370

58 Specialty Providers / Proveedores Especializados Total count / Cuenta total: 4026

Adult Health Nurse Bonneville Lincoln Rhodes, Kristina Ammon Shoshone CNM ~✤ Practitioner NPI: 1417389222 83406 83352 333 N 1St St Ste 260 Ada Giemza-Palmer, Anna Boise, ID 83702 Hass, Leslie NP ~✤ (208) 345-3136 Boise NP ~✤ NPI: 1275913824 83702 NPI: 1427415553 113 S Apple St Underdahl, Hannah 2705 E 17Th St Shoshone, ID 83352 CNM ~ Vaughn, Shannon NP ~✤ Ammon, ID 83406 (208) 886-2224 NPI: 1073952016 NPI: 1306006929 (208) 346-7500 121 E Fort St 287 W Jefferson St Adult Boise, ID 83702 Boise, ID 83702 Canyon (208) 514-2525 (208) 322-1680 Reconstructive Caldwell Orthopaedic Wilkes, Charlotte CNM ~ Meridian 83605 NPI: 1487899373 83642 Carloy, Karen NP ~ Surgery 1502 W Franklin St NPI: 1700949260 Boise, ID 83702 Southwick, April NP ~✤ 315 Elm St Ste 310 Ada (208) 867-0472 NPI: 1225020993 Caldwell, ID 83605 520 S Eagle Rd Ste 1239 (208) 454-2035 Meridian Meridian Meridian, ID 83642 83642 (208) 706-7200 83642 Murray, Janel NP ~✤ Armstrong, Jared Parker, Tasha CNM ~✤ NPI: 1922261577 MD ~✤ Tomey, Susan NP ~✤ 315 E Elm St Ste 350 NPI: 1760727002 NPI: 1063506616 NPI: 1609040567 520 S Eagle Rd Ste 2110 Caldwell, ID 83605 3399 E Louise Dr Ste 200 124 E Pine Ave (208) 322-1680 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 706-3220 (208) 887-5422 (208) 706-2663 Sobba, Cheryl NP ~✤ Spanish NPI: 1740235712 Reusser, Helene CNM ~✤ Vaughn, Shannon NP ~✤ NPI: 1265506000 211 E Logan St Ste 303 Poole, Colin MD ~✤ NPI: 1306006929 And 203 520 S Eagle Rd Ste 2110 3525 E Louise Dr Ste 400 NPI: 1215948104 Meridian, ID 83642 Caldwell, ID 83605 3399 E Louise Dr Ste 200 Meridian, ID 83642 (208) 459-4667 (208) 706-3220 (208) 322-1680 Meridian, ID 83642 (208) 706-2663 Nampa Rolan, Tamara CNM ~✤ Bannock 83687 Advanced Practice NPI: 1467882456 Pocatello 520 S Eagle Rd Ste 2110 Murray, Janel NP ~✤ Midwife Meridian, ID 83642 83205 NPI: 1922261577 (208) 706-3220 Bean, Leslie NP ~ 215 E Hawaii Ave Ada NPI: 1336260447 Nampa, ID 83687 Watkins-Brecheen, Kathy 777 Hospital Way Bldg A (208) 322-1680 Boise CNM ~✤ Ste 101 83702 NPI: 1659322261 Pocatello, ID 83205 520 S Eagle Rd Ste 2110 (208) 234-2001 Ainslie, Georgianna Meridian, ID 83642 CNM ~✤ (208) 706-3220 NPI: 1073566089 333 N 1St St Ste 240 Boise, ID 83702 (208) 338-8900

59 Specialty Providers / Proveedores Especializados Advanced Practice Midwife continued/seguido

Bannock Ackerman, Patty CNM ~ Krull, Faith CNM ~ Nez Perce NPI: 1497037758 NPI: 1760708044 Pocatello 98 Poplar St 980 W Ironwood Dr Ste Lewiston 83201 Blackfoot, ID 83221 306 83501 (208) 785-4100 Coeur D'alene, ID 83814 Ackerman, Patty (208) 625-4970 Hedrick, Andrea CNM ~✤ Lamb, Jeanette CNM ~✤ CNM ~✤ NPI: 1497037758 NPI: 1912952029 Williamson, Ronda NPI: 1003110321 777 Hospital Way 98 Poplar At CNM ~ 2315 8Th St Pocatello, ID 83201 Blackfoot, ID 83221 NPI: 1225007404 Lewiston, ID 83501 (208) 239-1417 (208) 235-2277 980 W Ironwood Dr Ste (208) 746-1383 306 Spanish Ackerman, Patty CNM ~ Coeur D'alene, ID 83814 NPI: 1497037758 Lamb, Jeanette CNM ~✤ (208) 625-4970 Twin Falls 777 Hospital Way Bldg A NPI: 1912952029 Ste 300 98 Poplar St Post Falls Twin Falls Pocatello, ID 83201 Blackfoot, ID 83221 83301 (208) 232-6100 (208) 785-4100 83854 Holcomb, Pamela CNM ~ Habeck, Michella Bonneville Lamb, Jeanette CNM ~✤ NPI: 1205902848 CNM ~✤ NPI: 1912952029 Idaho Falls 1300 Mullan Ave Ste 900 NPI: 1780847160 777 Hospital Way Post Falls, ID 83854 1255 Filer Ave E Ste C Pocatello, ID 83201 83404 (208) 664-3101 Twin Falls, ID 83301 (208) 239-1417 Duffey, Heather CNM ~ (208) 886-2224 NPI: 1578839221 Williamson, Ronda Lamb, Jeanette CNM ~ 3450 Potomac Way CNM ~ Allergy NPI: 1912952029 Idaho Falls, ID 83404 NPI: 1225007404 777 Hospital Way Bldg A (208) 557-2900 1300 Mullan Ave Ste 900 Blaine Ste 300 Post Falls, ID 83854 Pocatello, ID 83201 Canyon (208) 664-3101 Hailey (208) 232-6100 Nampa Lincoln 83333 Muckerman, Julia CNM ~ 83687 Shoshone Henry, Richard MD ~✤ NPI: 1790917789 NPI: 1013904622 777 Hospital Way Bldg A Obosky, Catherine 83352 408 S Main Ste 300 CNM ~✤ Habeck, Michella Hailey, ID 83333 Pocatello, ID 83201 NPI: 1053857664 (208) 734-6091 (208) 232-6100 16111 N Brinson St Ste CNM ~✤ 110 NPI: 1780847160 Bonner Bingham Nampa, ID 83687 113 S Apple St (208) 468-9400 Shoshone, ID 83352 Sandpoint Blackfoot (208) 886-2224 83864 83221 Kootenai Wakefield, Kenneth Ackerman, Patty Coeur D'alene MD ~✤ CNM ~✤ 83814 NPI: 1306832688 NPI: 1497037758 606 N 3Rd Ave Ste 101 98 Poplar At Holcomb, Pamela CNM ~ Sandpoint, ID 83864 Blackfoot, ID 83221 NPI: 1205902848 (208) 263-1435 (208) 235-2277 980 W Ironwood Dr Ste 306 Coeur D'alene, ID 83814 (208) 625-4970

60 Specialty Providers / Proveedores Especializados Allergy continued/seguido

Cassia Allergy & Cassia Allergy & Burley Immunology Burley Immunology - 83318 83318 Bannock Internal Medicine Henry, Richard MD ~✤ Wickern, Gregory NPI: 1013904622 Pocatello MD ~✤ Elmore 1263 Bennett Ave Ste 3 83201 NPI: 1972578672 Burley, ID 83318 1263 Bennett Ave Ste 3 Mountain Home (208) 678-1049 Parry, David MD ~✤ Burley, ID 83318 83647 NPI: 1295769594 (208) 678-1049 Kootenai 500 S 11Th Ave Ste 202 Italian Lanske, George MD ~✤ Pocatello, ID 83201 NPI: 1053353755 Coeur D'alene (208) 233-0801 Madison 465 Mckenna Dr Italian Mountain Home, ID 83814 Rexburg 83647 Henry, Richard MD ~✤ Blaine 83440 (208) 587-9703 NPI: 1013904622 Russian 714 W Appleway Ave Ste Hailey Wickern, Gregory 200 83333 MD ~✤ Ambulatory Coeur D'alene, ID 83814 NPI: 1972578672 (208) 665-1552 Wickern, Gregory 393 E 2Nd St N Surgical Center MD ~✤ Rexburg, ID 83440 Wakefield, Kenneth NPI: 1972578672 (208) 359-4843 Ada MD ~✤ 408 S Main Italian Boise NPI: 1306832688 Hailey, ID 83333 714 W Appleway Ave Ste (208) 734-6091 Twin Falls 83702 Italian 200 Twin Falls Boise Endoscopy Center Coeur D'alene, ID 83814 Llc - Asc ~ (208) 665-1552 Bonneville 83301 NPI: 1114912102 Idaho Falls Wickern, Gregory 425 W Bannock St Latah Boise, ID 83702 83402 MD ~✤ (208) 342-7169 Moscow NPI: 1972578672 Petty, David DO ~ 800 Falls Ave Ste 2 83843 NPI: 1376877795 Twin Falls, ID 83301 Pain Care Boise ~✤ Wakefield, Kenneth 250 S Skyline Dr Ste 3 (208) 734-6091 NPI: 1619998648 Idaho Falls, ID 83402 Italian 301 W Myrtle MD ~✤ (208) 529-9292 Boise, ID 83702 NPI: 1306832688 Japanese (208) 342-8200 619 S Washington St Ste 101 Petty, Wendell MD ~ 83705 Moscow, ID 83843 NPI: 1457312308 (208) 883-1037 250 S Skyline Dr Ste 3 Pacific Cataract And Idaho Falls, ID 83402 Laser Institute Inc Pc ~ Twin Falls (208) 529-9292 NPI: 1275700957 2822 S Vista Ave Twin Falls Boise, ID 83705 83301 (208) 385-7576 Henry, Richard MD ~✤ NPI: 1013904622 800 Falls Ave Ste 2 Twin Falls, ID 83301 (208) 734-6091 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

61 Specialty Providers / Proveedores Especializados Ambulatory Surgical Center continued/seguido

83706 Vision Care Center Of Bonneville Madison Idaho Llc ~ Premier Surgical Center Idaho Falls Rexburg Inc ~ NPI: 1083674196 3071 E Franklin Rd Ste 101 83404 83440 NPI: 1275516718 Meridian, ID 83642 5680 W Gage St (208) 228-1400 Grand Teton Surgical Idaho Eye Center Pa ~ Boise, ID 83706 Spanish Center Llc ~ NPI: 1629145685 (208) 377-3937 NPI: 1841295227 491 First American Circle Bannock 2290 Coronado St Rexburg, ID 83440 Meridian Idaho Falls, ID 83404 (208) 359-1130 83642 Pocatello (208) 524-3800 Spanish Eagle Eye Surgery Laser 83201 Idaho Eye Center Pa ~ Upper Valley Surgery Center ~✤ Idaho Eye Center Pa ~ NPI: 1629145685 Center Pllc ~✤ NPI: 1235255605 NPI: 1629145685 2025 E 17Th St NPI: 1821420571 3090 Gentry Way Ste 100 1157 Call Place Idaho Falls, ID 83404 256 N 2Nd E Ste 1 Ste 100 Pocatello, ID 83201 (208) 524-2025 Rexburg, ID 83440 Meridian, ID 83642 (208) 232-2008 Spanish (208) 656-9646 (208) 288-1600 Spanish Spanish Idaho Foot Surgery Idaho Physical Medicine Bingham Center ~ Nez Perce And Rehabilitation NPI: 1922442805 Blackfoot 1540 Elk Creek Dr Pa ~✤ Lewiston 83221 Idaho Falls, ID 83404 NPI: 1497949705 (208) 529-8393 83501 3551 E Overland Rd Parkway Surgery Spanish Pacific Cataract And Meridian, ID 83642 Center ~ Laser Institute Inc Pc ~ (208) 287-6565 NPI: 1659873388 Kootenai NPI: 1780851691 Spanish 1485 Parkway Dr 3330 4Th St Blackfoot, ID 83221 Coeur D Alene Lewiston, ID 83501 Meridian Endoscopy (208) 785-5100 (208) 746-2025 Center - Asc ~ 83814 NPI: 1912992900 Parkway Surgery Center Kootenai Outpatient Twin Falls 2235 E Gala St Llc ~✤ Surgery ~✤ Meridian, ID 83642 Twin Falls (208) 695-2100 NPI: 1275645574 NPI: 1740289024 1485 Parkway Dr 707 W Ironwood Dr 83301 Blackfoot, ID 83221 Coeur D Alene, ID 83814 Millennium Surgery (208) 785-5100 (208) 666-2700 River View Surgery Center ~ Center Llc ~ NPI: 1770598591 Bonner North Idaho Pain Center NPI: 1831636752 1828 S Millennium Wy Ste Llc ~ 1502 Locust St N Ste 100 100 Sandpoint NPI: 1104896422 Twin Falls, ID 83301 Meridian, ID 83642 (208) 933-2540 83864 1686 W Riverstone Dr (208) 381-0262 Coeur D Alene, ID 83814 Spanish Sandpoint Surgery (208) 765-4807 Sinus Surgery Center Center Llc ~ Sawtooth Surgery Idaho Pa ~✤ NPI: 1619370434 Center ~ NPI: 1902960206 1327 Superior St Ste 101 NPI: 1497745178 3085 E Magic View Dr Ste Sandpoint, ID 83864 115 Falls Ave W 140 (208) 263-9757 Twin Falls, ID 83301 Meridian, ID 83642 (208) 733-1662 (208) 433-9300

62 Specialty Providers / Proveedores Especializados Ambulatory Surgical Center continued/seguido

Sipi Ambulatory Surgery Smith, Kristie AU ~✤ Richman, Jay ~ Stich-Hennen, Jessica Center ~ NPI: 1740533389 NPI: 1578991196 AUD ~✤ NPI: 1518272087 510 N 2Nd St Ste 201 Avesis Third Party NPI: 1578840153 176 Falls Ave Boise, ID 83702 Administrators Inc 100 E Idaho St Ste 200 Twin Falls, ID 83301 (208) 385-3440 1084 North Cole Road Boise, ID 83712 (208) 733-3181 Boise, ID 83704 (208) 381-9590 Stich-Hennen, Jessica (208) 377-0019 Audiologist 83713 AUD ~✤ 83712 NPI: 1578840153 Epic ~ Ada 510 N 2Nd St Ste 201 Baerlocher, Deborah NPI: 1720243637 Boise Boise, ID 83702 AUD ~✤ Avesis Third Party (208) 385-3440 NPI: 1821303561 Administrators Inc 83702 100 E Idaho St Ste 200 13176 W Persimmon Ln Trimarco, Theresa Boise, ID 83712 Ste 120 Bargen, Gabriel AUD ~✤ AUD ~✤ (208) 381-9590 Boise, ID 83713 NPI: 1194917567 (866) 956-5400 510 N 2Nd St Ste 201 NPI: 1679704639 Boise, ID 83702 510 N 2Nd St Ste 201 Blanchard, Erika (208) 385-3440 Boise, ID 83702 AUD ~✤ Eagle (208) 385-3440 NPI: 1487963948 83616 Spanish 100 E Idaho St Ste 200 Fagerson, April AUD ~✤ Boise, ID 83712 Clark, Jessica AUD ~✤ NPI: 1609047919 83704 (208) 381-9590 NPI: 1457606832 510 N 2Nd St Ste 201 3101 E State St Ste 2108 Boise, ID 83702 Adams, Shalise AUD ~✤ Eagle, ID 83616 (208) 385-3440 NPI: 1477725158 Carlson, Hillary AUD ~✤ (208) 489-4975 900 N Liberty St Ste 400 NPI: 1508289901 100 E Idaho St Ste 200 Hoffman, Jenna AUD ~✤ Boise, ID 83704 (208) 367-3320 Boise, ID 83712 Clark, Russell AUD ~✤ NPI: 1790006096 (208) 381-9590 NPI: 1538692249 510 N 2Nd St Ste 201 3101 E State St Ste 2108 Boise, ID 83702 Cheshire, Spencer Eagle, ID 83616 (208) 385-3440 AUD ~✤ Clark, Jessica AUD ~✤ (208) 489-4975 NPI: 1437320082 NPI: 1457606832 900 N Liberty St Ste 400 100 E Idaho St Ste 200 Lindberg, Sarah AUD ~✤ Boise, ID 83712 Taylor, Rebecca AUD ~✤ NPI: 1902213945 Boise, ID 83704 (208) 367-3320 (208) 381-9590 NPI: 1730116419 510 N 2Nd St Ste 201 3101 E State St Ste 2108 Boise, ID 83702 Pargman, Karrie Eagle, ID 83616 (208) 385-3440 Page, Andrea PHD ~✤ (208) 489-4975 NPI: 1114455334 AUD ~✤ Pargman, Karrie 900 N Liberty St Ste 400 NPI: 1235416892 100 E Idaho St Ste 200 Vore, Abram AUD ~✤ AUD ~✤ Boise, ID 83704 (208) 367-3320 Boise, ID 83712 NPI: 1891095097 NPI: 1235416892 (208) 381-9590 440 E State St Ste 100 510 N 2Nd St Ste 201 Eagle, ID 83616 Boise, ID 83702 Reyes, Adam AUD ~✤ (208) 939-9359 (208) 385-3440 NPI: 1669822672 Richman, Jay AUD ~✤ 900 N Liberty St Ste 400 NPI: 1578991196 100 E Idaho St Ste 200 Richman, Jay AUD ~✤ Boise, ID 83704 (208) 367-3320 Boise, ID 83712 NPI: 1578991196 (208) 381-9590 510 N 2Nd St Ste 201 Portugese Boise, ID 83702 (208) 385-3440 Portugese

63 Specialty Providers / Proveedores Especializados Audiologist continued/seguido

Meridian Bannock 83209 Blaine 83642 Chubbuck Brockett, Jeff AUD ~✤ Hailey Baerlocher, Deborah 83202 NPI: 1013931450 83333 1400 Terry Dr Bldg 63 AUD ~✤ Epic ~ Anderson, Christie NPI: 1821303561 Pocatello, ID 83209 NPI: 1720243637 (208) 282-2590 MA ~✤ 520 S Eagle Rd Ste 1225 Avesis Third Party Meridian, ID 83642 NPI: 1487079802 Administrators Inc 221 S River St Ste 1B (208) 385-3560 4155 Yellowstone Pine Brockett, Jeff AUD ~✤ NPI: 1013931450 Hailey, ID 83333 Ridge Mall (208) 788-0296 Chubbuck, ID 83202 921 S 8Th Ave Stop 8116 Fisher, Maria AUD ~✤ Pocatello, ID 83209 NPI: 1225307093 (208) 238-0020 Bonner 520 S Eagle Rd Ste 1225 (208) 282-3495 Meridian, ID 83642 Olenick, Kelley ~ Sandpoint (208) 385-3560 NPI: 1437222668 Cheadle, Nancy AUD ~✤ Avesis Third Party NPI: 1588998025 83864 Gower, Shannon Administrators Inc 921 S 8Th Ave Allred, Craig AUD ~ AUD ~✤ 4155 Yellowstone Pine Pocatello, ID 83209 NPI: 1184076465 NPI: 1033496617 Ridge Mall (208) 282-3495 420 N 2Nd Ave Ste 300 520 S Eagle Rd Ste 1225 Chubbuck, ID 83202 Sandpoint, ID 83864 Meridian, ID 83642 (208) 238-0020 Sanford, Chris AUD ~✤ (208) 265-1991 (208) 385-3560 NPI: 1699869354 Pocatello 650 Memorial Dr Bldg 68 Bonneville 83201 Pocatello, ID 83209 Idaho Falls Mecier, Brenda AUD ~✤ (208) 282-3495 NPI: 1790853539 Brockett, Jeff AUD ~✤ 83402 520 S Eagle Rd Ste 1225 NPI: 1013931450 Parsons, Kalob AUD ~ Meridian, ID 83642 650 Memorial Dr Bldg 68 Vieira, Deborah AUD ~✤ (208) 385-3560 NPI: 1447503024 NPI: 1013907567 Pocatello, ID 83201 1753 W Broadway St (208) 282-3495 650 Memorial Dr Bldg 68 Richman, Jay ~ Pocatello, ID 83209 Idaho Falls, ID 83402 (208) 282-3495 (208) 524-4445 NPI: 1578991196 Gwinn, Makenzi Avesis Third Party Administrators Inc AUD ~✤ Bingham 83404 745 South Progress NPI: 1083069488 Clayson, Brent AUD ~ Avenue 777 Hospital Way Ste 115 Blackfoot NPI: 1265969406 Meridian, ID 83642 Pocatello, ID 83201 83221 3345 Merlin Dr Ste 200 (208) 888-6102 (208) 239-1960 Hale, Zackary AUD ~ Idaho Falls, ID 83404 NPI: 1861599912 (208) 529-1514 Savage, Kate AUD ~✤ Holst, Jennifer AUD ~✤ 1411 Parkway Dr NPI: 1417337395 NPI: 1487689683 Blackfoot, ID 83221 Epic ~ 520 S Eagle Rd Ste 1225 650 Memorial Dr Bldg 68 (208) 529-1514 NPI: 1720243637 Meridian, ID 83642 Pocatello, ID 83201 Avesis Third Party (208) 385-3560 (208) 282-3495 Olenick, Kelley ~ Administrators Inc NPI: 1437222668 3345 Merlin Dr Ste 200 Whitaker, Mary AUD ~✤ Avesis Third Party Idaho Falls, ID 83404 NPI: 1497782577 Administrators Inc (866) 956-5400 650 Memorial Dr Bldg 68 285-C West Judicial Pocatello, ID 83201 Blackfoot, ID 83221 Hale, Zackary AUD ~ (208) 282-3495 (208) 785-5551 NPI: 1861599912 3345 Merlin Dr Ste 200 Idaho Falls, ID 83404 (208) 529-1514

64 Specialty Providers / Proveedores Especializados Audiologist continued/seguido

Lamb, James AUD ~ Richman, Jay ~ Kootenai Minidoka NPI: 1124192729 NPI: 1578991196 3345 Merlin Dr Ste 200 Avesis Third Party Coeur D Alene Rupert Idaho Falls, ID 83404 Administrators Inc 83814 83350 (208) 529-1514 1463 Caldwell Boulevard Nampa, ID 83651 Allred, Craig AUD ~ Mitchell, Cortney (208) 463-4900 NPI: 1184076465 AUD ~✤ Lund, E CCC-A ~✤ 700 Ironwood Dr Ste 278 NPI: 1831490507 NPI: 1841588969 Coeur D Alene, ID 83814 1218 9Th St Unit 2 1970 17Th St Ste 119 Stucki, Laurie AUD ~✤ (208) 625-5160 Idaho Falls, ID 83404 NPI: 1508173998 Rupert, ID 83350 (208) 312-0957 (208) 522-3141 172 2Nd St S Epic ~ Nampa, ID 83651 NPI: 1720243637 Pickup, Christine Canyon (208) 489-5950 Avesis Third Party Spanish Administrators Inc AUD ~✤ Nampa 700 W Ironwood Dr Ste NPI: 1881868032 83651 83686 220 1218 9Th St Unit 2 Epic ~ Coeur D Alene, ID 83814 Rupert, ID 83350 Carlson, Hillary AUD ~✤ NPI: 1720243637 (866) 956-5400 (208) 312-0957 NPI: 1508289901 Avesis Third Party 172 2Nd St S Administrators Inc Lemhi Twin Falls Nampa, ID 83651 210 W Georgia Ave Ste Twin Falls (208) 489-5950 100 Salmon Nampa, ID 83686 83467 83301 Diller, Jacob AU ~✤ (866) 956-5400 Vieira, Deborah AUD ~ Epic ~ NPI: 1902328495 NPI: 1447503024 NPI: 1720243637 172 2Nd St S 83687 805 Main St Avesis Third Party Nampa, ID 83651 Salmon, ID 83467 Administrators Inc (208) 489-5950 Adams, Shalise AUD ~✤ (208) 282-3495 706 N College Rd Ste C NPI: 1477725158 Twin Falls, ID 83301 4424 E Flamingo Ave Ste Gladd, Dana AUD ~✤ Madison (866) 956-5400 NPI: 1437430535 320 Nampa, ID 83687 Rexburg Hunsaker, Shane 172 2Nd St S (208) 367-3320 Nampa, ID 83651 83440 AUD ~✤ (208) 489-5950 Cheshire, Spencer NPI: 1023189446 Hale, Zackary AUD ~ 730 N College Rd Ste B AUD ~✤ NPI: 1861599912 Lancaster, Paul AUD ~✤ 256 N 2Nd St Ste 3 Twin Falls, ID 83301 NPI: 1356449532 NPI: 1437320082 (208) 814-7350 4424 E Flamingo Ave Ste Rexburg, ID 83440 Spanish 172 2Nd St S 320 (208) 356-0766 Nampa, ID 83651 Nampa, ID 83687 (208) 489-5950 (208) 367-3320 Rigby, Travis AUD ~ Jensen, Robert AUD ~✤ NPI: 1033217419 NPI: 1629424171 Mann, Larissa AUD ~✤ 256 N 2Nd St Ste 3 730 N College Rd Ste B NPI: 1508170473 Page, Andrea PHD ~✤ Rexburg, ID 83440 Twin Falls, ID 83301 172 2Nd St S NPI: 1114455334 (208) 356-0766 (208) 814-7350 Nampa, ID 83651 4424 E Flamingo Ave Ste 320 Mitchell, Cortney (208) 489-5950 Nampa, ID 83687 (208) 367-3320 AUD ~✤ NPI: 1841588969 730 N College Rd Ste B Twin Falls, ID 83301 (208) 814-7350

65 Specialty Providers / Proveedores Especializados

Cardiovascular Meridian Boehm, Douglas MD ~✤ Grigera, Fernando 83642 NPI: 1215923172 MD ~✤ Disease 777 Hospital Way Bldg A NPI: 1770579658 Box, Lyndon MD ~✤ Ste 101 777 Hosptial Way Bldg A Ada NPI: 1174620512 Pocatello, ID 83201 Ste 101 745 S Progress Ave Ste 120 (208) 234-2001 Pocatello, ID 83201 Boise Meridian, ID 83642 Spanish (208) 234-2001 83702 (208) 795-5073 Spanish Noonan, Daniel MD ~✤ Call, Benjamin MD ~✤ NPI: 1942474853 Broberg, Craig MD ~✤ NPI: 1346236213 Longmore, Ryan DO ~✤ 287 W Jefferson St NPI: 1508874058 777 Hosptial Way Bldg A NPI: 1285884213 Boise, ID 83702 3525 E Louise Dr Ste 400 Ste 101 777 Hosptial Way Bldg A (208) 322-1680 Meridian, ID 83642 Pocatello, ID 83201 Ste 101 (208) 322-1680 (208) 234-2001 Pocatello, ID 83201 (208) 234-2001 Peachey, Dana NP ~✤ Russian NPI: 1699720383 Chai, Andrew MD ~✤ Delarosa, Jacob MD ~✤ NPI: 1063466423 NPI: 1083759880 287 W Jefferson St Stutts Iii, Baldwin Boise, ID 83702 3525 E Louise Dr Ste 400 777 Hospital Way Ste G11 (208) 322-1680 Meridian, ID 83642 Pocatello, ID 83201 MD ~✤ (208) 322-1680 (208) 239-2580 NPI: 1568561025 83704 1151 Hospital Way Bldg D Kfoury, Abdallah MD ~✤ Gonzalez, David MD ~✤ Ste 100 Sim, David MD ~✤ NPI: 1134132681 NPI: 1043208218 Pocatello, ID 83201 NPI: 1114106952 3525 E Louise Dr Ste 400 777 Hospital Way Bldg A (208) 239-8010 6014 W Emerald St Meridian, ID 83642 Ste 101 Boise, ID 83704 (208) 322-1680 Pocatello, ID 83201 83205 (208) 376-8666 French (208) 234-2001 Antonelli, Lisa MD ~ NPI: 1639169618 83712 Linzmeyer, Kristin Gonzalez, David MD ~ 777 Hospital Way Bldg A MD ~✤ NPI: 1043208218 Ste 101 Fry, Stephanie MD ~✤ 777 Hospital Way Ste G15 Pocatello, ID 83205 NPI: 1881649572 NPI: 1932200524 3525 E Louise Dr Ste 400 Pocatello, ID 83201 (208) 234-2001 300 E Jefferson St Ste 101 (208) 239-2722 Boise, ID 83712 Meridian, ID 83642 (208) 322-1680 (208) 322-1680 Bingham Gonzalez, David MD ~✤ Blackfoot Hinchman, David Nolan, Brian DO ~✤ NPI: 1043208218 NPI: 1538282678 777 Hosptial Way Bldg A 83221 MD ~✤ Ste 101 NPI: 1710914528 3525 E Louise Dr Ste 400 Antonelli, Lisa MD ~✤ Meridian, ID 83642 Pocatello, ID 83201 300 E Jefferson St Ste 101 (208) 234-2001 NPI: 1639169618 Boise, ID 83712 (208) 322-1680 1441 Parkway Dr (208) 322-1680 Blackfoot, ID 83221 Bannock Grigera, Fernando MD ~ NPI: 1770579658 (208) 234-2001 Sim, David MD ~✤ Pocatello 777 Hospital Way Ste G15 NPI: 1114106952 Pocatello, ID 83201 Blank, Douglas MD ~✤ 190 E Bannock St 83201 (208) 239-2722 NPI: 1871598631 Boise, ID 83712 Antonelli, Lisa MD ~ Spanish 98 Poplar At (208) 381-2222 NPI: 1639169618 Blackfoot, ID 83221 777 Hospital Way Ste G15 (208) 235-2277 Pocatello, ID 83201 (208) 239-2722

66 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Chambers, John MD ~ Longmore, Ryan DO ~ Gerlach, Paul MD ~ Gerlach, Paul MD ~✤ NPI: 1578568242 NPI: 1285884213 NPI: 1215025648 NPI: 1215025648 1441 Parkway Dr 1441 Parkway Dr 210 S Emerson Ave 2985 Cortez Ave Blackfoot, ID 83221 Blackfoot, ID 83221 Shelley, ID 83274 Idaho Falls, ID 83404 (208) 785-2600 (208) 234-2001 (208) 357-7404 (208) 523-3373 Russian Spanish Spanish Gallant, Ellen MD ~✤ NPI: 1083648786 Longmore, Ryan DO ~✤ Gorman, Patrick MD ~ Lightheart, Kenneth 235 Poplar St NPI: 1285884213 NPI: 1295735769 210 S Emerson Ave MD ~✤ Blackfoot, ID 83221 235 Poplar St NPI: 1740290360 (208) 785-3828 Blackfoot, ID 83221 Shelley, ID 83274 (208) 357-7404 2985 Cortez Ave (208) 785-3828 Idaho Falls, ID 83404 Russian Gallant, Ellen MD ~✤ Lightheart, Kenneth (208) 523-3373 NPI: 1083648786 MD ~ 98 Poplar St Longmore, Ryan DO ~✤ NPI: 1740290360 Stutts Iii, Baldwin Blackfoot, ID 83221 NPI: 1285884213 210 S Emerson Ave MD ~✤ (208) 785-4100 98 Poplar At Shelley, ID 83274 NPI: 1568561025 Blackfoot, ID 83221 (208) 357-7404 2375 E Sunnyside Rd Ste F Gerlach, Paul MD ~ (208) 235-2277 Idaho Falls, ID 83404 NPI: 1215025648 Russian Bonner (208) 535-3626 1441 Parkway Dr Blackfoot, ID 83221 Longmore, Ryan DO ~✤ Sandpoint Canyon (208) 785-2600 NPI: 1285884213 83864 Spanish Caldwell 98 Poplar St Blakeley, Russell MD ~ Blackfoot, ID 83221 83605 Gorman, Patrick MD ~ (208) 785-4100 NPI: 1063409639 NPI: 1295735769 Russian 606 N 3Rd Ave Ste 203 Bathina, Murali MD ~✤ 1441 Parkway Dr Sandpoint, ID 83864 (208) 263-2505 NPI: 1265486625 Blackfoot, ID 83221 Stutts Iii, Baldwin MD ~ 315 E Elm St Ste 350 (208) 785-2600 NPI: 1568561025 Caldwell, ID 83605 Jenkins, Ronald MD ~ (208) 322-1680 98 Poplar St NPI: 1992751648 Lassetter, John MD ~✤ Blackfoot, ID 83221 423 N Third Ave Ste 355 NPI: 1477578300 (208) 782-2980 Sandpoint, ID 83864 Bergset, Jon MD ~✤ 235 Poplar St (208) 265-7070 NPI: 1558475038 Blackfoot, ID 83221 Shelley 315 E Elm St Ste 350 (208) 785-3828 83274 Bonneville Caldwell, ID 83605 Spanish, French (208) 322-1680 Blank, Douglas MD ~ Idaho Falls NPI: 1871598631 Lassetter, John MD ~✤ 83404 Box, Lyndon MD ~ NPI: 1477578300 210 S Emerson Ave NPI: 1174620512 Shelley, ID 83274 1906 Fairview Ave Ste 230 98 Poplar St (208) 357-7404 Blank, Douglas MD ~✤ Blackfoot, ID 83221 NPI: 1871598631 Caldwell, ID 83605 (208) 785-4100 2985 Cortez Ave (208) 459-4667 Spanish, French Chambers, John MD ~ NPI: 1578568242 Idaho Falls, ID 83404 210 S Emerson Ave (208) 523-3373 Field, James MD ~✤ Lightheart, Kenneth Shelley, ID 83274 NPI: 1255386942 MD ~ (208) 357-7404 Chambers, John MD ~✤ 315 E Elm St Ste 350 NPI: 1740290360 NPI: 1578568242 Caldwell, ID 83605 1441 Parkway Dr 2985 Cortez Ave (208) 322-1680 Blackfoot, ID 83221 Idaho Falls, ID 83404 (208) 785-2600 (208) 523-3373

67 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Nampa Call, Benjamin MD ~✤ Chilson, Donald MD ~✤ Kadel, Keith MD ~✤ 83687 NPI: 1346236213 NPI: 1942259478 NPI: 1730135518 1501 Hiland Ave Ste B 2003 Kootenai Health Wy 700 Ironwood Dr Ste 320 Bathina, Murali MD ~✤ Burley, ID 83318 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1265486625 (208) 678-2106 (208) 666-2000 (208) 676-9913 215 E Hawaii Ave Nampa, ID 83687 Gonzalez, David MD ~✤ Chilson, Donald MD ~✤ Lessmeier, Tim MD ~✤ (208) 322-1680 NPI: 1043208218 NPI: 1942259478 NPI: 1144276825 1501 Hiland Ave Ste B 700 Ironwood Dr Ste 320 700 Ironwood Dr Ste 320 Bergset, Jon MD ~✤ Burley, ID 83318 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1558475038 (208) 678-2106 (208) 676-9913 (208) 676-9913 215 E Hawaii Ave Nampa, ID 83687 Grigera, Fernando Chilson, Donald MD ~ Macinerney, Edward (208) 322-1680 MD ~✤ NPI: 1942259478 MD ~✤ NPI: 1770579658 700 Ironwood Dr Ste 350 NPI: 1053375105 Box, Lyndon MD ~ 1501 Hiland Ave Ste B Coeur D'alene, ID 83814 700 Ironwood Dr Ste 320 NPI: 1174620512 Burley, ID 83318 (208) 625-5232 Coeur D'alene, ID 83814 16459 N Midland Blvd (208) 678-2106 (208) 676-9913 Nampa, ID 83687 Spanish Cooke, Dennis MD ~✤ (208) 795-5075 NPI: 1285680488 Murphy Cook, Michele Longmore, Ryan DO ~✤ 700 Ironwood Dr Ste 320 MD ~ Field, James MD ~✤ NPI: 1285884213 Coeur D'alene, ID 83814 NPI: 1700048451 NPI: 1255386942 1501 Hiland Ave Ste B (208) 676-9913 1104 Ironwood Dr Ste A 215 E Hawaii Ave Burley, ID 83318 Coeur D'alene, ID 83814 Nampa, ID 83687 (208) 678-2106 Everett, John MD ~✤ (208) 667-9400 (208) 322-1680 Russian NPI: 1336195759 700 Ironwood Dr Ste 320 Taylor, Matthew MD ~ Payvar, Saeed MD ~ Kootenai Coeur D'alene, ID 83814 NPI: 1033123658 NPI: 1134339104 (208) 676-9913 700 Ironwood Dr Ste 320 16459 N Midland Blvd Coeur D'alene Coeur D'alene, ID 83814 Nampa, ID 83687 (208) 676-9913 (208) 795-5075 83814 Fritz, Ronald DO ~✤ NPI: 1801842232 Ball, Timothy MD ~✤ Williams, Michael Cassia 700 Ironwood Dr Ste 320 NPI: 1073622031 Coeur D'alene, ID 83814 MD ~✤ Burley 700 Ironwood Dr Ste 320 (208) 676-9913 NPI: 1114973898 Coeur D'alene, ID 83814 700 Ironwood Dr Ste 320 83318 (208) 676-9913 Coeur D'alene, ID 83814 Janout, Marek MD ~✤ (208) 676-9913 Antonelli, Lisa MD ~✤ NPI: 1982657227 Bennett, William MD ~✤ NPI: 1639169618 700 Ironwood Dr Ste 320 Post Falls 1501 Hiland Ave Ste B NPI: 1396791026 Coeur D'alene, ID 83814 Burley, ID 83318 700 Ironwood Dr Ste 320 (208) 676-9913 83854 (208) 678-2106 Coeur D'alene, ID 83814 Czech (208) 676-9913 Jenkins, Ronald MD ~ NPI: 1992751648 Boehm, Douglas MD ~✤ Jenkins, Ronald MD ~✤ 600 N Cecil NPI: 1215923172 Byazrova, Eteri MD ~✤ NPI: 1992751648 Post Falls, ID 83854 1501 Hiland Ave Ste B NPI: 1790738060 700 Ironwood Dr Ste 320 (208) 262-2800 Burley, ID 83318 700 Ironwood Dr Ste 320 Coeur D'alene, ID 83814 (208) 678-2106 Coeur D'alene, ID 83814 (208) 676-9913 Spanish (208) 676-9913 Russian

68 Specialty Providers / Proveedores Especializados Cardiovascular Disease continued/seguido

Nez Perce Hymas, Joseph MD ~✤ Trapp, James DC ~✤ Edvalson, Noah DC ~✤ Lewiston NPI: 1942490578 NPI: 1194895276 NPI: 1275767519 775 Pole Line Rd W Ste 2419 W State St Ste 9 3271 N Milwaukee St 83501 112 Boise, ID 83702 Boise, ID 83704 Gould, Lee MD ~ Twin Falls, ID 83301 (208) 389-2225 (208) 629-5374 NPI: 1700983137 (208) 814-8200 415 6Th St Welker, Jeffrey DC ~✤ Fisher, Christopher DC ~ Lewiston, ID 83501 Kemp, David MD ~✤ NPI: 1245389790 NPI: 1225175771 (208) 743-2511 NPI: 1366474918 301 N 27Th St 7149 W Emerald St 775 Pole Line Rd W Ste Boise, ID 83702 Boise, ID 83704 Ostromecki, Christopher 112 (208) 343-2584 (208) 955-6606 MD ~ Twin Falls, ID 83301 NPI: 1497746390 (208) 814-8200 83703 Franklin, Jesse DC ~ 415 6Th St NPI: 1134376064 Lewiston, ID 83501 Washington Davis, William DC ~✤ 7149 W Emerald St (208) 298-3005 NPI: 1144398389 Boise, ID 83704 Weiser 2301 N 36Th St (208) 955-6606 Sochanski, Miroslaw 83672 Boise, ID 83703 MD ~ (208) 331-3100 Hollingsworth, James NPI: 1568447076 Field, James MD ~✤ DC ~✤ 415 6Th St NPI: 1255386942 Thompson, Lee DC ~ NPI: 1982792735 Lewiston, ID 83501 645 E 5Th St NPI: 1114982006 10451 Garverdale Ct Ste (208) 298-3005 Weiser, ID 83672 2999 N Lake Harbor Ln 203 (208) 549-0370 Ste 201 Boise, ID 83704 Twin Falls Boise, ID 83703 (208) 375-4415 Chiropractor (208) 853-2277 Twin Falls Hood, Chad CH ~ 83301 Ada Tiegs, Micki DC ~✤ NPI: 1356431431 NPI: 1497750350 3211 N Milwaukee St Badger, Troy MD ~✤ Boise 2301 N 36Th St Boise, ID 83704 NPI: 1831335660 83702 Boise, ID 83703 (208) 375-2225 775 Pole Line Rd W Ste (208) 331-3100 112 Blampied, Joseph DC ~✤ Mckim, R DC ~ Twin Falls, ID 83301 NPI: 1114364569 NPI: 1477516169 (208) 814-8200 Torres, Rian DC ~✤ 7149 W Emerald St 420 W Main St Ste 206 NPI: 1407900327 Boise, ID 83702 Boise, ID 83704 2301 N 36Th St (208) 955-6606 Crandall, Mark MD ~✤ (208) 426-9200 Boise, ID 83703 NPI: 1619096278 (208) 331-3100 775 Pole Line Rd W Ste Harris-Sartin, Danielle Ricks, Jamie DC ~ 112 NPI: 1053379610 Twin Falls, ID 83301 DC ~✤ 83704 3211 N Milwaukee St (208) 814-8200 NPI: 1497133201 Beyer, Floyd DC ~ Boise, ID 83704 Portugese 420 W Main St Ste 206 NPI: 1083796783 (208) 375-2225 Boise, ID 83702 7149 W Emerald St (208) 426-9200 Enomoto, Dennis Boise, ID 83704 Smith, Scott CH ~ (208) 955-6606 NPI: 1598101370 MD ~✤ 3211 N Milwaukee St NPI: 1649226127 Sartin, Cory DC ~✤ NPI: 1275777864 Bingham, James DC ~✤ Boise, ID 83704 775 Pole Line Rd W Ste (208) 375-2225 112 420 W Main St Ste 206 NPI: 1508947979 Twin Falls, ID 83301 Boise, ID 83702 1701 N Regal Dr (208) 814-8200 (208) 426-9200 Boise, ID 83704 (208) 377-9500

69 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

Struble, Collin DC ~✤ Rae, Donald DC ~ Garden City Haycock, Jason DC ~✤ NPI: 1588027379 NPI: 1629173760 83714 NPI: 1841271517 1675 N Maple Grove Rd 1149 W Boise Ave 3175 S Meridian Rd Ste Boise, ID 83704 Boise, ID 83706 Spainhower, J Tod 100 (208) 376-4940 (208) 345-3630 DC ~✤ Meridian, ID 83642 NPI: 1881642312 (208) 855-2688 83705 83709 9217 W State St Garden City, ID 83714 Hickey, John DC ~ Crum, Eric DC ~✤ (208) 853-7221 Jensen, Jared DC ~✤ NPI: 1194222901 NPI: 1346259520 NPI: 1922262336 376 Latah St 1390 S Maple Grove Rd 2985 S Meridian Rd Ste Boise, ID 83705 Ste 200 Meridian 140 (208) 338-9111 Boise, ID 83709 83642 Meridian, ID 83642 (208) 672-0100 Anderson, Amanda (208) 901-4888 Hickey, Thomas DC ~✤ DC ~✤ NPI: 1881773992 Mooseau, Dixon DC ~ Price, Christian DC ~✤ NPI: 1558809558 NPI: 1083735633 376 S Latah St 845 E Fairview Ave Ste 115 NPI: 1427399989 Boise, ID 83705 1390 S Maple Grove Rd 1220 N Meridian Rd Ste 200 Meridian, ID 83642 (208) 338-9111 (208) 893-5401 Meridian, ID 83642 Boise, ID 83709 (208) 884-5000 Jones, Kjersten DC ~ (208) 672-0100 NPI: 1063782456 Bechtel, Joshawa DC ~✤ Sampson, Richard 2300 S Orchard St Ste B Rausch, Jeremy DC ~✤ NPI: 1376980615 2016 S Eagle Rd DC ~✤ Boise, ID 83705 NPI: 1679648679 NPI: 1174517858 (208) 383-3703 1390 S Maple Grove Rd Meridian, ID 83642 (208) 887-6810 1504 N Main St Ste 200 Meridian, ID 83642 Mccullough, Judit DC ~✤ Boise, ID 83709 (208) 888-2267 NPI: 1568523884 (208) 672-0100 Braman, Selena DC ~✤ 410 S Orchard St Ste 152 NPI: 1346768843 1220 N Meridian Rd Sirucek, Dax DC ~✤ Boise, ID 83705 83713 NPI: 1669654935 (208) 340-2555 Meridian, ID 83642 Gray, Jon DC ~✤ (208) 884-5000 3080 E Gentry Wy Ste 110 Hungarian NPI: 1558377168 Meridian, ID 83642 13238 W Persimmon Ln (208) 345-7262 83706 Ste 102 Cook, Christian DC ~✤ Coulter, Scott DC ~ Boise, ID 83713 NPI: 1881090603 2016 S Eagle Rd Sirucek, Maria DC ~✤ NPI: 1386704708 (208) 854-0600 NPI: 1104055383 4619 W Emerald St Ste 102 Meridian, ID 83642 (208) 887-6810 3080 E Gentry Wy Ste 110 Boise, ID 83706 Henze Iii, Ronald DC ~ Meridian, ID 83642 (208) 367-1497 NPI: 1932508272 (208) 345-7262 13999 W Wainwright Dr Griffin, Justin DC ~✤ Spanish Cramer, Theresa DC ~ Ste 201 NPI: 1245201524 NPI: 1528127453 Boise, ID 83713 2016 S Eagle Rd 4619 W Emerald St Ste 102 (208) 939-0775 Meridian, ID 83642 Strickland, Roy DC ~✤ Boise, ID 83706 (208) 887-6810 NPI: 1205059334 (208) 367-1497 1220 N Meridian Rd Eagle Meridian, ID 83642 83616 Harris-Sartin, Danielle (208) 884-5000 Kranz, James DC ~✤ DC ~✤ NPI: 1972614485 Cramer, Todd DC ~ NPI: 1497133201 910 N Curtis Rd NPI: 1760551956 3715 E Overland Rd Ste Wagnon, Jeremy DC ~✤ Boise, ID 83706 1580 E State St Ste 104 105 NPI: 1679879050 (208) 377-3777 Eagle, ID 83616 Meridian, ID 83642 1220 N Meridian Rd (208) 939-3737 (208) 888-0055 Meridian, ID 83642 (208) 884-5000

70 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

83646 Shelley Thomas, Christopher 83404 Gibbons, Scott DC ~ 83274 DC ~✤ Bench, Thomas DC ~✤ NPI: 1992830699 NPI: 1902943889 NPI: 1558692988 3120 W Belltower Dr Ste Keck, Jordan DC ~✤ 6509 Hwy 2 Ste 103 1401 17Th St 150 NPI: 1871950998 Priest River, ID 83856 Idaho Falls, ID 83404 Meridian, ID 83646 528 N State St (208) 448-4726 (208) 552-9600 (208) 846-8898 Shelley, ID 83274 French (208) 357-0333 Spanish Sandpoint Cannon, Timothy DC ~✤ White, Judson DC ~✤ NPI: 1952722290 NPI: 1467998807 Williams, Brennan 83864 3360 S 15Th E 1520 E Heritage Park St Greenway, Geoffrey DC ~ Idaho Falls, ID 83404 Ste 150 DC ~✤ (208) 522-8300 Meridian, ID 83646 NPI: 1811228521 NPI: 1487793626 (208) 895-2600 528 N State St 123 S 3Rd Ave Ste 6 Shelley, ID 83274 Sandpoint, ID 83864 Gardner, James DC ~✤ (208) 255-1108 Bannock (208) 357-0333 NPI: 1821036856 1220 E 17Th St Pocatello Blaine Kiriaka, Bradley DC ~✤ Idaho Falls, ID 83404 83201 NPI: 1154367506 (208) 529-1919 Hailey 101 N 4Th Ave Grisaffi, Addison DC ~ 83333 Sandpoint, ID 83864 Murdoch, Thomas NPI: 1407392178 (208) 448-4726 151 N 4Th Ave Ste A DC ~✤ Rutherford, Dean DC ~✤ NPI: 1790923639 Pocatello, ID 83201 NPI: 1508937095 Bonneville (208) 637-2225 2060 E 25Th St 513 N Main St Idaho Falls, ID 83404 Hailey, ID 83333 Idaho Falls (208) 522-4274 Williams, Jeffrey DC ~ (208) 788-3211 83401 NPI: 1659678456 Spanish 151 N 4Th Ave Ste A Egbert, Brad DC ~ Nelson, Aaron DC ~✤ Pocatello, ID 83201 Bonner NPI: 1134279565 NPI: 1013076355 (208) 637-2225 870 S Woodruff Ave 3360 S 15Th E Ponderay Idaho Falls, ID 83401 Idaho Falls, ID 83404 83202 (208) 529-2044 (208) 522-8300 83852 Spanish Spanish Evans, Nathan DC ~✤ Webster, Ryan DC ~✤ NPI: 1861436727 NPI: 1740247881 Thornton, Jared DC ~ Vansickle, Jason DC ~✤ 2010 Flandro Dr 400 Schweitzer Plaza Dr NPI: 1780110098 NPI: 1386981900 Pocatello, ID 83202 Ste 4 870 S Woodruff Ave 1401 17Th St (208) 238-0600 Ponderay, ID 83852 Idaho Falls, ID 83401 Idaho Falls, ID 83404 Russian (208) 265-9400 (208) 529-2044 (208) 552-9600 Spanish Bingham Priest River Webb, Chad DC ~✤ Blackfoot NPI: 1275969206 83406 83856 645 S Woodruff Ave 83221 Kiriaka, Bradley DC ~✤ Idaho Falls, ID 83401 Heaton, Bob DC ~✤ (208) 552-9886 NPI: 1083688030 Ellis, Valden DC ~✤ NPI: 1154367506 6509 Hwy 2 Ste 103 1320 S Ammon Rd NPI: 1689627978 Williams, Kerry DC ~ Idaho Falls, ID 83406 512 W Judicial St Priest River, ID 83856 (208) 448-4726 NPI: 1447557483 (208) 529-2084 Blackfoot, ID 83221 870 S Woodruff Ave (208) 782-9793 Idaho Falls, ID 83401 (208) 529-2044

71 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

Thompson, Travis Nampa 83687 Jerome DC ~✤ 83651 Mcconnell, Michael Jerome NPI: 1922463322 1320 S Ammon Rd Belnap, Cameron DC ~✤ DC ~✤ 83338 Idaho Falls, ID 83406 NPI: 1215903315 NPI: 1710986518 (208) 529-2084 723 16Th Ave S 16730 N Marketplace Blvd Johnson, Laura DC ~✤ Nampa, ID 83687 NPI: 1649357351 Nampa, ID 83651 (208) 466-4600 Canyon (208) 466-0546 600 N Lincoln Ave Jerome, ID 83338 Caldwell Donaldson, Martin Cassia (208) 324-3730 Spanish 83605 DC ~✤ Burley Beyer, Floyd DC ~ NPI: 1679632566 83318 Kootenai NPI: 1083796783 1203 10Th St S 2523 S 10Th Ave Ste 102 Nampa, ID 83651 Hansen, Lynn DC ~✤ Coeur D Alene Caldwell, ID 83605 (208) 467-6567 NPI: 1255318739 83814 (208) 649-4321 1210 Oakley Ave Harrison, Todd DC ~✤ Burley, ID 83318 Evenson, Andrew CH ~ Fisher, Christopher DC ~ NPI: 1841662160 (208) 878-2273 NPI: 1669417424 NPI: 1225175771 1118 12Th Ave S 916 Ironwood Dr Ste 1 2523 S 10Th Ave Ste 102 Nampa, ID 83651 Custer Coeur D Alene, ID 83814 Caldwell, ID 83605 (208) 965-8784 (208) 769-4800 (208) 649-4321 Spanish Stanley 83278 Priebe, Jeff DC ~ Franklin, Jesse DC ~ NPI: 1851539845 83686 Welker, Jeffrey DC ~ 850 W Ironwood Dr Ste NPI: 1134376064 NPI: 1245389790 2523 S 10Th Ave Ste 102 Beyer, Floyd DC ~ 302 NPI: 1083796783 590 Valley Creek Rd Coeur D Alene, ID 83814 Caldwell, ID 83605 Stanley, ID 83278 (208) 649-4321 2023 12Th Ave (208) 664-5225 Nampa, ID 83686 (208) 343-2584 (208) 467-5756 Priebe, Randall DC ~ King, Robin DC ~✤ Franklin NPI: 1427003532 NPI: 1578630091 Fisher, Christopher DC ~ 850 W Ironwood Dr Ste 1523 Fairview Ave NPI: 1225175771 Preston 302 Caldwell, ID 83605 2023 12Th Ave 83263 Coeur D Alene, ID 83814 (208) 455-9591 Nampa, ID 83686 (208) 664-5225 Spanish (208) 467-5756 Fellows, Douglas DC ~ NPI: 1215326475 83815 Mckim, Joshua DC ~ Franklin, Jesse DC ~ 8 S State St NPI: 1538345525 NPI: 1134376064 Preston, ID 83263 Fichter Jr, Wayne DC ~ 2523 S 10Th Ave Ste 102 2023 12Th Ave (208) 852-2240 NPI: 1558356634 Caldwell, ID 83605 Nampa, ID 83686 Spanish 3913 N Schreiber Way (208) 649-4321 (208) 467-5756 Coeur D Alene, ID 83815 Welker, Jason DC ~✤ (208) 966-4425 Mckim, R DC ~ Mckim, R DC ~ NPI: 1760566699 NPI: 1477516169 NPI: 1477516169 1514 S 800 W Ste 100 Swayze, Charles DC ~ 2523 S 10Th Ave Ste 102 2023 12Th Ave Preston, ID 83263 NPI: 1558362483 Caldwell, ID 83605 Nampa, ID 83686 (208) 852-2875 402 W Canfield Ave Ste 3 (208) 649-4321 Coeur D Alene, ID 83815 (208) 467-5756 (208) 762-9000

72 Specialty Providers / Proveedores Especializados Chiropractor continued/seguido

Coeur D'alene Madison Nez Perce Clinic/Center 83814 Rexburg Lewiston Bingham Jacobson, Melissa DC ~ 83440 83501 NPI: 1801117841 Fort Hall 1917 N Lakewood Dr Egbert, Brad DC ~ Burrow, Joan DC ~✤ Coeur D'alene, ID 83814 NPI: 1134279565 NPI: 1336193762 83203 (208) 664-8194 1134 Bond Ave 427 Park Ave Not Tsoo Gah Nee Indian Rexburg, ID 83440 Lewiston, ID 83501 Health ~ 83815 (208) 356-8818 (208) 798-8228 NPI: 1558441139 Spanish Mission Road Fichter Jr, Wayne DC ~✤ Ruddell, Brian DC ~✤ Fort Hall, ID 83203 NPI: 1558356634 Miller, Jarem DC ~✤ (208) 238-5493 3913 Schreiber Way NPI: 1770648388 NPI: 1912371790 1117 16Th Ave Coeur D'alene, ID 83815 105 W Main St (208) 966-4425 Lewiston, ID 83501 Clinical Cardiac Rexburg, ID 83440 (208) 743-8401 (208) 356-6772 Electrophysiology Hayden Ruddell, Kevin DC ~✤ Ada 83835 Smith, Alan DC ~✤ NPI: 1013072669 Jacobson, Melissa DC ~ NPI: 1013067081 1117 16Th Ave Boise NPI: 1801117841 45 E Main St Lewiston, ID 83501 1172 W Hayden Ave Rexburg, ID 83440 (208) 743-8401 83702 (208) 359-2313 Hayden, ID 83835 Marks, Melinda MD ~✤ (208) 762-3332 Twin Falls Williams, Kerry DC ~ NPI: 1669409785 287 W Jefferson St Marsh, Kevin DC ~ NPI: 1447557483 Twin Falls 1134 Bond Ave Boise, ID 83702 NPI: 1922144773 83301 (208) 322-1680 8235 N Cornerstone Dr Rexburg, ID 83440 (208) 356-8818 Hayden, ID 83835 Adepoju, Jillian DC ~✤ 83704 (208) 762-0222 NPI: 1669787636 Williams, Kerry DC ~✤ 788 Eastland Dr Ste B Seale, Walter MD ~✤ Priebe, Jeff DC ~ NPI: 1447557483 Twin Falls, ID 83301 NPI: 1720033459 NPI: 1851539845 72 S 1St E (208) 734-3030 900 N Liberty Ste 302 8109 N Wayne Dr Rexburg, ID 83440 Boise, ID 83704 Hayden, ID 83835 (208) 356-4900 Hymas, Jared DC ~✤ (208) 322-1686 (208) 664-5225 NPI: 1386984557 Minidoka 1625 Addison Ave E 83706 Priebe, Randall DC ~ Twin Falls, ID 83301 NPI: 1427003532 Rupert (208) 735-2442 Seale, Walter MD ~✤ 8109 N Wayne Dr 83350 NPI: 1720033459 Hayden, ID 83835 1055 N Curtis Rd (208) 664-5225 Dubois, Jason DC ~ Luckock, James DC ~✤ Boise, ID 83706 NPI: 1043457252 NPI: 1932251899 (208) 322-1686 Tessendorf, Thomas 1218 9Th St Ste 1 105 Filer Ave DC ~ Rupert, ID 83350 Twin Falls, ID 83301 Meridian NPI: 1780685255 (208) 436-4100 (208) 733-0522 1401 W Biztown Loop 83642 Hayden, ID 83835 Seale, Walter MD ~✤ (208) 762-3660 NPI: 1720033459 3025 W Cherry Ln Ste 205 Meridian, ID 83642 (208) 888-4600

73 Specialty Providers / Proveedores Especializados Clinical Cardiac Electrophysiology continued/seguido

Undesser, Karl MD ~✤ Nampa Harding, Cary MD ~✤ 83704 NPI: 1013961242 83687 NPI: 1952327926 Bingham, David ~ 745 S Progress Ave Ste 120 100 E Idaho St Ste 200 NPI: 1821401340 Meridian, ID 83642 Undesser, Karl MD ~ Boise, ID 83712 Avesis Third Party (208) 795-5073 NPI: 1013961242 (208) 381-7339 16459 N Midland Blvd Administrators Inc Nampa, ID 83687 8300 Northview St Bonneville Miller, Daniel MD ~✤ Boise, ID 83704 (208) 795-5075 (208) 377-8078 Idaho Falls NPI: 1477639151 Kootenai 100 E Idaho St Ste 200 83404 Boise, ID 83712 Hendricks, Robert ~ Coeur D'alene (208) 381-7339 NPI: 1598836694 Perez-Verdia, Alejandro Avesis Third Party MD ~✤ 83814 Administrators Inc NPI: 1124236393 Colon & Rectal 1744 North Mitchell St 3200 Channing Way Ste Byazrova, Eteri MD ~✤ Surgery Boise, ID 83704 A205 NPI: 1790738060 (208) 322-1263 Idaho Falls, ID 83404 700 Ironwood Dr Ste 320 Coeur D'alene, ID 83814 Ada (208) 535-4580 Hess, Chad ~ Spanish (208) 676-9913 Russian Boise NPI: 1316006893 Avesis Third Party Perez-Verdia, Alejandro 83712 Payette Administrators Inc MD ~✤ Kantarian, J Chris 1212 North Cole Rd NPI: 1124236393 Fruitland MD ~✤ Boise, ID 83704 (208) 375-4253 3242 S Woodruff Ave 83619 NPI: 1699774042 Idaho Falls, ID 83404 100 E Warm Springs Ave (208) 535-4567 Seale, Walter MD ~✤ Ste B Hoidal, Eric ~ Spanish NPI: 1720033459 Boise, ID 83712 NPI: 1568666725 910 Nw 16Th St (208) 381-6930 Avesis Third Party Canyon Fruitland, ID 83619 Administrators Inc (208) 452-6851 10162 West Fairview Ave Caldwell Lee, Jennifer MD ~✤ Boise, ID 83704 NPI: 1598927642 (208) 375-0192 83605 Clinical Genetics 125 E Idaho St Ste 303 Boise, ID 83712 Seale, Walter MD ~✤ 83709 Ada (208) 381-9350 NPI: 1720033459 Dial, Carson ~ 1717 W Arlington Ave Boise NPI: 1497105944 Caldwell, ID 83605 Dentist Avesis Third Party (208) 459-4641 83712 Administrators Inc Ada Beck, Anita MD ~✤ 1529 South Times Square Seale, Walter MD ~✤ NPI: 1558683524 Boise Ln Suite 100 NPI: 1720033459 100 E Idaho St Ste 200 Boise, ID 83709 1906 Fairview Ave Ste 200 Boise, ID 83712 83702 (208) 343-1981 Caldwell, ID 83605 (208) 381-7339 Smith, Craig ~ (208) 367-6450 NPI: 1386751212 83713 Fleming, Leah MD ~✤ Avesis Third Party Palmer, Zane ~ Undesser, Karl MD ~ Administrators Inc NPI: 1619992112 NPI: 1013961242 NPI: 1922241686 100 E Idaho St Ste 200 2803 North Bogus Basin Avesis Third Party 1906 Fairview Ave Ste 230 Rd Administrators Inc Caldwell, ID 83605 Boise, ID 83712 (208) 381-7339 Boise, ID 83702 13014 West Persimmon (208) 459-4667 (208) 343-1393 Ln Boise, ID 83713 (208) 377-2072

74 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Robertson, Brad ~ Thomason, Christopher ~ Mortensen, Wayne ~ Star NPI: 1568580074 NPI: 1730341827 NPI: 1801023478 Avesis Third Party Avesis Third Party Avesis Third Party 83669 Administrators Inc Administrators Inc Administrators Inc Lewis, Robert ~ 12055 West Ustick Rd 151 Stierman Way 317 West Cherry Ln NPI: 1649470832 Boise, ID 83713 Eagle, ID 83616 Meridian, ID 83642 Avesis Third Party (208) 322-1747 (208) 939-4111 (208) 888-2055 Administrators Inc 9776 West State St Stephenson, Glen ~ Kuna Seegmiller, David ~ Star, ID 83669 NPI: 1467480863 NPI: 1700988359 (208) 898-4080 Avesis Third Party 83634 Avesis Third Party Administrators Inc Grant, James ~ Administrators Inc Bannock 12055 West Ustick Rd NPI: 1447345491 2201 East Gala St Boise, ID 83713 Avesis Third Party Meridian, ID 83642 Chubbuck (208) 375-4041 Administrators Inc (208) 888-3033 83202 672 East Wythe Creek 83714 Court Suite 101 83646 Liljenquist, Jacob ~ Kuna, ID 83634 NPI: 1508172107 Bybee, William ~ (208) 629-2800 Kooyman, Matthew ~ Avesis Third Party NPI: 1215360292 NPI: 1699782854 Administrators Inc Avesis Third Party Avesis Third Party 880 West Quinn Rd Administrators Inc Meridian Administrators Inc Chubbuck, ID 83202 5833 West Hidden Spgs 83642 1500 West Cayuse Creek (208) 238-2000 Dr Hess, Julie ~ Dr Suite 100 Boise, ID 83714 NPI: 1053482158 Meridian, ID 83646 Naylor, Brett ~ (208) 229-4900 Avesis Third Party (208) 884-8858 NPI: 1649212689 Administrators Inc Avesis Third Party Eagle 317 West Cherry Ln Malan, Na Ree ~ Administrators Inc 83616 Meridian, ID 83642 NPI: 1396930517 880 West Quinn Rd (208) 888-2055 Avesis Third Party Chubbuck, ID 83202 Brown, Andrea ~ Administrators Inc (208) 238-2000 NPI: 1649651464 Hill, Graham ~ 2274 North Eagle Rd Ste Avesis Third Party NPI: 1265482301 130 Downey Administrators Inc Meridian, ID 83646 Avesis Third Party 83234 3209 West Bavaria St Administrators Inc (208) 893-5440 Eagle, ID 83616 2026 South Eagle Rd Liljenquist, Jacob ~ (208) 855-0080 Meridian, ID 83642 Pilling, Jordan ~ NPI: 1508172107 (208) 888-3623 NPI: 1194953703 Avesis Third Party Brown, Jacob ~ Avesis Third Party Administrators Inc NPI: 1336191097 Jardine, Barry ~ Administrators Inc 79 North Main Avesis Third Party NPI: 1992838627 4795 North Summit Way Downey, ID 83234 Administrators Inc Avesis Third Party Ste 120 (208) 897-5600 3209 West Bavaria St Administrators Inc Meridian, ID 83646 Eagle, ID 83616 1910 South Meridian Rd (208) 888-0662 Naylor, Brett ~ (208) 855-0080 Suite 150 NPI: 1649212689 Meridian, ID 83642 Willis, Warren ~ Avesis Third Party Larson, Donald ~ (208) 888-3540 NPI: 1568535011 Administrators Inc NPI: 1235435744 Avesis Third Party 79 North Main Avesis Third Party Administrators Inc Downey, ID 83234 Administrators Inc 3118 West Milano Dr (208) 897-5600 700 East State St Suite 100 Meridian, ID 83646 Eagle, ID 83616 (208) 715-5000 (208) 939-3500

75 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Neff, Marcus ~ Pocatello Stoddard, Andrew ~ Naylor, Brett ~ NPI: 1811907744 NPI: 1861654139 NPI: 1649212689 Avesis Third Party 83201 Avesis Third Party Avesis Third Party Administrators Inc Cannon, Christopher ~ Administrators Inc Administrators Inc 79 North Main NPI: 1013116979 1525 Baldy Ave 330 North Main Downey, ID 83234 Avesis Third Party Pocatello, ID 83201 Aberdeen, ID 83210 (208) 897-5600 Administrators Inc (208) 238-0011 (208) 397-4126 485 East Alameda Perkins, Robert ~ Pocatello, ID 83201 83202 Neff, Marcus ~ NPI: 1275619835 (208) 233-5362 NPI: 1811907744 Avesis Third Party Burt, Richard ~ Avesis Third Party Administrators Inc George, Michael ~ NPI: 1700894771 Administrators Inc 15 West 1St North NPI: 1649619933 Avesis Third Party 330 North Main Downey, ID 83234 Avesis Third Party Administrators Inc Aberdeen, ID 83210 (208) 897-5000 Administrators Inc 4165 Yellowstone Ave (208) 397-4126 485 East Alameda Pocatello, ID 83202 (208) 425-4344 Lava Hot Springs Pocatello, ID 83201 Blackfoot (208) 233-5362 83246 Evans, Eron ~ 83221 Goodliffe, Pamela ~ George, Nathan ~ NPI: 1386681427 Armstrong, Damon ~ NPI: 1356418412 NPI: 1437440591 Avesis Third Party NPI: 1164583761 Avesis Third Party Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc Administrators Inc 2010 Flandro Dr Administrators Inc 585 West Booth 485 East Alameda Pocatello, ID 83202 625 West Pacific Suite 4 Lava Hot Springs, ID Pocatello, ID 83201 (208) 238-0600 Blackfoot, ID 83221 83246 (208) 233-5362 (208) 785-3310 (208) 776-5929 Benewah Liljenquist, Jacob ~ Plummer Baldwin, Cade ~ Liljenquist, Jacob ~ NPI: 1508172107 NPI: 1821260555 NPI: 1508172107 Avesis Third Party 83851 Avesis Third Party Avesis Third Party Administrators Inc Dryden, Bryan DDS ~ Administrators Inc Administrators Inc 465 Memorial Dr NPI: 1487768545 790 North Meridian St 85 South 5Th Pocatello, ID 83201 427 N 12Th Blackfoot, ID 83221 Lava Hot Springs, ID (208) 234-4700 Plummer, ID 83851 (208) 785-6833 83246 (208) 686-1931 (208) 776-5202 Naylor, Brett ~ Burtenshaw, Bryce ~ NPI: 1649212689 Wilkens, Taylor DDS ~ NPI: 1699725465 Naylor, Brett ~ Avesis Third Party NPI: 1548507593 Avesis Third Party NPI: 1649212689 Administrators Inc 427 N 12Th Administrators Inc Avesis Third Party 1000 North 8Th Ave Plummer, ID 83851 2407 Teeples Dr Administrators Inc Pocatello, ID 83201 (208) 686-1931 Blackfoot, ID 83221 85 South 5Th (208) 232-6260 (208) 782-0242 Lava Hot Springs, ID Bingham 83246 Snow, Jed ~ Carpenter, Curtis ~ (208) 776-5202 NPI: 1205806445 Aberdeen NPI: 1760631949 Avesis Third Party 83210 Avesis Third Party Neff, Marcus ~ Administrators Inc Administrators Inc NPI: 1811907744 115 South 15Th Ave Ste E Liljenquist, Jacob ~ 380 West Judicial St Avesis Third Party Pocatello, ID 83201 NPI: 1508172107 Blackfoot, ID 83221 Administrators Inc (208) 233-4310 Avesis Third Party (208) 785-6833 85 South 5Th Administrators Inc Lava Hot Springs, ID 330 North Main 83246 Aberdeen, ID 83210 (208) 776-5202 (208) 397-4126

76 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Cherry, Elmer ~ Shelley Cox, David ~ Idaho Falls NPI: 1861621278 NPI: 1811009988 Avesis Third Party 83274 Avesis Third Party 83401 Administrators Inc Carpenter, Curtis ~ Administrators Inc Carlen, Kelly ~ 380 West Judical NPI: 1760631949 477542 Hwy 95 North NPI: 1053503573 Blackfoot, ID 83221 Avesis Third Party Ponderay, ID 83852 Avesis Third Party (208) 357-7900 Administrators Inc (208) 263-1905 Administrators Inc 295 Anderson Rd 1820 John Adams Pkwy Harper, Brent ~ Shelley, ID 83274 Macik, Jason DDS ~✤ Idaho Falls, ID 83401 NPI: 1104038991 (208) 357-7900 NPI: 1114378999 (208) 523-5400 Avesis Third Party 30410 Hwy 200 Administrators Inc Hanson, Bryce ~ Ponderay, ID 83852 83404 694 West Hwy 39 NPI: 1629027099 (208) 263-7101 Allen, Scott ~ Blackfoot, ID 83221 Avesis Third Party NPI: 1699935353 (208) 684-3122 Administrators Inc 371 West Fir St P O Box Miller, Nicholas Avesis Third Party DMD ~✤ Administrators Inc Jenkins, Tracy ~ 525 3815 Washington Pkwy NPI: 1659507481 Shelley, ID 83274 NPI: 1871853739 30410 Hwy 200 Idaho Falls, ID 83404 Avesis Third Party (208) 357-7611 (208) 529-4500 Administrators Inc Ponderay, ID 83852 (208) 263-7101 1120 Pkwy Dr Nielsen, Steven ~ Barnard, Steven ~ Blackfoot, ID 83221 NPI: 1528018967 NPI: 1265604995 (208) 785-0878 Avesis Third Party Sandpoint Avesis Third Party Administrators Inc 83864 Administrators Inc Kelly, Trent ~ 371 West Fir St P O Box 2205 Channing Way Ste B NPI: 1952663460 525 Johnson, Kevin ~ NPI: 1740615293 Idaho Falls, ID 83404 Avesis Third Party Shelley, ID 83274 (208) 529-3660 Administrators Inc (208) 357-7611 Avesis Third Party 621 Jensen Grove Dr Administrators Inc 1310 Ponderosa Dr Godfrey, D ~ Blackfoot, ID 83221 Stohl, John ~ NPI: 1538135371 (208) 785-4696 NPI: 1871620906 Sandpoint, ID 83864 (208) 263-7641 Avesis Third Party Avesis Third Party Administrators Inc Pickett, Scott ~ Administrators Inc Bonneville 2515 Channing Way NPI: 1003222506 530 South State St Idaho Falls, ID 83404 Avesis Third Party Shelley, ID 83274 (208) 529-4321 Administrators Inc (208) 357-2400 Ammon 2407 Teeples Dr 83406 Harper, Philip ~ Blackfoot, ID 83221 Bonner Nielson, Robert ~ NPI: 1083818371 (208) 782-0242 Ponderay NPI: 1487729901 Avesis Third Party Avesis Third Party Administrators Inc Sessions, Schuyler ~ 83852 Administrators Inc 3550 Washington Pkwy NPI: 1558617985 3151 East 17Th St Idaho Falls, ID 83404 Avesis Third Party Cox, David ~ NPI: 1811009988 Ammon, ID 83406 (208) 524-2300 Administrators Inc (208) 529-3836 625 West Pacific Suite 4 Avesis Third Party Administrators Inc Kelly, Trent ~ Blackfoot, ID 83221 NPI: 1952663460 (208) 785-3310 477542 Highway 95 North Ponderay, ID 83852 Avesis Third Party (208) 263-1905 Administrators Inc 3550 Washington Pkwy Idaho Falls, ID 83404 (208) 524-2300

77 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Rich, L ~ 83607 Pulham, Daxton ~ Mcdonald, Mark ~ NPI: 1245388354 Charles, Colton ~ NPI: 1457881393 NPI: 1063604429 Avesis Third Party NPI: 1073826772 Avesis Third Party Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc Administrators Inc 3830 South 25Th East Administrators Inc 607 2Nd St S 4411 East Flamingo Idaho Falls, ID 83404 4111 Clock Tower Ave Nampa, ID 83651 Nampa, ID 83687 (208) 525-8383 Caldwell, ID 83607 (208) 466-2456 (208) 466-3597 (208) 453-6188 Snow, Jed ~ Sterzer, David ~ Wolff, William ~ NPI: 1205806445 Mooso, Darin ~ NPI: 1811396708 NPI: 1992938674 Avesis Third Party NPI: 1841398286 Avesis Third Party Avesis Third Party Administrators Inc Avesis Third Party Administrators Inc Administrators Inc 2818 South 25Th E Administrators Inc 203 7Th Ave South 5826 East Franklin Rd Idaho Falls, ID 83404 4105 Clock Tower Ave Nampa, ID 83651 Nampa, ID 83687 (208) 243-8391 Caldwell, ID 83607 (208) 466-8400 (208) 461-6000 (208) 455-0033 Tanner, Nicholas ~ 83686 Kootenai NPI: 1811157001 Palmer, Zane ~ Evans, Mark ~ Coeur D Alene Avesis Third Party NPI: 1619992112 NPI: 1750731212 Administrators Inc Avesis Third Party Avesis Third Party 83814 2205 Channing Way Ste B Administrators Inc Administrators Inc Idaho Falls, ID 83404 4111 Clock Tower Ave 1601 12Th Ave Rd Suite Bills, Gary DDS ~✤ (208) 529-3660 Caldwell, ID 83607 103 NPI: 1548600265 (208) 453-6188 Nampa, ID 83686 1090 W Park Pl Ste B Thompson, Devin ~ (208) 467-9690 Coeur D Alene, ID 83814 NPI: 1871931246 Waite, Patrick ~ (208) 292-0697 Avesis Third Party NPI: 1407998271 Medaris, Bryan ~ Administrators Inc Avesis Third Party NPI: 1174673222 Burton, Alicia ~ 3830 South 25Th East Administrators Inc Avesis Third Party NPI: 1104171214 Idaho Falls, ID 83404 4101 Clock Tower Ave Administrators Inc Avesis Third Party (208) 525-8383 Caldwell, ID 83607 1601 12Th Ave Rd Suite Administrators Inc (208) 455-0022 103 223 Ironwood Dr Boundary Nampa, ID 83686 Coeur D Alene, ID 83814 (208) 277-9321 Bonners Ferry Waite, Patrick ~ (208) 467-9690 NPI: 1407998271 83805 Avesis Third Party Miller, Roarke ~ Clark, Hatta DDS ~✤ Weaver, Adam DDS ~ Administrators Inc NPI: 1508816000 NPI: 1972891240 NPI: 1669787974 4105 Clock Tower Ave Avesis Third Party 1090 W Park Pl Ste B 6615 Comanche St Caldwell, ID 83607 Administrators Inc Coeur D Alene, ID 83814 Bonners Ferry, ID 83805 (208) 455-0033 2811 12Th Ave Rd (208) 292-0697 (208) 267-1718 Nampa, ID 83686 Nampa (208) 466-2458 Clark, Hatta ~ Canyon NPI: 1972891240 83651 83687 Avesis Third Party Caldwell Hammer, Jason ~ Administrators Inc NPI: 1053441451 Mallavarapu, Lakshmi ~ 1090 West Park Pl Ste B 83605 Avesis Third Party NPI: 1154779684 Coeur D Alene, ID 83814 Sterzer, David ~ Administrators Inc Avesis Third Party (208) 292-0303 NPI: 1811396708 203 7Th Ave South Administrators Inc Avesis Third Party Nampa, ID 83651 16375 North Merchant Administrators Inc (208) 466-8400 Way 4403 East Ustick Rd Nampa, ID 83687 Caldwell, ID 83605 (208) 505-1878 (208) 994-3033 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

78 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Gutierrez, Guadalupe ~ Snow, Jed ~ Johnson, Kevin ~ Nez Perce NPI: 1730556515 NPI: 1205806445 NPI: 1740615293 Avesis Third Party Avesis Third Party Avesis Third Party Lewiston Administrators Inc Administrators Inc Administrators Inc 83501 223 Ironwood Dr 223 Ironwood Dr 1850 East Seltice Way Coeur D Alene, ID 83814 Coeur D Alene, ID 83814 Post Falls, ID 83854 Bailey, Rich ~ (208) 277-9321 (208) 277-9321 (208) 777-0292 NPI: 1083827083 Avesis Third Party Hull, Bradly ~ Snow, Mark ~ Major, Nicole ~ Administrators Inc NPI: 1912370560 NPI: 1124278858 NPI: 1972990695 3318 4Th St Avesis Third Party Avesis Third Party Avesis Third Party Lewiston, ID 83501 Administrators Inc Administrators Inc Administrators Inc (208) 746-3694 2201 North Government 2344 North Merrit Creek 3095 East Mullan Ave Ste Way Ste A Loop 400 Burton, Alicia ~ Coeur D Alene, ID 83814 Coeur D Alene, ID 83814 Post Falls, ID 83854 NPI: 1104171214 (208) 667-3971 (208) 676-8500 (208) 676-8500 Avesis Third Party Administrators Inc Mallavarapu, Lakshmi ~ Coeur D'alene Prins, Gregory ~ 2360 Thain Grade NPI: 1154779684 NPI: 1760912042 Lewiston, ID 83501 Avesis Third Party 83814 Avesis Third Party (208) 717-1966 Administrators Inc Clark, Hatta DDS ~✤ Administrators Inc 223 Ironwood Dr 3095 East Mullan Ave Ste Cho, Jaewoo ~ NPI: 1972891240 NPI: 1699221622 Coeur D Alene, ID 83814 1090 W Park Place 400 (208) 277-9321 Post Falls, ID 83854 Avesis Third Party Coeur D'alene, ID 83814 Administrators Inc (208) 215-2005 (208) 676-8500 Mickelson, Chace ~ 2360 Thain Grade Lewiston, ID 83501 NPI: 1184035115 Post Falls Pulsipher, John ~ Avesis Third Party NPI: 1679878862 (208) 717-1966 Administrators Inc 83854 Avesis Third Party Cho, Jaewoo ~ 1090 West Park Pl Ste B Brumbach, Zachary ~ Administrators Inc Coeur D Alene, ID 83814 3095 East Mullan Ave Ste NPI: 1699221622 NPI: 1649237686 Avesis Third Party (208) 292-0303 Avesis Third Party 400 Post Falls, ID 83854 Administrators Inc Administrators Inc 2360 Thain Grade Pulsipher, John ~ 609 Calgary Court Suite (208) 676-8500 NPI: 1679878862 Lewiston, ID 83501 104 (208) 717-1966 Avesis Third Party Post Falls, ID 83854 Snow, Mark ~ Administrators Inc (208) 777-1222 NPI: 1124278858 2344 North Merrit Creek Avesis Third Party Hobson, Bradley ~ Loop Administrators Inc NPI: 1114309291 Dryden, Bryan ~ Avesis Third Party Coeur D Alene, ID 83814 NPI: 1487768545 3095 East Mullan Ave Ste (208) 676-8500 400 Administrators Inc Avesis Third Party 3318 4Th St Administrators Inc Post Falls, ID 83854 Ruiz, Pedro ~ (208) 676-8500 Lewiston, ID 83501 3095 East Mullan Ave Ste (208) 746-3694 NPI: 1861550998 400 Avesis Third Party Post Falls, ID 83854 Rathdrum Mallavarapu, Lakshmi ~ Administrators Inc (208) 676-8500 223 Ironwood Dr 83858 NPI: 1154779684 Avesis Third Party Coeur D Alene, ID 83814 Fletcher, Matthew ~ Devore, Chad ~ (208) 277-9321 NPI: 1568573962 Administrators Inc NPI: 1841607561 2360 Thain Grade Avesis Third Party Avesis Third Party Administrators Inc Lewiston, ID 83501 Administrators Inc (208) 717-1966 105 East 10Th Ave Ste B 14596 North Hwy 41 Post Falls, ID 83854 Rathdrum, ID 83858 (208) 773-8388 (208) 687-4455 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

79 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Ruiz, Pedro ~ Egbert, Daniel ~ Kimberly Fabe, James ~ NPI: 1861550998 NPI: 1578975397 NPI: 1912416207 Avesis Third Party Avesis Third Party 83341 Avesis Third Party Administrators Inc Administrators Inc Egbert, Daniel ~ Administrators Inc 2360 Thain Grade 725 Fair St NPI: 1578975397 325 Martin St Lewiston, ID 83501 Buhl, ID 83316 Avesis Third Party Twin Falls, ID 83301 (208) 717-1966 (208) 543-8271 Administrators Inc (208) 732-7447 132 Main St North Simmons, Kent ~ Elison, Newell ~ Kimberly, ID 83341 Fabe, James ~ NPI: 1154315950 NPI: 1144516733 (208) 735-3938 NPI: 1912416207 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Fabe, James ~ Administrators Inc 3318 4Th St 725 Fair St NPI: 1912416207 826 Eastland Dr Lewiston, ID 83501 Buhl, ID 83316 Avesis Third Party Twin Falls, ID 83301 (208) 746-3694 (208) 543-8271 Administrators Inc (208) 732-7447 132 Main St North Snow, Jed ~ Fabe, James ~ Kimberly, ID 83341 Hodges, Adam ~ NPI: 1205806445 NPI: 1912416207 (208) 735-3938 NPI: 1629035258 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Funk, Chase ~ Administrators Inc 2360 Thain Grade 725 Fair St NPI: 1962816025 794 Eastland Dr Lewiston, ID 83501 Buhl, ID 83316 Avesis Third Party Twin Falls, ID 83301 (208) 717-1966 (208) 543-8271 Administrators Inc (208) 734-3312 132 Main St North Zollman, Steven ~ Funk, Chase ~ Kimberly, ID 83341 Hodges, Adam ~ NPI: 1679664114 NPI: 1962816025 (208) 735-3938 NPI: 1629035258 Avesis Third Party Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc Kay, Logan ~ Administrators Inc 3509 12Th St 725 Fair St NPI: 1316322167 826 Eastland Dr Lewiston, ID 83501 Buhl, ID 83316 Avesis Third Party Twin Falls, ID 83301 (208) 743-7911 (208) 543-8271 Administrators Inc (208) 732-7447 132 Main St North Shoshone Kay, Logan ~ Kimberly, ID 83341 Johnson, Neal ~ NPI: 1316322167 (208) 735-3938 NPI: 1144230566 Wallace Avesis Third Party Avesis Third Party 83873 Administrators Inc Patterson, Kenneth ~ Administrators Inc 725 Fair St NPI: 1588718746 794 Eastland Dr Bills, Gary DDS ~ Buhl, ID 83316 Avesis Third Party Twin Falls, ID 83301 NPI: 1548600265 (208) 543-8271 Administrators Inc (208) 734-3312 413 Pine St 132 Main St North Wallace, ID 83873 Patterson, Kenneth ~ Kimberly, ID 83341 Kay, Logan ~ (209) 292-0303 NPI: 1588718746 (208) 735-3938 NPI: 1316322167 Avesis Third Party Avesis Third Party Twin Falls Administrators Inc Twin Falls Administrators Inc Buhl 725 Fair St 794 Eastland Dr Buhl, ID 83316 83301 Twin Falls, ID 83301 83316 (208) 543-8271 Egbert, Daniel ~ (208) 734-3312 Dean, Joshua ~ NPI: 1578975397 NPI: 1790097905 Avesis Third Party Avesis Third Party Administrators Inc Administrators Inc 325 Martin St 725 Fair St Twin Falls, ID 83301 Buhl, ID 83316 (208) 732-7447 (208) 543-8271 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

80 Specialty Providers / Proveedores Especializados Dentist continued/seguido

Lancaster, Brett ~ 83713 Schwendiman, Mark 83202 NPI: 1619296605 Deblieck, Jennifer DO ~✤ Avesis Third Party NPI: 1417184409 Stoddard, Earl MD ~✤ Administrators Inc MD ~✤ 1618 S Millennium Wy Ste NPI: 1760400238 826 Eastland Dr NPI: 1861421240 100 147 W Chubbuck Rd Twin Falls, ID 83301 13176 W Persimmon Ln Meridian, ID 83642 Pocatello, ID 83202 (208) 732-7447 Boise, ID 83713 (208) 238-7546 (208) 939-5030 (208) 884-3376 Spanish Lund, Brett ~ NPI: 1033291687 Harris, Ryan MD ~ Wells, Gregory MD ~✤ Bingham Avesis Third Party NPI: 1952628745 NPI: 1871609370 Administrators Inc 6051 N Eagle Rd 1618 S Millennium Wy Ste Blackfoot 826 Eastland Dr Boise, ID 83713 100 83221 Twin Falls, ID 83301 (208) 519-4333 Meridian, ID 83642 (208) 732-7447 Russian (208) 884-3376 Wray, Adam DO ~✤ Portugese NPI: 1902952930 Dermatology Portela, Dustin MD ~ 98 Poplar St NPI: 1588002547 Winchester, Daniel Blackfoot, ID 83221 6051 N Eagle Rd (208) 782-2930 Ada MD ~✤ Boise, ID 83713 NPI: 1740628023 Boise (208) 519-4333 1618 S Millennium Wy Ste Blaine 100 83704 Eagle Meridian, ID 83642 Ketchum Brooks, Naomi MD ~✤ 83616 (208) 884-3376 83340 NPI: 1972653566 Guerrero, Gabriel DO ~ 83646 Karassik, Steven MD ~✤ 7733 W Emerald NPI: 1184080210 NPI: 1891748117 Boise, ID 83704 323 E Riverside Dr Ste 234 191 W 5Th St (208) 939-4599 Thomas, Richard DO ~✤ Eagle, ID 83616 NPI: 1265795660 Ketchum, ID 83340 (208) 391-7210 1576 W Deer Crest St Ste (208) 725-2171 Stewart, James MD ~✤ 100 NPI: 1104870567 Meridian Meridian, ID 83646 Reeck, Matthew MD ~✤ 7733 W Emerald 83642 (208) 898-7467 NPI: 1124022801 Boise, ID 83704 Spanish 191 W 5Th St (208) 939-4599 Burr, Randall MD ~✤ Ketchum, ID 83340 NPI: 1740217603 Bannock (208) 725-2171 Stewart, James MD ~ 1618 S Millennium Wy Ste NPI: 1104870567 100 Pocatello Bonner 7733 W Emerald St Meridian, ID 83642 83201 Boise, ID 83704 (208) 884-3376 Ponderay (208) 939-4599 Japanese Bender, Matthew MD ~✤ NPI: 1881633162 83852 83706 110 Vista Dr Pitt, Alan MD ~✤ Craig, Stephen MD ~✤ Pocatello, ID 83201 NPI: 1396830048 Ririe, Marnie MD ~✤ NPI: 1659301950 (801) 213-3599 NPI: 1134170855 1618 S Millennium Wy Ste 30410 Hwy 200 Ste 101 1070 N Curtis Rd Ste 150 100 Ponderay, ID 83852 Boise, ID 83706 Meridian, ID 83642 Wray, Adam DO ~✤ (208) 665-7546 (208) 258-2078 (208) 884-3376 NPI: 1902952930 Spanish 1151 Hospital Way Bldg D Dai, Joseph MD ~✤ Ste 100 NPI: 1831355700 Pocatello, ID 83201 30410 Hwy 200 Ste 101 (208) 239-8010 Ponderay, ID 83852 (208) 665-7546

81 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Hill, Hilary MD ~✤ 83687 James, Travis DO ~ Payette NPI: 1477818920 NPI: 1710117528 Fruitland 30410 Hwy 200 Ste 101 Owsley, Ryan MD ~✤ 1700 W Riverstone St Ponderay, ID 83852 NPI: 1659361681 Coeur D'alene, ID 83814 83619 (208) 665-7546 16111 N Brinson St Ste (208) 770-2822 100 Andersen, Brock MD ~✤ Nampa, ID 83687 Ringger, Benjamin Ogram, Alicia MD ~ NPI: 1558349852 (208) 467-7546 NPI: 1275792525 1118 Nw 16Th St Ste A MD ~✤ 980 W Ironwood Dr Ste 01 Fruitland, ID 83619 NPI: 1013170125 Elmore Coeur D'alene, ID 83814 (208) 452-5999 30410 Hwy 200 Ste 101 (208) 625-4333 Portugese Ponderay, ID 83852 Mountain Home (208) 665-7546 83647 Ringger, Benjamin Teton Bonneville Thomas, Richard DO ~✤ MD ~✤ Driggs NPI: 1013170125 NPI: 1265795660 83422 Idaho Falls 840 N 4Th E Ste 100 2288 N Merritt Creek Loop 83402 Mountain Home, ID Marshall, Daniel DO ~✤ 83647 Coeur D'alene, ID 83814 (208) 665-7546 NPI: 1861583486 Marshall, Daniel DO ~✤ (208) 587-1852 180 S Main St Ste B2 NPI: 1861583486 Spanish Driggs, ID 83422 927 S Utah Ave Latah (208) 359-4841 Idaho Falls, ID 83402 Kootenai (208) 881-5241 Moscow Coeur D'alene 83843 Twin Falls 83404 83814 Craig, Stephen MD ~ Twin Falls Wray, Adam DO ~ NPI: 1396830048 83301 NPI: 1902952930 Craig, Stephen MD ~✤ 619 S Washington St Ste 3760 Washington Pkwy NPI: 1396830048 302 Olmstead, Alan MD ~✤ Idaho Falls, ID 83404 2288 N Merritt Creek Moscow, ID 83843 NPI: 1306936794 (208) 535-3637 Loop (208) 665-7546 844 Washington St N Ste Coeur D'alene, ID 83814 100 Canyon (208) 665-7546 Madison Twin Falls, ID 83301 (208) 734-6800 Nampa Dai, Joseph MD ~✤ Rexburg 83651 NPI: 1831355700 83440 Reed, Kurtis MD ~✤ 2288 N Merritt Creek NPI: 1245484096 Harris, Ryan MD ~✤ Loop Marshall, Daniel DO ~✤ 714 N College Rd Ste B NPI: 1952628745 Coeur D'alene, ID 83814 NPI: 1861583486 Twin Falls, ID 83301 318 2Nd St S (208) 665-7546 1049 Summers Dr (208) 814-7180 Nampa, ID 83651 Rexburg, ID 83440 (208) 467-6003 Hamstra, Ashley MD ~ (208) 359-4841 Russian NPI: 1316216369 Scholes, Chris MD ~✤ 1700 W Riverstone St Marshall, Daniel DO ~ NPI: 1760491542 NPI: 1861583486 526 Shoup Ave W Ste A Powell, Gavin MD ~✤ Coeur D'alene, ID 83814 (208) 770-2822 393 E 2Nd N Twin Falls, ID 83301 NPI: 1215933940 Rexburg, ID 83440 (208) 734-5555 318 2Nd St S (208) 359-4841 Nampa, ID 83651 Hill, Hilary MD ~✤ (208) 467-6003 NPI: 1710117528 2288 N Merritt Creek Loop Coeur D'alene, ID 83814 (208) 665-7546

82 Specialty Providers / Proveedores Especializados Dermatology continued/seguido

Valley 83704 83646 Bonneville Cascade Ascend Medical Llc ~✤ Norco Inc ~ Idaho Falls NPI: 1821158692 83611 NPI: 1750772869 83404 8405 W Emerald St 2882 N Ealgle Rd Boise, ID 83704 Meridian, ID 83646 Alpine Home Medical Stewart, James MD ~✤ (208) 898-0202 NPI: 1104870567 (208) 321-1800 Equipment ~ 271 Duffers Ln NPI: 1194154930 Cascade, ID 83611 Cpapnow ~ Bannock 2425 Channing Way Idaho Falls, ID 83404 (208) 939-4599 NPI: 1518066414 Pocatello 6128 W Fairview Ave Ste (208) 535-8627 Stewart, James MD ~ 1A 83201 NPI: 1104870567 Boise, ID 83704 Shaver Pharmacy & Apria Healthcare Llc ~ 271 N Duffers Ln (208) 287-1733 Compounding NPI: 1720192834 Cascade, ID 83611 2222 Teton Plaza Ste 1 (208) 939-4599 National Medical Center ~✤ Idaho Falls, ID 83404 NPI: 1043372048 (208) 523-0300 Solutions Inc ~✤ 235 S 4Th Ave Mccall NPI: 1235571746 Pocatello, ID 83201 Norco Inc ~ 83638 8601 W Emerald St Ste 100 (208) 232-7750 NPI: 1558425165 Boise, ID 83704 3908 Washington Pkwy Owsley, Ryan MD ~✤ (208) 377-1881 83202 Idaho Falls, ID 83404 NPI: 1659361681 (208) 552-3113 211 Forest St 83709 Apria Healthcare Llc ~ NPI: 1891704300 Mccall, ID 83638 Mountain Brace Canyon (208) 467-7546 227 Bluegill Ln Ste 2A Systems ~ Pocatello, ID 83202 NPI: 1821436718 (208) 237-7940 Caldwell Durable Medical 248 S Cole Rd 83605 Boise, ID 83709 Norco Inc ~ Equipment & (208) 350-3092 Norco Inc ~ NPI: 1659432375 NPI: 1932263597 Medical Supplies 4639 Yellowstone Hwy 1906 Fairview Ave Ste 100 83713 Pocatello, ID 83202 Caldwell, ID 83605 Ada Apria Healthcare Inc - (208) 478-9100 (208) 402-0100 Boise ~ Boise NPI: 1437485703 Bingham Nampa 11880 W President Dr Ste 83702 Blackfoot 83687 Norco Inc ~ E NPI: 1902960396 Boise, ID 83713 83221 Norco Inc ~ 400 Main St (208) 322-2372 Norco Inc ~ NPI: 1932269735 Boise, ID 83702 NPI: 1174890628 150 Shannon Dr (208) 344-0299 Meridian 1350 Parkway Dr 26 Nampa, ID 83687 83642 Blackfoot, ID 83221 (208) 467-3070 Sawtooth Orthotics & (208) 782-0456 Amramp ~✤ Cassia Prosthetics ~✤ NPI: 1720327265 NPI: 1487663514 3023 E Copper Pint Dr Ste Burley 780 S 14Th St 201 83318 Boise, ID 83702 Meridian, ID 83642 Norco Inc ~ (208) 344-9981 (208) 409-4514 Spanish NPI: 1104986983 198 N Overland Burley, ID 83318 (208) 678-8558

83 Specialty Providers / Proveedores Especializados Durable Medical Equipment & Medical Supplies continued/seguido

Elmore Latah Twin Falls Foote, Julie MD ~✤ Mountain Home Moscow Twin Falls NPI: 1104836303 900 N Liberty Ste 201 83647 83843 83301 Boise, ID 83704 Norco Inc ~ Norco Inc ~ Coyote Prosthetics & (208) 367-6740 NPI: 1326109059 NPI: 1225192859 Orthotics - Twin Falls ~ 1405 American Legion 223 W 3Rd St NPI: 1245239060 Meridian Blvd Moscow, ID 83843 542 Addison Ave W 83642 Mountain Home, ID (208) 882-3571 Twin Falls, ID 83301 83647 (208) 736-7330 Stanciu, Irinel MD ~✤ (208) 587-1177 Lemhi NPI: 1720068760 Home Iv Service & 520 S Eagle Rd Ste 1234 Salmon Idaho Medical Supply ~✤ Meridian, ID 83642 83467 NPI: 1033203146 (208) 429-0300 Grangeville Romanian Apria Healthcare Llc ~ 526 Shoup Ave W Ste K 83530 NPI: 1700995883 Twin Falls, ID 83301 Norco Inc ~ 818 Main St Ste H & I (208) 735-8700 Veldhuis, Johannes NPI: 1619031234 Salmon, ID 83467 Spanish MD ~✤ 329 W Main (208) 756-4794 NPI: 1477530335 Grangeville, ID 83530 Norco Inc ~ 520 S Eagle Rd Ste 1234 (208) 983-0390 Madison NPI: 1487715199 Meridian, ID 83642 330 N Haven Dr (208) 429-0300 Kootenai Rexburg Twin Falls, ID 83301 (208) 734-9330 Bannock Coeur D Alene 83440 Norco Inc ~ Pocatello 83814 Endocrinology, NPI: 1487921839 83201 Bellevue Healthcare Ii Inc 146 N 2Nd E Diabetes & North Idaho Rexburg, ID 83440 Liljenquist, David NPI: 1154618510 (208) 356-7913 Metabolism MD ~✤ 115 E Harrison Ave NPI: 1932109931 Coeur D Alene, ID 83814 Nez Perce Ada 444 Hospital Wy Bldg B (208) 676-1768 Ste 600 Lewiston Boise Pocatello, ID 83201 83815 83501 83702 (208) 523-1122 Apria Healthcare Llc ~ Community Action Christensen, Richard NPI: 1578586756 Partnership ~ MD ~✤ Vance, Carl MD ~✤ 2944 N Government Way NPI: 1750631206 NPI: 1346272127 NPI: 1437159423 Coeur D Alene, ID 83815 124 New 6Th St 403 S 11Th St Ste 100 444 Hospital Wy Bldg B (208) 667-1195 Lewiston, ID 83501 Boise, ID 83702 Ste 600 (208) 798-4207 (208) 429-0300 Pocatello, ID 83201 Dalton Gardens (208) 523-1122 83815 Norco Inc ~ 83704 NPI: 1073674792 Bonneville Sopers Mobility Aids 863 Main St Foote, Julie MD ~✤ Llc ~ Lewiston, ID 83501 NPI: 1104836303 Idaho Falls NPI: 1669440392 (208) 743-8384 900 N Liberty St Ste 201 83404 7392 N Government Wy Boise, ID 83704 Dalton Gardens, ID 83815 (208) 367-6740 Liljenquist, David MD ~ (208) 772-6474 NPI: 1932109931 3910 Washington Pkwy Idaho Falls, ID 83404 (208) 522-2996

84 Specialty Providers / Proveedores Especializados Endocrinology, Diabetes & Metabolism continued/seguido

Vance, Carl MD ~ Lyons, Trek MD ~✤ Sterling, Hugh MD ~✤ Blanchard, Jordan NPI: 1437159423 NPI: 1043210248 NPI: 1538198098 MD ~✤ 3910 Washington Pkwy 1109 W Myrtle St Ste 200 6000 Overland Rd NPI: 1356630941 Idaho Falls, ID 83404 Boise, ID 83702 Boise, ID 83709 2855 E Magic View Dr (208) 522-2996 (208) 706-2663 (208) 323-7588 Meridian, ID 83642 French (208) 639-4900 Kootenai Lyons, Trek MD ~✤ Coeur D'alene NPI: 1043210248 83712 Davis, Toby DO ~✤ 703 S Americana Blvd Ste NPI: 1891987467 83814 120 Kozisek, Peter MD ~✤ 3399 E Louise Dr Ste 100 Rodebaugh, Maria MD ~ Boise, ID 83702 NPI: 1659319085 Meridian, ID 83642 NPI: 1114961190 (208) 706-2663 190 E Bannock St (208) 288-2255 2251 Ironwood Center Dr Boise, ID 83712 (208) 381-1615 Coeur D'alene, ID 83814 Millward, Anthony (208) 666-3257 Gopon, Tobias MD ~✤ PA ~✤ Kozisek, Peter MD ~✤ NPI: 1508152257 Twin Falls NPI: 1609889252 NPI: 1659319085 520 S Eagle Rd Ste 3213 300 S 23Rd St 300 E Jefferson St Ste 101 Meridian, ID 83642 Twin Falls Boise, ID 83702 (208) 706-2663 (208) 344-3512 Boise, ID 83712 German 83301 Spanish (208) 322-1680 Malone, William MD ~✤ 83713 Kozisek, Peter MD ~✤ 83704 NPI: 1659319085 NPI: 1568658250 Radnovich, Richard 746 N College Rd Ste A Larkin, Brian DO ~✤ 520 S Eagle Rd Ste 2104 Twin Falls, ID 83301 NPI: 1205278355 DO ~✤ Meridian, ID 83642 (208) 814-9800 777 N Raymond St NPI: 1407944655 (208) 706-0201 Boise, ID 83704 4850 N Rosepoint Way Ste Family Medicine 100 (208) 514-2500 Boise, ID 83713 Lawler, Monica MD ~✤ (208) 577-5904 NPI: 1932441979 Ada Lawler, Monica MD ~✤ 3399 E Louise Dr Ste 100 Meridian, ID 83642 Boise NPI: 1932441979 Meridian 3301 N Sawgrass Wy (208) 887-6813 83702 Boise, ID 83704 83642 (208) 375-0862 83646 Gopon, Tobias MD ~✤ Allen, Daniel MD ~✤ NPI: 1508152257 NPI: 1720017247 Smith, Jacob MD ~✤ 1109 W Myrtle St Ste 200 83709 2131 S Bonito Way NPI: 1265812796 Boise, ID 83702 Beeson, Donna MD ~✤ Meridian, ID 83642 1900 W Chinden Blvd (208) 706-2663 NPI: 1689630436 (208) 489-9500 Meridian, ID 83646 German 6651 W Franklin Rd Spanish (208) 809-2860 Boise, ID 83709 Adams Gopon, Tobias MD ~✤ (208) 947-5390 Allen, Daniel MD ~✤ NPI: 1508152257 NPI: 1720017247 Council 3080 E Gentry Way Ste 703 S Americana Blvd Ste Potter, Stephanie MD ~✤ 83612 120 NPI: 1609892413 100 Boise, ID 83702 6651 W Franklin Rd Meridian, ID 83642 Blanchard, Jordan (208) 706-2663 (208) 286-8670 Boise, ID 83709 Spanish MD ~✤ German (208) 947-5390 NPI: 1356630941 205 N Berkley St Council, ID 83612 (208) 253-4242

85 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Bannock Hill, Kevin MD ~✤ Wilson, Jared PA ~✤ Bonneville Pocatello NPI: 1780769075 NPI: 1275748089 Idaho Falls 777 Hospital Way Ste 201 777 Hospital Way Smo Ste 83201 Pocatello, ID 83201 201 83401 (208) 239-2722 Pocatello, ID 83201 Baker, Wallace MD ~ Andres, Matthew DO ~✤ (208) 239-2620 NPI: 1366602963 NPI: 1083696967 560 Memorial Dr Johnson, Kolby MD ~✤ 1250 Hollipark Dr Pocatello, ID 83201 NPI: 1326335134 83202 Idaho Falls, ID 83401 (208) 234-1960 465 Memorial Dr Borgholthaus, Lana (208) 522-0310 Spanish Pocatello, ID 83201 PA ~✤ Borgholthaus, Lana (208) 234-4700 NPI: 1255315974 134 W Chubbuck Rd Ste B Baker, Wallace MD ~✤ PA ~✤ Maynard, Richard NPI: 1255315974 Pocatello, ID 83202 NPI: 1083696967 495 Yellowstone Ave DO ~✤ (208) 478-7422 1880 John Adams Pkwy Pocatello, ID 83201 NPI: 1952395063 Idaho Falls, ID 83401 (208) 478-7422 110 Vista Dr (208) 524-6633 Hale, Nicholas PA ~✤ Spanish Pocatello, ID 83201 NPI: 1841487840 Champlin, Colleen (208) 234-2300 134 W Chubbuck Rd Ste B 83402 NP ~✤ Pocatello, ID 83202 NPI: 1912042755 Mills, Lavonne MD ~✤ (208) 478-7422 Dixon, Gordon DO ~✤ 777 Hospital Way Ste 201 NPI: 1023036647 NPI: 1578518395 Pocatello, ID 83201 465 Memorial Dr Bingham 765 S Utah Ave (208) 239-2620 Pocatello, ID 83201 Idaho Falls, ID 83402 (208) 234-4700 Blackfoot (208) 525-2600 Dixon, Gordon DO ~✤ 83221 NPI: 1578518395 Nielsen, Travis DO ~✤ Thomas, Scott MD ~✤ NPI: 1730340365 Brown, Bradly PA ~✤ 1595 Yellowstone Ave NPI: 1043598477 NPI: 1144237975 Pocatello, ID 83201 465 Memorial Dr 765 S Utah Ave Pocatello, ID 83201 1350 Pkwy Dr Ste 2 (208) 233-0032 Blackfoot, ID 83221 Idaho Falls, ID 83402 (208) 234-4700 (208) 525-2600 Spanish (208) 782-2410 Fowler, Randall MD ~✤ NPI: 1154344059 83404 500 S 11Th St Ste 500 Price, Jared DO ~✤ Carrigan, Brian MD ~✤ Pocatello, ID 83201 NPI: 1093884363 NPI: 1457300279 Dixon, Gordon DO ~✤ (208) 239-1940 777 Hospital Way Ste G1 98 Poplar St NPI: 1578518395 Pocatello, ID 83201 Blackfoot, ID 83221 2725 Channing Wy (208) 239-2722 (208) 785-4100 Idaho Falls, ID 83404 Francisco, Patricia (208) 525-8448 NP ~✤ Bonner NPI: 1598890014 Ryan, Victoria PA ~✤ 465 Memorial Dr NPI: 1003980210 Priest River Simpson, Isac MD ~✤ NPI: 1386939734 Pocatello, ID 83201 1951 Bench Rd Ste B 83856 (208) 234-4700 Pocatello, ID 83201 2325 Coronado St (208) 238-1000 Hudson, Jennifer DO ~ Idaho Falls, ID 83404 NPI: 1154617017 (208) 557-2700 Hale, Nicholas PA ~✤ 6509 Hwy 2 Ste 101 Spanish NPI: 1841487840 Thomas, Scott MD ~✤ Priest River, ID 83856 495 Yellowstone Ave NPI: 1144237975 (208) 448-2321 Pocatello, ID 83201 1595 Yellowstone Ave (208) 478-7422 Pocatello, ID 83201 (208) 233-0032

86 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Simpson, Isac MD ~✤ Canyon Page, Travis DO ~✤ Nelson, Matthew MD ~✤ NPI: 1386939734 Caldwell NPI: 1396760385 NPI: 1669633798 2377 Coronado St 2523 S 10Th Ave Ste 103 1375 N Happy Valley Rd Idaho Falls, ID 83404 83605 Caldwell, ID 83605 Nampa, ID 83687 (208) 557-2570 Augustus, Richard MD ~ (208) 459-7788 (208) 809-2869 Spanish NPI: 1699717793 1717 Arlington Ave Radnovich, Richard Cassia Thomas, Scott MD ~✤ Caldwell, ID 83605 DO ~✤ Burley NPI: 1144237975 (208) 459-4641 NPI: 1407944655 2725 Channing Wy 4109 E Elm St 83318 Idaho Falls, ID 83404 Augustus, Richard MD ~ Caldwell, ID 83605 Canty, Cathy MD ~ (208) 525-8448 NPI: 1699717793 (208) 939-2100 NPI: 1013974658 1906 Fairview Ave Ste 230 1309 Bennett Ave Caldwell, ID 83605 Stanton, Kristopher Burley, ID 83318 Thomas, Scott MD ~✤ (208) 459-4667 NPI: 1144237975 MD ~ (208) 678-0101 2730 Channing Wy NPI: 1063671147 Idaho Falls, ID 83404 Llenos, Joe MD ~✤ 3110 Cleveland Blvd Bldg Elmore (208) 542-7100 NPI: 1003073560 A Ste A7 211 E Logan St Ste 303 Caldwell, ID 83605 Glenns Ferry 83406 And 203 (877) 522-1275 83623 Caldwell, ID 83605 Hemming, Kathy PA ~ (208) 459-4667 Nampa Best, Dawn NP ~✤ NPI: 1700817442 83651 NPI: 1003049925 1675 Curlew Dr Major, Meikel MD ~ 486 W First Ave Idaho Falls, ID 83406 NPI: 1730317975 Baron, Andrew MD ~✤ Glenns Ferry, ID 83623 (208) 523-5319 1717 Arlington Ave NPI: 1750567731 (208) 366-7416 Caldwell, ID 83605 207 1St St S Boundary (208) 459-4641 Nampa, ID 83651 Mountain Home Bonners Ferry (208) 466-7869 Major, Meikel MD ~ 83647 83805 NPI: 1730317975 Wilson, Martha MD ~✤ Best, Dawn NP ~✤ Hudson, Jennifer DO ~ 1906 Fairview Ave Ste 230 NPI: 1417268574 NPI: 1003049925 NPI: 1154617017 Caldwell, ID 83605 207 1St St S 2280 American Legion 6615 Comanche St (208) 459-4667 Nampa, ID 83651 Blvd Bonners Ferry, ID 83805 (208) 466-7869 Mountain Home, ID (208) 267-1718 Mattis, Richard MD ~ Spanish 83647 NPI: 1821040247 (208) 587-3988 Camas 3110 Cleveland Blvd Bldg 83687 A Ste A7 Franklin Fairfield Caldwell, ID 83605 Baron, Andrew MD ~✤ 83327 (877) 522-1275 NPI: 1750567731 Preston 223 16Th Ave N 83263 Canty, Cathy MD ~ Millward, Anthony Nampa, ID 83687 NPI: 1013974658 (208) 466-7869 Fenwick, Sterling PA ~✤ 401 W Camas Ave PA ~✤ NPI: 1609889252 NPI: 1063828291 Fairfield, ID 83327 44 N 100 E (208) 764-2611 2005 Arlington Gopon, Tobias MD ~✤ Caldwell, ID 83605 NPI: 1508152257 Preston, ID 83263 (208) 459-1025 9850 W St Lukes Dr (208) 852-3662 Spanish Nampa, ID 83687 Spanish (208) 706-2663 German

87 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Webb, Joel PA ~ Jerome Herold, Heidi MD ~ Thomas, Scott MD ~✤ NPI: 1184872632 NPI: 1043322217 Jerome NPI: 1144237975 44 N 100 E 1765 W Golf Course Rd 72 E Main St Preston, ID 83263 83338 Coeur D'alene, ID 83815 Rexburg, ID 83440 (208) 852-0137 (208) 292-0292 Canty, Cathy MD ~ (208) 359-1770 Fremont NPI: 1013974658 Post Falls 114 Pioneer Ct Wilde, Trevor DO ~✤ Saint Anthony Jerome, ID 83338 83854 NPI: 1538422019 (208) 324-3471 72 S 1St E 83445 Bassler, Holly DO ~✤ Rexburg, ID 83440 NPI: 1437103009 Wilde, Trevor DO ~✤ Romney, Kenneth (208) 356-4900 1300 E Mullan Ave Spanish NPI: 1538422019 MD ~✤ Post Falls, ID 83854 20 N 3Rd E NPI: 1831272772 (208) 777-9110 Saint Anthony, ID 83445 709 N Lincoln Ave Minidoka (208) 356-4900 Jerome, ID 83338 Herold, Heidi MD ~ Rupert Spanish (208) 324-4301 NPI: 1043322217 French 925 E Polston Ave 83350 Gem Post Falls, ID 83854 Canty, Cathy MD ~ Kootenai Emmett (208) 618-0787 NPI: 1013974658 Coeur D'alene 1024 8Th St 83617 Rathdrum Rupert, ID 83350 83814 (208) 650-7941 Dodge, Elmer NP ~✤ 83858 Herold, Heidi MD ~ NPI: 1508918236 Herold, Heidi MD ~ Nez Perce 1102 E Locust St NPI: 1043322217 1090 W Park Pl NPI: 1043322217 Emmett, ID 83617 16760 N Hwy 41 Lewiston (208) 365-6004 Coeur D'alene, ID 83814 (208) 292-0292 Rathdrum, ID 83858 83501 (208) 687-5627 Baldeck, Michael DO ~ Sebastian, Robin MD ~✤ Meza, Michael MD ~ NPI: 1568559029 Morse, Jeremy MD ~ NPI: 1669428967 NPI: 1134124506 307 St Johns Wy Ste 9 1202 E Locust St 1090 W Park Pl NPI: 1578509212 Emmett, ID 83617 15622 N Highway 41 Lewiston, ID 83501 Coeur D'alene, ID 83814 (208) 798-4818 (208) 365-3561 (208) 292-0292 Rathdrum, ID 83858 (208) 687-4878 Jefferson Bare, David MD ~ Volyn, Glen MD ~✤ Yovichin, Mark MD ~ NPI: 1396703377 Rigby NPI: 1801831235 NPI: 1225147200 338 6Th St 83442 1701 Lincoln Wy 15622 N Highway 41 Lewiston, ID 83501 Coeur D'alene, ID 83814 Rathdrum, ID 83858 (208) 848-8300 Thomas, Scott MD ~✤ (208) 625-4955 (208) 687-4878 NPI: 1144237975 Oneida 83815 167 E 1St S Madison Malad City Rigby, ID 83442 Herold, Heidi MD ~ (208) 745-8747 NPI: 1043322217 Rexburg 83252 109 E Harrison 83440 Barker, Lance MD ~ Coeur D'alene, ID 83815 NPI: 1801089214 (208) 292-0292 Dixon, Gordon DO ~✤ 150 N 200 W NPI: 1578518395 Malad City, ID 83252 72 E Main St (208) 766-2231 Rexburg, ID 83440 Mandarin (208) 359-1770

88 Specialty Providers / Proveedores Especializados Family Medicine continued/seguido

Barrus, Jonathan DO ~ Twin Falls Harris, Vaughn MD ~✤ Brauer, David MD ~✤ NPI: 1346654589 Buhl NPI: 1447519160 NPI: 1295718096 150 N 200 W 775 Pole Line Rd W Ste 400 E 7Th St Malad City, ID 83252 83316 103 Weiser, ID 83672 (208) 766-2231 Canty, Cathy MD ~ Twin Falls, ID 83301 (208) 414-8440 NPI: 1013974658 (208) 814-8375 Wolpert, Kathryn MD ~ Spanish NPI: 1386909851 725 Fair St Carroll, Ronald MD ~✤ Buhl, ID 83316 NPI: 1790821122 150 N 200 W Ripepi, Bartholomew Malad City, ID 83252 (208) 543-8271 645 E 5Th St (208) 766-2231 DO ~✤ Weiser, ID 83672 Kimberly NPI: 1073873188 (208) 549-0370 Owyhee 83341 775 Pole Line Rd W Ste 103 Family Nurse Grand View Canty, Cathy MD ~ Twin Falls, ID 83301 NPI: 1013974658 (208) 814-8375 Practitioner 83624 132 Main St N Best, Dawn NP ~✤ Kimberly, ID 83341 Valley Ada NPI: 1003049925 (208) 735-3938 350 Main St Cascade Boise Grand View, ID 83624 Twin Falls 83611 83702 (208) 834-2929 83301 Ellsworth, Ron MD ~✤ Archuleta, Pamela Homedale Canty, Cathy MD ~ NPI: 1245556141 NP ~✤ NPI: 1013974658 402 Lake Cascade Pkwy NPI: 1578518676 83628 325 Martin St Cascade, ID 83611 1276 W River St Ste 100 Millward, Anthony Twin Falls, ID 83301 (208) 382-4242 Boise, ID 83702 (208) 732-7101 Spanish (208) 338-4699 PA ~✤ NPI: 1609889252 Canty, Cathy MD ~ Mccall 108 E Idaho NPI: 1013974658 Bauter, Ashlee NP ~✤ Homedale, ID 83628 388 Martin St 83638 NPI: 1356602361 (208) 337-3189 Twin Falls, ID 83301 222 N 2Nd St Ste 311 Spanish (208) 734-0451 Kremer, John MD ~✤ Boise, ID 83702 NPI: 1407829435 (208) 343-0907 Marsing 1000 State St Canty, Cathy MD ~ Mccall, ID 83638 83639 NPI: 1013974658 (208) 634-2221 Carter, Nadine NP ~✤ 826 Eastland Dr NPI: 1114303039 Millward, Anthony Twin Falls, ID 83301 403 S 11Th St Ste 100 PA ~✤ (208) 732-7101 Washington Boise, ID 83702 NPI: 1609889252 Weiser (208) 429-0300 201 Main St Coppin, Erin PA ~✤ 83672 Marsing, ID 83639 NPI: 1922066042 Johnston, Tracy NP ~✤ (208) 896-4159 2550 Addison Ave E Ste B Blanchard, Jordan NPI: 1548693682 Spanish Twin Falls, ID 83301 MD ~✤ 333 N 1St St Ste 140 (208) 814-8000 NPI: 1356630941 Boise, ID 83702 360 E Liberty (208) 381-9026 Franz, Martha MD ~✤ Weiser, ID 83672 NPI: 1700172442 (208) 549-4424 Pearson, Brooke NP ~✤ 775 Pole Line Rd W Ste NPI: 1457500332 103 333 N 1St St Ste 140 Twin Falls, ID 83301 Boise, ID 83702 (208) 814-8375 (208) 381-9026

89 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Pedersen, Rachael NP ~✤ Binder, Shannon NP ~✤ Bacon, Crissie NP ~✤ Dey, Patricia NP ~✤ NPI: 1659613636 NPI: 1710386396 NPI: 1871992776 NPI: 1497994123 115 Main St Ste 101 545 N Benjamin Ste 185 190 E Bannock St 10Th 100 E Idaho St Boise, ID 83702 Boise, ID 83704 Floor Boise, ID 83712 (208) 381-3915 (208) 322-1026 Boise, ID 83712 (208) 381-2711 (208) 381-5500 Read, Heidi NP ~✤ Boulton, Cynthia NP ~✤ Dirocco, Melissa NP ~✤ NPI: 1558617167 NPI: 1750397238 Barnes, Keri NP ~✤ NPI: 1770879942 333 N 1St St Ste 140 7272 W Potomac Dr NPI: 1407001852 190 E Bannock St 10Th Boise, ID 83702 Boise, ID 83704 190 E Bannock St 9Th Floor (208) 381-9026 (208) 884-2922 Floor Boise, ID 83712 Boise, ID 83712 (208) 381-5500 Stenshoel, Lindsey 83705 (208) 381-5500 Nelson, Tyley NP ~ NP ~✤ Johnson, Keri NP ~✤ NPI: 1902185168 Barrelier Verner, Nita NPI: 1972552925 NPI: 1902256019 1000 E Park Blvd Ste 120 1276 W River St Ste 100 848 S La Casssia Dr NP ~✤ Boise, ID 83702 NPI: 1558799270 Boise, ID 83712 Boise, ID 83705 (208) 381-4100 (208) 338-4699 (208) 344-0086 190 E Bannock St 10Th Spanish Floor Taylor, Benjamin NP ~✤ Boise, ID 83712 Rodriguez, Johary NP ~✤ NPI: 1710261672 83706 (208) 381-5500 NPI: 1770954398 222 N 2Nd St Ste 315 Spanish 190 E Bannock St Boise, ID 83702 Archuleta, Pamela Boise, ID 83712 (208) 381-6196 NP ~✤ Basse, Jeremy NP ~✤ (208) 381-1615 Spanish NPI: 1578518676 NPI: 1578726485 4477 W Emerald St Ste 190 E Bannock St Smart, Sean NP ~✤ Theisen, Regina NP ~✤ C100 Boise, ID 83712 NPI: 1295189264 NPI: 1447582580 Boise, ID 83706 (208) 381-1615 300 E Jefferson St Ste 101 425 W Bannock St (208) 454-8389 Boise, ID 83712 Boise, ID 83702 Beveridge-Choo, Tricia (208) 322-1680 (208) 343-1702 83709 NP ~✤ Christensen, Donna NPI: 1295053189 Smith, Michael NP ~ 100 E Idaho St Ste 300 NPI: 1942598446 Watkins, Tyler NP ~✤ NP ~✤ 125 E Idaho St Ste 100 NPI: 1174936462 NPI: 1396978722 Boise, ID 83712 (208) 381-7370 Boise, ID 83712 703 S Americana Blvd Ste 10112 W Overland Rd (208) 338-0148 150 Boise, ID 83709 Boise, ID 83702 (208) 780-3900 Bockenstette, Andrea (208) 706-6375 NP ~✤ Spencer, Jeri NP ~✤ 83712 NPI: 1437583408 NPI: 1285940965 83704 300 E Jefferson St Ste 101 100 E Warm Springs Ave Aiken, Dawn NP ~✤ Boise, ID 83712 Ste B Bennett, Sharon NP ~✤ NPI: 1295175313 (208) 322-1680 Boise, ID 83712 NPI: 1598189821 300 E Jefferson St Ste 101 (208) 381-6930 545 N Benjamin Ste 185 Boise, ID 83712 Demark, Kimberly Boise, ID 83704 (208) 322-1680 83716 (208) 322-1026 NP ~✤ NPI: 1821442708 Dancer, Amy NP ~✤ 100 E Idaho St Ste 300 NPI: 1407214497 Boise, ID 83712 2051 E Summersweet Dr (208) 381-7370 Boise, ID 83716 (208) 323-3767

90 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Hayes, Joshua ARNP ~✤ Meridian Mooney, Stephanie NP ~ Theisen, Regina NP ~✤ NPI: 1639486665 83642 NPI: 1518236785 NPI: 1447582580 2051 E Summersweet Dr 360 E Montvue Dr Ste 100 2235 Gala St Boise, ID 83716 Bauter, Ashlee NP ~ Meridian, ID 83642 Meridian, ID 83642 (208) 323-3767 NPI: 1356602361 (208) 855-2900 (208) 887-3724 520 S Eagle Rd Ste 1241 Meridian, ID 83642 Soni, Margery NP ~✤ (208) 381-6930 Morgan, Mary NP ~✤ Thomas, Kelly NP ~✤ NPI: 1245294529 NPI: 1437381209 NPI: 1710395298 2051 E Summersweet Dr 925 Nw 1St St 3520 E Louise Dr Boise, ID 83716 Dancer, Amy NP ~✤ Meridian, ID 83642 Meridian, ID 83642 (208) 323-3767 NPI: 1407214497 (208) 514-2527 (208) 888-0909 2347 E Gala St Eagle Meridian, ID 83642 Poulson, William NP ~✤ 83646 (208) 323-3767 NPI: 1538414354 83616 3080 E Gentry Way Ste Maybach, Delores NP ~✤ Hughes, Jenifer NP ~✤ Dedlow, Chelsea NP ~✤ 210 NPI: 1689191140 NPI: 1679892335 NPI: 1205103686 Meridian, ID 83642 2428 N Stokesberry Pl 3101 E State St 3525 E Louise Dr Ste 400 (208) 384-9022 Meridian, ID 83646 Eagle, ID 83616 Meridian, ID 83642 (208) 895-0050 (208) 473-3100 (208) 322-1680 Poulson, William NP ~✤ NPI: 1538414354 Adams Kinghorn, Lyndsy NP ~✤ Dirmann, Carla NP ~✤ 520 S Eagle Rd Council NPI: 1851624282 Meridian, ID 83642 NPI: 1730533548 83612 3101 E State St 3277 E Louise Dr Ste 410 (208) 706-5000 Eagle, ID 83616 Meridian, ID 83642 (208) 489-5800 Bauer, Elizabeth NP ~✤ (208) 473-3100 Smart, Sean NP ~✤ NPI: 1255721361 NPI: 1295189264 205 N Berkley St Thomas, Kelly NP ~✤ Faught, Corine NP ~✤ 3525 E Louise Dr Ste 400 Council, ID 83612 NPI: 1710395298 NPI: 1285165399 Meridian, ID 83642 (208) 253-4242 3101 E State St Ste 2100 2016 S Eagle Rd (208) 322-1680 Eagle, ID 83616 Meridian, ID 83642 (208) 887-6810 Watkins, Tyler NP ~✤ (208) 938-2220 Soni, Margery NP ~✤ NPI: 1174936462 NPI: 1245294529 205 N Berkley St Garden City Hayes, Joshua ARNP ~✤ 2347 E Gala St Council, ID 83612 NPI: 1639486665 Meridian, ID 83642 (208) 253-4242 83714 2347 E Gala St (208) 323-3767 Chin, Michelle NP ~ Meridian, ID 83642 Bannock NPI: 1649645938 (208) 323-3767 5593 N Glenwood St Sparks, Sarah NP ~✤ Pocatello Garden City, ID 83714 NPI: 1366675985 (208) 322-5354 Koster, Anne NP ~✤ 520 S Eagle Rd Ste 1239 83201 NPI: 1790739951 Meridian, ID 83642 3080 E Gentry Way Ste (208) 706-7200 Blad, Gustin NP ~✤ Wright, Stacey NP ~ 210 NPI: 1982979936 NPI: 1497716476 Meridian, ID 83642 777 Hospital Way Ste 202 5593 N Glenwood St Spencer, Jeri NP ~ (208) 384-9022 NPI: 1285940965 Pocatello, ID 83201 Garden City, ID 83714 (208) 239-2640 (208) 322-5354 520 S Eagle Rd Ste 1241 Lynn, Molly NP ~✤ Meridian, ID 83642 NPI: 1962773655 (208) 381-6930 3525 E Louise Dr Ste 400 Meridian, ID 83642 (208) 322-1680

91 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Campbell, Bryce NP ~✤ Millward, Erin NP ~✤ Thornton, Eli NP ~✤ Campbell, Bryce NP ~✤ NPI: 1023417037 NPI: 1265789044 NPI: 1427480201 NPI: 1023417037 1151 Hospital Way Bldg D 777 Hospital Way 110 Vista Dr 98 Poplar At Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 Blackfoot, ID 83221 Pocatello, ID 83201 (208) 239-1417 (801) 213-3599 (208) 235-2277 (208) 239-8010 Montgomery, Jason NP ~ Walker, Craig NP ~✤ Roth, Kathryn NP ~✤ Campbell, Bryce NP ~✤ NPI: 1013270792 NPI: 1184021263 NPI: 1467893289 NPI: 1023417037 777 Hospital Way Ste 215 110 Vista Dr 1350 Pkwy Dr Ste 2 1595 Yellowstone Ave Pocatello, ID 83201 Pocatello, ID 83201 Blackfoot, ID 83221 Pocatello, ID 83201 (208) 239-2580 (801) 213-3599 (208) 782-2410 (208) 233-0032 Packer, Adam NP ~✤ Williams, Jonathan Roth, Kathryn NP ~✤ Carles, Toni NP ~✤ NPI: 1669858734 NP ~✤ NPI: 1467893289 NPI: 1144527607 777 Hospital Way NPI: 1821253683 98 Poplar St 110 Vista Dr Pocatello, ID 83201 444 Hospital Wy Bldg B Blackfoot, ID 83221 Pocatello, ID 83201 (208) 239-1417 Ste 600 (208) 785-4100 (801) 213-3599 Tagalog Pocatello, ID 83201 (208) 523-1122 Firth Crum, Sonya NP ~✤ Peay, Rachel NP ~✤ 83236 NPI: 1720341456 NPI: 1164941803 83202 110 Vista Dr 396 Yellowstone Ave Searle, Kathleen NP ~✤ Pocatello, ID 83201 Pocatello, ID 83201 Blad, Gustin NP ~✤ NPI: 1801830112 (208) 538-3122 NPI: 1982979936 (801) 213-3599 1009 W Quinn Rd 114 S Main Pocatello, ID 83202 Firth, ID 83236 Hancock, Susannah Robbins, Jeffrey NP ~✤ (208) 238-0088 (208) 346-6614 NP ~✤ NPI: 1669408514 NPI: 1164973053 110 Vista Dr Schaffer, Scott NP ~ Shelley 444 Hospital Wy Bldg B Pocatello, ID 83201 NPI: 1720410012 83274 Ste 600 (801) 213-3599 476 E Chubbuck Rd Pocatello, ID 83201 Spanish, Portugese Pocatello, ID 83202 Moss, Sheila NP ~✤ (208) 523-1122 (208) 233-9898 NPI: 1538322060 Spanish Roth, Kathryn NP ~✤ 275 W Locust St NPI: 1467893289 Bingham Shelley, ID 83274 (208) 357-3960 Horan, Donna NP ~✤ 1151 Hospital Way Bldg D NPI: 1053395772 Ste 100 Blackfoot 110 Vista Dr Pocatello, ID 83201 83221 Blaine (208) 239-8010 Pocatello, ID 83201 Averett, Shandra NP ~ Ketchum (801) 213-3599 NPI: 1720580848 83340 Roth, Kathryn NP ~✤ 1350 Parkway Dr Ste 2 Jardine, Suzanne NP ~✤ NPI: 1467893289 Blackfoot, ID 83221 Peters, Joanna NP ~✤ NPI: 1306390380 2302 E Terry St (208) 782-2410 NPI: 1356885982 110 Vista Dr Pocatello, ID 83201 (208) 235-5910 100 Hospital Dr Ste 105 Pocatello, ID 83201 Campbell, Bryce NP ~✤ Ketchum, ID 83340 (801) 213-3599 NPI: 1023417037 (208) 726-5027 Roth, Kathryn NP ~✤ 1350 Pkwy Dr Ste 2 Kener, Titus NP ~✤ NPI: 1467893289 Blackfoot, ID 83221 NPI: 1356876551 353 N 4Th Ave Ste 102 (208) 782-2410 1352 E Center St Ste A Pocatello, ID 83201 Pocatello, ID 83201 (208) 478-7900 (208) 233-2025

92 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Bonner 83404 Thompson, Terry NP ~ Canyon NPI: 1205121498 Ponderay Boyle, Nate NP ~✤ 2860 Channing Way Ste Caldwell 83852 NPI: 1649539164 100 83605 2375 E Sunnyside Rd Ste J Idaho Falls, ID 83404 Farmerie, Stephnie Idaho Falls, ID 83404 (208) 535-4567 Archuleta, Pamela NP ~✤ (208) 542-7060 NP ~✤ German NPI: 1700264637 Wallin, Heike NP ~✤ NPI: 1578518676 30410 Hwy 200 NPI: 1841469004 314 Badiola Ponderay, ID 83852 Campbell, Bryce NP ~✤ 2375 E Sunnyside Rd Ste J Caldwell, ID 83605 (208) 263-7101 NPI: 1023417037 Idaho Falls, ID 83404 (208) 454-8389 2375 E Sunnyside Rd Ste F (208) 542-7060 Sandpoint Idaho Falls, ID 83404 Bayes, Christy NP ~✤ 83864 (208) 535-3626 Williams, Jonathan NP ~ NPI: 1760796296 NPI: 1821253683 315 E Elm St Ste 350 Hoover, Jane NP ~ 3910 Washington Pkwy Caldwell, ID 83605 NPI: 1457349557 Campbell, Bryce NP ~✤ NPI: 1023417037 Idaho Falls, ID 83404 (208) 322-1680 606 N 3Rd Ave Ste 101 (208) 522-2996 Sandpoint, ID 83864 2725 Channing Wy (208) 263-1435 Idaho Falls, ID 83404 Bennett, Sharon NP ~✤ (208) 525-8448 83406 NPI: 1598189821 1305 S Kimball Watson, Jennifer NP ~✤ Adams, Rachel NP ~ Campbell, Bryce NP ~✤ NPI: 1619162385 Caldwell, ID 83605 NPI: 1750344834 (208) 469-1039 606 N 3Rd Ave Ste 101 NPI: 1023417037 1675 Curlew Dr Sandpoint, ID 83864 2730 Channing Wy Idaho Falls, ID 83406 (208) 263-1435 Idaho Falls, ID 83404 (208) 523-5319 Binder, Shannon NP ~✤ (208) 542-7100 NPI: 1710386396 Bonneville Trauntvein, Lynne NP ~ 1305 S Kimball Hancock, Susannah NP ~ NPI: 1558624601 Caldwell, ID 83605 Idaho Falls NPI: 1164973053 1675 Curlew Dr (208) 469-1039 Idaho Falls, ID 83406 83401 3910 Washington Pkwy Idaho Falls, ID 83404 (208) 523-5319 Christofferson, Lesli Morgan, Christopher (208) 522-2996 Spanish Camas NP ~✤ NP ~✤ NPI: 1912255704 NPI: 1245550268 Fairfield 315 E Elm St Ste 350 740 S Woodruff Ave Jarzmik, Monika NP ~✤ Caldwell, ID 83605 Idaho Falls, ID 83401 NPI: 1053726497 83327 (208) 322-1680 (208) 542-9111 2375 Sunnyside Rd Ste A Chatburn, Lyndsie NP ~ Spanish Idaho Falls, ID 83404 NPI: 1346608999 Mcclendon, Annette NP ~ (208) 535-4343 401 W Camas Ave NPI: 1760679179 83402 Fairfield, ID 83327 3110 Cleveland Blvd Bldg Jarzmik, Monika NP ~✤ (208) 764-2611 A Ste A7 Campbell, Bryce NP ~✤ Caldwell, ID 83605 NPI: 1023417037 NPI: 1053726497 2375 Sunnyside Rd Ste J (877) 522-1275 765 S Utah Ave Spanish Idaho Falls, ID 83402 Idaho Falls, ID 83404 (208) 535-4343 (208) 525-2600 Mooney, Stephanie Peay, Rachel NP ~✤ NP ~✤ NPI: 1164941803 NPI: 1518236785 1327 E 17Th St 1906 Fairview Ave Ste 420 Idaho Falls, ID 83404 Caldwell, ID 83605 (208) 538-3122 (208) 459-9177

93 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Ronnau, Kyle NP ~ Stenshoel, Lindsey Watkins, Tyler NP ~✤ Mountain Home NPI: 1326584640 NP ~✤ NPI: 1174936462 83647 3110 Cleveland Blvd Bldg NPI: 1902185168 9850 W St Lukes Dr Ste A Ste A7 3307 Caldwell Blvd Ste 104 329 Best, Dawn NP ~✤ Caldwell, ID 83605 Nampa, ID 83651 Nampa, ID 83687 NPI: 1003049925 (877) 522-1275 (208) 465-4833 (208) 706-6375 2280 American Legion Blvd Sobba, Cheryl NP ~✤ 83686 Wilder Mountain Home, ID NPI: 1740235712 83647 211 E Logan St Ste 303 Thomas, Kelly NP ~✤ 83676 (208) 587-3988 And 203 NPI: 1710395298 Sjostrand, David NP ~ Caldwell, ID 83605 9850 W St Lukes Dr Ste NPI: 1053850164 Jenks, Mary NP ~✤ (208) 459-4667 221 124 5Th St Ste A NPI: 1194155598 Nampa, ID 83686 Wilder, ID 83676 840 N 4Th E Middleton (208) 455-1784 (208) 482-7430 Mountain Home, ID 83644 83647 83687 Cassia (208) 587-1852 Johnson, Keri NP ~✤ Bayes, Christy NP ~✤ Burley NPI: 1902256019 NPI: 1760796296 Gem 201 S Paradise Ave 83318 215 E Hawaii Ave Emmett Middleton, ID 83644 Nampa, ID 83687 Chatburn, Lyndsie NP ~ (208) 585-0048 (208) 322-1680 NPI: 1346608999 83617 Spanish 1309 Bennett Ave Burley, ID 83318 Isaksen, Lisa NP ~✤ Nampa Binder, Shannon NP ~✤ (208) 678-0101 NPI: 1841655826 NPI: 1710386396 83651 1024 E Locust St 16368 Rainbow Dr Morgan, Christopher Emmett, ID 83617 Archuleta, Pamela Nampa, ID 83687 (208) 365-2338 (208) 639-1514 NP ~✤ NP ~✤ NPI: 1245550268 NPI: 1578518676 Christofferson, Lesli 1404 Pomerelle Ave Ste A1 Loya, Amber NP ~✤ 3307 Caldwell Blvd Ste 104 Burley, ID 83318 NPI: 1518488931 Nampa, ID 83651 NP ~✤ (208) 878-8783 2007 E Quail Run Rd Ste 1 (208) 465-4833 NPI: 1912255704 Spanish Emmett, ID 83617 215 E Hawaii Ave (208) 365-5445 Nampa, ID 83687 Bennett, Sharon NP ~✤ (208) 322-1680 Elmore NPI: 1598189821 Stark, Jody NP ~✤ 204 10Th Ave S Glenns Ferry NPI: 1851472989 Nampa, ID 83651 Johnson, Keri NP ~✤ 83623 2007 E Quail Run Rd Ste 1 (208) 466-2229 NPI: 1902256019 Emmett, ID 83617 223 16Th Ave N Best, Dawn NP ~✤ (208) 365-5445 Nampa, ID 83687 Binder, Shannon NP ~✤ NPI: 1003049925 (208) 466-7869 486 W First Ave Jefferson NPI: 1710386396 Spanish Glenns Ferry, ID 83623 204 10Th Ave S (208) 366-7416 Rigby Nampa, ID 83651 Mooney, Stephanie NP ~ (208) 466-2229 NPI: 1518236785 83442 4424 E Flamingo Ave Campbell, Bryce NP ~✤ Johnson, Keri NP ~✤ Nampa, ID 83687 NPI: 1023417037 NPI: 1902256019 (208) 855-2900 167 E 1St S 207 1St St S Rigby, ID 83442 Nampa, ID 83651 (208) 745-8747 (208) 466-7869 Spanish ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

94 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Kootenai Reese, Reva ARNP ~✤ Young, Lana ARNP ~✤ Owyhee Coeur D'alene NPI: 1578996740 NPI: 1750639225 Grand View 1090 W Park Place 16760 N Hwy 41 83814 Coeur D'alene, ID 83814 Rathdrum, ID 83858 83624 (208) 215-2005 (208) 687-5627 Bruning, Johanna NP ~✤ Best, Dawn NP ~✤ NPI: 1407820632 Thompson, Amy Latah NPI: 1003049925 700 Ironwood Dr Ste 130 350 Main St Coeur D'alene, ID 83814 ARNP ~✤ Moscow Grand View, ID 83624 (208) 666-3800 NPI: 1891826806 (208) 834-2929 2003 Kootenai Health Way 83843 Coeur D'alene, ID 83814 Payette Dahlen, Paula ARNP ~✤ (208) 625-4000 Watson, Jennifer NP ~✤ NPI: 1295787331 NPI: 1750344834 Payette 1090 W Park Place Trenkle, Susan NP ~ 619 S Washington St Ste Coeur D'alene, ID 83814 NPI: 1922218437 101 83661 (208) 215-2005 2251 Ironwood Center Dr Moscow, ID 83843 (208) 883-1037 Binder, Shannon NP ~✤ Coeur D'alene, ID 83814 NPI: 1710386396 Hansen, Holli ARNP ~✤ (208) 666-3257 Madison 540 S 16Th St Ste 118 NPI: 1407141856 Payette, ID 83661 1090 W Park Place Watson, Jennifer NP ~✤ Rexburg (208) 642-5079 Coeur D'alene, ID 83814 NPI: 1750344834 (208) 215-2005 83440 714 W Appleway Ave Ste Loya, Amber NP ~✤ 200 Hickman, Jennifer Campbell, Bryce NP ~✤ NPI: 1518488931 Coeur D'alene, ID 83814 NPI: 1023417037 501 N 16Th St Ste 110 ARNP ~✤ (208) 665-1552 72 E Main St Payette, ID 83661 NPI: 1952541971 Rexburg, ID 83440 (208) 642-2600 1090 W Park Place Post Falls (208) 359-1770 Coeur D'alene, ID 83814 (208) 215-2005 83854 Stark, Jody NP ~✤ Jarzmik, Monika NP ~ NPI: 1851472989 Hunter, Nancy ARNP ~✤ NPI: 1053726497 501 N 16Th St Ste 110 Kugler, Tiffany ARNP ~ NPI: 1538539143 420 E 4Th N NPI: 1194049148 Payette, ID 83661 925 E Polston Rexburg, ID 83440 (208) 642-2600 1000 W Garden Ave Post Falls, ID 83854 (208) 535-4343 Coeur D'alene, ID 83814 (208) 625-5640 (208) 769-7818 Power Jeppson, Rebecca NP ~✤ American Falls Kugler, Tiffany Reese, Reva ARNP ~✤ NPI: 1033351895 NPI: 1578996740 556 Trejo St 83211 ARNP ~✤ 925 E Polston Rexburg, ID 83440 NPI: 1194049148 Post Falls, ID 83854 (208) 351-6981 Babb, Kristine NP ~ 1090 W Park Place (208) 625-5640 Spanish NPI: 1942304498 Coeur D'alene, ID 83814 510 Roosevelt St (208) 215-2005 American Falls, ID 83211 Rathdrum Jones, Rachelle NP ~✤ (208) 226-3200 Kugler, Tiffany 83858 NPI: 1982830345 556 Trejo St Kugler, Tiffany Cassell, Linda NP ~ ARNP ~✤ Rexburg, ID 83440 NPI: 1801992185 NPI: 1194049148 ARNP ~✤ (208) 351-6981 510 Roosevelt St 2025 W Park Pl Ste B NPI: 1194049148 American Falls, ID 83211 Coeur D'alene, ID 83814 14775 N Kimo Ct Ste B (208) 226-3200 (208) 620-5210 Rathdrum, ID 83858 (208) 712-8931

95 Specialty Providers / Proveedores Especializados Family Nurse Practitioner continued/seguido

Shoshone Fullmer, Anne NP ~✤ Usmanova, Murvat Gupta, Akshay MD ~ NPI: 1255542338 Kellogg NPI: 1891165569 NP ~✤ 775 Pole Line Rd W Ste NPI: 1790227783 425 W Bannock St 83837 103 775 Pole Line Rd W Ste Boise, ID 83702 Twin Falls, ID 83301 203 (208) 342-7169 Meyer, Sean ARNP ~✤ (208) 814-8375 Twin Falls, ID 83301 NPI: 1750799938 (208) 814-8300 Hammerle, Christopher 740 Mckinley Ave Russian, Turkish MD ~ Kellogg, ID 83837 Larson, Charles NP ~✤ NPI: 1740336361 (208) 292-0292 NPI: 1497120349 425 W Bannock St 730 N College Rd Ste B Weston, Amanda NP ~✤ Boise, ID 83702 Twin Falls Twin Falls, ID 83301 NPI: 1609278886 (208) 342-7169 (208) 814-7350 714 N College Rd Ste B Buhl Twin Falls, ID 83301 Hammerle, Christopher Leazenby, Lisa NP ~ (208) 814-7180 83316 NPI: 1437124658 MD ~✤ Chatburn, Lyndsie NP ~ 1373 Fillmore St Valley NPI: 1740336361 NPI: 1346608999 Twin Falls, ID 83301 425 W Bannock St 725 Fair St (208) 737-9999 Mccall Boise, ID 83702 Buhl, ID 83316 83638 (208) 343-1702 (208) 543-8271 Odonnell, Briana NP ~✤ Williams, Chantell Hammerle, Christopher NPI: 1457704249 Kimberly NP ~✤ MD ~ 775 Pole Line Rd W Ste NPI: 1740336361 112 NPI: 1720432230 83341 211 Forest St 425 West Bannock St Chatburn, Lyndsie NP ~ Twin Falls, ID 83301 Boise, ID 83702 (208) 814-8200 Mccall, ID 83638 NPI: 1346608999 (208) 630-2330 (208) 343-1702 132 Main St N Kimberly, ID 83341 Roberts, Lora NP ~✤ Gastroenterology Jensen, Philip MD ~ (208) 735-3938 NPI: 1134163397 NPI: 1134114713 714 N College Rd Ste A 425 W Bannock St Twin Falls Twin Falls, ID 83301 Ada Boise, ID 83702 (208) 342-7169 83301 (208) 814-7150 Boise 83702 Ahlquist, Marci NP ~✤ Rulien, Joann NP ~✤ Jensen, Philip MD ~✤ NPI: 1376084673 NPI: 1750377313 Davis, Tish PAC ~✤ NPI: 1134114713 775 Pole Line Rd W Ste 746 N College Rd Ste D NPI: 1548201007 425 W Bannock St 203 Twin Falls, ID 83301 425 W Bannock St Boise, ID 83702 Twin Falls, ID 83301 (208) 814-7230 Boise, ID 83702 (208) 343-1702 (208) 814-8300 (208) 343-1702 Suljevic, Amra NP ~✤ Lockwood, Robert Asher, Lacie NP ~✤ NPI: 1811354640 Dellaglio, Mark MD ~ MD ~✤ NPI: 1609107176 775 Pole Line Rd W Ste NPI: 1477656460 NPI: 1588954101 1363 Fillmore St 103 425 W Bannock St 425 W Bannock St Twin Falls, ID 83301 Twin Falls, ID 83301 Boise, ID 83702 Boise, ID 83702 (208) 736-7090 (208) 814-8375 (208) 342-7169 (208) 343-6458

Chatburn, Lyndsie NP ~ Dellaglio, Mark MD ~✤ NPI: 1346608999 NPI: 1477656460 794 Eastland Dr 425 W Bannock St Twin Falls, ID 83301 Boise, ID 83702 (208) 292-0697 (208) 343-1702

96 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Morigeau, Kirsten Waite, Bonnie-Kim MD ~ Hammerle, Christopher Witte, John MD ~ MD ~✤ NPI: 1770578759 MD ~✤ NPI: 1063407641 NPI: 1811123961 425 West Bannock St NPI: 1740336361 2235 E Gala St 425 W Bannock St Boise, ID 83702 2235 E Gala St Meridian, ID 83642 Boise, ID 83702 (208) 343-1702 Meridian, ID 83642 (208) 695-2100 (208) 343-6458 (208) 887-3724 Spanish Witte, John MD ~ Wood, David MD ~✤ NPI: 1063407641 NPI: 1659367993 425 W Bannock St Jensen, Philip MD ~✤ Sericati, Matthew MD ~ NPI: 1134114713 2235 E Gala St NPI: 1194871871 Boise, ID 83702 Meridian, ID 83642 (208) 342-7169 2235 E Gala St 425 W Bannock St Meridian, ID 83642 (208) 887-3724 Boise, ID 83702 (208) 887-3724 (208) 342-7169 Witte, John MD ~✤ Bannock NPI: 1063407641 Lockwood, Robert 425 W Bannock St Pocatello Sericati, Matthew MD ~✤ MD ~✤ NPI: 1194871871 Boise, ID 83702 83201 (208) 343-1702 NPI: 1588954101 425 W Bannock St 2235 Gala St Calcagno, Christopher Boise, ID 83702 Meridian, ID 83642 (208) 343-1702 Wood, David MD ~ DO ~✤ NPI: 1659367993 (208) 887-3724 NPI: 1013178508 425 W Bannock St 777 Hospital Way Story, Brian MD ~ Morigeau, Kirsten NPI: 1851551089 Boise, ID 83702 Pocatello, ID 83201 425 W Bannock St (208) 342-7169 MD ~✤ (208) 239-1417 Boise, ID 83702 NPI: 1811123961 (208) 342-7169 Meridian 2235 Gala St Cook, Darryl MD ~✤ 83642 Meridian, ID 83642 NPI: 1972525111 (208) 887-3724 1151 Hospital Wy Bldg A Story, Brian MD ~✤ Spanish NPI: 1851551089 Davis, Tish PAC ~✤ Pocatello, ID 83201 425 W Bannock St NPI: 1548201007 (208) 232-6616 Boise, ID 83702 2235 Gala St Sericati, Matthew MD ~✤ (208) 343-1702 Meridian, ID 83642 NPI: 1194871871 Evans, Charles MD ~✤ (208) 887-3724 2235 E Gala St NPI: 1992727143 Meridian, ID 83642 1151 Hospital Wy Bldg A Story, Brian MD ~✤ Dellaglio, Mark MD ~ (208) 887-3724 NPI: 1851551089 Pocatello, ID 83201 NPI: 1477656460 (208) 232-6616 425 West Bannock St 2235 E Gala St Story, Brian MD ~ Boise, ID 83702 Meridian, ID 83642 NPI: 1851551089 Bingham (208) 343-1702 (208) 695-2100 2235 E Gala St Meridian, ID 83642 Blackfoot Waite, Bonnie-Kim MD ~ (208) 695-2100 NPI: 1770578759 Dellaglio, Mark MD ~✤ 83221 425 W Bannock St NPI: 1477656460 2235 Gala St Waite, Bonnie-Kim MD ~ Godfrey, Jonathan Boise, ID 83702 NPI: 1770578759 (208) 342-7169 Meridian, ID 83642 MD ~✤ (208) 887-3724 2235 E Gala St NPI: 1649474719 Meridian, ID 83642 98 Poplar At Waite, Bonnie-Kim (208) 695-2100 Gupta, Akshay MD ~✤ Blackfoot, ID 83221 MD ~✤ (208) 235-2277 NPI: 1770578759 NPI: 1255542338 Waite, Bonnie-Kim 2235 E Gala St 425 W Bannock St MD ~✤ Boise, ID 83702 Meridian, ID 83642 (208) 887-3724 NPI: 1770578759 (208) 343-1702 2235 Gala St Meridian, ID 83642 (208) 887-3724 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

97 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Blaine Richins, Michael DO ~✤ Franklin Young, Gavin MD ~ NPI: 1629147103 Ketchum NPI: 1497028609 Preston 2770 Cortez Ave 1919 Lincoln Way Ste 415 83340 Idaho Falls, ID 83404 83263 Coeur D'alene, ID 83814 (208) 522-4000 (208) 625-4595 Berk, Brian MD ~✤ Davis, Dirk MD ~✤ NPI: 1952324600 NPI: 1134187263 Young, Gavin MD ~ 100 Hospital Dr Ste 201 Warner, Ned DO ~✤ 44 N 1St E NPI: 1629147103 Ketchum, ID 83340 NPI: 1235175027 Preston, ID 83263 1919 Lincoln Way Ste 416 (208) 727-8800 2700 Cortez Ave (208) 852-0137 Coeur D'alene, ID 83814 Idaho Falls, ID 83404 (208) 625-4601 (208) 522-4000 Davis, Dirk MD ~ Wheeler, Seth MD ~✤ Cantonese, Chinese NPI: 1548222516 NPI: 1134187263 Nez Perce 100 Hospital Dr Ste 201 47 North 1St East Ketchum, ID 83340 Williams, Todd MD ~✤ Preston, ID 83263 Lewiston (208) 814-8300 NPI: 1437128733 (208) 852-3511 83501 2700 Cortez Ave Adams, Frank DO ~ Bonneville Idaho Falls, ID 83404 Kootenai (208) 522-4000 NPI: 1508841180 Coeur D'alene 1630 23Rd Ave Ste 701 Idaho Falls Lewiston, ID 83501 83404 Canyon 83814 (208) 746-3309 James, Michael MD ~ Behrend, Clint MD ~✤ Nampa NPI: 1386713881 Dettwiler, Carl MD ~✤ NPI: 1538138243 83686 1919 Lincoln Way Ste 415 2700 Cortez Ave NPI: 1285623819 Coeur D'alene, ID 83814 2517 17Th St Ste B Idaho Falls, ID 83404 Croitoru, Raquel MD ~✤ (208) 625-4595 (208) 522-4000 NPI: 1164525853 Lewiston, ID 83501 222 W Iowa Ave Ste A (208) 743-4373 Nampa, ID 83686 James, Michael MD ~ Evans, Larry DO ~✤ (208) 467-3432 NPI: 1386713881 Hixson, Lee MD ~ NPI: 1669540522 Spanish 1919 Lincoln Way Ste 416 NPI: 1952314593 2700 Cortez Ave Coeur D'alene, ID 83814 1630 23Rd Ave Ste 701 Idaho Falls, ID 83404 83687 (208) 625-4601 Lewiston, ID 83501 (208) 522-4000 (208) 746-3309 Lockwood, Robert MD ~ Preiksaitis, Harold NPI: 1588954101 MD ~✤ Larsen, Murray MD ~ Evans, Larry DO ~✤ 9850 W St Lukes Dr NPI: 1669540522 NPI: 1962495283 NPI: 1568451102 Nampa, ID 83687 2003 Kootenai Health Wy 1630 23Rd Ave Ste 701 2770 Cortez Ave (208) 343-6458 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 Lewiston, ID 83501 (208) 666-2000 (208) 746-3309 (208) 522-4000 Morigeau, Kirsten MD ~ NPI: 1811123961 Hendrix, Paul MD ~✤ Webb, Kevin MD ~ Morgenstern, John MD ~ 9850 W St Lukes Dr NPI: 1306003561 NPI: 1740386432 NPI: 1649249947 Nampa, ID 83687 2700 Cortez Ave 1919 Lincoln Way Ste 415 1630 23Rd Ave Ste 701 (208) 343-6458 Coeur D'alene, ID 83814 Lewiston, ID 83501 Idaho Falls, ID 83404 Spanish (208) 522-4000 (208) 625-4595 (208) 746-3309 Webb, Kevin MD ~ Hendrix, Paul MD ~✤ NPI: 1306003561 NPI: 1649249947 1919 Lincoln Way Ste 416 2770 Cortez Ave Coeur D'alene, ID 83814 Idaho Falls, ID 83404 (208) 625-4601 (208) 522-4000

98 Specialty Providers / Proveedores Especializados Gastroenterology continued/seguido

Twin Falls Meridian Gynecologic Bingham Twin Falls 83642 Oncology Blackfoot 83301 Ryan, Michael MD ~✤ 83221 NPI: 1821039025 Ada Berk, Brian MD ~✤ 3581 E Overland Rd Ririe, David MD ~✤ NPI: 1952324600 Meridian, ID 83642 Boise NPI: 1952307605 775 Pole Line Rd W Ste (208) 402-4467 83712 1441 Parkway Dr 203 Blackfoot, ID 83221 Twin Falls, ID 83301 Spackman, Michael MD ~ Cooper, Amy MD ~✤ (208) 234-2001 (208) 814-8300 NPI: 1386887032 NPI: 1306880398 Spanish 360 E Montvue Dr Ste 100 100 E Idaho St Rea, Ted MD ~✤ Meridian, ID 83642 Boise, ID 83712 Hematology & NPI: 1497795215 (208) 855-2900 (208) 381-2711 1411 Falls Ave E Ste 1151 Oncology Twin Falls, ID 83301 Canyon Gynecology (208) 933-4277 Ada Caldwell Kootenai Boise Starley, Brad MD ~✤ 83605 NPI: 1669443909 Coeur D'alene 83712 Ryan, Michael MD ~✤ 775 Pole Line Rd W Ste 83814 Alluri, Krishna MD ~✤ 203 NPI: 1821039025 4519 Enterprise Way Bering, Stacie MD ~ NPI: 1992908347 Twin Falls, ID 83301 NPI: 1639155757 100 E Idaho St (208) 814-8300 Caldwell, ID 83605 (208) 454-4982 2003 Kootenai Health Way Boise, ID 83712 Russian Coeur D'alene, ID 83814 (208) 381-2711 Spackman, Michael (208) 666-2000 Haitian Creole, Telugu Ward, Robert MD ~✤ MD ~✤ NPI: 1508894262 Hematology Kreisle, William MD ~✤ 775 Pole Line Rd W Ste NPI: 1386887032 1906 Fairview Ave Ste 420 NPI: 1821010455 203 Ada 100 E Idaho St Twin Falls, ID 83301 Caldwell, ID 83605 (208) 459-9177 Boise, ID 83712 (208) 814-8300 Boise (208) 381-2711 Nampa 83712 Wheeler, Seth MD ~✤ Zuckerman, Dan MD ~✤ NPI: 1548222516 83687 Alluri, Nitya MD ~✤ NPI: 1023093507 775 Pole Line Rd W Ste Spackman, Michael MD ~ NPI: 1073712709 100 E Idaho St 203 NPI: 1386887032 100 E Idaho St Boise, ID 83712 Twin Falls, ID 83301 4424 E Flamingo Ave Boise, ID 83712 (208) 381-2711 (208) 814-8300 Nampa, ID 83687 (208) 381-2711 (208) 855-2900 Haitian Creole, Telugu Meridian General Practice Bannock 83642 Ada Pocatello Bridges, Benjamin MD ~✤ Boise 83201 NPI: 1477694420 83702 Ririe, David MD ~✤ 520 S Eagle Rd NPI: 1952307605 Meridian, ID 83642 Daab, Leo MD ~✤ (208) 706-5651 NPI: 1245274851 777 Hospital Way 333 N 1St St Ste 280 Pocatello, ID 83201 Boise, ID 83702 (208) 239-1417 (208) 345-6545 Spanish

99 Specialty Providers / Proveedores Especializados Hematology & Oncology continued/seguido

Bucur, Silvana MD ~✤ Bonner Kootenai Madison NPI: 1326140039 Sandpoint Coeur D'alene Rexburg 520 S Eagle Rd Meridian, ID 83642 83864 83814 83440 (208) 706-5651 Allen, Jeffrey MD ~ Adams, Nathan MD ~ Romanian Allen, Jeffrey MD ~✤ NPI: 1104040104 NPI: 1104040104 NPI: 1891857512 520 N Thrid Ave 380 Walker Dr Hodson, Stephanie MD ~ 700 Ironwood Dr Ste 130 Sandpoint, ID 83864 Coeur D'alene, ID 83814 Rexburg, ID 83440 NPI: 1265478374 (208) 265-7111 (208) 356-9559 2855 E Magic View Dr (208) 666-3800 Meridian, ID 83642 Bonneville Dickson, Dane MD ~ (208) 672-1000 Kim, Kevin MD ~✤ NPI: 1669497194 Idaho Falls NPI: 1689768848 380 Walker Dr Bannock 83404 2003 Kootenai Health Wy Rexburg, ID 83440 Coeur D'alene, ID 83814 (208) 356-9559 Pocatello Adams, Nathan MD ~ (208) 666-2000 Spanish 83201 NPI: 1891857512 1957 E 17Th St Merrill, Clinton MD ~ Francisco, Michael Shull, Christian MD ~ Idaho Falls, ID 83404 NPI: 1992707285 NPI: 1396899134 MD ~✤ (208) 523-1100 700 Ironwood Dr Ste 130 380 Walker Dr NPI: 1871558239 Coeur D'alene, ID 83814 Rexburg, ID 83440 777 Hospital Way Dickson, Dane MD ~ (208) 666-3800 (208) 356-9559 Pocatello, ID 83201 NPI: 1669497194 Spanish (208) 239-1417 1957 E 17Th St Nez Perce Idaho Falls, ID 83404 Mulvey, Kevin MD ~✤ Benewah (208) 523-1100 Lewiston Spanish NPI: 1215015490 Saint Maries 700 Ironwood Dr Ste 130 83501 Coeur D'alene, ID 83814 83861 Shull, Christian MD ~ Wali, Deepika MD ~ NPI: 1396899134 (208) 666-3800 NPI: 1144205295 Samuels, Brian MD ~ 1957 E 17Th St 1250 Idaho St NPI: 1396776027 Idaho Falls, ID 83404 Post Falls Lewiston, ID 83501 229 7Th St (208) 523-1100 83854 (208) 750-7391 Saint Maries, ID 83861 (509) 462-2273 Aks, Carolyn MD ~ Canyon NPI: 1518905678 Oneida Bingham Nampa 1641 E Poulston Ave Ste Malad City 102 Blackfoot 83686 Post Falls, ID 83854 83252 (509) 462-2273 83221 Fiorentino, Larry MD ~✤ Francisco, Michael MD ~ NPI: 1528086402 NPI: 1871558239 Francisco, Michael MD ~ Samuels, Brian MD ~ 150 N 200 W NPI: 1871558239 308 E Hawaii Ave Nampa, ID 83686 NPI: 1396776027 Malad City, ID 83252 1441 Parkway Dr 1641 E Polston Ave (208) 766-2231 Blackfoot, ID 83221 (208) 467-6700 Post Falls, ID 83854 (208) 234-2001 (208) 618-5212

Shull, Christian MD ~✤ Samuels, Brian MD ~ NPI: 1396899134 NPI: 1396776027 98 Poplar At 1641 E Poulston Ave Ste Blackfoot, ID 83221 102 (208) 235-2277 Post Falls, ID 83854 (509) 462-2273

100 Specialty Providers / Proveedores Especializados Hematology & Oncology continued/seguido

Payette 83709 83646 Idaho Falls Fruitland First Choice Home Horizon Home Health 83402 And Hospice ~ 83619 Health And Hospice ~✤ NPI: 1952305286 NPI: 1689996357 Avalon Home Health ~✤ 63 W Willowbrook Dr NPI: 1639536337 Fiorentino, Larry MD ~✤ 12400 W Overland Rd Ste 100 Meridian, ID 83646 3767 Professional Way NPI: 1528086402 (208) 888-7877 Idaho Falls, ID 83402 1118 Nw 16Th St Ste D Boise, ID 83709 (208) 322-7061 (208) 538-0114 Fruitland, ID 83619 Bannock (208) 452-7677 83404 83712 Pocatello Twin Falls Advanced Home Health ~ St Lukes Homecare ~✤ 83201 NPI: 1366686826 Twin Falls NPI: 1306945985 Alliance Home Health Of 2110 Niagara St 83301 190 E Bannock St Idaho, Llc ~ Idaho Falls, ID 83404 Boise, ID 83712 NPI: 1063587509 (208) 346-7807 Bertram, Juergen MD ~✤ (208) 381-2222 353 N 4Th Ave Ste 205 NPI: 1326093022 Pocatello, ID 83201 Encompass Home Health 725 Pole Line Rd W Eagle (208) 478-2291 Of Idaho ~✤ Twin Falls, ID 83301 83616 Spanish NPI: 1700167400 (208) 814-1600 3686 Washington Pkwy All Care Health Encompass Home Health Idaho Falls, ID 83404 Solutions ~ & Hospice Of Idaho ~ Biss, Roger MD ~✤ NPI: 1396040614 (469) 621-8586 NPI: 1952385726 NPI: 1801884374 815 S Bridgeway Place Ste 1479 Bench Rd Ste C 725 Pole Line Rd W 122 Hands Of Hope Home Twin Falls, ID 83301 Pocatello, ID 83201 Eagle, ID 83616 (208) 461-1600 Health And Hospice ~✤ (208) 814-1600 (208) 473-2717 NPI: 1093037178 11379 E 17Th St Encompass Home Health Siebel, John MD ~✤ Meridian Idaho Falls, ID 83404 NPI: 1780741306 Of Idaho ~✤ (208) 523-7441 725 Pole Line Rd W 83642 NPI: 1700167400 Twin Falls, ID 83301 Adobe Home Health ~ 1479 Bench Rd Ste C Integricare Of Eastern (208) 814-1600 NPI: 1558673343 Pocatello, ID 83201 Idaho ~✤ Spanish, French, Russian 3090 Gentry Wy (208) 637-1100 NPI: 1063568178 Meridian, ID 83642 3470 Washington Pkwy Home Health (208) 389-2276 83202 Idaho Falls, ID 83404 Heritage Home Health (208) 523-9887 Multicare Home Health Ada Llc ~✤ Inc ~ 83406 Boise NPI: 1831182278 NPI: 1396074027 324 S Meridian Rd Ste 10 1009 W Quinn Rd Onesource Hhc Llc ~ 83705 Meridian, ID 83642 Pocatello, ID 83202 NPI: 1518980770 Progressive Nursing (208) 884-5497 (801) 698-8927 3544 E 17Th St Ste 201 Services Inc ~ Idaho Falls, ID 83406 NPI: 1104889526 Multicare Staffing Bonneville (208) 524-0685 1514 Shoshone St Services Inc ~ Ammon Boise, ID 83705 NPI: 1538283205 (208) 336-9898 324 S Meridian Rd Ste 14 83406 Meridian, ID 83642 (208) 887-7719 Eden Home Health ~✤ NPI: 1649683582 1480 Midway Ave Unit 7 Ammon, ID 83406 (208) 523-1980 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

101 Specialty Providers / Proveedores Especializados Home Health continued/seguido

Canyon Madison Idaho Home Health & Kootenai Hospice ~ Nampa Rexburg NPI: 1356669675 Coeur D'alene 83687 83440 222 Shoshone St E 83814 Twin Falls, ID 83301 Encompass Home Health Encompass Home Health (208) 734-4061 Bering, Stacie MD ~ & Hospice Of Idaho ~✤ Of Idaho ~✤ NPI: 1639155757 NPI: 1801884374 NPI: 1700167400 St Lukes Home Care 2003 Kootenai Health Way 16151 N Brindson St 33 Winn Dr Magic Valley ~ Coeur D'alene, ID 83814 Nampa, ID 83687 Rexburg, ID 83440 NPI: 1134166820 (208) 666-2000 (469) 621-8586 (208) 356-7087 601 Pole Line Rd Twin Falls, ID 83301 Hospice And Franklin Oneida (208) 814-7600 Palliative Medicine Preston Malad City Hospice And - Internal Medicine 83263 83252 Palliative Medicine Franklin County Medical Oneida County Hospital Ada Center - Home Health Home Health - Family Medicine And Hospice ~ NPI: 1972555910 Boise NPI: 1548355811 150 N 200 W Bonneville 83712 126 E 1St N Malad City, ID 83252 Erekson, Zachary MD ~ Preston, ID 83263 (208) 766-2231 Idaho Falls NPI: 1942529912 (208) 852-1937 83401 1000 E Park Blvd Ste 120 Payette Boise, ID 83712 Kootenai Baker, Wallace MD ~ Fruitland NPI: 1083696967 (208) 381-4100 Coeur D'alene 1250 Hollipark Dr German 83619 Idaho Falls, ID 83401 83814 Encompass Home Health (208) 522-0310 Erekson, Zachary MD ~✤ Crest Home Health And Of Western Idaho ~ Spanish NPI: 1942529912 Hospice Llc ~✤ NPI: 1003916230 190 E Bannock St 435 S Whitley Dr NPI: 1194722405 Baker, Wallace MD ~✤ Boise, ID 83712 700 W Ironwood Dr Ste Fruitland, ID 83619 (208) 381-1615 (208) 452-4972 NPI: 1083696967 255 1880 John Adams Pkwy German Coeur D'alene, ID 83814 Idaho Falls, ID 83401 (208) 765-4343 Twin Falls (208) 524-6633 Hill, Julia MD ~✤ Twin Falls Spanish NPI: 1396781563 Post Falls 190 E Bannock St 83301 83854 Canyon Boise, ID 83712 Encompass Home Health (208) 381-1615 Aaging Better In Home & Hospice Of Idaho ~ Caldwell Care Llc ~ NPI: 1801884374 83605 Nez Perce NPI: 1437218245 1411 Falls Ave East Ste 815 601 E Seltice Way Ste 101 Twin Falls, ID 83301 Llenos, Joe MD ~✤ Lewiston Post Falls, ID 83854 (208) 733-8600 NPI: 1003073560 83501 (509) 464-2344 211 E Logan St Ste 303 Heritage Home Health And 203 Pant, Sushma MD ~ Caldwell, ID 83605 NPI: 1083668248 Llc ~✤ (208) 459-4667 415 6Th St NPI: 1396074027 Lewiston, ID 83501 1219 Cheney Dr West (208) 743-2511 Twin Falls, ID 83301 (208) 238-0088

102 Specialty Providers / Proveedores Especializados

Infectious Disease Dau, Birgitt MD ~ Buitrago, Martha MD ~✤ Franklin NPI: 1225167588 NPI: 1356349492 Preston Ada 125 E Idaho St Ste 100 465 Memorial Dr Boise, ID 83712 Pocatello, ID 83201 83263 Boise (208) 338-0148 (208) 234-4700 Spanish Spanish Buitrago, Martha MD ~✤ 83704 NPI: 1356349492 Blue, Sky MD ~ Klein, Nicole MD ~ Buitrago, Martha MD ~ 655 S 4Th E Ste 600 NPI: 1659365575 NPI: 1811924616 NPI: 1356349492 Preston, ID 83263 6565 W Emerald St 125 E Idaho St Ste 100 777 Hospital Way Ste 202 (208) 852-3200 Boise, ID 83704 Boise, ID 83712 Pocatello, ID 83201 Spanish (208) 514-2510 (208) 338-0148 (208) 239-2655 Spanish Kootenai Wyatt, Casi DO ~ Blue, Sky MD ~✤ Coeur D'alene NPI: 1659365575 NPI: 1083716153 83204 777 N Raymond St 125 E Idaho St Ste 100 83814 Boise, ID 83704 Boise, ID 83712 Buitrago, Martha MD ~✤ (208) 514-2500 (208) 338-0148 NPI: 1356349492 Cook, Sean DO ~✤ 880 W Quinn Rd NPI: 1083811475 Coffman, Thomas MD ~ Bannock Pocatello, ID 83204 2003 Kootenai Health Way NPI: 1245224823 (208) 238-3368 Coeur D'alene, ID 83814 6565 W Emerald St Downey Spanish (208) 625-4000 Boise, ID 83704 83234 (208) 514-2510 Bingham Cook, Sean DO ~✤ Buitrago, Martha MD ~✤ NPI: 1083811475 Dau, Birgitt MD ~ NPI: 1356349492 Aberdeen 2120 W Ironwood Center NPI: 1225167588 79 N Main St 83210 Dr 6565 W Emerald St Downey, ID 83234 Coeur D'alene, ID 83814 Boise, ID 83704 (208) 897-5600 Buitrago, Martha MD ~✤ (208) 625-6944 (208) 514-2510 Spanish NPI: 1356349492 Spanish 330 N Main St Power Lava Hot Spring Aberdeen, ID 83210 Klein, Nicole MD ~ 83246 (208) 397-4126 American Falls NPI: 1811924616 Spanish 83211 6565 W Emerald St Buitrago, Martha MD ~✤ Boise, ID 83704 NPI: 1356349492 Cassia Buitrago, Martha MD ~✤ (208) 514-2510 85 S 5Th W NPI: 1356349492 Lava Hot Spring, ID 83246 Burley 823 Reed St 83712 (208) 776-5202 83318 American Falls, ID 83211 Spanish (208) 226-2822 Blue, Sky MD ~ Buitrago, Martha MD ~✤ Spanish NPI: 1659365575 Pocatello NPI: 1356349492 125 E Idaho St Ste 100 1501 Hiland Ave Ste B Internal Medicine Boise, ID 83712 83201 Burley, ID 83318 (208) 338-0148 Buitrago, Martha MD ~✤ (208) 678-2106 Spanish Ada Coffman, Thomas MD ~ NPI: 1356349492 NPI: 1245224823 1000 N 8Th Ave Boise 125 E Idaho St Ste 100 Pocatello, ID 83201 83702 (208) 232-6260 Boise, ID 83712 Daccarett, Marcos (208) 338-0148 Spanish MD ~✤ NPI: 1023144300 287 W Jefferson St Boise, ID 83702 (208) 322-1680

103 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Turcotte, Roger MD ~✤ 83712 Nelson, Timothy MD ~ Stubbs, Leslie MD ~ NPI: 1255574109 Blough, Susan MD ~ NPI: 1811021884 NPI: 1588613483 1226 W River St NPI: 1336197870 1000 E Park Blvd Ste 120 1000 E Park Blvd Ste 120 Boise, ID 83702 1000 E Park Blvd Ste 120 Boise, ID 83712 Boise, ID 83712 (208) 331-1155 Boise, ID 83712 (208) 381-4100 (208) 381-4100 (208) 381-4100 Spanish, Bosnian Pelton, Michael MD ~ Wu, Liang MD ~✤ French NPI: 1548219090 Tran, Tuan MD ~✤ NPI: 1073776258 1000 E Park Blvd Ste 120 333 N 1St St Ste 140 Bollinger, William MD ~ NPI: 1194716613 Boise, ID 83712 190 E Bannock St Boise, ID 83702 NPI: 1942258439 (208) 381-4100 (208) 381-9026 1000 E Park Blvd Ste 120 Boise, ID 83712 Boise, ID 83712 (208) 381-5015 (208) 381-4100 Pucciarelli, Irene DO ~ Vietnamese 83704 NPI: 1871559948 1000 E Park Blvd Ste 120 Foote, Julie MD ~✤ Donovan, Jodie MD ~ Turcotte, Roger MD ~ Boise, ID 83712 NPI: 1255574109 NPI: 1104836303 NPI: 1295027688 (208) 381-4100 900 N Liberty St Ste 201 1000 E Park Blvd Ste 120 1000 E Park Blvd Ste 120 Boise, ID 83704 Boise, ID 83712 Boise, ID 83712 (208) 367-6740 (208) 381-4100 Salem, Nizar MD ~✤ (208) 381-4100 NPI: 1346546785 190 E Bannock St Meridian Foote, Julie MD ~✤ Duerr, Robert MD ~✤ Boise, ID 83712 NPI: 1104836303 NPI: 1588611263 (208) 381-2222 83642 900 N Liberty Ste 201 300 E Jefferson St Ste 101 Boise, ID 83712 Afshar, Kia MD ~✤ Boise, ID 83704 Schell, Amy MD ~ (208) 367-6740 (208) 322-1680 NPI: 1043356637 NPI: 1275581753 3525 E Louise Dr Ste 400 1000 E Park Blvd Ste 120 83706 Gallafent, James MD ~ Meridian, ID 83642 NPI: 1518077437 Boise, ID 83712 (208) 322-1680 Hunt, Nicholas MD ~ 1000 E Park Blvd Ste 120 (208) 381-4100 NPI: 1780621771 Boise, ID 83712 Alharethi, Rami MD ~✤ 5610 W Gage St Ste A (208) 381-4100 Schlickman, Louis Boise, ID 83706 NPI: 1851306369 French MD ~✤ 3525 E Louise Dr Ste 400 (208) 501-8955 NPI: 1629022116 Spanish Meridian, ID 83642 Lewis, Erika MD ~ 190 E Bannock St (208) 322-1680 NPI: 1659320570 Boise, ID 83712 Pintar, Thomas MD ~ 1000 E Park Blvd Ste 120 (208) 381-2222 Divietro, Matthew NPI: 1952343352 Boise, ID 83712 5610 W Gage St Ste A (208) 381-4100 Schulte, Michaela DO ~✤ Boise, ID 83706 NPI: 1427265867 (208) 501-8955 MD ~✤ 2347 E Gala St Mcgeorge, Laura MD ~ NPI: 1821201179 NPI: 1629029699 Meridian, ID 83642 83709 190 E Bannock St (208) 323-3767 1000 E Park Blvd Ste 120 Boise, ID 83712 Qi, Huiling MD ~✤ Boise, ID 83712 (208) 381-5015 NPI: 1730405721 (208) 381-4100 German Fall, Michael DO ~✤ 6651 W Franklin Rd NPI: 1851548648 Boise, ID 83709 Miltner, Natasha MD ~ Smith, Shani DO ~ 2347 E Gala St (208) 947-5390 NPI: 1396832770 NPI: 1659674240 Meridian, ID 83642 Chinese 1000 E Park Blvd Ste 120 190 E Bannock St (208) 323-3767 Boise, ID 83712 Boise, ID 83712 (208) 381-4100 (208) 381-2222

104 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Kahlstrom, Richard Wood, Lance MD ~✤ Capricchione, Angelo Longmore, Ryan DO ~✤ MD ~✤ NPI: 1598923591 MD ~✤ NPI: 1285884213 NPI: 1093708992 1618 S Millennium Wy Ste NPI: 1669559050 777 Hosptial Way Bldg A 2347 E Gala St 100 2302 E Terry St Ste 101 Meridian, ID 83642 Meridian, ID 83642 Pocatello, ID 83201 Pocatello, ID 83201 (208) 323-3767 (208) 884-3376 (208) 235-5910 (208) 234-2001 Russian Kfoury, Abdallah MD ~✤ Bannock Francisco, Michael 83205 NPI: 1134132681 Pocatello MD ~✤ 3525 E Louise Dr Ste 400 NPI: 1871558239 Antonelli, Lisa MD ~ Meridian, ID 83642 83201 777 Hospital Way NPI: 1639169618 (208) 322-1680 Antonelli, Lisa MD ~ Pocatello, ID 83201 777 Hospital Way Bldg A French NPI: 1639169618 (208) 239-1417 Ste 101 777 Hospital Way Ste G15 Pocatello, ID 83205 Knibbe, William MD ~✤ Pocatello, ID 83201 Gonzalez, David MD ~✤ (208) 234-2001 NPI: 1457363673 (208) 239-2722 NPI: 1043208218 520 S Eagle Rd Ste 3211 777 Hospital Way Bldg A Bingham Meridian, ID 83642 Boehm, Douglas MD ~✤ Ste 101 Blackfoot (208) 706-5930 NPI: 1215923172 Pocatello, ID 83201 777 Hospital Way Bldg A (208) 234-2001 83221 Miller, Spencer MD ~✤ Ste 101 Antonelli, Lisa MD ~✤ NPI: 1720342777 Pocatello, ID 83201 Gonzalez, David MD ~ NPI: 1043208218 NPI: 1639169618 3525 E Louise Dr Ste 400 (208) 234-2001 1441 Parkway Dr Meridian, ID 83642 Spanish 777 Hospital Way Ste G15 Pocatello, ID 83201 Blackfoot, ID 83221 (208) 322-1680 (208) 234-2001 Calcagno, Christopher (208) 239-2722 Olberding, Elizabeth DO ~✤ Capricchione, Angelo MD ~✤ NPI: 1013178508 Gonzalez, David MD ~✤ NPI: 1043208218 MD ~✤ NPI: 1265481048 777 Hospital Way NPI: 1669559050 520 S Eagle Rd Ste 2104 Pocatello, ID 83201 777 Hosptial Way Bldg A Ste 101 1350 Pkwy Dr Ste 2 Meridian, ID 83642 (208) 239-1417 Blackfoot, ID 83221 (208) 706-0201 Pocatello, ID 83201 (208) 234-2001 (208) 782-2410 Call, Benjamin MD ~✤ Palfreyman, Eric MD ~✤ NPI: 1346236213 Krawtz, Steven MD ~ Felt, Richard MD ~ NPI: 1356504690 777 Hosptial Way Bldg A NPI: 1972563310 NPI: 1124023361 3277 E Louise Dr Ste 350 Ste 101 777 Hospital Way Ste 202 98 Poplar St Meridian, ID 83642 Pocatello, ID 83201 Pocatello, ID 83201 Blackfoot, ID 83221 (208) 887-9500 (208) 234-2001 (208) 239-2640 (208) 785-4100 Portugese Capricchione, Angelo Francisco, Michael MD ~ Liljenquist, John MD ~✤ Pangarkar, Sandeep MD ~✤ NPI: 1871558239 NPI: 1619977600 1441 Parkway Dr DO ~✤ NPI: 1669559050 444 Hospital Wy Bldg B NPI: 1033106745 1151 Hospital Way Bldg D Blackfoot, ID 83221 Ste 600 (208) 234-2001 520 S Eagle Rd Ste 100 Pocatello, ID 83201 Meridian, ID 83642 Pocatello, ID 83201 (208) 523-1122 (208) 381-5015 (208) 239-8010 Latham, Ricky ~✤ NPI: 1477553139 235 Poplar St Blackfoot, ID 83221 (208) 785-3828

105 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Latham, Ricky ~✤ Blaine Wachter, Susan MD ~✤ Cassia NPI: 1477553139 Hailey NPI: 1740450014 Burley 98 Poplar St 2985 Cortez Ave Blackfoot, ID 83221 83333 Idaho Falls, ID 83404 83318 (208) 785-4100 (208) 523-3373 Henry, Richard MD ~✤ Antonelli, Lisa MD ~✤ Longmore, Ryan DO ~ NPI: 1013904622 Canyon NPI: 1639169618 NPI: 1285884213 408 S Main 1501 Hiland Ave Ste B 1441 Parkway Dr Hailey, ID 83333 Caldwell Burley, ID 83318 (208) 734-6091 (208) 678-2106 Blackfoot, ID 83221 83605 (208) 234-2001 Russian Knibbe, William MD ~✤ Koga, Steven MD ~✤ Boehm, Douglas MD ~✤ NPI: 1457363673 NPI: 1144275512 NPI: 1215923172 Longmore, Ryan DO ~✤ 1450 Aviation Dr Ste 100 211 E Logan St Ste 303 1501 Hiland Ave Ste B NPI: 1285884213 Hailey, ID 83333 And 203 Burley, ID 83318 235 Poplar St (208) 706-5930 Caldwell, ID 83605 (208) 678-2106 Blackfoot, ID 83221 (208) 459-4667 Spanish (208) 785-3828 Bonner Russian Sandpoint Palfreyman, Eric MD ~✤ Call, Benjamin MD ~✤ NPI: 1356504690 NPI: 1346236213 Longmore, Ryan DO ~✤ 83864 1818 S 10Th Ave Ste 120 1501 Hiland Ave Ste B NPI: 1285884213 Jenkins, Ronald MD ~ Caldwell, ID 83605 Burley, ID 83318 98 Poplar At NPI: 1992751648 (208) 887-9500 (208) 678-2106 Blackfoot, ID 83221 423 N Third Ave Ste 355 Portugese (208) 235-2277 Sandpoint, ID 83864 Gonzalez, David MD ~✤ Russian (208) 265-7070 Nampa NPI: 1043208218 83686 1501 Hiland Ave Ste B Longmore, Ryan DO ~✤ Bonneville Burley, ID 83318 Croitoru, Raquel MD ~✤ (208) 678-2106 NPI: 1285884213 Idaho Falls 98 Poplar St NPI: 1164525853 Blackfoot, ID 83221 83404 222 W Iowa Ave Ste A Nampa, ID 83686 Henry, Richard MD ~✤ (208) 785-4100 Capricchione, Angelo NPI: 1013904622 Russian (208) 467-3432 MD ~✤ Spanish 1263 Bennett Ave Ste 3 NPI: 1669559050 Burley, ID 83318 Siktel, Hira MD ~✤ 2375 E Sunnyside Rd Ste F (208) 678-1049 NPI: 1477790962 Idaho Falls, ID 83404 Page, Randell DO ~✤ 235 Poplar St (208) 535-3626 NPI: 1750370771 Longmore, Ryan DO ~✤ Blackfoot, ID 83221 215 E Hawaii Ave NPI: 1285884213 (208) 785-3828 Nampa, ID 83686 Felt, Richard MD ~✤ (208) 463-3000 1501 Hiland Ave Ste B Haitian Creole NPI: 1124023361 Burley, ID 83318 2001 S Woodruff Ave Ste 3 (208) 678-2106 Shelley Sadaj, J Michael MD ~✤ Russian Idaho Falls, ID 83404 NPI: 1407846140 83274 (208) 535-3636 215 E Hawaii Ave Capricchione, Angelo Nampa, ID 83686 Liljenquist, John MD ~ (208) 463-3000 MD ~✤ NPI: 1619977600 NPI: 1669559050 3910 Washington Pkwy 275 W Locust St Idaho Falls, ID 83404 Shelley, ID 83274 (208) 522-2996 (208) 357-3960

106 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Franklin Everett, John MD ~✤ Johnson, David MD ~ Hayden NPI: 1124312376 Preston NPI: 1336195759 83835 700 Ironwood Dr Ste 320 1919 Lincoln Way Ste 416 83263 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Foster, Sherwin MD ~ (208) 676-9913 (208) 625-4601 NPI: 1720074990 Jeffers, Avery MD ~✤ 8836 N Hess Ste C NPI: 1386083764 Greene, Brandon DO ~ Lessmeier, Tim MD ~✤ Hayden, ID 83835 44 N 1St E NPI: 1770913428 NPI: 1144276825 (208) 762-7760 Preston, ID 83263 2003 Kootenai Health Way 700 Ironwood Dr Ste 320 (208) 852-0137 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Ngo, Thuy Trang MD ~ Spanish (208) 666-2000 (208) 676-9913 NPI: 1831327444 8836 N Hess Ste C Kootenai Hayden, ID 83835 Henley, Patrick DO ~✤ Mulvey, Kevin MD ~✤ (208) 762-7760 Coeur D'alene NPI: 1972737096 NPI: 1215015490 Vietnamese 83814 700 Ironwood Dr Ste 320 700 Ironwood Dr Ste 130 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Post Falls Abate, Joseph MD ~✤ (208) 676-9913 (208) 666-3800 NPI: 1720034424 83854 1090 W Park Place Henley, Patrick DO ~ Murphy Cook, Michele Chaudhry, Arvind MD ~ Coeur D'alene, ID 83814 NPI: 1972737096 MD ~ NPI: 1750336236 (208) 215-2005 700 Ironwood Dr Ste 350 NPI: 1700048451 1641 E Poulston Ave Ste Coeur D'alene, ID 83814 1104 Ironwood Dr Ste A 102 (208) 625-5232 Coeur D'alene, ID 83814 Post Falls, ID 83854 Ball, Timothy MD ~✤ (208) 667-9400 NPI: 1073622031 (509) 462-2273 Henry, Richard MD ~✤ 700 Ironwood Dr Ste 320 Preiksaitis, Harold Coeur D'alene, ID 83814 NPI: 1013904622 Cutter, Bruce MD ~ (208) 676-9913 714 W Appleway Ave Ste MD ~✤ NPI: 1356337349 200 NPI: 1962495283 1641 E Poulston Ave Ste Coeur D'alene, ID 83814 2003 Kootenai Health Wy 102 Benz, Nicolle DO ~✤ (208) 665-1552 Coeur D'alene, ID 83814 Post Falls, ID 83854 NPI: 1356322580 (208) 666-2000 (509) 462-2273 2003 Kootenai Health Wy Hoopman, Todd MD ~ Coeur D'alene, ID 83814 NPI: 1275663361 Jenkins, Ronald MD ~ (208) 666-2000 Spence, Nathan MD ~✤ NPI: 1992751648 700 W Ironwood Dr Ste NPI: 1821231986 378 600 N Cecil Chang, Kevin MD ~ 2003 Kootenai Health Wy Post Falls, ID 83854 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1578609830 (208) 765-1252 (208) 262-2800 700 W Ironwood Dr Ste (208) 666-2000 378 Nez Perce Coeur D'alene, ID 83814 Janout, Marek MD ~✤ Taylor, Matthew MD ~ (208) 765-1252 NPI: 1982657227 NPI: 1033123658 Lewiston 700 Ironwood Dr Ste 320 700 Ironwood Dr Ste 320 83501 Coan, Michael DO ~ Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1386955904 (208) 676-9913 (208) 676-9913 Adams, Frank DO ~ 700 Ironwood Dr Ste Czech NPI: 1508841180 275W York, David MD ~ 1630 23Rd Ave Ste 701 Coeur D'alene, ID 83814 Jenkins, Ronald MD ~✤ NPI: 1538205927 Lewiston, ID 83501 (208) 625-4780 NPI: 1992751648 700 W Ironwood Dr Ste (208) 746-3309 700 Ironwood Dr Ste 320 378 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 676-9913 (208) 765-1252

107 Specialty Providers / Proveedores Especializados Internal Medicine continued/seguido

Fore, Jane MD ~ Pant, Sushma MD ~ Robert, Alina MD ~✤ Lassetter, John MD ~✤ NPI: 1063445385 NPI: 1083668248 NPI: 1609042258 NPI: 1477578300 415 6Th St 415 6Th St 300 E Jefferson St Ste 101 98 Poplar St Lewiston, ID 83501 Lewiston, ID 83501 Boise, ID 83712 Blackfoot, ID 83221 (208) 743-2511 (208) 743-2511 (208) 322-1680 (208) 785-4100 Spanish, French Hixson, Lee MD ~ Oneida Writer, Steven MD ~✤ NPI: 1952314593 Kootenai 1630 23Rd Ave Ste 701 Malad City NPI: 1811942543 Lewiston, ID 83501 83252 190 E Bannock St Coeur D'alene (208) 746-3309 Boise, ID 83712 Francisco, Michael MD ~ (208) 381-2222 83814 Konarzewska, Hanna NPI: 1871558239 150 N 200 W Ball, Timothy MD ~✤ MD ~ Meridian NPI: 1073622031 NPI: 1316936982 Malad City, ID 83252 (208) 766-2231 83642 700 Ironwood Dr Ste 320 415 6Th St Coeur D'alene, ID 83814 Lewiston, ID 83501 Coyle, David MD ~✤ (208) 676-9913 (208) 298-3005 Payette NPI: 1023210515 Fruitland 3525 E Louise Dr Ste 400 Mcintosh, Daniel MD ~ Meridian, ID 83642 Spence, Nathan MD ~✤ NPI: 1801831151 83619 (208) 322-1680 NPI: 1821231986 307 St Johns Way 2003 Kootenai Health Wy Christenson, Mark Coeur D'alene, ID 83814 Lewiston, ID 83501 Green, Nathan MD ~✤ (208) 750-7474 MD ~✤ (208) 666-2000 NPI: 1699883447 NPI: 1568540714 1210 Nw 16Th St 3525 E Louise Dr Ste 400 Middleman, Edward Meridian, ID 83642 Thew, Stephen MD ~✤ MD ~ Fruitland, ID 83619 (208) 452-8700 (208) 322-1680 NPI: 1588617591 NPI: 1972540623 700 Ironwood Dr Ste 320 1250 Idaho St Bingham Coeur D'alene, ID 83814 Lewiston, ID 83501 Twin Falls (208) 676-9913 (208) 750-7391 Twin Falls Blackfoot 83301 83221 Wallace, Eric MD ~✤ Middleman, Edward NPI: 1568658243 MD ~ Henry, Richard MD ~✤ Gallant, Ellen MD ~✤ 700 Ironwood Dr Ste 320 NPI: 1972540623 NPI: 1083648786 Coeur D'alene, ID 83814 415 6Th St NPI: 1013904622 800 Falls Ave Ste 2 235 Poplar St (208) 676-9913 Lewiston, ID 83501 Blackfoot, ID 83221 (208) 743-2511 Twin Falls, ID 83301 (208) 734-6091 (208) 785-3828 Nez Perce Midence, Gerardo MD ~ Lewiston NPI: 1215981832 Interventional Gallant, Ellen MD ~✤ 415 6Th St Cardiology NPI: 1083648786 83501 Lewiston, ID 83501 98 Poplar St Sochanski, Miroslaw (208) 298-3005 Blackfoot, ID 83221 MD ~ Ada (208) 785-4100 NPI: 1568447076 Morgenstern, John MD ~ Boise 415 6Th St NPI: 1740386432 Lassetter, John MD ~✤ Lewiston, ID 83501 1630 23Rd Ave Ste 701 83712 NPI: 1477578300 (208) 298-3005 Lewiston, ID 83501 235 Poplar St (208) 746-3309 Coyle, David MD ~✤ NPI: 1023210515 Blackfoot, ID 83221 300 E Jefferson St Ste 101 (208) 785-3828 Boise, ID 83712 Spanish, French (208) 322-1680

108 Specialty Providers / Proveedores Especializados

Interventional Pain Koszalka, Michael Seyb, Stacy MD ~✤ Culbertson, Eric PA ~✤ MD ~✤ NPI: 1497706469 NPI: 1134358104 Medicine NPI: 1134171952 3525 E Louise Dr Ste 220 633 N 4Th St 333 N 1St St Ste 150 Meridian, ID 83642 Boise, ID 83702 Ada Boise, ID 83702 (208) 706-4636 (208) 342-9800 Meridian (208) 381-3088 Bannock 83642 Daley, Jason PA ~✤ Lee, Richard MD ~✤ Pocatello NPI: 1558664458 Maxwell, Shane DO ~✤ NPI: 1588692933 1109 W Myrtle St Ste 200 NPI: 1508825456 333 N 1St St Ste 150 83201 Boise, ID 83702 3551 E Overland Rd Boise, ID 83702 Draper, Michael MD ~ (208) 706-2663 Meridian, ID 83642 (208) 381-3088 NPI: 1992769368 (208) 884-1333 Spanish 777 Hospital Way Bldg A Daley, Jason PA ~✤ Ste 300 NPI: 1558664458 Bonneville Seyb, Stacy MD ~✤ Pocatello, ID 83201 600 N Robbins Rd Ste 100 NPI: 1497706469 (208) 232-6100 Boise, ID 83702 Idaho Falls 333 N 1St St Ste 150 French (208) 706-2663 83404 Boise, ID 83702 (208) 381-3088 Kootenai Becker, Christian MD ~ Daley, Jason PA ~✤ NPI: 1609191881 Coeur D'alene NPI: 1558664458 2325 Coronado St Winkler, Carey MD ~✤ 703 S Americana Blvd Ste Idaho Falls, ID 83404 NPI: 1669434395 83814 120 (208) 557-2700 333 N 1St St Ste 150 Pates, Jason MD ~✤ Boise, ID 83702 German Boise, ID 83702 NPI: 1376742346 (208) 706-2663 (208) 381-3088 2003 Kootenai Health Wy Maternal & Fetal Coeur D'alene, ID 83814 Johnson, Katrina PA ~✤ Meridian (208) 666-2000 NPI: 1891927513 Medicine 83642 1109 W Myrtle St Ste 200 Medical - Physician Boise, ID 83702 Ada Blea, Clarence MD ~✤ (208) 706-2663 Boise NPI: 1558312199 Assistant 3525 E Louise Dr Ste 220 Landis, David PA ~✤ 83702 Meridian, ID 83642 Ada (208) 706-4636 NPI: 1104044247 Blea, Clarence MD ~✤ Spanish Boise 703 S Americana Blvd Ste NPI: 1558312199 130 83702 Boise, ID 83702 333 N 1St St Ste 150 Koszalka, Michael Boise, ID 83702 (208) 706-7500 MD ~✤ Andreasen, Kacey PA ~✤ (208) 381-3088 NPI: 1215160510 Spanish NPI: 1134171952 3525 E Louise Dr Ste 220 600 N Robbins Rd Ste 100 Mart, Michael PA ~✤ Meridian, ID 83642 Boise, ID 83702 NPI: 1598861379 Cooper, Kylie MD ~✤ (208) 706-4636 (208) 706-2663 414 N 1St St NPI: 1043509730 Boise, ID 83702 333 N 1St St Ste 150 (208) 381-2667 Lee, Richard MD ~✤ Cline, Paige PA ~✤ Boise, ID 83702 NPI: 1437203965 (208) 381-3088 NPI: 1588692933 3525 E Louise Dr Ste 220 703 S Americana Blvd Ste Trainor, Sadie PA ~✤ Meridian, ID 83642 130 NPI: 1952653081 Day, Leah MD ~✤ (208) 706-4636 Boise, ID 83702 115 Main St Ste 101 NPI: 1184627549 Spanish (208) 706-7500 Boise, ID 83702 333 N 1St St Ste 150 (208) 381-3915 Boise, ID 83702 (208) 381-3088

109 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Watsen, Sharene PA ~✤ Flaker, Jeffrey PA ~✤ 83713 Flaker, Jeffrey PA ~✤ NPI: 1265464036 NPI: 1295780062 Wampold, Sarah PA ~✤ NPI: 1295780062 403 S 11Th St Ste 100 6140 W Curtisian Ave Ste NPI: 1427353721 3875 E Overland Rd Boise, ID 83702 400 12080 W Mcmillan Rd Meridian, ID 83642 (208) 429-0300 Boise, ID 83704 Boise, ID 83713 (208) 327-5600 (208) 327-5600 (208) 375-4955 Watson, Benjamin George, Kyle PA ~✤ PA ~✤ Mcvey, Douglas PA ~✤ 83716 NPI: 1225220643 NPI: 1013466200 NPI: 1841318276 3277 E Louise Dr Ste 350 1226 W River St 6933 W Emerald St Ste A Roy, Molly PA ~✤ Meridian, ID 83642 Boise, ID 83702 Boise, ID 83704 NPI: 1760414023 (208) 887-9500 (208) 331-1155 (208) 321-0634 2051 E Summersweet Dr Spanish Boise, ID 83716 Hansen, Tate PA ~✤ 83706 (208) 323-3767 NPI: 1982944617 Watson, Benjamin Delic, Zana PA ~ 3399 E Louise Dr Ste 100 PA ~✤ NPI: 1528313749 Eagle Meridian, ID 83642 NPI: 1013466200 7161 W Potomac Dr Ste A 83616 (208) 706-8085 403 S 11Th St Ste 100 Boise, ID 83706 Hawkins, Katherine Boise, ID 83702 (208) 319-3513 PA ~✤ Hansen, Tate PA ~✤ (208) 429-0300 NPI: 1982944617 Spanish 83712 NPI: 1801131800 3101 E State St Ste 2120 520 S Eagle Rd Ste 1241 Cusack, Sorcha PA ~ Eagle, ID 83616 Meridian, ID 83642 Wilson, Renee PA ~✤ NPI: 1396071056 (208) 473-3275 (208) 288-2255 NPI: 1215019534 1000 E Park Blvd Ste 120 425 W Bannock St Boise, ID 83712 Meridian Heninger, Bradley PA ~✤ Boise, ID 83702 (208) 381-4100 NPI: 1205103389 (208) 343-1702 83642 520 S Eagle Rd Ste 3213 Meridian, ID 83642 83703 Cusack, Sorcha PA ~✤ Andreasen, Kacey PA ~✤ NPI: 1396071056 NPI: 1215160510 (208) 706-2663 Delic, Zana PA ~✤ 300 E Jefferson St Ste 300 3399 E Louise Dr Ste 200 Spanish NPI: 1528313749 Boise, ID 83712 Meridian, ID 83642 5985 W State St (208) 381-4100 (208) 706-2663 Landis, David PA ~✤ Boise, ID 83703 NPI: 1104044247 (208) 853-0071 Mccoy, Alaina PA ~✤ Cline, Paige PA ~✤ 520 S Eagle Rd Ste 2213 NPI: 1710231238 NPI: 1437203965 Meridian, ID 83642 83704 100 E Idaho St Ste 400 520 S Eagle Rd Ste 2213 (208) 706-5447 Combe, Courtney PA ~ Boise, ID 83712 Meridian, ID 83642 NPI: 1053740290 (208) 345-5250 (208) 706-5447 Levenson, Darcie PA ~✤ 6550 Emerald St Ste 108 NPI: 1912058512 Boise, ID 83704 Shedd, Lindsay PA ~✤ Combe, Courtney PA ~✤ 3399 E Louise Dr Ste 100 (208) 344-2228 NPI: 1982888103 NPI: 1053740290 Meridian, ID 83642 100 E Idaho St Ste 301 3017 S Meridian Rd (208) 288-2255 Delic, Zana PA ~✤ Boise, ID 83712 Meridian, ID 83642 NPI: 1528313749 (208) 381-9250 (208) 888-6123 Mart, Michael PA ~✤ 8100 W Emerald St Ste 150 NPI: 1598861379 Tumanjan, Christine Boise, ID 83704 Daley, Jason PA ~✤ 520 S Eagle Rd Ste 2213 (208) 908-6399 PA ~✤ NPI: 1558664458 Meridian, ID 83642 NPI: 1447510201 520 S Eagle Rd Ste 2209 (208) 706-5447 100 E Idaho St Meridian, ID 83642 Boise, ID 83712 (208) 706-2663 (208) 381-2711 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

110 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Mccoy, Alaina PA ~✤ Watson, Benjamin Dixon, Annie PA ~ Maffey, Jenna PA ~✤ NPI: 1710231238 PA ~✤ NPI: 1205085529 NPI: 1467787598 520 S Eagle Rd Ste 3209 NPI: 1013466200 2240 E Center St 110 Vista Dr And 3219 520 S Eagle Rd Ste 1234 Pocatello, ID 83201 Pocatello, ID 83201 Meridian, ID 83642 Meridian, ID 83642 (208) 233-8344 (801) 213-3599 (208) 345-5250 (208) 429-0300 Spanish Dixon, Annie PA ~✤ Manning, Nicole PA ~✤ Mcgill, Jennifer PA ~✤ NPI: 1205085529 NPI: 1265441547 NPI: 1881730752 Bannock 2240 E Center St Ste A 475 Yellowstone Ave Ste E Pocatello, ID 83201 3277 E Louise Dr Ste 350 Pocatello Pocatello, ID 83201 Meridian, ID 83642 (208) 233-8344 (208) 232-0021 (208) 887-9500 83201 Downey, Paddy PA ~✤ Barnes, Darryl PA ~✤ Manning, Nicole PA ~✤ Pyke, Lauryn PA ~✤ NPI: 1972905453 NPI: 1265441547 NPI: 1891733663 110 Vista Dr NPI: 1407257025 110 Vista Dr 495 Yellowstone Ave 520 S Eagle Rd Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (801) 213-3599 Meridian, ID 83642 (801) 213-3599 (208) 478-7422 (208) 706-5651 Hatch, Angela PA ~✤ Barnes, Daryn PA ~✤ Miller, Brian PA ~✤ Rafla, Hala PA ~✤ NPI: 1376946012 NPI: 1861483455 NPI: 1245321942 777 Hospital Way NPI: 1265698492 110 Vista Dr 1595 Yellowstone Ave 520 S Eagle Rd Ste 2213 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-1417 Meridian, ID 83642 (801) 213-3599 (208) 233-0032 (208) 706-5447 Arabic Ivie, Evan PA ~✤ Blaine, James PA ~✤ Morrill, Scott PA ~✤ NPI: 1558765891 NPI: 1033354915 NPI: 1801963459 1595 Yellowstone Ave Roy, Molly PA ~✤ 1595 Yellowstone Ave 110 Vista Dr NPI: 1760414023 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 233-0032 2347 E Gala St (208) 233-0032 (801) 213-3599 Meridian, ID 83642 (208) 323-3767 Jaramillo, Rachelle Burch, Joel PA ~✤ Ray, Debra PA ~✤ PA ~✤ NPI: 1730149865 NPI: 1679918536 NPI: 1962654673 Soares, Colin PA ~✤ 110 Vista Dr 777 Hospital Way Ste 202 NPI: 1588757850 475 Yellowstone Ave Ste E Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 3399 E Louise Dr Ste 400 (801) 213-3599 (208) 239-2640 Meridian, ID 83642 (208) 232-0021 (208) 364-3000 Church, Nathan PA ~✤ Jaramillo, Rachelle Relyea, Ramon PA ~✤ NPI: 1972805943 NPI: 1386635977 PA ~✤ Steinburg, Rick PA ~✤ 110 Vista Dr 110 Vista Dr NPI: 1548265218 NPI: 1962654673 Pocatello, ID 83201 Pocatello, ID 83201 495 Yellowstone Ave 3085 E Magic View Dr Ste (801) 213-3599 (801) 213-3599 140 Pocatello, ID 83201 Meridian, ID 83642 (208) 478-7422 Richardson, Weldon (208) 433-9300 Dixon, Annie PA ~✤ PA ~ NPI: 1205085529 Loewenstein, Timothy NPI: 1629351614 1151 Hospital Way Bldg D PA ~✤ 1950 E Clark St Ste 110 Valerio, Michael PA ~✤ Ste 100 NPI: 1437148434 NPI: 1376597377 Pocatello, ID 83201 Pocatello, ID 83201 110 Vista Dr (208) 232-7246 520 S Eagle Rd Ste 3102 (208) 239-8010 Meridian, ID 83642 Pocatello, ID 83201 (208) 706-5100 (801) 213-3599

111 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Rick, Daniel PA ~✤ Hatch, Angela PA ~ Rick, Daniel PA ~✤ Ivie, Evan PA ~✤ NPI: 1770764136 NPI: 1376946012 NPI: 1770764136 NPI: 1558765891 1595 Yellowstone Ave 1441 Parkway Dr 765 S Utah Ave 2725 Channing Wy Pocatello, ID 83201 Blackfoot, ID 83221 Idaho Falls, ID 83402 Idaho Falls, ID 83404 (208) 233-0032 (208) 234-2001 (208) 525-2600 (208) 525-8448 Richardson, Weldon Rizor, Helena PA ~ Shaw, Trent PA ~✤ Ivie, Evan PA ~✤ NPI: 1073513065 PA ~✤ NPI: 1366488926 NPI: 1558765891 1448 E Center St Ste E NPI: 1629351614 765 S Utah Ave 2730 Channing Wy Pocatello, ID 83201 1425 Pkwy Dr Idaho Falls, ID 83402 Idaho Falls, ID 83404 (208) 234-1300 Blackfoot, ID 83221 (208) 525-2600 (208) 542-7100 (208) 785-7246 Shaw, Trent PA ~✤ Bonneville 83404 Kantack, Craig PA ~✤ NPI: 1366488926 Anderson, Kade PA ~ NPI: 1699052357 1595 Yellowstone Ave Idaho Falls NPI: 1699043315 2375 Sunnyside Rd Ste A Pocatello, ID 83201 83401 1970 E 17Th St Ste 20 Idaho Falls, ID 83404 (208) 233-0032 Idaho Falls, ID 83404 (208) 535-4343 Hansen, Joshua PA ~✤ (208) 523-5319 Wells, Becky PA ~✤ NPI: 1588948087 Miller, Brian PA ~✤ NPI: 1780617811 1880 John Adams Pkwy Anderson, Kade PA ~✤ NPI: 1861483455 110 Vista Dr Idaho Falls, ID 83401 NPI: 1699043315 2725 Channing Wy Pocatello, ID 83201 (208) 524-6633 2325 Coronado St Idaho Falls, ID 83404 (801) 213-3599 Idaho Falls, ID 83404 (208) 525-8448 83402 (208) 557-2700 83202 Miller, Brian PA ~✤ Jaramillo, Rachelle Blaine, James PA ~✤ NPI: 1801963459 Blaine, James PA ~✤ NPI: 1861483455 PA ~✤ 765 S Utah Ave NPI: 1801963459 2730 Channing Wy NPI: 1962654673 Idaho Falls, ID 83402 2725 Channing Wy Idaho Falls, ID 83404 134 W Chubbuck Rd Ste B (208) 525-2600 Idaho Falls, ID 83404 (208) 542-7100 Pocatello, ID 83202 (208) 525-8448 (208) 478-7422 Richardson, Weldon French, Cameron PA ~✤ NPI: 1841289469 Blaine, James PA ~✤ PA ~✤ Manning, Nicole PA ~✤ 927 S Utah Ave NPI: 1801963459 NPI: 1629351614 NPI: 1265441547 Idaho Falls, ID 83402 2730 Channing Wy 2375 Sunnyside Rd Ste J 134 W Chubbuck Rd Ste B (208) 881-5241 Idaho Falls, ID 83404 Idaho Falls, ID 83404 Pocatello, ID 83202 (208) 542-7100 (208) 535-4343 (208) 478-7422 Ivie, Evan PA ~✤ Dixon, Annie PA ~✤ Richardson, Weldon Bingham NPI: 1558765891 765 S Utah Ave NPI: 1205085529 PA ~✤ Blackfoot Idaho Falls, ID 83402 2375 E Sunnyside Rd Ste F NPI: 1629351614 (208) 525-2600 Idaho Falls, ID 83404 3385 Potomac Way 83221 (208) 552-6210 Idaho Falls, ID 83404 (208) 535-4343 Dixon, Annie PA ~ Miller, Brian PA ~✤ NPI: 1205085529 NPI: 1861483455 Hatch, Angela PA ~✤ 98 Poplar St 765 S Utah Ave NPI: 1376946012 Rick, Daniel PA ~✤ Blackfoot, ID 83221 Idaho Falls, ID 83402 2730 Channing Wy NPI: 1770764136 (208) 785-3800 (208) 525-2600 Idaho Falls, ID 83404 2725 Channing Wy (208) 542-7100 Idaho Falls, ID 83404 (208) 525-8448

112 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Rick, Daniel PA ~✤ Combe, Courtney PA ~✤ Combe, Courtney PA ~✤ Cassia NPI: 1770764136 NPI: 1053740290 NPI: 1053740290 Burley 2730 Channing Wy 524 Cleveland Blvd Ste 180 1031 W Sanetta St Idaho Falls, ID 83404 Caldwell, ID 83605 Nampa, ID 83651 83318 (208) 542-7100 (208) 454-2996 (208) 466-7443 Hatch, Angela PA ~✤ NPI: 1376946012 Shaw, Trent PA ~✤ Culbertson, Eric PA ~✤ 83686 1501 Hiland Ave Ste B NPI: 1366488926 NPI: 1134358104 Combe, Courtney PA ~✤ Burley, ID 83318 2725 Channing Wy 1825 S Kimball Ave NPI: 1053740290 (208) 678-2106 Idaho Falls, ID 83404 Caldwell, ID 83605 824 S Diamond St (208) 525-8448 (208) 455-3535 Nampa, ID 83686 Ray, Debra PA ~✤ (208) 454-2766 NPI: 1730149865 Shaw, Trent PA ~✤ George, Kyle PA ~✤ 1501 Hiland Ave Ste B NPI: 1366488926 NPI: 1225220643 Pyke, Lauryn PA ~✤ Burley, ID 83318 2730 Channing Wy 1818 S 10Th Ave Ste 120 NPI: 1407257025 (208) 678-2106 Idaho Falls, ID 83404 Caldwell, ID 83605 308 E Hawaii Ave (208) 542-7100 (208) 887-9500 Nampa, ID 83686 Custer (208) 467-6700 Waters, Cristy PA ~✤ Mcgill, Jennifer PA ~✤ Challis NPI: 1760753081 NPI: 1881730752 83687 83226 2680 Channing Way 1818 S 10Th Ave Ste 120 Idaho Falls, ID 83404 Caldwell, ID 83605 Beechinor, Shawna Fife, Thomas PA ~✤ (208) 523-7667 (208) 887-9500 PA ~✤ NPI: 1689022519 NPI: 1518291491 611 Clinic Rd 83406 16111 N Brinson St Ste Challis, ID 83226 Pittard, Jonathan PA ~✤ 100 (208) 879-4351 Anderson, Kade PA ~ NPI: 1376876599 Nampa, ID 83687 NPI: 1699043315 2523 S 10Th Ave Ste 103 (208) 467-7546 Elmore 1675 Curlew Dr Caldwell, ID 83605 Idaho Falls, ID 83406 (208) 459-7788 Glenns Ferry (208) 523-5319 Franco, Janine PA ~✤ Greenleaf NPI: 1578524559 83623 Canyon 3908 E Flamingo Ave Ste B 83626 Nampa, ID 83687 Casto, Ashley PAC ~✤ Caldwell Combe, Courtney PA ~ (208) 442-8035 NPI: 1922435544 Spanish 486 W First Ave 83605 NPI: 1053740290 Glenns Ferry, ID 83623 20535 Academy Rd (208) 366-7416 Andreasen, Kacey PA ~✤ Greenleaf, ID 83626 Landis, David PA ~✤ NPI: 1215160510 (208) 466-7443 NPI: 1104044247 2523 S 10Th Ave Ste 103 9850 W St Lukes Dr Ste Hollenback, Kyle ~✤ Caldwell, ID 83605 Nampa 207 NPI: 1932574381 486 W First Ave (208) 459-7788 83651 Nampa, ID 83687 (208) 505-2712 Glenns Ferry, ID 83623 (208) 366-7416 Combe, Courtney PA ~✤ Combe, Courtney PA ~✤ NPI: 1053740290 NPI: 1053740290 2609 S 10Th Ave Ste 102 1019 W Sanetta St Caldwell, ID 83605 Nampa, ID 83651 (208) 454-2766 (208) 466-4541

113 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Mountain Home Jefferson Kootenai French, Cameron PA ~✤ 83647 Rigby Coeur D Alene NPI: 1841289469 1049 Summers Dr Casto, Ashley PAC ~✤ 83442 83814 Rexburg, ID 83440 NPI: 1922435544 (208) 359-4841 2280 American Legion Blaine, James PA ~✤ Combe, Courtney PA ~✤ Blvd NPI: 1801963459 NPI: 1053740290 Mountain Home, ID 167 E 1St S 1038 Northwest Blvd Ivie, Evan PA ~✤ 83647 Rigby, ID 83442 Coeur D Alene, ID 83814 NPI: 1558765891 (208) 745-8747 (208) 676-9395 72 E Main St (208) 587-3988 Rexburg, ID 83440 Coeur D'alene (208) 359-1770 Hollenback, Kyle ~✤ Gardner, Lee PA ~✤ NPI: 1932574381 NPI: 1063589612 83814 2280 American Legion 167 E 1St S Kantack, Craig PA ~✤ Blvd Rigby, ID 83442 Gadmer, Jack PAC ~✤ NPI: 1699052357 Mountain Home, ID (208) 745-8747 NPI: 1467743799 360 E Main St 83647 2003 Kootenai Health Wy Rexburg, ID 83440 (208) 587-3988 Coeur D'alene, ID 83814 (208) 656-0055 Ivie, Evan PA ~✤ (208) 666-2000 NPI: 1558765891 Kantack, Craig PA ~ Landis, David PA ~✤ 167 E 1St S NPI: 1699052357 NPI: 1104044247 Rigby, ID 83442 Reese, Cody PAC ~✤ 420 E 4Th N 840 N 4Th E (208) 745-8747 NPI: 1235521279 Rexburg, ID 83440 Mountain Home, ID 2003 Kootenai Health Wy (208) 535-4343 83647 Miller, Brian PA ~✤ Coeur D'alene, ID 83814 (208) 587-1852 (208) 666-2000 NPI: 1861483455 Miller, Brian PA ~✤ 167 E 1St S NPI: 1861483455 Fremont Rigby, ID 83442 Sharp, Stuart PAC ~✤ 72 E Main St (208) 745-8747 NPI: 1841248929 Ashton Rexburg, ID 83440 2003 Kootenai Health Wy (208) 359-1770 83420 Richins, Stephen PA ~ Coeur D'alene, ID 83814 NPI: 1104861368 (208) 666-2000 Richardson, Weldon Hansen, Joshua PA ~✤ 711 Rigby Lake Dr Ste 114 PA ~ NPI: 1588948087 Rigby, ID 83442 St John, Elizabeth PAC ~ NPI: 1629351614 23 S 8Th St (208) 234-1300 NPI: 1841748530 380 Walker Dr Ste 100 Ashton, ID 83420 700 Ironwood Dr Ste 341 (208) 652-3396 Rexburg, ID 83440 Rick, Daniel PA ~✤ Coeur D'alene, ID 83814 (208) 356-9559 NPI: 1770764136 (208) 625-5200 Gem 167 E 1St S Madison Rick, Daniel PA ~✤ Emmett Rigby, ID 83442 NPI: 1770764136 (208) 745-8747 83617 Rexburg 72 E Main St 83440 Rexburg, ID 83440 Rizor, Helena PA ~ (208) 359-1770 Mcvey, Douglas PA ~✤ NPI: 1073513065 NPI: 1841318276 711 Rigby Lake Dr Ste 114 Blaine, James PA ~✤ 1102 E Locust St Rigby, ID 83442 NPI: 1801963459 Shaw, Trent PA ~✤ Emmett, ID 83617 (208) 234-1300 72 E Main St NPI: 1366488926 (208) 365-6004 Rexburg, ID 83440 72 E Main St (208) 359-1770 Rexburg, ID 83440 Shuey, David PA ~✤ Shaw, Trent PA ~✤ (208) 359-1770 NPI: 1730276445 NPI: 1366488926 1102 E Locust St 167 E 1St S Emmett, ID 83617 Rigby, ID 83442 (208) 365-6004 (208) 745-8747 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

114 Specialty Providers / Proveedores Especializados Medical - Physician Assistant continued/seguido

Waters, Cristy PA ~✤ Twin Falls Valley Meridian NPI: 1760753081 Twin Falls Cascade 83642 32 Madison Professional Pl 83301 83611 Williams, Travis DO ~✤ Rexburg, ID 83440 NPI: 1043461817 (208) 523-7667 Brose, Kari PA ~✤ Levitch, Rachel PA ~✤ 520 S Eagle Rd NPI: 1356308282 NPI: 1740515287 Meridian, ID 83642 Owyhee 801 Pole Line Rd W Ste 402 Lake Cascade Pkwy (208) 706-5651 3880 And 3810 Cascade, ID 83611 Spanish, Portugese Grand View Twin Falls, ID 83301 (208) 382-4242 (208) 814-8500 Bannock 83624 Mccall Hollenback, Kyle ~✤ Cook, Gail PA ~✤ 83638 Pocatello NPI: 1932574381 NPI: 1447217955 83201 350 Main St 2550 Addison Ave E Ste A Beechinor, Shawna Grand View, ID 83624 Twin Falls, ID 83301 PA ~✤ Robinson, Jennifer (208) 834-2929 (208) 814-8000 NPI: 1518291491 PA ~✤ 211 Forest St NPI: 1689714826 Payette Mccall, ID 83638 777 Hospital Way Cook, Gail PA ~✤ (208) 467-7546 Pocatello, ID 83201 Fruitland NPI: 1447217955 775 Pole Line Rd W Ste (208) 239-1417 83619 103 Mcchrystal, Richard Twin Falls, ID 83301 PA ~✤ Bingham Hackett, Sean PA ~✤ (208) 814-8375 NPI: 1659464923 Blackfoot NPI: 1881685642 211 Forest St 1210 Nw 16Th St Mccall, ID 83638 83221 Fruitland, ID 83619 Urrutia, Johnny PA ~✤ (208) 630-2330 Robinson, Jennifer (208) 452-8600 NPI: 1831290097 Spanish, German 176 Falls Ave PA ~✤ Twin Falls, ID 83301 NPI: 1689714826 Hansen, Tate PA ~✤ (208) 733-3181 Medical Oncology 1441 Parkway Dr NPI: 1982944617 Blackfoot, ID 83221 1210 Nw 16Th St Ada Fruitland, ID 83619 Urrutia, Johnny PA ~✤ (208) 234-2001 (208) 452-8600 NPI: 1831290097 Boise 228 Shoup Ave W Canyon Twin Falls, ID 83301 83712 Johansen, Brett PA ~✤ Nampa (208) 734-6760 Arteta-Bulos, Rafael NPI: 1982074696 83686 1210 Nw 16Th St Wucinich, Michael MD ~✤ Fruitland, ID 83619 NPI: 1457323404 Swerdloff, Jonathan (208) 452-8600 PA ~✤ 100 E Idaho St MD ~✤ NPI: 1407223274 Boise, ID 83712 NPI: 1588696538 Teton 775 Pole Line Rd W Ste (208) 381-2711 308 E Hawaii Ave 302 Spanish Nampa, ID 83686 Driggs Twin Falls, ID 83301 (208) 467-6700 83422 (208) 814-8725 Zuckerman, Norman MD ~✤ French, Cameron PA ~✤ NPI: 1568484053 NPI: 1841289469 100 E Idaho St 180 S Main St Ste B2 Boise, ID 83712 Driggs, ID 83422 (208) 381-2711 (208) 359-4841

115 Specialty Providers / Proveedores Especializados Medical Oncology continued/seguido

Kootenai Payette Canyon Hunt, Nicholas MD ~ NPI: 1780621771 Coeur D'alene Fruitland Nampa 5610 W Gage St Ste A 83814 83619 83687 Boise, ID 83706 (208) 501-8955 Hayes, Teresa MD ~✤ Arteta-Bulos, Rafael Navarro, Jennifer Spanish NPI: 1376567487 MD ~✤ CNM ~✤ 700 Ironwood Dr Ste 130 NPI: 1457323404 NPI: 1821485012 Meridian Coeur D'alene, ID 83814 1118 Nw 16Th St Ste D 16111 N Brinson St Ste (208) 666-3800 Fruitland, ID 83619 110 83642 (208) 452-7677 Nampa, ID 83687 Davidson, Robert Post Falls Spanish (208) 468-9400 MD ~✤ 83854 NPI: 1144275694 Swerdloff, Jonathan Kootenai 3525 E Louise Dr Ste 100 Chaudhry, Arvind MD ~ MD ~✤ Coeur D'alene Meridian, ID 83642 NPI: 1750336236 NPI: 1588696538 (208) 846-8335 1641 E Poulston Ave Ste 1118 Nw 16Th St Ste D 83814 102 Fruitland, ID 83619 Warzecha, Katy CM ~ Dittrich, Mary MD ~✤ Post Falls, ID 83854 (208) 452-7677 (509) 462-2273 NPI: 1144653247 NPI: 1437194552 980 W Ironwood Dr Ste 3525 E Louise Dr Ste 100 Cutter, Bruce MD ~ Twin Falls 306 Meridian, ID 83642 NPI: 1356337349 Twin Falls Coeur D'alene, ID 83814 (208) 846-8335 1641 E Poulston Ave Ste (208) 625-4970 102 83301 Fearday, Aaron MD ~✤ Post Falls, ID 83854 Padavanija, Phatama Nephrology NPI: 1952543118 (509) 462-2273 MD ~✤ 3525 E Louise Dr Ste 100 NPI: 1679527717 Ada Meridian, ID 83642 Nez Perce (208) 846-8335 725 Pole Line Rd W Boise Lewiston Twin Falls, ID 83301 (208) 814-1600 83702 Hall, Amanda DO ~✤ 83501 Adcox, Micheal MD ~✤ NPI: 1871737973 Middleman, Edward Midwife NPI: 1851345193 3525 E Louise Dr Ste 100 MD ~ 333 N 1St St Ste 140 Meridian, ID 83642 NPI: 1972540623 Bonneville Boise, ID 83702 (208) 846-8335 1250 Idaho St (208) 381-9026 Lewiston, ID 83501 Idaho Falls Hall, Amanda DO ~✤ (208) 750-7391 83404 NPI: 1871737973 Bender, Jean MD ~✤ 3525 E Louise Dr Ste 195 Middleman, Edward Binegar, Susan CNM ~ NPI: 1316981632 Meridian, ID 83642 MD ~ NPI: 1568526325 222 N 2Nd St Ste 215 (208) 846-8335 NPI: 1972540623 3450 Potomac Way Boise, ID 83702 Idaho Falls, ID 83404 (208) 381-7336 415 6Th St Keller, Christopher Lewiston, ID 83501 (208) 557-2900 (208) 743-2511 Spanish 83706 MD ~✤ NPI: 1255467312 Dytiapco, Ernest MD ~ Pant, Sushma MD ~ Taylor, Natalie CNM ~ 3525 E Louise Dr Ste 195 NPI: 1255629846 Meridian, ID 83642 NPI: 1083668248 NPI: 1073812053 5610 W Gage St Ste A 415 6Th St 3450 Potomac Way (208) 846-8335 Boise, ID 83706 Spanish Lewiston, ID 83501 Idaho Falls, ID 83404 (208) 501-8955 (208) 743-2511 (208) 557-2900

116 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Meng, Jerry MD ~✤ Rahim, Naeem MD ~✤ Rahim, Fahim MD ~✤ Keller, Christopher NPI: 1295894939 NPI: 1235286808 NPI: 1164579736 MD ~✤ 3525 E Louise Dr Ste 100 98 Poplar St 2381 E Sunnyside Rd Ste NPI: 1255467312 Meridian, ID 83642 Blackfoot, ID 83221 607 4620 Enterprise Way Ste (208) 846-8335 (208) 785-4100 Idaho Falls, ID 83404 101 Spanish, Mandarin (208) 904-4780 Caldwell, ID 83605 Bonner (208) 846-8335 Spanish Meng, Jerry MD ~✤ Sandpoint Rahim, Naeem MD ~✤ NPI: 1295894939 NPI: 1235286808 3525 E Louise Dr Ste 195 83864 2381 E Sunnyside Rd Ste Kootenai Meridian, ID 83642 607 Coeur D'alene (208) 846-8335 Mielke, Brendan MD ~✤ Idaho Falls, ID 83404 Spanish, Mandarin NPI: 1265425532 (208) 904-4780 83814 102 S Euclid Sandpoint, ID 83864 Canyon Jones, Kristie MD ~✤ Silva, Arnold MD ~✤ (208) 625-6100 NPI: 1467644286 NPI: 1497790646 Caldwell 2003 Kootenai Health Wy 3525 E Louise Dr Ste 100 Mielke, Brendan MD ~✤ Coeur D'alene, ID 83814 Meridian, ID 83642 83605 (208) 666-2000 (208) 846-8335 NPI: 1265425532 1210 Washington Ave Davidson, Robert Sandpoint, ID 83864 MD ~✤ Mielke, Brendan MD ~✤ Silva, Arnold MD ~✤ (208) 625-6100 NPI: 1144275694 NPI: 1265425532 NPI: 1497790646 4620 Enterprise Way Ste 2003 Kootenai Health Wy 3525 E Louise Dr Ste 195 Mielke, Brendan MD ~✤ 101 Coeur D'alene, ID 83814 Meridian, ID 83642 Caldwell, ID 83605 (208) 666-2000 (208) 846-8335 NPI: 1265425532 520 N Third Ave (208) 846-8335 Bingham Sandpoint, ID 83864 Mielke, Brendan MD ~✤ (208) 625-6100 Dytiapco, Ernest MD ~ NPI: 1265425532 Blackfoot NPI: 1255629846 2100 Ironwood Ct Ste A Bonneville 1818 S 10Th Ave Ste 120 Coeur D'alene, ID 83814 83221 Caldwell, ID 83605 (208) 625-6100 Haderlie, Michael Idaho Falls (208) 501-8955 MD ~✤ 83404 Mielke, Brendan MD ~✤ Fearday, Aaron MD ~✤ NPI: 1700083813 Haderlie, Michael NPI: 1265425532 235 Poplar St NPI: 1952543118 700 W Ironwood Dr Ste Blackfoot, ID 83221 MD ~✤ 4620 Enterprise Way Ste 375 (208) 785-3828 NPI: 1700083813 101 Coeur D'alene, ID 83814 2381 E Sunnyside Rd Caldwell, ID 83605 (208) 625-6100 Idaho Falls, ID 83404 (208) 846-8335 Rahim, Fahim MD ~✤ (208) 904-4780 NPI: 1164579736 Hayden Hall, Amanda DO ~✤ 235 Poplar St Haderlie, Michael 83835 Blackfoot, ID 83221 NPI: 1871737973 (208) 785-3828 MD ~✤ 4620 Enterprise Way Ste Foster, Sherwin MD ~ NPI: 1700083813 101 NPI: 1720074990 2381 E Sunnyside Rd Ste Caldwell, ID 83605 8836 N Hess Ste C Rahim, Naeem MD ~✤ 607 (208) 846-8335 Hayden, ID 83835 NPI: 1235286808 Idaho Falls, ID 83404 (208) 762-7760 235 Poplar St (208) 904-4780 Blackfoot, ID 83221 Joshi, Shaun MD ~ (208) 785-3828 NPI: 1073629150 8836 N Hess Ste C Hayden, ID 83835 (208) 762-7760 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

117 Specialty Providers / Proveedores Especializados Nephrology continued/seguido

Mielke, Brendan MD ~✤ Mielke, Brendan MD ~✤ Twin Falls Jutzy, Ronald MD ~✤ NPI: 1265425532 NPI: 1265425532 Twin Falls NPI: 1427070929 7600 N Mineral Dr Ste 850 619 S Washington Ste 201 222 N 2Nd St Ste 307 Hayden, ID 83835 Moscow, ID 83843 83301 Boise, ID 83702 (208) 625-6100 (208) 625-6100 (208) 344-1000 Cogen, Kenneth MD ~✤ NPI: 1629064555 Mielke, Brendan MD ~ Mielke, Brendan MD ~✤ 83704 NPI: 1265425532 746 N College Rd Ste D NPI: 1265425532 Twin Falls, ID 83301 Hajjar, Michael MD ~✤ 855 N Wayne Dr 700 S Main Hayden, ID 83835 (208) 814-7230 NPI: 1154343309 Moscow, ID 83843 6140 W Curtisian Ave Ste (208) 625-6100 (208) 625-6100 Myers, Michelle DO ~✤ 400 Ngo, Thuy Trang MD ~ NPI: 1962533083 Boise, ID 83704 NPI: 1831327444 Mielke, Brendan MD ~✤ 746 N College Rd Ste D (208) 327-5600 8836 N Hess Ste C NPI: 1265425532 Twin Falls, ID 83301 Hayden, ID 83835 723 S Main St (208) 814-7230 Johans, Timothy MD ~✤ (208) 762-7760 Moscow, ID 83843 NPI: 1730101148 Vietnamese (208) 625-6100 Narasimhan, Nagraj 6140 W Curtisian Ave Ste 400 Shoshone MD ~✤ Post Falls NPI: 1063449221 Boise, ID 83704 83854 Kellogg 746 N College Rd Ste D (208) 327-5600 Twin Falls, ID 83301 Mielke, Brendan MD ~✤ 83837 (208) 814-7230 Lochhead, Richard NPI: 1265425532 Mielke, Brendan MD ~✤ MD ~✤ 1300 E Mullan Ave Ste NPI: 1265425532 Rashid, Haroon MD ~✤ NPI: 1578743522 1600 25 Jacobs Gulch NPI: 1629006499 6140 W Curtisian Ave Ste Post Falls, ID 83854 Kellogg, ID 83837 350 N Haven Dr Ste 200 400 (208) 625-6100 (208) 625-6100 Twin Falls, ID 83301 Boise, ID 83704 (208) 733-0422 (208) 327-5600 Mielke, Brendan MD ~✤ Spanish Mielke, Brendan MD ~✤ Manning, Thomas NPI: 1265425532 NPI: 1265425532 3372 N Jenalan Ave 740 Mckinley Ave Rashid, Lubna MD ~✤ MD ~✤ Post Falls, ID 83854 Kellogg, ID 83837 NPI: 1760626337 NPI: 1861501637 (208) 625-6100 (208) 625-6100 350 N Haven Dr Ste 200 6140 W Curtisian Ave Ste Twin Falls, ID 83301 400 Mielke, Brendan MD ~✤ Smelterville (208) 733-0422 Boise, ID 83704 NPI: 1265425532 Urdu (208) 327-5600 600 N Cecil 83868 Post Falls, ID 83854 Mielke, Brendan MD ~✤ Neurological Montalbano, Paul (208) 625-6100 NPI: 1265425532 MD ~✤ 858 Commerce Dr Ste 100 Surgery NPI: 1699793661 Latah Smelterville, ID 83868 6140 W Curtisian Ave Ste (208) 625-6100 Ada 400 Moscow Boise, ID 83704 83843 Boise (208) 327-5600 83702 Mielke, Brendan MD ~✤ NPI: 1265425532 Frizzell, R Tyler MD ~✤ 212 Rodeo Dr Ste 110 NPI: 1114977600 Moscow, ID 83843 222 N 2Nd St Ste 307 (208) 625-6100 Boise, ID 83702 (208) 344-1000

118 Specialty Providers / Proveedores Especializados Neurological Surgery continued/seguido

83712 Johans, Timothy MD ~✤ Huneycutt, W Scott Blaine NPI: 1730101148 MD ~✤ Ketchum Cherny, W Bruce MD ~✤ 3875 E Overland Rd NPI: 1003800699 NPI: 1275575839 Meridian, ID 83642 2240 E Center St Ste A 83340 100 E Idaho St Ste 200 (208) 327-5600 Pocatello, ID 83201 Boise, ID 83712 Brait, Kenneth MD ~✤ (208) 381-7360 (208) 233-8344 Manning, Thomas NPI: 1699716936 Bingham 191 W 5Th St Duckworth, Edward MD ~✤ Ketchum, ID 83340 MD ~✤ NPI: 1861501637 Blackfoot (208) 578-3481 NPI: 1003038043 3875 E Overland Rd Meridian, ID 83642 83221 Bonneville 190 E Bannock St 10Th (208) 327-5600 Floor Cook, James PAC ~✤ Boise, ID 83712 Idaho Falls Montalbano, Paul NPI: 1497838478 (208) 381-5500 98 Poplar At 83404 MD ~✤ Blackfoot, ID 83221 Harrison, Gregory NPI: 1699793661 (208) 235-2277 Cach, Robert MD ~✤ 3875 E Overland Rd NPI: 1962592022 MD ~✤ Meridian, ID 83642 3360 S 15Th E NPI: 1104825892 (208) 327-5600 Cook, James PAC ~✤ Idaho Falls, ID 83404 190 E Bannock St 10Th NPI: 1497838478 (208) 542-1050 Floor Bannock 98 Poplar St Boise, ID 83712 Blackfoot, ID 83221 Cook, James PAC ~ (208) 381-5500 Pocatello (208) 785-4100 NPI: 1497838478 Spanish 83201 1975 Martha Ave Ste A Greenwald, Brent Idaho Falls, ID 83404 Little, Kenneth MD ~✤ Bailey, Gregory MD ~ MD ~✤ (208) 535-3633 NPI: 1023039468 NPI: 1457351926 NPI: 1134155666 190 E Bannock St 10Th 777 Hospital Way Ste G15 98 Poplar At Greenwald, Brent Pocatello, ID 83201 Floor Blackfoot, ID 83221 MD ~✤ Boise, ID 83712 (208) 239-2722 (208) 235-2277 German NPI: 1134155666 (208) 381-5500 3155 Channing Way Ste B Huneycutt, W Scott Idaho Falls, ID 83404 Osenbach, Richard Beringer, William MD ~✤ (208) 535-4800 MD ~✤ MD ~✤ NPI: 1003800699 NPI: 1396836789 NPI: 1073655221 98 Poplar At Marano, Stephen MD ~ 190 E Bannock St 10Th 777 Hospital Way Blackfoot, ID 83221 NPI: 1558457572 Floor Pocatello, ID 83201 (208) 235-2277 1975 Martha Ave Ste A Boise, ID 83712 (208) 239-1417 Idaho Falls, ID 83404 (208) 381-5500 Spanish (208) 535-3633 Marano, Stephen MD ~✤ Huneycutt, W Scott NPI: 1558457572 Meridian 98 Poplar At Kootenai MD ~✤ 83642 Blackfoot, ID 83221 Coeur D'alene NPI: 1003800699 (208) 235-2277 Hajjar, Michael MD ~✤ 1151 Hospital Way Bldg D 83814 NPI: 1154343309 Ste 100 Huynh, Katie DO ~ 3875 E Overland Rd Pocatello, ID 83201 Marano, Stephen MD ~✤ NPI: 1558457572 NPI: 1720390412 Meridian, ID 83642 (208) 239-8010 700 Ironwood Dr Ste 258 (208) 327-5600 98 Poplar St Blackfoot, ID 83221 Coeur D'alene, ID 83814 (208) 785-4100 (208) 625-6799 Vietnamese

119 Specialty Providers / Proveedores Especializados Neurological Surgery continued/seguido

Mcdonald, Jeffrey Dehaan, Jonathan Irwin, Anna MD ~✤ Canyon MD ~✤ MD ~✤ NPI: 1407033228 Caldwell NPI: 1558472910 NPI: 1134535503 2347 E Gala St 2003 Kootenai Health Wy 703 S Americana Blvd Ste Meridian, ID 83642 83605 Coeur D'alene, ID 83814 150 (208) 323-3767 Swanson, Thomas (208) 666-2000 Boise, ID 83702 Russian (208) 706-6375 MD ~✤ Twin Falls NPI: 1376535575 Smith, Ryan DO ~✤ 1825 S Kimball Ave Twin Falls Irwin, Anna MD ~✤ NPI: 1750600797 Caldwell, ID 83605 NPI: 1407033228 520 S Eagle Rd Ste 2207 (208) 608-5825 83301 125 E Idaho St Ste 300 Meridian, ID 83642 Boise, ID 83702 (208) 706-6300 Nampa Hajjar, Michael MD ~✤ (208) 381-7335 Finnish NPI: 1154343309 Russian 83686 706 N College Rd Ste A Twin Falls, ID 83301 Zhao, Cong MD ~✤ Djernes, Michael MD ~✤ (208) 327-5600 Miller, Gary MD ~✤ NPI: 1629248661 NPI: 1346230356 NPI: 1558488197 520 S Eagle Rd Ste 2207 215 E Hawaii Ave 125 E Idaho St Ste 300 Meridian, ID 83642 Nampa, ID 83686 Hajjar, Michael MD ~✤ Boise, ID 83702 (208) 706-6300 (208) 463-3000 NPI: 1154343309 (208) 381-7335 738 N College Rd Ste C Blaine Twin Falls, ID 83301 83687 (208) 367-5600 Whiteside, James MD ~✤ Hailey NPI: 1871588400 Bogitch, Ray MD ~✤ 125 E Idaho St Ste 300 83333 NPI: 1639389810 Neurology Boise, ID 83702 9850 W St Lukes Dr (208) 381-7335 Lindholm, Karin DO ~✤ Nampa, ID 83687 Ada NPI: 1083660583 (208) 505-2050 1450 Aviation Dr Ste 203 Boise 83706 Hailey, ID 83333 Djernes, Michael MD ~✤ 83702 Swanson, Thomas MD ~ (208) 727-8295 NPI: 1376535575 NPI: 1346230356 901 N Curtis Rd 9850 W St Lukes Dr Ste Abenroth, Daniel MD ~✤ Bonneville 129 NPI: 1053678342 Boise, ID 83706 (208) 608-5825 Idaho Falls Nampa, ID 83687 125 E Idaho St Ste 300 (208) 288-4930 Boise, ID 83702 83404 (208) 381-7335 Meridian Talcott, Bradford MD ~✤ Spencer, Byron MD ~✤ 83642 NPI: 1154395101 NPI: 1518941343 Asher, Stephen MD ~✤ 9850 W St Lukes Dr NPI: 1871523373 Asher, Stephen MD ~✤ 2680 Channing Way NPI: 1871523373 Idaho Falls, ID 83404 Nampa, ID 83687 125 E Idaho St Ste 300 (208) 505-2050 Boise, ID 83702 520 S Eagle Rd Ste 2207 (208) 523-7667 (208) 381-7335 Meridian, ID 83642 (208) 706-6300 Vincent, Stephen MD ~ Wagner, Jeffrey MD ~✤ NPI: 1932221306 NPI: 1033321914 Cline, Martha MD ~✤ 2353 Coronado St 9850 W St Lukes Dr NPI: 1043249964 Ireland, Stephen MD ~✤ Idaho Falls, ID 83404 NPI: 1871553511 Nampa, ID 83687 125 E Idaho St Ste 300 (208) 552-4823 (208) 505-2050 Boise, ID 83702 520 S Eagle Rd Ste 2207 (208) 381-7335 Meridian, ID 83642 (208) 706-6300

120 Specialty Providers / Proveedores Especializados Neurology continued/seguido

Kootenai Madison Neurology With Neuro- Coeur D'alene Rexburg Special musculoskeletal 83814 83440 Qualifications In Medicine, Sports Benjamin, Ramsis MD ~ Talcott, Bradford MD ~✤ Child Neurology Med NPI: 1265473581 NPI: 1154395101 700 Ironwood Dr Ste 258 32 Madison Professional Coeur D'alene, ID 83814 Pl Ada Ada (208) 625-6799 Rexburg, ID 83440 Boise Boise (208) 523-7667 Britt Jr, Charles MD ~✤ 83712 83713 NPI: 1154497279 Nez Perce Arrington, Daniel Radnovich, Richard 700 Ironwood Dr Ste 158 Lewiston MD ~✤ DO ~✤ Coeur D'alene, ID 83814 NPI: 1396065165 NPI: 1407944655 (208) 625-5100 83501 100 E Idaho St Ste 200 4850 N Rosepoint Way Ste Boise, ID 83712 100 Hampton, Cliff MD ~ Thomas, Jean MD ~ NPI: 1881695534 (208) 381-5180 Boise, ID 83713 NPI: 1821397118 (208) 577-5904 700 Ironwood Dr Ste 258 307 St Johns Way Lewiston, ID 83501 Condie, John MD ~✤ Coeur D'alene, ID 83814 Canyon (208) 625-6799 (208) 750-7474 NPI: 1417104548 100 E Idaho St Ste 200 Caldwell Twin Falls Boise, ID 83712 Lavy, Louisa MD ✤ (208) 381-5180 83605 NPI: 1366454175 Twin Falls German 2003 Kootenai Health Wy Radnovich, Richard Coeur D'alene, ID 83814 83301 DO ~✤ (208) 666-2000 Hammond, Richard Foy, Lindsey MD ~✤ NPI: 1407944655 MD ~✤ NPI: 1083817795 4109 E Elm St Lavy, Louisa MD NPI: 1558306589 100 E Idaho St Ste 200 Caldwell, ID 83605 NPI: 1366454175 738 N College Rd Ste C Boise, ID 83712 (208) 939-2100 2022 Government Way Twin Falls, ID 83301 (208) 381-5180 Coeur D'alene, ID 83814 (208) 814-7100 Neuroradiology (208) 667-5536 83716 Steffens, Bonnie NP ~✤ Yamada, Kelvin MD ~✤ Ada Schreiber, David MD ~✤ NPI: 1407136823 NPI: 1710905435 NPI: 1104998327 738 N College Rd Ste C 2051 E Summersweet Dr Boise 2003 Kootenai Health Wy Twin Falls, ID 83301 Boise, ID 83716 83712 Coeur D'alene, ID 83814 (208) 814-7100 (208) 323-3767 (208) 666-2000 Perl Ii, John MD ~✤ Meridian NPI: 1518906312 Steffens, John MD ~✤ 190 E Bannock St Schreiber, David MD ~✤ NPI: 1871683409 83642 Boise, ID 83712 NPI: 1104998327 738 N College Rd Ste C (208) 381-2094 700 Ironwood Dr Ste 158 Twin Falls, ID 83301 Yamada, Kelvin MD ~✤ Coeur D'alene, ID 83814 (208) 814-7100 NPI: 1710905435 (208) 625-5100 2347 E Gala St Meridian, ID 83642 Vine, Daniel MD ~ (208) 323-3767 NPI: 1841219375 700 Ironwood Dr Ste 258 Coeur D'alene, ID 83814 (208) 625-6799

121 Specialty Providers / Proveedores Especializados Neuroradiology continued/seguido

Meridian Nuclear Medicine Larson, Megan NP ~✤ Vandendries, Brian 83642 NPI: 1861935660 NP ~✤ Kootenai 287 W Jefferson St NPI: 1255485561 Swartz, Joel MD ~✤ Boise, ID 83702 703 S Americana Blvd Ste NPI: 1942231279 Post Falls (208) 322-1680 130 3085 E Magic View Dr Ste 83854 Boise, ID 83702 140 Leonard, Jennifer (208) 706-7500 Meridian, ID 83642 Sigg, Daniel MD ~ (208) 433-9300 NPI: 1831281765 ARNP ~✤ 1641 E Poulston Ave Ste NPI: 1649538463 83703 425 W Bannock St Blaine 102 Strong, Janet NP ~✤ Post Falls, ID 83854 Boise, ID 83702 NPI: 1255418539 Ketchum (509) 462-2273 (208) 343-1702 5985 W State St 83340 Boise, ID 83703 Nurse Practitioner Oconnor, Sara NP ~✤ (208) 853-0071 Perl Ii, John MD ~ NPI: 1639519853 NPI: 1518906312 Ada 287 W Jefferson St 83704 100 Hospital Dr Boise, ID 83702 Ketchum, ID 83340 Boise (208) 322-1680 Harmony, Russell NP ~✤ (208) 727-8205 83702 NPI: 1194065730 Olson, Marlene NP ~✤ 6140 W Curtisian Ave Ste Canyon Anderson, Caitlin NP ~✤ 400 NPI: 1215957733 Boise, ID 83704 Nampa NPI: 1275031940 600 N Robbins Rd Ste 100 333 N 1St St Ste 280 Boise, ID 83702 (208) 672-4640 83651 Boise, ID 83702 (208) 706-2663 (208) 345-6545 Svangstu, Deborah Swartz, Joel MD ~✤ NPI: 1942231279 Rasmussen, Melissa NP ~✤ 1001 Caldwell Blvd Boyer, Shannon NP ~✤ NP ~✤ NPI: 1639282585 Nampa, ID 83651 NPI: 1770744609 NPI: 1083131783 6140 W Curtisian Ave Ste (208) 318-0146 600 N Robbins Rd 425 W Bannock St 400 Boise, ID 83702 Boise, ID 83702 Boise, ID 83704 Washington (208) 489-4444 (208) 343-1702 (208) 327-5600 Weiser Thompson, Stephanie Gere, Jenna NP ~✤ Ruman, Lori NP ~✤ 83672 NPI: 1730608688 NPI: 1326097270 NP ~✤ 417 S 6Th St 333 N 1St St Ste 240 NPI: 1669901245 Perl Ii, John MD ~✤ Boise, ID 83702 Boise, ID 83702 2036 N Cole Rd NPI: 1518906312 (208) 577-4460 (208) 338-8900 Boise, ID 83704 645 E 5Th St (208) 375-0722 Weiser, ID 83672 (208) 549-0370 Hella, Matthew NP ~✤ Shuler, Cory NP ~✤ 83706 NPI: 1851736524 NPI: 1295177541 425 W Bannock St 425 W Bannock St Sjoberg, Christopher Boise, ID 83702 Boise, ID 83702 NP ~ (208) 343-1702 (208) 343-1702 NPI: 1235122284 5610 W Gage St Ste A Boise, ID 83706 Jungman, Tracy NP ~✤ Thomason, Aaron NP ~✤ (208) 501-8955 NPI: 1841728342 NPI: 1730311564 417 S 6Th St 333 N 1St St Ste 280 Boise, ID 83702 Boise, ID 83702 (208) 577-4460 (208) 345-6545

122 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

83709 Doherty, Barbara NP ~✤ Lee, Valerie NP ~✤ Hofer, Jennifer NP ~✤ Adams, Candice NP ~✤ NPI: 1467508697 NPI: 1316975899 NPI: 1215396478 NPI: 1992237648 100 E Idaho St Ste 316 190 E Bannock St 2051 E Summersweet Dr 12400 W Overland Rd Ste Boise, ID 83712 Boise, ID 83712 Boise, ID 83716 100 (208) 381-7310 (208) 381-1615 (208) 323-3767 Boise, ID 83709 (208) 322-1199 Erlandson, Linda NP ~✤ Lorentzen, Michael Eagle NPI: 1184699480 NP ~✤ 83616 100 E Idaho St NPI: 1033638150 Vander Lugt, Allison Evans, Melanie NP ~✤ Boise, ID 83712 190 E Bannock St 10Th NPI: 1134660061 (208) 381-2711 Floor ARNP ~✤ 12400 W Overland Rd Ste Boise, ID 83712 NPI: 1295778736 100 Frazier, Malia NP ~✤ (208) 381-5500 3101 E State St Boise, ID 83709 NPI: 1891005716 Eagle, ID 83616 (208) 322-1199 100 E Idaho St Ste 300 Reynolds, Allyson NP ~✤ (208) 473-3100 Boise, ID 83712 NPI: 1093033102 83712 (208) 381-7370 100 E Idaho St Ste 300 Garden City Boise, ID 83712 83714 Allen, Marni NP ~✤ Garner, Kara NP ~✤ (208) 381-7370 NPI: 1154353118 Spanish Schrader, Julie NP ~ 100 E Idaho St NPI: 1780924126 NPI: 1932303104 Boise, ID 83712 100 E Idaho St 5593 N Glenwood St (208) 381-2711 Boise, ID 83712 Stein, Mari NP ~✤ Garden City, ID 83714 (208) 381-2711 NPI: 1255870309 (208) 322-5354 100 E Idaho St Bruce, Jessica NP ~ Gere, Jacob NP ~✤ Boise, ID 83712 Kuna NPI: 1205029162 (208) 381-2711 1000 E Park Blvd Ste 120 NPI: 1528587268 83634 Boise, ID 83712 100 E Idaho St Ste 300 (208) 381-4100 Boise, ID 83712 Winslow, Michele NP ~✤ Sansom, Susan NP ~✤ (208) 381-7370 NPI: 1699956508 NPI: 1538611397 100 E Idaho St 943 N Linder Rd Ste 103 Cardwell, Kimbra NP ~✤ Boise, ID 83712 Kuna, ID 83634 NPI: 1619187861 Hilpert, Stephanie NP ~✤ (208) 381-2711 (208) 922-3355 100 E Idaho St Spanish Boise, ID 83712 NPI: 1760584346 (208) 381-2711 100 E Idaho St Meridian Boise, ID 83712 83716 83642 (208) 381-2711 Clifford, Kathleen NP ~✤ Brunk, Danielle NP ~✤ Adams, Candice NP ~✤ NPI: 1750303491 NPI: 1922363720 NPI: 1992237648 100 E Idaho St Hooker, Mallori NP ~✤ 2051 E Summersweet Dr NPI: 1831237742 124 E Pine Ave Boise, ID 83712 Boise, ID 83716 Meridian, ID 83642 (208) 381-2711 100 E Idaho St (208) 323-3767 Boise, ID 83712 (208) 887-5422 (208) 381-2711 Doherty, Barbara NP ~✤ Gould, Linda NP ~✤ Bafus, Dana ARNP ~✤ NPI: 1467508697 NPI: 1457499261 NPI: 1780007260 100 E Idaho St Ste 200 Krasovich, Sharon 2051 E Summersweet Dr NP ~✤ 3080 E Gentry Way Ste Boise, ID 83712 Boise, ID 83716 210 (208) 381-6196 NPI: 1437598059 (208) 323-3767 300 E Jefferson St Ste 101 Meridian, ID 83642 Boise, ID 83712 (208) 384-9022 (208) 322-1680

123 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

Balcerak, Theresa NP ~✤ Harmony, Russell NP ~✤ Neilson, Janice NP ~✤ Champlin, Colleen NPI: 1043258619 NPI: 1194065730 NPI: 1447289681 NP ~✤ 3080 E Gentry Way Ste 3875 E Overland Rd 1618 S Millennium Wy Ste NPI: 1912042755 210 Meridian, ID 83642 100 777 Hospital Way Ste 201 Meridian, ID 83642 (208) 672-4640 Meridian, ID 83642 Pocatello, ID 83201 (208) 384-9022 (208) 884-3376 (208) 239-2620 Hofer, Jennifer NP ~✤ Bostrom, Meghann NPI: 1215396478 Olson, Marlene NP ~✤ Davenport, Hyrum NP ~✤ 2347 E Gala St NPI: 1215957733 NP ~✤ NPI: 1174839666 Meridian, ID 83642 520 S Eagle Rd Ste 2209 NPI: 1255567210 3525 E Louise Dr Ste 400 (208) 323-3767 Meridian, ID 83642 1352 E Center St Ste A Meridian, ID 83642 (208) 706-2663 Pocatello, ID 83201 (208) 322-1680 Huffine, Cory NP ~✤ (208) 233-2025 NPI: 1700879459 Rasmussen, Melissa Boydston, Dorene NP ~✤ 520 S Eagle Rd Ste 1222 NP ~✤ Gunning, Janelise NP ~ NPI: 1073524989 Meridian, ID 83642 NPI: 1083131783 NPI: 1275602633 520 S Eagle Rd (208) 947-2266 2235 Gala St 777 Hospital Way Bldg A Meridian, ID 83642 Meridian, ID 83642 Ste 300 (208) 706-5651 Lambertz, Colleen (208) 887-3724 Pocatello, ID 83201 (208) 232-6100 NP ~✤ Brunk, Danielle NP ~✤ NPI: 1447366737 Sansom, Susan NP ~ NPI: 1922363720 520 S Eagle Rd NPI: 1538611397 Harris, Tyson NP ~✤ 2347 E Gala St Meridian, ID 83642 360 E Montvue Dr Ste 100 NPI: 1588905699 Meridian, ID 83642 (208) 706-5651 Meridian, ID 83642 777 Hospital Way (208) 323-3767 (208) 855-2900 Pocatello, ID 83201 (208) 239-1417 Lee, Valerie NP ~✤ Svangstu, Deborah Develle, Robyn NP ~✤ NPI: 1316975899 Hoffman, Christina NPI: 1215954862 520 S Eagle Rd Ste 2104 NP ~✤ 3277 E Louise Dr Ste 410 Meridian, ID 83642 NPI: 1639282585 NP ~✤ Meridian, ID 83642 (208) 706-0201 3875 E Overland Rd NPI: 1164898201 (208) 489-5800 Meridian, ID 83642 110 Vista Dr Leonard, Jennifer (208) 327-5600 Pocatello, ID 83201 Evans, Melanie (801) 213-3599 ARNP ~✤ 83646 ARNP ~✤ NPI: 1649538463 Kaufmann, Theresa NPI: 1295778736 2235 Gala St Stone, Brookney NP ~ 3080 E Gentry Way Ste Meridian, ID 83642 NPI: 1053543660 NP ~✤ 210 (208) 887-3724 790 W Ustick Rd Ste 110 NPI: 1649266529 Meridian, ID 83642 Meridian, ID 83646 777 Hosptial Way Bldg A (208) 384-9022 (208) 639-3990 Ste 101 Martinez, Mario NP ~✤ Pocatello, ID 83201 NPI: 1891904132 Bannock (208) 234-2001 Gould, Linda NP ~✤ 3080 E Gentry Way Ste NPI: 1457499261 210 Pocatello Smedley, Elizabeth 2347 E Gala St Meridian, ID 83642 Meridian, ID 83642 (208) 384-9022 83201 NP ~✤ (208) 323-3767 NPI: 1407230931 Bullock, Nicholas NP ~✤ 777 Hosptial Way Ste 215 Mccreath, Anna NP ~✤ NPI: 1508299348 Pocatello, ID 83201 Harmony, Russell NP ~✤ NPI: 1679528368 500 S 11Th St Ste 500 (208) 239-2770 NPI: 1194065730 3525 E Louise Dr Ste 400 Pocatello, ID 83201 1859 S Topaz Way Ste 106 Meridian, ID 83642 (208) 239-1940 Meridian, ID 83642 (208) 322-1680 (208) 672-4640

124 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

Taylor, Christy NP ~ Bonneville Canyon Nampa NPI: 1386167492 1950 E Clark St Ste 110 Idaho Falls Caldwell 83651 Pocatello, ID 83201 83404 83605 Barnum, Steven NP ~ (208) 232-7246 NPI: 1104026178 Finnerty, Christina Barnum, Steven NP ~ 700 Caldwell Blvd 83202 NP ~✤ NPI: 1104026178 Nampa, ID 83651 NPI: 1558430918 4815 Cleveland Blvd (208) 466-6567 Reno, Dustin NP ~✤ 2680 Channing Way Caldwell, ID 83605 NPI: 1568906865 Idaho Falls, ID 83404 (208) 455-3545 83686 1009 W Quinn Rd (208) 523-7667 Pocatello, ID 83202 Hoewing, Bonnie NP ~ Barnum, Steven NP ~ (208) 238-0088 NPI: 1063879633 NPI: 1104026178 Parsons, Michael NP ~✤ 1717 Arlington Ave 1115 12Th Ave Rd Bingham NPI: 1316288665 Caldwell, ID 83605 Nampa, ID 83686 3200 Channing Way Ste (208) 459-4641 (208) 498-1080 Blackfoot A205 Idaho Falls, ID 83404 Eshelman, Charlotte 83221 Hoewing, Bonnie NP ~ (208) 535-4580 NPI: 1063879633 NP ~✤ Davenport, Hyrum NP ~ 1906 Fairview Ave Ste 230 NPI: 1366432395 NPI: 1255567210 Parsons, Michael NP ~✤ Caldwell, ID 83605 215 E Hawaii Ave 1441 Parkway Dr NPI: 1316288665 (208) 459-4667 Nampa, ID 83686 Blackfoot, ID 83221 3242 S Woodruff Ave (208) 463-3000 (208) 785-2600 Idaho Falls, ID 83404 Larsen, Dorian NP ~ (208) 535-4567 NPI: 1356489041 Lambertz, Colleen Finnerty, Christina 3110 Cleveland Blvd Bldg A Ste A7 NP ~✤ NP ~✤ Stanley, Malissa NP ~ NPI: 1447366737 NPI: 1558430918 NPI: 1326273863 Caldwell, ID 83605 (877) 522-1275 308 E Hawaii Ave 1443 Parkway Dr Ste C 1957 E 17Th St Nampa, ID 83686 Blackfoot, ID 83221 Idaho Falls, ID 83404 (208) 467-6700 (208) 523-7667 (208) 523-1100 Ronnau, Kyle NP ~ NPI: 1326584640 Blaine 3110 Cleveland Blvd Bldg Linn, Brittany NP ~✤ Taylor, Christy NP ~✤ A Ste A7 NPI: 1871755942 Ketchum NPI: 1386167492 Caldwell, ID 83605 308 E Hawaii Ave 3385 Potomac Way (877) 522-1275 Nampa, ID 83686 83340 Idaho Falls, ID 83404 (208) 467-6700 (208) 535-4343 Doedyns, Carolyn NP ~✤ Vantassell, Sharlynn NPI: 1851328504 Camas NP ~✤ 83687 191 W 5Th St NPI: 1366991846 Evans, Melanie Ketchum, ID 83340 Fairfield 2609 S 10Th Ave Ste 102 (208) 727-8940 ARNP ~✤ 83327 Caldwell, ID 83605 NPI: 1295778736 (208) 454-2766 Carroll, Robbie NP ~ 9850 W St Lukes Dr Bonner Nampa, ID 83687 NPI: 1417349515 Middleton Sandpoint 401 W Camas Ave (208) 505-2050 Fairfield, ID 83327 83644 83864 Sansom, Susan NP ~ (208) 764-2611 Mcconkie Jr, Richard Koch, Tracey ARNP ~✤ NPI: 1538611397 NP ~ 4424 E Flamingo Ave NPI: 1295741239 NPI: 1457792277 420 N 2Nd Ave Ste 100 Nampa, ID 83687 381 Middleton Rd Ste B (208) 855-2900 Sandpoint, ID 83864 Middleton, ID 83644 (208) 265-2242 (208) 585-6311

125 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

Thacker, Robert NP ~ Bailey, Chad NP ~✤ Harris, Charlotte NP ~✤ Youmans, Angela NPI: 1124309224 NPI: 1487756227 NPI: 1801981113 ARNP ~ 16459 N Midland Blvd 2003 Kootenai Health Way 2003 Kootenai Health Wy NPI: 1487098323 Nampa, ID 83687 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 2003 Kootenai Health Way (208) 795-5075 (208) 625-4000 (208) 666-2000 Coeur D'alene, ID 83814 (208) 666-2000 Wilder Helvik, Alissa ARNP ~ Brinkmann, Bart NP ~✤ Youmans, Angela 83676 NPI: 1730569492 NPI: 1740603109 2003 Kootenai Health Way ARNP ~ Bean, Karen NP ~ 700 Ironwood Dr Ste 320 NPI: 1487098323 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1326132432 (208) 666-2000 700 Ironwood Dr Ste 158 124 5Th St Ste A (208) 676-9913 Coeur D'alene, ID 83814 Wilder, ID 83676 (208) 625-5100 Brulotte, Natalie Kautzman, Lori ARNP ~ (208) 482-7430 NPI: 1275639577 ARNP ~✤ 2003 Kootenai Hlth Way Zierer, Janet ARNP ~ Swainston, Rebecca NP ~ NPI: 1912398199 Coeur D'alene, ID 83814 NPI: 1760431290 NPI: 1508201757 1090 W Park Place (208) 666-2900 2003 Kootenai Health Way 124 5Th St Ste A Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Wilder, ID 83676 (208) 215-2005 (208) 625-6900 (208) 482-7430 Liter, Mary ARNP ~✤ NPI: 1558303628 Zierer, Janet ARNP ~ Cassia Danish, Jamie NP ~✤ 1686 W Riverstone Dr Ste NPI: 1760431290 NPI: 1164786794 1 2003 Kootenai Health Way Burley 2003 Kootenai Health Way Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Ste 310 83318 (208) 765-4807 Coeur D'alene, ID 83814 (208) 625-4000 (208) 625-4470 Carroll, Robbie NP ~ NPI: 1417349515 Fiorentino, Christine Spencer, Breanna NP ~✤ 1309 Bennett Ave NPI: 1932413838 Post Falls NP ~✤ 2003 Kootenai Health Wy Burley, ID 83318 NPI: 1033531892 83854 (208) 678-0101 Coeur D'alene, ID 83814 700 Ironwood Dr Ste 130 (208) 666-2000 Beierle, Noelle NP ~ Coeur D'alene, ID 83814 NPI: 1003355298 Smedley, Elizabeth (208) 666-3800 Szymanski, Mary NP ~ 1641 E Poulston Ave Ste NP ~✤ NPI: 1992758585 102 NPI: 1407230931 Flores, Tara ARNP ~✤ 2003 Kootenai Health Way Post Falls, ID 83854 1501 Hiland Ave Ste B NPI: 1447536685 Coeur D'alene, ID 83814 (509) 462-2273 Burley, ID 83318 2003 Kootenai Health Wy (208) 625-6900 (208) 678-2106 Coeur D'alene, ID 83814 Blackwell, Jessica (208) 666-2000 Szymanski, Mary NP ~ ARNP ~ Kootenai NPI: 1992758585 NPI: 1902859895 Gallegos, Samantha 2003 Kootenai Health Way 1641 E Poulston Ave Ste Coeur D'alene Ste 310 102 83814 ARNP ~✤ Coeur D'alene, ID 83814 Post Falls, ID 83854 NPI: 1942437546 (509) 462-2273 Asper, Annette 2003 Kootenai Health Wy (208) 625-4470 Coeur D'alene, ID 83814 ARNP ~✤ Wilson, Connie NPI: 1669779955 (208) 666-2000 1919 Lincoln Way Ste 315 ARNP ~✤ Coeur D'alene, ID 83814 Gregg, Meghan NP ~ NPI: 1619341260 (208) 625-6000 NPI: 1114438033 1919 Lincoln Way Ste 315 German 700 Ironwood Dr Ste 341 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 625-6000 (208) 625-5200

126 Specialty Providers / Proveedores Especializados Nurse Practitioner continued/seguido

Lincoln Payette Carroll, Robbie NP ~ Hurst, Cindy NP ~✤ NPI: 1417349515 Shoshone Fruitland NPI: 1265887319 388 Martin St 714 N College Rd Ste A 83352 83619 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 734-0451 (208) 814-7150 Hapayan, Barbara NP ~✤ Lilyerd, Jana NP ~✤ NPI: 1619494614 NPI: 1710242300 Carroll, Robbie NP ~ 113 S Apple St 1210 Nw 16Th St NPI: 1417349515 Renaldi, Janet NP ~✤ Shoshone, ID 83352 Fruitland, ID 83619 794 Eastland Dr NPI: 1831481233 (208) 886-2224 (208) 452-8600 Twin Falls, ID 83301 746 N College Rd Ste A (208) 292-0697 Twin Falls, ID 83301 Madison Twin Falls (208) 814-9800 Carroll, Robbie NP ~ Rexburg Buhl NPI: 1417349515 Smith, Maria NP ~✤ 83440 83316 826 Eastland Dr NPI: 1871914168 Twin Falls, ID 83301 Finnerty, Christina Carroll, Robbie NP ~ 801 Pole Line Rd W Ste (208) 732-7101 3880 And 3810 NP ~✤ NPI: 1417349515 725 Fair St Twin Falls, ID 83301 NPI: 1558430918 Doedyns, Carolyn NP ~✤ (208) 814-8500 32 Madison Professional Buhl, ID 83316 (208) 543-8271 NPI: 1851328504 Spanish Pl 725 Pole Line Rd W Rexburg, ID 83440 Kimberly Twin Falls, ID 83301 Steffens, Bonnie NP ~✤ (208) 523-7667 (208) 814-1600 83341 NPI: 1407136823 Stanley, Malissa NP ~ 738 N College Rd Ste C NPI: 1326273863 Carroll, Robbie NP ~ Groth, Michelle NP ~✤ Twin Falls, ID 83301 380 Walker Dr NPI: 1417349515 NPI: 1235158270 (208) 814-7100 Rexburg, ID 83440 132 Main St N 775 Pole Line Rd W Ste (208) 356-9559 Kimberly, ID 83341 315 Obstetrics (208) 735-3938 Twin Falls, ID 83301 Taylor, Christy NP ~ (208) 814-8750 Ada NPI: 1386167492 Twin Falls 380 Walker Dr Ste 100 83301 Guthrie, Jennifer NP ~✤ Boise Rexburg, ID 83440 Arrington, Howard NPI: 1518494152 83704 (208) 356-9559 526 Shoup Ave W Ste F NP ~✤ Twin Falls, ID 83301 Weyhrich, Darin MD ~✤ Nez Perce NPI: 1063576619 (208) 736-7620 NPI: 1801860846 1122 Eastland Dr N Ste 2 777 N Raymond St Lewiston Twin Falls, ID 83301 Boise, ID 83704 (208) 734-9531 Hall, Robin NP ~✤ (208) 514-2500 83501 NPI: 1760990378 Capdeboscq, Linda 714 N College Rd Ste B Billings, Patricia NP ~✤ 83712 ARNP ~✤ Twin Falls, ID 83301 NPI: 1235173493 (208) 814-7180 NPI: 1588833750 2550 Addison Ave E Ste G Weyhrich, Darin MD ~✤ 2315 8Th St Twin Falls, ID 83301 NPI: 1801860846 Lewiston, ID 83501 (208) 814-7750 Hawker, Anna NP ~✤ 190 E Bannock St (208) 746-1383 NPI: 1730189036 Boise, ID 83712 (208) 381-2267 Carroll, Robbie NP ~ 738 N College Rd Ste A Carpenter, Stephanie NPI: 1417349515 Twin Falls, ID 83301 ARNP ~✤ 325 Martin St (208) 814-7000 NPI: 1629329537 Twin Falls, ID 83301 2315 8Th St (208) 732-7101 Lewiston, ID 83501 (208) 746-1383 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

127 Specialty Providers / Proveedores Especializados Obstetrics continued/seguido

Latah Marzolf, Susan MD ~ Archibald, R Burke Keating, Kathleen NPI: 1568447019 Moscow MD ~✤ DO ~✤ 121 E Fort St NPI: 1831147248 NPI: 1154583094 83843 Boise, ID 83702 100 E Idaho St Ste 400 100 E Idaho St Ste 400 (208) 514-2525 Boise, ID 83712 Boise, ID 83712 Parker, Bryn MD ~✤ Spanish, French (208) 345-5250 (208) 345-5250 NPI: 1598058711 623 S Main St Maybach, Jacqueline Bradley, Jenni MD ~✤ Lliteras, Katrina MD ~✤ Moscow, ID 83843 MD ~✤ (208) 882-2011 NPI: 1265557656 NPI: 1295964716 NPI: 1568411460 100 E Idaho St Ste 400 100 E Idaho St Ste 302 333 N 1St St Ste 240 Boise, ID 83712 Boise, ID 83712 Parker, Bryn MD ~✤ Boise, ID 83702 (208) 345-5250 (208) 343-7501 NPI: 1598058711 (208) 338-8900 French Quickcare 2500 West A St Lowder, B Kerry MD ~✤ Moscow, ID 83843 Rice, Suzanne MD ~✤ (208) 882-0540 Carlson, Dirk MD ~✤ NPI: 1124043989 NPI: 1780633164 NPI: 1508850140 100 E Idaho St Ste 400 333 N 1St St Ste 240 100 E Idaho St Ste 302 Boise, ID 83712 Parker, Bryn MD ~✤ Boise, ID 83702 Boise, ID 83712 (208) 345-5250 NPI: 1598058711 (208) 338-8900 (208) 343-7501 Japanese U Of I Student Health Clinic 831 Ash St Siudzinski, Kelly MD ~✤ Chasan, Heidi MD ~✤ Marzolf, Susan MD ~✤ Moscow, ID 83843 NPI: 1417906405 (208) 885-6693 NPI: 1417987710 NPI: 1568447019 333 N 1St St Ste 240 100 E Idaho St Ste 400 190 E Bannock St Boise, ID 83702 Boise, ID 83712 Boise, ID 83712 Obstetrics & (208) 338-8900 (208) 345-5250 (208) 381-2267 Spanish, French Gynecology Thompson, Marietta MD ~ Feighner, Anne MD ~✤ Ada NPI: 1447287644 NPI: 1295001170 Pool, Leslie MD ~✤ 100 E Idaho St Ste 400 NPI: 1255325882 Boise 121 E Fort St Boise, ID 83702 Boise, ID 83712 100 E Idaho St Ste 302 83702 (208) 514-2525 (208) 345-5250 Boise, ID 83712 Spanish (208) 343-7501 Davis, Robert MD ~✤ 83704 NPI: 1366470833 Hayes, Cynthia MD ~✤ Renner, Matthew MD ~✤ 333 N 1St St Ste 150 Hayes, Cynthia MD ~✤ NPI: 1386697399 NPI: 1174787097 Boise, ID 83702 NPI: 1386697399 190 E Bannock St 100 E Idaho St Ste 400 (208) 381-3088 777 N Raymond St Boise, ID 83712 Boise, ID 83712 Boise, ID 83704 (208) 381-2267 (208) 345-5250 Fealko, Monika MD ~✤ (208) 514-2500 NPI: 1801891569 333 N 1St St Ste 240 83712 Hodges, Bryan MD ~✤ Shrum, Brea MD ~✤ Boise, ID 83702 NPI: 1801815964 NPI: 1821161548 (208) 338-8900 Anstine, Suzanne MD ~✤ 100 E Idaho St Ste 400 100 E Idaho St Ste 302 German NPI: 1790770246 Boise, ID 83712 Boise, ID 83712 190 E Bannock St (208) 345-5250 (208) 343-7501 Boise, ID 83712 Hudson, Jennifer DO ~✤ (208) 381-2267 Javernick-Hodges, Necole Stevens, Holly MD ~✤ NPI: 1265627319 MD ~✤ NPI: 1538301619 333 N 1St St Ste 240 NPI: 1790700557 100 E Idaho St Ste 302 Boise, ID 83702 100 E Idaho St Ste 400 Boise, ID 83712 (208) 338-8900 Boise, ID 83712 (208) 343-7501 (208) 345-5250

128 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Swajkoski, Alan MD ~✤ Armstrong, Scott MD ~✤ Archibald, R Burke Javernick-Hodges, Necole NPI: 1194719732 NPI: 1205806965 MD ~✤ MD ~✤ 100 E Idaho St Ste 302 3101 E State St Ste 2100 NPI: 1831147248 NPI: 1790700557 Boise, ID 83712 Eagle, ID 83616 520 S Eagle Rd Ste 3209 520 S Eagle Rd Ste 3209 (208) 343-7501 (208) 938-2220 And 3219 And 3219 Meridian, ID 83642 Meridian, ID 83642 Thompson, Marietta Kopperud, Tracey (208) 345-5250 (208) 345-5250 MD ~✤ DO ~✤ NPI: 1447287644 NPI: 1437194388 Armstrong, Scott MD ~✤ Kaiser, John MD ~✤ 190 E Bannock St 3101 E State St Ste 2100 NPI: 1205806965 NPI: 1841280898 Boise, ID 83712 Eagle, ID 83616 3520 E Louise Dr 3277 E Louise Dr Ste 200 (208) 381-2267 (208) 938-2220 Meridian, ID 83642 Meridian, ID 83642 (208) 888-0909 (208) 884-2920 Turner, Taylor MD ~✤ Parsons, Lee MD ~✤ NPI: 1700176567 NPI: 1831169598 Bradley, Jenni MD ~✤ Kasper, Megan MD ~✤ 100 E Idaho St 3101 E State St Ste 2100 NPI: 1265557656 NPI: 1285757104 Boise, ID 83712 Eagle, ID 83616 520 S Eagle Rd Ste 3209 3277 E Louise Dr Ste 200 (208) 381-2711 (208) 938-2220 And 3219 Meridian, ID 83642 Spanish Meridian, ID 83642 (208) 884-2920 Wallman, Meghan (208) 345-5250 MD ~✤ Pittard, Darren MD ~✤ French Katseanes, Davis MD ~✤ NPI: 1053607879 NPI: 1164644159 NPI: 1366753089 100 E Idaho St Ste 302 3101 E State St Ste 2100 Chasan, Heidi MD ~✤ 520 S Eagle Rd Ste 2110 Boise, ID 83712 Eagle, ID 83616 NPI: 1417987710 Meridian, ID 83642 (208) 343-7501 (208) 938-2220 520 S Eagle Rd Ste 3209 (208) 706-3220 And 3219 Werdel, John MD ~✤ Schroeder, Harmony Meridian, ID 83642 Keating, Kathleen NPI: 1457389926 MD ~✤ (208) 345-5250 DO ~✤ 100 E Idaho St Ste 400 NPI: 1104898550 NPI: 1154583094 Boise, ID 83712 3101 E State St Ste 2100 Dimichele-Manes, 520 S Eagle Rd Ste 3209 (208) 345-5250 Eagle, ID 83616 Andrea MD ~✤ And 3219 (208) 938-2220 NPI: 1689774788 Meridian, ID 83642 West, Timothy MD ~✤ 3277 E Louise Dr Ste 200 (208) 345-5250 NPI: 1396796207 Uranga, Rebecca MD ~✤ Meridian, ID 83642 100 E Idaho St Ste 400 NPI: 1558482026 (208) 884-2920 Kopperud, Tracey Boise, ID 83712 3101 E State St Ste 2100 Spanish DO ~✤ (208) 345-5250 Eagle, ID 83616 NPI: 1437194388 (208) 938-2220 Feighner, Anne MD ~✤ 3520 E Louise Dr Eagle NPI: 1295001170 Meridian, ID 83642 83616 Meridian 520 S Eagle Rd Ste 3209 (208) 888-0909 83642 And 3219 Agrusa, Phillip MD ~✤ Meridian, ID 83642 Lowder, B Kerry MD ~✤ NPI: 1407826167 Agrusa, Phillip MD ~✤ (208) 345-5250 NPI: 1124043989 3101 E State St Ste 2100 NPI: 1407826167 Spanish 520 S Eagle Rd Ste 3209 Eagle, ID 83616 3520 E Louise Dr And 3219 (208) 938-2220 Meridian, ID 83642 Hodges, Bryan MD ~✤ Meridian, ID 83642 (208) 888-0909 NPI: 1801815964 (208) 345-5250 520 S Eagle Rd Ste 3209 Japanese And 3219 Meridian, ID 83642 (208) 345-5250

129 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Oliver, Rachel MD ~✤ West, Timothy MD ~✤ Ladwig, Martin MD ~ Carlson, Joel DO ~ NPI: 1043449366 NPI: 1396796207 NPI: 1538236229 NPI: 1144200916 3520 E Louise Dr 520 S Eagle Rd Ste 3209 777 Hospital Way Bldg A 98 Poplar St Meridian, ID 83642 And 3219 Ste 300 Blackfoot, ID 83221 (208) 888-0909 Meridian, ID 83642 Pocatello, ID 83201 (208) 785-4100 Spanish (208) 345-5250 (208) 232-6100 Larson, Steven MD ~ Bannock Pugmire, Heather NPI: 1609824143 Parsons, Lee MD ~✤ 98 Poplar St NPI: 1831169598 MD ~✤ Pocatello NPI: 1225292220 Blackfoot, ID 83221 3520 E Louise Dr (208) 785-4100 Meridian, ID 83642 83201 1151 Hospital Way Bldg D Ste 100 (208) 888-0909 Pugmire, Heather MD ~ Spanish Carlson, Joel DO ~✤ Pocatello, ID 83201 NPI: 1144200916 (208) 239-8010 NPI: 1225292220 777 Hospital Way 98 Poplar St Pittard, Darren MD ~✤ Pocatello, ID 83201 Pugmire, Heather Blackfoot, ID 83221 NPI: 1164644159 (208) 239-1417 (208) 785-4100 3520 E Louise Dr MD ~✤ Meridian, ID 83642 NPI: 1225292220 Weaver, Heidi MD ~ Carlson, Joel DO ~ 2302 E Terry St (208) 888-0909 NPI: 1144200916 NPI: 1639462906 Pocatello, ID 83201 98 Poplar St 777 Hospital Way Bldg A (208) 235-5910 Ste 300 Blackfoot, ID 83221 Renner, Matthew MD ~✤ (208) 785-4100 NPI: 1174787097 Pocatello, ID 83201 Shelley, Carole MD ~ (208) 232-6100 520 S Eagle Rd Ste 3209 NPI: 1669462149 Shelley And 3219 777 Hospital Way Bldg A Meridian, ID 83642 Cox, Kim MD ~✤ Ste 300 83274 (208) 345-5250 NPI: 1801848221 Pocatello, ID 83201 Pugmire, Heather 465 Memorial Dr (208) 232-6100 Schroeder, Harmony Pocatello, ID 83201 MD ~✤ (208) 234-4700 NPI: 1225292220 MD ~✤ Weaver, Heidi MD ~✤ 275 W Locust St NPI: 1104898550 NPI: 1639462906 Cox, Kim MD ~ Shelley, ID 83274 3520 E Louise Dr 1151 Hospital Way Bldg D (208) 357-3960 Meridian, ID 83642 NPI: 1801848221 Ste 100 (208) 888-0909 777 Hospital Way Bldg A Pocatello, ID 83201 Ste 300 (208) 239-8010 Weaver, Heidi MD ~✤ Pocatello, ID 83201 NPI: 1639462906 Uranga, Rebecca MD ~✤ (208) 232-6100 275 W Locust St NPI: 1558482026 Weaver, Heidi MD ~✤ Shelley, ID 83274 3520 E Louise Dr Draper, Michael MD ~ NPI: 1639462906 (208) 357-3960 Meridian, ID 83642 NPI: 1992769368 353 N 4Th Ave Ste 102 (208) 888-0909 777 Hospital Way Bldg A Pocatello, ID 83201 Blaine Ste 300 (208) 478-7900 Werdel, John MD ~✤ Pocatello, ID 83201 Ketchum NPI: 1457389926 (208) 232-6100 Bingham 83340 520 S Eagle Rd Ste 3209 French And 3219 Blackfoot Moos, Aaron MD ~✤ Meridian, ID 83642 Jones, Michael DO ~ 83221 NPI: 1255657011 (208) 345-5250 NPI: 1972696565 100 Hospital Dr Ste 200 777 Hospital Way Bldg A Carlson, Joel DO ~✤ Ketchum, ID 83340 Ste 300 NPI: 1144200916 (208) 727-8600 Pocatello, ID 83201 98 Poplar At (208) 232-6100 Blackfoot, ID 83221 (208) 235-2277

130 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Robbins, Rhonda MD ~✤ Gundersen, Jason MD ~ Howerton, Randall MD ~ Parsons, Lee MD ~✤ NPI: 1962465997 NPI: 1841501731 NPI: 1891787933 NPI: 1831169598 100 Hospital Dr Ste 200 3450 Potomac Way 3110 Cleveland Blvd Bldg 9850 W St Lukes Dr Ste Ketchum, ID 83340 Idaho Falls, ID 83404 A Ste A7 221 (208) 727-8600 (208) 557-2900 Caldwell, ID 83605 Nampa, ID 83686 Spanish Norwegian (877) 522-1275 (208) 455-1784 Spanish Bonneville Isbell, Richard MD ~✤ Robinson, Michael MD ~ NPI: 1275533184 NPI: 1750490546 Pittard, Darren MD ~✤ Idaho Falls 2065 E 17Th St Ste D 315 Elm St Ste 310 Caldwell, ID 83605 NPI: 1164644159 83401 Idaho Falls, ID 83404 9850 W St Lukes Dr Ste (208) 522-0747 (208) 454-2035 Nelson, Barbara MD ~ 221 NPI: 1023187879 Nampa Nampa, ID 83686 1250 Hollipark Dr Leavitt, Glenn DO ~✤ (208) 455-1784 Idaho Falls, ID 83401 NPI: 1386644318 83686 1550 Elk Creek Dr Schroeder, Harmony (208) 522-0310 Agrusa, Phillip MD ~✤ Idaho Falls, ID 83404 MD ~✤ (208) 529-5942 NPI: 1407826167 83404 9850 W St Lukes Dr Ste NPI: 1104898550 221 9850 W St Lukes Dr Ste Adams, Steven DO ~✤ Pugmire, Heather Nampa, ID 83686 221 NPI: 1174847198 MD ~✤ (208) 455-1784 Nampa, ID 83686 1550 Elk Creek Dr NPI: 1225292220 (208) 455-1784 Idaho Falls, ID 83404 2375 E Sunnyside Rd Ste F (208) 529-5942 Armstrong, Scott MD ~✤ Idaho Falls, ID 83404 Uranga, Rebecca MD ~✤ (208) 535-3626 NPI: 1205806965 9850 W St Lukes Dr Ste NPI: 1558482026 Asay, Kayla MD ~✤ 221 9850 W St Lukes Dr Ste NPI: 1346536232 Robison, Steven MD ~ Nampa, ID 83686 221 1550 Elk Creek Dr NPI: 1710056577 (208) 455-1784 Nampa, ID 83686 Idaho Falls, ID 83404 3450 Potomac Way (208) 455-1784 (208) 529-5942 Idaho Falls, ID 83404 (208) 557-2900 Kopperud, Tracey DO ~✤ 83687 Denson, Pamela MD ~✤ NPI: 1437194388 Dimichele-Manes, NPI: 1487854055 Weaver, Heidi MD ~✤ 9850 W St Lukes Dr Ste Andrea MD ~✤ 2001 S Woodruff Ave Ste NPI: 1639462906 221 10 2375 E Sunnyside Rd Ste F NPI: 1689774788 Nampa, ID 83686 9850 W St Lukes Dr Ste Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 455-1784 (208) 523-2060 (208) 535-3626 129 Spanish Nampa, ID 83687 Canyon Oliver, Rachel MD ~✤ (208) 288-4930 NPI: 1043449366 Spanish Denson, William MD ~✤ Caldwell 9850 W St Lukes Dr Ste NPI: 1790943132 83605 221 Gregerson, Gary MD ~✤ 2001 S Woodruff Ave Ste Nampa, ID 83686 10 Fu, Jessica MD ~ NPI: 1801834866 (208) 455-1784 16111 N Brinson St Ste Idaho Falls, ID 83404 NPI: 1710185111 Spanish (208) 523-2060 315 Elm St Ste 310 110 Spanish Caldwell, ID 83605 Nampa, ID 83687 (208) 454-2035 (208) 468-9400

131 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Gregerson, Gary MD ~✤ Cox, Kim MD ~ Richardson, Carissa Oneida NPI: 1801848221 NPI: 1801834866 MD ~✤ Malad City 223 16Th Ave N 47 North 1St East NPI: 1972827582 Nampa, ID 83687 Preston, ID 83263 2003 Kootenai Health Wy 83252 (208) 466-7869 (208) 852-3511 Coeur D'alene, ID 83814 (208) 666-2000 Jones, Michael DO ~✤ Jerome NPI: 1972696565 Hughes, Dustan MD ~✤ 220 Bannock St NPI: 1770513228 Jerome Woods, Steven MD ~ NPI: 1588620751 Malad City, ID 83252 3908 E Flamingo Ave Ste B (208) 766-2600 Nampa, ID 83687 83338 980 W Ironwood Dr Ste (208) 442-8035 306 Robbins, Rhonda MD ~✤ Coeur D'alene, ID 83814 Twin Falls NPI: 1962465997 (208) 625-4970 Hughes, Juliette MD ~✤ 115 W 5Th Ave Twin Falls NPI: 1154344190 Jerome, ID 83338 Post Falls 83301 3908 E Flamingo Ave Ste B (208) 814-9840 Nampa, ID 83687 Spanish 83854 Allen, David MD ~✤ (208) 442-8035 NPI: 1225045693 Spanish Kootenai Duke, Adam MD ~✤ 801 Pole Line Rd W Ste NPI: 1710140165 3880 And 3810 Coeur D'alene 750 N Syringa St Ste 101 B Twin Falls, ID 83301 Kasper, Megan MD ~✤ Post Falls, ID 83854 (208) 814-8500 NPI: 1285757104 83814 (208) 262-2482 9850 W St Lukes Dr Ste Hill, Regan MD ~ 129 NPI: 1679616957 Hill, Regan MD ~ Coleman, Darren MD ~✤ Nampa, ID 83687 980 W Ironwood Dr Ste NPI: 1679616957 NPI: 1568479301 (208) 288-4930 306 1300 E Mullan Ave Ste 500 801 Pole Line Rd W Ste Coeur D'alene, ID 83814 Post Falls, ID 83854 3880 And 3810 Elmore (208) 625-4970 (208) 625-5635 Twin Falls, ID 83301 (208) 814-8500 Mountain Home Mccrummen, Brenna Woods, Steven MD ~ 83647 MD ~ NPI: 1588620751 Crandall, Earl MD ~✤ NPI: 1437305802 1300 E Mullan Ave Ste 500 NPI: 1710994173 Charme, Michael MD ~✤ 980 W Ironwood Dr Ste Post Falls, ID 83854 801 Pole Line Rd W Ste NPI: 1770510166 306 (208) 625-5635 3880 And 3810 465 Mckenna Dr Coeur D'alene, ID 83814 Twin Falls, ID 83301 Mountain Home, ID (208) 625-4970 Nez Perce (208) 814-8500 83647 Dutch (208) 587-9703 Meltzer, Julie MD ~ Lewiston NPI: 1609029826 83501 Franklin 980 W Ironwood Dr Ste Fall, Laura MD ~✤ 306 NPI: 1518924026 Preston Bigsby, Geneen DO ~✤ 801 Pole Line Rd W Ste Coeur D'alene, ID 83814 NPI: 1710081450 3880 And 3810 83263 (208) 625-4970 2315 8Th St Twin Falls, ID 83301 Lewiston, ID 83501 (208) 814-8500 Cox, Kim MD ~✤ (208) 746-1383 NPI: 1801848221 Pates, Jason MD ~✤ Spanish 44 N 1St E NPI: 1376742346 Preston, ID 83263 2003 Kootenai Health Wy Urquhart, Sean MD ~✤ Mills, Pamela MD ~✤ (208) 852-0137 Coeur D'alene, ID 83814 NPI: 1013090836 NPI: 1750794913 (208) 666-2000 2315 8Th St 801 Pole Line Rd W Ste Lewiston, ID 83501 3880 And 3810 (208) 746-1383 Twin Falls, ID 83301 (208) 814-8500

132 Specialty Providers / Proveedores Especializados Obstetrics & Gynecology continued/seguido

Packham, Matthew 83712 Johns, Brian MD ~✤ Johns, Brian MD ~✤ MD ~✤ NPI: 1003876137 NPI: 1003876137 NPI: 1578502589 Martin, Kathleen NP ~✤ 703 S Americana Blvd Ste 775 Pole Line Rd W Ste 801 Pole Line Rd W Ste NPI: 1164441143 130 101 3880 And 3810 100 E Idaho St Ste 400 Boise, ID 83702 Twin Falls, ID 83301 Twin Falls, ID 83301 Boise, ID 83712 (208) 706-7500 (208) 814-8100 (208) 814-8500 (208) 345-5250 Bannock Tucker, Kerri NP ~✤ Stagg, Douglas MD ~✤ Smith, Donald MD ~✤ Pocatello NPI: 1619904638 NPI: 1982611356 NPI: 1629294194 775 Pole Line Rd W Ste 801 Pole Line Rd W Ste 100 E Idaho St Ste 400 83201 101 3880 And 3810 Boise, ID 83712 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 345-5250 Fowler, Randall MD ~✤ (208) 814-8100 (208) 814-8500 NPI: 1154344059 Italian Meridian 500 S 11Th St Ste 500 Occupational 83642 Pocatello, ID 83201 (208) 239-1940 Therapist Stevens, Paul DO ~✤ Martin, Kathleen NP ~✤ NPI: 1376809202 NPI: 1164441143 Bonneville Ada 801 Pole Line Rd W Ste 520 S Eagle Rd Ste 3209 3880 And 3810 And 3219 Idaho Falls Boise Twin Falls, ID 83301 Meridian, ID 83642 83404 (208) 814-8500 (208) 345-5250 83702 Curtis, Stewart DO ~✤ Short, Ann OT ~✤ Obstetrics & Blaine NPI: 1497825285 NPI: 1275695835 Gynecology Nurse 3360 S 15Th E 405 W Myrtle Ketchum Idaho Falls, ID 83404 Boise, ID 83702 Practitioner (208) 522-8300 (208) 489-5880 83340 Spanish Ada Stireman, Jenny NP ~✤ 83705 NPI: 1861689655 Jerome Boise 100 Hospital Dr Ste 200 Craig, Amanda OT ~ Ketchum, ID 83340 Jerome NPI: 1710393004 83702 (208) 727-8600 83338 4696 W Overland Rd Ste Spanish 232 Newman, Jennifer NP ~✤ Hastings, Todd DO ~✤ Boise, ID 83705 NPI: 1710132931 (208) 908-6116 333 N 1St St Ste 240 Occupational NPI: 1386955060 Boise, ID 83702 115 W 5Th Ave (208) 338-8900 Medicine Jerome, ID 83338 83713 (208) 814-9840 Walker, Marilee OTR ~ Ada NPI: 1104281500 Seabolt, Velma NP ~✤ Twin Falls NPI: 1699724633 Boise 13075 W Persimmon Ln Twin Falls Ste 120 333 N 1St St Ste 240 83702 Boise, ID 83713 Boise, ID 83702 83301 (208) 376-3591 (208) 338-8900 Heiner, Cody MD ~✤ NPI: 1770790313 Hastings, Todd DO ~✤ Stevens, Julie NP ~✤ 703 S Americana Blvd Ste NPI: 1386955060 NPI: 1225008998 130 775 Pole Line Rd W Ste 333 N 1St St Ste 240 Boise, ID 83702 101 Boise, ID 83702 (208) 706-7500 Twin Falls, ID 83301 (208) 338-8900 Spanish (208) 814-8100

133 Specialty Providers / Proveedores Especializados Occupational Therapist continued/seguido

Eagle 83209 Seargent, Janice OT ~ Kootenai NPI: 1447343462 83616 Hong, Lisa OT ~✤ 1820 E 17Th St Ste 120 Coeur D'alene Isaacs, Heidi OT ~ NPI: 1295135028 Idaho Falls, ID 83404 83814 NPI: 1427465640 1400 Terry Dr Room 202 (208) 529-3358 77 N Fisher Park Way Pocatello, ID 83209 Douglas, Mary OT ~ Eagle, ID 83616 (208) 282-2590 Cassia NPI: 1891842274 (208) 972-0918 920 Ironwood Ctr Dr Ste Bonneville Burley 207 Bannock Coeur D'alene, ID 83814 Idaho Falls 83318 (208) 664-0575 Pocatello 83404 Schmidt, Mary OT ~✤ 83201 NPI: 1417960899 Swider, Robert OT ~ Butikofer, Rebecca 1650 Overland Ave 4 NPI: 1306851969 Leatham, Daniel OT ~✤ OT ~✤ Burley, ID 83318 920 Ironwood Ctr Dr Ste NPI: 1831626639 NPI: 1578083820 (208) 233-4660 207 1110 Call Creek Dr Ste 4B 3715 Woodking Dr Coeur D'alene, ID 83814 Pocatello, ID 83201 Idaho Falls, ID 83404 (208) 664-0575 (208) 233-4660 (208) 529-2255 Toupin, Megan OT ~✤ NPI: 1699068056 Payette 1650 Overland Ave 4 Pierce, Aaron OT ~✤ Church, Court OT ~✤ Burley, ID 83318 Fruitland NPI: 1659663359 NPI: 1588987812 (208) 233-4660 1110 Call Creek Dr Ste 4B 3715 Woodking Dr 83619 Pocatello, ID 83201 Idaho Falls, ID 83404 Custer Isaacs, Heidi OT ~ (208) 233-4660 (208) 529-2255 NPI: 1427465640 Challis 1255 N Allen Ave 83202 Evans, Trisha OT ~✤ 83226 Fruitland, ID 83619 (208) 972-0918 NPI: 1831549401 Strand, Cherie OTR ~ Peterson, Barbara OT ~✤ 3715 Woodking Dr NPI: 1265490080 NPI: 1417935123 Power Idaho Falls, ID 83404 510 Hwy 93 N 1033 W Quinn Rd (208) 529-2255 Pocatello, ID 83202 Challis, ID 83226 American Falls (208) 233-4800 (208) 221-8233 Fisher, Katie OT ~✤ 83211 NPI: 1275932428 Gem Corbet, Heather OT ~✤ Peterson, Barbara OT ~✤ 3715 Woodking Dr NPI: 1265490080 NPI: 1891022620 Idaho Falls, ID 83404 Emmett 20 Hillcrest Ave 4 1800 Flandro Dr Ste 190 (208) 529-2255 Pocatello, ID 83202 83617 American Falls, ID 83211 (208) 233-2248 Pierson, Stacie OTR ~ (208) 233-4660 Hansen, Marisa OT ~✤ NPI: 1164953758 Peterson, Brittany NPI: 1659640464 912 S Washington St Corbet, Heather OT ~✤ 3715 Woodking Dr OT ~✤ Emmett, ID 83617 NPI: 1891022620 Idaho Falls, ID 83404 (208) 365-4400 20 Hillcrest Ave Ste 4B NPI: 1235360074 (208) 529-2255 1033 W Quinn Rd American Falls, ID 83211 Pocatello, ID 83202 Jerome (208) 233-4660 (208) 233-4800 Hong, Lisa OT ~✤ Jerome NPI: 1295135028 Gaudet, Sarah OT ~✤ 3715 Woodking Dr Schmidt, Mary OT ~✤ 83338 NPI: 1851737159 Idaho Falls, ID 83404 20 Hillcrest Ave Ste 4B NPI: 1417960899 (208) 529-2255 Randall, Brent OT ~ 2010 Flandro Dr NPI: 1497913123 American Falls, ID 83211 Pocatello, ID 83202 113 E Ave F (208) 233-4660 (208) 238-3270 Jerome, ID 83338 (208) 324-2443 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

134 Specialty Providers / Proveedores Especializados Occupational Therapist continued/seguido

Gaudet, Sarah OT ~✤ Oncology Ophthalmology Fishburn, Jon MD ~ NPI: 1851737159 NPI: 1639123490 73 Fort Hall Ave Ste B Kootenai Ada 999 N Curtis Rd Ste 205 American Falls, ID 83211 Boise, ID 83706 (208) 233-4660 Coeur D'alene Boise (208) 373-1200 83814 83702 Leatham, Daniel OT ~ Harf, Leo MD ~ NPI: 1831626639 Blanchet, Paulette Boerner, Mark MD ~✤ NPI: 1417041849 420 Hillcrest Ave MD ~✤ NPI: 1003819459 999 N Curtis Rd Ste 205 American Falls, ID 83211 NPI: 1568450997 111 W Main St Ste 200 Boise, ID 83706 (208) 233-4660 700 Ironwood Dr Ste 130 Boise, ID 83702 (208) 373-1200 Coeur D'alene, ID 83814 (208) 344-3220 Hollingshead, Mark Pierce, Aaron OT ~✤ (208) 666-3800 Spanish NPI: 1659663359 MD ~✤ 20 Hillcrest Ave 4 Post Falls Brooks, Daniel MD ~✤ NPI: 1689670911 American Falls, ID 83211 83854 NPI: 1225238561 360 E Mallard Dr Ste 110 (208) 233-4660 222 N 2Nd St Ste 215 Boise, ID 83706 Reeves, William MD ~ Boise, ID 83702 (208) 336-8700 NPI: 1568466290 Toupin, Megan OT ~✤ (208) 381-6910 1400 E Mullan Ave Spanish Mannschreck, Molly NPI: 1699068056 Post Falls, ID 83854 MD ~ 20 Hillcrest Ave Ste 4B (208) 625-4900 NPI: 1912091455 American Falls, ID 83211 Lee, Katherine MD ~✤ 999 N Curtis Rd Ste 205 (208) 233-4660 Ophthalmologic NPI: 1386738839 Boise, ID 83706 222 N 2Nd St Ste 215 (208) 373-1200 Werth, Amanda OT ~✤ Surgery Boise, ID 83702 (208) 381-6910 NPI: 1720424104 Mong, Jacob DO ~✤ 20 Hillcrest Ave Ada 83705 NPI: 1346535481 American Falls, ID 83211 Meridian 5680 W Gage St (208) 233-4660 Seery, Loren MD ~* Boise, ID 83706 83642 NPI: 1407069123 (208) 377-3937 Werth, Amanda OT ~✤ Vision Care Center Of March Vision Network NPI: 1720424104 Idaho Llc ~ 2822 South Vista Avenue Moshirfar, Majid MD ~ 20 Hillcrest Ave 4 NPI: 1083674196 Boise, ID 83705 NPI: 1700976313 American Falls, ID 83211 3071 E Franklin Rd Ste 101 (208) 385-7576 999 N Curtis Rd Ste 205 (208) 233-4660 Meridian, ID 83642 Boise, ID 83706 (208) 228-1400 83706 (208) 373-1200 Persian/Farsi Werth, Amanda OT ~✤ Spanish Barrett, Ryan MD ~✤ NPI: 1720424104 NPI: 1982994844 Kootenai Muto, John OD ~ 20 Hillcrest Ave Ste 4B 360 E Mallard Dr Ste 110 NPI: 1912091174 American Falls, ID 83211 Coeur D Alene Boise, ID 83706 1175 W Boise Ave (208) 233-4660 (208) 336-8700 83814 Boise, ID 83706 Spanish (208) 384-9194 Twin Falls North Idaho Cataract & Twin Falls Laser Center ~ Betts, Brent MD ~ Reynolds, Adam MD ~ NPI: 1518003516 NPI: 1821358490 NPI: 1417916586 83301 1814 Lincoln Way 999 N Curtis Rd Ste 205 999 N Curtis Rd Ste 205 Randall, Brent OT ~ Coeur D Alene, ID 83814 Boise, ID 83706 Boise, ID 83706 NPI: 1497913123 (208) 667-2531 (208) 373-1200 (208) 373-1200 1411 Falls Ave Ste 1203 Twin Falls, ID 83301 (208) 733-2661

~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

135 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Trotta, Francois MD ~✤ Fethke, Kathryn MD ~✤ Fornarotto, John MD ~✤ Canyon NPI: 1891731014 NPI: 1578657094 NPI: 1598750838 Caldwell 128 E Mallard Dr 3090 Gentry Wy Ste 120 246 N 18Th Ave Boise, ID 83706 Meridian, ID 83642 Pocatello, ID 83201 83605 (208) 323-8660 (208) 888-0005 (208) 234-4100 Hainsworth, Kenneth French, Italian MD ~✤ Kent, Gregory MD ~✤ Jones Jr, Robert MD ~ Tweeten, James MD ~ NPI: 1912015330 NPI: 1942290929 NPI: 1891868006 1818 S 10Th Ave Ste 220 NPI: 1396791513 2620 S Eagle Rd 1951 Bench Rd Ste C 999 N Curtis Rd Ste 205 Pocatello, ID 83201 Caldwell, ID 83605 Meridian, ID 83642 (208) 455-2355 Boise, ID 83706 (208) 342-5151 (208) 238-3377 (208) 373-1200 Spanish Bingham 83713 Miller, Mark MD ~✤ Kent, Gregory MD ~✤ NPI: 1881629327 Blackfoot Earl, James MD ~ NPI: 1891868006 3045 E St Lukes St Ste 100 83221 1602 Arlington Ave NPI: 1720248305 Meridian, ID 83642 Caldwell, ID 83605 13923 W Wainwright Dr (208) 288-2020 Anderson, Bradley (208) 459-0717 Ste 301 Spanish Boise, ID 83713 MD ~✤ (208) 938-5624 NPI: 1952664260 Mckinnon, Ryan MD ~✤ Spanish Mong, Jacob DO ~✤ 98 Poplar At NPI: 1821087859 NPI: 1346535481 Blackfoot, ID 83221 1818 S 10Th Ave Ste 220 Roberts, Denton MD ~ 3025 W Cherry Ln Ste 207 (208) 235-2277 Caldwell, ID 83605 NPI: 1699742395 Meridian, ID 83642 Spanish (208) 455-2355 13923 W Wainwright Dr (208) 898-1614 Ste 301 Anderson, Bradley Nampa Boise, ID 83713 Simpson, Scott MD ~✤ MD ~✤ 83686 (208) 938-5624 NPI: 1083656334 NPI: 1952664260 3715 E Overland Rd Ste 98 Poplar St Hainsworth, Kenneth Eagle 250 Blackfoot, ID 83221 MD ~✤ (208) 785-4100 83616 Meridian, ID 83642 NPI: 1942290929 (208) 855-5950 Spanish 215 E Hawaii Ave Reynolds, Adam MD ~✤ Nampa, ID 83686 NPI: 1417916586 Bannock Fornarotto, John MD ~✤ (208) 463-3000 323 E Riverside Dr Ste 122 NPI: 1598750838 Spanish Eagle, ID 83616 Pocatello 98 Poplar At (208) 938-4749 83201 Blackfoot, ID 83221 Jensen, Johanna MD ~✤ Anderson, Bradley (208) 235-2277 NPI: 1770552846 Meridian 1615 12Th Ave Rd Ste A MD ~✤ Bonneville 83642 NPI: 1952664260 Nampa, ID 83686 1151 Hospital Way Bldg D Idaho Falls (208) 467-3271 Brooks, Daniel MD ~✤ Ste 100 Spanish NPI: 1225238561 Pocatello, ID 83201 83404 520 S Eagle Rd Ste 2203 (208) 239-8010 Affleck, Aaron MD ~ Jensen, Johanna MD ~* Meridian, ID 83642 Spanish NPI: 1861507857 NPI: 1770552846 (208) 381-6910 2900 Valencia Dr March Vision Network Spanish Idaho Falls, ID 83404 1615 12Th Avenue Road Fornarotto, John MD ~✤ (208) 523-6868 Suite A NPI: 1598750838 Nampa, ID 83686 1151 Hospital Way Bldg D (208) 467-3271 Ste 100 Spanish Pocatello, ID 83201 (208) 239-8010 ~ Accepting new patients/Aceptando a nuevos pacientes * Accepts Medicaid/Acepta Medicaid ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

136 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Martinez, Jorge MD ~✤ D'angelo, Monica Buckland, Golden MD ~ Stormogipson, D Justin NPI: 1922076082 MD ~✤ NPI: 1942402904 MD ~ 1615 12Th Ave Rd Ste B NPI: 1912135831 2003 Kootenai Health Way NPI: 1336285345 Nampa, ID 83686 1252 Bennett Ave Ste A Coeur D'alene, ID 83814 2003 Kootenai Health Way (208) 498-1700 Burley, ID 83318 (208) 666-2000 Coeur D'alene, ID 83814 Spanish (208) 678-0573 (208) 666-2000 Dance, David MD ~✤ Latah Mckinnon, Ryan MD ~✤ Halverson, Jason MD ~✤ NPI: 1003064577 NPI: 1821087859 NPI: 1619921236 1814 Lincoln Way Moscow 215 E Hawaii Ave 1252 Bennett Ave Ste A Coeur D'alene, ID 83814 Nampa, ID 83686 Burley, ID 83318 (208) 667-2531 83843 (208) 463-3000 (208) 678-0573 Leach, David MD ~ Duke, Sara MD ~✤ NPI: 1043379944 2500 West A St Ste 202 83687 Taylor, Michael MD ~✤ NPI: 1306089065 1814 Lincoln Way Moscow, ID 83843 NPI: 1851338925 (208) 882-4662 Harf, Leo MD ~✤ 1252 Bennett Ave Ste A Coeur D'alene, ID 83814 NPI: 1417041849 Burley, ID 83318 (208) 667-2531 4400 E Flamingo Rd Ste (208) 678-0573 Richards, Shawn MD ~* 300 Duke, Sara MD ~ NPI: 1598929796 Nampa, ID 83687 NPI: 1306089065 March Vision Network (208) 466-2222 Welch, Nathan MD ~✤ 2003 Kootenai Health Way 2500 West A Street Suite NPI: 1801059605 Coeur D'alene, ID 83814 202 Reynolds, Adam MD ~✤ 1320A Bennett Ave (208) 666-2000 Moscow, ID 83843 NPI: 1417916586 Burley, ID 83318 (208) 882-4662 (208) 678-2173 Gilbert, Michael 4400 E Flamingo Rd Ste Spanish, Portugese 300 DMD ~✤ Nez Perce Nampa, ID 83687 Kootenai NPI: 1972508463 Lewiston (208) 466-2222 2003 Kootenai Health Way Coeur D'alene Coeur D'alene, ID 83814 83501 Cassia 83814 (208) 625-4000 Carey, Brian MD ~✤ Burley NPI: 1942377502 Blizzard, Sonya MD ~✤ Granier, Alison MD ~✤ 3330 4Th St 83318 NPI: 1558629535 NPI: 1669709143 Lewiston, ID 83501 Allan, Evan MD ~✤ 1814 Lincoln Way 1814 Lincoln Way (208) 746-2025 NPI: 1285951145 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 1320A Bennett Ave (208) 667-2531 (208) 667-2531 Choe, Joyce MD ~✤ Burley, ID 83318 NPI: 1467437509 (208) 678-2173 Blizzard, Sonya MD ~ Skale, David MD ~✤ 3330 4Th St Russian NPI: 1558629535 NPI: 1568636462 Lewiston, ID 83501 2003 Kootenai Health Way 2175 N Main St Ste A (208) 746-2025 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Korean Allan, Scott MD ~✤ (208) 666-2000 NPI: 1639159056 (208) 664-9888 Spanish 1320A Bennett Ave Buckland, Golden Ford, Robert MD ~✤ Burley, ID 83318 NPI: 1598959108 (208) 678-2173 MD ~✤ Smith, Whitney MD ~✤ 3330 4Th St NPI: 1942402904 NPI: 1568724565 Lewiston, ID 83501 1814 Lincoln Way 1814 Lincoln Way (208) 746-2025 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 667-2531 (208) 667-2531

137 Specialty Providers / Proveedores Especializados Ophthalmology continued/seguido

Leach, David MD ~ Betts, Brent MD ~ Taylor, Michael MD ~ Optometrist NPI: 1043379944 NPI: 1821358490 NPI: 1851338925 1630 23Rd Ave Ste 201A 526 Shoup Ave 1502 Locust St N Ste 100 Ada Lewiston, ID 83501 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 746-5100 (208) 733-2400 (208) 933-2540 Boise 83704 Richards, Shawn MD ~* Coombs, James MD ~✤ Taylor, Michael MD ~✤ NPI: 1598929796 NPI: 1760425169 NPI: 1851338925 Cates, Gerald OD ~* March Vision Network 1415 Park View Dr 261 Canyon Crest Dr NPI: 1770615205 1630 23Rd Avenue Suite Twin Falls, ID 83301 Twin Falls, ID 83301 March Vision Network 201A (208) 734-8934 (208) 678-0573 291 North Milwaukee Lewiston, ID 83501 Portugese Street Suite A-3 (208) 746-5100 Welch, Nathan MD ~ Boise, ID 83704 Coombs, James MD ~ NPI: 1801059605 (208) 378-7019 Seery, Loren MD ~* NPI: 1760425169 1502 Locust St N Ste 100 Spanish NPI: 1407069123 1502 Locust St N Ste 100 Twin Falls, ID 83301 March Vision Network Twin Falls, ID 83301 (208) 933-2540 Dixon, Jaimen OD ~* 3330 4Th Street (208) 933-2540 Spanish, Portugese NPI: 1861841033 Lewiston, ID 83501 Portugese March Vision Network (208) 746-2025 291 North Milwaukee Welch, Nathan MD ~✤ D'angelo, Monica Street Suite A3 Twin Falls NPI: 1801059605 Boise, ID 83704 MD ~✤ 526 Shoup Ave W Ste H (208) 378-7019 Twin Falls NPI: 1912135831 Twin Falls, ID 83301 83301 261 Canyon Crest Dr (208) 733-2400 Hansen, Scott OD ~* Twin Falls, ID 83301 Spanish, Portugese NPI: 1992832935 Allan, Evan MD ~ (208) 678-0573 March Vision Network NPI: 1285951145 Welch, Robert MD ~ 291 North Milwaukee 1502 Locust St N Ste 100 Halverson, Jason MD ~ NPI: 1841260858 Street Suite A3 Twin Falls, ID 83301 NPI: 1619921236 1502 Locust St N Ste 100 Boise, ID 83704 (208) 933-2540 1502 Locust St N Ste 100 Twin Falls, ID 83301 (208) 378-7020 Russian Twin Falls, ID 83301 (208) 933-2540 Spanish (208) 933-2540 Japanese Allan, Evan MD ~✤ Kofoed, Lavar OD ~* NPI: 1285951145 Halverson, Jason MD ~✤ Welch, Robert MD ~✤ NPI: 1023231420 526 Shoup Ave W Ste H NPI: 1619921236 NPI: 1841260858 March Vision Network Twin Falls, ID 83301 261 Canyon Crest Dr 526 Shoup Ave W Ste H 291 North Milwaukee (208) 733-2400 Twin Falls, ID 83301 Twin Falls, ID 83301 Street Suite A3 Russian (208) 678-0573 (208) 733-2400 Boise, ID 83704 Japanese (208) 297-7019 Allan, Scott MD ~ Spanish Klingler, Kyle MD ~✤ NPI: 1639159056 Valley 1502 Locust St N Ste 100 NPI: 1861727323 Mcsweeney, Kevin OD ~* Twin Falls, ID 83301 1415 Park View Dr Mccall NPI: 1841397940 (208) 933-2540 Twin Falls, ID 83301 March Vision Network (208) 734-8934 83638 291 North Milwaukee Portugese Allan, Scott MD ~✤ Aaberg, Thomas MD ~✤ Street Boise, ID 83704 NPI: 1639159056 Klingler, Kyle MD ~ NPI: 1750491783 526 Shoup Ave W Ste H 211 Forest St (208) 378-7020 NPI: 1861727323 Spanish Twin Falls, ID 83301 1502 Locust St N Ste 100 Mccall, ID 83638 (208) 733-2400 Twin Falls, ID 83301 (208) 630-2330 (208) 933-2540 Portugese

138 Specialty Providers / Proveedores Especializados Optometrist continued/seguido

Thompson, Erik OD ~* Sorenson, Shawn OD ~* Nielson, Ryan OD ~* Sparks, Kristan OD ~* NPI: 1891082186 NPI: 1518922368 NPI: 1538103148 NPI: 1174723332 March Vision Network March Vision Network March Vision Network March Vision Network 291 North Milwaukee 355 South Eagle Road 1715 South Wells Avenue 524 North State Street Street Suite A-3 Eagle, ID 83616 Meridian, ID 83642 Shelley, ID 83274 Boise, ID 83704 (208) 938-2015 (208) 898-0304 (208) 357-5733 (208) 378-7020 Spanish Spanish 83646 Bonner Warner, Aaron OD ~* Mcelroy, Kevin OD ~* Priest River 83709 NPI: 1750346524 NPI: 1528154242 March Vision Network 83856 Boespflug, Daniel OD ~* 355 South Eagle Road March Vision Network NPI: 1962441303 Eagle, ID 83616 50 East Carmel Drive Harrell, Nathaneal OD ~* March Vision Network (208) 938-2015 Meridian, ID 83646 NPI: 1437470457 3293 North Milwaukee Spanish (208) 888-5252 March Vision Network Street 6132 Highway 2 Boise, ID 83709 Bannock Priest River, ID 83856 (208) 322-2020 Kuna (208) 448-0144 83634 Pocatello Denison, Justin OD ~* Grigg, Lisa OD ~* 83201 Prins, Amber OD ~* NPI: 1396183935 NPI: 1851313704 NPI: 1659801181 March Vision Network Richardson, Norman March Vision Network 3293 North Milwaukee March Vision Network OD ~* 762 East Wythe Creek NPI: 1346251063 6132 Highway 2 Street Court Suite 102 Priest River, ID 83856 Boise, ID 83709 March Vision Network (208) 448-0144 (208) 322-2020 Kuna, ID 83634 475 Yellowstone Avenue (208) 922-3060 Suite G Sandpoint 83713 Pocatello, ID 83201 Grigg, Robert OD ~* (208) 233-1551 83864 Stebel, Todd OD ~* NPI: 1780698522 NPI: 1144263963 March Vision Network 83202 Harrell, Nathaneal OD ~* March Vision Network 762 East Wythe Creek NPI: 1437470457 13075 W Persimmon Lane Court Suite 102 Baird, Michael OD ~* March Vision Network Suite 110 Kuna, ID 83634 NPI: 1457524555 514 Oak Street Unit A Boise, ID 83713 (208) 922-3060 March Vision Network Sandpoint, ID 83864 (208) 938-9900 4240 Yellowstone Avenue (208) 265-7965 Mullins, Oliver OD ~* Pocatello, ID 83202 Eagle NPI: 1306121462 (208) 238-2020 Henker, Don OD ~* March Vision Network NPI: 1225386659 83616 762 East Wythe Creek Bingham March Vision Network 1333 Superior Street Bender, Gideon OD ~ Court Suite 102 Shelley NPI: 1386166312 Kuna, ID 83634 Sandpoint, ID 83864 March Vision Network (208) 922-3060 83274 (208) 265-4140 355 South Eagle Road Kohler, Nathan OD ~* Henker, Whitney OD ~* Eagle, ID 83616 Meridian NPI: 1386842425 (208) 938-2015 NPI: 1952667875 83642 March Vision Network March Vision Network Spanish 524 North State Street Nielson, Ana OD ~* 1333 Superior Street Shelley, ID 83274 Sandpoint, ID 83864 Moss, Craig OD ~* NPI: 1972547503 (208) 357-5733 NPI: 1295115087 March Vision Network (208) 265-4140 March Vision Network 1715 South Wells Avenue 355 South Eagle Road Meridian, ID 83642 Eagle, ID 83616 (208) 898-0304 (208) 938-2015 Spanish

139 Specialty Providers / Proveedores Especializados Optometrist continued/seguido

Prins, Amber OD ~* Porter, Lisa OD ~* Prins, Amber OD ~* Farris, Stephen OD ~* NPI: 1659801181 NPI: 1215962915 NPI: 1659801181 NPI: 1619072287 March Vision Network March Vision Network March Vision Network March Vision Network 514 Oak Street Unit A 1480 East Lincoln Road 6348 Main Street 1906 Fairview Ave Ste 100 Sandpoint, ID 83864 Idaho Falls, ID 83401 Bonners Ferry, ID 83805 Caldwell, ID 83605 (208) 265-7965 (208) 525-8686 (208) 267-1087 (208) 459-2020 French Mandarin, Spanish Sparks, Kristan OD ~* Canyon Bonneville NPI: 1174723332 Farris, Stephen OD ~* March Vision Network Caldwell NPI: 1619072287 Idaho Falls 320 South Woodruff 83605 March Vision Network 83401 Avenue 420 E Elm St Idaho Falls, ID 83401 Adams, Doug OD ~* Caldwell, ID 83605 Clark, Melanie OD ~* (208) 524-4552 NPI: 1144750886 (208) 459-2020 NPI: 1689015075 March Vision Network Mandarin, Spanish March Vision Network 83402 1906 Fairview Ave Ste 100 1480 East Lincoln Road Caldwell, ID 83605 Heiner, Darren OD ~* Idaho Falls, ID 83401 Smith, Golden OD ~* (208) 459-2020 NPI: 1780935007 (208) 525-8686 NPI: 1154432938 Mandarin, Spanish March Vision Network Spanish March Vision Network 1906 Fairview Ave Ste 100 500 South Utah Avenue Adams, Doug OD ~* Caldwell, ID 83605 Hyatt, Scott OD ~* Idaho Falls, ID 83402 NPI: 1144750886 (208) 459-2020 NPI: 1194174441 (208) 528-8643 March Vision Network Mandarin, Spanish March Vision Network 420 E Elm St 1480 East Lincoln Road 83404 Caldwell, ID 83605 Heiner, Darren OD ~* Idaho Falls, ID 83401 Nave, Jerry OD ~* (208) 459-2020 NPI: 1780935007 (208) 525-8686 NPI: 1245340314 Mandarin, Spanish March Vision Network March Vision Network 420 E Elm St King, Kenneth OD ~* 2550 South 25Th East Bewley, James OD ~* Caldwell, ID 83605 NPI: 1174524722 Idaho Falls, ID 83404 NPI: 1639257017 (208) 459-2020 March Vision Network (208) 552-7323 March Vision Network Mandarin, Spanish 501 South Woodrufff 1906 Fairview Avenue Ste Avenue Oswald, Zachary OD ~* 100 Stebel, Holly OD ~* Idaho Falls, ID 83401 NPI: 1275810079 Caldwell, ID 83605 NPI: 1982654612 (208) 522-6271 March Vision Network (208) 459-2020 March Vision Network 2990 South 25Th East Mandarin, Spanish 420 E Elm St Kohler, Nathan OD ~* Idaho Falls, ID 83404 Caldwell, ID 83605 NPI: 1386842425 (208) 535-2604 Bewley, James OD ~* (208) 459-2020 March Vision Network Spanish NPI: 1639257017 Mandarin, Spanish 320 S Woodruff Avenue March Vision Network Idaho Falls, ID 83401 Boundary 420 East Elm Street (208) 524-4552 Caldwell, ID 83605 Middleton Bonners Ferry (208) 459-2020 83644 Lattimore, Gary OD ~* 83805 Mandarin, Spanish Adams, Doug OD ~* NPI: 1902863293 NPI: 1144750886 March Vision Network Harrell, Nathaneal OD ~* Black, William OD ~* March Vision Network 501 South Woodruff NPI: 1437470457 NPI: 1063591162 381 S Middleton Rd Avenue March Vision Network March Vision Network Middleton, ID 83644 Idaho Falls, ID 83401 6348 Main Street 1906 Fairview Ave Ste 100 (208) 459-2020 (208) 522-6271 Bonners Ferry, ID 83805 Caldwell, ID 83605 Mandarin, Spanish (208) 267-1087 (208) 459-2020 Mandarin, Spanish

140 Specialty Providers / Proveedores Especializados Optometrist continued/seguido

Bewley, James OD ~* Stebel, Holly OD ~* Kofoed, Lavar OD ~* Hayden NPI: 1639257017 NPI: 1982654612 NPI: 1023231420 March Vision Network March Vision Network March Vision Network 83835 381 South Middleton Road 381 S Middleton Rd 16448 Midland Boulevard Lindauer, Robin OD ~* Middleton, ID 83644 Middleton, ID 83644 Nampa, ID 83687 NPI: 1740262765 (208) 459-2020 (208) 459-2020 (208) 467-7020 March Vision Network Mandarin, Spanish Mandarin, Spanish Spanish 550 West Honeysuckle Avenue Black, William OD ~* Nampa Stebel, Holly OD ~* Hayden, ID 83835 NPI: 1063591162 NPI: 1982654612 (208) 209-4078 March Vision Network 83651 March Vision Network 381 S Middleton Rd Hadzic, Emir OD ~* 1213 Jacob Alcott Way Sorensen, Robert OD ~* Middleton, ID 83644 NPI: 1407371891 Nampa, ID 83687 NPI: 1356335897 (208) 459-2020 March Vision Network (208) 459-2020 March Vision Network Mandarin, Spanish 1017 12Th Avenue South Mandarin, Spanish 8445 North Government Nampa, ID 83651 Way Po Box 8 Dayton, Drew OD ~* (208) 466-5600 Stebel, Holly OD ~* Hayden, ID 83835 NPI: 1740231737 Bosnian, Spanish NPI: 1982654612 (208) 772-3208 March Vision Network March Vision Network Portuguese, Spanish 622 East Main Street Sparhawk, Justin OD ~* 4424 E Flamingo Ave Ste Middleton, ID 83644 NPI: 1669552048 100 Stoenner, Debra OD ~* (208) 585-9500 March Vision Network Nampa, ID 83687 NPI: 1699870527 French 1017 12Th Avenue South (208) 459-2020 March Vision Network Nampa, ID 83651 Mandarin, Spanish 8445 North Government Farris, Stephen OD ~* (208) 466-5600 Way Po Box 8 NPI: 1619072287 Bosnian, Spanish Thompson, Erik OD ~* Hayden, ID 83835 March Vision Network NPI: 1891082186 (208) 772-3208 381 S Middleton Rd 83687 March Vision Network Portuguese, Spanish Middleton, ID 83644 Bewley, James OD ~* 16448 Midland Boulevard (208) 459-2020 NPI: 1639257017 Nampa, ID 83687 Stott, Kyle OD ~* Mandarin, Spanish March Vision Network (208) 297-7019 NPI: 1528418977 1213 Jacob Alcott Way Spanish March Vision Network Heiner, Darren OD ~* Nampa, ID 83687 8445 North Government NPI: 1780935007 (208) 459-2020 Kootenai Way Po Box 8 March Vision Network Mandarin, Spanish Hayden, ID 83835 381 S Middleton Rd Coeur D Alene (208) 772-3208 Portuguese, Spanish Middleton, ID 83644 Farris, Stephen OD ~* 83814 (208) 459-2020 NPI: 1619072287 Mandarin, Spanish Greene, Raymond OD ~* Rathdrum March Vision Network NPI: 1689669798 4424 E Flamingo Ave Ste Hernandez, Joel OD ~* March Vision Network 83858 100 850 Ironwood Drive Suite Miller, Brian OD ~* NPI: 1952831695 Nampa, ID 83687 March Vision Network 104 NPI: 1710978473 (208) 459-2020 Coeur D Alene, ID 83814 March Vision Network 381 S Middleton Rd Mandarin, Spanish Middleton, ID 83644 (208) 765-2020 15630 N Highway 41 (208) 459-2020 Rathdrum, ID 83858 Heiner, Darren OD ~* (208) 687-0370 Mandarin, Spanish NPI: 1780935007 March Vision Network 1213 Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Mandarin, Spanish

141 Specialty Providers / Proveedores Especializados Optometrist continued/seguido

Latah Zollman, Stacie OD ~* Walker, Gary OD ~* Meridian NPI: 1124373410 NPI: 1033243647 Moscow March Vision Network March Vision Network 83642 83843 739 Bryden Avenue Suite 1067 Eastland Drive Care, Steven MD ~✤ A Twin Falls, ID 83301 Polito, Julia OD ~* NPI: 1780694174 Lewiston, ID 83501 (208) 733-1944 3277 E Louise Dr Ste 200 NPI: 1306947874 (208) 743-5830 March Vision Network Meridian, ID 83642 Walker, Jared OD ~* (208) 706-2663 1844 West Pullman Road Teton NPI: 1558490698 Moscow, ID 83843 March Vision Network (208) 883-1800 Driggs 1067 Eastland Drive Judd, Dustin MD ~✤ 83422 Twin Falls, ID 83301 NPI: 1013113323 Wilson, Nathan OD ~* (208) 733-1944 3277 E Louise Dr Ste 200 NPI: 1164523643 Lattimore, Gary OD ~* German, Portuguese, Meridian, ID 83642 March Vision Network NPI: 1902863293 Spanish (208) 706-2663 1844 West Pullman Road March Vision Network Spanish, Tagalog Moscow, ID 83843 1300 North Arrowhead Orthopaedic Hand (208) 883-1800 Plaza Way Lindley, Kenneth MD ~✤ Driggs, ID 83422 Surgery NPI: 1659532547 Zollman, Stacie OD ~* (208) 354-8304 3277 E Louise Dr Ste 200 NPI: 1124373410 Ada Meridian, ID 83642 March Vision Network Twin Falls (208) 706-2663 1844 West Pullman Road Boise Moscow, ID 83843 Twin Falls (208) 883-1800 83301 83702 Murdock, Louis MD ~✤ NPI: 1184635088 Care, Steven MD ~✤ Nez Perce Fish, Brandon OD ~* 3277 E Louise Dr Ste 200 NPI: 1003015363 NPI: 1780694174 Meridian, ID 83642 Lewiston March Vision Network 600 N Robbins Rd Ste 100 (208) 706-2663 731 North College Road Boise, ID 83702 83501 Twin Falls, ID 83301 (208) 706-2663 Bell, Isaac OD ~* (208) 734-3937 Toomey, Jeremy MD ~✤ NPI: 1396995239 NPI: 1043474810 Judd, Dustin MD ~✤ 3277 E Louise Dr Ste 200 March Vision Network Hatch, Rustin OD ~* NPI: 1013113323 210 Thain Road NPI: 1265402911 Meridian, ID 83642 600 N Robbins Rd Ste 100 (208) 706-2663 Lewiston, ID 83501 March Vision Network Boise, ID 83702 (208) 746-2644 1067 Eastland Drive (208) 706-2663 Twin Falls, ID 83301 Spanish, Tagalog Bannock Polito, Julia OD ~* (208) 733-1944 Pocatello NPI: 1306947874 German, Portuguese, March Vision Network Spanish Murdock, Louis MD ~✤ 83201 739 Bryden Avenue Suite NPI: 1184635088 A Nielsen, Brandon OD ~* 600 N Robbins Rd Ste 100 Stucki, Jeffrey DO ~✤ Lewiston, ID 83501 NPI: 1033559026 Boise, ID 83702 NPI: 1083857536 (208) 743-5830 March Vision Network (208) 706-2663 560 Memorial Dr Ste B 568 Falls Avenue Pocatello, ID 83201 Wilson, Nathan OD ~* Twin Falls, ID 83301 Toomey, Jeremy MD ~✤ (208) 235-4263 NPI: 1164523643 (208) 293-8580 NPI: 1043474810 March Vision Network Spanish 600 N Robbins Rd Ste 100 Stucki, Jeffrey DO ~✤ 739 Bryden Avenue Suite Boise, ID 83702 NPI: 1083857536 A (208) 706-2663 560 Memorial Drive Ste B Lewiston, ID 83501 Pocatello, ID 83201 (208) 743-5830 (208) 252-7206

142 Specialty Providers / Proveedores Especializados Orthopaedic Hand Surgery continued/seguido

Blaine Curtin, Michael MD ~✤ Robison, Jason MD ~✤ Webb, Darby MD ~✤ Ketchum NPI: 1447206065 NPI: 1801010541 NPI: 1043226715 1109 W Myrtle St Ste 200 600 N Robbins Rd Ste 401 703 S Americana Blvd Ste 83340 Boise, ID 83702 Boise, ID 83702 120 Alexander, Charlotte (208) 706-2663 (208) 706-2663 Boise, ID 83702 Spanish (208) 706-2663 MD ~✤ NPI: 1811933963 King, Howard MD ~✤ 100 Hospital Dr Ste 100 NPI: 1023029840 Roser, Steven MD ~✤ Wells, Britton MD ~✤ Ketchum, ID 83340 600 N Robbins Rd Ste 100 NPI: 1992716872 NPI: 1245210400 (208) 727-0005 Boise, ID 83702 600 N Robbins Rd Ste 100 600 N Robbins Rd Ste 100 (208) 706-2663 Boise, ID 83702 Boise, ID 83702 Canyon (208) 706-2663 (208) 706-2663 Kristensen, Ronald Nampa MD ~✤ Showalter, Larry MD ~✤ Wells, Britton MD ~✤ 83686 NPI: 1215948807 NPI: 1942211818 NPI: 1245210400 703 S Americana Blvd Ste 600 N Robbins Rd Ste 100 703 S Americana Blvd Ste Lindley, Kenneth MD ~✤ 120 Boise, ID 83702 120 NPI: 1659532547 Boise, ID 83702 (208) 706-2663 Boise, ID 83702 215 E Hawaii Ave (208) 706-2663 (208) 706-2663 Nampa, ID 83686 (208) 706-2663 Showalter, Larry MD ~✤ Menzner, Jeffry MD ~✤ NPI: 1942211818 83704 NPI: 1487607198 703 S Americana Blvd Ste Chopp, Thomas MD ~✤ Murdock, Louis MD ~✤ 600 N Robbins Rd Ste 100 120 NPI: 1184635088 NPI: 1720081060 Boise, ID 83702 Boise, ID 83702 8854 W Emerald Ste 102 215 E Hawaii Ave (208) 706-2663 (208) 706-2663 Nampa, ID 83686 Boise, ID 83704 (208) 706-2663 (208) 323-4747 Menzner, Jeffry MD ~✤ Smith, Carla MD ~✤ 83687 NPI: 1487607198 NPI: 1336145721 Goodwin, Thomas 703 S Americana Blvd Ste 600 N Robbins Rd Ste 100 MD ~✤ Lindley, Kenneth MD ~✤ 120 Boise, ID 83702 NPI: 1649208851 NPI: 1659532547 Boise, ID 83702 (208) 706-2663 8854 W Emerald Ste 102 9850 W St Lukes Dr (208) 706-2663 Boise, ID 83704 Nampa, ID 83687 Smith, Carla MD ~✤ (208) 323-4747 (208) 706-2663 Moore, Andrew MD ~✤ NPI: 1336145721 NPI: 1780662999 703 S Americana Blvd Ste Lynch, Joseph MD ~✤ Orthopaedic 600 N Robbins Rd Ste 100 120 NPI: 1205944303 Boise, ID 83702 Boise, ID 83702 Surgery 8854 W Emerald Ste 102 (208) 706-2663 (208) 706-2663 Boise, ID 83704 (208) 323-4747 Ada Robison, Jason MD ~✤ Waters, Stanley MD ~✤ Boise NPI: 1801010541 NPI: 1821046335 83712 600 N Robbins Rd Ste 100 1673 W Shoreline Dr Ste 83702 Boise, ID 83702 100 Showalter, Larry MD ~✤ (208) 706-2663 Boise, ID 83702 NPI: 1942211818 Chen, Qing-Min MD ~✤ Spanish (208) 322-0485 100 E Idaho St Ste 200 NPI: 1801038450 Boise, ID 83712 600 N Robbins Rd Ste 100 (208) 381-7122 Boise, ID 83702 (208) 706-2663

143 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Meridian Roser, Steven MD ~✤ Bannock Johnson, Robert MD ~✤ 83642 NPI: 1992716872 Pocatello NPI: 1497069868 520 S Eagle Rd Ste 2209 1151 Hospital Way Bldg D Chen, Qing-Min MD ~✤ Meridian, ID 83642 83201 Ste 100 NPI: 1801038450 (208) 706-2663 Pocatello, ID 83201 3399 E Louise Dr Ste 200 Allen, Benjamin MD ~✤ (208) 239-8010 Meridian, ID 83642 NPI: 1750692752 (208) 706-2663 Showalter, Larry MD ~✤ 1151 Hospital Way Bldg D NPI: 1942211818 Ste 100 Johnson, Robert MD ~✤ 3399 E Louise Dr Ste 200 Pocatello, ID 83201 NPI: 1497069868 Johnson, Jared MD ~✤ Meridian, ID 83642 (208) 239-8010 950 Hospital Way Ste A NPI: 1891982559 (208) 706-2663 Spanish Pocatello, ID 83201 520 S Eagle Rd Ste 3213 (208) 235-2277 Meridian, ID 83642 Smith, Carla MD ~✤ (208) 706-2663 Allen, Benjamin MD ~✤ Miller, Ryan DO ~ NPI: 1336145721 NPI: 1750692752 3399 E Louise Dr Ste 200 NPI: 1073877213 Kristensen, Ronald 560 Memorial Dr 444 Hospital Way Ste 710 Meridian, ID 83642 Pocatello, ID 83201 MD ~✤ (208) 706-2663 Pocatello, ID 83201 (208) 234-1960 (208) 235-4263 NPI: 1215948807 Spanish 520 S Eagle Rd Ste 3213 Tadje, Jared MD ~✤ Newhouse, Kenneth Meridian, ID 83642 NPI: 1821006289 Altenburg, Aaron MD ~ (208) 706-2663 520 S Eagle Rd NPI: 1215145883 MD ~✤ Meridian, ID 83642 2240 E Center St NPI: 1265425789 Lawler, Christopher (208) 706-5000 Pocatello, ID 83201 1151 Hospital Way Bldg D MD ~✤ Cantonese (208) 233-8344 Ste 100 NPI: 1801801576 Pocatello, ID 83201 (208) 239-8010 520 S Eagle Rd Ste 3213 Coker, Steven MD ~✤ Meridian, ID 83642 Walker, Robert MD ~✤ NPI: 1306856471 NPI: 1942294624 Richardson, Nathan (208) 706-2663 520 S Eagle Rd Ste 3213 1151 Hospital Way Bldg D Meridian, ID 83642 Ste 100 MD ~✤ Menzner, Jeffry MD ~✤ (208) 706-2663 Pocatello, ID 83201 NPI: 1790847978 NPI: 1487607198 (208) 239-8010 1151 Hospital Way Bldg D 520 S Eagle Rd Ste 3213 Ste 100 Meridian, ID 83642 Webb, Darby MD ~✤ Pocatello, ID 83201 NPI: 1043226715 Coker, Steven MD ~✤ (208) 239-8010 (208) 706-2663 520 S Eagle Rd Ste 3213 NPI: 1942294624 Meridian, ID 83642 560 Memorial Dr 83209 Moore, Andrew MD ~✤ (208) 706-2663 Pocatello, ID 83201 NPI: 1780662999 (208) 234-1960 Coker, Steven MD ~✤ 520 S Eagle Rd Ste 2209 Wells, Britton MD ~✤ NPI: 1942294624 Meridian, ID 83642 NPI: 1245210400 Hansen, Stephen MD ~✤ 921 S 8Th Ave Stop 8313 (208) 706-2663 3399 E Louise Dr Ste 200 NPI: 1164491460 Pocatello, ID 83209 Meridian, ID 83642 950 Hospital Wy Ste A (208) 282-4063 Robison, Jason MD ~✤ (208) 706-2663 Pocatello, ID 83201 NPI: 1801010541 (208) 478-4522 520 S Eagle Rd Ste 2209 Spanish, French, Haitian Meridian, ID 83642 Creole (208) 706-2663 Spanish

144 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Bingham Selznick, Hugh MD ~✤ Bonneville Canyon Blackfoot NPI: 1053378836 Idaho Falls Caldwell 98 Poplar At 83221 Blackfoot, ID 83221 83404 83605 (208) 235-2277 Allen, Benjamin MD ~✤ Garner, Benjamin Glover, Michael MD ~✤ NPI: 1750692752 DO ~✤ NPI: 1013235423 98 Poplar St Shelley NPI: 1497913008 1906 Fairview Ave Ste 420 Blackfoot, ID 83221 83274 3200 Channing Way Ste Caldwell, ID 83605 (208) 785-4100 A205 (208) 459-9177 Spanish Fields, Gail DO ~✤ Idaho Falls, ID 83404 NPI: 1245236322 (208) 535-4580 Nampa 275 W Locust St Coker, Steven MD ~✤ Shelley, ID 83274 Garner, Benjamin 83686 NPI: 1942294624 (208) 357-3960 98 Poplar St DO ~✤ Johnson, Jared MD ~✤ Blackfoot, ID 83221 Blaine NPI: 1497913008 NPI: 1891982559 (208) 785-4100 3242 S Woodruff Ave 215 E Hawaii Ave Hailey Idaho Falls, ID 83404 Nampa, ID 83686 (208) 706-2663 Fields, Gail DO ~✤ 83333 (208) 535-4567 NPI: 1245236322 98 Poplar St Shapiro, Glen MD ~✤ Johnson, Robert MD ~✤ Kristensen, Ronald Blackfoot, ID 83221 NPI: 1336283779 NPI: 1497069868 MD ~✤ (208) 785-2220 513 N Main St 2375 E Sunnyside Rd Ste F NPI: 1215948807 Hailey, ID 83333 Idaho Falls, ID 83404 215 E Hawaii Ave Johnson, Robert MD ~✤ (208) 788-3211 (208) 535-3626 Nampa, ID 83686 NPI: 1497069868 (208) 706-2663 98 Poplar At Ketchum Newhouse, Kenneth Blackfoot, ID 83221 83340 MD ~✤ Walker, Robert MD ~✤ (208) 235-2277 NPI: 1265425789 NPI: 1306856471 Kinsler, Alison MD ~✤ 2375 E Sunnyside Rd Ste F 215 E Hawaii Ave Newhouse, Kenneth NPI: 1841488012 Idaho Falls, ID 83404 Nampa, ID 83686 100 Hospital Dr Ste 105 (208) 535-3626 (208) 706-2663 MD ~✤ Ketchum, ID 83340 NPI: 1265425789 (208) 726-5027 98 Poplar At Peterson, David DO ~✤ Webb, Darby MD ~✤ Blackfoot, ID 83221 NPI: 1225234511 NPI: 1043226715 (208) 235-2277 Kopplin, Matthew 2375 E Sunnyside Rd Ste F 215 E Hawaii Ave MD ~✤ Idaho Falls, ID 83404 Nampa, ID 83686 Pearson, Nicholas NPI: 1598850984 (208) 535-3626 (208) 706-2663 100 Hospital Dr Ste 105 DO ~✤ Ketchum, ID 83340 83687 NPI: 1205121357 (208) 726-5027 West, Gregory MD ~✤ 98 Poplar St NPI: 1912015074 Glover, Michael MD ~ Blackfoot, ID 83221 2325 Coronado St NPI: 1013235423 (208) 782-2980 Idaho Falls, ID 83404 4424 E Flamingo Ave (208) 557-2700 Nampa, ID 83687 Peterson, David DO ~✤ (208) 855-2900 NPI: 1225234511 West, Gregory MD ~✤ 98 Poplar St NPI: 1912015074 Johnson, Jared MD ~✤ Blackfoot, ID 83221 2377 Coronado St NPI: 1891982559 (208) 785-2220 Idaho Falls, ID 83404 9850 W St Lukes Dr (208) 557-2570 Nampa, ID 83687 (208) 706-2663

145 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Lawyer, Tracye MD ~ Linthicum, Jonathan Madison Oneida NPI: 1003170325 MD ~ 9850 W St Lukes Dr Ste NPI: 1235345745 Rexburg Malad City 215 1110 W Prk Pl Ste 202 83440 83252 Nampa, ID 83687 Coeur D'alene, ID 83814 (208) 706-2663 (208) 625-6111 Cleverley, Zackery PA ~✤ Bitner, Matthew MD ~ NPI: 1518476092 NPI: 1467563866 Manos, Richard MD ~ Linthicum, Jonathan 360 E Main St 150 N 200 W NPI: 1356451249 MD ~ Rexburg, ID 83440 Malad City, ID 83252 4424 E Flamingo Ave NPI: 1235345745 (208) 356-9550 (208) 766-2231 Nampa, ID 83687 2121 Ironwood Center Dr Twin Falls (208) 855-2900 Coeur D'alene, ID 83814 Larson, Michael MD ~✤ (208) 625-4680 NPI: 1518960087 Twin Falls Franklin 360 E Main St Quinn, Connor MD ~ Rexburg, ID 83440 83301 Preston NPI: 1922203215 (208) 356-9550 83263 1110 W Pk Pl Ste 202 Dazley, Justin MD ~✤ Coeur D'alene, ID 83814 NPI: 1851531289 Rowley, David MD ~ (208) 215-2055 Lee, Kevin MD ~✤ 738 N College Rd Ste A NPI: 1679701718 NPI: 1518960079 Twin Falls, ID 83301 44 N 1St E Quinn, Connor MD ~ 360 E Main St (208) 814-7000 Preston, ID 83263 NPI: 1922203215 Rexburg, ID 83440 (208) 852-3662 1110 W Prk Pl Ste 202 (208) 356-9550 Johnson, Blake MD ~✤ Spanish Coeur D'alene, ID 83814 Spanish NPI: 1619913381 (208) 625-6111 738 N College Rd Ste A Gem Torngren, Travis MD ~✤ Twin Falls, ID 83301 Emmett Post Falls NPI: 1508086844 (208) 814-7000 83854 360 E Main St 83617 Rexburg, ID 83440 May, William MD ~✤ Bowen, Joseph MD ~ Hines, Jerod MD ~✤ (208) 356-9550 NPI: 1720016231 NPI: 1003029034 Spanish 738 N College Rd Ste A NPI: 1760726897 1296 E Polston Ave Ste B 1024 E Locust St Twin Falls, ID 83301 Post Falls, ID 83854 Nez Perce (208) 814-7000 Emmett, ID 83617 (208) 625-6700 (208) 365-2338 Lewiston Kent, Roland MD ~ 83501 Mckee, Rohn MD ~✤ Kootenai NPI: 1619942927 NPI: 1306899646 Coeur D'alene 1641 E Polston Ave Ste Beardsley, Bryan MD ~ 738 N College Rd Ste A 101 NPI: 1104856087 Twin Falls, ID 83301 83814 Post Falls, ID 83854 320 Warner Dr (208) 814-7000 (208) 457-4208 Lewiston, ID 83501 Anderson, Lucas MD ~✤ Finnish (208) 743-3523 NPI: 1073603692 Retmier, James MD ~✤ 2003 Kootenai Health Wy NPI: 1609802339 Linthicum, Jonathan Flock, Timothy MD ~ 738 N College Rd Ste A Coeur D'alene, ID 83814 MD ~ NPI: 1760477368 (208) 666-2000 Twin Falls, ID 83301 NPI: 1235345745 320 Warner Dr (208) 814-7000 1296 E Polston Ave Ste B Lewiston, ID 83501 Brown, Scott DO ~ Post Falls, ID 83854 (208) 743-3523 NPI: 1063635027 (208) 625-6700 Wright, Mark MD ~✤ 2003 Kootenai Health Way Hansen, Regan MD ~ NPI: 1295778223 Coeur D'alene, ID 83814 NPI: 1528053790 738 N College Rd Ste A (208) 666-2000 320 Warner Dr Twin Falls, ID 83301 Lewiston, ID 83501 (208) 814-7000 (208) 743-3523

146 Specialty Providers / Proveedores Especializados Orthopaedic Surgery continued/seguido

Valley Meridian Kootenai Nez Perce Mccall 83642 Coeur D'alene Lewiston 83638 Neary, Kaitlin MD ~✤ 83814 83501 NPI: 1053609073 Quinn, Connor MD ~ Dietrich, Gregory MD ~ Irvine, Gregory MD ~✤ 3399 E Louise Dr Ste 200 NPI: 1467454181 NPI: 1922203215 NPI: 1306831698 Meridian, ID 83642 1110 W Pk Pl Ste 202 320 Warner Dr 211 Forest St (208) 706-2663 Mccall, ID 83638 Coeur D'alene, ID 83814 Lewiston, ID 83501 (208) 215-2055 (208) 743-3523 (208) 630-2470 Blaine Washington Quinn, Connor MD ~ Twin Falls Ketchum NPI: 1922203215 Weiser 83340 1110 W Prk Pl Ste 202 Twin Falls Alexander, A Herbert Coeur D'alene, ID 83814 83301 83672 (208) 625-6111 Peterson, Randolph MD ~✤ Christensen, David NPI: 1316971971 Nez Perce MD ~✤ MD ~✤ 100 Hospital Dr Ste 100 NPI: 1669461364 NPI: 1922041961 Ketchum, ID 83340 Lewiston 1411 Falls Ave E Ste 1301 645 E 5Th St (208) 727-0005 Weiser, ID 83672 83501 Twin Falls, ID 83301 (208) 549-0370 (208) 732-0067 Bonneville Jelinek, John MD ~ Khmer, Laotian, Thai NPI: 1568410025 Orthopaedic Idaho Falls 320 Warner Dr Otolaryngology 83404 Lewiston, ID 83501 Surgery - Sports (208) 743-3523 Medicine Liljenquist, Joseph Ada MD ~✤ Orthopaedic NPI: 1558375568 Boise Ada 3405 Merlin Dr Surgery Of The 83704 Boise Idaho Falls, ID 83404 (208) 522-3355 Spine Affleck, Brian MD ~✤ 83702 Russian NPI: 1386633824 Cunagin, Catherine Ada 900 N Liberty St Ste 400 Franklin Boise, ID 83704 MD ~✤ Meridian (208) 367-3320 NPI: 1740316116 Preston 703 S Americana Blvd Ste 83642 120 83263 Bradley, William MD ~ Jones, Arthur MD ~✤ Boise, ID 83702 NPI: 1245273382 NPI: 1659354223 Rowley, David MD ~ 900 N Liberty St Ste 400 (208) 706-2663 NPI: 1679701718 360 E Montvue Dr Ste 100 Meridian, ID 83642 Boise, ID 83704 44 N 1St E (208) 367-3320 Heggland, Erik MD ~✤ Preston, ID 83263 (208) 855-2900 NPI: 1780694182 (208) 852-3662 600 N Robbins Rd Ste 100 Spanish Canyon Killian, Peter MD ~✤ Boise, ID 83702 Nampa NPI: 1821048091 (208) 706-2663 900 N Liberty St Ste 400 83687 Boise, ID 83704 Jorgenson, Samuel MD ~ (208) 367-3320 NPI: 1962447169 4424 E Flamingo Ave Nampa, ID 83687 (208) 855-2900

147 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Rustad, Todd MD ~✤ Mcgee, Kraig MD ~✤ Canyon Schwarz, Matthew NPI: 1306829973 NPI: 1821083544 Nampa MD ~✤ 900 N Liberty St Ste 400 333 N 18Th Ave Ste B3 NPI: 1992788434 Boise, ID 83704 Pocatello, ID 83201 83686 4424 E Flamingo Ave Ste (208) 367-3320 (208) 232-2146 320 Affleck, Brian MD ~✤ Nampa, ID 83687 Schwarz, Matthew NPI: 1386633824 (208) 367-3320 Tubach, Martin MD ~✤ 215 E Hawaii Ave MD ~✤ NPI: 1982656591 Nampa, ID 83686 Kootenai NPI: 1992788434 110 Vista Dr (208) 463-3000 900 N Liberty St Ste 400 Pocatello, ID 83201 Coeur D'alene Boise, ID 83704 (801) 213-3599 Kammer Jr, Darrell (208) 367-3320 83814 MD ~✤ Yost, Morgan DO ~✤ NPI: 1326038571 Mccormick, Chad MD ~ 83712 NPI: 1639485246 1615 12Th Ave Rd Ste C NPI: 1538165139 700 Ironwood Dr Ste 236 Robison, Jacob MD ~✤ 777 Hospital Way Ste 115 Nampa, ID 83686 Pocatello, ID 83201 (208) 467-2129 Coeur D'alene, ID 83814 NPI: 1255596771 (208) 239-1960 (208) 765-1345 100 E Idaho St Ste 200 Portugese Boise, ID 83712 83687 Smith, Ian MD ~ (208) 381-9590 NPI: 1942347364 Samoan Bingham Affleck, Brian MD ~✤ NPI: 1386633824 700 Ironwood Dr Ste 236 Blackfoot Coeur D'alene, ID 83814 Meridian 4424 E Flamingo Ave Ste 83221 320 (208) 765-1345 83642 Nampa, ID 83687 Mcgee, Kraig MD ~✤ (208) 367-3320 Post Falls Affleck, Brian MD ~✤ NPI: 1821083544 NPI: 1386633824 98 Poplar At 83854 3277 E Louise Dr Ste 200 Affleck, Brian MD ~✤ Blackfoot, ID 83221 NPI: 1386633824 Beaton, Thomas MD ~✤ Meridian, ID 83642 (208) 235-2277 NPI: 1285719708 (208) 884-2920 9850 W St Lukes Dr Ste 129 750 N Syringa Ste 203 Bonneville Nampa, ID 83687 Post Falls, ID 83854 Boyajian, John MD ~✤ (208) 288-4930 (208) 415-0800 NPI: 1942205604 Idaho Falls 3085 E Magic View Dr Ste 83404 Tacia, Brandy DO ~✤ 140 Jones, Arthur MD ~✤ Capener, Mark MD ~✤ NPI: 1659354223 NPI: 1467667550 Meridian, ID 83642 750 N Syringa St Ste 203A (208) 433-9300 NPI: 1750489100 4424 E Flamingo Ave Ste 2065 E 17Th St Ste B 320 Post Falls, ID 83854 (208) 262-2717 Bannock Idaho Falls, ID 83404 Nampa, ID 83687 (208) 524-7244 (208) 367-3320 Pocatello Nez Perce 83201 Hanks, Kevin DO ~✤ Rustad, Todd MD ~✤ Lewiston NPI: 1306829973 Donladson, David NPI: 1215943295 1582 Elk Creek Dr 4424 E Flamingo Ave Ste 83501 MD ~✤ Idaho Falls, ID 83404 320 Burry, Jeffrey DO ~ NPI: 1114914512 (208) 542-5414 Nampa, ID 83687 NPI: 1275698367 333 N 18Th St Ste B3 Spanish (208) 367-3320 330 Warner Dr Pocatello, ID 83201 Lewiston, ID 83501 (208) 232-2146 (208) 746-0193

148 Specialty Providers / Proveedores Especializados Otolaryngology continued/seguido

Tieu, Coral MD ~✤ Canyon Otology & Meridian NPI: 1649525585 Nampa 83642 2315 8Th St Neurotology Lewiston, ID 83501 83687 Medicap Pharmacy ~ (208) 746-1383 Ada NPI: 1760597793 Garner, Eric MD ~✤ 2790 W Cherry Ln Ste 100 Boise Twin Falls NPI: 1225011893 Meridian, ID 83642 4424 E Flamingo Ave Ste 83713 (208) 805-1070 Twin Falls 320 Nampa, ID 83687 83301 Maughan, Delray MD ~✤ 83646 (208) 367-3320 NPI: 1649253188 Norco Inc ~ Peterson, Kylan DO ~✤ 13900 W Wainwright Dr NPI: 1821158692 NPI: 1750542452 Madison Boise, ID 83713 2882 N Ealgle Rd (208) 938-5823 730 N College Rd Ste B Rexburg Meridian, ID 83646 Twin Falls, ID 83301 (208) 898-0202 (208) 814-7350 83440 Blaine Ketchum Bannock Otolaryngology/ Mcmaster, Jay DO ~✤ NPI: 1972537892 83340 Pocatello Facial Plastic 256 N 2Nd E Rexburg, ID 83440 Mangham, Charles 83202 Surgery (208) 656-9646 MD ~✤ Norco Inc ~ Portugese NPI: 1972565224 NPI: 1659432375 Ada 100 Hospital Dr Ste 201 4639 Yellowstone Hwy Peterson, Barry DO ~✤ Ketchum, ID 83340 Pocatello, ID 83202 Boise NPI: 1447456272 (208) 727-8888 (208) 478-9100 83704 256 N 2Nd E Rexburg, ID 83440 Oxygen Equipment 83204 Garner, Eric MD ~✤ (208) 656-9646 & Supplies Maag Prescription Center NPI: 1225011893 Llc ~ 900 N Liberty St Ste 400 Twin Falls NPI: 1669512257 Boise, ID 83704 Ada 333 W Center St (208) 367-3320 Twin Falls Boise Pocatello, ID 83204 83301 (208) 233-2063 83713 83702 Mayes, Russell DO ~✤ Rodgers, Bret MD ~✤ Norco Inc ~ Elmore NPI: 1316162704 NPI: 1902960396 NPI: 1396763272 730 N College Rd Ste B Mountain Home 6077 N Eagle Rd 400 Main St Twin Falls, ID 83301 Boise, ID 83702 Boise, ID 83713 (208) 814-7350 83647 (208) 939-9000 (208) 344-0299 Norco Inc ~ NPI: 1326109059 Blaine 83704 1405 American Legion Cpapnow ~ Blvd Ketchum NPI: 1518066414 Mountain Home, ID 83340 6128 W Fairview Ave Ste 83647 1A (208) 587-1177 Mayes, Russell DO ~✤ Boise, ID 83704 NPI: 1316162704 (208) 287-1733 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888

149 Specialty Providers / Proveedores Especializados Oxygen Equipment & Supplies continued/seguido

Latah Osipchuk, Alla CNS ~✤ Bingham Martsenyuk, Anna Moscow NPI: 1891116653 Blackfoot NP ~✤ 633 N 4Th St NPI: 1053719161 83843 Boise, ID 83702 83221 409 E Elm St Norco Inc ~ (208) 342-9800 Manjunath, Prashanth Caldwell, ID 83605 NPI: 1225192859 (208) 947-7246 MD ~✤ Russian, Ukrainian 223 W 3Rd St 83704 NPI: 1629227616 Moscow, ID 83843 Martsenyuk, Anna 98 Poplar St (208) 882-3571 NP ~✤ Blackfoot, ID 83221 Osipchuk, Alla CNS ~✤ (208) 782-3701 NPI: 1891116653 Nez Perce NPI: 1053719161 1825 S Kimball Ave 8950 W Emerald St Ste 168 Caldwell, ID 83605 Lewiston Boise, ID 83704 Russell, Daric DO ~✤ (208) 455-3535 (208) 947-7246 NPI: 1154681633 83501 Russian, Ukrainian 1425 Pkwy Dr Kootenai Norco Inc ~ Blackfoot, ID 83221 NPI: 1073674792 Meridian (208) 785-7246 Coeur D'alene 863 Main St 83642 Lewiston, ID 83501 Sneddon, Nathan MD ~ 83814 (208) 743-8384 Bretz, Bradley MD ~✤ NPI: 1427232925 Magnuson, Scott MD ~✤ NPI: 1124016464 98 Poplar St NPI: 1174593404 Twin Falls 520 S Eagle Rd Ste 1222 Blackfoot, ID 83221 1686 W Riverstone Dr Ste (208) 785-4100 Twin Falls Meridian, ID 83642 1 (208) 947-2266 Coeur D'alene, ID 83814 83301 Bonneville (208) 765-4807 Norco Inc ~ Severson, Michael Idaho Falls NPI: 1487715199 MD ~✤ Madison 330 N Haven Dr NPI: 1205827904 83404 Twin Falls, ID 83301 520 S Eagle Rd Ste 1222 Russell, Daric DO ~ Rexburg (208) 734-9330 Meridian, ID 83642 NPI: 1154681633 83440 (208) 947-2266 3385 Potomac Way Russell, Daric DO ~ Snake River Medical Idaho Falls, ID 83404 NPI: 1154681633 Services Inc ~ Bannock (208) 522-7246 NPI: 1124193040 380 Walker Dr Ste 100 Pocatello Rexburg, ID 83440 452 Cheney Dr W Ste 170 Canyon (208) 356-9559 Twin Falls, ID 83301 83201 (208) 735-2252 Caldwell Manjunath, Prashanth Nez Perce 83605 Pain Medicine MD ~✤ Lewiston NPI: 1629227616 Martsenyuk, Anna 83501 Ada 1151 Hospital Way Bldg D NP ~✤ Ste 100 NPI: 1053719161 Caviness, Talmadge Boise Pocatello, ID 83201 1825 S Kimball Ave MD ~ (208) 239-8010 Caldwell, ID 83605 NPI: 1497870091 83702 (208) 455-3535 415 6Th St Martsenyuk, Anna Russian, Ukrainian Lewiston, ID 83501 NP ~✤ (208) 298-3005 NPI: 1053719161 633 N 4Th St Boise, ID 83702 (208) 342-9800 Russian, Ukrainian

150 Specialty Providers / Proveedores Especializados

Pain Medicine - Bingham Smith, Daniel DO ~✤ Poston, Jason MD ~✤ Blackfoot NPI: 1235454901 NPI: 1457527772 Anesthesiology 2375 E Sunnyside Rd Ste F 450 E Main St 83221 Idaho Falls, ID 83404 Rexburg, ID 83440 Ada (208) 535-3626 (208) 522-7246 Hope, Ryan MD ~✤ Boise Portugese NPI: 1881897932 Nez Perce 83702 98 Poplar At Canyon Blackfoot, ID 83221 Lewiston Binegar, William MD ~ (208) 235-2277 NPI: 1457393811 Caldwell 83501 301 W Myrtle St 83605 Hope, Ryan MD ~✤ Vivian, Edward MD ~ Boise, ID 83702 Thompson, Sandra NPI: 1578689600 (208) 342-8200 NPI: 1881897932 98 Poplar St MD ~✤ 415 6Th St Lewiston, ID 83501 Thompson, Sandra Blackfoot, ID 83221 NPI: 1326085713 (208) 785-4100 1825 S Kimball Ave (208) 298-3005 MD ~✤ Caldwell, ID 83605 NPI: 1326085713 (208) 455-3535 Twin Falls 633 N 4Th St Poston, Jason MD ~✤ NPI: 1457527772 Twin Falls Boise, ID 83702 Kootenai (208) 342-9800 1425 Pkwy Dr 83301 Blackfoot, ID 83221 Coeur D'alene Bannock (208) 785-7246 Mcentire, Michael 83814 MD ~✤ Pocatello Smith, Daniel DO ~✤ Ispirescu, Jeffrey MD ~✤ NPI: 1477875094 83201 NPI: 1235454901 NPI: 1952345241 775 Pole Line Rd W Ste 98 Poplar St 1686 W Riverstone Dr Ste 302 Hope, Ryan MD ~✤ Blackfoot, ID 83221 1 Twin Falls, ID 83301 NPI: 1881897932 (208) 782-3701 Coeur D'alene, ID 83814 (208) 814-8725 285 Vista Dr Portugese (208) 765-4807 German Pocatello, ID 83201 Spanish, French, German, (208) 239-8023 Sneddon, Nathan MD ~ Romanian Pain Medicine - NPI: 1427232925 Physical Medicine Poston, Jason MD ~✤ 98 Poplar St Post Falls NPI: 1457527772 Blackfoot, ID 83221 & Rehabilitation 1595 Yellowstone Ave (208) 785-4100 83854 Pocatello, ID 83201 Jameson, Jessica MD ~ Ada (208) 522-7246 Bonneville NPI: 1669573929 1641 E Polston Ave Ste Boise Poston, Jason MD ~ Idaho Falls 101 NPI: 1457527772 83404 Post Falls, ID 83854 83702 1950 E Clark St Ste 110 (208) 457-4208 Poston, Jason MD ~✤ Mallari, Clinton MD ~✤ Pocatello, ID 83201 NPI: 1154345585 (208) 232-7246 NPI: 1457527772 Madison 3101 Valencia Dr 115 W Main St Ste 102 Idaho Falls, ID 83404 Rexburg Boise, ID 83702 Smith, Daniel DO ~✤ (208) 522-7246 (208) 342-4700 NPI: 1235454901 83440 1151 Hospital Way Bldg D Poston, Jason MD ~ Poston, Jason MD ~ 83704 Ste 100 NPI: 1457527772 NPI: 1457527772 Pocatello, ID 83201 380 Walker Dr Ste 100 Marsh, Daniel MD ~✤ 3385 Potomac Way NPI: 1356377535 (208) 239-8010 Idaho Falls, ID 83404 Rexburg, ID 83440 Portugese (208) 356-9559 8950 W Emerald St Ste 168 (208) 522-7246 Boise, ID 83704 (208) 947-7246

151 Specialty Providers / Proveedores Especializados Pain Medicine - Physical Medicine & Rehabilitation continued/seguido

Meridian Periodontics Mildenstein, Kurt Keel, Amanda MD ~ 83642 MD ~✤ NPI: 1063491231 Bannock NPI: 1619238276 1000 N Curtis Rd Ste 202 Rogers, Beth MD ~ 600 N Robbins Rd Ste 300 Boise, ID 83706 NPI: 1427151539 Pocatello Boise, ID 83702 (208) 377-3435 360 E Montvue Dr Ste 100 83201 (208) 489-4016 Meridian, ID 83642 Russian 83712 (208) 855-2900 Cady, Paul ~ NPI: 1619235082 Friedman, Robert Canyon Avesis Third Party Moore, Monte MD ~✤ MD ~✤ Administrators Inc NPI: 1023094901 NPI: 1457337446 Caldwell 1246 Yellowstone Ave Ste 600 N Robbins Rd Ste 300 100 E Idaho St Ste 200 83605 B3 Boise, ID 83702 Boise, ID 83712 Pocatello, ID 83201 (208) 489-4016 (208) 381-7122 Marsh, Daniel MD ~✤ (208) 233-3660 NPI: 1356377535 Quattrone, Barbara Kuna 409 E Elm St Physical Medicine MD ~✤ 83634 Caldwell, ID 83605 NPI: 1093791972 (208) 947-7246 & Rehabilitation 600 N Robbins Rd Ste 300 Whitaker, James DO ~✤ Boise, ID 83702 NPI: 1750692562 Nampa Ada (208) 489-4016 1619 N Linder Rd 83687 Kuna, ID 83634 Boise (208) 322-5922 Rogers, Beth MD ~ Sant, Michael MD ~✤ 83702 NPI: 1861478752 NPI: 1427151539 Meridian 4424 E Flamingo Ave Friedman, Robert 600 N Robbins Rd Ste 300 Nampa, ID 83687 MD ~✤ Boise, ID 83702 83642 (208) 855-2900 NPI: 1457337446 (208) 489-4016 600 N Robbins Rd Cox, Rodde MD ~✤ Gem Entrance 1 Floor 2 Weiss, Michael MD ~✤ NPI: 1417950213 Boise, ID 83702 NPI: 1174574271 520 S Eagle Rd Ste 1243 Emmett 703 S Americana Blvd Ste Meridian, ID 83642 (208) 381-9375 (208) 333-2225 83617 130 Friedman, Robert Boise, ID 83702 Mallari, Clinton MD ~✤ (208) 706-7500 Greenwald, Nancy NPI: 1154345585 MD ~✤ Albanian MD ~✤ 1202 E Locust St NPI: 1457337446 NPI: 1831175819 Emmett, ID 83617 600 N Robbins Rd Ste 300 83704 3551 E Overland Rd (208) 342-4700 Boise, ID 83702 Meridian, ID 83642 (208) 489-4016 Whitaker, James DO ~✤ (208) 884-1333 NPI: 1750692562 Greenwald, Nancy 9510 W Fairview Ave Gussner, Christian MD ~✤ Boise, ID 83704 MD ~✤ NPI: 1831175819 (208) 322-5922 NPI: 1063498954 600 N Robbins Rd Ste 300 3551 E Overland Rd Boise, ID 83702 83706 Meridian, ID 83642 (208) 489-4016 Cox, Rodde MD ~ (208) 884-1333 NPI: 1417950213 Harris, Mark MD ~✤ 1000 N Curtis Rd Ste 202 Harris, Mark MD ~✤ NPI: 1790825842 Boise, ID 83706 NPI: 1790825842 600 N Robbins Rd Ste 300 (208) 377-3435 3551 E Overland Rd Boise, ID 83702 Meridian, ID 83642 (208) 489-4016 (208) 884-1333

152 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Keel, Amanda MD ~✤ Bilstrom, David MD ~✤ Hedin, Tyler MD ~✤ Post Falls NPI: 1063491231 NPI: 1972599132 NPI: 1497012637 83854 520 S Eagle Rd Ste 1243 98 Poplar St 2375 Sunnyside Rd Ste J Meridian, ID 83642 Blackfoot, ID 83221 Idaho Falls, ID 83404 Buckalew, Neilly MD ~ (208) 333-2225 (208) 785-4100 (208) 535-4343 NPI: 1811214786 3372 E Jenalan Ave Post Falls, ID 83854 Moore, Monte MD ~✤ Brown, Bradly PA ~✤ Hedin, Tyler MD ~ (818) 999-3260 NPI: 1023094901 NPI: 1043598477 NPI: 1497012637 3101 Valencia 3551 E Overland Rd 1350 Pkwy Dr Ste 2 Ferrell, Timmy MD ~ Meridian, ID 83642 Blackfoot, ID 83221 Idaho Falls, ID 83404 (208) 522-7246 NPI: 1467563460 (208) 884-1333 (208) 782-2410 3372 E Jenalan Ave Post Falls, ID 83854 Quattrone, Barbara Bonneville Hedin, Tyler MD ~✤ (818) 999-3260 NPI: 1497012637 MD ~✤ Idaho Falls NPI: 1093791972 3101 Valencia Dr Madison 3551 E Overland Rd 83404 Idaho Falls, ID 83404 (208) 522-7246 Rexburg Meridian, ID 83642 Balbierz, Janet MD ~ (208) 884-1333 NPI: 1437113339 83440 3614 Washington Pkwy Simon, David MD ~✤ Balbierz, Janet MD ~ Sant, Michael MD ~✤ Idaho Falls, ID 83404 NPI: 1518908581 NPI: 1437113339 NPI: 1861478752 (208) 535-4343 2375 Sunnyside Rd Ste A 360 E Main St 3551 E Overland Rd Idaho Falls, ID 83404 Rexburg, ID 83440 (208) 535-4343 Meridian, ID 83642 Bilstrom, David MD ~✤ (208) 535-4343 (208) 884-1333 NPI: 1972599132 Franklin 2375 E Sunnyside Rd Ste F Gooch, Judith MD ~ Bannock Idaho Falls, ID 83404 Preston NPI: 1437268588 (208) 535-3626 420 E 4Th N Pocatello 83263 Rexburg, ID 83440 83201 Novich Welter, Lorraine (208) 535-4343 Gooch, Judith MD ~✤ German Hill, Kevin MD ~✤ NPI: 1437268588 MD ~✤ NPI: 1780769075 2375 Sunnyside Rd Ste A NPI: 1497741383 Hedin, Tyler MD ~ 777 Hospital Way Ste 201 Idaho Falls, ID 83404 44 N 1St E NPI: 1497012637 Pocatello, ID 83201 (208) 535-4343 Preston, ID 83263 420 E 4Th N (208) 239-2722 German (435) 554-1949 Rexburg, ID 83440 (208) 535-4343 Kootenai Simon, David MD ~✤ Gooch, Judith MD ~✤ NPI: 1518908581 NPI: 1437268588 Coeur D'alene Twin Falls 777 Hosptial Way Ste 202 2375 Sunnyside Rd Ste J Pocatello, ID 83201 Idaho Falls, ID 83404 83814 Twin Falls (208) 239-2655 (208) 535-4343 83301 German Cooper, Natalie MD ~✤ NPI: 1104138247 Jensen, David DO ~✤ Bingham 2003 Kootenai Health Wy Hedin, Tyler MD ~✤ NPI: 1407808983 Coeur D'alene, ID 83814 714 N College Rd Ste A Blackfoot NPI: 1497012637 (208) 666-2000 83221 2375 Sunnyside Rd Ste A Twin Falls, ID 83301 Idaho Falls, ID 83404 (208) 814-7150 Bilstrom, David MD ~ (208) 535-4343 NPI: 1972599132 326 Poplar St Blackfoot, ID 83221 (208) 782-2980

153 Specialty Providers / Proveedores Especializados Physical Medicine & Rehabilitation continued/seguido

Myers, Jonathan MD ~✤ Barnes, Robert PT ~✤ Dunn, Julie PT ~✤ Hopstad, Jerret PT ~ NPI: 1346436367 NPI: 1912974650 NPI: 1861840662 NPI: 1083620553 738 N College Rd Ste C 1520 W State St Ste 210 1520 W State St Ste 210 1673 W Shoreline St Ste Twin Falls, ID 83301 Boise, ID 83702 Boise, ID 83702 230 (208) 814-7100 (208) 336-8433 (208) 336-8433 Boise, ID 83702 Spanish (208) 343-4700 Ziebarth, Jessica DO ~✤ Bastian, Bret PT ~ NPI: 1467747618 NPI: 1760798375 Dupont, Corey PT ~✤ Kent, Dylan PT ~✤ 738 N College Rd Ste C 1673 W Shoreline St Ste NPI: 1639334279 NPI: 1376919548 Twin Falls, ID 83301 230 1520 W State St Ste 210 1673 W Shoreline Dr Ste (208) 814-7100 Boise, ID 83702 Boise, ID 83702 230 (208) 343-4700 (208) 336-8433 Boise, ID 83702 (208) 343-4700 Physical Therapist Brunelle, Tommy PT ~ NPI: 1730356510 English, Mindy PT ~✤ Kutzner, Kimberly Ada 1673 W Shoreline St Ste NPI: 1093156689 1520 W State St Ste 210 PT ~✤ 230 NPI: 1407123102 Boise Boise, ID 83702 Boise, ID 83702 (208) 336-8433 2302 N Bogus Basin Rd Ste 83702 (208) 343-4700 C Aberg, Jason PT ~ Boise, ID 83702 NPI: 1982611836 Comley, Tayler PT ~✤ Fisher, Naomi PT ~✤ (208) 344-0737 1673 W Shoreline St Ste NPI: 1649714163 NPI: 1669962767 1520 W State St Ste 210 230 1520 W State St Ste 210 Lubbers, Ali PT ~✤ Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 (208) 336-8433 NPI: 1972911196 (208) 343-4700 (208) 336-8433 2302 N Bogus Basin Rd Ste Fox, Christopher PT ~ C Ackerman, Jerrod PT ~✤ Crawford, Jacob PT ~✤ NPI: 1033527767 Boise, ID 83702 NPI: 1487067005 NPI: 1346764701 1673 W Shoreline St Ste (208) 344-0737 1520 W State St Ste 210 1673 W Shoreline Dr Ste 230 Boise, ID 83702 230 Boise, ID 83702 Martin, Pam PT ~ (208) 336-8433 Boise, ID 83702 (208) 343-4700 NPI: 1154380293 (208) 343-4700 1673 W Shoreline St Ste Anderson, Dave PT ~ 230 NPI: 1265870117 Crowe, Christopher Gerhart, Monica PT ~✤ Boise, ID 83702 1673 W Shoreline St Ste NPI: 1326140468 (208) 343-4700 PT ~✤ 1150 W State St Ste 301 230 NPI: 1750871422 Boise, ID 83702 Boise, ID 83702 Mcgrath, Shannon 1673 W Shoreline Dr Ste (208) 367-1528 (208) 343-4700 230 PT ~✤ Boise, ID 83702 NPI: 1609375187 Barbero, Paige PT ~✤ (208) 343-4700 Green, Kari PT ~✤ 1520 W State St Ste 210 NPI: 1063847259 NPI: 1356858609 Boise, ID 83702 1520 W State St Ste 210 1520 W State St Ste 210 Devitt, Michael PT ~✤ (208) 336-8433 Boise, ID 83702 Boise, ID 83702 NPI: 1851455794 (208) 336-8433 (208) 336-8433 1150 W State St Ste 301 Moss, Mark PT ~✤ Boise, ID 83702 Hammer, Jim PT ~ NPI: 1891050068 Barnes, Nicole PT ~✤ (208) 367-1528 NPI: 1245494269 1520 W State St Ste 210 NPI: 1871769307 1673 W Shoreline St Ste Boise, ID 83702 1520 W State St Ste 210 Duke, Catherine PT ~✤ 230 (208) 336-8433 Boise, ID 83702 NPI: 1114363199 Boise, ID 83702 Portugese (208) 336-8433 1520 W State St Ste 210 (208) 343-4700 Boise, ID 83702 (208) 336-8433 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

154 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Oneal, Brian PT ~ Whitworth, Kala PT ~✤ Troxler, Josette PT ~✤ Holgate, Brian PT ~ NPI: 1093970675 NPI: 1619283975 NPI: 1295063113 NPI: 1629312269 1673 W Shoreline St Ste 1520 W State St Ste 210 5909 W State St 554 N Steelhead Wy Ste 230 Boise, ID 83702 Boise, ID 83703 162 Boise, ID 83702 (208) 336-8433 (208) 343-7700 Boise, ID 83704 (208) 343-4700 (208) 323-9747 Woods, Nick PT ~ 83704 Reid, Collin PT ~✤ NPI: 1790792646 Horton, Mary PT ~ Allred, Jason PT ~ NPI: 1154773604 NPI: 1124477716 1673 W Shoreline St Ste NPI: 1417998162 1520 W State St Ste 210 230 554 N Steelhead Wy Ste 554 N Steelhead Wy Ste 162 Boise, ID 83702 Boise, ID 83702 162 (208) 336-8433 (208) 343-4700 Boise, ID 83704 Boise, ID 83704 (208) 323-9747 (208) 323-9747 Scanlan, Stacey PT ~✤ 83703 Huntington, Alexandra NPI: 1689756603 Kolesar, Lisa PT ~✤ Anttonen, Heidi PT ~ PT ~ 2302 N Bogus Basin Rd Ste NPI: 1376500124 NPI: 1538136163 NPI: 1609235415 C 5909 W State St 554 N Steelhead Wy Ste 554 N Steelhead Wy Ste Boise, ID 83702 Boise, ID 83703 162 162 (208) 344-0737 (208) 343-7700 Boise, ID 83704 Boise, ID 83704 (208) 323-9747 (208) 323-9747 Swan, Lisa PT ~ Langley, Randall PT ~ NPI: 1275603086 NPI: 1598852139 Baker, Carmen PT ~✤ Jarvis, Danielle PT ~✤ 1673 W Shoreline St Ste 5470 W State St NPI: 1235208463 230 NPI: 1659433894 Boise, ID 83703 8660 W Emerald St Ste 112 8660 W Emerald St Ste 112 Boise, ID 83702 (208) 344-2525 Boise, ID 83704 (208) 343-4700 Boise, ID 83704 (208) 321-7831 (208) 321-7831 Lowe, Heather PT ~✤ Thatcher, Jody PT ~✤ NPI: 1861711764 Birnbaum, Susan PT ~ Mcdermott, Brian PT ~✤ NPI: 1881759645 5909 W State St NPI: 1245590686 2302 N Bogus Basin Rd Ste NPI: 1649506502 Boise, ID 83703 554 N Steelhead Wy Ste 7550 W Emerald St Ste 101 C (208) 343-7700 162 Boise, ID 83702 Boise, ID 83704 Boise, ID 83704 (208) 375-0666 (208) 344-0737 Peppley, Anthony PT ~ (208) 323-9747 NPI: 1144335860 Miller, James PT ~ Wagner, Lynsey PT ~✤ 5470 W State St Buck, Dustin PT ~✤ NPI: 1942460845 NPI: 1477895498 Boise, ID 83703 NPI: 1669770475 554 N Steelhead Wy Ste 1520 W State St Ste 210 (208) 344-2525 8950 W Emerald St Ste 150 162 Boise, ID 83702 Boise, ID 83704 Boise, ID 83704 (208) 336-8433 Tormey, Rebecca PT ~✤ (208) 376-7313 (208) 323-9747 NPI: 1417224460 Wegley, Roger PT ~✤ 5909 W State St Eichele, Daniel PT ~✤ Moffett, Katrin PT ~✤ NPI: 1306829254 Boise, ID 83703 NPI: 1376964759 NPI: 1568892081 1520 W State St Ste 210 (208) 343-7700 7550 W Emerald St Ste 101 8660 W Emerald St Ste 112 Boise, ID 83702 American Sign Language Boise, ID 83704 Boise, ID 83704 (208) 336-8433 (208) 375-0666 (208) 321-7831 Tracy, Ian PT ~ Weiderman, Brian NPI: 1134643885 Hansen, Christopher Ray, David PT ~✤ PT ~✤ 5470 W State St PT ~✤ NPI: 1386685493 NPI: 1831419332 Boise, ID 83703 NPI: 1346533478 8854 W Emerald St Ste 280 1520 W State St Ste 210 (208) 344-2525 8950 W Emerald St Ste 150 Boise, ID 83704 Boise, ID 83702 Boise, ID 83704 (208) 377-5005 (208) 336-8433 (208) 376-7313 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

155 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Sands, Charles PT ~✤ Oliver, Samantha PT ~✤ Duke, Catherine PT ~✤ Moss, Mark PT ~✤ NPI: 1821034513 NPI: 1821439019 NPI: 1114363199 NPI: 1891050068 7550 W Emerald St Ste 101 5255 Overland Rd 960 Broadway Ave Ste 200 960 Broadway Ave Ste 200 Boise, ID 83704 Boise, ID 83705 Boise, ID 83706 Boise, ID 83706 (208) 375-0666 (208) 338-9486 (208) 433-9211 (208) 433-9211 Portugese Schnell, Sandra PT ~ Richards, Candace Dunn, Julie PT ~✤ NPI: 1194870527 PT ~✤ NPI: 1861840662 Peppley, Anthony PT ~✤ 554 N Steelhead Wy Ste NPI: 1356534218 960 Broadway Ave Ste 200 NPI: 1144335860 162 5255 Overland Rd Boise, ID 83706 1175 E Parkcenter Blvd Ste Boise, ID 83704 Boise, ID 83705 (208) 433-9211 104 (208) 323-9747 (208) 338-9486 Spanish Boise, ID 83706 (208) 344-2525 Starcher, Christine PT ~ NPI: 1740459130 83706 Dupont, Corey PT ~✤ 554 N Steelhead Wy Ste Ackerman, Jerrod PT ~✤ NPI: 1639334279 Reid, Collin PT ~✤ 162 NPI: 1487067005 960 Broadway Ave Ste 200 NPI: 1124477716 Boise, ID 83704 960 Broadway Ave Ste 200 Boise, ID 83706 960 Broadway Ave Ste 200 (208) 323-9747 Boise, ID 83706 (208) 433-9211 Boise, ID 83706 (208) 433-9211 (208) 433-9211 Wilson, Ashley PT ~✤ English, Mindy PT ~✤ NPI: 1750715157 Axtell, April PT ~✤ NPI: 1093156689 Tracy, Ian PT ~✤ 8854 W Emerald St Ste 280 NPI: 1841606167 960 Broadway Ave Ste 200 NPI: 1134643885 Boise, ID 83704 960 Broadway Ave Ste 200 Boise, ID 83706 1175 E Parkcenter Blvd Ste (208) 377-5005 Boise, ID 83706 (208) 433-9211 104 (208) 433-9211 Boise, ID 83706 83705 Fisher, Naomi PT ~✤ (208) 344-2525 NPI: 1669962767 Basse, Andrea PT ~✤ Barnes, Nicole PT ~✤ 960 Broadway Ave Ste 200 Wagner, Lynsey PT ~✤ NPI: 1356756290 NPI: 1871769307 Boise, ID 83706 NPI: 1477895498 5255 Overland Rd 960 Broadway Ave Ste 200 (208) 433-9211 960 Broadway Ave Ste 200 Boise, ID 83705 Boise, ID 83706 Boise, ID 83706 (208) 338-9486 (208) 433-9211 Langley, Randall PT ~✤ (208) 433-9211 NPI: 1598852139 Chow, Bridget PT ~✤ Booth, Matthew PT ~✤ 1175 E Parkcenter Blvd Ste Wegley, Roger PT ~✤ NPI: 1063418796 NPI: 1265416291 104 NPI: 1306829254 5255 Overland Rd 960 Broadway Ave Ste 200 Boise, ID 83706 960 Broadway Ave Ste 200 Boise, ID 83705 Boise, ID 83706 (208) 344-2525 Boise, ID 83706 (208) 338-9486 (208) 433-9211 (208) 433-9211 Brinkman, Kenna PT ~ Maleki, Samir PT ~ Dover, Twila PT ~✤ NPI: 1922452614 NPI: 1184004764 Weiderman, Brian NPI: 1538165170 1961 S Broadway 1961 S Broadway PT ~✤ 5255 Overland Rd Boise, ID 83706 Boise, ID 83706 NPI: 1831419332 Boise, ID 83705 (208) 422-9826 (208) 422-9826 960 Broadway Ave Ste 200 (208) 338-9486 Boise, ID 83706 Mcgrath, Shannon (208) 433-9211 Mcmartin, William Comley, Tayler PT ~✤ NPI: 1649714163 PT ~✤ PT ~✤ 960 Broadway Ave Ste 200 NPI: 1609375187 NPI: 1568904274 Boise, ID 83706 960 Broadway Ave Ste 200 5255 Overland Rd (208) 433-9211 Boise, ID 83706 Boise, ID 83705 (208) 433-9211 (208) 338-9486

156 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

White, Brian PT ~ 83712 Patterson, Reid PT ~✤ Crawford, Jacob PT ~✤ NPI: 1477657468 Mason, Robert PT ~ NPI: 1750319745 NPI: 1346764701 1907 S Broadway Ave Ste NPI: 1114308046 4776 N Five Mile Rd Ste 645 E State St Ste 101 203 1075 E Park Blvd 101 Eagle, ID 83616 Boise, ID 83706 Boise, ID 83712 Boise, ID 83713 (208) 939-9594 (208) 422-9826 (208) 381-5970 (208) 658-9500 Crowe, Christopher Whitworth, Kala PT ~✤ 83713 Zacher, Tyler PT ~✤ PT ~✤ NPI: 1619283975 NPI: 1437564895 NPI: 1750871422 960 Broadway Ave Ste 200 Adams, Robert PT ~ NPI: 1881775633 5520 N Eagle Rd Ste 102 645 E State St Ste 101 Boise, ID 83706 Boise, ID 83713 Eagle, ID 83616 (208) 433-9211 12072 Mcmillan Rd Boise, ID 83713 (208) 938-5255 (208) 939-9594 83709 (208) 939-0533 Spanish Eagle Dunn, Julie PT ~✤ Barney, Alexander 83616 NPI: 1861840662 12 N Fisher Park Wy Ste PT ~✤ Cope, Adam PT ~✤ Aberg, Jason PT ~ NPI: 1386193035 NPI: 1811081896 100 NPI: 1982611836 Eagle, ID 83616 10790 W Overland Rd 5520 N Eagle Rd Ste 102 645 E State St Ste 101 Boise, ID 83709 Boise, ID 83713 (208) 939-0140 Eagle, ID 83616 Spanish (208) 322-8709 (208) 938-5255 (208) 939-9594 Fox, Christopher PT ~ Box, Jeffrey PT ~ Graham, Sarah Jo PT ~✤ NPI: 1104928258 Anderson, Dave PT ~ NPI: 1033527767 NPI: 1386758464 NPI: 1265870117 645 E State St Ste 101 1435 S Maple Grove Rd 5418 N Eagle Rd Ste 170 Boise, ID 83709 645 E State St Ste 101 Eagle, ID 83616 Boise, ID 83713 Eagle, ID 83616 (208) 939-9594 (208) 322-6200 (208) 501-8264 (208) 939-9594 Foxton, Emily PT ~ Cope, Adam PT ~✤ Kuznia, Benjamin PT ~✤ Bastian, Bret PT ~ NPI: 1538684915 NPI: 1811081896 NPI: 1144518937 NPI: 1760798375 77 N Fisher Park Way 10790 W Overland Rd 5520 N Eagle Rd Ste 102 645 E State St Ste 101 Eagle, ID 83616 Boise, ID 83709 Boise, ID 83713 Eagle, ID 83616 (208) 972-0918 (208) 322-8709 (208) 938-5255 (208) 939-9594 Herauf, Kyle PT ~ Candau, Matthew PT ~ Graham, Sarah Jo PT ~✤ NPI: 1609208156 Maughan, Kyle PT ~✤ NPI: 1457746067 NPI: 1386758464 1435 S Maple Grove Rd NPI: 1689088726 450 W State Ste Ste 270 457 S Fitness Pl Ste 100 Boise, ID 83709 4776 N Five Mile Rd Ste Eagle, ID 83616 Eagle, ID 83616 (208) 322-6200 101 (925) 856-7007 (208) 939-3332 Boise, ID 83713 (208) 658-9500 Jones, Alvin PT ~ Collins, Gina PT ~✤ Green, Kari PT ~✤ NPI: 1437187663 NPI: 1871678037 NPI: 1356858609 9362 W Overland Rd Oliver, Samantha PT ~✤ 457 S Fitness Pl Ste 100 12 N Fisher Park Wy Ste Boise, ID 83709 NPI: 1821439019 Eagle, ID 83616 100 (208) 672-8144 5418 N Eagle Rd Ste 170 (208) 939-3332 Eagle, ID 83616 Boise, ID 83713 (208) 939-0140 Kuznia, Benjamin PT ~✤ (208) 501-8264 Comley, Tayler PT ~✤ Hammer, Jim PT ~ NPI: 1144518937 NPI: 1649714163 10790 W Overland Rd NPI: 1245494269 12 N Fisher Park Wy Ste 645 E State St Ste 101 Boise, ID 83709 100 (208) 322-8709 Eagle, ID 83616 Eagle, ID 83616 (208) 939-9594 (208) 939-0140

157 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Herauf, Kyle PT ~✤ Mason, Robert PT ~✤ Simonson, Jared PT ~ Garden City NPI: 1609208156 NPI: 1114308046 NPI: 1194001297 83714 875 E Plaza Dr 875 E Plaza Dr 77 N Fisher Park Way Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 Vanderford, Christian (208) 939-0886 (208) 939-0886 (208) 972-0918 PT ~ NPI: 1770747404 Swan, Lisa PT ~ 210 E 37Th St Ste 1 Hopstad, Jerret PT ~ Moss, Mark PT ~✤ NPI: 1083620553 NPI: 1275603086 Garden City, ID 83714 NPI: 1891050068 645 E State St Ste 101 (208) 255-8364 645 E State St Ste 101 12 N Fisher Park Wy Ste Eagle, ID 83616 Eagle, ID 83616 100 (208) 939-9594 Kuna (208) 939-9594 Eagle, ID 83616 (208) 939-0140 83634 Horton, Mary PT ~ Portugese Thomason, Jeffrey PT ~✤ NPI: 1154773604 NPI: 1538253752 Bailey, Greg PT ~✤ 868 E Riverside Dr Ste 170 875 E Plaza Dr NPI: 1215220587 Eagle, ID 83616 Oliver, Samantha PT ~✤ Eagle, ID 83616 943 N Linder Rd Ste 104 (208) 514-0670 NPI: 1821439019 (208) 939-0886 Kuna, ID 83634 457 S Fitness Pl Ste 100 (208) 922-1719 Eagle, ID 83616 Kent, Dylan PT ~✤ (208) 939-3332 Tracy, Ian PT ~✤ Box, Jeffrey PT ~ NPI: 1376919548 NPI: 1134643885 NPI: 1104928258 645 E State St Ste 101 Oneal, Brian PT ~ 457 S Fitness Pl Ste 100 672 E Wythe Creek Ct Ste Eagle, ID 83616 NPI: 1093970675 Eagle, ID 83616 103 (208) 939-9594 645 E State St Ste 101 (208) 939-3332 Kuna, ID 83634 Eagle, ID 83616 (208) 922-9828 Korell, Khristopher (208) 939-9594 Weiderman, Brian PT ~✤ PT ~✤ Boynton, Andrew PT ~✤ NPI: 1336433184 Peppley, Anthony PT ~✤ NPI: 1831419332 NPI: 1356841050 1159 E Iron Eagle Dr Ste NPI: 1144335860 12 N Fisher Park Wy Ste 943 N Linder Rd Ste 104 170D 457 S Fitness Pl Ste 100 100 Kuna, ID 83634 Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 (208) 922-1719 (208) 209-3242 (208) 939-3332 (208) 939-0140 Woods, Nick PT ~ Danielson, Galen PT ~✤ Langley, Randall PT ~✤ Reid, Collin PT ~✤ NPI: 1225123599 NPI: 1598852139 NPI: 1790792646 NPI: 1124477716 645 E State St Ste 101 943 N Linder Rd Ste 104 457 S Fitness Pl Ste 100 12 N Fisher Park Wy Ste Kuna, ID 83634 Eagle, ID 83616 Eagle, ID 83616 100 (208) 939-9594 (208) 922-1719 (208) 939-3332 Eagle, ID 83616 (208) 939-0140 Haugen, Cody PT ~ Lougheed, Christopher Yuly, Steven PT ~✤ NPI: 1750759205 PT ~ Scott, Lauren PT ~ NPI: 1679669436 672 E Wythe Creek Ct Ste NPI: 1760627038 NPI: 1437266723 457 S Fitness Pl Ste 100 103 77 N Fisher Park Way 645 E State St Ste 101 Eagle, ID 83616 Kuna, ID 83634 Eagle, ID 83616 Eagle, ID 83616 (208) 939-3332 (208) 922-9828 (208) 972-0918 (208) 939-9594 Hulsey, Kevin PT ~✤ Martin, Pam PT ~ Shatto, Benjamin RPT ~ NPI: 1154380293 NPI: 1114012788 NPI: 1609960947 943 N Linder Rd Ste 104 645 E State St Ste 101 1396 E Iron Eagle Dr Ste Eagle, ID 83616 Kuna, ID 83634 100 (208) 922-1719 (208) 939-9594 Eagle, ID 83616 (208) 870-3350

158 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Hunsaker, Nathan PT ~✤ Meridian Bastian, Bret PT ~ Dunn, Julie PT ~✤ NPI: 1871687970 83642 NPI: 1760798375 NPI: 1861840662 943 N Linder Rd Ste 104 1618 S Millenium Way 3645 E Overland Rd Kuna, ID 83634 Aberg, Jason PT ~ Suite 210 Meridian, ID 83642 (208) 922-1719 NPI: 1982611836 Meridian, ID 83642 (208) 888-7765 1618 S Millenium Way (208) 884-4647 Spanish Suite 210 Muir, James PT ~✤ Meridian, ID 83642 NPI: 1558794552 (208) 884-4647 Booth, Matthew PT ~✤ Dupont, Corey PT ~✤ 943 N Linder Rd Ste 104 NPI: 1265416291 NPI: 1639334279 Kuna, ID 83634 3645 E Overland Rd 3645 E Overland Rd (208) 922-1719 Ackerman, Jerrod PT ~✤ Meridian, ID 83642 Meridian, ID 83642 NPI: 1487067005 (208) 888-7765 (208) 888-7765 Peterson, Kimberlee PT ~ 3645 E Overland Rd Meridian, ID 83642 Box, Jeffrey PT ~ NPI: 1992807036 English, Mindy PT ~✤ 672 E Wythe Creek Ct Ste (208) 888-7765 NPI: 1104928258 1450 E Fairview Ave Ste NPI: 1093156689 103 3645 E Overland Rd Kuna, ID 83634 Adams, Robert PT ~✤ 201 Meridian, ID 83642 Meridian, ID 83642 (208) 922-9828 NPI: 1881775633 (208) 888-7765 2316 S Eagle Rd (208) 887-6757 Rowan, Andrea PT ~✤ Meridian, ID 83642 (208) 286-2707 Comley, Tayler PT ~✤ Fisher, Naomi PT ~✤ NPI: 1669823464 NPI: 1669962767 943 N Linder Rd Ste 104 Spanish NPI: 1649714163 3645 E Overland Rd 3645 E Overland Rd Kuna, ID 83634 Meridian, ID 83642 (208) 922-1719 Anderson, Dave PT ~ Meridian, ID 83642 NPI: 1265870117 (208) 888-7765 (208) 888-7765 1618 S Millenium Way Shaw, Clayton PT ~✤ Suite 210 Cope, Adam PT ~✤ Folger, Kristen PT ~✤ NPI: 1245586270 Meridian, ID 83642 NPI: 1780052720 943 N Linder Rd Ste 104 NPI: 1811081896 (208) 884-4647 3551 E Overland Rd 2316 S Eagle Rd Kuna, ID 83634 Meridian, ID 83642 (208) 922-1719 Meridian, ID 83642 Barbero, Paige PT ~✤ (208) 888-3900 (208) 286-2707 Vanderford, Christian NPI: 1063847259 3645 E Overland Rd Fox, Christopher PT ~✤ PT ~✤ Crawford, Jacob PT ~✤ Meridian, ID 83642 NPI: 1346764701 NPI: 1033527767 NPI: 1770747404 (208) 888-7765 1618 S Millennium Wy Ste 943 N Linder Rd Ste 104 1618 S Millennium Wy Ste 210 210 Kuna, ID 83634 Meridian, ID 83642 (208) 922-1719 Barnes, Nicole PT ~✤ Meridian, ID 83642 NPI: 1871769307 (208) 884-4647 (208) 884-4647 White, Brian PT ~ 3645 E Overland Rd NPI: 1477657468 Meridian, ID 83642 Crothers, Al PT ~ Green, Kari PT ~✤ 672 E Wythe Creek Ct Ste (208) 888-7765 NPI: 1497976401 NPI: 1356858609 103 1618 S Millenium Way 3645 E Overland Rd Kuna, ID 83634 Barnes, Robert PT ~✤ Suite 210 Meridian, ID 83642 (208) 922-9828 NPI: 1912974650 Meridian, ID 83642 (208) 888-7765 3645 E Overland Rd (208) 884-4647 Meridian, ID 83642 Hammer, Jim PT ~ (208) 888-7765 Duke, Catherine PT ~✤ NPI: 1245494269 NPI: 1114363199 1618 S Millenium Way 3645 E Overland Rd Suite 210 Meridian, ID 83642 Meridian, ID 83642 (208) 888-7765 (208) 884-4647

159 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Henderson, Heather Lowe, Heather PT ~✤ Reid, Collin PT ~✤ Tormey, Rebecca PT ~✤ PT ~✤ NPI: 1861711764 NPI: 1124477716 NPI: 1417224460 NPI: 1396070538 2690 S Eagle Rd Ste 100 3645 E Overland Rd 3919 E Overland Rd 1626 S Wells Ave Ste 105 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 898-1468 (208) 888-7765 (208) 898-1468 (208) 789-0200 American Sign Language Lowe, Heather PT ~✤ Riddle, Charles PT ~✤ Hopstad, Jerret PT ~ NPI: 1861711764 NPI: 1366536609 Troxler, Josette PT ~✤ NPI: 1083620553 3919 E Overland Rd 1626 S Wells Ave Ste 105 NPI: 1295063113 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 2690 S Eagle Rd Ste 100 Suite 210 (208) 898-1468 (208) 789-0200 Meridian, ID 83642 Meridian, ID 83642 (208) 898-1468 (208) 884-4647 Martin, Pam PT ~ Schow, Michael PT ~ NPI: 1154380293 NPI: 1154424752 Troxler, Josette PT ~✤ Kibiloski, Sarah PT ~ 1618 S Millenium Way 1450 E Fairview Ave Ste NPI: 1750833927 NPI: 1295063113 Suite 210 201 3919 E Overland Rd 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 Suite 210 Meridian, ID 83642 (208) 884-4647 (208) 887-6757 (208) 898-1468 Meridian, ID 83642 Danish (208) 884-4647 Moss, Mark PT ~✤ Wagner, Lynsey PT ~✤ NPI: 1891050068 Scott, Lauren PT ~ Kolesar, Lisa PT ~✤ NPI: 1437266723 NPI: 1477895498 3645 E Overland Rd 3645 E Overland Rd NPI: 1376500124 Meridian, ID 83642 1618 S Millenium Way 2690 S Eagle Rd Ste 100 Suite 210 Meridian, ID 83642 (208) 888-7765 (208) 888-7765 Meridian, ID 83642 Portugese Meridian, ID 83642 (208) 898-1468 (208) 884-4647 Myhre, Ryan PT ~ Wegley, Roger PT ~✤ Kolesar, Lisa PT ~✤ NPI: 1851494637 Swan, Lisa PT ~ NPI: 1306829254 NPI: 1376500124 1450 E Fairview Ave Ste NPI: 1275603086 3645 E Overland Rd 3919 E Overland Rd 201 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Suite 210 (208) 888-7765 (208) 898-1468 (208) 887-6757 Meridian, ID 83642 (208) 884-4647 Weiderman, Brian Kosberg, Paula PT ~✤ Olsen, Nicole PT ~ PT ~✤ NPI: 1770878779 NPI: 1740439470 Taylor, Jeffrey PT ~✤ NPI: 1831419332 2690 S Eagle Rd Ste 100 1618 S Millenium Way NPI: 1346501962 3645 E Overland Rd Meridian, ID 83642 Suite 210 2316 S Eagle Rd Meridian, ID 83642 (208) 898-1468 Meridian, ID 83642 Meridian, ID 83642 (208) 888-7765 (208) 884-4647 (208) 286-2707 Kuznia, Benjamin PT ~✤ Whitworth, Kala PT ~✤ Oneal, Brian PT ~ Tormey, Rebecca PT ~✤ NPI: 1144518937 NPI: 1093970675 NPI: 1619283975 3551 E Overland Rd NPI: 1417224460 3645 E Overland Rd 1618 S Millenium Way 2690 S Eagle Rd Ste 100 Meridian, ID 83642 Suite 210 Meridian, ID 83642 (208) 888-3900 Meridian, ID 83642 (208) 888-7765 Meridian, ID 83642 (208) 898-1468 (208) 884-4647 American Sign Language Loder, Molly PT ~ Winn, Esther PT ~✤ NPI: 1588915797 Ray, David PT ~ NPI: 1649778978 360 E Montvue Dr Ste 100 NPI: 1386685493 3919 E Overland Rd Meridian, ID 83642 3090 Gentry Way #250 Meridian, ID 83642 (208) 855-2900 Meridian, ID 83642 (208) 898-1468 (208) 888-0044

160 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Woods, Nick PT ~ Holgate, Brian PT ~ Miller, James PT ~ Vanderford, Christian NPI: 1790792646 NPI: 1629312269 NPI: 1942460845 PT ~✤ 1618 S Millenium Way 50 E James Ct Ste A 50 E James Ct Ste A NPI: 1770747404 Suite 210 Meridian, ID 83646 Meridian, ID 83646 745 S Progress Ave Meridian, ID 83642 (208) 895-0715 (208) 895-0715 Meridian, ID 83646 (208) 884-4647 (208) 895-0309 Horton, Mary PT ~ Muir, James PT ~✤ 83646 NPI: 1154773604 NPI: 1558794552 50 E James Ct Ste A Weishaar, Jamie PT ~✤ Allred, Jason PT ~ 1560 S Carol St NPI: 1871632646 Meridian, ID 83646 Meridian, ID 83646 NPI: 1417998162 (208) 895-0715 745 S Progress Ave 1588 W Cayuse Creek Dr (208) 287-9420 Meridian, ID 83646 Ste 200 (208) 895-0309 Meridian, ID 83646 Hulsey, Kevin PT ~✤ Peterson, James PT ~ (208) 515-7575 NPI: 1114012788 NPI: 1669432076 1560 S Carol St 50 E James Ct Ste A Star Anttonen, Heidi PT ~ Meridian, ID 83646 Meridian, ID 83646 83669 NPI: 1538136163 (208) 287-9420 (208) 895-0715 1588 W Cayuse Creek Dr Nichols, Brian PT ~✤ Ste 200 NPI: 1679679088 Hulsey, Kevin PT ~✤ Pierce, Brett PT ~✤ 9652 W State St Meridian, ID 83646 NPI: 1114012788 NPI: 1740614569 (208) 515-7575 Star, ID 83669 745 S Progress Ave 1532 W Cayuse Creek Dr (208) 286-0766 Meridian, ID 83646 Meridian, ID 83646 Anttonen, Heidi PT ~ (208) 895-0309 (208) 996-6612 NPI: 1538136163 Bulgarian Nichols, Judianne PT ~✤ 50 E James Ct Ste A Huntington, Alexandra NPI: 1184794810 Meridian, ID 83646 9652 W State St PT ~ Ray, David PT ~✤ (208) 895-0715 NPI: 1609235415 Star, ID 83669 NPI: 1386685493 (208) 286-0766 50 E James Ct Ste A 3140 W Milano Dr Ste 100 Birnbaum, Susan PT ~ Meridian, ID 83646 NPI: 1245590686 Meridian, ID 83646 (208) 895-0715 (208) 895-0022 Williams, Eric PT ~✤ 50 E James Ct Ste A NPI: 1437540168 Meridian, ID 83646 Leibler, Maria PT ~ 64 S Star Rd (208) 895-0715 Schnell, Sandra PT ~ NPI: 1881051860 NPI: 1194870527 Star, ID 83669 50 E James Ct Ste A 50 E James Ct Ste A (208) 488-4250 Cope, Adam PT ~✤ Meridian, ID 83646 Meridian, ID 83646 Spanish NPI: 1811081896 (208) 895-0715 (208) 895-0715 745 S Progress Ave Adams Meridian, ID 83646 Miller, James PT ~ (208) 895-0309 NPI: 1942460845 Smith, Matthew PT ~✤ Council 1588 W Cayuse Creek Dr NPI: 1851495030 745 S Progress Ave 83612 Danielson, Galen PT ~✤ Ste 200 Meridian, ID 83646 Meridian, ID 83646 Cole, Jean PT ~✤ NPI: 1225123599 (208) 895-0309 1560 S Carol St (208) 515-7575 NPI: 1871768119 205 N Berkley St Meridian, ID 83646 Starcher, Christine PT ~ (208) 287-9420 Miller, James PT ~✤ Council, ID 83612 NPI: 1740459130 (208) 253-4242 NPI: 1942460845 50 E James Ct Ste A Danielson, Galen PT ~✤ 3140 W Milano Dr Ste 100 Meridian, ID 83646 NPI: 1225123599 Meridian, ID 83646 (208) 895-0715 745 S Progress Ave (208) 895-0022 Meridian, ID 83646 (208) 895-0309

161 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Bannock Beckstead, Robert PT ~ Rasmussen, Corey PT ~✤ Klitgaard, Steven PT ~✤ NPI: 1649769134 Chubbuck NPI: 1578665329 NPI: 1336528009 675 Yellowstone Ave Ste 1 2240 E Center St 1800 Flandro Dr Ste 190 83202 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83202 (208) 478-1488 (208) 478-1488 (208) 233-2248 Ellis, Sadie PT ~✤ NPI: 1326285560 Harris, William PT ~✤ 265 E Chubbuck Rd Ste A Rasmussen, Corey PT ~✤ Lemon, Richard PT ~✤ NPI: 1366989659 NPI: 1578665329 NPI: 1487646733 Chubbuck, ID 83202 2240 E Center St (208) 417-0011 2240 E Center St Ste D 1033 W Quinn Rd Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83202 (208) 478-1488 (208) 478-1488 (208) 233-4800 Flicker, Timothy PT ~✤ Spanish NPI: 1215088059 Harris, William PT ~✤ 4922 Yellowstone Ave Ste J Rasmussen, Corey PT ~✤ NPI: 1366989659 NPI: 1578665329 Mcdonald, Bart PT ~✤ Chubbuck, ID 83202 2240 E Center St Ste D (208) 237-1882 495 Yellowstone Ave Ste B NPI: 1043332901 Pocatello, ID 83201 Pocatello, ID 83201 1800 Flandro Dr Ste 190 (208) 478-1488 (208) 478-1488 Pocatello, ID 83202 Higbee, Shawn PT ~✤ (208) 233-2248 NPI: 1467707919 Harris, William PT ~✤ 265 E Chubbuck Rd Ste A Sidwell, Randy PT ~✤ NPI: 1366989659 NPI: 1962547257 Merrill, Melissa PT ~ Chubbuck, ID 83202 495 Yellowstone Ave Ste B NPI: 1912225335 (208) 417-0011 333 N 18Th Ave Ste D2 Pocatello, ID 83201 Pocatello, ID 83201 1800 Flandro Dr Ste 110 (208) 478-1488 (208) 232-6490 Pocatello, ID 83202 Mckee, Jared PT ~✤ (208) 233-2248 NPI: 1649401407 Higbee, Shawn PT ~✤ Vaughn-Powell, Joni 265 E Chubbuck Rd Ste A NPI: 1467707919 PT ~ Merrill, Melissa PT ~✤ Chubbuck, ID 83202 500 S 11Th St Ste 500 NPI: 1962465344 NPI: 1912225335 (208) 417-0011 Pocatello, ID 83201 1951 E Bench Rd Ste E 1800 Flandro Dr Ste 190 (208) 239-1940 Pocatello, ID 83201 Pocatello, ID 83202 Pocatello (208) 237-2080 (208) 233-2248 83201 Hunt, Timothy PT ~✤ NPI: 1700125861 83202 Mooney, Jessica PT ~✤ Anderson, Jordan PT ~✤ 560 Memorial Dr Ste C NPI: 1588030290 NPI: 1932510690 Ellis, Sadie PT ~✤ Pocatello, ID 83201 NPI: 1326285560 1033 W Quinn Rd 2240 E Center St (208) 232-4267 Pocatello, ID 83202 Pocatello, ID 83201 1800 Flandro Dr Ste 190 (208) 233-4800 (208) 678-1191 Pocatello, ID 83202 Marshall, R Lance PT ~✤ (208) 233-2248 NPI: 1376688648 Peterson, Emilie PT ~✤ Arroyo, Bryan PT ~✤ 2240 E Center St Goode, Andrew PT ~✤ NPI: 1588065882 NPI: 1457802191 Pocatello, ID 83201 1800 Flandro Dr Ste 190 560 Memorial Dr Ste C NPI: 1447698113 (208) 678-1191 1800 Flandro Dr Ste 190 Pocatello, ID 83202 Pocatello, ID 83201 Spanish (208) 233-2248 (208) 232-4267 Pocatello, ID 83202 (208) 233-2248 Marshall, R Lance PT ~✤ Schultz, Robyn PT ~✤ Bates, John PT ~✤ NPI: 1376688648 Klitgaard, Steven PT ~ NPI: 1265603641 NPI: 1881806404 333 N 18Th Ave Ste D2 1033 W Quinn Rd 560 Memorial Dr Ste C NPI: 1336528009 Pocatello, ID 83201 1800 Flandro Dr Ste 110 Pocatello, ID 83202 Pocatello, ID 83201 (208) 232-6490 (208) 233-4800 (208) 232-4267 Pocatello, ID 83202 Spanish (208) 233-2248

162 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Schultz, Robyn PT ~✤ Ralphs, James PT ~✤ Bingham Boise NPI: 1265603641 NPI: 1427009398 Blackfoot Garden Valley 1800 Flandro Dr Ste 190 1400 Terry Dr Bldg 63 Pocatello, ID 83202 Pocatello, ID 83209 83221 83622 (208) 233-2248 (208) 282-2590 Barnes, Trevor PT ~ Danish Maughan, Kyle PT ~✤ NPI: 1720340060 NPI: 1689088726 Tovey, Candice PT ~✤ 1250 W Bridge St Ste F 856 Banks Lowman Rd NPI: 1194130856 Sampson, Sharon PT ~✤ Blackfoot, ID 83221 Garden Valley, ID 83622 1800 Flandro Dr Ste 190 NPI: 1043499890 (208) 785-8018 (208) 462-3533 Pocatello, ID 83202 1400 Terry Dr Bldg 63 (208) 233-2248 Pocatello, ID 83209 Blaine (208) 282-2590 Patterson, Reid PT ~✤ 83209 Hailey NPI: 1750319745 83333 856 Banks Lowman Rd Creelman, James PT ~✤ Seiger, Cindy PT ~✤ Garden Valley, ID 83622 NPI: 1881805109 NPI: 1548467509 Hogan, Mary PT ~✤ (208) 462-3533 1400 Terry Dr Bldg 63 1400 Terry Dr Bldg 63 NPI: 1376602136 Pocatello, ID 83209 21 E Maple Ste D Horseshoe Bend Pocatello, ID 83209 (208) 282-2590 (208) 282-2590 Hailey, ID 83333 83629 (208) 481-0275 Dye, Deanna PT ~✤ Urfer, Alexander PT ~✤ Patterson, Reid PT ~✤ NPI: 1891848347 NPI: 1609084136 Mazik, Kimberly PT ~✤ NPI: 1750319745 1400 Terry Dr Room 202 1400 Terry Dr Bldg 63 NPI: 1801884499 400 Idaho Hwy 55 Ste A Pocatello, ID 83209 Pocatello, ID 83209 1014 Business Park Dr Horseshoe Bend, ID 83629 (208) 282-2590 (208) 282-2590 Hailey, ID 83333 (208) 658-9500 German (208) 788-6312 Bonner Dye, Deanna PT ~✤ NPI: 1891848347 Vail, Kaitlin PT ~✤ Mcdermott, Brian PT ~✤ Sandpoint 921 S 8Th Ave NPI: 1063937134 NPI: 1649506502 Pocatello, ID 83209 1400 Terry Dr Bldg 63 1014 Business Park Dr 83864 Pocatello, ID 83209 Hailey, ID 83333 Benner-Erickson, Shawna (208) 282-3495 (208) 282-2590 (208) 788-6312 PT ~✤ Foley, Michael PT ~✤ Benewah NPI: 1699802553 NPI: 1881921476 Ketchum 1005 Highway 2 W 1400 Terry Dr Room 202 Saint Maries 83340 Sandpoint, ID 83864 Pocatello, ID 83209 83861 (208) 263-1632 (208) 282-2590 Droege, Karoline PT ~ NPI: 1730271511 Thome, Amanda PT ~✤ 245 Raven Rd Jones, Jennifer PT ~✤ Gerber, L Derek PT ~✤ NPI: 1215237201 Ketchum, ID 83340 NPI: 1710206776 NPI: 1275753469 229 S 7Th Ave (208) 726-7246 1301 N Division Ave 1400 Terry Dr Bldg 63 Saint Maries, ID 83861 German Sandpoint, ID 83864 Pocatello, ID 83209 (208) 245-2591 (208) 265-0610 (208) 282-2590 Sela, Kyle PT ~ Korean NPI: 1811163579 Price, Julie PT ~ 245 Raven Rd NPI: 1285641316 Jackman, Trent PT ~✤ Ketchum, ID 83340 1905 W Pine St NPI: 1053503193 (208) 726-7246 Sandpoint, ID 83864 1400 Terry Dr Room 202 (208) 263-7998 Pocatello, ID 83209 (208) 282-2590

163 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Smith, Amy PT ~ Muir, James PT ~✤ Goode, Andrew PT ~✤ Lasco-Sanders, Kari NPI: 1487906624 NPI: 1558794552 NPI: 1447698113 PT ~✤ 1905 W Pine St 720 S Woodruff Ave 3345 Potomac Way NPI: 1760621080 Sandpoint, ID 83864 Idaho Falls, ID 83401 Idaho Falls, ID 83404 3155 Channing Way Ste D (208) 263-7998 (208) 552-5025 (208) 417-0090 Idaho Falls, ID 83404 (208) 552-2700 Thome, Amanda PT ~✤ 83404 Hulsey, Kevin PT ~✤ NPI: 1215237201 Anderson, Michael NPI: 1114012788 Liddle, Stephanie PT ~✤ 1327 Superior St Ste 101 3155 Channing Way Ste D NPI: 1942489794 Sandpoint, ID 83864 PT ~✤ Idaho Falls, ID 83404 3125 Valencia Drive (208) 263-9757 NPI: 1932325974 (208) 552-2700 Idaho Falls, ID 83404 3715 Woodking Dr (208) 529-3332 Bonneville Idaho Falls, ID 83404 (208) 529-2255 Hunsaker, Nathan PT ~✤ Idaho Falls NPI: 1871687970 Loertscher, Jed PT ~✤ 83401 Bailey, Greg PT ~✤ 3155 Channing Way Ste D NPI: 1417383654 NPI: 1215220587 Idaho Falls, ID 83404 3155 Channing Way Ste D Adams, Kendall PT ~✤ 3155 Channing Way Ste D (208) 552-2700 Idaho Falls, ID 83404 NPI: 1821598178 Idaho Falls, ID 83404 (208) 552-2700 720 S Woodruff Ave (208) 552-2700 Jones, Jeremy PT ~✤ Idaho Falls, ID 83401 NPI: 1013953462 Mcdonald, Bart PT ~✤ (208) 552-5025 Brown, Jeremy PT ~✤ 2640 Channing Wy NPI: 1043332901 NPI: 1821397332 Idaho Falls, ID 83404 3345 Potomac Way Bailey, Greg PT ~✤ 3345 Merlin Dr Ste 100 (208) 552-2248 Idaho Falls, ID 83404 NPI: 1215220587 Idaho Falls, ID 83404 (208) 417-0090 720 S Woodruff Ave (208) 522-4481 Kennedy, Brent PT ~✤ Idaho Falls, ID 83401 NPI: 1295855112 Merrill, Melissa PT ~✤ (208) 552-5025 Cuthbertson, Michael 3715 Woodking Dr NPI: 1912225335 PT ~✤ Idaho Falls, ID 83404 3345 Potomac Way Danielson, Galen PT ~✤ NPI: 1134575772 (208) 529-2255 Idaho Falls, ID 83404 NPI: 1225123599 2640 Channing Wy (208) 417-0090 720 S Woodruff Ave Idaho Falls, ID 83404 King, Tristan PT ~✤ Idaho Falls, ID 83401 (208) 552-2248 NPI: 1245619576 Muir, James PT ~✤ (208) 552-5025 3360 S 15Th E NPI: 1558794552 Danielson, Galen PT ~✤ Idaho Falls, ID 83404 3155 Channing Way Ste D Dimond, Trevor PT ~✤ NPI: 1225123599 (208) 522-8300 Idaho Falls, ID 83404 NPI: 1396136743 3155 Channing Way Ste D Russian (208) 552-2700 720 S Woodruff Ave Idaho Falls, ID 83404 Idaho Falls, ID 83401 (208) 552-2700 Klitgaard, Steven PT ~✤ Pahis, Casondra PT ~✤ (208) 552-5025 NPI: 1336528009 NPI: 1306226337 Portugese Ellis, Jay T PT ~✤ 3345 Potomac Way 3125 Valencia Drive NPI: 1811924012 Idaho Falls, ID 83404 Idaho Falls, ID 83404 Hunsaker, Nathan PT ~✤ 3100 S Woodruff Ave (208) 417-0090 (208) 529-3332 NPI: 1871687970 Idaho Falls, ID 83404 720 S Woodruff Ave (208) 523-8879 Larson, Tyler PT ~✤ Peterson, Emilie PT ~✤ Idaho Falls, ID 83401 NPI: 1346626652 NPI: 1588065882 (208) 552-5025 Gibson, Barrett PT ~ 3155 Channing Way Ste D 3345 Potomac Way NPI: 1134481138 Idaho Falls, ID 83404 Idaho Falls, ID 83404 1775 E 17Th St Ste D (208) 552-2700 (208) 417-0090 Idaho Falls, ID 83404 Spanish (208) 243-9999

164 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Schmitt, Dustin PT ~✤ Canyon Horton, Mary PT ~ Schnell, Sandra PT ~ NPI: 1154773604 NPI: 1194870527 NPI: 1184772311 Caldwell 3360 S 15Th E 3110 E Cleveland Blvd 3110 E Cleveland Blvd Idaho Falls, ID 83404 83605 Bldg A Ste 5 Bldg A Ste 5 (208) 522-8300 Caldwell, ID 83605 Caldwell, ID 83605 Anttonen, Heidi PT ~ (208) 453-8785 (208) 453-8785 NPI: 1538136163 Scott, Kade PT ~✤ 3110 E Cleveland Blvd NPI: 1437545480 Bldg A Ste 5 Kuznia, Benjamin PT ~✤ Smith, Matthew PT ~✤ 3715 Woodking Dr Caldwell, ID 83605 NPI: 1144518937 NPI: 1851495030 Idaho Falls, ID 83404 (208) 453-8785 120 E Pine St 120 E Pine St (208) 529-2255 Caldwell, ID 83605 Caldwell, ID 83605 (208) 454-5142 (208) 454-5142 Bailey, Greg PT ~✤ Spackman, Emily PT ~✤ NPI: 1215220587 Miller, James PT ~ Starcher, Christine PT ~ NPI: 1699216002 120 E Pine St NPI: 1942460845 NPI: 1740459130 3715 Woodking Dr Caldwell, ID 83605 3110 E Cleveland Blvd 3110 E Cleveland Blvd Idaho Falls, ID 83404 (208) 454-5142 Bldg A Ste 5 Bldg A Ste 5 (208) 529-2255 Caldwell, ID 83605 Caldwell, ID 83605 Birnbaum, Susan PT ~ (208) 453-8785 (208) 453-8785 NPI: 1245590686 Stavast, John PT ~✤ 3110 E Cleveland Blvd Moore, Steven PT ~ Thomason, Jeffrey PT ~ NPI: 1982050894 Bldg A Ste 5 2640 Channing Wy NPI: 1417914755 NPI: 1538253752 Caldwell, ID 83605 3110 E Cleveland Blvd 4623 Enterprise Wy Idaho Falls, ID 83404 (208) 453-8785 (208) 552-2248 Bldg A Ste 5 Caldwell, ID 83605 Caldwell, ID 83605 (208) 455-4231 Box, Jeffrey PT ~ (208) 453-8785 Tovey, Candice PT ~✤ NPI: 1104928258 NPI: 1194130856 4623 Enterprise Wy Vinci, Paul PT ~✤ 3345 Potomac Way Caldwell, ID 83605 Muir, James PT ~✤ NPI: 1306169602 Idaho Falls, ID 83404 (208) 455-4231 NPI: 1558794552 2112 Cleveland Blvd (208) 417-0090 120 E Pine St Caldwell, ID 83605 Caldwell, ID 83605 (208) 459-5873 Fox, Breann PT ~✤ (208) 454-5142 Treat, Scott PT ~✤ NPI: 1184059941 Weatherston, Sean PT ~ NPI: 1689196784 2112 Cleveland Blvd Olsen, Scott PT ~✤ NPI: 1073596136 3360 S 15Th E Caldwell, ID 83605 1906 Fairview Ave Ste 410 Idaho Falls, ID 83404 (208) 459-5873 NPI: 1003905332 1818 S 10Th Ave Ste 100A Caldwell, ID 83605 (208) 522-8300 (208) 454-9839 Hadley, J Kyle PT ~ Caldwell, ID 83605 NPI: 1881077600 (208) 453-9111 Weber, Renee PT ~✤ Spanish White, Brian PT ~ NPI: 1356717748 4623 Enterprise Wy NPI: 1477657468 3125 Valencia Drive Caldwell, ID 83605 4623 Enterprise Wy (208) 455-4231 Scharmann, Alexander Idaho Falls, ID 83404 PT ~ Caldwell, ID 83605 (208) 529-3332 NPI: 1164805123 (208) 455-4231 Hawks, Rulin PT ~✤ 1906 Fairview Ave Ste 410 NPI: 1912116682 Caldwell, ID 83605 Middleton 1818 S 10Th Ave Ste 100A (208) 454-9839 83644 Caldwell, ID 83605 Spanish (208) 453-9111 Bennett, Jeffrey PT ~✤ Spanish NPI: 1730575648 533 S Middleton Rd Ste 100 Middleton, ID 83644 (208) 585-6566 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

165 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Bressan, Matthew PT ~✤ Comley, Tayler PT ~✤ Moss, Mark PT ~✤ Kuznia, Benjamin PT ~✤ NPI: 1285010199 NPI: 1649714163 NPI: 1891050068 NPI: 1144518937 533 S Middleton Rd Ste 2635 Caldwell Blvd Ste B 2635 Caldwell Blvd Ste B 337 W Iowa St 100 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83686 Middleton, ID 83644 (208) 442-0577 (208) 442-0577 (208) 467-7889 (208) 585-6566 Portugese Duke, Catherine PT ~✤ Mcmurray, Kayla PT ~✤ Lee, Brian PT ~✤ NPI: 1114363199 Reed, Mark PT ~ NPI: 1164912242 NPI: 1043365323 2635 Caldwell Blvd Ste B NPI: 1871553388 3151 E Greenhurst Rd 18 E Main St Ste 1 Nampa, ID 83651 1015 12Th Ave S Ste 105 Nampa, ID 83686 Middleton, ID 83644 (208) 442-0577 Nampa, ID 83651 (208) 465-9418 (208) 585-0051 (208) 467-4357 Dunn, Julie PT ~✤ Scharmann, Alexander Sands, Charles PT ~✤ NPI: 1861840662 Wagner, Lynsey PT ~✤ PT ~✤ NPI: 1821034513 2635 Caldwell Blvd Ste B NPI: 1477895498 NPI: 1164805123 533 S Middleton Rd Ste Nampa, ID 83651 2635 Caldwell Blvd Ste B 3151 E Greenhurst Rd 100 (208) 442-0577 Nampa, ID 83651 Nampa, ID 83686 Middleton, ID 83644 Spanish (208) 442-0577 (208) 465-9418 (208) 585-6566 Spanish Dupont, Corey PT ~✤ Wegley, Roger PT ~✤ Nampa NPI: 1639334279 NPI: 1306829254 Shaw, Clayton PT ~✤ 83651 2635 Caldwell Blvd Ste B 2635 Caldwell Blvd Ste B NPI: 1245586270 Nampa, ID 83651 Nampa, ID 83651 337 W Iowa St Ackerman, Jerrod PT ~✤ (208) 442-0577 (208) 442-0577 Nampa, ID 83686 NPI: 1487067005 (208) 467-7889 Weiderman, Brian 2635 Caldwell Blvd Ste B English, Mindy PT ~✤ Nampa, ID 83651 NPI: 1093156689 PT ~✤ Thornock, Brian PT ~✤ (208) 442-0577 2635 Caldwell Blvd Ste B NPI: 1831419332 NPI: 1265820203 Nampa, ID 83651 2635 Caldwell Blvd Ste B 337 W Iowa St Anttonen, Heidi PT ~ (208) 442-0577 Nampa, ID 83651 Nampa, ID 83686 NPI: 1538136163 (208) 442-0577 (208) 467-7889 1015 12Th Ave S Ste 105 Horton, Mary PT ~ Spanish Nampa, ID 83651 NPI: 1154773604 Whitworth, Kala PT ~✤ (208) 467-4357 1015 12Th Ave S Ste 105 NPI: 1619283975 Weatherston, Sean Nampa, ID 83651 2635 Caldwell Blvd Ste B PT ~✤ Barbero, Paige PT ~✤ (208) 467-4357 Nampa, ID 83651 NPI: 1073596136 NPI: 1063847259 (208) 442-0577 130 S Midland Blvd 2635 Caldwell Blvd Ste B Huntington, Alexandra Nampa, ID 83686 Nampa, ID 83651 PT ~ 83686 (208) 461-5057 (208) 442-0577 NPI: 1609235415 1015 12Th Ave S Ste 105 Cope, Adam PT ~✤ Weatherston, Sean Barnes, Nicole PT ~✤ Nampa, ID 83651 NPI: 1811081896 (208) 467-4357 337 W Iowa St PT ~✤ NPI: 1871769307 Nampa, ID 83686 NPI: 1073596136 2635 Caldwell Blvd Ste B 3151 E Greenhurst Rd Nampa, ID 83651 Miller, James PT ~ (208) 467-7889 NPI: 1942460845 Nampa, ID 83686 (208) 442-0577 (208) 465-9418 1015 12Th Ave S Ste 105 Hulsey, Kevin PT ~✤ Birnbaum, Susan PT ~ Nampa, ID 83651 NPI: 1114012788 NPI: 1245590686 (208) 467-4357 337 W Iowa St 1015 12Th Ave S Ste 105 Nampa, ID 83686 Nampa, ID 83651 (208) 467-7889 (208) 467-4357 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

166 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Williams, Alan PT ~ Brown, Joel PT ~✤ Elmore Waechtler, Tifani PT ~✤ NPI: 1346395712 NPI: 1679911267 Mountain Home NPI: 1144313610 2005 12Th Ave Rd 1945 Hiland Ave 10 S 100 W Ste A Nampa, ID 83686 Burley, ID 83318 83647 Preston, ID 83263 (208) 463-0022 (208) 647-0224 Adams, Christopher (208) 852-1990 83687 PT ~✤ Fremont Christensen, Cory PT ~✤ NPI: 1851726038 Hadley, J Kyle PT ~✤ NPI: 1417389909 230 E 5Th N Ashton NPI: 1881077600 1945 Hiland Ave Mountain Home, ID 5251 E Exchange Wy Burley, ID 83318 83647 83420 Nampa, ID 83687 (208) 647-0224 (208) 587-8944 (208) 466-9642 Walters, Cristine PT ~✤ NPI: 1164493474 King, Daniel PT ~✤ Call, Anson PT ~✤ 700 N 2Nd St Myhre, Ryan PT ~✤ NPI: 1518305770 NPI: 1215392204 Ashton, ID 83420 NPI: 1851494637 1945 Hiland Ave 1005 Airbase Rd Ste 101 (208) 652-9979 5251 E Exchange Wy Burley, ID 83318 Mountain Home, ID Nampa, ID 83687 (208) 647-0224 83647 Gem (208) 466-9642 Portugese (208) 587-1777 Emmett White, Brian PT ~✤ Toronto, Scott PT ~✤ Mcdermott, Brian PT ~✤ 83617 NPI: 1477657468 NPI: 1922344696 NPI: 1649506502 Box, Jeffrey PT ~ 5251 E Exchange Wy 1945 Hiland Ave 1005 W 6Th S NPI: 1104928258 Nampa, ID 83687 Burley, ID 83318 Mountain Home, ID 912 S Washington St (208) 466-9642 (208) 647-0224 83647 Emmett, ID 83617 Spanish (208) 587-1777 (208) 365-4400 Parma 83660 Wood, James PT ~✤ Sands, Charles PT ~✤ Bressan, Matthew PT ~✤ NPI: 1114364015 NPI: 1821034513 NPI: 1285010199 Grow, Marc PT ~✤ 1945 Hiland Ave 1005 Airbase Rd Ste 101 809 S Washington St NPI: 1497939938 Burley, ID 83318 Mountain Home, ID Emmett, ID 83617 206 N 3Rd St (208) 647-0224 83647 (208) 365-5341 Parma, ID 83660 (208) 587-1777 (208) 722-7350 Wright, Bryan PT ~✤ Spanish Harrington, Ryan PT ~✤ NPI: 1265525315 Sessions, Scott PT ~✤ NPI: 1154798304 1945 Hiland Ave Cassia NPI: 1225044019 809 S Washington St Burley, ID 83318 230 E 5Th N Emmett, ID 83617 Burley (208) 647-0224 Mountain Home, ID (208) 365-5341 83647 83318 (208) 587-8944 Wright, Clifton PT ~✤ Mcdermott, Brian PT ~✤ Barker, Jonathan PT ~✤ NPI: 1275872590 Franklin NPI: 1649506502 NPI: 1619262425 1945 Hiland Ave 809 S Washington Ave 1945 Hiland Ave Burley, ID 83318 Preston Emmett, ID 83617 Burley, ID 83318 (208) 647-0224 (208) 365-5341 (208) 647-0224 83263 Young, Raulan PT ~✤ Acevedo, Charles PT ~✤ Murri, David PT ~ Billings, David PT ~✤ NPI: 1700954161 NPI: 1134239254 NPI: 1497797054 NPI: 1215233952 2311 Parke Ave Ste A 10 S 100 W Ste A 912 S Washington St 1945 Hiland Ave Burley, ID 83318 Preston, ID 83263 Emmett, ID 83617 Burley, ID 83318 (208) 677-2489 (208) 852-1990 (208) 365-4400 (208) 647-0224 Spanish

167 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Sands, Charles PT ~✤ Jerome Wright, Bryan PT ~✤ Lamphier, Tom PT ~✤ NPI: 1821034513 Jerome NPI: 1265525315 NPI: 1417154964 809 S Washington St 111 Pioneer Ct 1401 N Lincoln Way Emmett, ID 83617 83338 Jerome, ID 83338 Coeur D Alene, ID 83814 (208) 365-5341 (208) 944-9277 (208) 676-1424 Barker, Jonathan PT ~✤ White, Brian PT ~ NPI: 1619262425 Mitchell, Brenda PT ~ 111 Pioneer Ct Wright, Clifton PT ~✤ NPI: 1477657468 NPI: 1275872590 NPI: 1679853501 912 S Washington St Jerome, ID 83338 1875 N Lakewood Dr Ste (208) 944-9277 111 Pioneer Ct Emmett, ID 83617 Jerome, ID 83338 101 (208) 365-4400 (208) 944-9277 Coeur D Alene, ID 83814 Billings, David PT ~✤ (208) 667-6264 Gooding NPI: 1215233952 Kootenai 111 Pioneer Ct Morris, Neil PT ~ Gooding Jerome, ID 83338 Coeur D Alene NPI: 1578947164 83330 (208) 944-9277 301 N 3Rd St 83814 Coeur D Alene, ID 83814 Bradley, Logan PT ~✤ Christensen, Cory PT ~✤ Anderson, Skyler PT ~ (208) 772-8557 NPI: 1336661321 NPI: 1417389909 NPI: 1316447741 423 Idaho St Ste A 111 Pioneer Ct 1875 N Lakewood Dr Ste Olsen, Jerald PT ~ Gooding, ID 83330 Jerome, ID 83338 101 NPI: 1215369764 (208) 934-9011 (208) 944-9277 Coeur D Alene, ID 83814 1875 N Lakewood Dr Ste (208) 667-6264 101 Hayden, Jessica PT ~✤ Coeur D Alene, ID 83814 King, Daniel PT ~✤ (208) 667-6264 NPI: 1497108732 NPI: 1518305770 Andres, Jeremy PT ~✤ 423 Idaho St Ste A 111 Pioneer Ct NPI: 1912951559 Gooding, ID 83330 1401 N Lincoln Way Sipe, Sean PT ~ Jerome, ID 83338 NPI: 1194768325 (208) 934-9011 (208) 944-9277 Coeur D Alene, ID 83814 (208) 676-1424 1321 N Northwood Center Portugese Ct Ste B Squires, Adam PT ~✤ Baird, Dirk PT ~ Coeur D Alene, ID 83814 NPI: 1023461126 Mayes, Daryl PT ~✤ (208) 665-7055 423 Idaho St Ste A NPI: 1225149123 NPI: 1033262183 1875 N Lakewood Dr Ste Gooding, ID 83330 1976 S Lincoln Ave Ste 6A Smith, Diana PT ~ (208) 934-9011 101 Jerome, ID 83338 Coeur D Alene, ID 83814 NPI: 1720199631 (208) 644-1433 (208) 667-6264 1875 N Lakewood Dr Ste Jefferson 101 Coeur D Alene, ID 83814 Rigby Toronto, Scott PT ~✤ Bauer, Tina PT ~✤ (208) 667-6264 83442 NPI: 1922344696 NPI: 1841224136 111 Pioneer Ct 1401 N Lincoln Way Jerome, ID 83338 Sweetapple, Jean PT ~ Johnson, Carl PT ~✤ Coeur D Alene, ID 83814 NPI: 1922268325 NPI: 1912063652 (208) 944-9277 (208) 676-1424 Spanish 301 N 3Rd St 151 E Main St Coeur D Alene, ID 83814 Rigby, ID 83442 Brunner, Jesse PT ~ (208) 772-8557 (208) 745-8332 Wood, James PT ~✤ NPI: 1225538309 NPI: 1114364015 1321 N Northwood Center 111 Pioneer Ct Ct Ste B Waldo, Chad PT ~✤ Mobley, Tracy PT ~✤ NPI: 1972772952 NPI: 1154489151 Jerome, ID 83338 Coeur D Alene, ID 83814 (208) 944-9277 (208) 665-7055 1401 N Lincoln Way 151 E Main St Coeur D Alene, ID 83814 Rigby, ID 83442 (208) 676-1424 (208) 745-8332 Spanish

168 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

83815 Bresnahan, Jeffrey PT ~ Johnson, Wendy PT ~ Sweetapple, Jean PT ~ Anderson, Skyler PT ~ NPI: 1023105327 NPI: 1932415254 NPI: 1922268325 NPI: 1316447741 1917 N Lakewood Dr 2170 Ironwood Center Dr 2170 Ironwood Center Dr 1088 W Prairie Ave Coeur D'alene, ID 83814 Ste B Ste B Coeur D Alene, ID 83815 (208) 664-8194 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 772-6609 (208) 667-1988 (208) 667-1988 Clegg, Shawna PT ~ Baird, Dirk PT ~ NPI: 1265741730 Kane, Justin PT ~ Verhaeghe, Eric PT ~ NPI: 1225149123 980 Ironwood Dr Ste 207 NPI: 1114957073 NPI: 1275623621 1088 W Prairie Ave Coeur D'alene, ID 83814 1917 N Lakewood Dr 2236 Merritt Creek Lp Coeur D Alene, ID 83815 (208) 770-2971 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 772-6609 (208) 664-8194 (208) 242-1372 Cook, Todd PT ~ Bishop, Ryan PT ~ NPI: 1134297195 Kuran, Ivanka PT ~ Whiting, Michael PT ~✤ NPI: 1861649741 1917 N Lakewood Dr NPI: 1871654673 NPI: 1902802549 852 W Kathleen Ave Coeur D'alene, ID 83814 1917 N Lakewood Dr 850 W Ironwood Dr Ste Coeur D Alene, ID 83815 (208) 664-8194 Coeur D'alene, ID 83814 103 (208) 666-6665 (208) 664-8194 Coeur D'alene, ID 83814 Dibiase, Sheree PT ~ (208) 664-1119 NPI: 1396813309 Lucas, Matthew PT ~ Olsen, Jerald PT ~ 2170 Ironwood Center Dr NPI: 1821022120 NPI: 1215369764 Ste B 1917 N Lakewood Dr 83815 1088 W Prairie Ave Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Hepner, Caitlin PT ~ Coeur D Alene, ID 83815 (208) 667-1988 (208) 664-8194 NPI: 1225576283 (208) 772-6609 370 E Kathleen Ave Ste Dye, Jeremy PT ~ Morrison, Stephanie PT ~ 500 Smith, Diana PT ~ NPI: 1053534461 NPI: 1902242191 Coeur D'alene, ID 83815 NPI: 1720199631 1917 N Lakewood Dr 1917 N Lakewood Dr (208) 292-1372 1088 W Prairie Ave Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Coeur D Alene, ID 83815 (208) 664-8194 (208) 664-8194 Randklev, Scott PT ~ (208) 772-6609 NPI: 1568756716 Parks, Zachary PT ~ 370 E Kathleen Ave Ste Coeur D'alene Gephart, Cathleen PT ~✤ 500 NPI: 1235296849 NPI: 1619309333 83814 1917 N Lakewood Dr Coeur D'alene, ID 83815 2005 Ironwood Pkwy Ste (208) 292-1372 Bartoo, Gary PT ~ 224 Coeur D'alene, ID 83814 NPI: 1407823271 Coeur D'alene, ID 83814 (208) 664-8194 1917 N Lakewood Dr (208) 665-2468 Hayden Coeur D'alene, ID 83814 Saurette, Kristoff PT ~ 83835 (208) 664-8194 Hall, Leola PT ~ NPI: 1275769218 NPI: 1316008220 1917 N Lakewood Dr Andres, Jeremy PT ~✤ Coeur D'alene, ID 83814 NPI: 1912951559 Bengtson, Mark PT ~✤ 2170 Ironwood Center Dr Ste B (208) 664-8194 870 W Hayden Ave NPI: 1881778413 Hayden, ID 83835 3322 Grand Mill Ln Coeur D'alene, ID 83814 (208) 667-1988 Steininger, Laura PT ~ (208) 772-6991 Coeur D'alene, ID 83814 NPI: 1033421896 (208) 665-2000 Hankes, Matthew PT ~ 2170 Ironwood Center Dr Andrews, David PT ~ NPI: 1073783932 Ste B NPI: 1356361406 Borg, Adam PT ~ Coeur D'alene, ID 83814 1172 W Hayden Ave NPI: 1093977589 1917 N Lakewood Dr Coeur D'alene, ID 83814 (208) 667-1988 Hayden, ID 83835 1917 N Lakewood Dr (208) 762-3332 Coeur D'alene, ID 83814 (208) 664-8194 (208) 664-8194

169 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Bartoo, Gary PT ~ Hankes, Matthew PT ~ Sgroi, Kevin PT ~ Borg, Adam PT ~ NPI: 1407823271 NPI: 1073783932 NPI: 1770678484 NPI: 1093977589 1172 W Hayden Ave 1172 W Hayden Ave 8475 N Government Way 1551 E Mullan Ave Ste 102 Hayden, ID 83835 Hayden, ID 83835 Ste 102 Post Falls, ID 83854 (208) 762-3332 (208) 762-3332 Hayden, ID 83835 (208) 773-8111 (208) 772-9774 Bauer, Tina PT ~✤ Kane, Justin PT ~ Borg, Adam PT ~ NPI: 1841224136 NPI: 1114957073 Steininger, Laura PT ~✤ NPI: 1093977589 870 W Hayden Ave 1172 W Hayden Ave NPI: 1033421896 1593 E Polston Ave Hayden, ID 83835 Hayden, ID 83835 8238 N Government Way Post Falls, ID 83854 (208) 772-6991 (208) 762-3332 Hayden, ID 83835 (208) 664-8194 (208) 762-2100 Blackwelder, Tyler PT ~ Kuran, Ivanka PT ~ Bresnahan, Jeffrey PT ~ NPI: 1346421021 NPI: 1871654673 NPI: 1023105327 1172 W Hayden Ave Waldo, Chad PT ~✤ 1101 E Polston Ave Ste A 8382 N Wayne Dr Ste 101 NPI: 1972772952 Hayden, ID 83835 Hayden, ID 83835 Post Falls, ID 83854 (208) 762-3332 870 W Hayden Ave (208) 773-8111 (208) 758-0484 Hayden, ID 83835 (208) 772-6991 Borg, Adam PT ~ Lamphier, Tom PT ~✤ Bresnahan, Jeffrey PT ~ NPI: 1093977589 NPI: 1417154964 NPI: 1023105327 1172 W Hayden Ave 870 W Hayden Ave Post Falls 1551 E Mullan Ave Ste 102 Hayden, ID 83835 Hayden, ID 83835 83854 Post Falls, ID 83854 (208) 773-8111 (208) 762-3332 (208) 772-6991 Andrews, David PT ~ NPI: 1356361406 Bresnahan, Jeffrey PT ~ Bresnahan, Jeffrey PT ~ Lucas, Matthew PT ~ 1551 E Mullan Ave Ste 102 NPI: 1023105327 NPI: 1821022120 NPI: 1023105327 Post Falls, ID 83854 1593 E Polston Ave 1172 W Hayden Ave 1172 W Hayden Ave (208) 773-8111 Hayden, ID 83835 Hayden, ID 83835 Post Falls, ID 83854 (208) 664-8194 (208) 762-3332 (208) 762-3332 Bartoo, Gary PT ~ NPI: 1407823271 Brouwer, Jesse PT ~ Bruns, Jason PT ~ Mcgill, Troy PT ~ 1101 E Polston Ave Ste A NPI: 1376580290 NPI: 1083636088 NPI: 1003290693 Post Falls, ID 83854 104 W 9Th Ave 8944 N Hess St Ste B 95 W Centa Dr (208) 773-8111 Hayden, ID 83835 Hayden, ID 83835 Post Falls, ID 83854 (208) 777-9740 (208) 762-0251 (208) 773-2888 Bartoo, Gary PT ~ NPI: 1407823271 Cook, Todd PT ~ Cook, Todd PT ~ Morrison, Stephanie PT ~ 1593 E Polston Ave NPI: 1134297195 NPI: 1902242191 NPI: 1134297195 Post Falls, ID 83854 1101 E Polston Ave Ste A 1172 W Hayden Ave 1172 W Hayden Ave (208) 664-8194 Hayden, ID 83835 Hayden, ID 83835 Post Falls, ID 83854 (208) 762-3332 (208) 762-3332 (208) 773-8111 Bengtson, Mark PT ~✤ Dye, Jeremy PT ~ Parks, Zachary PT ~ NPI: 1881778413 Cook, Todd PT ~ NPI: 1053534461 NPI: 1619309333 1590 E Polston Ave Ste B NPI: 1134297195 1172 W Hayden Ave 1172 W Hayden Ave Post Falls, ID 83854 1593 E Polston Ave Hayden, ID 83835 Hayden, ID 83835 (208) 777-4242 Post Falls, ID 83854 (208) 762-3332 (208) 762-3332 (208) 664-8194 Borg, Adam PT ~ NPI: 1093977589 Cox Donovan, Baily PT ~ Hall, Leola PT ~✤ Saurette, Kristoff PT ~ NPI: 1275769218 1101 E Polston Ave Ste A NPI: 1568809820 NPI: 1316008220 Post Falls, ID 83854 104 W 9Th Ave 8238 N Government Way 1172 W Hayden Ave Hayden, ID 83835 (208) 773-8111 Post Falls, ID 83854 Hayden, ID 83835 (208) 777-9740 (208) 762-2100 (208) 762-3332

170 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Dye, Jeremy PT ~ Kuran, Ivanka PT ~ Nagle, Lee PT ~ Wardell, Benjamin PT ~ NPI: 1053534461 NPI: 1871654673 NPI: 1912925231 NPI: 1497104459 1101 E Polston Ave Ste A 1551 E Mullan Ave Ste 102 104 W 9Th Ave 1132 E Polston Ave Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 (208) 773-8111 (208) 773-8111 (208) 777-9740 (208) 777-7800 Dye, Jeremy PT ~ Kuran, Ivanka PT ~ Parks, Zachary PT ~ Rathdrum NPI: 1053534461 NPI: 1871654673 NPI: 1619309333 1551 E Mullan Ave Ste 102 1593 E Polston Ave 1101 E Polston Ave Ste A 83858 Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Bailey, Michael PT ~ (208) 773-8111 (208) 664-8194 (208) 773-8111 NPI: 1770650541 16768 N Hwy 41 Dye, Jeremy PT ~ Lucas, Matthew PT ~ Parks, Zachary PT ~ Rathdrum, ID 83858 NPI: 1053534461 NPI: 1821022120 NPI: 1619309333 (208) 687-9195 1593 E Polston Ave 1101 E Polston Ave Ste A 1593 E Polston Ave Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Danser, Christine PT ~ (208) 664-8194 (208) 773-8111 (208) 664-8194 NPI: 1396766473 14775 N Kimo Ct Ste A Fletcher, Christine PT ~ Lucas, Matthew PT ~ Randklev, Scott PT ~ Rathdrum, ID 83858 NPI: 1578786679 NPI: 1821022120 NPI: 1568756716 (208) 687-9240 104 W 9Th Ave 1593 E Polston Ave 1132 E Polston Ave Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Gallatin, Angela PT ~ (208) 777-9740 (208) 664-8194 (208) 777-7800 NPI: 1962843649 14775 N Kimo Ct Ste A Gotti, Michael PT ~ Mcgill, Troy PT ~ Saurette, Kristoff PT ~ Rathdrum, ID 83858 NPI: 1649466236 NPI: 1083636088 NPI: 1275769218 (208) 687-9240 1590 E Polston Ave Ste B 927 E Polston Ave Ste 201 1551 E Mullan Ave Ste 102 Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Garrett, Chris PT ~ (208) 777-4242 (208) 773-2888 (208) 773-8111 NPI: 1598790396 14775 N Kimo Ct Ste A Hankes, Matthew PT ~ Moehring, Shawn PT ~ Saurette, Kristoff PT ~ Rathdrum, ID 83858 NPI: 1073783932 NPI: 1619102621 NPI: 1275769218 (208) 687-9240 1101 E Polston Ave Ste A 927 E Polston Ave Ste 201 1593 E Polston Ave Post Falls, ID 83854 Post Falls, ID 83854 Post Falls, ID 83854 Lemhi (208) 773-8111 (208) 773-2888 (208) 664-8194 Salmon Hankes, Matthew PT ~ Morris, Neil PT ~ Sharples Faucher, Brad 83467 NPI: 1073783932 NPI: 1578947164 PT ~ 1593 E Polston Ave 104 W 9Th Ave NPI: 1851321749 Blackadar Oldham, Post Falls, ID 83854 Post Falls, ID 83854 104 W 9Th Ave Kathryn PT ~✤ (208) 664-8194 (208) 777-9740 Post Falls, ID 83854 NPI: 1437573342 (208) 777-9740 802 Shoup St Hepner, Caitlin PT ~ Morrison, Stephanie PT ~ Salmon, ID 83467 NPI: 1225576283 NPI: 1902242191 Thoreson, Nathaniel PT ~ (208) 756-2005 1132 E Polston Ave 1101 E Polston Ave Ste A NPI: 1790865228 Post Falls, ID 83854 Post Falls, ID 83854 1132 E Polston Ave Bryant, Nancy PT ~✤ (208) 777-7800 (208) 773-8111 Post Falls, ID 83854 NPI: 1720085046 (208) 777-7800 802 Shoup St Kim, Michael PT ~ Morrison, Stephanie PT ~ Salmon, ID 83467 NPI: 1235218371 NPI: 1902242191 Verhaeghe, Eric PT ~ (208) 756-2005 1132 E Polston Ave 1593 E Polston Ave NPI: 1275623621 Post Falls, ID 83854 Post Falls, ID 83854 1132 E Polston Ave (208) 777-7800 (208) 664-8194 Post Falls, ID 83854 (208) 777-7800 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

171 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Thayn, Zhohnann PT ~✤ Hunsaker, Nathan PT ~✤ Power Teton NPI: 1962666164 NPI: 1871687970 American Falls Driggs 802 Shoup St 134 E Idaho Ave Salmon, ID 83467 Homedale, ID 83628 83211 83422 (208) 756-2005 (208) 337-3254 Devoe, Cara PT ~✤ Mayer, Andrew PT ~ NPI: 1265961841 Nez Perce NPI: 1578859054 Olsen, Scott PT ~✤ 20 Hillcrest Ave 4 285 E Little Ave Lewiston NPI: 1003905332 American Falls, ID 83211 Driggs, ID 83422 134 E Idaho Ave (208) 233-4660 (208) 354-1999 83501 Homedale, ID 83628 (208) 337-3254 Streubel, Daniel ~ Hardie, Meredith PT ~ Devoe, Cara PT ~✤ NPI: 1104251438 Spanish NPI: 1063542504 NPI: 1578859054 285 E Little Ave 1037 21St St 20 Hillcrest Ave Ste 4B Lewiston, ID 83501 Payette Driggs, ID 83422 American Falls, ID 83211 (208) 354-1999 (208) 743-1795 Fruitland (208) 233-4660 Strehle, Johanna PT ~ 83619 Twin Falls Devoe, Cara PT ~✤ NPI: 1528101961 Foxton, Emily PT ~ Buhl 1037 21St St NPI: 1578859054 NPI: 1538684915 20 Hillcrest Ave Ste B Lewiston, ID 83501 1255 N Allen Ave 83316 (208) 743-1795 American Falls, ID 83211 Fruitland, ID 83619 (208) 233-4660 Gillette, Dennis PT ~✤ (208) 972-0918 Owyhee NPI: 1861556037 1015 Main St Helbert, Tania PT ~✤ Homedale Hartley, Nicholas PT ~✤ Buhl, ID 83316 NPI: 1407398027 (208) 543-8887 83628 NPI: 1699166843 20 Hillcrest Ave 441 S Whitleydr Ste 2-3 American Falls, ID 83211 Bailey, Greg PT ~✤ Fruitland, ID 83619 (208) 233-4660 Peerboom, Mandy PT ~✤ NPI: 1215220587 (208) 452-7197 NPI: 1629581624 134 E Idaho Ave 1015 Main St Homedale, ID 83628 Lougheed, Christopher Stringfield, Sari PT ~✤ Buhl, ID 83316 (208) 337-3254 PT ~ NPI: 1265789051 (208) 543-8887 NPI: 1760627038 20 Hillcrest Ave 1255 N Allen Ave American Falls, ID 83211 Danielson, Galen PT ~✤ Fruitland, ID 83619 (208) 233-4660 Phillips, Seth PT ~✤ NPI: 1225123599 (208) 972-0918 NPI: 1548323561 134 E Idaho Ave 1015 Main St Stringfield, Sari PT ~✤ Homedale, ID 83628 Simonson, Jared PT ~ Buhl, ID 83316 (208) 337-3254 NPI: 1265789051 (208) 543-8887 NPI: 1194001297 20 Hillcrest Ave 4 1255 N Allen Ave American Falls, ID 83211 Hartley, Nicholas PT ~✤ Fruitland, ID 83619 (208) 233-4660 Kimberly NPI: 1699166843 (208) 972-0918 83341 134 E Idaho Ave Stringfield, Sari PT ~✤ Homedale, ID 83628 Williams, Eric PT ~✤ Barker, Jonathan PT ~✤ (208) 337-3254 NPI: 1265789051 NPI: 1619262425 NPI: 1437540168 20 Hillcrest Ave Ste 4B 441 S Whitleydr Ste 2-3 931 Center St E Suites 3 American Falls, ID 83211 And 4 Hulsey, Kevin PT ~✤ Fruitland, ID 83619 (208) 233-4660 NPI: 1114012788 (208) 452-7197 Kimberly, ID 83341 134 E Idaho Ave Spanish (208) 423-9999 Homedale, ID 83628 (208) 337-3254

172 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Billings, David PT ~✤ Wright, Bryan PT ~✤ Birchell, Ryan PT ~✤ Ellis, Julie PT ~✤ NPI: 1215233952 NPI: 1265525315 NPI: 1992233555 NPI: 1205999281 931 Center St E Suites 3 931 Center St E Suites 3 754 N College Rd Ste D 754 N College Rd Ste D And 4 And 4 Twin Falls, ID 83301 Twin Falls, ID 83301 Kimberly, ID 83341 Kimberly, ID 83341 (208) 734-5313 (208) 734-5313 (208) 423-9999 (208) 423-9999 Bradley, Logan PT ~✤ Ervin, Tracy PT ~✤ Christensen, Cory PT ~✤ Wright, Clifton PT ~✤ NPI: 1336661321 NPI: 1376623363 NPI: 1417389909 NPI: 1275872590 1053 Eastland Dr 754 N College Rd Ste D 931 Center St E Suites 3 931 Center St E Suites 3 Twin Falls, ID 83301 Twin Falls, ID 83301 And 4 And 4 (208) 736-9011 (208) 734-5313 Kimberly, ID 83341 Kimberly, ID 83341 (208) 423-9999 (208) 423-9999 Brown, Joel PT ~✤ Gillette, Dennis PT ~✤ NPI: 1679911267 NPI: 1861556037 Gubler, Jason PT ~✤ Twin Falls 1444 Falls Ave 754 N College Rd Ste D NPI: 1225486608 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 931 Center St E (208) 736-2574 (208) 734-5313 Kimberly, ID 83341 Ashenbrener, Samantha (208) 423-9999 PT ~✤ Brown, Joel PT ~✤ Gubler, Jason PT ~✤ Spanish NPI: 1679953962 NPI: 1679911267 NPI: 1225486608 754 N College Rd Ste D 452 Cheney Dr W Ste 190 1444 Falls Ave King, Daniel PT ~✤ Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 NPI: 1518305770 (208) 734-5313 (208) 329-7667 (208) 736-2574 931 Center St E Suites 3 Spanish And 4 Barker, Jonathan PT ~✤ Carter, Matthew PT ~✤ Kimberly, ID 83341 NPI: 1619262425 NPI: 1578005195 Gubler, Jason PT ~✤ (208) 423-9999 1411 Falls Ave E 415 1053 Eastland Dr NPI: 1225486608 Portugese Twin Falls, ID 83301 Twin Falls, ID 83301 452 Cheney Dr W Ste 190 (208) 969-9945 (208) 736-9011 Twin Falls, ID 83301 Richards, Kelson PT ~✤ (208) 329-7667 NPI: 1588010821 Barker, Jonathan PT ~✤ Cherry, Kevin PT ~✤ Spanish 931 Center St E Suites 3 NPI: 1619262425 NPI: 1588924724 And 4 1444 Falls Ave 1444 Falls Ave Hayden, Jessica PT ~✤ Kimberly, ID 83341 Twin Falls, ID 83301 Twin Falls, ID 83301 NPI: 1497108732 (208) 423-9999 (208) 736-2574 (208) 736-2574 1053 Eastland Dr Twin Falls, ID 83301 Toronto, Scott PT ~✤ Billings, David PT ~✤ Christensen, Cory PT ~✤ (208) 736-9011 NPI: 1922344696 NPI: 1215233952 NPI: 1417389909 931 Center St E Suites 3 1411 Falls Ave E 415 1411 Falls Ave E 415 Hutchinson, David And 4 Twin Falls, ID 83301 Twin Falls, ID 83301 PT ~✤ Kimberly, ID 83341 (208) 969-9945 (208) 969-9945 NPI: 1548226020 (208) 423-9999 1053 Eastland Dr Spanish Billings, David PT ~✤ Christensen, Cory PT ~✤ Twin Falls, ID 83301 NPI: 1215233952 NPI: 1417389909 (208) 736-9011 Wood, James PT ~✤ 1444 Falls Ave 1444 Falls Ave Spanish NPI: 1114364015 Twin Falls, ID 83301 Twin Falls, ID 83301 931 Center St E Suites 3 (208) 736-2574 (208) 736-2574 And 4 Kimberly, ID 83341 (208) 423-9999

173 Specialty Providers / Proveedores Especializados Physical Therapist continued/seguido

Ketterling, Lindsey Schwerman, Julie PT ~✤ Williams, Eric PT ~✤ Valley PT ~✤ NPI: 1851350938 NPI: 1437540168 Cascade NPI: 1376926642 1373 Fillmore St 1411 Falls Ave E 415 754 N College Rd Ste D Twin Falls, ID 83301 Twin Falls, ID 83301 83611 Twin Falls, ID 83301 (208) 320-3746 (208) 969-9945 Farmer, Katherine (208) 734-5313 Spanish PT ~✤ Searle, Cade PT ~✤ NPI: 1437221231 King, Daniel PT ~✤ NPI: 1053802694 Wood, James PT ~✤ 402 Lake Cascade Pkwy NPI: 1518305770 754 N College Rd Ste D NPI: 1114364015 Cascade, ID 83611 1444 Falls Ave Twin Falls, ID 83301 1411 Falls Ave E 415 (208) 382-4242 Twin Falls, ID 83301 (208) 734-5313 Twin Falls, ID 83301 (208) 736-2574 (208) 969-9945 Washington Portugese Squires, Adam PT ~✤ NPI: 1023461126 Wood, James PT ~✤ Weiser King, Daniel PT ~✤ 1053 Eastland Dr NPI: 1114364015 83672 NPI: 1518305770 Twin Falls, ID 83301 1444 Falls Ave 452 Cheney Dr W Ste 190 (208) 736-9011 Twin Falls, ID 83301 Hoopes, Gary PT ~✤ Twin Falls, ID 83301 (208) 736-2574 NPI: 1083692701 275 E 7Th St (208) 329-7667 Taylor, Mark PT ~✤ Portugese Weiser, ID 83672 NPI: 1134374796 Wright, Bryan PT ~✤ (208) 549-1008 276 Eastland Dr N NPI: 1265525315 Little, Dave PT ~✤ Twin Falls, ID 83301 1411 Falls Ave E 415 NPI: 1174642961 (208) 735-8563 Twin Falls, ID 83301 Physician Assistant 754 N College Rd Ste D Spanish (208) 969-9945 Twin Falls, ID 83301 Ada (208) 734-5313 Toronto, Scott PT ~✤ Wright, Bryan PT ~✤ Boise NPI: 1922344696 NPI: 1265525315 Mix, M Andrew PT ~✤ 1411 Falls Ave E 415 1444 Falls Ave 83702 NPI: 1346205937 Twin Falls, ID 83301 Twin Falls, ID 83301 Ambrosier, Amy PA ~✤ 276 Eastland Dr N (208) 969-9945 (208) 736-2574 NPI: 1073898821 Twin Falls, ID 83301 Spanish 1520 W State St Ste 100 (208) 735-8563 Wright, Clifton PT ~✤ Boise, ID 83702 Toronto, Scott PT ~✤ NPI: 1275872590 (208) 947-7700 Peerboom, Mandy PT ~✤ NPI: 1922344696 1411 Falls Ave E 415 NPI: 1629581624 1444 Falls Ave Twin Falls, ID 83301 Anneke, Kathleen PA ~✤ 754 N College Rd Ste D Twin Falls, ID 83301 (208) 969-9945 NPI: 1083837942 Twin Falls, ID 83301 (208) 736-2574 333 N 1St St Ste 240 (208) 734-5313 Spanish Wright, Clifton PT ~✤ Boise, ID 83702 NPI: 1275872590 (208) 338-8900 Phillips, Seth PT ~✤ Ward, Regan PT ~✤ 1444 Falls Ave NPI: 1548323561 NPI: 1114374741 Twin Falls, ID 83301 Bishop-Herre, Melinda 754 N College Rd Ste D 1444 Falls Ave (208) 736-2574 PA ~✤ Twin Falls, ID 83301 Twin Falls, ID 83301 NPI: 1598082489 (208) 734-5313 (208) 736-2574 1226 W River St Boise, ID 83702 Richards, Kelson PT ~✤ White, Alex PT ~✤ (208) 429-0300 NPI: 1588010821 NPI: 1417483280 1444 Falls Ave 1444 Falls Ave Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 736-2574 (208) 736-2574

174 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Chen, Erin PA ~✤ Kerns, Benjamin PA ~✤ Roskelley, Morgan 83703 NPI: 1770913071 NPI: 1659388783 PA ~✤ Bradberry, Cali PA ~✤ 600 N Robbins Rd Ste 100 703 S Americana Blvd Ste NPI: 1376914838 NPI: 1831473198 Boise, ID 83702 120 600 N Robbins Rd Ste 100 5985 W State St (208) 706-2663 Boise, ID 83702 Boise, ID 83702 Boise, ID 83703 (208) 706-2663 (208) 706-2663 (208) 853-0071 Davis, Tish PAC ~✤ NPI: 1548201007 Laible, Katherine PA ~✤ Rowe, Derrick PA ~✤ Callagy, Karen PA ~ 425 W Bannock St NPI: 1083739049 NPI: 1851624340 NPI: 1699894477 Boise, ID 83702 600 N Robbins Rd Ste 100 510 N 2Nd St Ste 103 3858 N Garden Center (208) 343-1702 Boise, ID 83702 Boise, ID 83702 Way (208) 706-2663 (208) 381-4700 Boise, ID 83703 Friel, Fred PA ~✤ (208) 385-7711 NPI: 1730131178 Laible, Katherine PA ~✤ Stewart, Tyler PA ~✤ 301 W Myrtle St NPI: 1083739049 NPI: 1538476239 Carver, Erin PA ~✤ Boise, ID 83702 703 S Americana Blvd Ste 333 N 1St St Ste 280 NPI: 1902877624 (208) 342-8200 120 Boise, ID 83702 5985 W State St Boise, ID 83702 (208) 345-6545 Boise, ID 83703 Holder, Katy PA ~✤ (208) 706-2663 Spanish (208) 853-0071 NPI: 1427143346 222 N 2Nd St Ste 115 Lima, Madeline PA ~✤ Sweeten, H Neil PA ~✤ Epperson, Aaron PA ~✤ Boise, ID 83702 NPI: 1508245010 NPI: 1366555971 NPI: 1114056132 (208) 639-4900 1520 W State St Ste 100 222 N 2Nd St Ste 307 6052 W State St Boise, ID 83702 Boise, ID 83702 Boise, ID 83703 Hudson, Kevin PA ~✤ (208) 947-7700 (208) 344-1000 (208) 947-1947 NPI: 1922088905 French 1520 W State St Ste 100 Voye, Sarah PA ~✤ Johnson, Jeffery PA ~✤ Boise, ID 83702 Millward, Anthony NPI: 1750686044 NPI: 1609887801 (208) 947-7700 PA ~✤ 1520 W State St Ste 100 5985 W State St NPI: 1609889252 Boise, ID 83702 Boise, ID 83703 Hurty, Michelle PA ~✤ 300 S 23Rd St (208) 947-7700 (208) 853-0071 NPI: 1588616122 Boise, ID 83702 600 N Robbins Rd Ste 302 (208) 344-3512 Waselchuk, Amy PA ~✤ Kolb, Jason PA ~✤ Boise, ID 83702 Spanish NPI: 1033129465 NPI: 1992215545 (208) 706-5930 600 N Robbins Rd Ste 100 6052 W State St Page, Sean PA ~✤ Boise, ID 83702 Boise, ID 83703 Jakobson, Tyson PA ~✤ NPI: 1073840278 (208) 706-2663 (208) 947-1947 NPI: 1861737371 600 N Robbins Rd Ste 100 600 N Robbins Rd Ste 100 Boise, ID 83702 White, Michael PA ~✤ 83704 Boise, ID 83702 (208) 706-2663 NPI: 1780673707 (208) 706-2663 1226 W River St Douthit, Thomas PA ~✤ Page, Sean PA ~✤ Boise, ID 83702 NPI: 1023008414 900 N Liberty St Ste 400 Jones, William PA ~✤ NPI: 1073840278 (208) 429-0300 703 S Americana Blvd Ste Boise, ID 83704 NPI: 1770835597 (208) 367-3320 115 W Main St Ste 202 120 White, Michael PA ~✤ Boise, ID 83702 Boise, ID 83702 NPI: 1780673707 (208) 433-9466 (208) 706-2663 403 S 11Th St Ste 100 Boise, ID 83702 (208) 429-0300

175 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Galloway, Meghan Vincent, Kelly PA ~✤ 83712 Maddux, Sarah PA ~✤ PA ~✤ NPI: 1194190637 Bowman, Dustin PA ~✤ NPI: 1518155662 NPI: 1679726434 8854 W Emerald Ste 102 NPI: 1386680239 190 E Bannock St 10Th 6140 W Curtisian Ave Ste Boise, ID 83704 100 E Idaho St Floor 400 (208) 323-4747 Boise, ID 83712 Boise, ID 83712 Boise, ID 83704 (208) 381-2711 (208) 381-5500 (208) 327-5600 Wood, Chelsea PA ~✤ Mcdowell, Elizabeth NPI: 1639567118 Cooper, Stacy PA ~✤ Housley, Michael PA ~✤ 7733 W Emerald NPI: 1518157544 PAC ~✤ NPI: 1043665789 Boise, ID 83704 100 E Idaho St Ste 400 NPI: 1770640062 7733 W Emerald (208) 939-4599 Boise, ID 83712 190 E Bannock St 10Th Boise, ID 83704 (208) 345-5250 Floor (208) 939-4599 Wood, Chelsea PA ~ Boise, ID 83712 NPI: 1639567118 (208) 381-5500 Housley, Michael PA ~ 7733 W Emerald St Derkacs, Derek PA ~✤ NPI: 1043665789 Boise, ID 83704 NPI: 1720157720 Mebane, Mary PA ~ 7733 W Emerald St (208) 939-4599 100 E Idaho St NPI: 1154374536 Boise, ID 83704 Boise, ID 83712 1000 E Park Blvd Ste 120 (208) 939-4599 83706 (208) 381-2733 Boise, ID 83712 (208) 381-4100 Lewis, Heather PA ~ Mckinnon, Tyler PA ~✤ NPI: 1639402134 Greer, Finnegan PA ~✤ NPI: 1790131480 1000 N Curtis Rd Ste 202 NPI: 1588031272 Morrill, Shannon PA ~✤ 7733 W Emerald Boise, ID 83706 190 E Bannock St NPI: 1225236383 Boise, ID 83704 (208) 377-3435 Boise, ID 83712 100 E Idaho St Ste 200 (208) 939-4599 (208) 381-5015 Boise, ID 83712 (208) 381-5180 Lima, Madeline PA ~✤ Mckinnon, Tyler PA ~ NPI: 1508245010 Hague, Natalie PA ~✤ NPI: 1790131480 701 E Parkcenter Blvd NPI: 1013388180 Neisen, Misty PA ~✤ 7733 W Emerald St Boise, ID 83706 100 E Warm Springs Ave NPI: 1023409265 Boise, ID 83704 (208) 381-6500 Ste B 125 E Idaho St Ste 303 (208) 939-4599 French Boise, ID 83712 Boise, ID 83712 (208) 381-6930 (208) 381-9350 Nieraeth, Michael Mebane, Mary PA ~✤ PAC ~✤ NPI: 1154374536 Jones, William PA ~✤ Singer, Nicole PA ~✤ NPI: 1487904280 701 E Parkcenter Blvd NPI: 1770835597 NPI: 1902870041 8854 W Emerald Ste 102 Boise, ID 83706 190 E Bannock St 100 E Idaho St Ste 302 Boise, ID 83704 (208) 381-6400 Boise, ID 83712 Boise, ID 83712 (208) 323-4747 (208) 381-2094 (208) 343-7501 Wolff, Kelley PA ~✤ Rota, Nicole PA ~✤ NPI: 1609963081 Mack, Charisse PA ~✤ Smith, Preston PA ~✤ NPI: 1265685762 701 E Parkcenter Blvd NPI: 1801973615 NPI: 1992794929 7272 W Potomac Dr Boise, ID 83706 190 E Bannock St 10Th 100 E Idaho St Ste 200 Boise, ID 83704 (208) 381-6400 Floor Boise, ID 83712 (208) 884-2922 Boise, ID 83712 (208) 381-7011 (208) 381-5500 Spanish Wood, Sarah PA ~✤ Schneider, David PA ~✤ NPI: 1407131733 NPI: 1033634936 4477 W Emerald St Ste Wolff, Kelley PA ~ 6140 W Curtisian Ave Ste C100 NPI: 1609963081 400 Boise, ID 83706 1000 E Park Blvd Ste 120 Boise, ID 83704 (208) 454-8389 Boise, ID 83712 (208) 327-5600 (208) 381-4100

176 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

83713 Eagle Bishop-Herre, Melinda Frelly, Stephen PA ~✤ Brown, Heidi PA ~ 83616 PA ~✤ NPI: 1114966959 NPI: 1851520316 NPI: 1598082489 1618 S Millennium Wy Ste 3062 N Five Mile Rd Hammer, Carly PA ~✤ 520 S Eagle Rd Ste 1234 100 Boise, ID 83713 NPI: 1588840409 Meridian, ID 83642 Meridian, ID 83642 (208) 376-4999 3101 E State St Ste 1100 (208) 429-0300 (208) 884-3376 Eagle, ID 83616 (208) 473-3500 Mesaros, Lisa PA ~✤ Bradley, Benjamin Friedt, Brian PA ~✤ NPI: 1033397450 PA ~✤ NPI: 1568499713 4840 N Cloverdale Rd Kuna NPI: 1548546435 1618 S Millennium Wy Ste Boise, ID 83713 83634 3399 E Louise Dr Ste 100 100 (208) 706-8000 Meridian, ID 83642 Meridian, ID 83642 Crawford, Andrew (208) 887-6813 (208) 884-3376 Ostermiller, Mariya PA ~ PA ~✤ Spanish, Portugese NPI: 1407047202 NPI: 1588987309 Galloway, Meghan 943 N Linder Rd Ste 103 6051 N Eagle Rd Chen, Erin PA ~✤ PA ~✤ Boise, ID 83713 Kuna, ID 83634 (208) 922-3355 NPI: 1770913071 NPI: 1679726434 (208) 519-4333 3399 E Louise Dr Ste 200 3875 E Overland Rd Meridian, ID 83642 Meridian, ID 83642 83716 Meridian (208) 706-2663 (208) 327-5600 83642 Baisley, Kalyn PA ~✤ Graklanoff, Teresa NPI: 1295163160 Allen, Laura PA ~✤ Collins, Brandie PA ~✤ 2051 E Summersweet Dr NPI: 1740476969 NPI: 1124077151 PA ~✤ Boise, ID 83716 1618 S Millennium Wy Ste 520 S Eagle Rd Ste 3102 NPI: 1265461479 (208) 323-3767 100 Meridian, ID 83642 1618 S Millennium Wy Ste Meridian, ID 83642 (208) 706-5100 100 Florence, Branden (208) 884-3376 Meridian, ID 83642 (208) 884-3376 PA ~✤ Cooper, Stacy PA ~✤ NPI: 1730564923 Allen, Nicolas PA ~✤ NPI: 1518157544 2083 Hospitality Ln NPI: 1205910551 520 S Eagle Rd Ste 3209 Green, Carolyn PA ~✤ Boise, ID 83716 2855 E Magic View Dr And 3219 NPI: 1972876738 (208) 333-8345 Meridian, ID 83642 Meridian, ID 83642 2347 E Gala St (208) 639-4900 (208) 345-5250 Meridian, ID 83642 (208) 323-3767 Green, Carolyn PA ~✤ Davis, Heather PA ~✤ NPI: 1972876738 Arhets, Alexander PA ~✤ Hague, Natalie PA ~ 2051 E Summersweet Dr NPI: 1013956853 NPI: 1184667164 3277 E Louise Dr Ste 410 NPI: 1013388180 Boise, ID 83716 1618 S Millennium Wy Ste 520 S Eagle Rd Ste 1241 (208) 323-3767 100 Meridian, ID 83642 (208) 489-5800 Meridian, ID 83642 Meridian, ID 83642 (208) 381-6930 Klassen, Darren PA ~✤ (208) 884-3376 Davis, Tish PAC ~✤ NPI: 1861779829 Holder, Katy PA ~✤ 2051 E Summersweet Dr Assmus, Katherine NPI: 1548201007 2235 Gala St NPI: 1427143346 Boise, ID 83716 PA ~✤ 2855 E Magic View Dr (208) 323-3767 NPI: 1063789311 Meridian, ID 83642 (208) 887-3724 Meridian, ID 83642 3525 E Louise Dr Ste 400 (208) 639-4900 Meridian, ID 83642 (208) 322-1680 Spanish

177 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Hutt, Nicholas PA ~✤ Mcclenahan, Melissa Rafla, Yustina PA ~✤ Smith, Jeffrey PA ~✤ NPI: 1487944716 PA ~✤ NPI: 1790224905 NPI: 1013905793 520 S Eagle Rd Ste 1243 NPI: 1053695676 520 S Eagle Rd Ste 1243 3399 E Louise Dr Ste 200 Meridian, ID 83642 2855 E Magic View Dr Meridian, ID 83642 Meridian, ID 83642 (208) 333-2225 Meridian, ID 83642 (208) 333-2225 (208) 706-2663 (208) 639-4900 Hutt, Nicholas PA ~✤ Robinson, Lucas PA ~ Smith, Preston PA ~✤ NPI: 1487944716 Middleton, Julia PA ~✤ NPI: 1225587025 NPI: 1992794929 520 S Eagle Rd Ste 2213 NPI: 1215113741 360 E Montvue Dr Ste 100 520 S Eagle Rd Ste 2203 Meridian, ID 83642 520 S Eagle Rd Ste 1222 Meridian, ID 83642 Meridian, ID 83642 (208) 706-5447 Meridian, ID 83642 (208) 855-2900 (208) 381-7011 (208) 947-2266 Spanish Jakobson, Tyson PA ~✤ Rogers, Victoria PA ~✤ NPI: 1861737371 Morch, Christian NPI: 1922106194 Studebaker, Mandy 3277 E Louise Dr Ste 200 PAC ~✤ 3080 E Gentry Way Ste PA ~✤ Meridian, ID 83642 NPI: 1881801405 210 NPI: 1740517820 (208) 706-2663 3080 E Gentry Way Ste Meridian, ID 83642 3277 E Louise Dr Ste 410 210 (208) 384-9022 Meridian, ID 83642 Spanish Jenkins, Janeen PA ~✤ Meridian, ID 83642 (208) 489-5800 NPI: 1851469050 (208) 384-9022 520 S Eagle Rd Ste 3211 Ryan, Andrew PA ~✤ Taylor, Brent PA ~✤ Meridian, ID 83642 Mulkey, Bradley PA ~✤ NPI: 1336318914 NPI: 1780032649 (208) 706-5930 NPI: 1487691176 3080 E Gentry Way Ste 2347 E Gala St 3525 E Louise Dr Ste 400 210 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 323-3767 Jones, William PA ~✤ (208) 384-9022 NPI: 1770835597 (208) 322-1680 3277 E Louise Dr Ste 100 Vincen Brown, Michael Meridian, ID 83642 Nyswyn, Sophia PA ~✤ Ryan, Andrew PA ~✤ PA ~✤ (208) 706-7010 NPI: 1720356363 NPI: 1336318914 NPI: 1003326398 520 S Eagle Rd Ste 3112 520 S Eagle Rd 3115 E Florence St Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Kerns, Benjamin PA ~✤ (208) 706-5000 NPI: 1659388783 (208) 706-5800 (208) 895-8670 520 S Eagle Rd Ste 3213 Tamil Meridian, ID 83642 Schneider, David PA ~✤ Visser, Juliann PA ~✤ (208) 706-2663 Page, Sean PA ~✤ NPI: 1033634936 NPI: 1922309848 NPI: 1073840278 3875 E Overland Rd 1618 S Millennium Wy Ste 3399 E Louise Dr Ste 200 Meridian, ID 83642 100 Klassen, Darren PA ~✤ (208) 327-5600 NPI: 1861779829 Meridian, ID 83642 Meridian, ID 83642 2347 E Gala St (208) 706-2663 (208) 884-3376 Meridian, ID 83642 Shearing, Kevin PA ~✤ (208) 323-3767 Powell, Kathryn PA ~✤ NPI: 1376941914 Waselchuk, Amy PA ~✤ NPI: 1851728133 3277 E Louise Dr Ste 100 NPI: 1033129465 3277 E Louise Dr Ste 410 Meridian, ID 83642 3277 E Louise Dr Ste 200 Laible, Katherine PA ~✤ (208) 706-7010 NPI: 1083739049 Meridian, ID 83642 Meridian, ID 83642 520 S Eagle Rd Ste 2209 (208) 489-5800 (208) 706-2663 Meridian, ID 83642 Spanish Shumard, Erin PA ~✤ (208) 706-2663 NPI: 1184134843 Wren, Stephen PA ~ 3115 E Florence St NPI: 1376090985 Meridian, ID 83642 360 E Montvue Dr Ste 100 (208) 895-8670 Meridian, ID 83642 (208) 855-2900

178 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

83646 Birch, Christine PA ~✤ Crawford, Christian Hansen, Lisa PA ~✤ Miller, Chelsea PA ~✤ NPI: 1871912634 PA ~✤ NPI: 1730372756 NPI: 1043659196 110 Vista Dr NPI: 1427303478 444 Hospital Way 1576 W Deer Crest St Ste Pocatello, ID 83201 110 Vista Dr Pocatello, ID 83201 100 (801) 213-3599 Pocatello, ID 83201 (208) 233-1451 Meridian, ID 83646 (801) 213-3599 (208) 898-7467 Borgholthaus, Lana Hanson, Stephanie PA ~✤ Flamm, T Andrew PA ~✤ PAC ~✤ Bannock NPI: 1255315974 NPI: 1750662326 NPI: 1467602920 495 Yellowstone Ave 1595 Yellowstone Ave 777 Hospital Way Ste 11 Downey Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 83234 (208) 478-7422 (208) 233-0032 (208) 239-1710 Judd, Jocelyn PA ~✤ Brabec, Jaclyn PA ~✤ Frix, Jeremy PA ~✤ Hill, Courtney PA ~✤ NPI: 1952730608 NPI: 1710343686 NPI: 1164450862 NPI: 1902066137 79 N Main St 1151 Hospital Way Bldg D 110 Vista Dr 465 Memorial Dr Downey, ID 83234 Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 (208) 897-5600 Pocatello, ID 83201 (801) 213-3599 (208) 234-4700 (208) 239-8010 Lava Hot Spring Gillespie, Robert PA ~✤ Judd, Jocelyn PA ~✤ 83246 Burke, Ryan PA ~✤ NPI: 1922026467 NPI: 1952730608 NPI: 1194132860 1151 Hospital Way Bldg D 1000 N 8Th Ave Judd, Jocelyn PA ~✤ 110 Vista Dr Ste 100 Pocatello, ID 83201 NPI: 1952730608 Pocatello, ID 83201 Pocatello, ID 83201 (208) 232-6260 85 S 5Th W (801) 213-3599 (208) 239-8010 Lava Hot Spring, ID 83246 (208) 776-5202 Judd, Jocelyn PA ~✤ Castellano, Patrick Gillespie, Robert PA ~✤ NPI: 1952730608 Pocatello PA ~✤ NPI: 1922026467 110 Vista Dr NPI: 1689856809 353 N 4Th Ave Ste 102 Pocatello, ID 83201 83201 110 Vista Dr Pocatello, ID 83201 (801) 213-3599 Allen, Travis PA ~ Pocatello, ID 83201 (208) 478-7900 NPI: 1548594062 (801) 213-3599 Katter, Renee PA ~✤ 1950 E Clark St Ste 110 Godina, Raul PA ~✤ NPI: 1053502955 Pocatello, ID 83201 Chan, Rylan PA ~✤ NPI: 1336499730 444 Hospital Way Ste 477 (208) 232-7246 NPI: 1306874623 110 Vista Dr Pocatello, ID 83201 110 Vista Dr Pocatello, ID 83201 (208) 233-7832 Beach, Kelly PA ~✤ Pocatello, ID 83201 (801) 213-3599 NPI: 1649668765 (801) 213-3599 Lachapelle, Brian PA ~✤ 110 Vista Dr Grote, Heather PA ~✤ NPI: 1891707618 Pocatello, ID 83201 Coughenour, Tiffany NPI: 1477920817 777 Hospital Way Ste G11 (801) 213-3599 PA ~✤ 110 Vista Dr Pocatello, ID 83201 NPI: 1205959756 Pocatello, ID 83201 (208) 239-2580 Berrett, Anthony PA ~✤ 444 Hospital Wy Bldg B (801) 213-3599 NPI: 1841747540 Ste 600 Lamb, Sean PA ~✤ 1595 Yellowstone Ave Pocatello, ID 83201 Hale, Nicholas PA ~✤ NPI: 1053763896 Pocatello, ID 83201 (208) 523-1122 NPI: 1841487840 110 Vista Dr (208) 233-0032 495 Yellowstone Ave Pocatello, ID 83201 Spanish Pocatello, ID 83201 (801) 213-3599 (208) 478-7422

179 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Lambson, Justus PA ~✤ Miller, Natalie PA ~✤ Robinson, Jennifer Vickers, Amber PA ~✤ NPI: 1922262542 NPI: 1891191474 PA ~✤ NPI: 1114964616 1595 Yellowstone Ave 777 Hospital Way NPI: 1689714826 110 Vista Dr Pocatello, ID 83201 Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201 (208) 233-0032 (208) 239-1720 Pocatello, ID 83201 (801) 213-3599 Czech (208) 239-1417 Mirly, Alan PA ~✤ Walaliyadda, Ranmali Lange, Samantha PA ~✤ NPI: 1891780524 Ryan, Victoria PA ~✤ PA ~ NPI: 1346792033 333 N 18Th Ave Ste B3 NPI: 1003980210 NPI: 1801976923 1595 Yellowstone Ave Pocatello, ID 83201 1951 Bench Rd Ste B 1448 E Center St Ste E Pocatello, ID 83201 (208) 232-2146 Pocatello, ID 83201 Pocatello, ID 83201 (208) 233-0032 (208) 238-1000 (208) 234-1300 Nelson, Matthew PA ~ Spanish Leonard, Bryce PA ~✤ NPI: 1649221912 Schroeder, Amber PA ~✤ NPI: 1356743843 1950 E Clark St Ste 110 NPI: 1922458538 Whiting, Joel PA ~✤ 110 Vista Dr Pocatello, ID 83201 777 Hospital Way Smo Ste NPI: 1346259298 Pocatello, ID 83201 (208) 232-7246 201 1595 Yellowstone Ave (801) 213-3599 Pocatello, ID 83201 Pocatello, ID 83201 Noel, Brenton PA ~✤ (208) 239-2620 (208) 233-0032 Malm, Roger PA ~✤ NPI: 1275961765 110 Vista Dr Willardson, Jed PA ~ NPI: 1730190935 Shinkle, Samuel PA ~✤ NPI: 1578716072 560 Memorial Dr Ste B Pocatello, ID 83201 NPI: 1558735514 (801) 213-3599 1950 E Clark St Ste 110 Pocatello, ID 83201 110 Vista Dr Pocatello, ID 83201 (208) 235-4263 Pocatello, ID 83201 (208) 232-7246 Spanish Pool, Justin PA ~ (801) 213-3599 NPI: 1952402257 2240 E Center St Williams, Ryan PA ~✤ Maloney, Gregory PA ~✤ Simmons, Steven PA ~ Pocatello, ID 83201 NPI: 1740212190 NPI: 1770818361 NPI: 1689035404 (208) 233-8344 1595 Yellowstone Ave 110 Vista Dr 2240 E Center St Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 522-7246 (801) 213-3599 Pool, Justin PA ~✤ (208) 233-8344 NPI: 1952402257 333 N 18Th Ave Ste D1 Williams, Ryan PA ~ Martin, David PA ~✤ Smetanka, Rachel PA ~✤ NPI: 1770818361 Pocatello, ID 83201 NPI: 1336579168 NPI: 1215929690 (208) 233-2100 1950 E Clark St Ste 110 1951 Bench Rd Ste B 777 Hospital Way Ste 201 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 232-7246 (208) 238-1000 Proffitt, Frannie PA ~✤ (208) 239-2620 NPI: 1356694384 110 Vista Dr Wilson, Jared PA ~✤ Mcgee, Julia PAC ~✤ Tews, Megan PA ~✤ NPI: 1275748089 Pocatello, ID 83201 NPI: 1689965618 NPI: 1326347972 (801) 213-3599 777 Hospital Way Smo Ste 1151 Hospital Way Bldg D 1951 Bench Rd Ste B 201 Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 Rios, Raul PA ~✤ (208) 238-1000 (208) 239-2620 (208) 239-8010 NPI: 1376851725 110 Vista Dr Turpin, Adrian PA ~✤ Pocatello, ID 83201 Wilson, Ryan PA ~✤ Mcmeekin, David PA ~✤ NPI: 1447697735 NPI: 1174980346 (801) 213-3599 285 Vista Dr NPI: 1841674405 Spanish 110 Vista Dr 110 Vista Dr Pocatello, ID 83201 Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-8023 (801) 213-3599 (801) 213-3599

180 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Youngstrom, Karma 83204 Gillespie, Robert PA ~✤ Turpin, Adrian PA ~✤ PA ~✤ Judd, Jocelyn PA ~✤ NPI: 1922026467 NPI: 1447697735 NPI: 1093186280 NPI: 1952730608 98 Poplar At 98 Poplar At 1595 Yellowstone Ave 880 W Quinn Rd Blackfoot, ID 83221 Blackfoot, ID 83221 Pocatello, ID 83201 Pocatello, ID 83204 (208) 235-2277 (208) 235-2277 (208) 233-0032 (208) 238-3368 Grimmett, Heather PA ~ Turpin, Adrian PA ~✤ Zapp, Lyndsi PA ~✤ Benewah NPI: 1073792586 NPI: 1447697735 NPI: 1780054619 1441 Parkway Dr 98 Poplar St 110 Vista Dr Plummer Blackfoot, ID 83221 Blackfoot, ID 83221 (208) 785-2600 Pocatello, ID 83201 83851 (208) 785-4100 (801) 213-3599 Larsen, Tucker PA ~ Mcgee, Julia PAC ~✤ NPI: 1245671379 Willardson, Jed PA ~✤ 83202 NPI: 1326347972 NPI: 1578716072 427 N 12Th 98 Poplar St Plummer, ID 83851 1425 Pkwy Dr Allen, John PA ~✤ Blackfoot, ID 83221 Blackfoot, ID 83221 NPI: 1003168899 (208) 686-1931 (208) 782-2930 265 E Chubbuck Rd (208) 785-7246 Pocatello, ID 83202 Saint Maries Miller, Natalie PA ~ (208) 237-1711 83861 NPI: 1891191474 Williams, Ryan PA ~✤ 1441 Parkway Dr NPI: 1770818361 Borgholthaus, Lana Niculaescu, Alina Blackfoot, ID 83221 1425 Pkwy Dr PA ~✤ PAC ~✤ (208) 234-2001 Blackfoot, ID 83221 NPI: 1255315974 NPI: 1093039257 (208) 785-7246 134 W Chubbuck Rd Ste B 229 S 7Th Ave Nelson, Matthew PA ~✤ Pocatello, ID 83202 Saint Maries, ID 83861 NPI: 1649221912 Shelley (208) 478-7422 (208) 245-2591 1425 Pkwy Dr 83274 Blackfoot, ID 83221 Bingham Grimmett, Heather PA ~ Burnside, Leslie PA ~✤ (208) 785-7246 NPI: 1073792586 NPI: 1760451454 Blackfoot 210 S Emerson Ave 147 W Chubbuck Rd Perkes, Charlynn PAC ~ Shelley, ID 83274 Pocatello, ID 83202 83221 NPI: 1558545624 (208) 357-7404 1441 Parkway Dr (208) 238-7546 Allen, Travis PA ~✤ French Blackfoot, ID 83221 Perkes, Charlynn PAC ~ NPI: 1548594062 (208) 785-2600 1425 Pkwy Dr NPI: 1558545624 210 S Emerson Ave Hale, Nicholas PA ~✤ Blackfoot, ID 83221 Plomaritis, Demetrios NPI: 1841487840 (208) 785-7246 Shelley, ID 83274 134 W Chubbuck Rd Ste B PA ~✤ (208) 357-7404 NPI: 1831518992 Pocatello, ID 83202 Brabec, Jaclyn PA ~✤ (208) 478-7422 98 Poplar St Blaine NPI: 1710343686 Blackfoot, ID 83221 98 Poplar St (208) 782-3701 Hailey Mcculloch, Ryan PA ~✤ Blackfoot, ID 83221 83333 NPI: 1720195530 (208) 782-2930 Robinson, Jennifer 147 W Chubbuck Rd Karassik, Emily PA ~✤ Pocatello, ID 83202 PA ~✤ Gillespie, Robert PA ~✤ NPI: 1689714826 NPI: 1003867664 (208) 238-7546 NPI: 1922026467 1450 Aviation Dr Ste 100 Spanish 1441 Parkway Dr 1350 Pkwy Dr Ste 2 Blackfoot, ID 83221 Hailey, ID 83333 Blackfoot, ID 83221 (208) 234-2001 (208) 788-3434 (208) 782-2410 Spanish

181 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Klingler, Amy PA ~✤ Bonneville 83404 Gillespie, Robert PA ~✤ NPI: 1568429082 Idaho Falls Allen, Travis PA ~✤ NPI: 1922026467 1450 Aviation Dr Ste 100 2375 E Sunnyside Rd Ste F 83402 NPI: 1548594062 Hailey, ID 83333 3385 Potomac Way Idaho Falls, ID 83404 (208) 788-3434 Idaho Falls, ID 83404 (208) 535-3626 Spanish Batt, David PA ~✤ NPI: 1518212265 (208) 535-4343 Hesse, Philip PA ~✤ Wohlwend, Tiffany 927 S Utah Ave Idaho Falls, ID 83402 Belnap, Kylee PA ~ NPI: 1811975386 PA ~✤ (208) 881-5241 NPI: 1083090450 2325 Coronado St NPI: 1275558413 1957 E 17Th St Idaho Falls, ID 83404 1450 Aviation Dr Ste 100 Idaho Falls, ID 83404 (208) 557-2700 Hailey, ID 83333 Berrett, Anthony PA ~✤ (208) 523-1100 (208) 788-3434 NPI: 1841747540 765 S Utah Ave Hesse, Philip PA ~✤ Idaho Falls, ID 83402 Berrett, Anthony PA ~✤ NPI: 1811975386 Ketchum (208) 525-2600 NPI: 1841747540 2377 Coronado St 83340 Spanish 2725 Channing Wy Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 557-2570 Zelaya, Jill PA ~✤ (208) 525-8448 NPI: 1790030518 Flamm, T Andrew PA ~✤ Spanish 100 Hospital Dr Ste 105 NPI: 1750662326 Lambson, Justus PA ~✤ Ketchum, ID 83340 765 S Utah Ave NPI: 1922262542 (208) 726-5027 Idaho Falls, ID 83402 Berrett, Anthony PA ~✤ 2725 Channing Wy (208) 525-2600 NPI: 1841747540 Idaho Falls, ID 83404 2730 Channing Wy (208) 525-8448 Bonner Idaho Falls, ID 83404 Czech Lambson, Justus PA ~✤ Ponderay (208) 542-7100 NPI: 1922262542 Spanish 83852 765 S Utah Ave Lambson, Justus PA ~✤ Idaho Falls, ID 83402 NPI: 1922262542 Dryden, Chelsy PAC ~✤ (208) 525-2600 Brabec, Jaclyn PA ~ 2730 Channing Wy NPI: 1578994356 Czech NPI: 1710343686 Idaho Falls, ID 83404 30410 Hwy 200 3760 Washington Pkwy (208) 542-7100 Ponderay, ID 83852 Idaho Falls, ID 83404 Czech Lange, Samantha PA ~✤ (208) 535-3637 (208) 263-7101 NPI: 1346792033 765 S Utah Ave Coughenour, Tiffany Lange, Samantha PA ~✤ Sandpoint Idaho Falls, ID 83402 PA ~ NPI: 1346792033 83864 (208) 525-2600 NPI: 1205959756 2725 Channing Wy 3910 Washington Pkwy Idaho Falls, ID 83404 Dryden, Chelsy PAC ~ (208) 525-8448 NPI: 1578994356 Whiting, Joel PA ~✤ Idaho Falls, ID 83404 1327 Superior St Ste 100 NPI: 1346259298 (208) 522-2996 Sandpoint, ID 83864 765 S Utah Ave Lange, Samantha PA ~✤ (208) 263-7101 Idaho Falls, ID 83402 Flamm, T Andrew PA ~✤ NPI: 1346792033 (208) 525-2600 NPI: 1750662326 2730 Channing Wy Niculaescu, Alina 2725 Channing Wy Idaho Falls, ID 83404 (208) 542-7100 PAC ~✤ Youngstrom, Karma Idaho Falls, ID 83404 NPI: 1093039257 PA ~✤ (208) 525-8448 1327 Superior St Ste 101 NPI: 1093186280 Leavitt, Brent PA ~✤ Sandpoint, ID 83864 765 S Utah Ave Flamm, T Andrew PA ~✤ NPI: 1740650548 (208) 263-9757 Idaho Falls, ID 83402 NPI: 1750662326 1550 Elk Creek Dr (208) 525-2600 2730 Channing Wy Idaho Falls, ID 83404 Idaho Falls, ID 83404 (208) 529-5942 (208) 542-7100

182 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Nealis, Monica PA ~✤ Whiting, Joel PA ~✤ Camas Millward, Anthony NPI: 1073676805 NPI: 1346259298 Fairfield PA ~✤ 1550 Elk Creek Dr 2730 Channing Wy NPI: 1609889252 Idaho Falls, ID 83404 Idaho Falls, ID 83404 83327 2005 Arlington (208) 529-5942 (208) 542-7100 Bregante, Nicolas PA ~ Caldwell, ID 83605 NPI: 1538485180 (208) 459-1025 Nelson, Matthew PA ~✤ Willardson, Jed PA ~✤ 401 W Camas Ave Spanish NPI: 1649221912 NPI: 1578716072 Fairfield, ID 83327 3385 Potomac Way 3385 Potomac Way (208) 764-2611 Robinson, Lucas PA ~✤ Idaho Falls, ID 83404 Idaho Falls, ID 83404 Spanish NPI: 1225587025 (208) 535-4343 (208) 535-4343 1906 Fairview Ave Ste 420 Judd, Ellen PA ~ Caldwell, ID 83605 NPI: 1972560480 (208) 459-9177 Nielsen, Justin PA ~✤ Williams, Ryan PA ~✤ 401 W Camas Ave NPI: 1235443193 NPI: 1770818361 Fairfield, ID 83327 2985 Cortez Ave 3385 Potomac Way (208) 764-2611 Salzsieder, Todd PA ~✤ Idaho Falls, ID 83404 Idaho Falls, ID 83404 NPI: 1962875724 (208) 523-3373 (208) 535-4343 Tanner, Brandon PA ~ 2609 S 10Th Ave Ste 102 NPI: 1750667762 Caldwell, ID 83605 Plomaritis, Demetrios Willmore, Jennifer 401 W Camas Ave (208) 454-2766 PA ~✤ PA ~✤ Fairfield, ID 83327 NPI: 1831518992 NPI: 1003992140 (208) 764-2611 Vansant, Amanda PA ~✤ 1740 E 17Th St 2680 Channing Way Dutch NPI: 1295071496 Idaho Falls, ID 83404 Idaho Falls, ID 83404 524 Cleveland Blvd Ste 180 (208) 535-3615 (208) 523-7667 Canyon Caldwell, ID 83605 (208) 454-2996 Plomaritis, Demetrios Youngstrom, Karma Caldwell PA ~✤ PA ~✤ 83605 Willes, Jeremy PA ~✤ NPI: 1831518992 NPI: 1093186280 NPI: 1356314843 2375 E Sunnyside Rd Ste F 2725 Channing Wy Brown, Heidi PA ~✤ 2523 S 10Th Ave Ste 103 Idaho Falls, ID 83404 Idaho Falls, ID 83404 NPI: 1851520316 Caldwell, ID 83605 (208) 535-3626 (208) 525-8448 2609 S 10Th Ave Ste 102 (208) 459-7788 Caldwell, ID 83605 (208) 454-2766 Sander, Stephanie PA ~ Youngstrom, Karma Wood, Sarah PA ~✤ NPI: 1609035807 PA ~✤ Hackenberg, Amber NPI: 1407131733 1957 E 17Th St NPI: 1093186280 314 Badiola Idaho Falls, ID 83404 2730 Channing Wy PA ~✤ Caldwell, ID 83605 (208) 523-1100 Idaho Falls, ID 83404 NPI: 1326357070 (208) 454-8389 (208) 542-7100 1906 Fairview Ave Ste 230 Snarr, Klynda PA ~✤ Caldwell, ID 83605 (208) 459-4667 Wren, Stephen PA ~✤ NPI: 1518369487 83406 NPI: 1376090985 2375 Sunnyside Rd Ste A Hemming, Kathy PA ~ 1906 Fairview Ave Ste 420 Idaho Falls, ID 83404 NPI: 1700817442 Jongleux, Alicia PA ~✤ Caldwell, ID 83605 (208) 535-4343 1675 Curlew Dr NPI: 1831603950 (208) 459-9177 Idaho Falls, ID 83406 1906 Fairview Ave Ste 420 Whiting, Joel PA ~✤ (208) 523-5319 Caldwell, ID 83605 NPI: 1346259298 (208) 459-9177 2725 Channing Wy Piquet, Kolt PAC ~ Idaho Falls, ID 83404 NPI: 1780194613 (208) 525-8448 1675 Curlew Dr Idaho Falls, ID 83406 (208) 523-5319

183 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Middleton Gardiner, Shannon 83687 Rogers, Victoria PA ~✤ 83644 PA ~✤ Douthit, Thomas PA ~✤ NPI: 1922106194 NPI: 1689701260 9850 W St Lukes Dr Ste Christensen, Kristin PA ~ NPI: 1023008414 215 E Hawaii Ave 4424 E Flamingo Ave Ste 129 NPI: 1558351569 Nampa, ID 83686 Nampa, ID 83687 381 Middleton Rd Ste B 320 (208) 463-3000 Nampa, ID 83687 (208) 288-4930 Middleton, ID 83644 Spanish (208) 585-6311 (208) 367-3320 Hill, Courtney PA ~✤ Hackenberg, Amber PA ~ NPI: 1558815670 Gardiner, Shannon Rota, Nicole PA ~✤ NPI: 1326357070 215 E Hawaii Ave PA ~✤ NPI: 1265685762 381 Middleton Rd Ste B Nampa, ID 83686 NPI: 1689701260 9850 W St Lukes Dr Ste Middleton, ID 83644 (208) 463-3000 4424 E Flamingo Ave Ste 129 (208) 585-6311 320 Nampa, ID 83687 Jakobson, Tyson PA ~✤ Nampa, ID 83687 (208) 288-4930 Nampa NPI: 1861737371 (208) 367-3320 83651 215 E Hawaii Ave Wilkey, Thad PA ~✤ Nampa, ID 83686 Lavarias, Sari PA ~ NPI: 1174513188 Barcelo, Julia PA ~✤ (208) 706-2663 NPI: 1033454426 16111 N Brinson St Ste NPI: 1225287535 4424 E Flamingo Ave 100 207 1St St S Kerns, Benjamin PA ~✤ Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83651 NPI: 1659388783 (208) 855-2900 (208) 467-7546 (208) 466-7869 215 E Hawaii Ave Spanish Nampa, ID 83686 Lewis, Leslie PA ~ Wren, Stephen PA ~ (208) 706-2663 NPI: 1952799009 NPI: 1376090985 Camacho, Lucy PA ~✤ 9850 W St Lukes Dr Ste 4424 E Flamingo Ave 215 Nampa, ID 83687 NPI: 1508250754 Lobb, Brian PA ~✤ 207 1St St S Nampa, ID 83687 (208) 855-2900 NPI: 1336488378 (208) 706-2663 Nampa, ID 83651 215 E Hawaii Ave Parma (208) 466-7869 Nampa, ID 83686 Spanish (208) 463-3000 Lobb, Brian PA ~✤ 83660 NPI: 1336488378 Kingery, Kristine PA ~ Heaton, Thea PT ~✤ 9850 W St Lukes Dr Ste Rogers, Victoria PA ~✤ 129 NPI: 1679517155 NPI: 1811998628 NPI: 1922106194 307 Grove St 318 2Nd St S Nampa, ID 83687 215 E Hawaii Ave (208) 288-4930 Parma, ID 83660 Nampa, ID 83651 Nampa, ID 83686 (208) 722-5147 (208) 467-6003 (208) 463-3000 Nutting, Rachel PA ~ Spanish NPI: 1437403441 Cassia Permann, Seth PA ~✤ 16459 N Midland Blvd Burley NPI: 1508855974 Salzsieder, Todd PA ~✤ Nampa, ID 83687 318 2Nd St S NPI: 1962875724 (208) 795-5075 83318 Nampa, ID 83651 824 S Diamond St Bregante, Nicolas PA ~ (208) 467-6003 Nampa, ID 83686 Robinson, Lucas PA ~ NPI: 1538485180 (208) 454-2766 NPI: 1225587025 1309 Bennett Ave 83686 4424 E Flamingo Ave Burley, ID 83318 Wood, Sarah PA ~✤ Nampa, ID 83687 (208) 678-0101 Brown, Heidi PA ~✤ (208) 855-2900 Spanish NPI: 1851520316 NPI: 1407131733 824 S Diamond St 824 S Diamond St Nampa, ID 83686 Nampa, ID 83686 (208) 454-2766 (208) 454-2766

184 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Dahlke, Devon PA ~✤ Franklin Gem Hagerman NPI: 1598866691 Preston Emmett 83332 1404 Pomerelle Ave Ste A1 Burley, ID 83318 83263 83617 Anderson, Robert PA ~✤ (208) 878-8783 Brown, Heidi PA ~ NPI: 1700841277 Fenwick, Sterling PA ~✤ 640 Frogslanding NPI: 1063828291 NPI: 1851520316 Tanner, Brandon PA ~ 315 S Johns Ave Hagerman, ID 83332 NPI: 1750667762 44 N 100 E (208) 837-6161 Preston, ID 83263 Emmett, ID 83617 1309 Bennett Ave (208) 996-8169 Burley, ID 83318 (208) 852-3662 Spanish Wendell (208) 678-0101 Miller, Chelsea PA ~ Dutch 83355 Webb, Joel PA ~ NPI: 1043659196 1202 E Locust St Anderson, Robert PA ~ Elmore NPI: 1184872632 NPI: 1700841277 44 N 100 E Emmett, ID 83617 (208) 898-7467 410 N Idaho St Glenns Ferry Preston, ID 83263 Wendell, ID 83355 (208) 852-0137 (208) 536-5900 83623 Petrie, Joseph PA ~✤ Merrell, Mark PA ~✤ Fremont NPI: 1851721401 Idaho 829B S Washington Ave NPI: 1922342377 Ashton 486 W First Ave Emmett, ID 83617 Cottonwood Glenns Ferry, ID 83623 83420 (208) 963-1190 83522 (208) 366-7416 James, Gretchen PA ~ Spanish, Portugese Peters, Roxanne PA ~✤ Reid, Desiree PA ~✤ NPI: 1558593731 NPI: 1235183773 NPI: 1427558154 701 Lewiston St 23 S 8Th St 1102 E Locust St Mountain Home Ashton, ID 83420 Cottonwood, ID 83522 Emmett, ID 83617 (208) 962-3267 83647 (208) 652-3396 (208) 365-6004 Merrell, Mark PA ~✤ Saint Anthony Klemens, Candice PA ~✤ NPI: 1922342377 Smith, Cherish PA ~✤ 2280 American Legion 83445 NPI: 1073040515 NPI: 1134199631 701 Lewiston St Blvd 1102 E Locust St Mountain Home, ID Brower, Andrew PA ~✤ Cottonwood, ID 83522 Emmett, ID 83617 (208) 743-3523 83647 NPI: 1760766976 (208) 365-6004 (208) 587-3988 20 N 3Rd E Spanish, Portugese Saint Anthony, ID 83445 Paulson, Bret PAC ~✤ (208) 356-4900 Sternes, Roy PA ~✤ NPI: 1497837447 NPI: 1437166550 701 Lewiston St Miller, Chelsea PA ~✤ 1102 E Locust St NPI: 1043659196 Hansen, Bryant PA ~✤ Cottonwood, ID 83522 Emmett, ID 83617 (208) 743-3523 840 N 4Th E Ste 100 NPI: 1669897989 (208) 365-6004 Mountain Home, ID 20 N 3Rd E 83647 Saint Anthony, ID 83445 Gooding Jefferson (208) 587-1852 (208) 624-4100 Spanish Gooding Rigby 83330 83442 Anderson, Robert PA ~ Berrett, Anthony PA ~✤ NPI: 1700841277 NPI: 1841747540 425 Idaho St 167 E 1St S Gooding, ID 83330 Rigby, ID 83442 (208) 934-5900 (208) 745-8747 Spanish

185 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Flamm, T Andrew PA ~✤ Kootenai Doty, Timothy PA ~ Jones, Sarah PA ~✤ NPI: 1265793756 NPI: 1750662326 Coeur D Alene NPI: 1003169947 167 E 1St S 1919 Lincoln Way Ste 416 2003 Kootenai Health Wy Rigby, ID 83442 83814 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 625-4601 (208) 745-8747 Steinbacher, John PA ~ (208) 666-2000 NPI: 1083082572 Lambson, Justus PA ~✤ 1919 Lincoln Way Ste 211 Ellsworth, Amy PA ~✤ Keyser, Lawrence PA ~✤ NPI: 1922262542 Coeur D Alene, ID 83814 NPI: 1487908786 NPI: 1760429708 167 E 1St S (208) 625-5500 1919 Lincoln Way Ste 110 700 Ironwood Dr Ste 320 Rigby, ID 83442 Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 (208) 745-8747 Coeur D'alene (208) 625-4515 (208) 676-9913 Czech 83814 Foley, Gretchen PA ~✤ Kohler, Kurt PA ~✤ Lange, Samantha PA ~✤ Atkins, David PA ~✤ NPI: 1437553187 NPI: 1013981562 NPI: 1346792033 NPI: 1689987794 700 Ironwood Dr Ste 320 2003 Kootenai Health Wy 167 E 1St S 1052 W Mill Ave Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Rigby, ID 83442 Coeur D'alene, ID 83814 (208) 676-9913 (208) 666-2000 (208) 745-8747 (208) 664-3301 Fremouw, David PA ~✤ Konyu, Jason PA ~✤ Walaliyadda, Ranmali Byrne, Thomas PAC ~✤ NPI: 1528437746 NPI: 1265479877 PA ~ NPI: 1164581849 2003 Kootenai Health Wy 2003 Kootenai Health Wy NPI: 1801976923 1090 W Park Place Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 711 Rigby Lake Dr Ste 114 Coeur D'alene, ID 83814 (208) 666-2000 (208) 666-2000 Rigby, ID 83442 (208) 215-2005 (208) 234-1300 Garcia Jr, James PA ~✤ Spanish Lo-Tomblin, Jin PA ~✤ Cohen, Jeffrey PA ~✤ NPI: 1376878447 NPI: 1356315808 NPI: 1598702532 2003 Kootenai Health Way 2003 Kootenai Health Wy Whiting, Joel PA ~✤ 2003 Kootenai Health Wy Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 NPI: 1346259298 Coeur D'alene, ID 83814 (208) 625-4000 (208) 666-2000 167 E 1St S (208) 666-2000 Rigby, ID 83442 Glavin, Christina PA ~✤ Mcmahon, James (208) 745-8747 Comstock, Calista NPI: 1134267271 PAC ~✤ 2003 Kootenai Health Wy Youngstrom, Karma PAC ~✤ NPI: 1992899066 NPI: 1720240401 Coeur D'alene, ID 83814 2003 Kootenai Health Wy PA ~✤ 700 W Ironwood Dr Ste (208) 666-2000 Coeur D'alene, ID 83814 NPI: 1093186280 375 (208) 666-2000 167 E 1St S Coeur D'alene, ID 83814 Hays, Melodie PA ~✤ Rigby, ID 83442 (208) 625-6100 NPI: 1275608739 Mitchell, Jeffrey PA ~ (208) 745-8747 2003 Kootenai Health Way NPI: 1851790901 Cree, Joanne PA ~✤ Coeur D'alene, ID 83814 700 Ironwood Dr Ste 341 Jerome NPI: 1902850449 (208) 625-4000 Coeur D'alene, ID 83814 Jerome 2120 W Ironwood Center (208) 625-5200 Dr James, Gretchen PA ~✤ 83338 Coeur D'alene, ID 83814 NPI: 1235183773 Mohr, Michael PA ~✤ Bregante, Nicolas PA ~ (208) 625-6944 700 Ironwood Dr Ste 320 NPI: 1376694737 NPI: 1538485180 Coeur D'alene, ID 83814 700 Ironwood Dr Ste 320 114 Pioneer Ct Doty, Timothy PA ~ (208) 676-9913 Coeur D'alene, ID 83814 Jerome, ID 83338 NPI: 1265793756 (208) 676-9913 (208) 324-3471 1919 Lincoln Way Ste 415 Spanish Coeur D'alene, ID 83814 (208) 625-4595

186 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Petersen, Henry PA ~✤ Wheatley, Nathan Smith, Ryan PA ~ Goodrich, Wendy PA ~✤ NPI: 1891123543 PAC ~✤ NPI: 1053633297 NPI: 1255400388 2003 Kootenai Health Way NPI: 1407307259 1551 E Mullan Ave Ste 100 Quickcare 2500 West A St Coeur D'alene, ID 83814 1090 W Park Place Post Falls, ID 83854 Moscow, ID 83843 (208) 625-4000 Coeur D'alene, ID 83814 (208) 457-4211 (208) 882-0540 (208) 215-2005 Spanish Steinbacher, John PA ~ Petersen, Henry PA ~✤ NPI: 1083082572 Goodrich, Wendy PA ~✤ NPI: 1891123543 1296 E Polson Ave Ste C NPI: 1255400388 700 Ironwood Dr Ste 320 Hayden Post Falls, ID 83854 U Of I Student Health Coeur D'alene, ID 83814 83835 (208) 625-6700 Clinic 831 Ash St (208) 676-9913 Moscow, ID 83843 Fremouw, David PA ~ (208) 885-6693 NPI: 1528437746 Whitmore, Megan PA ~ Rosenthal, Seth PAC ~✤ 8836 N Hess Ste C NPI: 1144309683 NPI: 1457781874 Hayden, ID 83835 1440 E Mullane Goodrich, Wendy PA ~✤ 2003 Kootenai Health Wy (208) 762-7760 Post Falls, ID 83854 NPI: 1255400388 Coeur D'alene, ID 83814 (208) 625-4900 West Side Clinic 2500 W (208) 666-2000 Triphahn, Laura PAC ~ A St NPI: 1962467977 Latah Moscow, ID 83843 (208) 882-2011 Sandon, Kira PA ~✤ 8836 N Hess Ste C Moscow NPI: 1104100676 Hayden, ID 83835 2003 Kootenai Health Wy (208) 762-7760 83843 Klemens, Candice PA ~ Coeur D'alene, ID 83814 NPI: 1073040515 (208) 666-2000 Post Falls Fischer, Steven PA ~✤ 2500 West A St NPI: 1811961881 Moscow, ID 83843 83854 623 S Main St (208) 743-3523 Skurupey, Brooke Moscow, ID 83843 Blume, Mitchell PA ~✤ ARNP ~✤ (208) 882-2011 Paulson, Bret PAC ~ NPI: 1710396601 NPI: 1710334248 750 N Syringa St Ste 205 NPI: 1497837447 2003 Kootenai Health Wy 2500 West A St Coeur D'alene, ID 83814 Post Falls, ID 83854 Fischer, Steven PA ~✤ (208) 262-0945 NPI: 1811961881 Moscow, ID 83843 (208) 666-2000 Quickcare 2500 West A St (208) 743-3523 Dutkiewicz, James PA ~ Moscow, ID 83843 Steinbacher, John PA ~ (208) 882-0540 Lincoln NPI: 1083082572 NPI: 1114992179 2003 Kootenai Health Way 1300 E Mullan Ave Ste Shoshone Coeur D'alene, ID 83814 1600 Fischer, Steven PA ~✤ (208) 666-2000 Post Falls, ID 83854 NPI: 1811961881 83352 (208) 773-0721 U Of I Student Health Anderson, Robert PA ~✤ Strowd, Megan PA ~ Clinic 831 Ash St NPI: 1700841277 NPI: 1821192568 James, Gretchen PA ~ Moscow, ID 83843 113 S Apple St 700 Ironwood Dr Ste 258 NPI: 1235183773 (208) 885-6693 Shoshone, ID 83352 Coeur D'alene, ID 83814 1300 E Mullan Ave Ste 900 (208) 886-2224 (208) 625-6799 Post Falls, ID 83854 (208) 625-5530 Fischer, Steven PA ~✤ Spanish NPI: 1811961881 Roberts, Stephanie West Side Clinic 2500 W PA ~✤ Thorpe, Tyson PA ~ Kazmierski, Brian PA ~✤ A St NPI: 1699170688 NPI: 1144393257 NPI: 1346293313 Moscow, ID 83843 113 S Apple St 2025 W Park Pl Ste B 750 N Syringa St Ste 205 (208) 882-2011 Coeur D'alene, ID 83814 Post Falls, ID 83854 Shoshone, ID 83352 (208) 620-5210 (208) 262-0945 (208) 886-2224

187 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Singleton, Russell PA ~✤ Lange, Samantha PA ~✤ Willmore, Jennifer Klemens, Candice PA ~ NPI: 1588913214 NPI: 1346792033 PA ~✤ NPI: 1073040515 113 S Apple St 72 E Main St NPI: 1003992140 320 Warner Dr Shoshone, ID 83352 Rexburg, ID 83440 32 Madison Professional Lewiston, ID 83501 (208) 886-2224 (208) 359-1770 Pl (208) 743-3523 Spanish Rexburg, ID 83440 Nelson, Matthew PA ~ (208) 523-7667 Paulson, Bret PAC ~ Madison NPI: 1649221912 NPI: 1497837447 380 Walker Dr Ste 100 Youngstrom, Karma 320 Warner Dr Rexburg Rexburg, ID 83440 Lewiston, ID 83501 PA ~✤ (208) 743-3523 83440 (208) 356-9559 NPI: 1093186280 Allen, Travis PA ~ 72 E Main St Rindlisbacher, Jeremy Rexburg, ID 83440 Schug, Andrew PAC ~✤ NPI: 1548594062 NPI: 1780679068 380 Walker Dr Ste 100 PAC ~✤ (208) 359-1770 NPI: 1063851889 2315 8Th St Rexburg, ID 83440 Lewiston, ID 83501 (208) 356-9559 21 Winn Dr Minidoka Rexburg, ID 83440 (208) 746-1383 (208) 881-5222 Rupert Batt, David PA ~✤ 83350 Smith, Jessica PA ~✤ NPI: 1518212265 Snarr, Klynda PA ~ NPI: 1760685051 1049 Summers Dr NPI: 1518369487 Bregante, Nicolas PA ~ 2315 8Th St Rexburg, ID 83440 420 E 4Th N NPI: 1538485180 Lewiston, ID 83501 (208) 359-4841 Rexburg, ID 83440 1024 8Th St (208) 746-1383 (208) 535-4343 Rupert, ID 83350 Belnap, Kylee PA ~ (208) 650-7941 Oneida NPI: 1083090450 Spanish 380 Walker Dr Weber, Dan PA ~✤ Malad City Rexburg, ID 83440 NPI: 1962438812 Judd, Ellen PA ~ (208) 356-9559 256 N 2Nd E NPI: 1972560480 83252 Rexburg, ID 83440 1024 8Th St (208) 656-9646 Bingham, Mel PA ~✤ Berrett, Anthony PA ~✤ Rupert, ID 83350 NPI: 1134257876 NPI: 1841747540 (208) 650-7941 220 Bannock St 72 E Main St Whiting, Joel PA ~✤ Malad City, ID 83252 Rexburg, ID 83440 NPI: 1346259298 Tanner, Brandon PA ~ (208) 766-2600 (208) 359-1770 72 E Main St NPI: 1750667762 German Spanish Rexburg, ID 83440 1024 8Th St (208) 359-1770 Rupert, ID 83350 (208) 650-7941 Clark, Rick PA ~✤ Brower, Andrew PA ~✤ Willardson, Jed PA ~ Dutch NPI: 1033190533 NPI: 1760766976 NPI: 1578716072 220 Bannock St 72 S 1St E 380 Walker Dr Ste 100 Nez Perce Malad City, ID 83252 Rexburg, ID 83440 Rexburg, ID 83440 (208) 766-2600 (208) 356-4900 (208) 356-9559 Lewiston 83501 Flamm, T Andrew PA ~✤ Williams, Ryan PA ~ NPI: 1750662326 NPI: 1770818361 Barnes, Danielle PAC ~✤ 72 E Main St 380 Walker Dr Ste 100 NPI: 1356747042 Rexburg, ID 83440 Rexburg, ID 83440 2315 8Th St (208) 359-1770 (208) 356-9559 Lewiston, ID 83501 (208) 746-1383

188 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Owyhee Petrie, Breeann PA ~✤ Twin Falls Twin Falls Homedale NPI: 1235430059 Buhl 83301 1210 Nw 16Th St 83628 Fruitland, ID 83619 83316 Attebury, Benjamin Millward, Anthony (208) 452-8600 Bregante, Nicolas PA ~ PA ~✤ NPI: 1538485180 NPI: 1437345923 PA ~✤ 176 Falls Ave NPI: 1609889252 Sweet, Christina PA ~✤ 725 Fair St Buhl, ID 83316 Twin Falls, ID 83301 108 E Idaho NPI: 1497172555 (208) 733-3181 Homedale, ID 83628 1118 Nw 16Th St Ste A (208) 543-8271 (208) 337-3189 Fruitland, ID 83619 Spanish Spanish (208) 452-5999 Bowman, Devin PA ~✤ Judd, Ellen PA ~ NPI: 1508113366 Marsing Power NPI: 1972560480 775 Pole Line Rd W Ste 725 Fair St 101 83639 American Falls Buhl, ID 83316 Twin Falls, ID 83301 Millward, Anthony 83211 (208) 543-8271 (208) 814-8100 PA ~✤ Judd, Jocelyn PA ~✤ Tanner, Brandon PA ~ Bregante, Nicolas PA ~ NPI: 1609889252 NPI: 1952730608 NPI: 1750667762 NPI: 1538485180 201 Main St 823 Reed St 725 Fair St 325 Martin St Marsing, ID 83639 American Falls, ID 83211 Buhl, ID 83316 Twin Falls, ID 83301 (208) 896-4159 (208) 226-2822 (208) 543-8271 (208) 732-7101 Spanish Dutch Spanish Shoshone Payette Kimberly Bregante, Nicolas PA ~ Kellogg Fruitland 83341 NPI: 1538485180 83837 388 Martin St 83619 Bregante, Nicolas PA ~ Twin Falls, ID 83301 Fitzsimonds, Taunya Grattic, Taryn PA ~✤ NPI: 1538485180 (208) 734-0451 NPI: 1093073926 132 Main St N Spanish PA ~✤ 740 Mckinley Ave Kimberly, ID 83341 NPI: 1275582215 Kellogg, ID 83837 (208) 735-3938 Bregante, Nicolas PA ~ 1210 Nw 16Th St (208) 292-0292 Spanish NPI: 1538485180 Fruitland, ID 83619 794 Eastland Dr (208) 452-8600 Teton Judd, Ellen PA ~ Twin Falls, ID 83301 NPI: 1972560480 (208) 292-0697 Hoyt, Nicole PA ~✤ Driggs 132 Main St N Spanish NPI: 1578733234 83422 Kimberly, ID 83341 1210 Nw 16Th St (208) 735-3938 Bregante, Nicolas PA ~ Fruitland, ID 83619 Batt, David PA ~✤ NPI: 1538485180 (208) 452-8600 NPI: 1518212265 Tanner, Brandon PA ~ 826 Eastland Dr 180 S Main St Ste B2 NPI: 1750667762 Twin Falls, ID 83301 Miller, Chelsea PA ~✤ Driggs, ID 83422 132 Main St N (208) 732-7101 NPI: 1043659196 (208) 359-4841 Kimberly, ID 83341 Spanish 1118 Nw 16Th St Ste A (208) 735-3938 Dutch Fruitland, ID 83619 Brown, Ashley PA ~✤ (208) 452-5999 NPI: 1942638846 2550 Addison Ave E Ste B Perkins, Jock PA ~✤ Twin Falls, ID 83301 NPI: 1306248778 (208) 814-8000 1118 Nw 16Th St Ste A Fruitland, ID 83619 (208) 452-5999 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

189 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Brown, Ashley PA ~✤ Fredline, Braton PA ~✤ Judd, Ellen PA ~ Nope, Heather PA ~✤ NPI: 1942638846 NPI: 1740733401 NPI: 1972560480 NPI: 1053702837 775 Pole Line Rd W Ste 414 Shoup Ave W Ste B 388 Martin St 550 Polk St Ste A 103 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 814-9100 (208) 734-0451 (208) 737-0572 (208) 814-8375 Italian Judd, Ellen PA ~ NPI: 1972560480 Perius, Nicholas PA ~✤ Brown, Ashley PA ~✤ Gilbert, Katelyn PA ~✤ 794 Eastland Dr NPI: 1154363000 NPI: 1942638846 NPI: 1912451428 Twin Falls, ID 83301 775 Pole Line Rd W Ste 775 Pole Line Rd W Ste 228 Shoup Ave W (208) 292-0697 103 105 And 111 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 734-6760 Judd, Ellen PA ~ (208) 814-8375 (208) 814-8000 NPI: 1972560480 Gilbert, Katelyn PA ~✤ 826 Eastland Dr Robinson, Mitch PA ~✤ Brown, Mindy PA ~✤ NPI: 1912451428 Twin Falls, ID 83301 NPI: 1245581487 NPI: 1083704498 414 Shoup Ave W Ste B (208) 732-7101 738 N College Rd Ste A 801 Pole Line Rd W Ste Twin Falls, ID 83301 Twin Falls, ID 83301 3880 And 3810 (208) 814-9100 Krupski, Laurel PA ~✤ (208) 814-7000 Twin Falls, ID 83301 NPI: 1164617791 (208) 814-8500 Hubsmith, Lindsay 844 Washington St N Ste Saxey, Benjamin PA ~✤ PA ~✤ 100 NPI: 1225482201 Coppin, Erin PA ~✤ NPI: 1750474300 Twin Falls, ID 83301 414 Shoup Ave W Ste B NPI: 1922066042 526 Shoup Ave W Ste E (208) 734-6800 Twin Falls, ID 83301 2550 Addison Ave E Ste B Twin Falls, ID 83301 (208) 814-9100 Twin Falls, ID 83301 (208) 736-3362 Larsen, Jacob PA ~✤ Spanish (208) 814-8000 NPI: 1558730291 Hurd, Chad PA ~✤ 2550 Addison Ave E Ste B Scanlan, Christina Etcheto, John PA ~✤ NPI: 1700278553 Twin Falls, ID 83301 PA ~✤ NPI: 1073547113 738 N College Rd Ste A (208) 814-8000 NPI: 1487906814 176 Falls Ave Twin Falls, ID 83301 Spanish 414 Shoup Ave W Ste B Twin Falls, ID 83301 (208) 814-7000 Twin Falls, ID 83301 (208) 733-3181 Larsen, Jacob PA ~✤ (208) 814-9100 Jacobs, William PA ~✤ NPI: 1558730291 Etcheto, John PA ~✤ NPI: 1679580377 775 Pole Line Rd W Ste Schrader, Scott PA ~✤ NPI: 1073547113 775 Pole Line Rd W Ste 103 NPI: 1740223148 228 Shoup Ave W 101 Twin Falls, ID 83301 775 Pole Line Rd W Ste Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 814-8375 103 (208) 734-6760 (208) 814-8100 Spanish Twin Falls, ID 83301 (208) 814-8375 Fredline, Braton PA ~✤ Jolley, Jaclyn PA ~✤ Larsen, Jacob PA ~✤ NPI: 1740733401 NPI: 1184144305 NPI: 1558730291 Smith, Preston PA ~✤ 228 Shoup Ave W 801 Pole Line Rd W Ste 775 Pole Line Rd W Ste NPI: 1992794929 Twin Falls, ID 83301 3880 And 3810 105 2550 Addison Ave E Ste A (208) 734-6760 Twin Falls, ID 83301 Twin Falls, ID 83301 Twin Falls, ID 83301 Italian (208) 814-8500 (208) 814-8000 (208) 381-7011 Spanish Spanish Judd, Ellen PA ~ NPI: 1972560480 325 Martin St Twin Falls, ID 83301 (208) 732-7101

190 Specialty Providers / Proveedores Especializados Physician Assistant continued/seguido

Stevenson, Phillip PA ~✤ Valley Washington Bingham NPI: 1871744425 Cascade Weiser Blackfoot 738 N College Rd Ste A Twin Falls, ID 83301 83611 83672 83221 (208) 814-7000 Housley, Michael PA ~ Spanish Ankarberg, Ryan PA ~✤ Maloff, Stephen MD ~✤ NPI: 1043665789 NPI: 1639366099 NPI: 1316059280 271 N Duffers Ln Tanner, Brandon PA ~ 400 E 7Th St 98 Poplar At Cascade, ID 83611 Weiser, ID 83672 Blackfoot, ID 83221 NPI: 1750667762 (208) 939-4599 325 Martin St (208) 414-8440 (208) 235-2277 Twin Falls, ID 83301 Mckinnon, Tyler PA ~ Bonneville (208) 732-7101 NPI: 1790131480 Ishida, Victor PA ~✤ Dutch 271 N Duffers Ln NPI: 1194894113 Idaho Falls Cascade, ID 83611 400 E 7Th St Tanner, Brandon PA ~ (208) 939-4599 Weiser, ID 83672 83404 NPI: 1750667762 (208) 414-8440 Bruggeman, Brian 388 Martin St Twin Falls, ID 83301 Wood, Chelsea PA ~✤ Plastic And MD ~✤ (208) 734-0451 NPI: 1639567118 NPI: 1356344626 Dutch 271 Duffers Ln Reconstructive 3242 S Woodruff Ave Cascade, ID 83611 Idaho Falls, ID 83404 Tanner, Brandon PA ~ (208) 939-4599 Surgery (208) 535-4567 NPI: 1750667762 794 Eastland Dr Wood, Chelsea PA ~ Kootenai Kootenai NPI: 1639567118 Twin Falls, ID 83301 Coeur D'alene (208) 292-0697 271 N Duffers Ln Coeur D'alene Dutch Cascade, ID 83611 83814 83814 (208) 939-4599 Mullen, Patrick MD ~ Mandel, Benjamin Tanner, Brandon PA ~ Mccall NPI: 1629069885 MD ~✤ NPI: 1750667762 2121 Ironwood Center Dr 826 Eastland Dr NPI: 1306900097 83638 Coeur D'alene, ID 83814 2003 Kootenai Health Wy Twin Falls, ID 83301 (208) 625-4680 (208) 732-7101 Kinney, Anna PA ~✤ Coeur D'alene, ID 83814 Dutch NPI: 1841527264 (208) 666-2000 211 Forest St Plastic Surgery Mccall, ID 83638 Twin Falls Thueson, Sharon PA ~✤ Bannock NPI: 1477568103 (208) 630-2330 Twin Falls 801 Pole Line Rd W Ste Pocatello 83301 3880 And 3810 Wilkey, Thad PA ~✤ 83201 Twin Falls, ID 83301 NPI: 1174513188 Wayment, Tyler MD ~✤ (208) 814-8500 211 Forest St Maloff, Stephen MD ~✤ NPI: 1669423539 Mccall, ID 83638 NPI: 1316059280 738 N College Rd Ste A Viehweg, Jessica PA ~✤ (208) 467-7546 285 Vista Dr Twin Falls, ID 83301 NPI: 1750783064 Pocatello, ID 83201 (208) 814-7000 738 N College Rd Ste A (208) 239-8023 Twin Falls, ID 83301 (208) 814-7000

191 Specialty Providers / Proveedores Especializados

Podiatrist Millward, Gary DPM ~✤ Canyon Gem NPI: 1063462075 Nampa Emmett Ada 3399 E Louise Dr Ste 200 Meridian, ID 83642 83686 83617 Boise (208) 706-2663 Spanish Burk, Phillip DPM ~✤ Burk, Phillip DPM ~✤ 83702 NPI: 1699763540 NPI: 1699763540 Millward, Gary DPM ~✤ Blaine 203 12Th Ave Rd 1202 E Locust St NPI: 1063462075 Nampa, ID 83686 Emmett, ID 83617 703 S Americana Blvd Ste Hailey (208) 466-3338 (208) 466-3338 Spanish, Portugese Spanish, Portugese 120 83333 Boise, ID 83702 (208) 706-2663 Blackmer, David 83687 Gooding Spanish DPM ~✤ Gooding NPI: 1396847125 Graviet, Scott DPM ~✤ NPI: 1578514618 83330 83704 315 S River St 9850 W St Lukes Dr Hailey, ID 83333 Tomlinson, Timothy Devries, Jason DPM ~✤ (208) 788-1880 Nampa, ID 83687 NPI: 1952592404 (208) 706-2663 DPM ~✤ 727 E Riverpark Ln Ste 100 NPI: 1518018969 Boise, ID 83704 Devries, Jason DPM ~✤ Cassia 267 N Canyon Dr (208) 319-0497 NPI: 1952592404 Gooding, ID 83330 315 S River St Burley (208) 934-8829 Hailey, ID 83333 83318 83706 (208) 788-1880 Blackmer, David Kootenai Lowe, Randy DPM ~✤ NPI: 1801071550 Bonneville DPM ~✤ Coeur D'alene 230 W Mallard Dr Ste C NPI: 1396847125 83814 Boise, ID 83706 Idaho Falls 521 E Main St (208) 387-0900 83404 Burley, ID 83318 Dow, Kevin DPM ~ (208) 678-1515 NPI: 1184826828 Meridian Black, Timothy DPM ~✤ 850 W Ironwood Ave Ste NPI: 1578753091 301 83642 Devries, Jason DPM ~✤ Coeur D'alene, ID 83814 2377 Coronado St NPI: 1952592404 Blackmer, David Idaho Falls, ID 83404 (509) 489-2851 (208) 557-2570 521 E Main St DPM ~✤ Burley, ID 83318 Post Falls NPI: 1396847125 (208) 678-1515 3080 Gentry Way Ste 201 Cooper, Jerry DPM ~✤ 83854 Meridian, ID 83642 NPI: 1942299151 Franklin Thompson, Bryan (208) 319-0497 2565 Channing Way Idaho Falls, ID 83404 Preston DPM ~✤ (208) 523-2928 NPI: 1558361717 Graviet, Scott DPM ~✤ 83263 1590 E Polston Ave Ste A NPI: 1578514618 Cooper, Jerry DPM ~ Christensen, Brent Post Falls, ID 83854 3399 E Louise Dr Ste 200 NPI: 1942299151 DPM ~ (208) 777-9794 Meridian, ID 83642 2610 Channing Way NPI: 1487688990 (208) 706-2663 Idaho Falls, ID 83404 44 N 100 E (208) 523-2928 Preston, ID 83263 Lowe, Randy DPM ~✤ (208) 852-0137 NPI: 1801071550 Chinese, French 1828 Millenium Way Ste 200 Gambles, Darin DPM ~ Meridian, ID 83642 NPI: 1790768174 (208) 387-0900 44 N 100 E Preston, ID 83263 (208) 852-0137

192 Specialty Providers / Proveedores Especializados Podiatrist continued/seguido

Twin Falls Meridian Bonneville Canyon Twin Falls 83642 Idaho Falls Nampa 83301 Clark, Clinton DPM ~✤ 83404 83686 Blackmer, David NPI: 1710924345 3399 E Louise Dr Ste 200 Allred, Aaron DPM ~✤ Fowler, Troy DPM ~✤ DPM ~✤ Meridian, ID 83642 NPI: 1689929515 NPI: 1235575044 NPI: 1396847125 (208) 706-2663 1540 Elk Creek Dr 203 12Th Ave Rd 191 Addison Ave Idaho Falls, ID 83404 Nampa, ID 83686 Twin Falls, ID 83301 (208) 529-8393 (208) 466-3338 (208) 733-3881 Kinghorn, Kurt DPM ~✤ Spanish Finnish NPI: 1396023446 1828 S Millenium Way Ste Howard, Karson DPM ~ Devries, Jason DPM ~✤ 200 Johnson, Clark DPM ~✤ NPI: 1952592404 NPI: 1992093561 NPI: 1518225929 Meridian, ID 83642 3910 Washington Pkwy 191 Addison Ave (208) 884-0313 203 12Th Ave Rd Twin Falls, ID 83301 Idaho Falls, ID 83404 Nampa, ID 83686 (208) 733-3881 (208) 522-2996 (208) 466-3338 Bannock Spanish Podiatrist - Foot & Pocatello Matthews, Adam DPM ~ Martin, Trever DPM ~✤ Ankle Surgery 83201 NPI: 1134411408 NPI: 1316236797 3910 Washington Pkwy 203 12Th Ave Rd Bray, S Jeffrey DPM ~✤ Idaho Falls, ID 83404 Nampa, ID 83686 Ada NPI: 1386721637 (208) 522-2996 (208) 466-3338 2400 E Center St Spanish, Portugese Boise Pocatello, ID 83201 83702 (208) 233-2100 Peterson, John DPM ~✤ Cassia NPI: 1780985234 Clark, Clinton DPM ~✤ Matthews, Adam 2116 E 25Th W Burley NPI: 1710924345 Idaho Falls, ID 83404 703 S Americana Blvd Ste DPM ~✤ (208) 346-7443 83318 120 NPI: 1134411408 Wettstein, Daniel 444 Hospital Wy Bldg B Boise, ID 83702 Quinton, Tony DPM ~✤ DPM ~✤ (208) 706-2663 Ste 600 Pocatello, ID 83201 NPI: 1639157621 NPI: 1174756316 (208) 523-1122 3369 Merlin Dr 1263 Bennett Ave Kinghorn, Kurt DPM ~✤ Idaho Falls, ID 83404 Burley, ID 83318 NPI: 1396023446 (208) 529-2230 (208) 731-6321 222 N 2Nd St Ste 301 Robinson, Dan DPM ~✤ Spanish NPI: 1013139898 Boise, ID 83702 Robinson, Dan DPM ~✤ (208) 344-3324 1151 Hospital Way Bldg D Elmore Ste 100 NPI: 1013139898 Pocatello, ID 83201 2375 E Sunnyside Rd Ste F Mountain Home Stano, William DPM ~✤ (208) 239-8010 Idaho Falls, ID 83404 NPI: 1063426948 (208) 535-3626 83647 220 W Jefferson St Bingham Boise, ID 83702 Kinghorn, Kurt DPM ~✤ (208) 343-8907 NPI: 1396023446 Blackfoot 840 N 4Th E Ste 100 83221 Mountain Home, ID 83647 Robinson, Dan DPM ~✤ (208) 344-3324 NPI: 1013139898 98 Poplar At Blackfoot, ID 83221 (208) 235-2277

193 Specialty Providers / Proveedores Especializados Podiatrist - Foot & Ankle Surgery continued/seguido

Martin, Trever DPM ~✤ Post Falls Wraalstad, Randal Elmore NPI: 1316236797 83854 DPM ~✤ Mountain Home 890 N 6Th E NPI: 1255334066 Mountain Home, ID Thompson, Bryan 714 N College Rd Ste A 83647 83647 DPM ~✤ Twin Falls, ID 83301 (208) 466-3338 NPI: 1558361717 (208) 814-7150 Stano, William DPM ~✤ Spanish, Portugese 1590 E Polston Ave Ste A NPI: 1063426948 Post Falls, ID 83854 Washington 840 N 4Th E (208) 777-9794 Mountain Home, ID Stano, William DPM ~✤ Weiser 83647 NPI: 1063426948 (208) 343-8907 840 N 4Th E Madison 83672 Mountain Home, ID Rexburg Gem 83647 Johnson, Clark DPM ~✤ (208) 343-8907 83440 NPI: 1518225929 Emmett 360 E Liberty Allred, Aaron DPM ~ Gem Weiser, ID 83672 83617 NPI: 1689929515 (208) 466-3338 393 E 2Nd N Stano, William DPM ~✤ Emmett Rexburg, ID 83440 NPI: 1063426948 83617 (208) 529-8393 Martin, Trever DPM ~✤ 1202 E Locust St Spanish NPI: 1316236797 Emmett, ID 83617 Martin, Trever DPM ~✤ 360 E Liberty (208) 343-8907 NPI: 1316236797 Payette Weiser, ID 83672 1024 E Locust St (208) 466-3338 Emmett, ID 83617 Fruitland Spanish, Portugese Pulmonary Disease (208) 365-2338 83619 Spanish, Portugese Podiatrist - Foot Ada Martin, Trever DPM ~✤ Boise Stano, William DPM ~✤ NPI: 1316236797 Surgery NPI: 1063426948 1210 Nw 16Th St 83704 1202 E Locust St Fruitland, ID 83619 Ada Klein, Nicole MD ~ Emmett, ID 83617 (208) 466-3338 NPI: 1811924616 (208) 343-8907 Spanish, Portugese Boise 6565 W Emerald St 83702 Boise, ID 83704 Kootenai Twin Falls (208) 514-2510 Stano, William DPM ~✤ Coeur D'alene Twin Falls NPI: 1063426948 83712 83301 220 W Jefferson St 83814 Boise, ID 83702 Klein, Nicole MD ~ Nunez, Orlando MD ~ Roberts, Caleb DPM ~✤ (208) 343-8907 NPI: 1811924616 NPI: 1821274259 NPI: 1699062638 125 E Idaho St Ste 100 101 Ironwood Dr Ste 131 496 B Shoup Ave W 83704 Boise, ID 83712 Coeur D'alene, ID 83814 (208) 338-0148 Twin Falls, ID 83301 Owen, Dana DPM ~ (208) 666-0605 (208) 734-7676 Spanish NPI: 1972595676 900 N Liberty Ste 306 Miller, Karen MD ~✤ Wettstein, Daniel Boise, ID 83704 NPI: 1629117619 DPM ~✤ (208) 367-7887 100 E Idaho St Ste 200 NPI: 1174756316 Boise, ID 83712 176 Falls Ave Ste 200 Owen, James DMD ~ (208) 381-7092 Twin Falls, ID 83301 NPI: 1306838016 (208) 731-6321 900 N Liberty Ste 306 Spanish Boise, ID 83704 (208) 367-7887

194 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

83716 Linderman, Derek Meridian Kouskov, Oleg MD ~✤ MD ~✤ 83642 NPI: 1053521203 Akhtar, Saadia MD ~✤ NPI: 1093815821 2347 E Gala St NPI: 1790823904 2051 E Summersweet Dr Akhtar, Saadia MD ~✤ Meridian, ID 83642 2051 E Summersweet Dr Boise, ID 83716 NPI: 1790823904 (208) 323-3767 Boise, ID 83716 (208) 323-3767 2347 E Gala St Russian (208) 323-3767 Meridian, ID 83642 (208) 323-3767 Bergquist, William Miller, Karen MD ~✤ Lin, Jeffrey MD ~✤ NPI: 1629117619 NPI: 1891704169 MD ~✤ Bergquist, William NPI: 1730227927 2051 E Summersweet Dr 2347 E Gala St 2051 E Summersweet Dr Boise, ID 83716 MD ~✤ Meridian, ID 83642 Boise, ID 83716 (208) 323-3767 NPI: 1730227927 (208) 323-3767 (208) 323-3767 2347 E Gala St Reger, Andrew DO ~✤ Meridian, ID 83642 Linderman, Derek NPI: 1477874360 (208) 323-3767 MD ~✤ Dittrich, William MD ~✤ 2051 E Summersweet Dr NPI: 1093815821 NPI: 1154469328 Boise, ID 83716 Dittrich, William MD ~✤ 2347 E Gala St 2051 E Summersweet Dr (208) 323-3767 NPI: 1154469328 Meridian, ID 83642 Boise, ID 83716 2347 E Gala St (208) 323-3767 (208) 323-3767 Meridian, ID 83642 Sasso, David MD ~✤ (208) 323-3767 Fonseca, David MD ~✤ NPI: 1467590661 Miller, Karen MD ~✤ NPI: 1205034238 2051 E Summersweet Dr NPI: 1629117619 2051 E Summersweet Dr Boise, ID 83716 Fall, Michael DO ~✤ 2347 E Gala St Boise, ID 83716 (208) 323-3767 NPI: 1851548648 Meridian, ID 83642 (208) 323-3767 2347 E Gala St (208) 323-3767 Souza, James MD ~✤ Meridian, ID 83642 NPI: 1659419448 (208) 323-3767 Norris, Wendi MD ~✤ Goltry, Brian MD ~✤ 2051 E Summersweet Dr NPI: 1104964204 NPI: 1578591210 Boise, ID 83716 Fonseca, David MD ~✤ 2347 E Gala St 2051 E Summersweet Dr (208) 323-3767 NPI: 1205034238 Meridian, ID 83642 Boise, ID 83716 2347 E Gala St (208) 323-3767 (208) 323-3767 Meridian, ID 83642 Weis, Patrick MD ~✤ (208) 323-3767 Kouskov, Oleg MD ~✤ NPI: 1174602536 Nowbar, Sogol MD ~✤ NPI: 1053521203 2051 E Summersweet Dr NPI: 1265570360 2051 E Summersweet Dr Boise, ID 83716 Goltry, Brian MD ~✤ 2347 E Gala St Boise, ID 83716 (208) 323-3767 NPI: 1578591210 Meridian, ID 83642 (208) 323-3767 2347 E Gala St (208) 323-3767 Eagle Meridian, ID 83642 Russian (208) 323-3767 83616 Reger, Andrew DO ~✤ NPI: 1477874360 Lin, Jeffrey MD ~✤ Kahlstrom, Richard NPI: 1891704169 Mccusker, Kevin MD ~✤ 2347 E Gala St 2051 E Summersweet Dr NPI: 1285677377 MD ~✤ Meridian, ID 83642 Boise, ID 83716 1159 E Iron Eagle Dr Ste NPI: 1093708992 (208) 323-3767 (208) 323-3767 170D 2347 E Gala St Eagle, ID 83616 Meridian, ID 83642 Rich, Eric MD ~✤ (208) 209-3242 (208) 323-3767 NPI: 1487776530 Spanish 2347 E Gala St Meridian, ID 83642 (208) 323-3767

195 Specialty Providers / Proveedores Especializados Pulmonary Disease continued/seguido

Sasso, David MD ~✤ Shelley Fairfax, Walter MD ~✤ Radiology, NPI: 1467590661 83274 NPI: 1124170170 2347 E Gala St 2003 Kootenai Health Way Radiation Meridian, ID 83642 Shrader, David MD ~✤ Coeur D'alene, ID 83814 Oncology (208) 323-3767 NPI: 1275615494 (208) 625-4000 275 W Locust St Bannock Souza, James MD ~✤ Shelley, ID 83274 Hoopman, Todd MD ~ NPI: 1659419448 (208) 357-3960 NPI: 1275663361 Pocatello 2347 E Gala St 700 W Ironwood Dr Ste 83201 Meridian, ID 83642 Bonneville 378 Coeur D'alene, ID 83814 Robinson, Jennifer (208) 323-3767 Idaho Falls (208) 765-1252 PA ~✤ 83404 Weis, Patrick MD ~✤ NPI: 1689714826 Strait, Kevin DO ~ 777 Hospital Way NPI: 1174602536 Felt, Richard MD ~✤ NPI: 1144255639 2347 E Gala St Pocatello, ID 83201 NPI: 1124023361 700 W Ironwood Dr Ste (208) 239-1417 Meridian, ID 83642 2001 S Woodruff Ave Ste 3 378 (208) 323-3767 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 Bingham (208) 535-3636 (208) 765-1252 Bannock Blackfoot Pocatello Shrader, David MD ~✤ York, David MD ~ 83221 NPI: 1275615494 NPI: 1538205927 83201 2375 E Sunnyside Rd Ste F 700 W Ironwood Dr Ste Robinson, Jennifer Krawtz, Steven MD ~ Idaho Falls, ID 83404 378 PA ~✤ NPI: 1972563310 (208) 535-3626 Coeur D'alene, ID 83814 NPI: 1689714826 777 Hospital Way Ste 202 (208) 765-1252 1441 Parkway Dr Pocatello, ID 83201 Canyon Blackfoot, ID 83221 (208) 239-2640 Zinggeler Berg, Jeannette (208) 234-2001 Nampa MD ~ NPI: 1336433192 Reidy, Michael MD ~✤ 83686 700 W Ironwood Dr Ste Rheumatology NPI: 1609950500 378 777 Hospital Way Sadaj, J Michael MD ~✤ Ada NPI: 1407846140 Coeur D'alene, ID 83814 Pocatello, ID 83201 (208) 765-1252 (208) 239-1417 215 E Hawaii Ave Boise Nampa, ID 83686 Twin Falls 83702 Bingham (208) 463-3000 Twin Falls Dingman, Achini MD ~✤ Blackfoot Kootenai 83301 NPI: 1174594758 83221 Coeur D'alene 600 N Robbins Rd Ste 302 Ball, Gregory DO ~✤ Boise, ID 83702 Felt, Richard MD ~ 83814 (208) 706-5930 NPI: 1124023361 NPI: 1407985278 98 Poplar St Chang, Kevin MD ~ 1020 Washington St N Blackfoot, ID 83221 NPI: 1578609830 Twin Falls, ID 83301 Loveless, James MD ~✤ (208) 785-4100 700 W Ironwood Dr Ste (208) 737-5900 NPI: 1396851341 378 600 N Robbins Rd Ste 302 Coeur D'alene, ID 83814 Ball, Gregory DO ~✤ Boise, ID 83702 Shrader, David MD ~✤ (208) 765-1252 (208) 706-5930 NPI: 1275615494 NPI: 1407985278 98 Poplar At 775 Pole Line Rd W Ste Blackfoot, ID 83221 315 (208) 235-2277 Twin Falls, ID 83301 (208) 814-8750

196 Specialty Providers / Proveedores Especializados Rheumatology continued/seguido

Solich, Chara MD ~✤ Wilson, Gregory DO ~✤ Gem Rural Health Clinic NPI: 1134158892 NPI: 1669406799 Emmett 600 N Robbins Rd Ste 302 520 S Eagle Rd Ste 3211 Gem Boise, ID 83702 Meridian, ID 83642 83617 (208) 706-5930 (208) 706-5930 Emmett Murphy, Thomas MD ~✤ 83617 Blaine NPI: 1013125186 Eagle 1024 E Locust St Valor Health 83616 Hailey Emmett, ID 83617 Hospital ~✤ (208) 365-2338 Solich, Chara MD ~✤ 83333 NPI: 1821091083 NPI: 1134158892 1202 E Locust St 3101 E State St Ste 2107 Knibbe, William MD ~✤ Murphy, Thomas MD ~✤ Emmett, ID 83617 Eagle, ID 83616 NPI: 1457363673 NPI: 1013125186 (208) 365-3561 (208) 706-5930 1450 Aviation Dr Ste 100 1202 E Locust St Hailey, ID 83333 Emmett, ID 83617 Oneida (208) 706-5930 (208) 365-3561 Meridian Malad City 83642 Canyon Kootenai 83252 Ader, John DO ~✤ Caldwell Coeur D'alene Oneida County Clinic - NPI: 1992789564 83605 83814 Rhc ~✤ 3277 E Louise Dr Ste 200 NPI: 1710041785 Meridian, ID 83642 Lagwinski, Mikael Coan, Michael DO ~ 220 Bannock St (208) 884-2920 MD ~✤ NPI: 1386955904 Malad City, ID 83252 Spanish NPI: 1679540363 700 Ironwood Dr Ste (208) 766-2600 1818 S 10Th Ave Ste 120 275W Dingman, Achini MD ~✤ Caldwell, ID 83605 Coeur D'alene, ID 83814 Sleep Medicine - NPI: 1174594758 (208) 887-9500 (208) 625-4780 520 S Eagle Rd Ste 3211 Danish, Polish Internal Medicine Meridian, ID 83642 Twin Falls (208) 706-5930 Palfreyman, Eric MD ~✤ Twin Falls Ada NPI: 1356504690 Boise Knibbe, William MD ~✤ 1818 S 10Th Ave Ste 120 83301 NPI: 1457363673 Caldwell, ID 83605 Reddy, Akavaram 83702 520 S Eagle Rd Ste 3211 (208) 887-9500 MD ~✤ Troyer, Brett MD ~✤ Meridian, ID 83642 Portugese NPI: 1407816986 (208) 706-5930 NPI: 1841385523 775 Pole Line Rd W Ste 403 S 11Th St Ste 210 Nampa 115 Lagwinski, Mikael Boise, ID 83702 83686 Twin Falls, ID 83301 (208) 895-0411 MD ~✤ (208) 814-8150 NPI: 1679540363 Ader, John DO ~✤ 83704 3277 E Louise Dr Ste 350 NPI: 1992789564 Meridian, ID 83642 215 E Hawaii Ave Boulton, Cynthia NP ~✤ (208) 887-9500 Nampa, ID 83686 NPI: 1750397238 Danish, Polish (208) 463-3000 7272 W Potomac Dr Spanish Boise, ID 83704 Palfreyman, Eric MD ~✤ (208) 884-2922 NPI: 1356504690 3277 E Louise Dr Ste 350 Meridian, ID 83642 (208) 887-9500 Portugese

197 Specialty Providers / Proveedores Especializados Sleep Medicine - Internal Medicine continued/seguido

Rasmus, Mark MD ~✤ Payette Specialist Klein, Eric MD ~✤ NPI: 1528106309 Fruitland NPI: 1023013109 7272 W Potomac Dr Ada 2855 E Magic View Dr Boise, ID 83704 83619 Meridian, ID 83642 (208) 884-2922 Boise (208) 639-4900 Spanish Rasmus, Mark MD ~✤ NPI: 1528106309 83702 Meier, Svetlana MD ~✤ 1118 Nw 16Th St Ste A Lovelace, Glen MD ~✤ 83716 Fruitland, ID 83619 NPI: 1609054659 NPI: 1720023930 3277 E Louise Dr Ste 350 Thompson, William (208) 452-5999 333 N 1St St Ste 260 Spanish Meridian, ID 83642 MD ~✤ Boise, ID 83702 (208) 887-9500 NPI: 1770594186 (208) 345-3136 2051 E Summersweet Dr Sleep Medicine - Bannock Boise, ID 83716 Otolaryngology 83712 (208) 323-3767 Pocatello Perez, Gerardo MD ~✤ Meridian Gem NPI: 1730103995 83201 83642 Emmett 100 E Idaho St Walaliyadda, Ananda Boise, ID 83712 MD ~ Thompson, William 83617 (208) 381-2711 NPI: 1497747703 MD ~✤ Plummer, Patrick MD ~ Spanish 1448 E Center St Ste E NPI: 1770594186 NPI: 1508848474 Pocatello, ID 83201 2347 E Gala St 1202 E Locust St Womack, Michael (208) 234-1300 Meridian, ID 83642 Emmett, ID 83617 MD ~✤ Spanish (208) 323-3767 (208) 365-3561 NPI: 1912950338 100 E Idaho St Ste 200 Bonneville Canyon Sleep Medicine - Boise, ID 83712 (208) 453-9962 Idaho Falls Nampa Psychiatry & Spanish 83404 83686 Neurology Womack, Michael Hinckley, Daniel MD ~✤ Rasmus, Mark MD ~ NPI: 1821106089 NPI: 1528106309 Bannock MD ~✤ 2065 E 17Th St Ste A 210 W Georgia Ave Ste NPI: 1912950338 Idaho Falls, ID 83404 120 Pocatello 190 E Bannock St (208) 522-1764 Nampa, ID 83686 Boise, ID 83712 Spanish (208) 884-2922 83201 (208) 381-2222 Spanish Krawtz, Steven MD ~ Spanish Canyon NPI: 1972563310 Oneida 777 Hospital Way Ste 202 Meridian Caldwell Pocatello, ID 83201 Malad City (208) 239-2640 83642 83605 83252 Corson, Donald MD ~✤ Meier, Svetlana MD ~✤ Rasmus, Mark MD ~ NPI: 1679705586 NPI: 1609054659 NPI: 1528106309 3080 E Gentry Way Ste 1818 S 10Th Ave Ste 120 220 Bannock St 210 Caldwell, ID 83605 Malad City, ID 83252 Meridian, ID 83642 (208) 887-9500 (208) 766-2600 (208) 384-9022 Spanish

198 Specialty Providers / Proveedores Especializados Specialist continued/seguido

Nampa Helmick, Jerrimi NP ~✤ Kesler, Jerri SLP ~ Vandonsel, Mary SLP ~✤ 83686 NPI: 1649378993 NPI: 1124450861 NPI: 1700083896 1118 Nw 16Th St Ste D 13075 W Persimmon Ln 1311 E Central Dr Klein, Eric MD ~✤ Fruitland, ID 83619 Ste 120 Meridian, ID 83642 NPI: 1023013109 (208) 452-7677 Boise, ID 83713 (208) 373-1723 6915 E Hunt Ave Spanish (208) 376-3591 Nampa, ID 83686 Bannock (208) 639-4900 Tyson Mcomie, Jaimee Stephens, Cody PT ~✤ SLP ~ Pocatello NPI: 1174598593 Gem NPI: 1114316817 215 N Whitley Dr Ste 1 13075 W Persimmon Ln 83201 Emmett Fruitland, ID 83619 Ste 120 (208) 452-6366 Ament, Robin SLP ~✤ Boise, ID 83713 NPI: 1447385182 83617 (208) 376-3591 Twin Falls 650 Memorial Dr Bldg 68 Fox, John MD ~✤ Pocatello, ID 83201 NPI: 1821090762 Twin Falls Meridian (208) 282-3495 1024 E Locust St 83642 Emmett, ID 83617 83301 Jemmett, Mckenzie (208) 365-2338 Doble, H Peter MD ~✤ Guryan, Beth SLP ~✤ SLP ~✤ NPI: 1881620680 NPI: 1700944766 NPI: 1194109223 Jefferson 141 Morrison St 1311 E Central Dr 560 Memorial Dr Ste C Meridian, ID 83642 Rigby Twin Falls, ID 83301 Pocatello, ID 83201 (208) 734-4555 (208) 373-1723 (208) 232-4267 83442 Spanish, French Walaliyadda, Ananda Hansen, Karrie SLP ~✤ Loftin, Joni SLP ~✤ MD ~ Speech-Language NPI: 1851612873 NPI: 1700953296 NPI: 1497747703 1311 E Central Dr 650 Memorial Dr Bldg 68 711 Rigby Lake Dr Ste 114 Pathologist Meridian, ID 83642 Pocatello, ID 83201 Rigby, ID 83442 (208) 373-1723 (208) 282-3495 (208) 234-1300 Ada Spanish Hardy, Amy SLP ~✤ Morgan, Wendy SLP ~✤ Boise NPI: 1386869642 Payette NPI: 1205035482 83713 1311 E Central Dr 650 Memorial Dr Bldg 68 Fruitland Chatterton, Rian SLP ~ Meridian, ID 83642 Pocatello, ID 83201 NPI: 1861609885 (208) 373-1723 (208) 282-3495 83619 13075 W Persimmon Ln Hamann, Craig PT ~✤ Ste 120 Loftin, Joni SLP ~✤ Parrish, Linda SLP ~✤ NPI: 1942248596 Boise, ID 83713 NPI: 1700953296 NPI: 1316398373 215 N Whitley Dr Ste 1 (208) 376-3591 1311 E Central Dr 1110 Call Creek Dr Ste 4B Fruitland, ID 83619 Meridian, ID 83642 Pocatello, ID 83201 (208) 452-6366 Clarke, Leslie MS ~ (208) 373-1723 (208) 233-4660 Spanish NPI: 1093181257 13075 W Persimmon Ln Smith, Shauna SLP ~✤ Taylor, Amanda SLP ~✤ Ste 120 NPI: 1386715696 Heaton, Janeil PT ~✤ Boise, ID 83713 NPI: 1063957967 NPI: 1245205665 1311 E Central Dr 1110 Call Creek Dr Ste 4B (208) 376-3591 Meridian, ID 83642 215 N Whitley Dr Ste 1 Russian Pocatello, ID 83201 Fruitland, ID 83619 (208) 373-1723 (208) 233-4660 (208) 452-6366

199 Specialty Providers / Proveedores Especializados Speech-Language Pathologist continued/seguido

Williams, Marcia SLP ~✤ Durtschi Padron, Brenda Caribou Robinson, Robert SLP ~ NPI: 1639433352 NPI: 1447567144 SLP ~✤ Soda Springs 1110 Call Creek Dr Ste 4B NPI: 1730589532 113 E Ave F Pocatello, ID 83201 3715 Woodking Dr 83276 Jerome, ID 83338 (208) 233-4660 Idaho Falls, ID 83404 (208) 324-2443 (208) 529-2255 Williams, Marcia SLP ~✤ NPI: 1447567144 Thurman, Jackie MS ~ Zaremba, Cheryl SLP ~✤ 316 W 2Nd S NPI: 1073037073 NPI: 1053519751 Fisher, Amy SLP ~✤ Soda Springs, ID 83276 113 E Ave F 1110 Call Creek Dr Ste 4B NPI: 1851454045 (208) 233-4660 Jerome, ID 83338 Pocatello, ID 83201 3715 Woodking Dr (208) 324-2443 (208) 233-4660 Idaho Falls, ID 83404 Cassia (208) 529-2255 Kootenai 83204 Burley Fullmer, Lorenza SLP ~✤ 83318 Coeur D'alene Hale, Krista SLP ~✤ NPI: 1669880670 83815 NPI: 1578871505 3715 Woodking Dr Suthers, Lindsay SLP ~✤ 7677 W Portneuf Rd Idaho Falls, ID 83404 NPI: 1083922397 Layden, Kenton CCC- Pocatello, ID 83204 (208) 529-2255 1650 Overland Ave 4 SLP ~ (208) 604-6260 Burley, ID 83318 NPI: 1003088907 (208) 233-4660 500 W Aqua Ave Lance, Michelle SLP ~✤ Garner, Melissa SLP ~✤ Coeur D'alene, ID 83815 NPI: 1760848113 (855) 633-3627 NPI: 1417261645 Williams, Marcia SLP ~✤ 7677 W Portneuf Rd 3715 Woodking Dr Idaho Falls, ID 83404 NPI: 1447567144 Webb, Lori SLP ~ Pocatello, ID 83204 1650 Overland Ave 4 (208) 604-6260 (208) 529-2255 NPI: 1508951542 Burley, ID 83318 500 W Aqua Ave (208) 233-4660 83209 Hulet, Vicki SLP ~✤ Coeur D'alene, ID 83815 NPI: 1255440939 (855) 633-3627 Miller, Karissa SLP ~✤ 3715 Woodking Dr Zaremba, Cheryl SLP ~✤ NPI: 1740436302 Idaho Falls, ID 83404 NPI: 1053519751 Power 650 Memorial Dr Bldg 68 (208) 529-2255 1650 Overland Ave 4 Pocatello, ID 83209 Burley, ID 83318 American Falls (208) 282-3495 Stephens, Samantha (208) 233-4660 83211 SLP ~✤ Bonneville Jerome Barlow, Jessica SLP ~✤ NPI: 1730597725 NPI: 1871842856 Idaho Falls 3715 Woodking Dr Jerome 20 Hillcrest Ave 4 Idaho Falls, ID 83404 83338 American Falls, ID 83211 83404 (208) 529-2255 (208) 233-4660 Adamski, Margaret Beaulieu, Lauren SLP ~ Stowell, Kimberly NPI: 1730347741 SLP ~✤ 113 E Ave F Barlow, Jessica SLP ~✤ NPI: 1003979790 SLP ~✤ NPI: 1871842856 NPI: 1811007784 Jerome, ID 83338 3715 Woodking Dr (208) 324-2443 20 Hillcrest Ave Ste 4B Idaho Falls, ID 83404 3715 Woodking Dr American Falls, ID 83211 (208) 529-2255 Idaho Falls, ID 83404 (208) 233-4660 (208) 529-2255 Pound, Stacey SLP ~ NPI: 1316271513 Bullock, Kristan SLP ~✤ 113 E Ave F Furniss, Michele SLP ~✤ NPI: 1689082521 Jerome, ID 83338 NPI: 1750438131 3715 Woodking Dr (208) 324-2443 20 Hillcrest Ave Idaho Falls, ID 83404 American Falls, ID 83211 (208) 529-2255 (208) 233-4660

200 Specialty Providers / Proveedores Especializados Speech-Language Pathologist continued/seguido

Furniss, Michele SLP ~✤ Hall, Chalyse SLP ~✤ Jones, Jacob SLP ~✤ Tanner, William SLP ~✤ NPI: 1750438131 NPI: 1073865812 NPI: 1780939777 NPI: 1659707529 20 Hillcrest Ave 4 20 Hillcrest Ave Ste B 20 Hillcrest Ave Ste B 20 Hillcrest Ave Ste 4B American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 Spanish Glock, Kellie SLP ~✤ Honstetter, Tara SLP ~✤ Lee, Wendy SLP ~✤ NPI: 1659780559 NPI: 1134438351 NPI: 1881745065 Tanner, William SLP ~✤ 20 Hillcrest Ave 20 Hillcrest Ave 4 20 Hillcrest Ave 4 NPI: 1659707529 American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 20 Hillcrest Ave Ste B (208) 233-4660 (208) 233-4660 (208) 233-4660 American Falls, ID 83211 (208) 233-4660 Glock, Kellie SLP ~✤ Honstetter, Tara SLP ~✤ Lee, Wendy SLP ~✤ Spanish NPI: 1659780559 NPI: 1134438351 NPI: 1881745065 20 Hillcrest Ave 4 20 Hillcrest Ave Ste 4B 20 Hillcrest Ave Ste 4B Taylor, Amanda SLP ~ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1063957967 (208) 233-4660 (208) 233-4660 (208) 233-4660 420 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Glock, Kellie SLP ~✤ Jones, Gunda SLP ~✤ Pierce, Ashley SLP ~✤ NPI: 1659780559 NPI: 1952631459 NPI: 1477840825 20 Hillcrest Ave Ste 4B 20 Hillcrest Ave 4 20 Hillcrest Ave 4 Tingey, Amanda SLP ~✤ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1659609816 (208) 233-4660 (208) 233-4660 (208) 233-4660 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Glock, Kellie SLP ~✤ Jones, Gunda SLP ~✤ Pierce, Ashley SLP ~✤ NPI: 1659780559 NPI: 1952631459 NPI: 1477840825 20 Hillcrest Ave Ste B 20 Hillcrest Ave Ste 4B 20 Hillcrest Ave Ste 4B Tingey, Amanda SLP ~✤ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1659609816 (208) 233-4660 (208) 233-4660 (208) 233-4660 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Hall, Chalyse SLP ~✤ Jones, Jacob SLP ~✤ Pierce, Becky SLP ~✤ NPI: 1073865812 NPI: 1780939777 NPI: 1447309224 20 Hillcrest Ave 20 Hillcrest Ave 20 Hillcrest Ave 4 Williams, Marcia SLP ~✤ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1447567144 (208) 233-4660 (208) 233-4660 (208) 233-4660 73 Fort Hall Ave Ste B American Falls, ID 83211 (208) 233-4660 Hall, Chalyse SLP ~✤ Jones, Jacob SLP ~✤ Pierce, Becky SLP ~✤ NPI: 1073865812 NPI: 1780939777 NPI: 1447309224 20 Hillcrest Ave 4 20 Hillcrest Ave 4 20 Hillcrest Ave Ste 4B Zaremba, Cheryl SLP ~✤ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1053519751 (208) 233-4660 (208) 233-4660 (208) 233-4660 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Hall, Chalyse SLP ~✤ Jones, Jacob SLP ~✤ Suthers, Lindsay SLP ~✤ NPI: 1073865812 NPI: 1780939777 NPI: 1083922397 20 Hillcrest Ave Ste 4B 20 Hillcrest Ave Ste 4B 20 Hillcrest Ave Ste 4B Zaremba, Cheryl SLP ~✤ American Falls, ID 83211 American Falls, ID 83211 American Falls, ID 83211 NPI: 1053519751 (208) 233-4660 (208) 233-4660 (208) 233-4660 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660

201 Specialty Providers / Proveedores Especializados Speech-Language Pathologist continued/seguido

Twin Falls Sports Medicine - Meridian Shelley Twin Falls Family Medicine 83642 83274 83301 Gopon, Tobias MD ~✤ Christensen, James Pound, Stacey SLP ~ Ada NPI: 1508152257 DO ~✤ NPI: 1316271513 Boise 520 S Eagle Rd Ste 3213 NPI: 1295094217 1411 Falls Ave Ste 1203 Meridian, ID 83642 275 W Locust St Twin Falls, ID 83301 83702 (208) 706-2663 Shelley, ID 83274 German (208) 357-3960 (208) 733-2661 Gopon, Tobias MD ~✤ NPI: 1508152257 Bonneville Thurman, Jackie MS ~ 1109 W Myrtle St Ste 200 Nilsson, Kurt MD ~✤ NPI: 1073037073 Boise, ID 83702 NPI: 1477581122 Idaho Falls 1411 Falls Ave Ste 1203 (208) 706-2663 520 S Eagle Rd Ste 3213 Twin Falls, ID 83301 German Meridian, ID 83642 83404 (208) 733-2661 (208) 706-2663 Christensen, James Gopon, Tobias MD ~✤ Bannock DO ~✤ Spinal Cord Injury NPI: 1508152257 NPI: 1295094217 Medicine 703 S Americana Blvd Ste Pocatello 1740 E 17Th St Idaho Falls, ID 83404 120 83201 Ada Boise, ID 83702 (208) 535-3615 (208) 706-2663 Joseph, Anthony MD ~ Boise German NPI: 1922092741 Christensen, James 83706 2240 E Center St DO ~✤ Lyons, Trek MD ~✤ Pocatello, ID 83201 NPI: 1295094217 Kadyan, Vic MD ~ NPI: 1043210248 (208) 233-8344 2375 E Sunnyside Rd Ste F NPI: 1417950205 1109 W Myrtle St Ste 200 Idaho Falls, ID 83404 1000 N Curtis Rd Ste 202 Boise, ID 83702 Price, Jared DO ~✤ (208) 535-3626 Boise, ID 83706 (208) 706-2663 NPI: 1093884363 (208) 377-3435 777 Hospital Way Ste G1 Butte Pocatello, ID 83201 Meridian Lyons, Trek MD ~✤ Arco NPI: 1043210248 (208) 239-2722 83642 703 S Americana Blvd Ste 83213 Bingham Kadyan, Vic MD ~✤ 120 Christensen, James DO ~ NPI: 1417950205 Boise, ID 83702 Blackfoot NPI: 1295094217 (208) 706-2663 551 Highland Dr 520 S Eagle Rd Ste 1243 83221 Meridian, ID 83642 Arco, ID 83213 (208) 333-2225 Nilsson, Kurt MD ~✤ Christensen, James (208) 527-8206 NPI: 1477581122 DO ~✤ 1109 W Myrtle St Ste 200 NPI: 1295094217 Canyon Boise, ID 83702 1350 Pkwy Dr Ste 2 Nampa (208) 706-2663 Blackfoot, ID 83221 (208) 782-2410 83686 83704 Christensen, James Zerr, Ryan DO ~✤ Larkin, Brian DO ~✤ NPI: 1093988578 NPI: 1205278355 DO ~✤ 215 E Hawaii Ave 777 N Raymond St NPI: 1295094217 Nampa, ID 83686 Boise, ID 83704 98 Poplar St (208) 463-3000 (208) 514-2500 Blackfoot, ID 83221 (208) 785-4100

202 Specialty Providers / Proveedores Especializados Sports Medicine - Family Medicine continued/seguido

83687 Shea, Kevin MD ~✤ Surgery Szentes, Mark MD ~✤ Gopon, Tobias MD ~✤ NPI: 1336150218 NPI: 1689664237 600 N Robbins Rd Ste 401 Ada 222 N 2Nd St Ste 311 NPI: 1508152257 Boise, ID 83702 Boise, ID 83702 9850 W St Lukes Dr Boise Nampa, ID 83687 (208) 706-2663 (208) 343-0907 (208) 706-2663 83702 German Meridian Beckmann, James Valentine, Jim MD ~✤ 83642 NPI: 1205939592 Custer MD ~✤ 115 Main St Ste 101 Homaechevarria, NPI: 1164657854 Boise, ID 83702 Mackay Alejandro MD ~✤ 1109 W Myrtle St Ste 200 (208) 381-3915 Boise, ID 83702 83251 NPI: 1518978337 520 S Eagle Rd Ste 2209 (208) 706-2663 83704 Christensen, James DO ~ Meridian, ID 83642 NPI: 1295094217 (208) 706-2663 Campbell, Annie PA ~✤ Getz, Jon MD ~ 313 Hwy 93 NPI: 1154414902 NPI: 1174575138 Mackay, ID 83251 115 Main St Ste 101 8854 W Emerald St Ste 140 (208) 588-2993 Shea, Kevin MD ~✤ Boise, ID 83704 NPI: 1336150218 Boise, ID 83702 (208) 381-3915 (208) 321-4790 Sports Medicine - 520 S Eagle Rd Ste 2209 Meridian, ID 83642 83712 Physical Medicine (208) 706-2663 Curry, Thomas MD ~✤ NPI: 1811974652 Ali, Cyrus MD ~✤ & Rehabilitation Substance Abuse 333 N 1St St Ste 280 NPI: 1831374610 Boise, ID 83702 100 E Warm Springs Ave Ada Disorder (208) 345-6545 Ste B Rehabilitation Boise, ID 83712 Boise Kemp, Jason MD ~✤ (208) 381-6930 83702 Facility NPI: 1023128097 Homaechevarria, 222 N 2Nd St Ste 201 Arthur, Caroline MD ~✤ Gooding Boise, ID 83702 NPI: 1669636809 Alejandro MD ~✤ (208) 381-6390 100 E Warm Springs Ave NPI: 1518978337 Gooding Ste B 1109 W Myrtle St Ste 200 83330 Korn, Robert MD ~✤ Boise, ID 83712 Boise, ID 83702 (208) 381-6930 (208) 706-2663 The Walker Center ~ NPI: 1700862786 NPI: 1861500035 115 Main St Ste 101 605 11Th Ave E Boise, ID 83702 Barton, Joshua MD ~✤ Shea, Kevin MD ~✤ Gooding, ID 83330 (208) 381-3915 NPI: 1265401947 NPI: 1336150218 (208) 934-8461 100 E Idaho St Ste 301 1109 W Myrtle St Ste 200 Livingston, Elizabeth Boise, ID 83712 Boise, ID 83702 (208) 381-9250 (208) 706-2663 Twin Falls MD ~✤ NPI: 1083690069 Twin Falls 115 Main St Ste 101 Bowman, Kendra MD ~✤ Shea, Kevin MD ~✤ 83301 Boise, ID 83702 NPI: 1811029507 NPI: 1336150218 (208) 381-3915 100 E Idaho St Ste 300 600 N Robbins Rd Ste 100 The Walker Center ~ NPI: 1861500035 Boise, ID 83712 Boise, ID 83702 Olson, James MD ~ (208) 381-7370 (208) 706-2663 762 Falls Ave Twin Falls, ID 83301 NPI: 1912992249 (208) 734-4200 333 N 1St St Ste 130 Boise, ID 83702 (208) 424-0280

203 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Kading, Kellan MD ~✤ Meridian Kading, Kellan MD ~ Mcroberts, Andrew NPI: 1447517735 83642 NPI: 1447517735 MD ~✤ 100 E Warm Springs Ave 520 S Eagle Rd Ste 1241 NPI: 1992799894 Ste B Ali, Cyrus MD ~ Meridian, ID 83642 777 Hospital Way Smo Ste Boise, ID 83712 NPI: 1831374610 (208) 381-6930 201 (208) 381-6930 520 S Eagle Rd Ste 1241 Pocatello, ID 83201 Meridian, ID 83642 Verner, Reese MD ~ (208) 239-2620 Karsten, Benjamin (208) 381-6930 NPI: 1427085281 520 S Eagle Rd Ste 1241 MD ~✤ Arthur, Caroline MD ~ Meridian, ID 83642 Porter, Ryan PA ~✤ NPI: 1124227137 NPI: 1669636809 (208) 381-6930 NPI: 1669556213 125 E Idaho St Ste 303 520 S Eagle Rd Ste 1241 1151 Hospital Way Bldg D Boise, ID 83712 Meridian, ID 83642 Bannock Ste 100 (208) 381-9350 (208) 381-6930 Pocatello, ID 83201 Pocatello (208) 239-8010 Kemp, Jason MD ~✤ Ballantyne, Richard 83201 Schneider, Doran NPI: 1023128097 DO ~✤ Birkenhagen, Walter 125 E Idaho St Ste 202 NPI: 1174745582 MD ~✤ Boise, ID 83712 3399 E Louise Dr Ste 400 MD ~✤ NPI: 1831160712 (208) 381-7215 Meridian, ID 83642 NPI: 1407849060 1151 Hospital Way Bldg D (208) 364-3000 1151 Hospital Way Bldg D Ste 100 Keswani, Sundeep Ste 100 Pocatello, ID 83201 Pocatello, ID 83201 (208) 239-8010 MD ~✤ Barresi, Roberto MD ~✤ (208) 239-8010 NPI: 1578748646 NPI: 1740231620 100 E Idaho St Ste 300 3399 E Louise Dr Ste 400 Caulfield, Hannah Schroeder, Amber PA ~✤ Boise, ID 83712 Meridian, ID 83642 NPI: 1922458538 (208) 381-7370 (208) 364-3000 MD ~✤ 777 Hospital Way Smo Ste NPI: 1093003808 201 777 Hospital Way Smo Ste Lee, Timothy MD ~✤ Beckmann, James Pocatello, ID 83201 201 (208) 239-2620 NPI: 1841457306 MD ~✤ Pocatello, ID 83201 100 E Idaho St Ste 300 NPI: 1164657854 (208) 239-2620 Boise, ID 83712 520 S Eagle Rd Ste 3213 Bingham (208) 381-7370 Meridian, ID 83642 Blackfoot (208) 706-2663 Fouse, Tammy DO ~✤ NPI: 1053627216 Svennevik, Eirik MD ~✤ 83221 Elder, James MD ~ 1151 Hospital Way Bldg D NPI: 1003049776 Ste 100 Baird, Eric MD ~✤ 100 E Warm Springs Ave NPI: 1609926740 NPI: 1376565473 520 S Eagle Rd Ste 1241 Pocatello, ID 83201 Ste B (208) 239-8010 98 Poplar At Boise, ID 83712 Meridian, ID 83642 Blackfoot, ID 83221 (208) 381-6930 (208) 381-6930 (208) 235-2277 Fouse, Tammy DO ~✤ Getz, Jon MD ~✤ NPI: 1053627216 Verner, Reese MD ~✤ 353 N 4Th Ave Ste 102 Baird, Eric MD ~✤ NPI: 1427085281 NPI: 1174575138 NPI: 1376565473 3399 E Louise Dr Ste 400 Pocatello, ID 83201 100 E Warm Springs Ave (208) 478-7900 98 Poplar St Ste B Meridian, ID 83642 Blackfoot, ID 83221 Boise, ID 83712 (208) 364-3000 (208) 785-4100 (208) 381-6930 Fritz, Katie MD ~✤ Henson, Scott MD ~✤ NPI: 1700096708 NPI: 1023060258 777 Hospital Way Smo Ste 3399 E Louise Dr Ste 400 201 Meridian, ID 83642 Pocatello, ID 83201 (208) 364-3000 (208) 239-2620

204 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Birkenhagen, Walter Mcclusky, David MD ~✤ Obyrne, Brian MD ~✤ Galvan, Karen MD ~✤ MD ~✤ NPI: 1407896855 NPI: 1801896717 NPI: 1669635710 NPI: 1407849060 100 Hospital Dr Ste 201 2860 Channing Wy Ste 895 N 6Th E 98 Poplar At Ketchum, ID 83340 117 Mountain Home, ID Blackfoot, ID 83221 (208) 727-8800 Idaho Falls, ID 83404 83647 (208) 235-2277 (208) 535-4470 (208) 587-8401 Bonneville Franklin Fouse, Tammy DO ~✤ Idaho Falls Porter, Ryan PA ~✤ NPI: 1053627216 NPI: 1669556213 Preston 326 Poplar St 83404 2375 E Sunnyside Rd Ste F Blackfoot, ID 83221 Birkenhagen, Walter Idaho Falls, ID 83404 83263 (208) 782-2980 (208) 535-3626 MD ~✤ Judy, Claine DO ~ NPI: 1356336440 NPI: 1407849060 Schneider, Doran Porter, Ryan PA ~✤ 2375 E Sunnyside Rd Ste F 44 N 100 E NPI: 1669556213 Idaho Falls, ID 83404 MD ~✤ Preston, ID 83263 1350 Pkwy Dr Ste 2 (208) 535-3626 NPI: 1831160712 (208) 852-0137 Blackfoot, ID 83221 2375 E Sunnyside Rd Ste F (208) 782-2410 Idaho Falls, ID 83404 Gem Coray, Robert MD ~✤ (208) 535-3626 NPI: 1104938182 Emmett Porter, Ryan PA ~✤ 2375 E Sunnyside Rd Ste F Canyon NPI: 1669556213 Idaho Falls, ID 83404 83617 98 Poplar At (208) 535-3626 Nampa Bastian, Zachary MD ~✤ Blackfoot, ID 83221 Japanese 83687 NPI: 1447412929 (208) 235-2277 1024 E Locust St Fouse, Tammy DO ~✤ Ballantyne, Richard Emmett, ID 83617 Shelley NPI: 1053627216 DO ~✤ (208) 365-2338 83274 2375 E Sunnyside Rd Ste F NPI: 1174745582 Idaho Falls, ID 83404 215 E Hawaii Ave Kootenai Porter, Ryan PA ~✤ (208) 535-3626 Nampa, ID 83687 NPI: 1669556213 (208) 364-3000 Coeur D'alene 275 W Locust St Fouse, Tammy DO ~ 83814 Shelley, ID 83274 NPI: 1053627216 Beckmann, James (208) 357-3960 Detar, Edward MD ~ 3760 Washington Pkwy MD ~✤ NPI: 1194706465 Idaho Falls, ID 83404 Blaine NPI: 1164657854 700 Ironwood Dr Ste 304 (208) 535-3637 9850 W St Lukes Dr Coeur D'alene, ID 83814 Ketchum Nampa, ID 83687 (208) 667-1588 83340 Lemon, Michael DO ~✤ (208) 706-2663 NPI: 1558529222 Holman, Robert MD ~✤ Campanale, Ralph 3200 Channing Way Ste Elmore NPI: 1952333197 A205 MD ~✤ Mountain Home 1919 Lincoln Way Ste 315 NPI: 1972566727 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 180 W 1St St Ste 301 (208) 535-4580 83647 (208) 625-6000 Ketchum, ID 83340 (208) 726-3707 Lemon, Michael DO ~✤ Galvan, Karen MD ~✤ Jackson, Heidi MD ~ NPI: 1558529222 NPI: 1669635710 NPI: 1942481452 3242 S Woodruff Ave 840 N 4Th E Mcclusky, David MD ~✤ Mountain Home, ID 700 Ironwood Dr Ste 341 NPI: 1902005598 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 (208) 535-4567 83647 100 Hospital Dr Ste 109 (208) 587-1852 (208) 625-5200 Ketchum, ID 83340 (208) 726-1765

205 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Kladar, Philip MD ~ Richardson, Cory Jones, Sallee DO ~ Twin Falls NPI: 1619905999 NPI: 1952635609 MD ~✤ Twin Falls 700 Ironwood Dr Ste 304 NPI: 1295050342 415 6Th St Coeur D'alene, ID 83814 750 N Syringa St Ste 205 Lewiston, ID 83501 83301 (208) 667-1588 Post Falls, ID 83854 (208) 298-3005 (208) 262-0945 Blair, Ronald DO ~✤ May, Michael MD ~ Jones, Sallee DO ~ NPI: 1114947389 NPI: 1083684203 Madison NPI: 1952635609 775 Pole Line Rd W Ste 700 Ironwood Dr Ste 304 415 6Th St 212 Coeur D'alene, ID 83814 Rexburg Lewiston, ID 83501 Twin Falls, ID 83301 (208) 667-1588 (615) 844-9800 (208) 814-8400 Spanish 83440 Christensen, Brian Smith, Barry DO ~ Dunlavy, Paul DO ~✤ Quinn, Timothy MD ~ MD ~✤ NPI: 1083731103 NPI: 1598028797 NPI: 1881619849 NPI: 1811022056 307 St Johns Way Ste 4 775 Pole Line Rd W Ste 700 Ironwood Dr Ste 304 20 Madison Professional Lewiston, ID 83501 212 Coeur D'alene, ID 83814 Park (208) 743-7612 Twin Falls, ID 83301 (208) 667-1588 Rexburg, ID 83440 (208) 814-8400 (208) 656-9008 Thorne, Gary MD ~ Richardson, Cory NPI: 1841306339 307 St Johns Way Green, Jonah MD ~✤ MD ~✤ Coray, Robert MD ~✤ NPI: 1013079524 NPI: 1295050342 Lewiston, ID 83501 NPI: 1104938182 (208) 750-7474 775 Pole Line Rd W Ste 2003 Kootenai Health Wy 393 E 2Nd N 214 Coeur D'alene, ID 83814 Rexburg, ID 83440 Payette Twin Falls, ID 83301 (208) 666-2000 (208) 369-4498 (208) 814-8425 Japanese Fruitland Spanish Stafford, Douglas 83619 MD ~✤ Hansen, Dwayne MD ~✤ Hayes, Nicolas DO ~✤ NPI: 1598767196 NPI: 1376581546 Babij, Roman MD ~✤ NPI: 1518164334 2109 N Main St 381 E 4Th N St NPI: 1205813847 775 Pole Line Rd W Ste Coeur D'alene, ID 83814 Rexburg, ID 83440 1210 Nw 16Th St 212 (208) 676-0104 (208) 656-8442 Fruitland, ID 83619 Twin Falls, ID 83301 Cantonese (208) 452-8600 (208) 814-8400 Torgenson, Marcus MD ~ NPI: 1194907592 Nez Perce Tesnohlidek, D Anthony 700 Ironwood Dr Ste 304 Jones, Wilmer MD ~✤ Coeur D'alene, ID 83814 Lewiston MD ~✤ NPI: 1487666319 (208) 667-1588 NPI: 1437240009 775 Pole Line Rd W Ste 83501 1210 Nw 16Th St 213 Fruitland, ID 83619 Twin Falls, ID 83301 Post Falls Hoffmann, Brian MD ~✤ (208) 452-8600 (208) 814-8475 83854 NPI: 1548244718 2315 8Th St Shoshone Pennings, John MD ~✤ Lewiston, ID 83501 Lamb, Jarom MD ~✤ NPI: 1073569737 (208) 746-1383 Smelterville NPI: 1306006101 750 N Syringa St Ste 205 775 Pole Line Rd W Ste Post Falls, ID 83854 Jones, Sallee DO ~ 83868 212 (208) 262-0945 NPI: 1952635609 Wheeler, William MD ~ Twin Falls, ID 83301 307 St Johns Way Ste 14 NPI: 1205810025 (208) 814-8400 Lewiston, ID 83501 85 E Commerce Dr (208) 799-5751 Smelterville, ID 83868 (208) 784-4612

206 Specialty Providers / Proveedores Especializados Surgery continued/seguido

Mcclusky, David MD ~✤ Valley Latah Griggs, Jeffrey PA ~✤ NPI: 1407896855 Mccall Moscow NPI: 1861575797 775 Pole Line Rd W Ste 703 S Americana Blvd Ste 214 83638 83843 120 Twin Falls, ID 83301 Boyea, Steven MD ~ Boise, ID 83702 (208) 814-8425 Ocmand, Amy MD ~✤ (208) 706-2663 NPI: 1821202557 NPI: 1588659866 209 Forest St 2500 West A St Mccomas, Bruce MD ~✤ Mccall, ID 83638 Moscow, ID 83843 Hayes, Stephanie PA ~✤ NPI: 1235167198 (208) 634-1776 (208) 743-3523 NPI: 1427503721 775 Pole Line Rd W Ste 333 N 1St St Ste 280 212 Nez Perce Boise, ID 83702 Twin Falls, ID 83301 Surgery Of The (208) 345-6545 (208) 814-8400 Hand - Surgery Lewiston 83501 Walker, Beau PA ~✤ Mckain, Mark MD ~✤ Bannock Boyea, Steven MD ~ NPI: 1558508085 NPI: 1801907324 NPI: 1588659866 333 N 1St St Ste 280 775 Pole Line Rd W Ste Pocatello 320 Warner Dr Boise, ID 83702 212 83201 Lewiston, ID 83501 (208) 345-6545 Twin Falls, ID 83301 (208) 743-3523 (208) 814-8400 Esplin, Vermon MD ~✤ 83704 NPI: 1457345316 560 Memorial Dr Ste B Surgical - Physician Nielson, David PA ~✤ Mckain, Mark MD ~✤ Pocatello, ID 83201 Assistant NPI: 1124393939 NPI: 1801907324 (208) 235-4263 6140 W Curtisian Ave Ste 801 Pole Line Rd W 400 Twin Falls, ID 83301 Ada Idaho Boise, ID 83704 (208) 814-8800 Boise (208) 327-5600 Cottonwood Spanish Workman, Donald 83702 83522 MD ~✤ Brown, Megan PA ~✤ 83712 NPI: 1215013453 Boyea, Steven MD ~✤ NPI: 1124377338 496 Shoup Ave Ste D NPI: 1588659866 333 N 1St St Ste 280 Jones, Wendy PA ~✤ Twin Falls, ID 83301 701 Lewiston St Boise, ID 83702 NPI: 1902188147 (208) 734-1614 Cottonwood, ID 83522 (208) 345-6545 100 E Warm Springs Ave (208) 743-3523 Ste B 83303 Boise, ID 83712 Kootenai Burnett, Scott PA ~✤ (208) 381-6930 Shuss, John MD ~✤ NPI: 1295787240 NPI: 1700820222 Coeur D'alene 333 N 1St St Ste 280 Boise, ID 83702 Mathews, Joel PA ~✤ 775 Pole Line Rd W Ste NPI: 1679090617 216 83814 (208) 345-6545 Kuhlman-Wood, Kate 100 E Warm Springs Ave Twin Falls, ID 83303 Ste B (208) 814-8450 MD ~✤ Griggs, Jeffrey PA ~✤ Boise, ID 83712 NPI: 1629268255 NPI: 1861575797 (208) 381-6930 2003 Kootenai Health Wy 600 N Robbins Rd Ste 100 Coeur D'alene, ID 83814 Boise, ID 83702 (208) 666-2000 (208) 706-2663

207 Specialty Providers / Proveedores Especializados Surgical - Physician Assistant continued/seguido

Meridian Bannock Canyon Wegler, Jennifer PAC ~ NPI: 1326237413 83642 Pocatello Nampa 1110 W Prk Pl Ste 202 Davis, Lauren PA ~✤ 83201 83687 Coeur D'alene, ID 83814 NPI: 1245789536 (208) 625-6111 3399 E Louise Dr Ste 400 Belnap, Dale PA ~✤ Peterson, Anne PA ~✤ Meridian, ID 83642 NPI: 1962832923 NPI: 1447688312 Latah (208) 364-3000 560 Memorial Dr Ste B 215 E Hawaii Ave Pocatello, ID 83201 Nampa, ID 83687 Moscow (208) 235-4263 (208) 364-3000 83843 Granvall, Brian PA ~✤ German NPI: 1205809852 Mcdonald, David Morton, Rychael PAC ~ 3277 E Louise Dr Ste 100 Idaho NPI: 1750839023 Meridian, ID 83642 PAC ~✤ 2500 West A St (208) 706-7010 NPI: 1710280144 Cottonwood Moscow, ID 83843 Spanish 777 Hospital Way (208) 743-3523 Pocatello, ID 83201 83522 (208) 239-1417 Griggs, Jeffrey PA ~✤ Morton, Rychael PAC ~✤ Obray, Gregory PAC ~ NPI: 1861575797 NPI: 1750839023 NPI: 1083770192 520 S Eagle Rd Ste 3213 Mckay, Lance PA ~✤ 701 Lewiston St 2500 West A St Meridian, ID 83642 NPI: 1720379597 Cottonwood, ID 83522 Moscow, ID 83843 (208) 706-2663 1151 Hospital Way Bldg D (208) 743-3523 (208) 743-3523 Ste 100 Pocatello, ID 83201 Thueson, Kaden PAC ~ Jones, Wendy PA ~ Obray, Gregory PAC ~✤ NPI: 1902188147 (208) 239-8010 NPI: 1679941553 NPI: 1083770192 2500 West A St 520 S Eagle Rd Ste 1241 701 Lewiston St Meridian, ID 83642 Moscow, ID 83843 Nelson, Steven PA ~✤ Cottonwood, ID 83522 (208) 743-3523 (208) 381-6930 NPI: 1659689362 (208) 743-3523 950 Hospital Wy Ste A Mathews, Joel PA ~ Pocatello, ID 83201 Nez Perce Thueson, Kaden PAC ~✤ NPI: 1679090617 (208) 478-4522 Lewiston 520 S Eagle Rd Ste 1241 Spanish NPI: 1679941553 Meridian, ID 83642 701 Lewiston St 83501 (208) 381-6930 Bonneville Cottonwood, ID 83522 (208) 743-3523 Morton, Rychael PAC ~ Idaho Falls NPI: 1750839023 Peterson, Anne PA ~✤ Kootenai 320 Warner Dr NPI: 1447688312 83404 Lewiston, ID 83501 3399 E Louise Dr Ste 400 Coeur D'alene (208) 743-3523 Meridian, ID 83642 Hensley, Nicholas PA ~✤ (208) 364-3000 NPI: 1831647197 83814 Obray, Gregory PAC ~ German 3155 Channing Way Ste B Bowcut, Kami PAC ~ NPI: 1083770192 Idaho Falls, ID 83404 NPI: 1487168118 320 Warner Dr (208) 535-4800 700 Ironwood Dr Ste 341 Lewiston, ID 83501 Pyle, Nicole PA ~✤ (208) 743-3523 NPI: 1821009788 Coeur D'alene, ID 83814 3399 E Louise Dr Ste 200 Hensley, Nicholas PA ~✤ (208) 625-5200 NPI: 1831647197 Thueson, Kaden PAC ~ Meridian, ID 83642 NPI: 1679941553 (208) 706-2663 3155 Channing Wy Ste B Wagstaff, Tyler PA ~ Idaho Falls, ID 83404 NPI: 1205266053 320 Warner Dr (208) 535-4800 700 Ironwood Dr Ste 350 Lewiston, ID 83501 Coeur D'alene, ID 83814 (208) 743-3523 (208) 625-5222

208 Specialty Providers / Proveedores Especializados Surgical - Physician Assistant continued/seguido

Twin Falls Meridian Van Heuvelen, Gary Vasquez, Julio MD ~✤ MD ~ Twin Falls 83642 NPI: 1497824007 NPI: 1629060256 444 Hospital Way 83301 Menen, Rhiana MD ~✤ 1440 E Mullan Ave Pocatello, ID 83201 NPI: 1427205160 Post Falls, ID 83854 (208) 233-1451 Frampton, Joseph PA ~✤ 3399 E Louise Dr Ste 400 (209) 228-1000 Spanish NPI: 1558694570 Meridian, ID 83642 1411 Falls Ave E Ste 1301 (208) 364-3000 Thoracic Surgery Twin Falls, ID 83301 Spanish Vasquez, Julio MD ~✤ (208) 732-0067 (Cardiothoracic NPI: 1497824007 777 Hospital Way Ste G11 Therapeutic Vascular Surgery) Pocatello, ID 83201 Tureman, Brian PA ~✤ (208) 239-2580 NPI: 1790724680 Radiology Ada Spanish 738 N College Rd Ste A Twin Falls, ID 83301 Ada Boise Vasquez, Julio MD ~ (208) 814-7000 Meridian 83702 NPI: 1497824007 777 Hospital Wy Ste G1 Valley 83642 Forbes, Andrew MD ~✤ Pocatello, ID 83201 Mccall NPI: 1346292679 (208) 239-2670 Brooks, Joseph MD ~✤ 333 N 1St St Ste 280 Spanish 83638 NPI: 1457323693 Boise, ID 83702 2855 E Magic View Dr (208) 345-6545 Bonneville Stahlberg, Bill PA ~✤ Meridian, ID 83642 NPI: 1992743215 (208) 639-4900 Idaho Falls 200 Forest St Huerd, Steven MD ~✤ Mccall, ID 83638 Kootenai NPI: 1891747275 83404 (208) 630-2470 333 N 1St St Ste 280 Needham, Charles Coeur D'alene Boise, ID 83702 (208) 345-6545 MD ~✤ Washington 83814 NPI: 1063435899 Weiser Schomberg, Paula MD ~ Schoolfield, Matthew 3200 Channing Way Ste NPI: 1245218536 A205 83672 700 Ironwood Dr Ste 130 MD ~✤ Idaho Falls, ID 83404 NPI: 1275758377 (208) 535-4580 Peterson, Jamie PA ~✤ Coeur D'alene, ID 83814 (209) 228-1000 333 N 1St St Ste 280 NPI: 1487078911 Boise, ID 83702 Needham, Charles 360 E Liberty (208) 345-6545 Weiser, ID 83672 Van Heuvelen, Gary MD ~✤ (208) 549-4424 MD ~ NPI: 1063435899 Chinese NPI: 1629060256 Stuesse, David MD ~✤ 3242 S Woodruff Ave 700 Ironwood Dr Ste 130 NPI: 1427155290 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 333 N 1St St Ste 280 (208) 535-4567 Surgical Oncology (209) 228-1000 Boise, ID 83702 (208) 345-6545 Ada Post Falls Setser, Edward MD ~✤ Bannock NPI: 1013977297 Boise 83854 3200 Channing Way Ste 83712 Schomberg, Paula MD ~ Pocatello A205 NPI: 1245218536 83201 Idaho Falls, ID 83404 Wolf, James MD ~✤ 1440 E Mullan Ave (208) 535-4580 NPI: 1538164272 Post Falls, ID 83854 Delarosa, Jacob MD ~✤ 100 E Warm Springs Ave (209) 228-1000 NPI: 1083759880 Ste B 777 Hospital Way Ste G11 Boise, ID 83712 Pocatello, ID 83201 (208) 381-6930 (208) 239-2580

209 Specialty Providers / Proveedores Especializados Thoracic Surgery (Cardiothoracic Vascular Surgery) continued/seguido

Kootenai Canyon Urgent Care Clinic Oneida Coeur D'alene Nampa Malad City Ada 83814 83687 83252 Meridian Ihnken, Kai MD ~✤ Giles, Jonathan MD ~✤ Wolpert, Kathryn MD ~ NPI: 1497863773 NPI: 1457382723 83642 NPI: 1386909851 2003 Kootenai Health Wy 215 E Hawaii Ave Blanchard, Jordan 150 N 200 W Coeur D'alene, ID 83814 Nampa, ID 83687 Malad City, ID 83252 MD ~✤ (208) 766-2231 (208) 666-2000 (208) 364-3000 NPI: 1356630941 2855 E Magic View Dr Valley Reeves, Justin MD ~✤ Undersea And Meridian, ID 83642 NPI: 1720245905 Hyperbaric (208) 639-4900 Cascade 2003 Kootenai Health Way 83611 Coeur D'alene, ID 83814 Medicine - Davis, Toby DO ~✤ (208) 625-4000 NPI: 1891987467 Ellsworth, Ron MD ~✤ Emergency 3399 E Louise Dr Ste 100 NPI: 1245556141 Trauma Surgery Medicine Meridian, ID 83642 402 Lake Cascade Pkwy (208) 288-2255 Cascade, ID 83611 Ada Ada (208) 382-4242 Adams Spanish Boise Boise Council Washington 83712 83702 83612 Casos, Steven MD ~✤ Weiser Barnes, Randy MD ~✤ Blanchard, Jordan NPI: 1609849959 NPI: 1295811867 83672 100 E Warm Springs Ave 600 N Robbins Rd Ste 100 MD ~✤ Blanchard, Jordan Ste B Boise, ID 83702 NPI: 1356630941 Boise, ID 83712 (208) 489-5800 205 N Berkley St MD ~✤ (208) 381-6930 Council, ID 83612 NPI: 1356630941 Spanish (208) 253-4242 360 E Liberty Meridian Weiser, ID 83672 Meridian 83642 Kootenai (208) 549-4424 83642 Barnes, Randy MD ~✤ Coeur D'alene Urology Casos, Steven MD ~ NPI: 1295811867 3277 E Louise Dr Ste 410 83814 NPI: 1609849959 Ada 520 S Eagle Rd Ste 1241 Meridian, ID 83642 Volyn, Glen MD ~✤ Meridian, ID 83642 (208) 489-5800 NPI: 1801831235 Boise (208) 381-6930 1701 Lincoln Wy Spanish Bannock Coeur D'alene, ID 83814 83702 Pocatello (208) 625-4955 Auge, Brian MD ~✤ Giles, Jonathan MD ~✤ NPI: 1477523900 NPI: 1457382723 83201 Post Falls 510 N 2Nd St Ste 103 3399 E Louise Dr Ste 400 Gregson, Michael MD ~✤ 83854 Boise, ID 83702 Meridian, ID 83642 NPI: 1659370443 (208) 381-4700 (208) 364-3000 1000 N 8Th Ave Bassler, Holly DO ~✤ Pocatello, ID 83201 NPI: 1437103009 Ebbers, Michele MD ~✤ (208) 232-6260 1300 E Mullan Ave NPI: 1154358067 Post Falls, ID 83854 222 N 2Nd St Ste 315 (208) 777-9110 Boise, ID 83702 (208) 381-6196

210 Specialty Providers / Proveedores Especializados Urology continued/seguido

Fairfax, Cynthia MD ~✤ Williams, Joseph MD ~✤ Greer, John MD ~✤ Vuturo, Maggie MD ~✤ NPI: 1417906330 NPI: 1194777060 NPI: 1356393227 NPI: 1003086588 222 N 2Nd St Ste 115 222 N 2Nd St Ste 115 2855 E Magic View Dr 520 S Eagle Rd Ste 3112 Boise, ID 83702 Boise, ID 83702 Meridian, ID 83642 Meridian, ID 83642 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 706-5800 Spanish King-Menzner, Dawn 83712 Heiner, Jared MD ~✤ MD ~✤ NPI: 1710097068 Waldmann, Todd NPI: 1568413763 Brassell, Stephen MD ~✤ 2855 E Magic View Dr MD ~✤ 222 N 2Nd St Ste 115 NPI: 1538108311 Meridian, ID 83642 NPI: 1104877299 Boise, ID 83702 100 E Idaho St (208) 639-4900 2855 E Magic View Dr (208) 639-4900 Boise, ID 83712 Spanish Meridian, ID 83642 (208) 381-2733 (208) 639-4900 Kuo, Helen MD ~✤ Saperston, Kara MD ~✤ Jackson, Robert MD ~✤ NPI: 1346407921 NPI: 1396931010 NPI: 1184740045 Williams, Joseph MD ~✤ 222 N 2Nd St Ste 115 100 E Idaho St Ste 200 520 S Eagle Rd Ste 3112 NPI: 1194777060 Boise, ID 83702 Boise, ID 83712 Meridian, ID 83642 2855 E Magic View Dr (208) 639-4900 (208) 381-6196 (208) 706-5800 Meridian, ID 83642 Spanish, Mandarin German (208) 639-4900 King-Menzner, Dawn Taggart, Kara MD ~✤ Eagle MD ~✤ Bannock NPI: 1124055355 NPI: 1568413763 Pocatello 510 N 2Nd St Ste 103 83616 2855 E Magic View Dr Boise, ID 83702 Taylor, Michael MD ~✤ Meridian, ID 83642 83201 (208) 381-4700 NPI: 1689828162 (208) 639-4900 Spanish Bohus, Robert MD ~✤ 3101 E State St Ste 2107 NPI: 1275573552 Eagle, ID 83616 Kuo, Helen MD ~✤ 777 Hosptial Way Ste 215 Vuturo, Maggie MD ~✤ (208) 381-4700 NPI: 1346407921 Pocatello, ID 83201 NPI: 1003086588 Spanish 2855 E Magic View Dr (208) 239-2770 510 N 2Nd St Ste 103 Meridian, ID 83642 Boise, ID 83702 (208) 639-4900 Weese, Donald MD ~✤ Jones, Peter MD ~✤ (208) 381-4700 NPI: 1154323392 Spanish, Mandarin Spanish NPI: 1164518908 3101 E State St Ste 2107 777 Hosptial Way Ste 215 Eagle, ID 83616 Parrillo, Lisa MD ~✤ Waldmann, Todd Pocatello, ID 83201 (208) 381-4700 NPI: 1659663482 (208) 239-2770 MD ~✤ 2855 E Magic View Dr NPI: 1104877299 Meridian Meridian, ID 83642 222 N 2Nd St Ste 115 (208) 639-4900 Orien, Jason MD ~✤ Boise, ID 83702 83642 NPI: 1750648002 (208) 639-4900 777 Hosptial Way Ste 215 Fairfax, Cynthia MD ~✤ Spencer, Craig MD ~✤ Pocatello, ID 83201 NPI: 1417906330 NPI: 1033186606 (208) 239-2770 Weese, Donald MD ~✤ 2855 E Magic View Dr 520 S Eagle Rd Ste 3112 NPI: 1154323392 Meridian, ID 83642 Meridian, ID 83642 510 N 2Nd St Ste 103 (208) 639-4900 (208) 706-5800 Sisul, David MD ~✤ Boise, ID 83702 NPI: 1306000690 (208) 381-4700 Fredriksson, William 1151 Hospital Way Bldg D Taylor, Michael MD ~✤ Ste 100 MD ~✤ NPI: 1689828162 Pocatello, ID 83201 NPI: 1841280872 520 S Eagle Rd Ste 3112 (208) 239-8010 2855 E Magic View Dr Meridian, ID 83642 Meridian, ID 83642 (208) 706-5800 (208) 639-4900 Spanish

211 Specialty Providers / Proveedores Especializados Urology continued/seguido

Sisul, David MD ~✤ Sule, Joseph MD ~✤ Bonneville Uhlman, Eric MD ~✤ NPI: 1306000690 NPI: 1437130515 Idaho Falls NPI: 1396823738 353 N 4Th Ave Ste 102 98 Poplar At 1906 Fairview Ave Ste 350 Pocatello, ID 83201 Blackfoot, ID 83221 83404 Caldwell, ID 83605 (208) 478-7900 (208) 235-2277 (208) 454-9181 Sisul, David MD ~✤ Smedley, Elizabeth Blaine NPI: 1306000690 2375 E Sunnyside Rd Ste F Zausmer, Glenn DO ~✤ NP ~✤ Ketchum Idaho Falls, ID 83404 NPI: 1891767745 NPI: 1407230931 (208) 535-3626 1906 Fairview Ave Ste 350 777 Hosptial Way Ste 215 83340 Caldwell, ID 83605 Pocatello, ID 83201 (208) 454-9181 (208) 239-2770 Bates, Cory MD ~✤ Sule, Joseph MD ~✤ NPI: 1629256573 NPI: 1437130515 100 Hospital Dr Ste 201 2375 E Sunnyside Rd Ste F Nampa Sule, Joseph MD ~✤ Ketchum, ID 83340 Idaho Falls, ID 83404 83686 NPI: 1437130515 (208) 727-8888 (208) 535-3626 Fredriksson, William 1151 Hospital Way Bldg D Spanish Ste 100 Tall, Roger MD ~ MD ~✤ Pocatello, ID 83201 Greenhalgh, Jason NPI: 1972604494 NPI: 1841280872 (208) 239-8010 6915 E Hunt Ave MD ~✤ 2001 S Woodruff Ave Ste 8 Idaho Falls, ID 83404 Nampa, ID 83686 NPI: 1952478703 (208) 639-4900 Sule, Joseph MD ~✤ 100 Hospital Dr Ste 201 (208) 529-0633 NPI: 1437130515 Ketchum, ID 83340 Cassia 353 N 4Th Ave Ste 102 (208) 727-8888 Tall, Roger MD ~✤ Pocatello, ID 83201 German NPI: 1972604494 Burley (208) 478-7900 2001 S Woodruff Ste 8 83318 Taggart, Kara MD ~✤ Idaho Falls, ID 83404 83204 NPI: 1124055355 (208) 557-2700 Jones, Peter MD ~✤ Sisul, David MD ~ 100 Hospital Dr Ste 201 NPI: 1164518908 NPI: 1306000690 Ketchum, ID 83340 Taylor, Timothy MD ~✤ 1501 Hiland Ave Ste B 1595 Bannock Hwy (208) 727-8888 NPI: 1033121322 Burley, ID 83318 Pocatello, ID 83204 Spanish 2330 Coronado St (208) 678-2106 (208) 478-2449 Idaho Falls, ID 83404 Bonner (208) 552-1234 Smedley, Elizabeth Sule, Joseph MD ~ NP ~✤ NPI: 1437130515 Sandpoint Canyon NPI: 1407230931 1595 Bannock Hwy 83864 1501 Hiland Ave Ste B Pocatello, ID 83204 Caldwell Burley, ID 83318 (208) 478-2449 Flores, David MD ~✤ 83605 (208) 678-2106 NPI: 1972892669 Bingham 420 2Nd Ave Morris, Michael MD ~✤ Elmore Sandpoint, ID 83864 NPI: 1295750289 Blackfoot (208) 667-0621 1906 Fairview Ave Ste 350 Mountain Home 83221 Caldwell, ID 83605 83647 Jones, Peter MD ~ (208) 454-9181 NPI: 1164518908 Taylor, Michael MD ~✤ 1441 Parkway Dr Stritzke, Donald MD ~✤ NPI: 1689828162 Blackfoot, ID 83221 NPI: 1457331019 840 N 4Th E (208) 234-2001 1906 Fairview Ave Ste 350 Mountain Home, ID Caldwell, ID 83605 83647 (208) 454-9181 (208) 587-1852 Spanish

212 Specialty Providers / Proveedores Especializados Urology continued/seguido

Gem Mclaughlin, Matthew Zausmer, Glenn DO ~✤ Bingham DO ~ Emmett NPI: 1891767745 Blackfoot NPI: 1215071469 1210 Nw 16Th St 83617 2003 Kootenai Health Way Fruitland, ID 83619 83221 Coeur D'alene, ID 83814 (208) 454-9181 Stritzke, Donald MD ~✤ (208) 666-2000 Whiting Jr, John MD ~✤ NPI: 1457331019 Twin Falls NPI: 1316913254 1202 E Locust St Mclaughlin, Matthew 1350 Pkwy Dr Ste 2 Emmett, ID 83617 DO ~✤ Twin Falls Blackfoot, ID 83221 (208) 454-9181 (208) 782-2410 NPI: 1215071469 83301 980 Ironwood Dr Ste 104 Norwegian Kootenai Coeur D'alene, ID 83814 Bates, Cory MD ~✤ Coeur D'alene (208) 667-0621 NPI: 1629256573 Vascular Neurology 775 Pole Line Rd W Ste 83814 Peterson, Chad MD ~✤ 301 Bingham Twin Falls, ID 83301 Clark, Randil MD ~✤ NPI: 1629284732 Blackfoot 980 Ironwood Dr Ste 104 (208) 814-8700 NPI: 1205961182 Spanish 2003 Kootenai Health Way Coeur D'alene, ID 83814 83221 (208) 667-0621 Coeur D'alene, ID 83814 Greenhalgh, Jason Garland, Erich MD ~✤ (208) 625-4000 Nez Perce MD ~✤ NPI: 1689664724 NPI: 1952478703 98 Poplar At Clark, Randil MD ~✤ Lewiston 775 Pole Line Rd W Ste Blackfoot, ID 83221 (208) 235-2277 NPI: 1205961182 83501 301 980 Ironwood Dr Ste 104 Twin Falls, ID 83301 Coeur D'alene, ID 83814 Rice, David MD ~✤ (208) 814-8700 Garland, Erich MD ~✤ (208) 667-0621 NPI: 1740232248 German NPI: 1689664724 2315 8Th St 98 Poplar St Ellison, Edward MD ~✤ Lewiston, ID 83501 Hadley, David MD ~✤ Blackfoot, ID 83221 NPI: 1346375235 (208) 746-1383 NPI: 1225223043 (208) 785-4100 2003 Kootenai Health Way 775 Pole Line Rd W Ste Coeur D'alene, ID 83814 Tieu, Thomas MD ~✤ 301 Vascular Surgery (208) 625-4000 NPI: 1396008892 Twin Falls, ID 83301 2315 8Th St (208) 814-8700 Ada Ellison, Edward MD ~✤ Lewiston, ID 83501 NPI: 1346375235 (208) 746-1383 Vascular & Boise 980 Ironwood Dr Ste 104 83702 Coeur D'alene, ID 83814 Payette Interventional (208) 667-0621 Curry, Thomas MD ~✤ Fruitland Radiology NPI: 1811974652 333 N 1St St Ste 280 Flores, David MD ~✤ 83619 Ada NPI: 1972892669 Boise, ID 83702 2003 Kootenai Health Wy Uhlman, Eric MD ~✤ Meridian (208) 345-6545 Coeur D'alene, ID 83814 NPI: 1396823738 (208) 666-2000 1210 Nw 16Th St 83642 Gilbertson, Jeffrey Fruitland, ID 83619 MD ~✤ (208) 454-9181 Sonntag, P David MD ~✤ Flores, David MD ~✤ NPI: 1760682066 NPI: 1790738516 NPI: 1972892669 3277 E Louise Dr Ste 100 333 N 1St St Ste 280 980 Ironwood Dr Ste 104 Meridian, ID 83642 Boise, ID 83702 Coeur D'alene, ID 83814 (208) 706-7010 (208) 345-6545 (208) 667-0621 Spanish

213 Specialty Providers / Proveedores Especializados Vascular Surgery continued/seguido

Hamlat, Christian Kootenai Bonner MD ~✤ Coeur D'alene Sandpoint NPI: 1629188933 333 N 1St St Ste 280 83814 83864 Boise, ID 83702 Ward, Christopher Barron, Tabitha NP ~ (208) 345-6545 MD ~✤ NPI: 1316205974 NPI: 1598964215 1215 Michigan St Kreishman, Peter MD ~✤ 2003 Kootenai Health Way Sandpoint, ID 83864 NPI: 1528097797 Coeur D'alene, ID 83814 (208) 263-1299 333 N 1St St Ste 280 (208) 625-4000 Boise, ID 83702 Dalsing, Cynthia NP ~ (208) 345-6545 Ward, Christopher MD ~ NPI: 1922197946 NPI: 1598964215 1215 Michigan St 700 Ironwood Dr Ste 350 Sandpoint, ID 83864 Masser, Philippe MD ~✤ (208) 263-1299 NPI: 1104878446 Coeur D'alene, ID 83814 333 N 1St St Ste 280 (208) 625-5222 Boise, ID 83702 Canyon (208) 345-6545 Twin Falls Nampa Twin Falls 83686 Matteson, Brian MD ~✤ NPI: 1609828003 83301 Fife, Annie NP ~✤ 333 N 1St St Ste 280 Johnson, David MD ~✤ NPI: 1144325572 Boise, ID 83702 NPI: 1922035104 9850 W St Lukes Dr Ste (208) 345-6545 775 Pole Line Rd W Ste 221 213 Nampa, ID 83686 Meridian Twin Falls, ID 83301 (208) 455-1784 (208) 814-8475 83642 Jerome Tullis, Michael MD ~✤ Women's Health NPI: 1598717985 Jerome 3277 E Louise Dr Ste 150 Nurse Practitioner 83338 Meridian, ID 83642 (208) 706-8346 Merrill, Melissa CNM ~✤ Ada NPI: 1043459696 Clearwater Eagle 132 5Th Ave W Ste 1 Jerome, ID 83338 Orofino 83616 (208) 814-9800 83544 Fife, Annie NP ~✤ Ward, Christopher NPI: 1144325572 3101 E State St Ste 2100 MD ~✤ Eagle, ID 83616 NPI: 1598964215 (208) 938-2220 1055 Riverside Ave Orofino, ID 83544 Meridian (208) 476-5777 83642 Fife, Annie NP ~✤ NPI: 1144325572 3520 E Louise Dr Meridian, ID 83642 (208) 888-0909

214 Hospitals / Hospitales Total count / Cuenta total: 22

Ada Bonneville Kootenai Shoshone Boise Idaho Falls Coeur D'alene Smelterville 83712 83404 83814 83868 St Lukes Nampa Medical Mountain View Hospital Kootenai Medical Center Shoshone Medical Center Center Ltd Llc - Idaho - Hospital - Wa 85 E Commerce Dr 190 E Bannock St 2325 Coronado St 2003 Kootenai Health Way Smelterville, ID 83868 Boise, ID 83712 Idaho Falls, ID 83404 Coeur D'alene, ID 83814 (208) 784-4612 (208) 706-7481 (208) 542-7159 (208) 666-2000 Twin Falls St Lukes Regional Elmore Kootenai Medical Center Medical Center Twin Falls Mountain Home - Hospital - Wa ✤ 190 East Bannock St 2003 Kootenai Health Wy 83301 Boise, ID 83712 83647 Coeur D'alene, ID 83814 (208) 381-2222 (208) 666-2000 Hendrickson ✤ St Lukes Elmore Medical 414 Shoup Ave W Ste B Bannock Center ✤ Twin Falls, ID 83301 895 N 6Th E Post Falls (208) 814-9100 Pocatello Mountain Home, ID 83854 83201 83647 Northern Idaho St Luke's Canyon View (208) 587-8401 Advanced Care Hospital Behavioral Health Portneuf Medical Center Services 615 Memorial Dr Inc Gem 600 N Cecil Rd 228 Shoup Ave W Pocatello, ID 83201 Twin Falls, ID 83301 (208) 239-1000 Post Falls, ID 83854 Emmett (208) 262-2800 (208) 814-7900 Spanish Portneuf Medical Center 83617 777 Hospital Way Rehabilitation Hospital Valor Health Hospital ✤ Of The Northwest St Lukes Magic Valley Pocatello, ID 83201 1202 E Locust St Regional Medical (208) 239-2100 3372 E Jenalan Ave Emmett, ID 83617 Post Falls, ID 83854 Center ✤ (208) 365-3561 Bingham (208) 262-8700 801 Pole Line Rd W Twin Falls, ID 83301 Blackfoot Gooding Nez Perce (208) 814-0361 Gooding 83221 Lewiston Valley Bingham Memorial 83330 83501 Hospital Mccall North Canyon Medical St Joseph Regional 98 Poplar St 83638 Blackfoot, ID 83221 Center ✤ Medical Center ✤ (208) 785-4100 267 N Canyon Dr 415 6Th St St Lukes Mccall Ltd ✤ Gooding, ID 83330 Lewiston, ID 83501 1000 State St Blaine (208) 934-8401 (208) 743-2511 Mccall, ID 83638 (208) 634-2221 Ketchum Jerome Oneida 83340 Jerome Malad City St Lukes Medical Center 83338 83252 Wood River Ltd ✤ St Lukes Jerome 100 Hospital Dr Oneida County Hospital 709 N Lincoln Ave 150 N 200 W Ketchum, ID 83340 Jerome, ID 83338 (208) 727-8800 Malad City, ID 83252 (208) 814-9500 (208) 766-2231

✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

215 Skilled Nursing Facilities / Servicios de Enfermeras Capacitadas Total count / Cuenta total: 40

Ada Meridian Good Samaritan Society - Cassia Idaho Falls Village Boise 83642 840 East Elva St Burley 83702 Meridian Center Genesis Idaho Falls, ID 83401 83318 Healthcare (208) 523-4795 St Lukes Rehab Elks 1351 W Pine Ave Parke View Subacute Rehab Unit Meridian, ID 83642 83404 Rehabilitation & Care 600 N Robbins Rd (208) 888-7049 Center ✤ Boise, ID 83702 Lifecare Center Of Coeur 2303 Parke Ave (208) 489-4552 Bannock D Alene Burley, ID 83318 2595 Channing Way (208) 677-3073 83703 Pocatello Idaho Falls, ID 83404 (208) 762-1122 Spanish Good Samaritan Society - 83201 Boise Village ✤ Gateway Transitional Teton Post Acute Care Elmore 3115 Sycamore Dr Care Center And Rehabilitation Mountain Home Boise, ID 83703 527 Memorial Dr 3111 Channing Wy (208) 343-7726 Pocatello, ID 83201 Idaho Falls, ID 83404 83647 (208) 478-3333 (360) 892-6628 St Lukes Elmore Long 83704 Term Care ✤ Monte Vista Hills 83406 Apex Center ✤ 895 N 6Th E 8211 Ustick Rd Healthcare Center ✤ Life Care Center Of Idaho Mountain Home, ID Boise, ID 83704 1071 Renee Ave Falls ✤ 83647 (208) 375-3700 Pocatello, ID 83201 2725 E 17Th St (208) 580-2670 (208) 233-1411 Idaho Falls, ID 83406 Life Care Center Of Spanish (253) 952-2184 Gem Treasure Valley Emmett 502 N Kimball Pl 83202 Canyon Boise, ID 83704 Quinn Meadows 83617 (208) 377-1900 Rehabilitation And Care Nampa Rivers Edge Center ✤ 83651 Rehabilitation & Living 83705 1033 West Quinn Rd Karcher Post-Acute & Center ✤ Avamere Transitional Pocatello, ID 83202 Rehabilitation Center 714 N Butte Ave Care And Rehabilitation - (208) 221-0481 1127 Caldwell Blvd Emmett, ID 83617 Boise ✤ Nampa, ID 83651 (208) 365-4425 1001 S Hilton 83205 (360) 816-8283 Boise, ID 83705 Bell Mountain Village Gooding (208) 345-4464 And Care Center Meadow View Nursing 2520 5Th Ave And Rehabilitation Gooding 83706 Pocatello, ID 83205 46 N Midland Blvd 83330 (208) 539-0751 Nampa, ID 83651 Life Care Center Of Boise (208) 466-7803 Bennett Hills Center ✤ 808 N Curtis Rd Bonneville 1220 Montana St Boise, ID 83706 83686 Gooding, ID 83330 (208) 376-5273 (208) 934-5601 Idaho Falls Sunny Ridge Riverview Rehabilitation 83401 2609 Sunnybrook Dr 3550 Americana Terrace Brio Idaho Home Health Nampa, ID 83686 Boise, ID 83706 (208) 467-7298 (208) 615-4940 Llc ✤ 120 W Woodruff Ave Idaho Falls, ID 83401 (801) 361-4331

✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

216 Skilled Nursing Facilities / Servicios de Enfermeras Capacitadas

Kootenai Nez Perce Twin Falls Coeur D Alene Lewiston Twin Falls 83814 83501 83301 Ivy Court Life Care Center Of Bridgeview Estates 2200 Ironwood Pl Lewiston ✤ 1828 Bridgeview Blvd Coeur D Alene, ID 83814 325 Warner Dr Twin Falls, ID 83301 (208) 667-6486 Lewiston, ID 83501 (208) 736-3933 (208) 798-8500 Lacrosse Health And Twin Falls Center ✤ Rehabilitation Center ✤ Prestige Care And 674 Eastland Dr 210 W Lacrosse Ave Rehabilitation The Twin Falls, ID 83301 Coeur D Alene, ID 83814 Orchards ✤ (208) 734-4264 (208) 664-2185 1014 Burrell Ave Lewiston, ID 83501 Visions Home Health & Post Falls (208) 743-4558 Visions Home Care Llc ✤ 83854 1770 Parkview Dr Royal Plaza Health And Twin Falls, ID 83301 Life Care Center Of Post (208) 732-8100 Falls Rehabilitation ✤ 460 N Garden Plaza Ct 2870 Juniper Dr Post Falls, ID 83854 Lewiston, ID 83501 Valley (208) 777-0318 (208) 746-2855 Mccall Lemhi Oneida 83638 Mccall Rehab And Care Salmon Malad City Center 83467 83252 418 Floyde St Oneida County Hospital Mccall, ID 83638 Discovery Care Center (208) 634-2112 600 Shanafelt St Long Term Care Salmon, ID 83467 150 N 200 W (208) 756-8391 Malad City, ID 83252 (208) 766-2231 Madison Owyhee Rexburg Homedale 83440 83628 Madison Carriage Cove Owyhee Health & Short Stay ✤ 410 W 1St N Rehabilitation Center ✤ Rexburg, ID 83440 108 E Owyhee Ave (208) 359-7676 Homedale, ID 83628 (208) 337-3168 Rexburg Care And Spanish Rehabilitation Center ✤ 660 S 2Nd St W Payette Rexburg, ID 83440 Payette (208) 356-0220 83661 Payette Center 1019 3Rd Avenue S Payette, ID 83661 (208) 642-4455

✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

217 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Total count / Cuenta total: 156

Ada Musteti Oprea, Laura Tremblay, Cynthia Bostick, Marc MD ~✤ Boise MD ~✤ PSYD ~✤ Psychiatry Psychiatry Clinical Neuropsychologist NPI: 1073545703 83702 NPI: 1922292143 NPI: 1215305263 413 N Allumbaugh St Ste 703 S Americana Blvd Ste 600 N Robbins Rd 101 Amarello, Amy PSYD ~✤ 150 Entrance 1 Floor 2 Boise, ID 83704 Psychiatry Boise, ID 83702 Boise, ID 83702 (208) 323-1125 NPI: 1164551537 (208) 706-6375 (208) 381-9375 610 W Hays St Romanian Boise, ID 83702 Desai, Abhilash MD ~✤ (208) 381-5970 Walters, Amy PHD ~✤ Psychiatry Olson, Roger PSYD ~✤ Clinical Psychologist NPI: 1366519084 Clinical Psychologist NPI: 1578729679 413 N Allumbaugh St Ste Beglinger, Leigh PHD ~✤ NPI: 1740331586 1226 W River St 101 Clinical Neuropsychologist 608 W Hays St Boise, ID 83702 Boise, ID 83704 NPI: 1952396632 Boise, ID 83702 (208) 331-1155 (208) 323-1125 600 N Robbins Rd (208) 381-5970 Boise, ID 83702 Germain, Ninon MD ~ (208) 489-4444 Williams, Keith PHD ~✤ Shackelford, James Clinical Psychologist Psychiatry MD ~✤ NPI: 1174716005 NPI: 1588705560 Gerrish, Winslow ~ 413 N Allumbaugh St Ste Clinical Psychologist Psychiatry 1161 W River St Ste 250 NPI: 1639217359 Boise, ID 83702 101 NPI: 1013297621 Boise, ID 83704 121 E Fort St 300 S 23Rd St (208) 939-9917 Boise, ID 83702 (208) 302-0900 Boise, ID 83702 French (208) 514-2525 (208) 344-3512 Wills, Alex MD ~ Psychiatry Shackelford, James NPI: 1649597055 Gerrish, Winslow ~ Gierhart, Megan Clinical Psychologist MD ~✤ 950 W Bannock St Ste PSYD ~✤ 1100 NPI: 1013297621 Clinical Psychologist Psychiatry 6565 W Emerald St NPI: 1639217359 Boise, ID 83702 NPI: 1225312374 (208) 319-3513 Boise, ID 83704 1276 W River St Ste 100 300 S 23Rd St (208) 514-2510 Boise, ID 83702 Boise, ID 83702 (208) 338-4699 (208) 344-3512 83703 Harrington, Kristina Gerrish, Winslow ~✤ Stephenson, Mack Clinical Psychologist Marion, Sarah PHD ~✤ MD ~✤ NPI: 1013297621 Clinical Psychologist PHD ~✤ Psychiatry 777 N Raymond St NPI: 1518111590 Psychologist NPI: 1407887623 Boise, ID 83704 600 N Robbins Rd NPI: 1467676254 5985 W State St (208) 514-2500 Boise, ID 83702 600 N Robbins Rd Boise, ID 83703 (208) 489-4444 Entrance 1 Floor 2 (208) 853-0071 Boise, ID 83702 Gilbreath, Eric MD ✤ (208) 381-9375 Psychiatry Montgomery, Richard 83704 NPI: 1548290711 MD ~ 413 N Allumbaugh Ste 101 Psychiatry Abbasi, Kafia MD ~✤ Psychiatry Boise, ID 83704 NPI: 1275567638 (208) 323-1125 1423 W Franklin St NPI: 1215114897 Boise, ID 83702 413 N Allumbaugh St Ste (208) 345-2212 101 Boise, ID 83704 (208) 323-1125 Haitian Creole ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

218 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Ada County continued / Condado seguido

Kent, David MD ~✤ Piktel, James MD ~✤ Bushi, Stephen MD ~✤ Deidrick, Kathleen Psychiatry Psychiatry Psychiatry PHD ~✤ NPI: 1215965199 NPI: 1487883021 NPI: 1356336648 Clinical Psychologist 413 N Allumbaugh St Ste 413 N Allumbaugh St Ste 1902 W Judith Ln Ste 110 NPI: 1891742540 101 101 Boise, ID 83705 100 E Idaho St Ste 200 Boise, ID 83704 Boise, ID 83704 (208) 658-0800 Boise, ID 83712 (208) 323-1125 (208) 323-1125 (208) 381-5000 French, Polish 83706 Kent, David MD ~✤ Bates, John MD ~✤ Eiguren, Amaya PSY ~✤ Psychiatry Pullen, Samuel DO ~✤ Psychiatry Psychologist NPI: 1215965199 Psychiatry NPI: 1720170228 NPI: 1548454432 413 N Allumbaugh Ste 101 NPI: 1689874968 4477 W Emerald St Ste 740 Warm Springs Ave Boise, ID 83704 413 N Allumbaugh Ste 102 C100 Boise, ID 83712 (208) 954-5591 Boise, ID 83704 Boise, ID 83706 (208) 343-7797 (208) 381-5970 (208) 454-8389 Martin, Susan ~ Gudmundsen, Gretchen Psychologist Rice, Charles PSYD ~✤ Wills, Alex MD ~ PHD ✤ NPI: 1992868020 Psychologist Psychiatry Psychologist 6565 W Emerald St NPI: 1336176171 NPI: 1649597055 NPI: 1821232562 Boise, ID 83704 3308 N Cole Rd Ste A 7161 W Potomac Dr Ste A 100 E Idaho St Ste 200 (208) 514-2510 Boise, ID 83704 Boise, ID 83706 Boise, ID 83712 (208) 378-1122 (208) 319-3513 (208) 381-7360 Negron, Roberto MD ~✤ Psychiatry Senethavilay, Heidi ~✤ 83709 Harlan Drewel, Elena NPI: 1932139961 Psychologist Millward, Michael PHD ~✤ 413 N Allumbaugh St Ste NPI: 1669825709 Clinical Neuropsychologist 101 3308 N Cole Rd Ste A MD ~✤ NPI: 1538490834 Boise, ID 83704 Boise, ID 83704 Psychiatry 100 E Idaho St Ste 200 (208) 323-1125 (208) 378-1122 NPI: 1437164381 Boise, ID 83712 Spanish 10112 W Overland Rd (208) 381-5000 Boise, ID 83709 Waters, Christopher (208) 780-3900 Novak, Charles MD ~✤ PHD ~✤ Thurston, Nicole MD ~✤ Psychiatry Clinical Psychologist Psychiatry NPI: 1770511743 NPI: 1407122641 Wills, Alex MD ~✤ NPI: 1679782460 413 N Allumbaugh St Ste 3308 N Cole Rd Ste A Psychiatry 100 E Idaho St 101 Boise, ID 83704 NPI: 1649597055 Boise, ID 83712 Boise, ID 83704 (208) 378-1122 6003 W Overland Rd Ste (208) 381-2711 (208) 323-1125 101 Boise, ID 83709 Pathways Of Idaho 83705 (208) 922-6538 Weathers, Coire MD ~✤ Psychiatry Llc ~✤ Bushi, Stephen MD ~✤ NPI: 1437319662 Community/Behavioral Psychiatry 83712 NPI: 1356336648 190 E Bannock St Health Day, Dan PHD ~✤ Boise, ID 83712 NPI: 1326466988 1902 W Judith Lane Ste 110 Psychologist (208) 381-2081 545 N Benjamin Ste 185 NPI: 1861755068 Boise, ID 83704 Boise, ID 83705 (208) 658-0800 740 Warm Springs Ave (208) 322-1026 Boise, ID 83712 (208) 343-7797

219 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Ada County continued / Condado seguido

Garden City Thurston, Nicole MD ~✤ Downey Carter, Linda MD ~✤ 83714 Psychiatry 83234 Psychiatry NPI: 1679782460 NPI: 1912046525 Gerrish, Winslow ~ 520 S Eagle Rd Mcarthur, Lyn PHD ~✤ 777 Hospital Way Ste 11 Clinical Psychologist Meridian, ID 83642 Psychologist Pocatello, ID 83201 NPI: 1013297621 (208) 706-5651 NPI: 1952615619 (208) 239-1710 215 W 35Th St 79 N Main St Garden City, ID 83714 Downey, ID 83234 (208) 514-2500 Walters, Amy PHD ~✤ Dickey, John PHD ~✤ Clinical Psychologist (208) 897-5600 Clinical Psychologist Kuna NPI: 1578729679 NPI: 1972663839 520 S Eagle Rd Ste 1229 Roberts, Verena 1000 N 8Th Ave 83634 Meridian, ID 83642 PSYD ~✤ Pocatello, ID 83201 Kuna Counseling (208) 884-4220 Clinical Psychologist (208) 232-6260 Center ~ NPI: 1255614434 Community/Behavioral Wills, Alex MD ~ 79 N Main St Dickey, John PHD ~ Health Psychiatry Downey, ID 83234 Clinical Psychologist NPI: 1568544047 NPI: 1649597055 (208) 897-5600 NPI: 1972663839 190 W Main 2321 E Gala St Ste 3 777 Hospital Way Kuna, ID 83634 Meridian, ID 83642 Lava Hot Spring Pocatello, ID 83201 (208) 922-9001 (208) 319-3513 83246 (208) 239-2100 Meridian 83646 Mcarthur, Lyn PHD ~✤ Erwin, Kathleen MD ~✤ 83642 Ginkel, Ross PSYD Psychologist Psychiatry Clinical Psychologist NPI: 1952615619 NPI: 1457499113 Ashaye, Olurotimi MD ~ NPI: 1568806016 85 S 5Th W 777 Hospital Way Ste 201 Psychiatry 750 W Ustick Rd Ste 120 Lava Hot Spring, ID 83246 Pocatello, ID 83201 NPI: 1649208315 Meridian, ID 83646 (208) 776-5202 (208) 239-2620 2365 E Gala St Ste 2 (208) 366-1657 Meridian, ID 83642 Roberts, Verena (208) 287-9420 Hazle, William MD ~✤ Michaud, Kathleen PSYD ~✤ Psychiatry Gerrish, Winslow ~ PHD ~✤ Clinical Psychologist NPI: 1629039763 Clinical Psychologist Clinical Psychologist NPI: 1255614434 500 S 11Th St Ste 303 NPI: 1013297621 NPI: 1992997837 85 S 5Th W Pocatello, ID 83201 2275 S Eagle Rd Ste 120 2498 Stokesberry Pl Ste Lava Hot Spring, ID 83246 (208) 239-3815 Meridian, ID 83642 140 (208) 776-5202 (208) 514-2500 Meridian, ID 83646 Mcarthur, Lyn PHD ~✤ (208) 971-5806 Pocatello Psychologist Southwick, Jason 83201 NPI: 1952615619 Bannock 1000 N 8Th Ave PHD ~✤ Balali, Shabnam MD ~✤ Clinical Neuropsychologist Chubbuck Pocatello, ID 83201 NPI: 1538412382 Psychiatry (208) 232-6260 83202 NPI: 1003068487 3061 S Meridian Rd Ste 777 Hospital Way 100 Traughber, Daniel Pocatello, ID 83201 Mcarthur, Lyn PHD ~✤ Meridian, ID 83642 PHD ~✤ (208) 239-1417 Psychologist (208) 895-9852 Psychologist Spanish NPI: 1952615619 NPI: 1386944411 465 Memorial Dr 4737 Afton Pl Ste A Pocatello, ID 83201 Chubbuck, ID 83202 (208) 234-4700 (208) 417-0623

220 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Bannock County continued / Condado seguido

Ravsten, Deric DO ~✤ Whitley, Donald PSY ~✤ Roberts, Verena Wills, Alex MD ~✤ Psychiatry Clinical Psychologist PSYD ~✤ Psychiatry NPI: 1154431542 NPI: 1275543738 Clinical Psychologist NPI: 1649597055 777 Hospital Way Ste 11 1151 Hospital Way Bldg D NPI: 1255614434 141 Citation Wy Ste 5 Pocatello, ID 83201 Ste 100 330 N Main St Hailey, ID 83333 (208) 239-1710 Pocatello, ID 83201 Aberdeen, ID 83210 (208) 578-2222 Italian (208) 239-8010 (208) 397-4126 Boise 83202 Blackfoot Rigney, Liva ~✤ Idaho City Psychologist 83221 NPI: 1295081925 Sierra, Manuel MD ~✤ 83631 444 Hospital Way Ste 477 Psychiatry Brown, Richard DO ~✤ Pocatello, ID 83201 NPI: 1861467375 Psychiatry Bates, John MD ~✤ (208) 233-7832 265 E Chubbuck Rd NPI: 1033558895 Psychiatry Pocatello, ID 83202 NPI: 1720170228 (208) 237-1711 98 Poplar St Roberts, Verena Blackfoot, ID 83221 100 Centerville Rd Spanish (208) 782-2980 Idaho City, ID 83631 PSYD ~✤ (208) 454-2766 Clinical Psychologist 83204 NPI: 1255614434 Gerard, Mary MD ~✤ Bonneville 1000 N 8Th Ave Mcarthur, Lyn PHD ~✤ Psychiatry Pocatello, ID 83201 Psychologist NPI: 1578667739 Ammon (208) 232-6260 NPI: 1952615619 98 Poplar At 880 W Quinn Rd Blackfoot, ID 83221 83406 Roberts, Verena Pocatello, ID 83204 (208) 235-2277 Mcgrath, Daniel ~✤ PSYD ~✤ (208) 238-3368 Clinical Psychologist Clinical Psychologist Ross, Theresa PHD ~✤ NPI: 1083953871 NPI: 1255614434 Roberts, Verena Psychologist 2705 E 17Th St 465 Memorial Dr PSYD ~✤ NPI: 1891842563 Ammon, ID 83406 Pocatello, ID 83201 Clinical Psychologist 98 Poplar At (208) 346-7500 (208) 234-4700 NPI: 1255614434 Blackfoot, ID 83221 880 W Quinn Rd (208) 235-2277 Mulser, Rosa PSY ~✤ Ross, Theresa PHD ~✤ Pocatello, ID 83204 Psychologist Psychologist (208) 238-3368 Whitley, Donald PSY ~✤ NPI: 1295167518 NPI: 1891842563 Clinical Psychologist 2705 E 17Th St 1151 Hospital Way Bldg D Bingham NPI: 1275543738 Ammon, ID 83406 Ste 100 Aberdeen 98 Poplar At (208) 346-7500 Pocatello, ID 83201 Blackfoot, ID 83221 (208) 239-8010 83210 (208) 235-2277 Idaho Falls Mcarthur, Lyn PHD ~✤ Blaine 83401 Ross, Theresa PHD ~✤ Psychologist Psychologist NPI: 1952615619 Hailey Millward, Michael MD ✤ NPI: 1891842563 330 N Main St Psychiatry 500 S 11Th St Ste 303 Aberdeen, ID 83210 83333 NPI: 1437164381 Pocatello, ID 83201 (208) 397-4126 211 S Woodruff Ste A3 (208) 239-3815 Choby, Susanne MD ~✤ Idaho Falls, ID 83401 Psychiatry (208) 524-4818 NPI: 1033310719 1450 Aviation Dr Ste 202 Hailey, ID 83333 (208) 727-8970 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

221 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Bonneville County continued / Condado seguido

83404 Patterson, Lavonna Book, Phares CP ~ 83686 PHD ~✤ Psychologist Bunnell, Susan MD ~✤ Psychologist NPI: 1386660678 Bates, John MD ~✤ Psychiatry NPI: 1588682652 1815 S 10Th Ave Psychiatry NPI: 1346216975 111 E 16Th St Caldwell, ID 83605 NPI: 1720170228 2280 E 25Th St Idaho Falls, ID 83404 (208) 459-6962 824 S Diamond St Idaho Falls, ID 83404 (208) 523-1130 Nampa, ID 83686 (208) 227-2100 Millward, Michael (208) 454-2766 Swenson, Richard MD ~✤ Denny, Craig MD ~ Psychiatry Steinberg, Si MD ~✤ Psychiatry PHD ~✤ Psychiatry NPI: 1720071319 Psychologist NPI: 1437164381 NPI: 1811297443 2005 Arlington NPI: 1881755718 1301 E 17Th St Ste 4 Caldwell, ID 83605 824 S Diamond St Idaho Falls, ID 83404 111 E 16Th St Nampa, ID 83686 (208) 523-0787 Idaho Falls, ID 83404 (208) 459-1025 (208) 523-1130 (208) 454-2766 Pathways Of Idaho Faraday, Darla PHD ~✤ Llc ~✤ Thurston, Nicole MD ~✤ Clinical Neuropsychologist Whitley, Donald PSY ~✤ Psychiatry NPI: 1659522365 Clinical Psychologist Community/Behavioral NPI: 1275543738 Health NPI: 1679782460 111 E 16Th St NPI: 1326466988 308 E Hawaii Ave Idaho Falls, ID 83404 2375 E Sunnyside Rd Ste F Nampa, ID 83686 (208) 523-1130 Idaho Falls, ID 83404 1305 S Kimball (208) 535-3626 Caldwell, ID 83605 (208) 467-6700 (208) 469-1039 Henderson, Jennifer Franklin PHD ~✤ Canyon Steinberg, Si MD ~✤ Preston Clinical Psychologist Caldwell Psychiatry NPI: 1386986412 83263 111 E 16Th St 83605 NPI: 1881755718 Idaho Falls, ID 83404 2609 S 10Th Ave Ste 102 Mcarthur, Lyn PHD ~✤ (208) 523-1130 Banta, Lawrence MD ~✤ Caldwell, ID 83605 Psychiatry (208) 454-2766 Psychologist NPI: 1568440295 NPI: 1952615619 Landers, John PHD ~ 1906 Fairview Ave Ste 230 Nampa 655 S 4Th E Ste 600 Clinical Psychologist Caldwell, ID 83605 Preston, ID 83263 NPI: 1982924411 (208) 459-4667 83651 (208) 852-3200 3385 Potomac Way Shackelford, James Idaho Falls, ID 83404 Roberts, Verena (208) 523-3857 Bates, John MD ~✤ MD ~✤ Psychiatry PSYD ~✤ Psychiatry Clinical Psychologist NPI: 1720170228 NPI: 1639217359 Nielsen, Tanner PSY ~✤ 207 1St St S NPI: 1255614434 2609 S 10Th Ave Ste 102 655 S 4Th E Ste 600 Clinical Psychologist Caldwell, ID 83605 Nampa, ID 83651 NPI: 1346574464 (208) 466-7869 Preston, ID 83263 111 E 16Th St (208) 454-2766 (208) 852-3200 Idaho Falls, ID 83404 (208) 523-1130 Bates, John MD ~✤ Shackelford, James Psychiatry MD ~✤ NPI: 1720170228 Psychiatry 314 Badiola NPI: 1639217359 Caldwell, ID 83605 207 1St St S (208) 454-8389 Nampa, ID 83651 (208) 466-7869

222 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos

Gem Forsyth, William MD ~✤ Ullrich, George MD ~ Payette Psychiatry Emmett Psychiatry 83661 NPI: 1467440669 NPI: 1881788149 83617 2003 Kootenai Health Wy 2003 Kootenai Health Way Pathways Of Idaho Coeur D'alene, ID 83814 Coeur D'alene, ID 83814 Llc ~✤ Levitt, Brad PSYD ~✤ (208) 666-2000 (208) 666-2000 Community/Behavioral Clinical Psychologist Health NPI: 1174549075 Wait, David MD ~ NPI: 1326466988 2007 E Quail Run Rd Ste 1 Garrett, Justin DO ~✤ Psychiatry 540 S 16Th St Ste 118 Emmett, ID 83617 Psychiatry NPI: 1245306760 Payette, ID 83661 (208) 365-5445 NPI: 1093940074 2025 W Park Pl Ste B (208) 642-5079 2003 Kootenai Health Wy Coeur D'alene, ID 83814 Kootenai Coeur D'alene, ID 83814 (208) 620-5210 (208) 666-2000 Power Coeur D Alene Nez Perce American Falls 83814 Hagen, Chad MD ~ Psychiatry Lewiston 83211 Carlberg, Nicole DO ~ NPI: 1962627265 Psychiatry 2100 Ironwood Ct 83501 Mcarthur, Lyn PHD ~✤ NPI: 1730196056 Coeur D'alene, ID 83814 Lockhart, Paula MD Psychologist 1110 W Park Pl Ste 110 (208) 625-6877 Psychiatry NPI: 1952615619 Coeur D Alene, ID 83814 NPI: 1801928213 823 Reed St (208) 292-2188 428 6Th Ave American Falls, ID 83211 Kirby, James MD ~✤ Lewiston, ID 83501 (208) 226-2822 Coeur D'alene Psychiatry (208) 799-6500 NPI: 1558477471 Roberts, Verena 83814 2003 Kootenai Health Wy Rambeau, Jamie MD ~✤ PSYD ~✤ Alexander, Coralyn Coeur D'alene, ID 83814 (208) 666-2000 Psychiatry Clinical Psychologist MD ~✤ NPI: 1649248923 NPI: 1255614434 Psychiatry 2315 8Th St 823 Reed St NPI: 1194713487 Miller, William MD ~✤ Lewiston, ID 83501 American Falls, ID 83211 2199 Ironwood Center Dr Psychiatry (208) 746-1383 (208) 226-2822 Coeur D'alene, ID 83814 NPI: 1477629996 (208) 625-4888 1919 Lincoln Way Ste 110 Twin Falls Coeur D'alene, ID 83814 Payette Alexander, Coralyn (208) 625-4515 Fruitland Twin Falls MD ~✤ 83619 83301 Psychiatry Miller, William MD ~✤ Bhandari, Umesh Psychiatry Steinberg, Si MD ~✤ NPI: 1194713487 MD ~✤ 2199 Ironwood Ctr Dr NPI: 1477629996 Psychiatry 2003 Kootenai Health Way NPI: 1881755718 Psychiatry Coeur D'alene, ID 83814 NPI: 1548572274 (208) 625-4888 Coeur D'alene, ID 83814 1611 N Whitley Dr Ste 7 (208) 625-4000 Fruitland, ID 83619 228 Shoup Ave W (208) 291-1020 Twin Falls, ID 83301 Crook, Albert DO ~✤ (208) 734-6760 Psychiatry Ragan Ii, Charles MD ~✤ NPI: 1811985146 Psychiatry Bradshaw, Bascom 2003 Kootenai Health Wy NPI: 1124191762 2003 Kootenai Health Wy DO ~✤ Coeur D'alene, ID 83814 Psychiatry (208) 666-2000 Coeur D'alene, ID 83814 (208) 666-2000 NPI: 1518064583 228 Shoup Ave W Twin Falls, ID 83301 (208) 734-6760

223 Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Twin Falls County continued / Condado seguido

Brownell, Philip ~ Lance, Michael MD ~✤ Siddiqui, Mohammad Washington Psychologist Psychiatry MD ~✤ Weiser NPI: 1316306509 NPI: 1073655304 Psychiatry 826 Eastland Dr 228 Shoup Ave W NPI: 1255580403 83672 Twin Falls, ID 83301 Twin Falls, ID 83301 414 Shoup Ave W Ste B (208) 732-7101 (208) 734-6760 Twin Falls, ID 83301 Bates, John MD ~✤ (208) 814-9100 Psychiatry Buican, Brett PHD ~✤ Morairty, Zachary NPI: 1720170228 645 E 5Th St Psychologist MD ~✤ Sullivan, William MD ~✤ NPI: 1013005446 Weiser, ID 83672 Psychiatry Psychiatry (208) 291-1020 738 N College Rd Ste C NPI: 1154526549 NPI: 1154483477 Twin Falls, ID 83301 414 Shoup Ave W Ste B 228 Shoup Ave W (208) 814-7100 Twin Falls, ID 83301 Twin Falls, ID 83301 (208) 814-9100 (208) 734-6760 Christensen, Ciara Spanish PHD ~✤ Wills, Alex MD ~✤ Psychologist Murphy, Mark DO ~✤ Psychiatry NPI: 1730431289 Psychiatry NPI: 1649597055 414 Shoup Ave W Ste B NPI: 1033554464 550 Polk St Ste A Twin Falls, ID 83301 228 Shoup Ave W Twin Falls, ID 83301 (208) 814-9100 Twin Falls, ID 83301 (208) 737-0572 Danish (208) 734-6760 Valley Christensen, Ciara Murphy, Mark DO ~✤ Cascade PHD ~✤ Psychiatry Psychologist NPI: 1033554464 83611 NPI: 1730431289 414 Shoup Ave W Ste B 775 Pole Line Rd W Ste Twin Falls, ID 83301 Lacroix, Camille MD ~✤ 302 (208) 814-9100 Psychiatry Twin Falls, ID 83301 NPI: 1609888007 (208) 814-8725 402 Lake Cascade Pkwy Danish Pullen, Samuel DO ~✤ Cascade, ID 83611 Psychiatry (208) 382-4242 NPI: 1689874968 Edlund, Mark MD ~✤ 414 Shoup Ave W Ste B Mccall Psychiatry Twin Falls, ID 83301 NPI: 1699850966 (208) 814-9100 83638 228 Shoup Ave W Twin Falls, ID 83301 Siddiqui, Mohammad Bushi, Stephen MD ~✤ (208) 734-6760 Psychiatry MD ~✤ NPI: 1356336648 Edwards, Christopher Psychiatry 1000 State St NPI: 1255580403 PSYD ~✤ Mccall, ID 83638 2550 Addison Ave E Ste F (208) 634-2221 Psychologist Twin Falls, ID 83301 NPI: 1346298866 (208) 814-9100 414 Shoup Ave W Ste B Bushi, Stephen MD ~✤ Twin Falls, ID 83301 Psychiatry (208) 814-9100 NPI: 1356336648 301 Deinhard Ln Mccall, ID 83638 (208) 630-2450 ~ Accepting new patients/Aceptando a nuevos pacientes ✤ Accessibilty parking, building, elevator, office, exam room and restroom / Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

224 Idaho Supplemental Vendor Contact Information

Dental Contact Information Benefit Questions: (855) 214-6779, TTY: 711 List of Providers: (844) 560-9811, TTY/TDD: 711 Hours of Operation: Monday - Friday, 7 a.m. to 8 p.m., EST

Vision Contact Information Benefit Questions: (844) 416-2724, TTY: (877) 627-2456 List of Providers: (844) 560-9811, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 5 p.m., local time

Fitness Contact Information Benefit Questions: (877) 427-4788, TTY/TDD: 711 List of Providers: (844) 560-9811, TTY/TDD: 711 Hours of Operation: Monday - Friday (Excluding Federal Holdiays) 5 a.m. to 6 p.m. PST

Over-The-Counter (OTC) Contact Information Benefit Questions: (866) 420-4010, TTY: 711 List of Providers: (844) 560-9811, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 8 p.m. EST

Updated: 10032017

Molina Medicare Options HMO 2018 Pharmacy Directory

This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Member Services, at (844) 560-9811 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.MolinaHealthcare.com/Medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.MolinaHealthcare.com/Medicare. You may also call Member Services for updated provider.

xii Introduction This booklet provides a list of Molina Medicare Options' network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Molina Medicare Options' formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Molina Healthcare. When it refers to “plan” or “our plan,” it means Molina Medicare Options. We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Molina Medicare Options only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 09/2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

You can get prescription drugs shipped to your home through our network mail order delivery program which is called “CVS Caremark Mail Service Pharmacy Program.” For more information, please contact us or see the mail order section of this pharmacy directory.

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us.

All pharmacies listed in this directory are available in our Network. To locate a type of pharmacy within our network, please follow this organizational format:

• Retail Pharmacies, including Chain Pharmacies • Mail Order Pharmacies • Long-Term Care Pharmacies

The pharmacies listed in this directory are in alphabetical order by: county, city, zip code and name. The pharmacy network may change at any time. You will receive notice when necessary.

xiii Molina Medicare Options HMO Directorio de farmacias 2018

Este directorio de farmacias se actualizó en 09/2018. Para obtener información más reciente o si tiene otras preguntas, comuníquese con nosotros al Departamento de Servicios para Miembros de Molina Medicare Options al (844) 560-9811 o, para los usuarios del servicio TTY al 711, los 7 días de la semana de 8:00 a. m. a 8:00 p. m., hora local, o visite www.MolinaHealthcare.com/Medicare. Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.MolinaHealthcare.com/Medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales.

xiv Introducción Este cuadernillo proporciona una lista de las farmacias dentro de la red de Molina Medicare Options. Para obtener una descripción completa de su cobertura de medicamentos recetados, incluso cómo surtir sus recetas médicas, por favor consulte la "Evidencia de cobertura" y el Formulario de Molina Medicare Options. Cuando este directorio de farmacias se refiere a "nosotros" o "nuestro", significa Molina Healthcare. Cuando se refiere al “plan” o “nuestro plan,” esto significa Molina Medicare Options. Llamamos a las farmacias en esta lista "farmacias de la red" porque hemos establecido acuerdos con ellos para proporcionar medicamentos recetados a los miembros de nuestro plan de salud. En la mayoría de los casos, sus medicamentos recetados están cubiertos bajo Molina Medicare Options solamente si se surten en una farmacia de la red o por medio de nuestro servicio de farmacia por correo. Después de ir a una farmacia, no se requiere que continúe usando la misma farmacia para surtir sus medicamentos recetados. Puede cambiarse a cualquier otra farmacia dentro de nuestra red. Surtiremos recetas médicas en farmacias fuera de la red bajo ciertas circunstancias conforme se describen en la Evidencia de cobertura. Es posible que no todas las farmacias de la red estén incluidas en este directorio. Es posible que se hayan añadido o eliminado algunas farmacias de la lista después de la impresión de este directorio. Esto significa que las farmacias enumeradas aquí podrían ya no estar participando en nuestra red o que podrían existir nuevas farmacias en nuestra red que no están enumeradas. Esta lista está actualizada a partir de 09/2018. Para obtener una lista más actualizada, por favor comuníquese con nosotros. Nuestra información de contacto aparece en la portada y contraportada.

Usted puede recibir medicamentos recetados directamente en su casa por medio de nuestro programa de entrega por correo de la red, llamado “Programa de Servicio de Farmacia por Correo de CVS Caremark.” Para obtener más información, llámenos o consulte la sección de servicio de farmacia por correo de este directorio de farmacias.

Si tiene preguntas acerca de lo antedicho, por favor vea la portada y la contraportada de este directorio donde encontrará información sobre cómo comunicarse con nosotros.

Todas las farmacias enumeradas en este directorio están disponibles en nuestra red. Para localizar un tipo de farmacia en particular dentro de nuestra red, por favor siga el siguiente formato de organización:

• Farmacias de venta al público, incluyendo las farmacias de cadena comercial • Farmacias de servicio por correo • Farmacias de atención médica a largo plazo

Las farmacias enumeradas en este directorio están en orden alfabético por: condado, ciudad, código postal y nombre. La red de farmacias puede cambiar en cualquier momento. Recibirá un aviso cuando sea necesario.

xv Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

Kootenai 83815 Post Falls RATHDRUM DRUG MEDICINE MAN 83854 16438 N HWY 41 Athol Rathdrum, ID 83858 83801 NORTH PHARMACY MEDICINE MAN (208) 687-0731 305 W KATHLEEN AVE SOUTHWEST MEDICINE MAN Coeur D Alene, ID 83815 TTY 711 (208) 765-2268 PHARMACY ATHOL PHARMACY 805 E POLSTON AVE Spirit Lake 30585 N ROBERTS RD TTY 711 Post Falls, ID 83854 Athol, ID 83801 (208) 777-7732 83869 (208) 683-1309 Coeurdalene TTY 711 WHITE CROSS PHCY TTY 711 83814 SPIRIT LAKE MEDICINE MAN WEST Coeur D Alene NORTH IDAHO 31964 N 5TH AVE UROLOGY PHARMACY Spirit Lake, ID 83869 83814 980 W IRONWOOD DR 802 E MEDICAL CT (208) 623-8485 INTERLAKE STE 104 POST FALLS ID TTY 711 Coeurdalene, ID 83814 Post Falls, ID 83854 PHARMACY (208) 773-3566 Twin Falls 700 W IRONWOOD DR (208) 667-0621 TTY 711 STE 100 TTY 711 Buhl Coeur D Alene, ID 83814 WALGREENS of (208) 664-6664 Hayden 83316 TTY 711 WALGREENS 83835 (877) 250-5823 BUHL DRUG TRS Relay 711 419 BROADWAY AVE S KOOTENAI CLINICS MEDICINE MAN Buhl, ID 83316 HAYDEN PHARMACY CANCER SVCS P WELL LIFE POST FALLS (208) 543-5353 700 W IRONWOOD DR 240 W HAYDEN AVE TTY 711 Coeur D Alene, ID 83814 Hayden, ID 83835 PHARMACY 565 N VEST ST (208) 625-5672 (208) 772-3311 RIDLEY'S PHARMACY TTY 711 TTY 711 Post Falls, ID 83854 (208) 773-2499 705 E HWY 30 TTY 711 Buhl, ID 83316 MEDICINE MAN MEDICINE MAN (208) 543-9944 PHARMACY PRAIRIE PHARMACY TTY 711 1114 W IRONWOOD DR 8093 N CORNERSTONE YOKES PHARMACY Coeur D Alene, ID 83814 DR 1501 E SELTICE WAY Kimberly (208) 666-2502 Hayden, ID 83835 Post Falls, ID 83854 TTY 711 (208) 762-9355 (208) 773-3383 83341 TTY 711 TTY 711 RIDLEY'S PHARMACY RITE AID PHARMACY 210 MAIN ST S of RITE AID RITE AID PHARMACY Rathdrum Kimberly, ID 83341 (800) 748-3243 of RITE AID 83858 (208) 423-4248 TRS Relay 711 (800) 748-3243 TTY 711 TRS Relay 711 MEDICINE MAN WALGREENS of RATHDRUM Twin Falls WALGREENS of 15837 N WESTWOOD WALGREENS DR 83301 (877) 250-5823 WALGREENS Rathdrum, ID 83858 CVS PHARMACY of TRS Relay 711 (877) 250-5823 (208) 687-5717 TRS Relay 711 TTY 711 CVS (800) 746-7287 TRS Relay 711

225 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias

DICK'S PHARMACY WALGREENS of 526 SHOUP AVE W STE WALGREENS K (877) 250-5823 Twin Falls, ID 83301 TRS Relay 711 (208) 734-7373 TTY 711 FAMILY HEALTH SERVICES PHARMACY 388 MARTIN ST Twin Falls, ID 83301 (208) 732-1645 TTY 711

KJS PHARMACY 615 FILER AVE Twin Falls, ID 83301 (208) 733-9242 TTY 711 KURT'S PRESCRIPTION CENTER 1203 FILER AVE E Twin Falls, ID 83301 (208) 734-8177 TTY 711 MEDICAL OFFICE PHARMACY 476 CHENEY DR W STE 140 Twin Falls, ID 83301 (208) 734-3007 TTY 711

ORCHARD DRUG 995 WASHINGTON ST S Twin Falls, ID 83301 (208) 736-7060 TTY 711

SAV - MOR DRUG 139 MAIN AVE W Twin Falls, ID 83301 (208) 733-8323 TTY 711

226 Mail Order Pharmacy / Farmacia con servicia por correo You can get prescription drugs shipped to your home through our network mail order delivery program which is called “CVS Caremark Mail Service Pharmacy Program”. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program “ReadyFill at Mail Program (RFM)”. Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us “10 days” before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by calling (888) 665-1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Typically, you should expect to receive your prescription within 10 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at (888) 665 -1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Usted puede obtener medicamentos recetados enviados directamente a su casa a través de nuestro programa de entrega por correo de la red, llamado “CVS Caremark Mail Service Pharmacy Program”. Para obtener renovaciones por correo de sus medicamentos recetados, usted tiene la opción de inscribirse al programa de renovaciones automáticas, “ReadyFill at Mail Program (RFM)”. Bajo este programa, empezaremos el proceso para su siguiente surtido automático cuando nuestros registros muestren que su medicamento está a punto de agotarse. Nos comunicaremos con usted antes de enviar cada surtido para asegurar que usted necesita más medicamento. Usted puede cancelar las renovaciones programadas si usted tienen suficiente medicamento o si su medicamento ha cambiado. Si usted decide no usar el programa de surtido automático, por favor llámenos “10 días” antes de que crea que se le terminará su medicamento, para confirmar que su próxima orden se le envíe a tiempo. Para excluirse del programa de renovación automática, por favor llámenos al (888) 665-1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Normalmente, usted puede anticipar recibir sus medicamentos recetados dentro de 10 días a partir de la fecha en que la farmacia de servicio por correo reciba la orden. Si usted no recibe sus medicamentos recetados dentro de este plazo, llámenos al (888) 665 -1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Caremark Mail Order Service 1-800-378-5697 TTY: 1-866-236-1069

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario.

227 Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo Residents of a long-term care facility may access their prescription drugs covered under Molina Medicare Options through the facility’s long-term care pharmacy or another network long-term care pharmacy. For more information, contact Member Services, as listed above. / Los residentes de una institución de cuidados a largo plazo, pueden tener acceso a sus medicamentos prescritos cubiertos bajo Molina Medicare Options a través de las farmacias de cuidados a largo plazo o de otras redes de farmacias de de cuidados a largo plazo. Para más información, comuníquese con el departamento de Servicios para Miembros al número que arriba aparece. Kootenai Coeur D Alene 83814 INTERLAKE PHARMACY (L) 700 W IRONWOOD DR STE 100 Coeur D Alene, ID 83814 (208) 664-6664 Twin Falls Twin Falls 83301 KJS PHARMACY (L) 615 FILER AVE Twin Falls, ID 83301 (208) 733-9242

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento L - Limited Access: Pharmacies may not be available to all members / Acceso limitado: es posible que las farmacias no estén disponibles para todos los miembros

228 Index of Providers / Índice de Proveedores

Aaberg, Thomas MD 138 Akhtar, Saadia MD 195 Amramp 83 Archibald, R Burke MD Aaging Better In Home Care Akin, Melissa NP 49 Andersen, Brock MD 82 128, 129 Llc 102 Aks, Carolyn MD 100 Anderson, Amanda DC 70 Archuleta, Pamela NP Abate, Joseph MD 107 Alexander, A Herbert MD 147 Anderson, Basil MD 89, 90, 93, 94 Abbasi, Kafia MD 218 Alexander, Charlotte MD 143 33, 37, 42, 47, 51, 52 Arhets, Alexander PA 177 Abenroth, Daniel MD 120 Alexander, Coralyn MD 223 Anderson, Bradley MD 136 Armijo, Molly MD 10 Aberg, Jason PT 154, 157, 159 Alharethi, Rami MD 104 Anderson, Caitlin NP 122 Armstrong, Damon 76 Abul Husn, Nina MD 33 Ali, Cyrus MD 203, 204 Anderson, Christie MA 64 Armstrong, Jared MD 59 Acevedo, Charles PT 167 All Care Health Solutions Anderson, Dave PT Armstrong, Scott MD Acevedo-Daniels, Suhrei MD 101 154, 157, 159 129, 131 34 Allan, Evan MD 137, 138 Anderson, Jacob NP 37 Arndt, Todd MD 57 Ackerman, Jerrod PT Allan, Scott MD 137, 138 Anderson, Jordan PT 162 Arrington, Daniel MD 121 154, 156, 159, 166 Allen, Benjamin MD 144, 145 Anderson, Kade PA 112, 113 Arrington, Howard NP 127 Ackerman, Patty CNM 60 Allen, Daniel MD 85 Anderson, Lucas MD 146 Arroyo, Bryan PT 162 Adams, Brenda MD 10 Allen, David MD 132 Anderson, Michael PT 164 Arteta-Bulos, Rafael MD Adams, Candice NP 123 Allen, Jeffrey MD 100 Anderson, Robert PA 115, 116 Adams, Christopher PT 167 Allen, John PA 181 185, 187 Arthur, Caroline MD 203, 204 Adams, Doug OD 140 Allen, Laura PA 177 Anderson, Shane DO 24 Asay, Kayla MD 131 Adams, Frank DO 98, 107 Allen, Marni NP 123 Anderson, Skyler PT 168, 169 Ascend Medical Llc 83 Adams, Karla NP 16, 23, 24 Allen, Nathan DO 52 Andreasen, Kacey PA Ashaye, Jaiyeola MD 36 Adams, Kendall PT 164 Allen, Nicolas PA 177 109, 110, 113 Ashaye, Olurotimi MD 220 Adams, Nathan MD 100 Allen, Scott 77 Andres, Jeremy PT 168, 169 Ashby, Laurie MD 1 Adams, Rachel NP 93 Allen, Suzanne MD 3 Andres, Matthew DO Ashenbrener, Samantha PT Adams, Rebecca MD Allen, Travis PA 16, 23, 24, 86 173 16, 29, 30, 41, 47 179, 181, 182, 188 Andrews, David PT 169, 170 Asher, Lacie NP 37, 96 Adams, Robert PT 157, 159 Alliance Home Health Of Andrews, Deana ARNP 38 Asher, Stephen MD 120 Adams, Shalise AUD 63, 65 Idaho, Llc 101 Anghel, Gabriela MD 16 Asper, Annette ARNP 126 Adams, Steven DO 131 Allred, Aaron DPM 193, 194 Ankarberg, Ryan PA 191 Assmus, Katherine PA 177 Adams, William DO 41 Allred, Craig AUD 64, 65 Anneke, Kathleen PA 174 Atkins, David PA 43, 186 Adamski, Margaret SLP 200 Allred, Debbie NP Anstine, Suzanne MD 128 Attebury, Benjamin PA 189 Adcox, Micheal MD 116 33, 37, 47, 51, 52 Antonelli, Lisa MD Atup Leavitt, Catherine MD Adepoju, Jillian DC 73 Allred, Jason PT 155, 161 66, 68, 105, 106 10 Ader, John DO 197 Alluri, Krishna MD 99 Antoniuk, Nelson MD 28 Auge, Brian MD 210 Adobe Home Health 101 Alluri, Nitya MD 99 Anttonen, Heidi PT Augustus, Richard MD 87 Advanced Home Health 101 Alpine Home Medical 155, 161, 165, 166 Avalon Home Health 101 Affleck, Aaron MD 136 Equipment 83 Apex Center 216 Avamere Transitional Care Affleck, Brian MD 147, 148 Altenburg, Aaron MD 144 Apria Healthcare Inc - Boise And Rehabilitation - Boise Afshar, Kia MD 104 Alviso, Marvin MD 3 83 216 Agrusa, Phillip MD 129, 131 Amarello, Amy PSYD 218 Apria Healthcare Llc 84 Averett, Shandra NP 24, 92 Ahlquist, Marci NP 96 Ambrosier, Amy PA 174 Apria Healthcare Llc 83 Axtell, April PT 156 Aiken, Dawn NP 9, 90 Ament, Robin SLP 199 Apria Healthcare Llc 83 Axtell, Ricky MD 3 Ainslie, Georgianna CNM 59 Amiel, Terry MD 46 Apria Healthcare Llc 84 Babb, Kristine NP 50, 95

229 Index of Providers / Índice de Proveedores continued

Babcock, Jennifer ARNP 6 Barinaga, Mary MD 3 Bastian, Zachary MD 205 Behrend, Clint MD 98 Babij, Roman MD 206 Barker, Jonathan PT Batcha, Frank MD 27 Beierle, Noelle NP 126 Bacon, Crissie NP 90 167, 168, 172, 173 Bateman, Wade MD 8 Bell Mountain Village And Badger, Troy MD 69 Barker, Lance MD 88 Bates, Allyson NP 36 Care Center 216 Baerlocher, Deborah AUD Barker, Samuel NP 37, 52 Bates, Cory MD 212, 213 Bell, Isaac OD 142 63, 64 Barlow, Jessica SLP 200 Bates, John MD Bellevue Healthcare Ii Inc Bafus, Dana ARNP 6, 123 Barnard, Steven 77 219, 221, 222, 224 North Idaho 84 Bailey, Chad NP 126 Barnes, Cindy NP 43, 45 Bates, John PT 162 Bellomy, Kami NP 9 Bailey, Greg PT Barnes, Danielle PAC 188 Bates, Melissa PA 29, 30 Belnap, Cameron DC 72 158, 164, 165, 172 Barnes, Darryl PA Bathina, Murali MD 67, 68 Belnap, Dale PA 208 Bailey, Gregory MD 119 5, 6, 8, 9, 10, 111 Batt, David PA 182, 188, 189 Belnap, Kylee PA 182, 188 Barnes, Daryn PA Bailey, Jordan MD 16 Battaglia, Marisa MD 17 Belzer, Bruce MD 17 Bailey, Justin MD 3 1, 2, 10, 34, 35, 111 Battaglia, Sam MD 17 Barnes, Keri NP 90 Bench, Thomas DC 71 Bailey, Michael PT 171 Bauer, Elizabeth NP 91 Barnes, Nicole PT Bender, Gideon OD 139 Bailey, Rich 79 Bauer, Tina PT 168, 170 154, 156, 159, 166 Bender, Jean MD 116 Baird, Dirk PT 168, 169 Barnes, Randy MD 210 Bauter, Ashlee NP 89, 91 Bender, Matthew MD 81 Baird, Eric MD 204 Barnes, Robert PT 154, 159 Baxter, Susan MD 8 Bengtson, Mark PT 169, 170 Baird, Michael OD 139 Barnes, Trevor PT 163 Bayes, Christy NP 93, 94 Benjamin, Ramsis MD 121 Baisley, Kalyn PA 177 Barney, Alexander PT 157 Beach, A Pendleton MD 11 Benner-Erickson, Shawna PT Baker, Carmen PT 155 Barney, Max NP 24 Beach, Kelly PA 163 1, 2, 5, 8, 11, 179 Baker, Clinton PA 49 Barnhart, Carolyn NP 17, 35 Bennett Hills Center 216 Bean, Karen NP 126 Baker, John MD 52 Barnum, Steven NP 125 Bennett, Jeffrey PT 165 Bean, Leslie NP 59 Baker, Wallace MD Baron, Andrew MD 87 Bennett, Sharon NP 90, 93, 94 Bean, Matthew MD 43 29, 86, 102 Barrelier Verner, Nita NP 90 Bennett, William MD 68 Beardsley, Bryan MD 146 Balali, Shabnam MD 220 Barresi, Roberto MD 204 Benson, Eric MD 45 Beaton, Thomas MD 148 Balbierz, Janet MD 153 Barrett, Ryan MD 135 Benz, Nicolle DO 107 Beattie, Christie NP 14 Balcerak, Theresa NP 124 Barron, Gregory NP 8, 10 Berglund, J Alexander MD 11 Beaufort, Bradley DO 11 Baldeck, Michael DO 88 Barron, Tabitha NP 214 Bergquist, William MD 195 Beaulieu, Lauren SLP 200 Baldridge, Scott DO 38 Barrus, Jonathan DO 40, 89 Bergset, Jon MD 67, 68 Bechtel, Joshawa DC 70 Baldwin, Cade 76 Barrus, Paul DO 5, 33, 34, 49 Bering, Stacie MD 99, 102 Beck, Anita MD 74 Ball, Gregory DO 196 Bartlett, Trevor NP Beringer, William MD 119 Becker, Christian MD 109 Ball, Timothy MD 17, 29, 30, 41, 47 Berk, Brian MD 98, 99 Beckett, Paul DO 24, 26 68, 107, 108 Barto, Allison PAC 29 Berrett, Anthony PA Ballance, David MD 5 Barton, Joshua MD 203 Beckmann, James MD 179, 182, 185, 188 Ballantyne, Richard DO Bartoo, Gary PT 169, 170 203, 204, 205 Bertram, Juergen MD 101 204, 205 Bartschi, Corinne NP 52 Beckstead, David MD 39 Bertsch, Rebecca MD 43 Banta, Lawrence MD 222 Bass, Erin ARNP 28 Beckstead, Robert PT 162 Best, Dawn NP 87, 89, 94, 95 Barbero, Paige PT Basse, Andrea PT 156 Bedell, Mikael MD 57 Bethel, Tamara NP 3 154, 159, 166 Basse, Jeremy NP 90 Beechinor, Shawna PA Betts, Brent MD 135, 138 Barcelo, Julia PA 184 Bassler, Holly DO 45, 88, 210 113, 115 Beveridge-Choo, Tricia NP 90 Bare, David MD 88 Bastian, Allison MD 1, 3 Beeson, Donna MD 85 Bewley, James OD 140, 141 Bargen, Gabriel AUD 63 Bastian, Bret PT 154, 157, 159 Beglinger, Leigh PHD 218 Beyer, Floyd DC 69, 72

230 Index of Providers / Índice de Proveedores continued

Bhandari, Umesh MD 223 Blaine, James PA Bostrom, Meghann NP 124 Bridgeview Estates 217 Bieniasz, Paul PA 111, 112, 114 Boulton, Cynthia NP 90, 197 Briggs, Jessica PA 1 15, 16, 17, 23, 24, 39, 50 Blair, Ronald DO 206 Boutkaska, Jude PA 3 Brininger, Timothy MD 38 Bigsby, Geneen DO 132 Blair, Victoria NP 30 Bowcut, Kami PAC 208 Brinkman, Kenna PT 156 Billings, David PT Blake Odoherty, Beverley NP Bowen, Brittney NP 43 Brinkmann, Bart NP 126 167, 168, 173 17 Bowen, Joseph MD 146 Brio Idaho Home Health Llc Billings, Patricia NP 127 Blakeley, Russell MD 67 Bowers, Paul NP 17 216 Bills, Gary DDS 78, 80 Blakeman, Adam PAC 41 Bowman, Devin PA 189 Britt Jr, Charles MD 121 Bilstrom, David MD 153 Blampied, Joseph DC 69 Bowman, Dustin PA 176 Broberg, Craig MD 66 Binder, Shannon NP Blanchard, Erika AUD 63 Bowman, Kendra MD 203 Brockett, Jeff AUD 64 90, 93, 94, 95 Blanchard, Jordan MD Box, Jeffrey PT Bronner, Jason MD 8 Binegar, Susan CNM 116 11, 15, 58, 85, 89, 210 157, 158, 159, 165, 167 Brooks, Daniel MD 135, 136 Binegar, William MD 151 Blanchet, Paulette MD 135 Box, Lyndon MD 66, 67, 68 Brooks, Joseph MD 209 Bingham Memorial Hospital Blank, Douglas MD 66, 67 Boyajian, John MD 148 Brooks, Naomi MD 81 215 Blea, Clarence MD 109 Boyce, Christal NP 5 Brosa, John MD 5 Bingham, David 74 Blizzard, Sonya MD 137 Boydston, Dorene NP 124 Brose, Kari PA 115 Bingham, James DC 69 Blough, Susan MD 5, 104 Boyea, Steven MD 207 Brouwer, Jesse PT 170 Bingham, Mel PA 188 Blue, Sky MD 103 Boyer, Shannon NP 122 Brower, Andrew PA 185, 188 Birch, Christine PA 1, 8, 179 Blume, Mitchell PA 187 Boyle, Nate NP 93 Brown, Aaron MD 53 Birchell, Ryan PT 173 Bockenstette, Andrea NP 90 Boynton, Andrew PT 158 Brown, Andrea 75 Birkenhagen, Walter MD Boehm, Douglas MD Brabec, Jaclyn PA Brown, Ashley PA 189, 190 204, 205 66, 68, 105, 106 179, 181, 182 Brown, Bradly PA Boehmer, Bernard MD 38 Birnbaum, Susan PT Bradberry, Cali PA 175 25, 30, 86, 153 Boerner, Mark MD 135 155, 161, 165, 166 Bradley, Benjamin PA 177 Brown, Hayley NP 11 Bishop, Ryan PT 169 Boespflug, Daniel OD 139 Bradley, Jenni MD 128, 129 Brown, Heidi PA Bishop-Herre, Melinda PA Bogitch, Ray MD 120 Bradley, Logan PT 168, 173 177, 183, 184, 185 174, 177 Bohus, Robert MD 211 Bradley, William MD 147 Brown, Jacob 75 Biss, Roger MD 101 Boise Endoscopy Center Llc - Bradshaw, Bascom DO 223 Brown, Jeremy PT 164 Bitner, Matthew MD 146 Asc 61 Brady, Patricia MD 48 Brown, Joel PT 167, 173 Bitters, J'cinda MD 33 Bokelmann, Jean MD Brait, Kenneth MD 119 Brown, Megan PA 207 Black, Ryan PA 30, 41, 47 15, 16, 17, 23, 24, 39, 50 Braman, Selena DC 70 Brown, Mindy PA 190 Boll, Kara NP 17, 30, 41, 47 Black, Stuart MD 34 Brancheau, Shaun DO 43, 45 Brown, Peter NP 45 Bollinger, William MD 6, 104 Black, Timothy DPM 192 Brassell, Stephen MD 211 Brown, Richard DO 221 Bond, Meeka NP 42 Black, William OD 140, 141 Brauer, David MD 89 Brown, Scott DO 146 Book, Phares CP 222 Blackadar Oldham, Kathryn Bray, S Jeffrey DPM 193 Brownell, Philip 224 Booth, Matthew PT 156, 159 PT 171 Bregante, Nicolas PA Bruce, Jessica NP 6, 123 Bordes, Shannon NP 11 Blackmer, David DPM 183, 184, 186, 188, 189 Bruggeman, Brian MD 191 Borg, Adam PT 169, 170 192, 193 Bresnahan, Jeffrey PT Brulotte, Natalie ARNP 126 Borgholthaus, Lana PA Blackwelder, Tyler PT 170 169, 170 Brumbach, Zachary 79 86, 179, 181 Blackwell, Jessica ARNP 126 Bressan, Matthew PT 166, 167 Brumfield, Troy DO Bostick, Marc MD 218 Blad, Gustin NP 91, 92 Bretz, Bradley MD 150 17, 30, 41, 47 Bostrom, Lauren PA 53 Bridges, Benjamin MD 99 Brunelle, Tommy PT 154

231 Index of Providers / Índice de Proveedores continued

Bruning, Johanna NP 95 Cabell, Karen DO 43 Carpenter, Todd ARNP 48 Cheshire, Spencer AUD Brunk, Danielle NP 123, 124 Cabrera, Nani Jane DO 49 Carrasco, Alicia MD 1 63, 65 Brunner, Jesse PT 168 Cach, Robert MD 119 Carrell, Kenneth MD 49 Chilson, Donald MD 68 Bruns, Jason PT 170 Cadwallader, Kara MD 3 Carrigan, Brian MD 86 Chin, Michelle NP 91 Bryan, Thornton MD 5 Cady, Paul 152 Carroll, Robbie NP Chisholm, Donald MD 43 Bryant, Nancy PT 171 Calcagno, Christopher DO 47, 125, 126, 127 Cho, Ho NP 48 Buck, Dustin PT 155 97, 105 Carroll, Ronald MD 49, 89 Cho, Jaewoo 79 Buckalew, Neilly MD 153 Call, Anson PT 167 Carter, Janice NP 51, 53 Choby, Susanne MD 221 Buckland, Golden MD 137 Call, Benjamin MD Carter, Linda MD 220 Choe, Joyce MD 137 Bucur, Silvana MD 100 66, 68, 105, 106 Carter, Matthew PT 173 Chopp, Thomas MD 143 Buersmeyer, Patricia MD Call, Thomas DO 25 Carter, Nadine NP 89 Chow, Bridget PT 156 11, 36 Callagy, Karen PA 175 Carver, Erin PA 175 Christensen, Brent DPM 192 Buican, Brett PHD 224 Camacho, Lucy PA 184 Casebolt, Alex PA 35, 36 Christensen, Brian MD 206 Buitrago, Martha MD 29, 103 Cameron, Julianne DO 45 Casos, Steven MD 210 Christensen, Ciara PHD 224 Bullock, Kristan SLP 200 Campanale, Ralph MD 205 Cassell, Linda NP 95 Christensen, Cory PT Bullock, Nicholas NP 124 Campbell, Annie PA 203 Castellano, Patrick PA 11, 179 167, 168, 173 Bunnage, Corbin PA 29, 38 Campbell, Bryce NP Casto, Ashley PAC 113, 114 Christensen, David MD 147 Bunnell, Susan MD 222 92, 93, 94, 95 Casto, Jonathan PAC 38, 49 Christensen, Donna NP 90 Burch, Joel PA 9, 11, 34, 111 Candau, Matthew PT 157 Cates, Gerald OD 138 Christensen, James DO Burgett, Lisa MD 53 Cannon, Christopher 76 Caulfield, Hannah MD 204 202, 203 Burica, David MD 57 Cannon, Timothy DC 71 Caviness, Talmadge MD 150 Christensen, Kelli MD 17, 50 Burk, Phillip DPM 192 Canty, Cathy MD 87, 88, 89 Chai, Andrew MD 66 Christensen, Kristin PA 184 Burke, Ryan PA 8, 179 Capdeboscq, Linda ARNP 127 Chambers, David MD 43 Christensen, Richard MD 84 Burnett, Scott PA 207 Capener, Mark MD 148 Chambers, John MD 67 Christensen, Stephen MD Burns, Brittany MD 43 Capricchione, Angelo MD Champlin, Colleen NP 86, 124 28, 33 Burns, Timothy MD 43 105, 106 Chan, Rylan PA 9, 179 Christenson, Mark MD 108 Burns-Price, Melissa PA 43 Carbol, Courtland MD Chang, Kevin MD 107, 196 Christofferson, Lesli NP Burnside, Leslie PA 181 15, 16, 17, 23, 24, 39, 50 Charles, Colton 78 93, 94 Cardwell, Kimbra NP 123 Burr, Randall MD 81 Charme, Michael MD 132 Church, Court OT 134 Care, Steven MD 142 Burrow, Joan DC 73 Chasan, Heidi MD 128, 129 Church, Nathan PA 11, 111 Carey, Brian MD 137 Burry, Jeffrey DO 148 Chasin, Judith MD 1 Clark, Cameron PA 53 Carlberg, Nicole DO 223 Burt, Richard 76 Chatburn, Lyndsie NP Clark, Clinton DPM 193 Carlen, Kelly 77 Burtenshaw, Bryce 76 93, 94, 96 Clark, Hatta DDS 78, 79 Carles, Toni NP 11, 92 Burton, Alicia 78, 79 Chatterton, Rian SLP 199 Clark, Hatta 78 Carloy, Karen NP 59 Burton, Bradley MD 17 Chaudhry, Arvind MD Clark, Jessica AUD 63 Carlson, Chelsea MD 3 Busby, Tracey MD 27 107, 116 Clark, Kate NP 49 Carlson, Dirk MD 128 Bushi, Stephen MD 219, 224 Cheadle, Nancy AUD 64 Clark, Melanie OD 140 Carlson, Hillary AUD 63, 65 Butikofer, Rebecca OT 134 Chen, Erin PA 175, 177 Clark, Randil MD 213 Carlson, Joel DO 130 Byazrova, Eteri MD 68, 74 Chen, Qing-Min MD 143, 144 Clark, Rick PA 188 Carpenter, Curtis 76, 77 Bybee, William 75 Cherny, W Bruce MD 119 Clark, Russell AUD 63 Carpenter, Stephanie ARNP Byrne, Thomas PAC 186 Cherry, Elmer 77 Clark, Sharla DO 17, 25 127 Byrns, Jamia MD 6 Cherry, Kevin PT 173 Clarke, Leslie MS 199

232 Index of Providers / Índice de Proveedores continued

Clayson, Brent AUD 64 Cooper, Natalie MD 153 Crook, Albert DO 223 Danielson, Galen PT Clegg, Michelle NP 17, 23 Cooper, Stacy PA 176, 177 Crosland, Laron MD 5 158, 161, 164, 172 Clegg, Shawna PT 169 Cooperrider, Jaclyn MD 3 Crossley, Dennis MD 39 Danish, Jamie NP 126 Cleverley, Zackery PA 146 Cope, Adam PT Crothers, Al PT 159 Danowski, Dustin DO 18, 34 Clifford, Kathleen NP 123 157, 159, 161, 166 Crowe, Christopher PT Danser, Christine PT 171 Clifford, Kyle MD 15, 23 Coppin, Erin PA 89, 190 154, 157 Dardine, Jade MD 28 Cline, Martha MD 120 Coray, Robert MD 205, 206 Crownover, Brian MD 14 Dau, Birgitt MD 103 Cline, Paige PA 109, 110 Corbet, Heather OT 134 Crownson, Bayo MD 35 Daugharty, Barbara MD 43 Clinger, Mark MD 14, 17 Corson, Donald MD 198 Crum, Eric DC 70 Daugharty-Fowler, Susan Clinger, Steven MD 25, 26 Coughenour, Tiffany PA Crum, Sonya NP MD 43 Coan, Michael DO 107, 197 179, 182 1, 2, 8, 9, 11, 92 Davenport, Hyrum NP Coffman, Thomas MD 103 Coulter, Scott DC 70 Crump, William MD 11 124, 125 Cogen, Kenneth MD 118 Cox Donovan, Baily PT 170 Culbertson, Eric PA 109, 113 Davenport, Melissa PA Cohen, Jeffrey PA 186 Cox, Ann ARNP 28 Cunagin, Catherine MD 147 18, 30, 31, 41, 47 David, Ryan DO 49 Coker, Steven MD 144, 145 Cox, David 77 Currey, Jonathan MD 57 Davids, Abby MD 3 Cole, Jean PT 161 Cox, Kim MD 130, 132 Curry, Thomas MD 203, 213 Davidson, Elaine MD 35 Coleman, Darren MD 132 Cox, Rodde MD 152 Curtin, Michael MD 143 Davidson, Robert MD Collins, Brandie PA 177 Coyle, David MD 108 Curtin, Sarah MD 57 116, 117 Collins, Gina PT 157 Coyote Prosthetics & Curtis, Jacob DO 39, 40, 47 Davies, Danielle MD 11 Colson, Kathryn PA 3 Orthotics - Twin Falls 84 Curtis, Larry MD Davis, Barbara MD 48 Combe, Courtney PA Cpapnow 83, 149 18, 30, 31, 41, 47 Curtis, Mary MD 53 Davis, Dirk MD 98 110, 113, 114 Craig, Amanda OT 133 Curtis, Stewart DO 133 Davis, Elizabeth MD 35, 36 Comley, Tayler PT Craig, Stephen MD 81, 82 154, 156, 157, 159, 166 Cramer, Theresa DC 70 Cusack, Sorcha PA 110 Davis, Heather PA 177 Community Action Cramer, Todd DC 70 Cuthbertson, Michael PT 164 Davis, Keith MD 46 Partnership 84 Crandall, Alan PA 25 Cutter, Bruce MD 107, 116 Davis, Lauren PA 208 Comstock, Calista PAC 186 Crandall, Earl MD 132 Cyprus, Idalyn MD 1 Davis, Robert MD 128 Condie, John MD 121 Crandall, Mark MD 69 D'angelo, Monica MD Davis, Tish PAC Cook, Christian DC 70 Crane, Charles MD 28 137, 138 96, 97, 175, 177 Davis, Toby DO 11, 85, 210 Cook, Darryl MD 97 Crawford, Andrew PA 34, 177 Daab, Leo MD 99 Davis, William DC 69 Cook, Gail PA 53, 115 Crawford, Christian PA Daccarett, Marcos MD 103 Dawson, Jill NP 9, 11, 35 Cook, Hannah NP 35 1, 2, 8, 11, 179 Dahlen, Paula ARNP 95 Day, Dan PHD 219 Cook, James PAC 119 Crawford, Jacob PT Dahlke, Devon PA 185 Day, Leah MD 109 Cook, Jennifer MD 1 154, 157, 159 Dai, Joseph MD 81, 82 Dayton, Drew OD 141 Cook, Jennifer NP 11 Cree, Joanne PA 186 Daley, Jason PA 109, 110 Dazley, Justin MD 146 Cook, Sean DO 103 Cree, Jonathan MD 17, 18 Dalley, Jeremy PAC 53 Dean, Joshua 80 Cook, Todd PT 169, 170 Creelman, James PT 163 Dalsing, Cynthia NP 214 Deblieck, Jennifer MD 81 Cooke, Dennis MD 68 Cressey, Yvette DO 11, 35, 36 Dance, David MD 137 Deblieck, Timothy MD 3 Coombs, James MD 138 Crest Home Health And Dancer, Amy NP 9, 90, 91 Debruyn Kops, Julian MD 31 Cooper, Amy MD 99 Hospice Llc 102 Daniels, David DO Dedlow, Chelsea NP 91 Cooper, Jerry DPM 192 Croitoru, Raquel MD 98, 106 18, 30, 31, 41, 47 Dee, Michael MD 35 Cooper, Kylie MD 109 Cron, Andrew MD 8

233 Index of Providers / Índice de Proveedores continued

Dehaan, Jonathan MD 120 Dirocco, Melissa NP 1, 90 Duersch, Matthew MD Elder, James MD 204 Dehaven, Erin PA 35 Discovery Care Center 217 33, 38, 48, 51, 52, 53 Elison, Newell 80 Deidrick, Kathleen PHD 219 Dittrich, Mary MD 116 Duff, Robert NP 18 Ellefson, Shauna NP 12 Dekker, Ruth ARNP 18 Dittrich, William MD 195 Duffey, Heather CNM 60 Ellis, Carol ARNP 48 Delarosa, Jacob MD 66, 209 Divietro, Matthew DO 104 Duke, Adam MD 132 Ellis, Jay T PT 164 Delic, Zana PA 110 Dixon, Annie PA 111, 112 Duke, Catherine PT Ellis, Julie PT 173 Dellaglio, Mark MD 96, 97 Dixon, Gordon DO 154, 156, 159, 166 Ellis, Sadie PT 162 Duke, Sara MD 137 Demark, Kimberly NP 90 25, 26, 31, 86, 88 Ellis, Valden DC 71 Dunlavy, Paul DO 206 Demars, Damon DO 7 Dixon, Jaimen OD 138 Ellison, Edward MD 213 Dunn, Julie PT Denagy, Stephen MD 29 Djernes, Michael MD 120 Ellsworth, Amy PA 186 Doble, H Peter MD 199 154, 156, 157, 159, 166 Denison, Justin OD 139 Dunn, Scott MD 28 Ellsworth, Ron MD Dockter, Lisa MD 18 Denny, Craig MD 222 Dupont, Corey PT 57, 89, 210 Dodge, Elmer NP 40, 88 Denson, Pamela MD 131 154, 156, 159, 166 Elsbury, Nancy Jo MD 46 Denson, William MD 131 Doedyns, Carolyn NP Durtschi Padron, Brenda SLP Emry, Geoffrey MD 43 Derkacs, Derek PA 176 125, 127 200 Encompass Home Health & Desai, Abhilash MD 218 Doherty, Barbara NP 123 Dustin, Kelly DO 47 Hospice Of Idaho 101, 102 Detar, Edward MD 205 Dolan, Rachel NP 7 Dutkiewicz, James PA 45, 187 Encompass Home Health Of Detemple, Matthew DO Donaldson, Martin DC 72 Dye, Deanna PT 163 Idaho 101, 102 33, 38, 48, 51, 52, 53 Donladson, David MD 148 Dye, Jeremy PT 169, 170, 171 Encompass Home Health Of Dettwiler, Carl MD 98 Donovan, Jodie MD 7, 104 Dykstra, Timothy MD 48 Western Idaho 102 Develle, Robyn NP 14, 124 Dopp, Matthew MD 53 Dytiapco, Ernest MD 116, 117 English, Mindy PT Devitt, Michael PT 154 Doran, Michelle NP 1 Eagle Eye Surgery Laser 154, 156, 159, 166 Devoe, Cara PT 172 Doty, Timothy PA 186 Center 62 Enomoto, Dennis MD 69 Devore, Chad 79 Douglas, Mary OT 134 Earl, James MD 136 Epic 63, 64, 65 Devries, Jason DPM 192, 193 Douthit, Thomas PA 175, 184 East, Karen MD 9 Epperly, Ted MD 3 Dey, Patricia NP 90 Dover, Twila PT 156 Ebbers, Michele MD 210 Epperson, Aaron PA 175 Dial, Carson 74 Dow, Kevin DPM 192 Eden Home Health 101 Erbele, Tara MD 1, 3 Dibiase, Sheree PT 169 Downey, Paddy PA Edlund, Mark MD 224 Erekson, Zachary MD 102 Dickey, John PHD 220 11, 12, 111 Edmo, Helene NP Erickson, Travis DO 26 Dickson, Dane MD 100 Doyle, Catherine MD 3, 42 15, 16, 18, 23, 24, 39, 50 Erikson, Brad DO 31 Dietrich, Gregory MD 147 Dragotoiu, Dan MD 31 Edvalson, Noah DC 69 Erlandson, Linda NP 49, 123 Diller, Jacob AU 65 Drake, Bryan DO 58 Edwards, Christopher PSYD Ervin, Tracy PT 173 Dillion - Bialobzeski, April Draper, Michael MD 109, 130 224 Erwin, Ann MD 5 DO 1, 18 Droege, Karoline PT 163 Edwards, Jeffrey MD 3 Erwin, Kathleen MD 220 Dimaggio, Lucie MD 53 Drumm, Amy MD 27 Egbert, Brad DC 71, 73 Eshelman, Charlotte NP 125 Dimichele-Manes, Andrea Dryden, Bryan DDS 76 Egbert, Daniel 80 Esplin, Andrea MD 3 MD 129, 131 Dryden, Bryan 79 Eggleston, Melanie MD 48 Esplin, Vermon MD 207 Dimond, Trevor PT 164 Dryden, Chelsy PAC 28, 182 Eichele, Daniel PT 155 Etcheto, John PA 190 Dingman, Achini MD Dsouza, Sherwin MD 1 Eiguren, Amaya PSY 219 Evans, Charles MD 97 196, 197 Dubois, Jason DC 73 Eiriksson Jr, Charles MD 7 Evans, Eron 76 Dinning, Andrea DO 43 Duckworth, Edward MD 119 Elam, Isaac MD 49 Evans, Larry DO 98 Dirmann, Carla NP 11, 91 Duerr, Robert MD 104 Elder, Becky NP 7, 12 Evans, Mark 78

234 Index of Providers / Índice de Proveedores continued

Evans, Melanie ARNP Feighner, Anne MD 128, 129 Flamm, T Andrew PA Franden, Julie NP 8 123, 124, 125 Fellows, Douglas DC 72 179, 182, 186, 188 Franklin County Medical Evans, Nathan DC 71 Felt, Richard MD Fleming, Leah MD 74 Center - Home Health And Evans, Travis NP 18, 25, 26 105, 106, 196 Fletcher, Christine PT 171 Hospice 102 Evans, Trisha OT 134 Felter, Jennifer NP 49 Fletcher, Matthew 79 Franklin, Jesse DC 69, 72 Evenson, Andrew CH 72 Fenstermaker, John DO 18 Fletcher, Zuzana NP Franklin, Robert DO 9 Everett, John MD 68, 107 Fenwick, Sterling PA 15, 16, 18, 23, 24, 39, 50 Franz, Martha MD 3, 42, 89 Flicker, Timothy PT 162 Ewings, Maria MD 8 29, 38, 87, 185 Frazier, Malia NP 123 Flock, Timothy MD 146 Fabe, James 80 Ferguson, Maureen MD 57 Fredline, Braton PA 190 Florence, Branden PA 177 Fackrell, Matthew DO 25, 26 Fernandez, Luis MD 18 Fredriksson, William MD Flores, David MD 212, 213 Fagerson, April AUD 63 Fernando, Rachel PAC 45 211, 212 Flores, Tara ARNP 126 Fairfax, Cynthia MD 211 Ferrara, Peter MD 42 Freeman, John MD 35 Fogarty, Shana MD 43 Fairfax, Walter MD 196 Ferrell, Timmy MD 153 Freeman, Leah DO 5 Foley, Gretchen PA 186 Fairman, Dan MD 27 Fethke, Kathryn MD 136 Frelly, Stephen PA 177 Foley, Michael PT 163 Fall, Laura MD 132 Ficek, Brittany NP 43 Fremouw, David PA 186, 187 Folger, Kristen PT 159 Fall, Michael DO 104, 195 Fichter Jr, Wayne DC 72, 73 French, Cameron PA Follett, Stephanie NP 18 Family Health Services 53 Ficklin, Daryl DO 53 112, 114, 115 Fonseca, David MD 195 Family Health Services 388 Field, James MD 67, 68, 69 Friedman, Robert MD 152 Foote, Julie MD 84, 104 Martin St 53 Fields, Gail DO 145 Friedt, Brian PA 177 Forbes, Andrew MD 209 Family Health Services Buhl Fife, Annie NP 214 Friel, Fred PA 175 Ford, Robert MD 137 51 Fife, Thomas PA 113 Fries-Geslin, Kelli NP Fore, Jane MD 108 Family Health Services Burley Figueroa, April CNP 7 15, 16, 18, 23, 24, 39, 50 Fornarotto, John MD 136 38 Finnegan, Jordan PA 10 Fritz, Katie MD 204 Forsyth, William MD 223 Family Health Services Finnerty, Christina NP Fritz, Ronald DO 68 Fortuin, Brian MD 38, 54 Corporation - Fqhc 53 125, 127 Frix, Jeremy PA 12, 179 Foster, Sherwin MD 107, 117 Family Health Services Fiorentino, Christine NP 126 Frizzell, R Tyler MD 118 Fouse, Tammy DO 204, 205 Fairfield 33 Fiorentino, Larry MD Fry, Stephanie MD 66 Foutz, Michael MD 10 Family Health Services Jerome 100, 101 Fu, Jessica MD 131 Fowler, Randall MD 42 First Choice Home Health Fuhrman, Kelly ARNP 28 18, 86, 133 Family Health Services And Hospice 101 Fuller, Chuck PA 54 Fowler, Troy DPM 193 Kimberly 52 Fischer, Steven PA 187 Fullmer, Anne NP 54, 96 Fox, Breann PT 165 Family Health Services Rupert Fish, Brandon OD 142 Fullmer, Lorenza SLP 200 Fox, Christopher PT 48 Fishburn, Jon MD 135 Funk, Chase 80 154, 157, 159 Faraday, Darla PHD 222 Fisher, Amy SLP 200 Furniss, Michele SLP 200, 201 Fox, John MD 199 Farmer, Josie NP 8 Fisher, Christopher DC 69, 72 Gadmer, Jack PAC 114 Foxton, Emily PT 157, 172 Farmer, Katherine PT 174 Fisher, Katie OT 134 Gallafent, James MD 7, 104 Foy, Lindsey MD 121 Farmerie, Stephnie NP 93 Fisher, Maria AUD 64 Gallant, Ellen MD 67, 108 Frampton, Joseph PA 209 Farris, Stephen OD 140, 141 Fisher, Naomi PT Gallatin, Angela PT 171 Francisco, Michael MD Fast, Eric APRN 48 154, 156, 159 Gallegos, Samantha ARNP 100, 105, 108 Faught, Corine NP 91 Fitzmaurice, Megan NP 57 126 Francisco, Patricia NP 86 Fealko, Monika MD 128 Fitzsimonds, Taunya PA 189 Galloway, Amy NP 15 Franco, Janine PA 113 Fearday, Aaron MD 116, 117 Flaker, Jeffrey PA 110

235 Index of Providers / Índice de Proveedores continued

Galloway, Meghan PA Giles, Jonathan MD 210 Graklanoff, Teresa PA 177 Gudmundsen, Gretchen 176, 177 Gill, Taya PA 35, 36 Grand Teton Surgical Center PHD 219 Galvan, Karen MD 205 Gilles, Ryan MD 43 Llc 62 Gudmunson, Jamie NP 40 Gambles, Darin DPM 192 Gillespie, Robert PA Granier, Alison MD 137 Guerrero, Gabriel DO 81 Garcia Jr, James PA 186 179, 181, 182 Grant, James 75 Gundersen, Jason MD 131 Gardiner, Shannon PA 184 Gillette, Austin MD 47 Granvall, Brian PA 208 Gunderson, Christopher Gardner, James DC 71 Gillette, Dennis PT 172, 173 Grattic, Taryn PA 51, 189 PAC 4 Gardner, Lee PA 114 Ginkel, Ross PSYD 220 Graviet, Scott DPM 192 Gunning, Janelise NP 124 Garland, Erich MD 213 Giolitti, Dino ARNP 48 Gray, Jon DC 70 Gupta, Akshay MD 96, 97 Garner, Benjamin DO 145 Gladd, Dana AUD 65 Green, Carolyn PA 177 Guryan, Beth SLP 199 Garner, Eric MD 149 Glass, Justin MD 3 Green, Jonah MD 206 Gussner, Christian MD 152 Garner, Kara NP 123 Glavin, Christina PA 186 Green, Kari PT 154, 157, 159 Gustafson, Caitlin MD 58 Garner, Melissa SLP 200 Glenn, David MD 45 Green, Nathan MD 108 Guthrie, Jennifer NP 54, 127 Garrett, Chris PT 171 Glock, Kellie SLP 201 Greenberg, Steven MD 27 Gutierrez, Guadalupe 79 Garrett, Justin DO 223 Glover, Michael MD 145 Greene, Brandon DO 107 Guy, Rebecca NP 15 Gateway Transitional Care Godfrey, D 77 Greene, Magdelena MD 44 Gwinn, Makenzi AUD 64 Center 216 Godfrey, Jonathan MD 97 Greene, Raymond OD 141 Habeck, Michella CNM 60 Gaudet, Sarah OT 134, 135 Godina, Raul PA 34, 179 Greenhalgh, Jason MD Hackenberg, Amber PA George, Kyle PA 110, 113 Goltry, Brian MD 195 212, 213 183, 184 George, Michael 76 Gonzalez, David MD Greenwald, Brent MD 119 Hackett, Sean PA 115 George, Nathan 76 66, 68, 105, 106 Greenwald, Nancy MD 152 Haderlie, Michael MD 117 Gephart, Cathleen PT 169 Gooch, Judith MD 153 Greenway, Geoffrey DC 71 Hadley, David MD 213 Gerard, Mary MD 221 Good Samaritan Society - Greer, Finnegan PA 176 Hadley, J Kyle PT 165, 167 Gerber, L Derek PT 163 Boise Village 216 Greer, John MD 211 Hadzic, Emir OD 141 Gere, Jacob NP 123 Good Samaritan Society - Gregersen, Heidi NP 31 Hagen, Chad MD 223 Gere, Jenna NP 122 Idaho Falls Village 216 Gregerson, Gary MD 131, 132 Hague, Natalie PA 176, 177 Gerhart, Monica PT 154 Goode, Andrew PT 162, 164 Gregg, Meghan NP 126 Hainsworth, Kenneth MD Gerlach, Paul MD 67 Goodliffe, Pamela 76 Gregson, Michael MD 210 136 Germain, Ninon MD 218 Goodman, Taryna NP 54 Griffin, June ARNP 24 Hajjar, Michael MD Gerrish, Sarah MD 1, 9 Goodrich, Wendy PA 187 Griffin, Justin DC 70 118, 119, 120 Gerrish, Winslow 218, 220 Goodwin, Thomas MD 143 Grigera, Fernando MD 66, 68 Hale, Krista SLP 200 Getz, Jon MD 203, 204 Gopon, Tobias MD Grigg, Lisa OD 139 Hale, Nicholas PA Gibbon, Lawrence MD 45 1, 12, 36, 85, 87, 202, 203 Grigg, Robert OD 139 86, 179, 181 Gordon, Lindsi PA 31 Gibbons, Scott DC 71 Griggs, Jeffrey PA 207, 208 Hale, Zackary AUD 64, 65 Gorman, Patrick MD 67 Gibson, Barrett PT 164 Grimmett, Guss NP 25, 26 Hall, Amanda DO 116, 117 Gotti, Michael PT 171 Giemza-Palmer, Anna NP 59 Grimmett, Heather PA 181 Hall, Chalyse SLP 201 Gould, Lee MD 69 Gierhart, Megan PSYD 218 Grinage, Jennifer PA 48 Hall, D Eric DO 12 Gould, Linda NP 123, 124 Giffen, J Perry MD 7 Grisaffi, Addison DC 71 Hall, David MD 58 Goulding, Lesley 7, 54 Gilbert, Katelyn PA 190 Grote, Heather PA 34, 35, 179 Hall, Leola PT 169, 170 Gower, Shannon AUD 64 Gilbert, Michael DMD 137 Groth, Michelle NP 127 Hall, Robin NP 127 Graham, Austin MD 37 Gilbertson, Jeffrey MD 213 Grow, Marc PT 167 Hall, Stanley NP 7 Graham, Sarah Jo PT 157 Gilbreath, Eric MD 218 Gubler, Jason PT 173 Halversen, Zachary MD 28

236 Index of Providers / Índice de Proveedores continued

Halverson, Jason MD 137, 138 Hardie, Meredith PT 172 Hawks, Rulin PT 165 Henry, Richard MD Halverson, Nichole MD 54 Harding, Cary MD 74 Haycock, Jason DC 70 60, 61, 106, 107, 108 Hamann, Craig PT 199 Hardy, Amy SLP 199 Hayden, Jessica PT 168, 173 Hensley, Nicholas PA 208 Hamblin, Derek MD 18 Harf, Leo MD 135, 137 Hayes, Cynthia MD 128 Henson, Scott MD 204 Hamlat, Christian MD 214 Harlan Drewel, Elena PHD Hayes, Joshua ARNP 91 Henze Iii, Ronald DC 70 Hammar, Bryan MD 219 Hayes, Nicolas DO 206 Hepner, Caitlin PT 169, 171 19, 30, 31, 41, 47 Harmony, Russell NP Hayes, Stephanie PA 207 Herauf, Kyle PT 157, 158 Hammer, Carly PA 177 122, 124 Hayes, Teresa MD 116 Heritage Home Health Llc Hammer, Jason 78 Harper, Brent 77 Haymore, Jeremy MD 54 101, 102 Hammer, Jim PT Harper, Philip 77 Hays, Melodie PA 186 Hernandez, Joel OD 141 154, 157, 159 Harper, Richard DO 41 Hazle, William MD 220 Herold, Heidi MD 51, 88 Hammerle, Christopher MD Harrell, Nathaneal OD Heatherton, Christopher DO Herzog, Hazen PA 7 96, 97 139, 140 25 Hess, Chad 74 Hammond, Richard MD 121 Harrington, Kristina MD 218 Heaton, Bob DC 71 Hess, Julie 75 Hampton, Cliff MD 121 Harrington, Ryan PT 167 Heaton, Janeil PT 199 Hesse, Philip PA 182 Hampton, Nicolette NP 19 Harris, Charlotte NP 126 Heaton, Thea PT 184 Heywood, Nicole PA 35, 37 Hamstra, Ashley MD 82 Harris, Kenneth MD 54 Hedemark, Michael MD 10 Hickey, John DC 70 Hancock, Susannah NP 92, 93 Harris, Mark MD 152 Hedin, Tyler MD 153 Hickey, Samantha NP 34 Hands Of Hope Home Health Harris, Michael MD 25, 31 Hedrick, Andrea CNM 60 Hickey, Thomas DC 70 And Hospice 101 Harris, Ryan MD 81, 82 Heggland, Erik MD 147 Hickman, Jennifer ARNP 95 Hankes, Matthew PT Harris, Tyson NP 124 Heidenreich, Tanya NP 44 Hicks, Laurence DO 54 169, 170, 171 Harris, Vaughn MD 54, 89 Heidt, Tiffany NP 4 Hicks, Michelle NP 12 Hanks, Kevin DO 148 Harris, William PT 162 Heiner, Cody MD 133 Higbee, Logan PA Hansen, Bryant PA 185 Harris-Sartin, Danielle DC Heiner, Darren OD 140, 141 15, 16, 19, 23, 24, 39, 50 Higbee, Shawn PT 162 Hansen, Christopher PT 155 69, 70 Heiner, Jared MD 211 Hijazi, Saad MD 39 Hansen, Dwayne MD 206 Harrison, Gregory MD 119 Helbert, Tania PT 172 Hill, Courtney PA 179 Hansen, Holli ARNP 95 Harrison, Todd DC 72 Hella, Matthew NP 122 Hill, Courtney PA 184 Hansen, Ivy PA 31 Hart, Trenton PA 35, 37 Helmick, Jerrimi NP 199 Hill, David DO 31 Hansen, Jay MD 37 Hartley, Nicholas PT 172 Helms, Jared DO 54 Hill, Deborah NP 33 Hansen, Jeffrey MD 35 Hartman, D David MD 5, 19 Helvik, Alissa ARNP 126 Hill, Graham 75 Hansen, Joshua PA 112, 114 Hartzell, Sarah PAC 44 Hemming, Kathy PA 87, 183 Hill, Hilary MD 82 Hansen, Karrie SLP 199 Hass, Leslie NP 59 Henao, Gloria MD 12 Hill, Jennilee NP 19, 25 Hansen, Lisa PA 179 Hastings, Todd DO 133 Henderson, Heather PT 160 Hill, Julia MD 102 Hansen, Lynn DC 72 Hasty, Robert DO 12 Henderson, Jennifer PHD 222 Hill, Kevin MD 19, 86, 153 Hansen, Marisa OT 134 Hatch, Angela PA Hendricks, Robert 74 Hill, Regan MD 132 Hansen, Regan MD 146 111, 112, 113 Hendrickson, Kelsie PHD 215 Hilpert, Stephanie NP 123 Hansen, Scott OD 138 Hatch, Rustin OD 142 Hendrix, Paul MD 98 Hinchman, David MD 66 Hansen, Stephen MD 144 Hatzenbuehler, John MD 27 Heninger, Bradley PA 110 Hinckley, Daniel MD 198 Hansen, Tate PA 110, 115 Haugen, Cody PT 158 Henker, Don OD 139 Hines, Jerod MD 146 Hanson, Bryce 77 Hawker, Anna NP 127 Henker, Whitney OD 139 Hixson, Lee MD 98, 108 Hanson, Stephanie PAC 179 Hawkes, James MD 5 Henley, Patrick DO 107 Hlavinka, Jon MD 35 Hapayan, Barbara NP 127 Hawkins, Katherine PA 110

237 Index of Providers / Índice de Proveedores continued

Hobbs, Caroline ARNP 27, 28 Hope, Ryan MD 151 Huntington, Mary Ann MD Jacobson, Melissa DC 73 Hobson, Bradley 79 Hopstad, Jerret PT 10 Jakobson, Tyson PA Hodges, Adam 80 154, 158, 160 Hurd, Chad PA 190 175, 178, 184 Hodges, Bryan MD 128, 129 Horan, Donna NP 10, 92 Hurst, Cindy NP 42, 127 James, Gretchen PA Hodges, Ryan PA Horizon Home Health And Hurty, Michelle PA 175 185, 186, 187 33, 38, 48, 51, 52, 54 Hospice 101 Hutchinson, David PT 173 James, Michael MD 98 Hodges, Timothy DO 12, 19 Horrocks, Mark MD Hutt, Nicholas PA 178 James, Travis DO 82 Hodson, Stephanie MD 100 15, 16, 19, 23, 24, 39, 50 Huynh, Katie DO 119 Jameson, Jessica MD 151 Hoewing, Bonnie NP 125 Horton, Mary PT Hyatt, Brad DO 54 Janout, Marek MD 68, 107 Hoewing, Heather PA 34 155, 158, 161, 165, 166 Hyatt, Scott OD 140 Jaramillo, Rachelle PA Hoskin, Joseph PA 39 Hofer, Jennifer NP 123, 124 Hymas, Jared DC 73 111, 112 House, Angela DO 19 Hoffman, Christina NP 124 Hymas, Joseph MD 69 Jardine, Barry 75 Housley, Michael PA 176, 191 Hoffman, Jenna AUD 63 Idaho Eye Center Pa 62 Jardine, Suzanne NP 12, 92 Howard, Karson DPM 193 Hoffman, Sandra MD 19 Idaho Foot Surgery Center Jarstad, Katie PAC 42 Howerton, Randall MD 131 Hoffmann, Brian MD 206 62 Jarvis, Danielle PT 155 Hoyt, Nicole PA 189 Hogan, Mary PT 163 Idaho Home Health & Jarzmik, Monika NP 93, 95 Hubsmith, Lindsay PA 190 Hoidal, Eric 74 Hospice 102 Javernick-Hodges, Necole Hudon, Tyler MD 12, 19 Holbrook, Mark MD 8 Idaho Physical Medicine And MD 128, 129 Hudson, Jennifer DO Holcomb, Pamela CNM 60 Rehabilitation Pa 62 Jeffers, Avery MD 107 28, 29, 86, 87 Holder, Katy PA 175, 177 Ihnken, Kai MD 210 Jefferson Jr, Glenn MD 48 Hudson, Jennifer DO 128 Holgate, Brian PT 155, 161 Ingram, Rory NP 34, 35 Jelinek, John MD 147 Hudson, Kevin PA 175 Holland, Benjamin MD 49 Integricare Of Eastern Idaho Jemmett, Mckenzie SLP 199 Huerd, Steven MD 209 Holland, Robert MD 12 101 Jenkins, Janeen PA 178 Huffine, Cory NP 124 Hollenback, Kyle Ippolito, Joseph MD 54 Jenkins, Ronald MD Hughes, Dustan MD 132 113, 114, 115 Ireland, Stephen MD 120 67, 68, 106, 107 Hughes, Jenifer NP 91 Holliday, Jennifer MD 1, 12 Irvine, Gregory MD 147 Jenkins, Tracy 77 Hughes, Juliette MD 132 Hollingshead, Mark MD 135 Irwin, Anna MD 120 Jenks, Mary NP 94 Hulbert, Coleen MD 10 Hollingsworth, James DC 69 Irwin, James MD 42 Jensen, David DO 153 Hulbert, David MD 10 Holman, Robert MD 205 Isaacs, Heidi OT 134 Jensen, Jared DC 70 Hulet, Vicki SLP 200 Holmstead, Earl MD 19 Isaksen, Lisa NP 40, 94 Jensen, Johanna MD 136 Hull, Bradly 79 Holst, Jennifer AUD 64 Isbell, Richard MD 131 Jensen, Johanna MD 136 Hulsey, Kevin PT Homaechevarria, Alejandro Ishida, Victor PA 191 Jensen, Leonard NP 10 MD 203 158, 161, 164, 166, 172 Jensen, Philip MD 96, 97 Huneycutt, W Scott MD 119 Ispirescu, Jeffrey MD 151 Home Iv Service & Medical Jensen, Robert AUD 65 Hunsaker, Nathan PT Ivie, Evan PA 111, 112, 114 Supply 84 Jeppson, Rebecca NP 95 159, 164, 172 Ivie, Matthew PA 31, 41, 47 Hong, Lisa OT 134 Johans, Timothy MD 118, 119 Hunsaker, Shane AUD 65 Ivy Court 217 Honstetter, Tara SLP 201 Johansen, Brett PA 115 Hunt, Nicholas MD 104, 116 Jabbour, Albert PA 28 Hood, Chad CH 69 Johns, Brian MD 133 Hunt, Timothy PT 162 Jackman, Trent PT 163 Hooker, Mallori NP 123 Johnson, Blake MD 146 Hunter, Nancy ARNP 95 Jackson, Derek MD 4 Hoopes, Gary PT 174 Johnson, Brett DO 39, 49 Huntington, Alexandra PT Jackson, Heidi MD 205 Hoopman, Todd MD 107, 196 Johnson, Brian MD 42 155, 161, 166 Jackson, Robert MD 211 Hoover, Jane NP 93 Jacobs, William PA 190 Johnson, Brian NP 25, 31

238 Index of Providers / Índice de Proveedores continued

Johnson, Carl PT 168 Jones, William PA 1, 7, 178 Kaylor, Michael MD 10 King, Jonathan DO 54 Johnson, Chad DO 54 Jones, Wilmer MD 206 Kazmierski, Brian PA 187 King, Kenneth OD 140 Johnson, Clark DPM 193, 194 Jongleux, Alicia PA 183 Keating, Kathleen DO King, Robin DC 72 Johnson, David MD 214 Jordan, Anthony MD 8 128, 129 King, Tristan PT 164 Johnson, David MD 107 Jorgensen, Jennifer NP 54 Keck, Jordan DC 71 King-Menzner, Dawn MD Johnson, Elizabeth MD 54 Jorgenson, Samuel MD 147 Keefe, Tricia DO 35 211 Johnson, Frank MD 12 Joseph, Anthony MD 202 Keel, Amanda MD 152, 153 Kingery, Kristine PA 184 Johnson, Gregory MD 5 Joshi, Shaun MD 117 Keller, Christopher MD Kinghorn, Kurt DPM 193 Johnson, Jared MD 144, 145 Judd, Dustin MD 142 116, 117 Kinghorn, Lyndsy NP 91 Johnson, Jeffery PA 175 Judd, Ellen PA Kelly, Erik NP 45 Kinney, Anna PA 191 Johnson, Katrina PA 109 38, 183, 188, 189, 190 Kelly, Trent 77 Kinsler, Alison MD 145 Johnson, Keri NP 90, 94 Judd, Jocelyn PA Kelterborn, Peter DO 28 Kipp, Adam MD 4 Johnson, Kevin 77, 79 179, 181, 189 Kemp, David MD 69 Kirby, James MD 223 Johnson, Kolby MD 86 Judy, Claine DO 205 Kemp, Jason MD 203, 204 Kiriaka, Bradley DC 71 Johnson, Laura DC 72 Jungman, Tracy NP 122 Kener, Titus NP 92 Kittelson, Brian NP Johnson, Mark DO 19 Jutzy, Ronald MD 118 Kennedy, Andrea NP 4 4, 12, 35, 37 Johnson, Mark MD 4 Kadel, Keith MD 68 Kennedy, Brent PT 164 Kjos, Melissa MD Johnson, Mayben DO 54 Kading, Kellan MD 204 Kent, David MD 219 15, 16, 19, 23, 24, 39, 50 Johnson, Neal 80 Kadyan, Vic MD 202 Kent, Dylan PT 154, 158 Kladar, Philip MD 206 Johnson, Robert MD 144, 145 Kahlstrom, Richard MD Kent, Gregory MD 136 Klassen, Darren PA 177, 178 Johnson, Sara MD 54 105, 195 Kent, Roland MD 146 Klein, Eric MD 198, 199 Johnson, Stephen DO 39 Kaiser, John MD 129 Kern, Joshua MD 42 Klein, Nicole MD 103, 194 Johnson, Teresa MD 31 Kam, Jared MD 25 Kerns, Benjamin PA Klemens, Candice PA Johnson, Wendy PT 169 Kammer Jr, Darrell MD 148 175, 178, 184 185, 187, 188 Johnston, Tracy NP 89 Kane, Justin PT 169, 170 Kerr, Mary MD 12, 35, 37 Klingler, Amy PA 29, 182 Jolley, Jaclyn PA 190 Kantack, Craig PA 112, 114 Kesler, Jerri SLP 199 Klingler, Kyle MD 138 Jones Jr, Robert MD 136 Kantarian, J Chris MD 74 Keswani, Sundeep MD 204 Klitgaard, Steven PT 162, 164 Jones, Alvin PT 157 Kantayya, Vivek MD 2, 5, 34 Ketterling, Lindsey PT 174 Knibbe, William MD Jones, Arthur MD 147, 148 Karassik, Emily PA 181 Keyser, Lawrence PA 186 105, 106, 197 Jones, Gunda SLP 201 Karassik, Steven MD 81 Kfoury, Abdallah MD Knigge, Prudence DO 46 Jones, Jacob SLP 201 Karcher Post-Acute & 12, 66, 105 Knight, Lynley ARNP 48 Jones, Jennifer PT 163 Rehabilitation Center 216 Kibiloski, Sarah PT 160 Knopp, Kalen PA Jones, Jeremy PT 164 Karroum, Brandi NP Killian, Peter MD 147 33, 38, 48, 51, 52, 55 Knouf, Gerald MD 23 Jones, Kjersten DC 70 15, 16, 19, 23, 24, 39, 50 Kim, Anna MD 45 Karsten, Benjamin MD 204 Kocemba, Russell MD 4 Jones, Kristie MD 117 Kim, Kevin MD 100 Kasper, Megan MD 129, 132 Koch, Tracey ARNP 125 Jones, Michael DO 130, 132 Kim, Michael PT 171 Kastens, Valerie ARNP 44 Kofoed, Lavar OD 138, 141 Jones, Peter MD 211, 212 King, Amanda NP 12 Katseanes, Davis MD 129 Koga, Steven MD 106 Jones, Rachelle NP 95 King, Ashley MD 2 Katter, Renee PA 179 Kohler, Gretchen MD 9 Jones, Sallee DO 206 King, Daniel PT Kaufmann, Theresa NP 124 Kohler, Kurt PA 186 Jones, Sarah PA 186 167, 168, 173, 174 Kautzman, Lori ARNP 126 Kohler, Nathan OD 139, 140 Jones, Wendy PA 207, 208 King, Heather NP 44 Kay, Logan 80 Kohring, Heather NP 55 Jones, William PA 175, 176 King, Howard MD 143

239 Index of Providers / Índice de Proveedores continued

Kohtz, Steven MD 55 Kuran, Ivanka PT Larson, Charles NP 96 Levin, Donald DO 27 Kolb, Jason PA 175 169, 170, 171 Larson, Donald 75 Levitch, Rachel PA 115 Kolesar, Lisa PT 155, 160 Kutzner, Kimberly PT 154 Larson, Megan NP 122 Levitt, Brad PSYD 223 Komori, Allyson DO 7 Kuznia, Benjamin PT Larson, Michael MD 146 Lewis, Erika MD 7, 104 Konarzewska, Hanna MD 108 157, 160, 165, 166 Larson, Steven MD 130 Lewis, Heather PA 176 Konyu, Jason PA 186 Lachapelle, Brian PA 179 Larson, Tyler PT 164 Lewis, Jennifer MD 4, 58 Kootenai Medical Center - Lacroix, Camille MD 224 Lasco-Sanders, Kari PT 164 Lewis, Leslie PA 184 Hospital - Wa 215 Lacrosse Health And Lassetter, John MD 67, 108 Lewis, Nicholas MD 36 Kootenai Outpatient Surgery Rehabilitation Center 217 Latham, Ricky 105, 106 Lewis, Robert 75 62 Ladwig, Martin MD 130 Latta, Angela NP 2, 58 Liddle, Stephanie PT 164 Kooyman, Matthew 75 Lagwinski, Mikael MD 197 Lattimore, Gary OD 140, 142 Life Care Center Of Boise Kopperud, Tracey DO Laible, Katherine PA 175, 178 Laucius, Victorija DO 55 216 129, 131 Lair, Susanne MD 10 Lavarias, Sari PA 184 Life Care Center Of Idaho Kopplin, Matthew MD 145 Laky, Devin MD 12 Lavy, Louisa MD 121 Falls 216 Korell, Khristopher PT 158 Lamb, James AUD 65 Lawler, Christopher MD 144 Life Care Center Of Lewiston Korn, Robert MD 203 Lamb, Jarom MD 206 Lawler, Monica MD 85 217 Kornfield, Lee MD 2 Lamb, Jeanette CNM 60 Lawrence, Thomas MD Life Care Center Of Post Falls Kosberg, Paula PT 160 Lamb, Sean PA 12, 179 28, 29, 33 217 Koster, Anne NP 91 Lambertz, Colleen NP Lawyer, Tracye MD 146 Life Care Center Of Treasure Koszalka, Michael MD 109 124, 125 Layden, Kenton CCC-SLP 200 Valley 216 Kouskov, Oleg MD 195 Lambson, Justus PA Leach, David MD 137, 138 Lifecare Center Of Coeur D Kozisek, Peter MD 85 180, 182, 186 Leatham, Daniel OT 134, 135 Alene 216 Kranz, James DC 70 Lamphier, Tom PT 168, 170 Leavitt, Brent PA 182 Lightheart, Kenneth MD 67 Krasovich, Sharon NP 123 Lancaster, Brett 81 Leavitt, Glenn DO 131 Liljenquist, David MD 84 Krawtz, Steven MD Lancaster, Paul AUD 65 Leazenby, Lisa NP 96 Liljenquist, Jacob 75, 76 105, 196, 198 Lance, Michael MD 224 Lee, Brian PT 166 Liljenquist, John MD 105, 106 Kreishman, Peter MD 214 Lance, Michelle SLP 200 Lee, Jennifer MD 74 Liljenquist, Joseph MD 147 Kreisle, William MD 99 Landers, John PHD 222 Lee, Katherine MD 135 Lilyerd, Jana NP 127 Kremer, John MD 89 Landis, David PA Lee, Kevin MD 146 Lima, Madeline PA 175, 176 Kristensen, Ronald MD 109, 110, 113, 114 Lee, Richard MD 109 Lin, Jeffrey MD 195 Lange, Samantha PA 143, 144, 145 Lee, Timothy MD 204 Lindauer, Robin OD 141 180, 182, 186, 188 Kroll, Becky MD 4 Langley, Randall PT Lee, Valerie NP 123, 124 Lindberg, Sarah AUD 63 Kroon, Melissa PA 35, 37 155, 156, 158 Lee, Wendy SLP 201 Lindblad, Donald MD 45 Kropf, Mark MD 15 Lanske, George MD 61 Leibler, Maria PT 161 Linderman, Derek MD 195 Krull, Faith CNM 60 Larkin, Brian DO 4, 85, 202 Lemon, Michael DO 205 Lindholm, Karin DO 120 Krupski, Laurel PA 190 Larsen, Brennen PA 47 Lemon, Richard PT 162 Lindley, Kenneth MD Kugler, Tiffany ARNP 95 Larsen, Dorian NP 125 Leonard, Bryce PA 5, 12, 180 142, 143 Kuhlman-Wood, Kate MD Larsen, Jacob PA 190 Leonard, Jennifer ARNP Linford, Douglas MD 45 207 Larsen, Murray MD 98 122, 124 Linn, Brittany NP 125 Kuna Counseling Center 220 Larsen, Tucker PA 181 Leonardson, Stephanie NP 31 Linthicum, Jonathan MD 146 Kunz, Harold MD 36, 37 Larson, Amy NP 48 Lessmeier, Tim MD 68, 107 Linzmeyer, Kristin MD 66 Kuo, Helen MD 211 Levenson, Darcie PA 110 Liter, Mary ARNP 126

240 Index of Providers / Índice de Proveedores continued

Little, Dave PT 174 Lyon, Julie MD 6 Mannschreck, Molly MD 135 May, William MD 146 Little, Kenneth MD 119 Lyons, Julie MD 27 Manos, Richard MD 146 Maybach, Delores NP 91 Livingston, Elizabeth MD 203 Lyons, Robert MD 19 Mansfield, Mark MD 19 Maybach, Jacqueline MD 128 Llenos, Joe MD 34, 87, 102 Lyons, Trek MD 85, 202 Marano, Stephen MD 119 Mayer, Andrew PT 172 Lliteras, Katrina MD 128 Maag Prescription Center Llc Marciano, Patricia MD 46 Mayes, Daryl PT 168 Lo-Tomblin, Jin PA 186 149 Marion, Sarah PHD 218 Mayes, Russell DO 149 Lobb, Brian PA 184 Macdonald, Frank MD 19 Marks, Melinda MD 73 Maynard, Richard DO 20, 86 Lochhead, Richard MD 118 Machen, Shane DO 31 Marsh, Daniel MD 151, 152 Mazik, Kimberly PT 163 Lockhart, Paula MD 223 Macik, Jason DDS 77 Marsh, Joni ARNP 45 Mcallister, Taylor PA Lockwood, Robert MD Macinerney, Edward MD 68 Marsh, Kevin DC 73 33, 38, 48, 51, 52, 55 96, 97, 98 Mack, Charisse PA 176 Marshall, Daniel DO 82 Mcarthur, Lyn PHD Loder, Molly PT 160 Maddux, Sarah PA 176 Marshall, R Lance PT 162 220, 221, 222, 223 Mccall Rehab And Care Loegering, Michael NP 4 Madison Carriage Cove Short Mart, Michael PA 109, 110 Center 217 Loertscher, Jed PT 164 Stay 217 Martens, Laurence MD 55 Mccallister, Ashley NP 34 Loewenstein, Timothy PA Madison, Michael DO 7 Martin, Brady DO 19, 20, 25 Mcchrystal, Richard PA 115 2, 3, 9, 12, 111 Maffey, Jenna PA Martin, David MD 36 Mcclenahan, Melissa PA 178 Loftin, Joni SLP 199 9, 10, 13, 34, 111 Martin, David PA 180 Mcclendon, Annette NP 93 Long, Erik MD Magnuson, Scott MD 150 Martin, Kathleen NP 133 Mcclure, Royal MD 28 33, 38, 48, 51, 52, 55 Maguire, James DO Martin, Pam PT 154, 158, 160 Longmore, Ryan DO Mcclusky, David MD 205 19, 30, 31, 41, 47 Martin, Susan 219 66, 67, 68, 105, 106 Maier, Eric MD 4 Mcclusky, David MD 205, 207 Martin, Trever DPM 193, 194 Lorentzen, Michael NP 123 Maier, Michael MD 4 Mccomas, Bruce MD 207 Martin-Thompson, Michelle Lougheed, Christopher PT Major, Meikel MD 87 Mccomas, Stacie NP 55 MD 13 158, 172 Major, Nicole 79 Mcconkie Jr, Richard NP 125 Martinez, Jorge MD 137 Lovelace, Glen MD 198 Malan, Na Ree 75 Mcconnell, Michael DC 72 Martinez, Mario NP 124 Loveland, William MD 13 Maleki, Samir PT 156 Mccormick, Chad MD 148 Martinez, Stephen MD 20 Loveless, James MD 196 Mallari, Clinton MD 151, 152 Mccoy, Alaina PA 110, 111 Martinsen, Misty NP 20 Lowder, B Kerry MD 128, 129 Mallavarapu, Lakshmi 78, 79 Mccreath, Anna NP 124 Martsenyuk, Anna NP 150 Lowe, Heather PT 155, 160 Malm, Roger PA 180 Mccrummen, Brenna MD 132 Marzolf, Susan MD 128 Lowe, Randy DPM 192 Maloff, Stephen MD 191 Mcculloch, Ryan PA 181 Mason, Bryan MD 51 Loya, Amber NP 94, 95 Malone, William MD 85 Mccullough, Judit DC 70 Mason, Robert PT 157, 158 Lubbers, Ali PT 154 Maloney, Gregory PA 6, 180 Mccusker, Kevin MD 195 Masse, Amber NP 30, 32 Lucas, Matthew PT Mancari, Roanne NP 55 Mcdermott, Brian PT Masser, Philippe MD 214 169, 170, 171 Mandel, Benjamin MD 191 155, 163, 167 Mathews, Joel PA 207, 208 Luckock, James DC 73 Mangham, Charles MD 149 Mcdermott, J David PA 13 Matteson, Brian MD 214 Ludwig, Jason DO 9 Manjunath, Prashanth MD Mcdonald, Bart PT 162, 164 Matthews, Adam DPM 193 Lund, Brett 81 150 Mcdonald, David PAC 208 Matthews, Brittany NP 7 Lund, E CCC-A 65 Mann, Larissa AUD 65 Mcdonald, Jeffrey MD 120 Mattis, Richard MD 87 Lundberg, Joshua MD 36 Manning, Jared MD 55 Mcdonald, Mark 78 Maughan, Delray MD 149 Luque, Marion MD 10 Manning, Nicole PA 111, 112 Mcdowell, Elizabeth PAC 176 Maughan, Kyle PT 157, 163 Lynch, Joseph MD 143 Manning, Thomas MD Mcelroy, Kevin OD 139 Maxwell, Shane DO 109 Lynn, Molly NP 91 118, 119 Mcentire, Michael MD 151 May, Michael MD 206

241 Index of Providers / Índice de Proveedores continued

Mcfarland, Robert MD 44 Menen, Rhiana MD 209 Miller, Mark MD 136 Moore, Andrew MD 143, 144 Mcgee, Julia PAC 180, 181 Meng, Jerry MD 117 Miller, Natalie PA 180, 181 Moore, Monte MD 152, 153 Mcgee, Kraig MD 148 Menzner, Jeffry MD 143, 144 Miller, Nicholas DMD 77 Moore, Ryan MD 20 Mcgeorge, Laura MD 7, 104 Meridian Center Genesis Miller, Roarke 78 Moore, Steven PT 165 Mcgill, Jennifer PA 111, 113 Healthcare 216 Miller, Ryan DO 144 Moorhouse, Aaron DO 9 Mcgill, Troy PT 170, 171 Meridian Endoscopy Center - Miller, Spencer MD 105 Moos, Aaron MD 130 Mcgrath, Daniel 221 Asc 62 Miller, Toni NP Mooseau, Dixon DC 70 Mcgrath, Shannon PT Mering, Mark MD 4 33, 38, 42, 48, 51, 52, 55 Mooso, Darin 78 154, 156 Merrell, Mark PA 185 Miller, Whittney NP Morairty, Zachary MD 224 Mcguffey, Tina MD 40 Merrill, Clinton MD 100 20, 30, 32, 40, 41, 47 Moran, Gregory NP 7 Miller, William MD 223 Mcintosh, Daniel MD 108 Merrill, Melissa CNM 214 Morch, Christian PAC 178 Mills, Lavonne MD 20, 86 Mckain, Mark MD 207 Merrill, Melissa PT 162, 164 Morgan, Christopher NP Mills, Pamela MD 132 Mckay, Lance PA 208 Mesaros, Lisa PA 177 38, 93, 94 Millward, Anthony PA Mckee, Jared PT 162 Meulenberg, Daniel MD 29 Morgan, Mary NP 91 85, 87, 89, 175, 183, 189 Mckee, Rohn MD 146 Meyer, Sean ARNP 96 Millward, Erin NP 92 Morgan, Tracy MD 13 Mckim, Joshua DC 72 Meza, Michael MD 44, 88 Millward, Gary DPM 192 Morgan, Wendy SLP 199 Mckim, R DC 69, 72 Michaud, Kathleen PHD 220 Millward, Michael MD Morgenstern, John MD Mckinlay, Kirt MD 25, 26 Michaud, Mark MD 13, 20 219, 221, 222 98, 108 Mckinlay, Matthew PA 20 Mickelsen, Brandon MD Miltner, Natasha MD 13, 104 Morigeau, Kirsten MD 97, 98 Mckinnon, Ryan MD 136, 137 20, 50 Mirly, Alan PA 180 Morrill, Scott PA 13, 111 Mckinnon, Tyler PA 176, 191 Mickelson, Chace 79 Mitchell, Brenda PT 168 Morrill, Shannon PA 176 Mclandress, Richard MD 44 Middleman, Edward MD Mitchell, Cortney AUD 65 Morris, Katherine ARNP 49 Mclaughlin, Matthew DO 213 108, 116 Mitchell, Jeffrey PA 186 Morris, Michael MD 212 Mcmahon, James PAC 186 Middleton, Julia PA 178 Mix, M Andrew PT 174 Morris, Neil PT 168, 171 Mcmartin, William PT 156 Midence, Gerardo MD 108 Mobley, Tracy PT 168 Morrison, Chelsie MD 15, 16, 20, 23, 24, 39 Mcmaster, Jay DO 149 Mielke, Brendan MD 117, 118 Moehring, Shawn PT 171 Morrison, Stephanie PT Mcmeekin, David PA 36, 180 Mildenstein, Kurt MD 152 Moffett, Katrin PT 155 169, 170, 171 Mcmurray, Kayla PT 166 Millennium Surgery Center Mohr, Michael PA 186 Morse, Jeremy MD 88 Mcrae, John NP 13 62 Mong, Jacob DO 135, 136 Morse, Lucinda MD 27 Mcroberts, Andrew MD 204 Miller, Alisha NP 10 Montalbano, Paul MD Mortensen, Wayne 75 Mcsweeney, Kevin OD 138 Miller, Brian OD 141 118, 119 Mortimer, Margaret NP 4 Mcvey, Douglas PA 110, 114 Miller, Brian PA 111, 112, 114 Montamat, Stephen MD 7 Morton, Rychael PAC 208 Meadow View Nursing And Miller, Chelsea PA Monte Vista Hills Healthcare Moser, Francis DO 25, 27 Rehabilitation 216 179, 185, 189 Center 216 Moses, Nicole MD 9 Mebane, Mary PA 176 Miller, Daniel MD 74 Montgomery, Jason NP Moshirfar, Majid MD 135 Mecier, Brenda AUD 64 Miller, Gary MD 120 7, 25, 92 Moss, Craig OD 139 Medaris, Bryan 78 Miller, James PT Montgomery, Richard MD 155, 161, 165, 166 Moss, Mark PT Medicap Pharmacy 149 218 Miller, Jarem DC 73 154, 156, 158, 160, 166 Meier, Svetlana MD 198 Mooney, Jessica PT 162 Miller, Joseph MD 51 Moss, Sheila NP 20, 25, 32, 92 Mello, Bethany NP 37 Mooney, Stephanie NP Miller, Karen MD 194, 195 Mountain Brace Systems 83 Meltzer, Julie MD 132 91, 93, 94 Melvin, Ryan DO 55 Miller, Karissa SLP 200

242 Index of Providers / Índice de Proveedores continued

Mountain View Hospital Llc - Neal, Thomas MD 43 Nielson, Robert 77 Nyswyn, Sophia PA 178 Idaho 215 Nealis, Monica PA 183 Nielson, Ryan OD 139 Obosky, Catherine CNM 60 Mroczko, Mark MD 44 Nearing, Sandra ARNP 44 Nielson, Tyrell PAC 20 Obray, Gregory PAC 208 Muckerman, Julia CNM 60 Neary, Kaitlin MD 147 Nieraeth, Michael PAC 176 Obyrne, Brian MD 205 Mudge, Sandy MD 2 Needham, Charles MD 209 Nilsson, Kurt MD 202 Ocmand, Amy MD 207 Muir, James PT Neff, Marcus 76 Noel, Brenton PA 13, 36, 180 Oconnor, Sara NP 122 159, 161, 164, 165 Negron, Roberto MD 219 Nofziger, Dan MD 51 Odonnell, Briana NP 96 Mulder, Gertjan MD 4 Neilson, Janice NP 124 Nolan, Brian DO 66 Ogram, Alicia MD 82 Mulkey, Bradley PA 178 Neisen, Misty PA 176 Nona, Leslie MD 7 Olberding, Elizabeth MD 105 Mullen, Patrick MD 191 Nelson, Aaron DC 71 Noonan, Daniel MD 66 Olenick, Kelley 64 Mullins, John MD 20, 36 Nelson, Aurelia MD 4 Nope, Heather PA 190 Oliver, Rachel MD Mullins, Oliver OD 139 Nelson, Barbara MD Norco Inc 83, 149 10, 130, 131 Mulser, Rosa PSY 221 30, 32, 131 Norco Inc 84, 150 Oliver, Samantha PT Multicare Home Health Inc Nelson, Dean DO 42 Norco Inc 84 156, 157, 158 101 Nelson, Matthew MD 87 Norco Inc 83 Olmstead, Alan MD 82 Multicare Staffing Services Inc Nelson, Matthew PA Norco Inc 84, 149 Olsen, Blaine DO 20 101 33, 38, 42, 48, 51, 52, 55 Norco Inc 84, 150 Olsen, Jerald PT 168, 169 Mulvey, Kevin MD 100, 107 Nelson, Matthew PA Norco Inc 83, 149 Olsen, Nicole PT 160 Mumford, Brett DO 40 180, 181, 183, 188 Norco Inc 84, 150 Olsen, Scott PT 165, 172 Nelson, Steven PA 208 Munn, Stacia MD 2 Norco Inc 83 Olsen, Shayne DO 13, 37 Nelson, Timothy MD 6, 104 Munting, Babette NP 2, 4 Norco Inc 84 Olson, James MD 203 Nelson, Tyley NP 7, 90 Murdoch, Thomas DC 71 Norco Inc 83 Olson, Karl MD 39 Newby, Rebecca PA 32 Murdock, Louis MD 142, 143 Norco Inc 83 Olson, Marlene NP 122, 124 Newhouse, Kenneth MD Murphy Cook, Michele MD Norco Inc 83, 149 Olson, Roger PSYD 218 144, 145 68, 107 Norco Inc 83 Oneal, Brian PT 155, 158, 160 Newman, Jennifer NP 133 Murphy, Mark DO 224 Norris, Wendi MD 195 Oneida County Clinic - Rhc Ngo, Thuy Trang MD Murphy, Thomas MD 197 North Canyon Medical Center 197 107, 118 Murray, Janel NP 59 215 Oneida County Hospital 215 Nichols, Brian PT 161 Murri, David PT 167 North Idaho Cataract & Laser Oneida County Hospital Nichols, Heather MD 2 Musteti Oprea, Laura MD 218 Center 135 Home Health 102 Nichols, Judianne PT 161 Muto, John OD 135 North Idaho Pain Center Llc Oneida County Hospital Long Nicholson, Douglas DO 43 Myers, Jonathan MD 154 62 Term Care 217 Niculaescu, Alina PAC Myers, Michelle DO 118 Northern Idaho Advanced Onesource Hhc Llc 101 181, 182 Myhre, Ryan PT 160, 167 Care Hospital Inc 215 Orien, Jason MD 211 Nielsen, Brandon OD 142 Nagle, Lee PT 171 Not Tsoo Gah Nee Indian Osenbach, Richard MD 119 Nielsen, David MD 9 Narasimhan, Nagraj MD 118 Health 73 Osipchuk, Alla CNS 150 Nielsen, Justin PA 29, 183 Nasser, Wajeeh MD 2 Novak, Charles MD 219 Ostermiller, Daniel MD 58 Nielsen, Steven 77 National Medical Solutions Novich Welter, Lorraine MD Ostermiller, Mariya PA 177 Nielsen, Tanner PSY 222 Inc 83 153 Ostromecki, Christopher MD Nielsen, Travis DO 20, 86 Navarro, Jennifer CNM 116 Nowbar, Sogol MD 195 69 Nielson, Ana OD 139 Nave, Jerry OD 140 Nunez, Orlando MD 194 Oswald, Zachary OD 140 Nielson, David PA 207 Naylor, Brett 75, 76 Nutting, Rachel PA 184 Owen, Dana DPM 194

243 Index of Providers / Índice de Proveedores continued

Owen, James DMD 194 Parry, David MD 61 Permann, Seth PA 184 Pittard, Darren MD Owsley, Ryan MD 82, 83 Parsons, Kalob AUD 64 Perrin, Michael NP 56 129, 130, 131 Owyhee Health & Parsons, Lee MD Peters, Joanna NP 92 Pittard, Jonathan PA 56, 113 Rehabilitation Center 217 129, 130, 131 Peters, Roxanne PA 185 Plomaritis, Demetrios PA Pabawena, Amy NP Parsons, Michael NP 125 Petersen, David MD 49 181, 183 15, 16, 20, 23, 24, 40, 50 Partridge, Christopher MD Petersen, Henry PA 187 Plummer, Patrick MD 198 Pacific Cataract And Laser 15, 34 Peterson, Anne PA 208 Poinier, Anne MD 13 Institute Inc Pc 62 Pascual, Lena NP 7 Peterson, Barbara OT 134 Polito, Julia OD 142 Pacific Cataract And Laser Pates, Jason MD 109, 132 Peterson, Barry DO 149 Pontickio, Steven MD 7 Institute Inc Pc 61 Pathways Of Idaho Llc Peterson, Brittany OT 134 Pool, Justin PA 180 Packer, Adam NP 20, 23, 92 219, 222, 223 Peterson, Chad MD 213 Pool, Leslie MD 128 Packer, Michael MD 47 Patten, Daniel MD 40 Peterson, David DO 145 Poole, Colin MD 59 Packham, Matthew MD 133 Patterson, Julie PA 2, 13, 36 Peterson, Emilie PT 162, 164 Portalski, Nicholas PA 29 Padavanija, Phatama MD 116 Patterson, Kenneth 80 Peterson, Faith NP 58 Portela, Dustin MD 81 Page, Andrea PHD 63, 65 Patterson, Lavonna PHD 222 Peterson, James PT 161 Porter, Lisa OD 140 Page, Randell DO 106 Patterson, Reid PT 157, 163 Peterson, Jamie PA 209 Porter, Ryan PA 204, 205 Page, Sean PA 175, 178 Paulson, Bret PAC Peterson, John DPM 193 Porter, Sarah MD 37 Page, Travis DO 56, 87 185, 187, 188 Peterson, Kimberlee PT 159 Portneuf Medical Center 215 Pahis, Casondra PT 164 Payette Center 217 Peterson, Kylan DO 149 Portneuf Medical Center 215 Pain Care Boise 61 Payvar, Saeed MD 68 Peterson, Randolph MD 147 Poston, Jason MD 151 Palfreyman, Eric MD Peachey, Dana NP 66 Petrie, Breeann PA 189 Potter, Stephanie MD 85 105, 106, 197 Pearson, Brooke NP 89 Petrie, Joseph PA 185 Poulson, William NP 91 Palmer, Todd MD 4 Pearson, Nicholas DO 145 Petty, David DO 61 Poulter, Luke DO 36 Palmer, Zane 74, 78 Peay, Rachel NP 92, 93 Petty, Wendell MD 61 Pound, Stacey SLP 200, 202 Pangarkar, Sandeep DO 105 Pedersen, Rachael NP 90 Phail, Paul DO 21 Powell, Gavin MD 82 Panos, Craig MD 44 Peerboom, Mandy PT Phillips, Alisha NP 50 Powell, Heather NP 37 Pant, Sushma MD 172, 174 Phillips, Debra NP 40 Powell, Kathryn PA 178 102, 108, 116 Pehrson, Michelle NP 39 Phillips, Seth PT 172, 174 Powell, Kay NP 21, 25, 26 Pargman, Karrie AUD 63 Pellant, Angela MD 13 Pickett, James DO 49 Powers, Benjamin MD 13 Paris, Richard MD 27 Pelton, Michael MD 6, 104 Pickett, Scott 77 Powers, Julian MD 46 Park, Ryan NP 20, 21, 25, 32 Pennings, John MD 206 Pickup, Christine AUD 65 Preiksaitis, Harold MD Parke View Rehabilitation & Peppley, Anthony PT Pierce, Aaron OT 134, 135 98, 107 Care Center 216 155, 156, 158 Pierce, Ashley SLP 201 Premier Surgical Center Inc Parker, Bryn MD 46, 128 Pereda, Carissa MD 7 Pierce, Becky SLP 201 62 Parker, Tasha CNM 59 Perez, Gerardo MD 198 Pierce, Brett PT 161 Prestige Care And Parks, Zachary PT Perez-Verdia, Alejandro MD Pierson, Stacie OTR 134 Rehabilitation The Orchards 169, 170, 171 74 Piktel, James MD 219 217 Parkway Surgery Center 62 Perius, Nicholas PA 190 Pilling, Jordan 75 Preucil, Daniel MD 56 Parkway Surgery Center Llc Perkes, Charlynn PAC 181 Pinsky, Maia MD 4 Preucil, Jennifer MD 56 62 Perkins, Jock PA 189 Pintar, Thomas MD 104 Price, Christian DC 70 Parrillo, Lisa MD 211 Perkins, Robert 76 Piquet, Kolt PAC 183 Price, Jared DO 21, 86, 202 Parrish, Linda SLP 199 Perl Ii, John MD 121, 122 Pitt, Alan MD 81 Price, Julie PT 163

244 Index of Providers / Índice de Proveedores continued

Priebe, Jeff DC 72, 73 Rashid, Haroon MD 118 Reusser, Helene CNM 59 Rigney, Liva 221 Priebe, Randall DC 72, 73 Rashid, Lubna MD 118 Rexburg Care And Riley, Mari MD 36, 37 Prins, Amber OD 139, 140 Rasmus, Mark MD 198 Rehabilitation Center 217 Rindfleisch, Dallas DO 32 Prins, Gregory 79 Rasmussen, Austin PA 29, 38 Reyes, Adam AUD 63 Rindlisbacher, Jeremy PAC Proffitt, Frannie PA Rasmussen, Corey PT 162 Reynolds, Adam MD 188 2, 3, 9, 13, 180 Rasmussen, Melissa NP 135, 136, 137 Ringger, Benjamin MD 82 Progressive Nursing Services 122, 124 Reynolds, Allyson NP 123 Ringo, Shelley MD 21 Inc 101 Rausch, Jeremy DC 70 Reynolds, Catherine MD 13 Rios, Raul PA Prouty, Jp MD 27 Ravsten, Deric DO 221 Reynolds, Merrick PA 56 2, 3, 9, 13, 35, 180 Pucciarelli, Irene DO 6, 104 Ray, David PT 155, 160, 161 Rheder, Jan NP 9 Ripepi, Bartholomew DO Pugmire, Heather MD Ray, Debra PA 111, 113 Rhodes, Kristina CNM 59 7, 89 130, 131 Rea, Ted MD 99 Ribbens, Terry MD 9 Ririe, David MD 99 Pulham, Daxton 78 Read, Heidi NP 90 Rice, Charles PSYD 219 Ririe, Marnie MD 81 Pullen, Samuel DO 219, 224 Redding, Jessica PA 21 Rice, Cynthia NP 26 River View Surgery Center Llc Pulsipher, John 79 Reddy, Akavaram MD 197 Rice, David MD 213 62 Purrington, Peter MD 44 Reeck, Matthew MD 81 Rice, Suzanne MD 128 Rivers Edge Rehabilitation & Pyke, Lauryn PA 111, 113 Reed, Bonnie MD 13 Rich, Eric MD 195 Living Center 216 Pyle, Nicole PA 208 Reed, Daniel MD 10, 21 Rich, Kevin MD 4 Riverview Rehabilitation 216 Pyrak, Crystal MD 44 Reed, Kurtis MD 82 Rich, L 78 Rizor, Helena PA 112, 114 Qi, Huiling MD 104 Reed, Mark PT 166 Richards, Candace PT 156 Robbins, Jeffrey NP Quattrone, Barbara MD Reese, Cody PAC 114 Richards, Kelson PT 173, 174 6, 13, 34, 92 152, 153 Reese, Reva ARNP 95 Richards, Shawn MD 137, 138 Robbins, Rhonda MD Quinn Meadows Reeves, Justin MD 210 Richardson, Carissa MD 132 131, 132 Rehabilitation And Care Reeves, William MD 135 Richardson, Cory MD 206 Robert, Alina MD 108 Center 216 Reger, Andrew DO 195 Richardson, Erik DO 37 Roberts, Caleb DPM 194 Quinn, Connor MD 146, 147 Rehabilitation Hospital Of The Richardson, Nathan MD 144 Roberts, Denton MD 136 Quinn, Timothy MD 206 Northwest 215 Richardson, Norman OD 139 Roberts, Lora NP 96 Quinton, Tony DPM 193 Reid, Collin PT Richardson, Rosalia MD 6 Roberts, Rick MD 14, 37 Radnovich, Richard DO 155, 156, 158, 160 Richardson, Weldon PA Roberts, Stephanie PA 187 9, 34, 85, 87, 121 Reid, Desiree PA 185 111, 112, 114 Roberts, Verena PSYD Rae, Donald DC 70 Reid, Jason MD 26 Richins, Adam PA 220, 221, 222, 223 Rafla, Hala PA 111 Reidy, Michael MD 196 33, 38, 48, 51, 52, 56 Robertson, Brad 75 Rafla, Yustina PA 178 Reis, Laura DO 21, 36 Richins, Michael DO 98 Robertson, Codie NP 21 Ragan Ii, Charles MD 223 Relyea, Ramon PA Richins, Stephen PA 114 Robinson, Dan DPM 193 Ragan, Joseph MD 10, 13, 34, 35, 111 Richman, Jay AUD 63 Robinson, Jennifer PA 15, 16, 21, 23, 24, 40, 50 Renak, Mandy NP Richman, Jay 63, 64, 65 115, 180, 181, 196 Rahim, Fahim MD 117 Robinson, Lucas PA 34, 40, 50, 58 Rick, Daniel PA Rahim, Naeem MD 117 Renaldi, Janet NP 42, 56, 127 21, 112, 113, 114 178, 183, 184 Ralphs, James PT 163 Renner, Matthew MD Ricks, Deron PA 41 Robinson, Michael MD 131 Rambeau, Jamie MD 223 128, 130 Ricks, Jamie DC 69 Robinson, Mitch PA 190 Randall, Brent OT 134, 135 Reno, Dustin NP 125 Riddle, Charles PT 160 Robinson, Robert SLP 200 Randklev, Scott PT 169, 171 Retmier, James MD 146 Rigby, Travis AUD 65 Robison, Jacob MD 148

245 Index of Providers / Índice de Proveedores continued

Robison, Jason MD 143, 144 Ruman, Lori NP 122 Sawtooth Orthotics & Schwerman, Julie PT 174 Robison, Matthew DO 32 Rush, Audrey NP 8 Prosthetics 83 Scott, Julie PA 14 Robison, Steven MD 131 Ruske, Nicole MD 42 Sawtooth Surgery Center 62 Scott, Kade PT 165 Rodebaugh, Maria MD 85 Russell, Daric DO 150 Saxey, Benjamin PA 190 Scott, Lauren PT 158, 160 Rodemack, Dean PAC Rustad, Todd MD 148 Scanlan, Christina PA 190 Seabolt, Velma NP 133 33, 38, 48, 51, 52, 56 Ruth, Timothy MD 6 Scanlan, Stacey PT 155 Seale, Walter MD 73, 74 Rodgers, Bret MD 149 Rutherford, Dean DC 71 Scarola, Chad MD 44 Seargent, Janice OT 134 Rodriguez, Johary NP 90 Rutherford, Mark MD 6 Schaffer, Scott NP 92 Searle, Cade PT 174 Rodriguez-Valdivia, Yolanda Ryan, Andrew PA 178 Schantz, Shannon MD 50 Searle, Kathleen NP 92 MD 21 Ryan, Michael MD 99 Schaper, Heather PA Sebastian, Robin MD Rogers, Beth MD 152 Ryan, Victoria PA 86, 180 15, 16, 21, 23, 24, 40, 50 40, 41, 88 Rogers, Victoria PA 178, 184 Sackman, Irvin MD 6 Scharmann, Alexander PT Sedano, Yolanda PA 42, 47 Roisum, Tony MD 32 Sadaj, J Michael MD 106, 196 165, 166 Seegmiller, David 75 Rolan, Tamara CNM 59 Salem, Nizar MD 104 Schelhaas, Kristyn DO 21 Seery, Loren MD 135, 138 Romito, Kathleen MD 4 Salzsieder, Todd PA 183, 184 Schell, Amy MD 8, 104 Seibold, Spencer DO 50 Romney, Kenneth MD 42, 88 Sampson, Richard DC 70 Schlickman, Louis MD Seiger, Cindy PT 163 Ronnau, Kyle NP 94, 125 Sampson, Sharon PT 163 10, 104 Sela, Kyle PT 163 Roscoe, Janet NP 7 Samuels, Brian MD 100 Schmidt, Mary OT 134 Selznick, Hugh MD 145 Rosenblum, Joseph DO 28, 56 Sander, Stephanie PA 183 Schmitt, Dustin PT 165 Senethavilay, Heidi 219 Rosenthal, Seth PAC 187 Sanderson, Jennifer NP Schneider, David PA 176, 178 Sericati, Matthew MD 97 Roser, Steven MD 143, 144 15, 21, 32 Schneider, Doran MD Serio Iii, Vincent MD 5, 14 Rosin, Kirsten NP 34, 40, 50 Sandison, Richard MD 56 204, 205 Sessions, Schuyler 77 Roskelley, Morgan PA 175 Sandon, Kira PA 187 Schneider, Kathryn MD 4 Sessions, Scott PT 167 Ross, Allyson MD 14, 15 Sandpoint Surgery Center Llc Schneider, Steven MD 5 Setser, Edward MD 209 Ross, Daniel MD 2, 4, 6, 14 62 Schnell, Sandra PT Severson, Michael MD 150 Ross, Theresa PHD 221 Sands, Charles PT 156, 161, 165 Seyb, Stacy MD 109 Rota, Nicole PA 176, 184 156, 166, 167, 168 Scholes, Chris MD 82 Sgroi, Kevin PT 170 Roth, Kathryn NP 92 Sandy, Janet NP 47 Schomberg, Paula MD 209 Shackelford, James MD Rothwell, Tara PA 40 Sanford, Chris AUD 64 Schoolfield, Matthew MD 209 218, 222 Rousseau, Leanne MD 45 Sansom, Susan NP Schow, Michael PT 160 Shalz, Jennifer MD 14 Rowan, Andrea PT 159 123, 124, 125 Schrader, Julie NP 123 Shanahan, Alexis MD 8 Rowe, Derrick PA 175 Sant, Michael MD 152, 153 Schrader, Scott PA 190 Shapiro, Glen MD 145 Rowley, David MD 146, 147 Saperston, Kara MD 211 Schreiber, David MD 121 Sharp, Stuart PAC 114 Roy, Molly PA 110, 111 Sarkis, Heather PA 43 Schroeder, Amber PA Sharples Faucher, Brad PT Royal Plaza Health And Sartin, Cory DC 69 180, 204 171 Rehabilitation 217 Sasso, David MD 195, 196 Schroeder, Harmony MD Shatto, Benjamin RPT 158 Ruddell, Brian DC 73 Satterfield, Trevor MD 56 129, 130, 131 Shaver Pharmacy & Ruddell, Kevin DC 73 Saunero-Nava, Liliana MD 49 Schug, Andrew PAC 188 Compounding Center 83 Rudeen, Walter MD 56 Saurette, Kristoff PT Schulte, Michaela MD 104 Shaw, Clayton PT 159, 166 Ruiz, Pedro 79, 80 169, 170, 171 Schultz, Robyn PT 162, 163 Shaw, Trent PA 112, 113, 114 Rulien, Joann NP 96 Savage, Kate AUD 64 Schwarz, Matthew MD 148 Shea, Kevin MD 203 Rulon, Elizabeth MD 6, 8 Schwendiman, Mark DO 81 Shearer, Helen MD 46

246 Index of Providers / Índice de Proveedores continued

Shearing, Kevin PA 178 Sipe, Sean PT 168 Smith, Michael NP 90 Spaulding, Tiffany DO 40, 41 Shedd, Lindsay PA 110 Sipi Ambulatory Surgery Smith, Morris MD 49, 50 Speakman, William DO Shelley, Carole MD 130 Center 63 Smith, Preston PA 21, 30, 32, 41, 47 Shepherdson, Nikole DO 14 Sirucek, Dax DC 70 36, 37, 176, 178, 190 Spearing, Casie NP 56 Shields, Christopher MD 21 Sirucek, Maria DC 70 Smith, Ryan DO 120 Spence, Nathan MD 107, 108 Shinkle, Samuel PA 5, 180 Sisul, David MD 211, 212 Smith, Ryan PA 187 Spencer, Breanna NP 126 Shoebridge, Nicholas DO 8 Siudzinski, Kelly MD 128 Smith, Scott CH 69 Spencer, Byron MD 120 Short, Ann OT 133 Sjoberg, Christopher NP 122 Smith, Shani DO 104 Spencer, Craig MD 211 Shoshone Medical Center Sjostrand, David NP 94 Smith, Shauna SLP 199 Spencer, Jeri NP 90, 91 215 Skale, David MD 137 Smith, Whitney MD 137 Spritzer, David MD 56 Showalter, Larry MD 143, 144 Skelly, Katherine PA 5 Snake River Medical Services Squires, Adam PT 168, 174 Shrader, David MD 196 Skurupey, Brooke ARNP 187 Inc 150 St John, Elizabeth PAC 114 Shrum, Brea MD 128 Slade, Jason MD 8, 14 Snapp, Jordan NP 51, 56 St Joseph Regional Medical Shuey, David PA 114 Smart, Sean NP 90, 91 Snarr, Klynda PA 183, 188 Center 215 Shuler, Cory NP 122 Smedley, Elizabeth NP Sneddon, Nathan MD St Luke's Canyon View Shull, Christian MD 100 124, 126, 212 150, 151 Behavioral Health Services Shumard, Erin PA 178 Smedshammer, Margo PA Snow, Jed 76, 78, 79, 80 215 Shupe, Jonathan MD 44 36, 37 Snow, Mark 79 St Lukes Elmore Long Term Shuss, John MD 207 Smetanka, Rachel PA 180 Snyder, Nancy NP 14 Care 216 Siddiqui, Mohammad MD Smith, Alan DC 73 Snyders, Brian DO 45 St Lukes Elmore Medical 224 Smith, Amy PT 164 Soares, Colin PA 111 Center 215 Sidwell, Randy PT 162 Smith, Barry DO 206 Sobba, Cheryl NP 59, 94 St Lukes Home Care Magic Siebel, John MD 101 Smith, Camille DO 56 Sochanski, Miroslaw MD Valley 102 Siegersma, Wendy MD 36 Smith, Carla MD 143, 144 69, 108 St Lukes Homecare 101 Siemers, Rebecca MD 44 Smith, Charalee MD 21 Solbrig, Ronald MD 21, 23, 42 St Lukes Jerome 215 Sierra, Manuel MD 221 Smith, Cherish PA 185 Solich, Chara MD 197 St Lukes Magic Valley Sigg, Daniel MD 122 Smith, Craig 74 Soni, Margery NP 91 Regional Medical Center 215 Siktel, Hira MD 26, 32, 106 Smith, Daniel DO 151 Sonntag, P David MD 213 St Lukes Mccall Ltd 215 Silva, Arnold MD 117 Smith, Dean DO Sopers Mobility Aids Llc 84 St Lukes Medical Center Sim, David MD 66 16, 21, 23, 24, 40, 50 Sorensen, Robert OD 141 Wood River Ltd 215 Simm, Kendell PA 28, 29 Smith, Diana PT 168, 169 Sorenson, Shawn OD 139 St Lukes Nampa Medical Simmons, Kent 80 Smith, Donald MD 133 Soucie, Gary MD 26, 27 Center Ltd 215 Simmons, Steven PA 180 Smith, Gayle DO 44, 45 Southwick, April NP 59 St Lukes Regional Medical Simon, David MD 153 Smith, Golden OD 140 Southwick, Jason PHD 220 Center 215 Simonson, Jared PT 158, 172 Smith, Ian MD 148 Souza, James MD 195, 196 St Lukes Rehab Elks Subacute Simpson, Isac MD 86, 87 Smith, Jacob MD 85 Spackman, Emily PT 165 Rehab Unit 216 Simpson, Mclane MD 44 Smith, Jeffrey PA 178 Spackman, Michael MD 99 Stabler, Jonathan MD 44, 45 Simpson, Scott MD 136 Smith, Jessica PA 188 Spainhower, J Tod DC 70 Stadler, Patricia NP Singer, Nicole PA 176 Smith, Justin MD 39 Sparhawk, Justin OD 141 21, 30, 32, 41, 47 Stafford, Douglas MD 206 Singleton, Russell PA 56, 188 Smith, Kristie AU 63 Sparks, Kristan OD 139, 140 Stagg, Douglas MD 133 Sinus Surgery Center Idaho Pa Smith, Maria NP 127 Sparks, Sarah NP 91 Stahlberg, Bill PA 209 62 Smith, Matthew PT 161, 165 Sparks, Toni NP 5, 14

247 Index of Providers / Índice de Proveedores continued

Staller, Sarah MD 35 Stoddard, Andrew 76 Suriano, Catherine MD 44 Taylor, Joy NP 26, 27 Stanciu, Irinel MD 84 Stoddard, Earl MD 81 Sutherlin, Ralph DO 29 Taylor, Julie NP 49 Stanley, Malissa NP 125, 127 Stoenner, Debra OD 141 Suthers, Lindsay SLP 200, 201 Taylor, Mark PT 174 Stano, William DPM 193, 194 Stohl, John 77 Svangstu, Deborah NP Taylor, Matthew MD 68, 107 Stanton, Kristopher MD 87 Stolte, Carmen ARNP 49 122, 124 Taylor, Michael MD 211, 212 Starcher, Christine PT Stolworthy, Lloyd MD 22 Svennevik, Eirik MD 204 Taylor, Michael MD 137, 138 156, 161, 165 Stone, Brookney NP 124 Swainston, Rebecca NP 126 Taylor, Natalie CNM 116 Stark, Jody NP 94, 95 Stone, Janine MD 14 Swajkoski, Alan MD 129 Taylor, Rebecca AUD 63 Starley, Brad MD 99 Stormogipson, D Justin MD Swan, Lisa PT 155, 158, 160 Taylor, Timothy MD 212 Stavast, John PT 165 137 Swanson, Thomas MD 120 Teeples, David DO 49 Stebel, Holly OD 140, 141 Story, Brian MD 97 Swanson, Todd MD 39 Tenley, Clifford MD 2 Stebel, Todd OD 139 Stott, Kyle OD 141 Swartz, Joel MD 122 Terrell, Stephanie NP Steffens, Bonnie NP Stow, Marti NP 44 Swayze, Charles DC 72 10, 14, 36 56, 121, 127 Stowell, Kimberly SLP 200 Sweeney, Katie ARNP Tesnohlidek, D Anthony MD Steffens, John MD 121 Stowell, Patrick MD 14, 22 28, 29, 33 206 Stein, Mari NP 123 Strait, Kevin DO 196 Sweet, Christina PA 189 Tessendorf, Thomas DC 73 Steinbacher, John PA 186, 187 Strand, Cherie OTR 134 Sweetapple, Jean PT 168, 169 Teton Post Acute Care And Steinberg, Si MD 222, 223 Strehle, Johanna PT 172 Sweeten, H Neil PA 175 Rehabilitation 216 Steinburg, Rick PA 111 Streubel, Daniel 172 Swenson, Richard PHD 222 Tew, Joshua PA 33 Steiner, Susan NP 41 Strickland, Roy DC 70 Swerdloff, Jonathan MD Tew, Kody PA 26, 27, 41 Steininger, Laura PT 169, 170 Stringam, Joshua DO 115, 116 Tews, Megan PA Stenhouse, Faine MD 45 33, 38, 42, 48, 52, 56, 57 Swider, Robert OT 134 22, 30, 32, 42, 47, 180 Stenshoel, Lindsey NP 90, 94 Stringfield, Sari PT 172 Szentes, Mark MD 203 Thacker, Robert NP 126 Stephens, Cody PT 199 Stritzke, Donald MD 212, 213 Szymanski, Mary NP 126 Thatcher, Jody PT 155 Stephens, Samantha SLP 200 Strong, Janet NP 122 Tabor, Laura PA 29 Thayn, Zhohnann PT 172 Stephenson, Glen 75 Strowd, Megan PA 187 Tacia, Brandy DO 148 Thayne, Andrew MD 22 Stephenson, Mack PHD 218 Struble, Collin DC 70 Tadje, Jared MD 144 The Walker Center 203 Sterling, Hugh MD 85 Stubbs, Leslie MD 6, 104 Taggart, Kara MD 211, 212 Theisen, Regina NP 90, 91 Sternes, Roy PA 185 Stucki, Jeffrey DO 142 Talcott, Bradford MD Thew, Stephen MD 108 Sterzer, David 78 Stucki, Laurie AUD 65 120, 121 Thibault, Cheryl NP Stevens, Audra PA 32 Studebaker, Mandy PA 178 Tall, Roger MD 212 34, 41, 50, 58 Stevens, Holly MD 128 Stuesse, David MD 209 Tanabe, Alex MD 8 Thomas, Christopher DC 71 Stevens, Jordan NP 22 Sturges, John MD 44 Tanabe, Kimberly MD 10 Thomas, George DO 22 Stevens, Julie NP 133 Stutts Iii, Baldwin MD 66, 67 Tanner, Brandon PA Thomas, Jean MD 121 Stevens, Paul DO 133 Sugden, Elizabeth MD 42 183, 185, 188, 189, 191 Thomas, Kelly NP 91, 94 Stevenson, Phillip PA 191 Sule, Joseph MD 212 Tanner, Nicholas 78 Thomas, Laira NP 27 Stewart, James MD 81, 83 Suljevic, Amra NP 57, 96 Tanner, William SLP 201 Thomas, Richard DO 81, 82 Stewart, Tyler PA 175 Sullivan, Cara MD 35 Taylor, Amanda SLP 199, 201 Thomas, Scott MD Stich-Hennen, Jessica AUD Sullivan, Erika NP 44 Taylor, Benjamin NP 90 51, 86, 87, 88 63 Sullivan, William MD 224 Taylor, Brent PA 178 Thomas, Stephanie MD 40 Stickler, Brittany NP 38 Sunny Ridge 216 Taylor, Christy NP 125, 127 Thomason, Aaron NP 122 Stireman, Jenny NP 133 Sur, Mousoomi MD 9 Taylor, Jeffrey PT 160 Thomason, Christopher 75

248 Index of Providers / Índice de Proveedores continued

Thomason, Jeffrey PT Tomey, Susan NP 59 Ullery, Gary DO 26 Vickers, Amber PA 14, 180 158, 165 Tomlinson, Timothy DPM Ullrich, George MD 223 Viehweg, Jessica PA 191 Thome, Amanda PT 163, 164 192 Ulrich, William PA 26, 33 Vieira, Deborah AUD 64, 65 Thompson, Amy ARNP 95 Toomey, Jeremy MD 142 Underdahl, Hannah CNM 59 Vincen Brown, Michael PA Thompson, Bryan DPM Torgenson, Marcus MD 206 Underkofler, Kari NP 36, 37 178 192, 194 Tormey, Rebecca PT 155, 160 Undesser, Karl MD 74 Vincent, Kelly PA 176 Thompson, Devin 78 Torngren, Travis MD 146 Upper Valley Surgery Center Vincent, Stephen MD 120 Thompson, E Gregory MD 8 Toronto, Scott PT Pllc 62 Vinci, Paul PT 165 Thompson, Erik OD 139, 141 167, 168, 173, 174 Uranga, Rebecca MD Vine, Daniel MD 121 Thompson, John PA 8 Torres, Rian DC 69 129, 130, 131 Vision Care Center Of Idaho Thompson, Lee DC 69 Toupin, Megan OT 134, 135 Urfer, Alexander PT 163 Llc 62, 135 Thompson, Marietta MD Tovey, Candice PT 163, 165 Urquhart, Sean MD 132 Visions Home Health & 128, 129 Trabert, Alice NP 42 Urrutia, Johnny PA 115 Visions Home Care Llc 217 Thompson, Sandra MD 151 Tracy, Ian PT 155, 156, 158 Usmanova, Murvat NP 96 Visser, Juliann PA 178 Thompson, Stephanie NP 122 Trainor, Sadie PA 109 Vail, Kaitlin PT 163 Vivian, Edward MD 151 Thompson, Terry NP 93 Tran, Tuan MD 104 Valentine, Jim MD 203 Volyn, Glen MD 45, 88, 210 Thompson, Travis DC 72 Trapp, James DC 69 Valerio, Michael PA 111 Vonbargen, Elizabeth ARNP Thompson, William MD 198 Traughber, Daniel PHD 220 Valor Health Hospital 215 49 Thomson, James MD 41 Trauntvein, Lynne NP 93 Valor Health Hospital 197 Vore, Abram AUD 63 Thoreson, Nathaniel PT 171 Treat, Scott PT 165 Van Heuvelen, Gary MD 209 Voye, Sarah PA 175 Thorne, Gary MD 206 Tremblay, Cynthia PSYD 218 Vance, Carl MD 84, 85 Vuturo, Maggie MD 211 Thorne, Todd PA Trenkle, Susan NP 95 Vanden Beld, Klaas NP 2, 14 Wachter, Susan MD 33, 38, 42, 48, 51, 52, 57 Trimarco, Theresa AUD 63 Vandenburgh, Cortney DO 26, 27, 106 Thornock, Brian PT 166 Triphahn, Laura PAC 187 27 Wade, Carol NP 27 Thornton, Eli NP 6, 14, 92 Tripp, Jonathan DO 57 Vandendries, Brian NP 122 Waechtler, Tifani PT 167 Thornton, Jared DC 71 Trotta, Francois MD 136 Vander Lugt, Allison NP 123 Wagner, Christine NP 8 Thorpe, Tyson PA 187 Troxler, Josette PT 155, 160 Vanderford, Christian PT Wagner, Jeffrey MD 120 Thueson, Kaden PAC 208 Troyer, Brett MD 197 158, 159, 161 Wagner, Lynsey PT Thueson, Sharon PA 191 Tubach, Martin MD 148 Vandonsel, Mary SLP 199 155, 156, 160, 166 Thurman, Jackie MS 200, 202 Tucker, Kerri NP 133 Vania, Amber DO 22 Wagnon, Jeremy DC 70 Thurmond, Elizabeth NP 14 Tullis, Michael MD 214 Vania, Cyrus DO 6, 22 Wagstaff, Tyler PA 208 Thurston, Christina PA 57 Tumanjan, Christine PA 110 Vansant, Amanda PA 183 Wait, David MD 223 Thurston, Nicole MD Turcotte, Roger MD 8, 104 Vansickle, Jason DC 71 Waite, Bonnie-Kim MD 97 219, 220, 222 Tureman, Brian PA 209 Vantassell, Sharlynn NP 125 Waite, Patrick 78 Tickemyer, Krista ARNP 45 Turner, Mark MD 5 Vasquez, Julio MD 209 Wakefield, Kenneth MD Tiegs, Micki DC 69 Turner, Taylor MD 129 Vaughn, Shannon NP 59 60, 61 Tieu, Coral MD 149 Turpin, Adrian PA 180, 181 Vaughn-Powell, Joni PT 162 Walaliyadda, Ananda MD Tieu, Thomas MD 213 Tweeten, James MD 136 Veldhuis, Johannes MD 84 198, 199 Ting, Robert MD 46 Twin Falls Center 217 Verhaeghe, Eric PT 169, 171 Walaliyadda, Ranmali PA Tingey, Amanda SLP 201 Tyson Mcomie, Jaimee SLP Verner, Reese MD 204 180, 186 Tolman, Mont DO 10 199 Vetter, Nichole ARNP 24 Waldmann, Todd MD 211 Tomey, David PA 14 Uhlman, Eric MD 212, 213 Vetter, William MD 41 Waldo, Chad PT 168, 170

249 Index of Providers / Índice de Proveedores continued

Wali, Deepika MD 100 Weathers, Coire MD 219 Wertzler, Kelsey MD 14 Williams, Alan PT 167 Walker, Beau PA 207 Weatherston, Sean PT West, Brandon DO 22 Williams, Brennan DC 71 Walker, Bradley NP 26, 27, 32 165, 166 West, Gregory MD 145 Williams, Chantell NP 57, 96 Walker, Craig NP 2, 92 Weaver, Adam DDS 78 West, Timothy MD 129, 130 Williams, Eric PT Walker, Gary OD 142 Weaver, Heidi MD 130, 131 Wester, Daniel MD 43 161, 172, 174 Walker, Jared OD 142 Webb, Chad DC 71 Westergard, Rebecca PA 32 Williams, Jeffrey DC 71 Walker, Kris MD 22 Webb, Darby MD Weston, Amanda NP 96 Williams, John MD 5 Walker, Marilee OTR 133 143, 144, 145 Wettstein, Daniel DPM Williams, Jonathan NP 92, 93 Walker, Robert MD 144, 145 Webb, Joel PA 88, 185 193, 194 Williams, Joseph MD 211 Wallace, Eric MD 108 Webb, Kevin MD 98 Weyhrich, Darin MD 127 Williams, Keith PHD 218 Wallin, Heike NP 93 Webb, Lori SLP 200 Wheatley, Alison PA 45 Williams, Kerry DC 71, 73 Wallman, Meghan MD 129 Weber, Dan PA 188 Wheatley, Nathan PAC 187 Williams, Marcia SLP Walsh, Andrea NP 22 Weber, Renee PT 165 Wheeler, Seth MD 98, 99 200, 201 Walters, Amy PHD 218, 220 Webster, Ryan DC 71 Wheeler, William MD 206 Williams, Michael MD 68 Walters, Cristine PT 167 Wedler, Trilby NP 22, 23 Whitaker, James DO 152 Williams, Ryan PA Wampold, Sarah PA 110 Weese, Donald MD 211 Whitaker, Mary AUD 64 180, 181, 183, 188 Ward, Christopher MD 214 Wegler, Jennifer PAC 208 Whitaker, Tara MD 2 Williams, Todd MD 98 Ward, Nathan DO 22 Wegley, Roger PT White, Alex PT 174 Williams, Travis DO 115 Ward, Regan PT 174 155, 156, 160, 166 White, Brian PT Williamson, Ronda CNM 60 Ward, Robert MD 99 Wehrle, Lance MD 157, 159, 165, 167, 168 Willis, Warren 75 Wardell, Benjamin PT 171 22, 26, 27, 32 White, Judson DC 71 Willmore, Jennifer PA Warner, Aaron OD 139 Weiderman, Brian PT White, Michael PA 175 183, 188 Warner, Ned DO 98 155, 156, 158, 160, 166 Whiteside, James MD 120 Willoughby, Scott NP 9 Weinhold, Ana MD Warner, Susan NP 15 Whiting Jr, John MD 213 Wills, Alex MD 16, 22, 23, 24, 40, 50 Warnock, Zachary MD 22 Whiting, Joel PA 218, 219, 220, 221, 224 Weinrobe, Mark MD 2 Wilson, Ashley PT 156 Warzecha, Katy CM 116 180, 182, 183, 186, 188 Weis, Patrick MD 195, 196 Whiting, Michael PT 169 Wilson, Connie ARNP 126 Waselchuk, Amy PA 175, 178 Weishaar, Jamie PT 161 Whitley, Donald PSY 221, 222 Wilson, Gregory DO 197 Waters, Christopher PHD 219 Weiss, Michael MD 152 Whitmore, Megan PA 187 Wilson, Jared PA 86, 180 Waters, Cristy PA 113, 115 Weitemier, Kenneth MD 6 Whitworth, Kala PT Wilson, Kevin MD 15 Waters, Jeremy MD 29 Welch, Nathan MD 137, 138 155, 157, 160, 166 Wilson, Martha MD 87 Waters, Joseph MD 57 Welch, Robert MD 138 Wiberg, Ralene MD 34, 37 Wilson, Nathan OD 142 Waters, Kara DO 29 Welker, Jason DC 72 Wickern, Gregory MD 61 Wilson, Renee PA 110 Waters, Stanley MD 143 Welker, Jeffrey DC 69, 72 Wilde, Trevor DO 88 Wilson, Ryan PA 14, 180 Watkins, Tyler NP 90, 91, 94 Weller, Katie NP 22 Wilkens, Taylor DDS 76 Wilson, Sara MD 6 Watkins-Brecheen, Kathy Wells, Becky PA Wilkes, Charlotte CNM 59 Wilson, Sara NP 14 CNM 59 2, 3, 6, 9, 14, 112 Wilkey, Thad PA 184, 191 Winchester, Daniel MD 81 Watsen, Sharene PA 110 Wells, Britton MD 143, 144 Wilkinson, Kelly MD 3, 5, 22 Winkler, Carey MD 109 Watson, Benjamin PA Wells, Gregory MD 81 Willardson, Jed PA Winn, Esther PT 160 110, 111 Welty, Julie MD 58 180, 181, 183, 188 Winslow, Michele NP 123 Watson, Jennifer NP 93, 95 Werdel, John MD 129, 130 Willes, Jeremy PA 57, 183 Witte, John MD 97 Wayment, Tyler MD 191 Werth, Amanda OT 135 Willey, Jay DO 22, 23 Witte, Marcia MD 58 Weatherly, Joseph DO 26, 32

250 Index of Providers / Índice de Proveedores continued

Wohlwend, Tiffany PA 182 You, Phyllis MD 2 Wolf, James MD 209 Youmans, Angela ARNP 126 Wolff, Kelley PA 176 Young, Gavin MD 98 Wolff, William 78 Young, Lana ARNP 95 Wolpert, Kathryn MD 89, 210 Young, Mark MD 8 Womack, Michael MD 198 Young, Raulan PT 167 Wonderlich, Thomas 2 Youngstrom, Karma PA Wood, Chelsea PA 176, 191 181, 182, 183, 186, 188 Wood, David MD 97 Yovichin, Mark MD 88 Wood, James PT Yuly, Steven PT 158 167, 168, 173, 174 Zacher, Tyler PT 157 Wood, Lance MD 105 Zapp, Lyndsi PA 6, 181 Wood, Sarah PA 176, 183, 184 Zaremba, Cheryl SLP 200, 201 Woodbury, Lori PA 30, 32 Zausmer, Glenn DO 212, 213 Woodhouse, William MD 22 Zeimantz, Stephen NP 6, 36 Woodlief, Justin MD 14 Zelaya, Jill PA 182 Woods, Kathryn MD 27 Zerr, Ryan DO 202 Woods, Nick PT 155, 158, 161 Zhao, Cong MD 120 Woods, Steven MD 132 Ziebarth, Dustin DO Workman, Donald MD 207 33, 48, 52, 57 Wortham, Rex MD 42 Ziebarth, Jessica DO 154 Wraalstad, Randal DPM 194 Zierer, Janet ARNP 126 Wray, Adam DO 81, 82 Zinggeler Berg, Jeannette MD Wren, Stephen PA 196 178, 183, 184 Ziola, Krzysztof MD 39 Wright, Bryan PT Zollman, Stacie OD 142 167, 168, 173, 174 Zollman, Steven 80 Wright, Clifton PT Zuckerman, Dan MD 99 167, 168, 173, 174 Zuckerman, Norman MD 115 Wright, Mark MD 146 Wright, Stacey NP 91 Wright, Vanessa MD 45 Writer, Steven MD 108 Wu, Liang MD 104 Wucinich, Michael PA 115 Wyatt, Casi DO 103 Wyatt, Katie NP 57 Yamada, Kelvin MD 121 Yawn, Linda RN 51 Yerger, James MD 22 York, David MD 107, 196 Yost, Morgan DO 148

251 Index of Pharmacies / Índice de Farmacias

BUHL DRUG 225 WELL LIFE POST FALLS CVS PHARMACY 225 PHARMACY 225 Caremark Mail Order Service WHITE CROSS PHCY 227 SPIRIT LAKE 225 DICK'S PHARMACY 226 YOKES PHARMACY 225 FAMILY HEALTH SERVICES PHARMACY 226 INTERLAKE PHARMACY 225, 228 KJS PHARMACY 226, 228 KOOTENAI CLINICS CANCER SVCS P 225 KURT'S PRESCRIPTION CENTER 226 MEDICAL OFFICE PHARMACY 226 MEDICINE MAN SOUTHWEST PHARMACY 225 MEDICINE MAN ATHOL PHARMACY 225 MEDICINE MAN HAYDEN PHARMACY 225 MEDICINE MAN NORTH PHARMACY 225 MEDICINE MAN PHARMACY 225 MEDICINE MAN PRAIRIE PHARMACY 225 MEDICINE MAN RATHDRUM 225 MEDICINE MAN WEST PHARMACY 225 NORTH IDAHO UROLOGY 225 ORCHARD DRUG 226 RATHDRUM DRUG 225 RIDLEY'S PHARMACY 225 RITE AID PHARMACY 225 SAV - MOR DRUG 226 WALGREENS 225, 226

252 This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Member Services, at (844) 560-9811 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.MolinaHealthcare.com/Medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.MolinaHealthcare.com/Medicare. You may also call Member Services for updated provider. Este directorio de farmacias se actualizó en 09/2018. Para obtener información más reciente o si tiene otras preguntas, comuníquese con nosotros al Departamento de Servicios para Miembros de Molina Medicare Options al (844) 560-9811 o, para los usuarios del servicio TTY al 711, los 7 días de la semana de 8:00 a. m. a 8:00 p. m., hora local, o visite www.MolinaHealthcare.com/Medicare.

Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.MolinaHealthcare.com/Medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales.

xvi If you have additional questions, please call Member Services: (844) 560-9811, TTY 711 7 days a week, 8 a.m. - 8 p.m., local time

Or for more information visit: www.MolinaHealthcare.com/Medicare

Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (844) 560-9811, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local

O para más información visite el sitio web: www.MolinaHealthcare.com/Medicare