Idaho Ada Cayon MA

2020 Provider & Pharmacy Directory Directorio de proveedores y farmacias

Molina Medicare Choice Care HMO Idaho Ada, Canyon

This pharmacy directory was updated on 12/2020 . For more recent information or other questions, please contact us, Molina Medicare Choice Care HMO Member Services, at (844) 560-9811, or for TTY users, dial 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit MolinaHealthcare.com/Medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at MolinaHealthcare.com/ID-HMOMaterials. You may also call Member Services for updated providers. If you have additional questions, please call Member Services, at (844) 560-9811, TTY: 711, 7 days a week, 8 a.m. to 8 p.m., local time.

Este directorio de farmacias se actualizó en 12/2020 . Para obtener la información más reciente o respuestas a sus preguntas, comuníquese con nosotros llamando al Departamento de Servicios para Miembros de Molina Medicare Choice Care HMO al (844) 560-9811, o si es usuario del servicio TTY, marque 711, los 7 días de la semana de 8 a.m. a 8 p.m., hora local, o visite MolinaHealthcare.com/Medicare.

Podemos realizar cambios en nuestra red de farmacias durante el año de beneficios. Hay un directorio de farmacias actualizado en nuestro sitio web, MolinaHealthcare.com/ID-HMOMaterials. También puede llamar al Departamento de Servicios para Miembros para obtener información actualizada de los proveedores.

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

For more information visit | Para más información visite el sitio web: MolinaHealthcare.com/Medicare

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Table of Contents / Índice Section 1 / Sección 1 - Introduction / Introducción ...... 9 / 13

What is the service area for Molina Medicare Choice Care? / ¿Cuál es el área de servicio para Molina Medicare Choice Care? ...... 11 / 15

How do you find Molina Medicare Choice Care providers that serve your area? / ¿Cómo encontrar proveedores de Molina Medicare Choice Care en su área? ...... 11 / 15

Section 2 / Sección 2 - List of Network Providers / Lista de los proveedores de la red

Primary Care Providers / Proveedores de atención primaria ...... 17

Specialists / Especialistas ...... 50

Hospitals / Hospitales ...... 220

Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF) ...... 221

Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios ...... 222

Molina Medicare Choice Care Supplemental Benefits Contacts Information ...... 259

Molina Medicare Choice Care Información sobre beneficios suplementarios ...... 260

Supplemental Providers - Chiropractor / Proveedores Suplementarios - quiropráctico 261

Supplemental Providers - Dental / Proveedores Suplementarios - dental ...... 264

Supplemental Providers - Hearing / Proveedores Suplementarios - audición ...... 292

Supplemental Providers - Vision / Proveedores Suplementarios - visión ...... 293

Section 3 / Sección 3 - Pharmacy Directory / Directorio de Farmacias

Pharmacy Introduction / Introducción de Farmacias ...... 298 / 299

Section 4 / Sección 4 - Pharmacies / Farmacias

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias ...... 300

Mail Order Pharmacy / Farmacia para Pedidos por Correo ...... 305

Home Infusion Pharmacies / Servicios de Farmacias de Infusión en Casa ...... 306

Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo ...... 307

Index of Providers / Índice de Proveedores ...... 308

Index of Pharmacies / Índice de farmacias ...... 324

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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 • Skilled interpreters • Written material translated in your language • 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 ھاتف الصم

والبكم: 711).

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 4 Hindi Úयान दþ: यिद आप िहदीं बोलते हø तो आपके िलए मÝतु मþ भाषा सहायता सेवाएं उपलÞध ह।ø 1-800-665-3086 (TTY: 711) पर कॉल कर।þ

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 کنيد، تسھيلات زبانی بصورت رايگان برای شما فراھم می باشد. با :TTY) 1-800-665-3086 (711 تماس بگيريد. Armenian ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-665-3086 (TTY (հեռատիպ)՝ 711):

Cambodian របយ័តន៖ េបើសិនជអ នកនិយយ �សែ ខមរ, េស�ជំនួយែផនក�ស េ�យមិនគិតឈន លួ គឺអចមនស ំរប ់បំេរអីន ច ក។ូរ ទូរស័ពទ 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 5 Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1- 800-665-3086 (መስማት ለተሳናቸው: 711).

Bengali লþý কûনঃ যিদ আপিন বাংলা, কথা বলেত পােরন, তাহেল িনঃখরচায় ভাষা সহায়তা পিরেষবা উপলä আেছ। áফান কûন 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 ચનાુ : જો તમે જરાતીુ બોલતા હો, તો િન:કુ ભાષા સહાય સેવાઓ તમારા માટ ઉપલધ છે. ફોન કરો 1- 800-665-3086 (TTY: 711).

Kru(Bassa language) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔɔ́-wù ̀ ɖù-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 Úयान िदनहोसु :् तपाइ㔰ले नेपाली बोãनहÛछु ु भने तपाइ㔰को िनिàत भाषा सहायता सेवाहñ िनःशãकु ñपमा उपलÞध छ । फोन गनहोसु㔰 ्1-800-665-3086 (िटिटवाइ: 711) ।

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Panjabi ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾ ਭਾਸ਼ਾ ਿਵੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-800-665-3086 (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 ܼ ܸ ܼܗܡܙܡܝܬܘܢ ܸܠܫܢܐ ܵܐܬܘܪܝܐ، ܼܡܨܝܬܘܢ ܼ ܼܕܩܒܠܝܬܘܢ ܸ ܼ ܹܚܠܡܬܐ ܼ ܼܿܕܗܝܪܬܐ ܸܒܠܫܢܐ ܼ ܼܡܓܢܐܝܬ. ܩܪܘܢ ܼܥܠ ܵ 1-800-665-3086 (TTY: 711) ܐܢܝܢܡܵ ܸ Thai เรียน: ถ้าคุณพดภาษาไทยคู ุณสามารถใชบร้ ิการชวยเหลือทางภาษาไดฟร่ ้ ี 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 ہيں، تو آپ کو زبان کی مدد کی خدمات مفت ميں دستياب ہيں ۔ کال کريں (TTY: 711) 3086-665 -800-1

Y0050_17_4036_203_LRMultiLang Accepted 9/5/2016 4722669MED0916 7 Molina Medicare Choice Care HMO Plan Provider Directory

This directory is current as of December 5, 2020. This directory provides a list of Molina Medicare Choice Care’s current network providers. This directory is for the State of Idaho in the counties of Ada, and Canyon.

To access Molina Medicare Choice Care’s online provider directory, you can visit MolinaHealthcare.com/ID-HMOMaterials. For any questions about the information contained in this directory, please call our Member Services Department at (844) 560-9811, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711.

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

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8 Section 1 – Introduction

This directory provides a list of Molina Medicare Choice Care network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

As a member of Molina Medicare Choice Care you are restricted to only see providers that are contracted within this provider-specific plan (PSP). For more information contact Member Services.

Network providers are healthcare professionals such as doctors, medical groups, specialists, and healthcare facilities (i.e. hospitals, durable medical equipment suppliers) that are contracted with Molina Medicare Choice Care to provide you with covered services. You may use this directory to help you select a Primary Care Provider, Specialist, Long-Term Services and Support Provider, Hospital, Skilled Nursing Facility, Outpatient Mental Health Provider and/or Pharmacy.

Choosing your Primary Care Provider (PCP)

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. Your PCP can be a physician, physician assistant, nurse practitioner, or other health care professional that meet state requirements and is trained to provide you basic medical care. Healthcare professionals are eligible to provide you services as a PCP in our Plan, when they are licensed to practice in areas such as: family medicine, general practice, geriatrics, or internal medicine. Once you have chosen a PCP, please make sure to transfer all of your medical history to their office, in order for your PCP to be informed of any medical conditions you may have. Your PCP can help coordinate your routine medical care, laboratory tests, x-rays, therapies, specialty care, hospital admissions, and appointments.

The network providers listed in this directory have agreed to provide you with your health care and supplemental services. You may go to any of our network providers listed in this directory. However, some services may require a referral. In most situations, if you need specialized treatment your PCP must give you a “referral” to see a network specialist. 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 that hospital. A referral is a written order from your PCP to see a specialist or receive other medical services. It is very important you get a referral from your PCP before you see a network specialist or other providers. If you do not get a referral you may have to pay for these services yourself. However, there are a few exceptions such as: women’s preventive healthcare, flu shots, Hepatitis B vaccinations, pneumonia vaccinations and urgently needed services.

If you have questions about whether we will pay for a 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.

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

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) 560-98117 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. Member Services will verify if your choice of PCP is accepting new patients. Once your new PCP has been assigned, you will receive a new member ID card by mail with your new PCP’s contact information. If your PCP leaves Molina Medicare Choice Care, we will let you know and help you switch to another PCP so that you can continue to receive covered services.

Getting care outside the Plan’s service area

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 Choice Care will be responsible for the costs. However, you may receive care from out-of-network provider if you are temporarily outside the Plan’s service area and cannot get care from a network provider or require urgently needed services. If you have questions whether a service is covered when you are outside the service area, please call Member Services.

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).

Out-Of-Network Provider Bills

If you receive services from out-of-network providers, you may get billed directly. Do not pay this bill. Please make a copy for your records and mail the original statement for processing and determination of your liability, if any. For more information, please refer to the EOC in Chapter 7.

10 What is the service area for Molina Medicare Choice Care?

The counties in our service area are listed below. Our service area includes these counties: Ada, and Canyon.

How do you find Molina Medicare Choice Care providers that serve in your area?

To help you select a provider near your area, refer to the Table of Contents in Section 2 at the beginning of this directory. Then, select a provider type from this list: (Primary Care Provider, Specialist, Hospital, Skilled Nursing Facility, or Outpatient Mental Health Provider.) Afterwards, in alphabetical format, you may locate providers by county, specialty type (if applicable), city, and zip code.

If you have questions about Molina Medicare Choice Care or require assistance in selecting a PCP, please call our Member Services 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 MolinaHealthcare.com/Medicare.

If you need help in scheduling appointments, or finding a provider that is accepting new patients, please 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.

To report any errors throughout this directory, email [email protected] or call Member Services by using the front and back cover contact information.

11 Molina Medicare Choice Care HMO Plan Directorio de proveedores

Este directorio entrará en vigencia a partir de 5 diciembre 2020. Este directorio enumera los proveedores actuales de la red Molina Medicare Choice Care. Este directorio es para el estado de Idaho, en los condados de Ada, y Canyon.

Para acceder al directorio de proveedores en línea de Molina Medicare Choice Care’s, puede visitar MolinaHealthcare.com/ID-HMOMaterials . Si tiene preguntas acerca de la información que este directorio contiene, comuníquese con el Departamento de Servicios para Miembros al (844) 560-9811, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán llamar al 711.

Esta información está disponible en otros formatos, como braille, letra grande y audio.

12 Sección 1 – Introducción

Este directorio enumera los proveedores actuales de la red Molina Medicare Choice Care. Para obtener información detallada acerca de su cobertura de salud, consulte su Evidencia de cobertura (EOC).

Como miembro de Molina Medicare Choice Care usted solo puede consultar a los proveedores contratados por este plan específico de proveedores (PSP). Para obtener más información, llame al Departamento de Servicios para Miembros.

Los proveedores de la red son profesionales de atención médica, como médicos, grupos médicos, especialistas y centros de atención médica (es decir, hospitales, proveedores de equipos médicos duraderos) que tienen contrato con Molina Medicare Choice Care para prestarle los servicios cubiertos. Puede usar este directorio para elegir un proveedor de atención primaria, un especialista, un proveedor de servicios y apoyo a largo plazo, un hospital, un centro de enfermería especializada, un proveedor de salud mental para pacientes ambulatorios o una farmacia.

Cómo elegir un proveedor de atención primaria (PCP, por sus siglas en inglés)

Usted tendrá que elegir uno de los proveedores de nuestra red que se presentan en este directorio como su proveedor de atención primaria (Primary Care Provider, PCP). En general, recibirá los servicios de atención médica de su PCP. Su PCP puede ser un médico, un médico asociado, un enfermero practicante u otro profesional de la salud que cumpla los requisitos estatales y esté capacitado para brindarle atención médica básica. Los profesionales de la salud son elegibles para prestarle servicios como PCP en nuestro plan si tienen licencia para ejercer en áreas como las siguientes: medicina de familia, medicina general, geriatría o medicina interna. Una vez que haya escogido un PCP, asegúrese de transferir a su consultorio toda su historia clínica, a fin de que el PCP esté al tanto de todas las afecciones médicas que usted pueda tener. Su PCP puede ayudarle a coordinar su atención médica de rutina con sus análisis de laboratorio, radiografías, terapias, atención especializada, admisiones al hospital y citas médicas.

Los proveedores de la red que aparecen en este directorio han acordado proporcionarle atención médica y servicios complementarios. Usted puede recurrir a cualquiera de los proveedores de la red que aparecen en este directorio. No obstante, algunos servicios pueden requerir de una remisión.

En la mayoría de las situaciones, si necesita un tratamiento proporcionado por un especialista, su PCP debe darle una "remisión" para que vaya a ver a un especialista de la red. Si usted desea consultar a un especialista o usar un hospital en particular, asegúrese de verificar primero que su PCP pueda hacer remisiones a dicho especialista u hospital. Una remisión es una orden escrita de su PCP para que vea a un médico especialista o reciba otros servicios médicos. Es muy importante que obtenga la remisión de su PCP antes de visitar a un especialista de la red o a otros proveedores. Si no obtiene una remisión, es posible que tenga que pagar por estos servicios usted mismo. Sin embargo, existen ciertas excepciones, como las siguientes: atención médica

13 preventiva para mujeres, vacunas contra la gripe, vacunas contra la hepatitis B, vacunas contra la neumonía y servicios requeridos urgentemente.

Si usted tiene alguna duda sobre si pagaremos por algún servicio o por la atención médica que esté considerando, tiene derecho a preguntar si lo cubriremos antes de recibirlo.

A veces, su PCP puede solicitarle un servicio que no esté disponible o que no se brinde dentro de nuestra red. Es posible que su PCP tenga que obtener una aprobación con anterioridad de parte de Molina Medicare Choice Care para autorizar la remisión al servicio. A este proceso se le llama "autorización previa". Si tiene preguntas o inquietudes acerca de una autorización previa, llame al Departamento de Servicios para Miembros.

¿Cómo cambiar su PCP? Puede cambiar de PCP por cualquier razón, en cualquier momento. Para cambiar su PCP, solamente debe llamar al Departamento de Servicios para Miembros al (844) 560-9811 los 7 días de la semana, de 8 a. m. a 8 p. m., hora local. Los usuarios de TTY deberán llamar al 711. El Departamento de Servicios para Miembros verificará si el PCP que usted eligió acepta nuevos pacientes. Una vez que se le haya asignado su nuevo PCP, recibirá una nueva tarjeta de identificación de miembro por correo con la información de contacto de su PCP. Si su PCP deja a Molina Medicare Choice Care, usted será informado y le ayudaremos con el cambio a otro PCP a fin de que pueda continuar recibiendo los servicios cubiertos.

Cómo obtener atención fuera del área del servicio del plan Usted debe utilizar proveedores de la red excepto en emergencias o situaciones de atención de urgencia, o para diálisis renal u otros servicios fuera del área. Si usted obtiene atención de proveedores externos a la red, ni Medicare ni Molina Medicare Choice Care serán responsables de los costos. Sin embargo, podrá recibir atención de un proveedor fuera de la red si se encuentra temporalmente fuera del área de servicio del plan y no puede obtener atención de un proveedor de la red, o si requiere servicios urgentes. Si tiene preguntas acerca de si un servicio determinado está cubierto cuando se encuentra fuera del área de servicio, llame al Departamento de Servicios para Miembros.

Cómo obtener atención si tiene una emergencia médica o una necesidad urgente de atención Una "emergencia médica" es cuando usted cree que su salud está en grave peligro. Una emergencia médica incluye dolor intenso, una lesión grave, una enfermedad repentina o una afección médica que empeore rápidamente. Usted puede obtener atención médica de emergencia cubierta cuando lo necesite, en cualquier lugar de los Estados Unidos. Llame al 911 para obtener ayuda o acuda a la sala de emergencias, hospital o centro de atención médica más cercano. No es necesario que primero obtenga una aprobación o remisión de su médico u otro proveedor de la red.

"Atención urgente" es cuando usted necesita ayuda médica debido a una enfermedad, lesión o afección no prevista, pero su salud no está en grave peligro. Si tiene una necesidad médica apremiante que no constituya una emergencia mientras se encuentre dentro del área de servicio, llame primero a su PCP. Si este no se encuentra disponible, busque un centro de cuidado urgente

14 en este directorio de proveedores. En general, deberá usar proveedores de la red (consulte la Evidencia de cobertura).

Facturas de proveedores fuera de la red Si recibe servicios de parte de proveedores que están fuera de la red, es posible que le facturen directamente a usted por dichos servicios. No pague esa factura. Haga una copia para sus registros y envíe la factura original para que la procesemos y determinemos la suma por la cual es responsable, de haberla. Para obtener más información, consulte el Capítulo 7 de la EOC.

¿Cuál es el área de servicio de Molina Medicare Choice Care? A continuación se incluyen los condados dentro de nuestra área de servicio. Nuestra área de servicio incluye estos condados: Ada, and Canyon.

¿Cómo encontrar a los proveedores Molina Medicare Choice Care que trabajan en su área?

Para seleccionar un proveedor que se encuentre en su zona, consulte el Índice en la Sección 2 al principio de este directorio. Luego, seleccione un proveedor de esta lista: (Proveedor de atención primaria, especialista, hospital, centro de enfermería especializada o proveedor de salud mental para pacientes ambulatorios). Después de esto, puede buscar los proveedores en orden alfabético por condado, tipo de especialidad (si corresponde), ciudad y código postal.

Si tiene preguntas sobre Molina Medicare Choice Care o si requiere ayuda para seleccionar un PCP, comuníquese con nuestro Departamento de Servicios para Miembros llamando al (844) 560-9811, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local. Los usuarios de TTY deberán llamar al 711. También puede visitar MolinaHealthcare.com/Medicare.

Si necesita ayuda para programar sus citas o para encontrar un proveedor que acepte nuevos pacientes, llame al Departamento de Servicios para Miembros al (844) 560-9811, los 7 días de la semana, de 8 a. m. a 8 p. m. hora local. Los usuarios de TTY deberán llamar al 711.

Para denunciar cualquier error en este directorio, envíe un mensaje de correo electrónico a [email protected] o llame al Departamento de Servicios para Miembros usando la información de contacto que aparece en la portada y en la contraportada.

15 Provider and Pharmacy Listing Footer Legend

Provider Symbols

Symbol Reference

∆ Offers Telehealth services

~ Accepting New Patients

* Accepts Medicaid

✤ Accessibility parking, building, elevator, office, exam room and restroom

Pharmacy Symbols: All pharmacies offer extended day supply unless otherwise noted.

Ө Do not offer Extended Day Supply of Medication

L Limited Access: Pharmacies may not be available to all members

Listado de proveedores y farmacias al pie de página Símbolos del proveedor

Símbolo Referencia

∆ Ofrece servicios de telesalud

~ Aceptando a nuevos pacientes

* Acepta Medicaid

✤ Estacionamiento, instalación, ascensor, consultorio, cuarto de exploración y baños accesibles

Símbolos de farmacia: Todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario.

Ө No se ofrece un suministro diurno extendido del medicamento.

L Acceso limitado: Es posible que las farmacias no estén disponibles para todos los miembros

16 Section 2 - List of Network Providers / Sección 2 - Lista de los proveedores de la red Primary Care Providers / Proveedores de atención primaria Ada County/Condado Total Count/Cuenta total: 557

Idaho Ashby, Laurie, MDx~* Babcock, Jennifer, Baker, Bridgette, MDx~ Family Medicine ARNPx~* * Ada NPI: 1730169178 Nurse Practitioner Family Medicine Adamson, Theran, MDx 1520 W State St Ste 100 NPI: 1972864833 NPI: 1265693386 ~* Boise, ID 83702 190 E Bannock St 10th 12400 W Overland Rd Ste Family Medicine (208) 947-7700 Floor 100 NPI: 1386646610 Group(s): St Lukes Clinic Boise, ID 83712 Boise, ID 83709 5985 W State St Treasure Valley Llc (208) 381-5500 (208) 322-1199 Group(s): St Lukes Clinic Group(s): First Choice Boise, ID 83703 Astley, Scott, PAx~* Treasure Valley Llc Healthcare (208) 853-0071 Medical - Physician Group(s): Omega Mental Assistant Bafus, Dana, ARNPx~* Ballance, David, MD~* Health Services NPI: 1255482683 Nurse Practitioner Family Medicine Allen, Suzanne, MDx~* 1789 S Broadway Ave Ste NPI: 1780007260 NPI: 1881654820 Family Medicine 100 190 E Bannock St 1075 N Curtis Rd Ste 100 NPI: 1346286044 Boise, ID 83706 Boise, ID 83712 Boise, ID 83706 777 N Raymond St (208) 321-4000 (208) 381-2235 (208) 377-5166 Boise, ID 83704 Group(s): Direct Group(s): St Lukes Clinic Group(s): Family Health (208) 514-2500 Orthopedic Care Treasure Valley Llc Care Group(s): The Family Astley, Scott, PAx~* Bailey, Justin, MDx~* Barinaga, Mary, MDx~* Medicine Residency Of Medical - Physician Family Medicine Family Medicine Idaho Inc Assistant NPI: 1659484509 NPI: 1801882881 Spanish NPI: 1255482683 1055 N Curtis Rd 6565 W Emerald St Alviso, Marvin, MDx~* 7979 W Rifleman St Boise, ID 83706 Boise, ID 83704 Family Medicine Boise, ID 83704 (208) 367-7350 (208) 514-2510 NPI: 1932365533 (208) 855-2410 Group(s): St Alphonsus Group(s): The Family 6565 W Emerald St Group(s): Direct Regional Medical Center Medicine Residency Of Boise, ID 83704 Orthopedic Care Physicians -1861676298 Idaho Inc Spanish Spanish (208) 514-2510 Atnip, Elizabeth, MDx~* Group(s): The Family Family Medicine Bailey, Justin, MDx~* Barron, Gregory, NPx~* Medicine Residency Of NPI: 1730568262 Family Medicine Family Medicine Idaho Inc 777 N Raymond St NPI: 1659484509 NPI: 1932447695 Armstrong, Kate, NP~* Boise, ID 83704 6565 W Emerald St 13150 W Persimmon Ln Family Nurse Practitioner (208) 514-2500 Boise, ID 83704 Boise, ID 83713 NPI: 1730705856 Group(s): The Family (208) 514-2510 (208) 938-3663 6140 West Curtisian Ave Medicine Residency Of Group(s): The Family Group(s): Pioneer Family Ste 400 Idaho Inc Medicine Residency Of Medicine Boise, ID 83704 Spanish Idaho Inc Other Specialties: Family (208) 378-4264 Spanish Nurse Practitioner Group(s): Idaho Bariatric And Metabolic Institute Llc

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17 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Bartels, Josef, MDx~* Baxter, Susan, MDx~* Bohn, Erin, NP~* Box, Lesleigh, MDx~* Family Medicine Internal Medicine Nurse Practitioner Internal Medicine NPI: 1912355462 NPI: 1417959842 NPI: 1063983153 NPI: 1720064785 777 N Raymond St 4840 N Cloverdale Rd 10583 W Lake Hazel Rd 190 E Bannock St Boise, ID 83704 Boise, ID 83713 Boise, ID 83709 Boise, ID 83712 (208) 514-2500 (208) 706-8000 (208) 302-5900 (208) 381-5015 Group(s): The Family Group(s): St Lukes Clinic Group(s): St Alphonsus Group(s): St Lukes Clinic Medicine Residency Of Treasure Valley Llc Regional Medical Center Treasure Valley Llc Idaho Inc Physicians -1861676298 Bethel, Tamara, NPx~* Boyce, Christal, NPx~* Bastian, Allison, MDx~* Family Nurse Practitioner Bollinger, William, MDx Family Nurse Practitioner Family Medicine NPI: 1538175757 * NPI: 1811380132 NPI: 1164862058 2308 N Cole Rd Ste H Internal Medicine 701 E Parkcenter Blvd 121 E Fort St Boise, ID 83704 NPI: 1942258439 Boise, ID 83706 Boise, ID 83712 (208) 375-8806 100 E Idaho St (208) 381-6500 (208) 514-2525 Group(s): Sonshine Boise, ID 83712 Group(s): St Lukes Clinic Group(s): The Family Family Health Clinic (208) 381-2711 Treasure Valley Llc Medicine Residency Of Group(s): St Lukes Clinic Birch, Michele, NPx* Briggs, Jessica, PAx~* Idaho Inc Treasure Valley Llc Family Medicine Medical - Physician Spanish NPI: 1134608177 Bollinger, William, MDx Assistant Bastian, Allison, MDx~* 3301 N Sawgrass Wy * NPI: 1053311084 Family Medicine Boise, ID 83704 Internal Medicine 1520 W State St Ste 100 NPI: 1164862058 (208) 375-0862 NPI: 1942258439 Boise, ID 83702 777 N Raymond St Group(s): St Lukes Clinic 300 E Jefferson St Ste 300 (208) 947-7700 Boise, ID 83704 Treasure Valley Llc Boise, ID 83712 Group(s): St Lukes Clinic (208) 514-2500 (208) 381-4100 Treasure Valley Llc Blough, Susan, MDx~* Group(s): The Family Group(s): St Lukes Clinic Internal Medicine Bronner, Jason, MDx~* Medicine Residency Of Treasure Valley Llc NPI: 1336197870 Internal Medicine Idaho Inc 701 E Parkcenter Blvd Bossolono Williams, Spanish NPI: 1245267541 Boise, ID 83706 Tina, NPx~* 4840 N Cloverdale Rd Bateman, Wade, MDx~* (208) 381-6400 Family Nurse Practitioner Boise, ID 83713 Family Medicine Group(s): St Lukes Clinic NPI: 1891264545 (208) 706-8000 NPI: 1730131038 Treasure Valley Llc 1914 Broadway Group(s): St Lukes Clinic 12080 W Mcmillan Rd French Boise, ID 83706 Treasure Valley Llc Boise, ID 83713 (208) 463-3000 Boettiger, Taylor, MDx~ Bruce, Jessica, NPx~* (208) 375-4955 Group(s): Saltzer Clinics * Nurse Practitioner Group(s): St Lukes Clinic Internal Medicine Box, Lesleigh, MDx~* NPI: 1205029162 Treasure Valley Llc NPI: 1902036361 Internal Medicine 300 E Jefferson St Ste 201 190 E Bannock St NPI: 1720064785 Boise, ID 83712 Boise, ID 83712 1880 W Judith Ln (208) 381-4100 (208) 381-5015 Boise, ID 83705 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 302-5200 Treasure Valley Llc Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

18 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Bryan, Thornton, MDx~ Canales, Marilyn, NP~* Carmichael, Lindsey, PA Celedon, Jose, NPx~* * Family Nurse Practitioner x~* Gerontology Nurse Family Medicine NPI: 1083183347 Medical - Physician Practitioner NPI: 1003808924 190 E Bannock St Assistant NPI: 1326520719 701 E Parkcenter Blvd Boise, ID 83712 NPI: 1285904144 6000 W Denton St Boise, ID 83706 (208) 385-3230 7979 W Rifleman St Boise, ID 83704 (208) 381-6500 Group(s): St Lukes Clinic Boise, ID 83704 (208) 629-4383 Group(s): St Lukes Clinic Treasure Valley Llc (208) 855-2410 Group(s): Medical Treasure Valley Llc Group(s): Direct Directors Of Idaho Carles, Toni, NP~* Orthopedic Care Burgess, Anne, MDx~* Family Nurse Practitioner Celedon, Jose, NPx~* Family Medicine NPI: 1144527607 Carrasco, Alicia, MDx~* Gerontology Nurse NPI: 1194767178 3076 N Five Mile Rd Internal Medicine Practitioner 10255 W Overland Rd Boise, ID 83713 NPI: 1124319421 NPI: 1326520719 Boise, ID 83709 (208) 376-4999 300 S 23rd St 909 E Reserve St (208) 302-5600 Group(s): Community Boise, ID 83702 Boise, ID 83712 Group(s): St Alphonsus Partnerships Of Idaho (208) 344-3512 (208) 343-7717 Regional Medical Center Inc-1679787816 Group(s): Terry Reilly Group(s): Medical Physicians -1861676298 Health Services Boise Directors Of Idaho Carlson, Chelsea, MDx~ Clinic - Medical Group Cadwallader, Kara, MD * Spanish Chaganaboyana, x~* Family Medicine Sulabha, MDx~* Family Medicine NPI: 1396156675 Case, Shanna, MDx~* Family Medicine NPI: 1669414728 6565 W Emerald St Internal Medicine NPI: 1659668218 777 N Raymond St Boise, ID 83704 NPI: 1205004215 10583 W Lake Hazel Rd Boise, ID 83704 (208) 514-2510 190 E Bannock St Boise, ID 83709 (208) 514-2500 Group(s): The Family Boise, ID 83712 (208) 302-5950 Group(s): The Family Medicine Residency Of (208) 381-5015 Group(s): St Alphonsus Medicine Residency Of Idaho Inc Group(s): St Lukes Clinic Regional Medical Center Idaho Inc Spanish Treasure Valley Llc Physicians -1861676298 Spanish Carmichael, Lindsey, PA Casebolt, Alex, PAx~* Chasin, Judith, MDx~* Campana, Kirk, MD~* x~* Physician Assistant Family Medicine General Practice Medical - Physician NPI: 1346283363 NPI: 1427256841 NPI: 1205819950 Assistant 1914 Broadway 1520 W State St Ste 100 10798 W Overland Rd NPI: 1285904144 Boise, ID 83706 Boise, ID 83702 Boise, ID 83709 1789 S Broadway Ave Ste (208) 463-3000 (208) 947-7700 (208) 377-3368 100 Group(s): Saltzer Clinics Group(s): St Lukes Clinic Group(s): Boise Family Boise, ID 83706 Celedon, Jose, NPx~* Treasure Valley Llc Medicine (208) 321-4000 Spanish Spanish Group(s): Direct Gerontology Nurse Orthopedic Care Practitioner NPI: 1326520719 3115 N Sycamore Dr Boise, ID 83703 (208) 343-7726 Group(s): Medical Directors Of Idaho

19 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Chorn, Andy, PAx~* Clyde, Travis, MDx~* Colson, Loren, DOx~* Cron, Andrew, MDx~* Physician Assistant Family Medicine Family Medicine Family Medicine NPI: 1205111390 NPI: 1457700262 NPI: 1629457155 NPI: 1497707897 1789 S Broadway Ave Ste 10583 W Lake Hazel Rd 6565 W Emerald St 12080 W Mcmillan Rd 100 Boise, ID 83709 Boise, ID 83704 Boise, ID 83713 Boise, ID 83706 (208) 302-5900 (208) 514-2510 (208) 375-4955 (208) 321-4000 Group(s): St Alphonsus Group(s): The Family Group(s): St Lukes Clinic Group(s): Direct Regional Medical Center Medicine Residency Of Treasure Valley Llc Orthopedic Care Physicians -1861676298 Idaho Inc Crosland, Laron, MDx~ Other Specialties: Sports Spanish Chorn, Andy, PAx~* * Medicine - Internal Physician Assistant Colson, Loren, DOx~* Family Medicine Medicine NPI: 1205111390 Family Medicine NPI: 1134363625 7979 W Rifleman St Coate, Katherine, NPx~* NPI: 1629457155 701 E Parkcenter Blvd Boise, ID 83704 Nurse Practitioner 777 N Raymond St Boise, ID 83706 (208) 855-2410 NPI: 1619939451 Boise, ID 83704 (208) 381-6500 Group(s): Direct 2036 N Cole Rd (208) 514-2500 Group(s): St Lukes Clinic Orthopedic Care Boise, ID 83704 Group(s): The Family Treasure Valley Llc (208) 375-0722 Medicine Residency Of Spanish Ciplinski, Carl, NP~* Group(s): The Idaho Inc Family Nurse Practitioner Crouch, Robert, DOx~* Neighborhood Clinic Pllc Spanish NPI: 1003397076 Family Medicine 10583 W Lake Hazel Rd Collins, Lucy, NPx~* Cook, Jennifer, MD~* NPI: 1164801692 Boise, ID 83709 Family Nurse Practitioner Family Medicine 121 E Fort St (208) 302-5900 NPI: 1528524303 NPI: 1265680417 Boise, ID 83712 Group(s): St Alphonsus 701 E Parkcenter Blvd 121 E Fort St (208) 514-2525 Regional Medical Center Boise, ID 83706 Boise, ID 83712 Group(s): The Family Physicians -1861676298 (208) 381-6500 (208) 514-2525 Medicine Residency Of Group(s): St Lukes Clinic Group(s): The Family Idaho Inc Clark, Megan, NP~* Treasure Valley Llc Medicine Residency Of Spanish Family Nurse Practitioner Idaho Inc NPI: 1285109942 Colson, Kathryn, PAx~* Crownson, Bayo, MDx~* 1055 N Curtis Rd Medical - Physician Cracolice, Brianna, NPx Family Medicine Boise, ID 83706 Assistant ~* NPI: 1376589689 (208) 367-6225 NPI: 1457363970 Family Nurse Practitioner 1914 Broadway Group(s): St Alphonsus 8854 W Emerald Ste 102 NPI: 1639640402 Boise, ID 83706 Regional Medical Center Boise, ID 83704 6933 W Emerald St Ste A (208) 463-3000 Physicians -1861676298 (208) 323-4747 Boise, ID 83704 Group(s): Saltzer Clinics (208) 321-0634 Group(s): The Shoulder Culbertson, Eric, PAx~* Cliften, Peter, MDx~* Group(s): All Seasons Clinic Of Idaho Medical - Physician Internal Medicine Mental Health - Mg NPI: 1760473771 Assistant 190 E Bannock St NPI: 1134358104 Boise, ID 83712 633 N 4th St (208) 381-5015 Boise, ID 83702 Group(s): St Lukes Clinic (208) 342-9800 Treasure Valley Llc Group(s): The Pain Center

20 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Cureton, Jeremey, NPx~ Davids, Abby, MDx~* Dolan, Rachel, NPx* Draper, Amanda, NP~* * Family Medicine Nurse Practitioner Adult Health Nurse Family Nurse Practitioner NPI: 1780970491 NPI: 1891074506 Practitioner NPI: 1053698167 6565 W Emerald St 190 E Bannock St NPI: 1477719433 12273 W Mcmillan Rd Boise, ID 83704 Boise, ID 83712 10583 W Lake Hazel Rd Boise, ID 83713 (208) 514-2510 (208) 381-2222 Boise, ID 83709 (208) 302-5500 Group(s): The Family Group(s): St Lukes Clinic (208) 302-5900 Group(s): St Alphonsus Medicine Residency Of Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Idaho Inc Regional Medical Center Domangue-Shiflett, Physicians -1861676298 Spanish Physicians -1861676298 Natalie, MDx~* Curran, Laura, NPx~* Deblieck, Timothy, MDx Family Medicine Dsouza, Sherwin, MDx~ Family Medicine ~* NPI: 1376510123 * NPI: 1982115309 Family Medicine 13150 W Persimmon Ln Internal Medicine 13150 W Persimmon Ln NPI: 1114961042 Boise, ID 83713 NPI: 1225061351 Boise, ID 83713 777 N Raymond St (208) 938-3663 1226 W River St (208) 938-3663 Boise, ID 83704 Group(s): Pioneer Family Boise, ID 83702 Group(s): Pioneer Family (208) 514-2500 Medicine (208) 331-1155 Medicine Group(s): The Family Group(s): St Lukes Clinic Medicine Residency Of Donovan, Jodie, MDx* Treasure Valley Llc Curtright, Sarah, NPx~* Idaho Inc Internal Medicine Haitian Creole Nurse Practitioner Spanish NPI: 1295027688 NPI: 1023439213 300 E Jefferson St Ste 300 Dsouza, Sherwin, MDx~ 777 N Raymond St Defrang, Caroline, MDx Boise, ID 83712 * Boise, ID 83704 ~* (208) 381-4100 Internal Medicine (208) 514-2500 Internal Medicine Group(s): St Lukes Clinic NPI: 1225061351 Group(s): The Family NPI: 1699724690 Treasure Valley Llc 403 S 11th St Ste 100 Medicine Residency Of 190 E Bannock St Boise, ID 83702 Idaho Inc Boise, ID 83712 Doran, Michelle, NPx~* (208) 429-0300 (208) 381-5015 Family Nurse Practitioner Group(s): St Lukes Clinic Cyprus, Idalyn, MDx~* Group(s): St Lukes Clinic NPI: 1316346059 Treasure Valley Llc Family Medicine Treasure Valley Llc 1520 W State St Ste 100 Haitian Creole NPI: 1245210228 Boise, ID 83702 1520 W State St Ste 100 Demars, Damon, DOx~* (208) 947-7700 Dunlevy, Katharine, PAx Boise, ID 83702 Internal Medicine Group(s): St Lukes Clinic ~* (208) 947-7700 NPI: 1063826758 Treasure Valley Llc Family Medicine Group(s): St Lukes Clinic 190 E Bannock St NPI: 1275017717 Treasure Valley Llc Boise, ID 83712 Doyle, Catherine, MDx~ 777 N Raymond St (208) 381-2222 * Boise, ID 83704 Group(s): St Lukes Clinic Family Medicine (208) 514-2500 Treasure Valley Llc NPI: 1952712242 Group(s): The Family 777 N Raymond St Medicine Residency Of Boise, ID 83704 Idaho Inc (208) 514-2500 Group(s): The Family Medicine Residency Of Idaho Inc

21 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Elder, Becky, NPx~* Ewings, Maria, MDx~* Franden, Julie, NPx~* Gendler, Julie, MDx~* Nurse Practitioner Internal Medicine Family Medicine Family Medicine NPI: 1417938473 NPI: 1255422747 NPI: 1457652661 NPI: 1932146388 100 E Idaho St Ste 400 4840 N Cloverdale Rd 13150 W Persimmon Ln 121 E Fort St Boise, ID 83712 Boise, ID 83713 Boise, ID 83713 Boise, ID 83712 (208) 345-5250 (208) 706-8000 (208) 938-3663 (208) 514-2525 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Pioneer Family Group(s): The Family Treasure Valley Llc Treasure Valley Llc Medicine Medicine Residency Of Idaho Inc Epperly, Ted, MDx~* Farmer, Josie, NPx* Freeman, Leah, DOx~* Spanish Family Medicine Family Nurse Practitioner Family Medicine NPI: 1134176548 NPI: 1730414947 NPI: 1124464615 Gendler, Julie, MDx~* 777 N Raymond St 13150 W Persimmon Ln 701 E Parkcenter Blvd Family Medicine Boise, ID 83704 Boise, ID 83713 Boise, ID 83706 NPI: 1932146388 (208) 514-2500 (208) 938-3663 (208) 381-6500 777 N Raymond St Group(s): The Family Group(s): Pioneer Family Group(s): St Lukes Clinic Boise, ID 83704 Medicine Residency Of Medicine Treasure Valley Llc (208) 514-2500 Idaho Inc Spanish Spanish Group(s): The Family Spanish Medicine Residency Of Figueroa, April, NPx* Gallafent, James, MDx~ Idaho Inc Erbele, Tara, MDx~* Nurse Practitioner * Spanish Family Medicine NPI: 1982952529 Internal Medicine NPI: 1427081744 100 E Idaho St Ste 401 NPI: 1518077437 Giffen, Sheila, MDx~* 1520 W State St Ste 100 Boise, ID 83712 1000 E Park Blvd Ste 120 Family Medicine Boise, ID 83702 (208) 381-7330 Boise, ID 83712 NPI: 1013957802 (208) 947-7700 Group(s): St Lukes Clinic (208) 381-4100 10255 W Overland Rd Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Boise, ID 83709 Treasure Valley Llc Treasure Valley Llc (208) 302-5600 Fish, Cheryl, NP~* French Group(s): St Alphonsus Erbele, Tara, MDx~* Family Nurse Practitioner Regional Medical Center Family Medicine NPI: 1083185235 Gallafent, James, MDx~ Physicians -1861676298 NPI: 1427081744 6140 W Curtisian Ave Ste * 333 N 1st St Ste 240 100 Internal Medicine Gill, Taya, PAx~* Boise, ID 83702 Boise, ID 83704 NPI: 1518077437 Physician Assistant (208) 338-8900 (208) 302-0130 300 E Jefferson St Ste 201 NPI: 1790058618 Group(s): Womens Health Group(s): St Alphonsus Boise, ID 83712 1914 Broadway Associates Pllc Regional Medical Center (208) 381-4100 Boise, ID 83706 Physicians -1861676298 Group(s): St Lukes Clinic (208) 463-3000 Erwin, Ann, MDx~* Treasure Valley Llc Group(s): Saltzer Clinics Family Medicine Fox, Jon, PA~* French NPI: 1851494223 Physician Assistant 130 E Boise Ave NPI: 1447221932 Boise, ID 83706 10798 W Overland Rd (208) 345-4066 Boise, ID 83709 Group(s): St Lukes Clinic (208) 377-3368 Treasure Valley Llc Group(s): Boise Family Medicine

22 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Glass, Justin, MDx~* Grant, Angela, NPx~* Heidt, Tiffany, NPx~* Herzog, Hazen, PAx~* Family Medicine Family Nurse Practitioner Nurse Practitioner Physician Assistant NPI: 1194820852 NPI: 1649822479 NPI: 1689683518 NPI: 1932433190 777 N Raymond St 5985 W State St 900 N Liberty Ste 201 125 E Idaho St Ste 202 Boise, ID 83704 Boise, ID 83703 Boise, ID 83704 Boise, ID 83712 (208) 514-2500 (208) 853-0071 (208) 367-6740 (208) 381-7050 Group(s): The Family Group(s): Omega Mental Group(s): Treasure Valley Group(s): St Lukes Clinic Medicine Residency Of Health Services Endocrinology Pc Treasure Valley Llc Idaho Inc Other Specialties: Family Grote, Heather, PAx~* Henao, Gloria, MDx~* Medicine Gordon, Louissa, PAx~* Physician Assistant Internal Medicine Physician Assistant NPI: 1477920817 NPI: 1306036835 Hippe, Scott, MDx~* NPI: 1821484452 1914 Broadway 190 E Bannock St Family Medicine 777 N Raymond St Boise, ID 83706 Boise, ID 83712 NPI: 1730537218 Boise, ID 83704 (208) 463-3000 (208) 381-5015 6565 W Emerald St (208) 514-2500 Group(s): Saltzer Clinics Group(s): St Lukes Clinic Boise, ID 83704 Group(s): The Family Treasure Valley Llc (208) 514-2510 Hall, Stanley, NPx~* Medicine Residency Of Spanish Group(s): The Family Family Nurse Practitioner Idaho Inc Medicine Residency Of NPI: 1114996451 Henkle, Sarah, MDx~* Idaho Inc Gorham, Amber, PAx~* 190 E Bannock St Family Medicine Internal Medicine Boise, ID 83712 NPI: 1295146587 Hofstetter, Annamarie, NPI: 1881718880 (208) 381-1615 6565 W Emerald St MDx~* 333 N 1st St Ste 240 Group(s): St Lukes Clinic Boise, ID 83704 Family Medicine Boise, ID 83702 Treasure Valley Llc (208) 514-2510 NPI: 1932557873 (208) 338-8900 Group(s): The Family 130 E Boise Ave Hamblin, Todd, NPx~* Group(s): Womens Health Medicine Residency Of Boise, ID 83706 Family Nurse Practitioner Associates Pllc Idaho Inc (208) 345-4066 NPI: 1093092678 Other Specialties: Spanish Group(s): St Lukes Clinic 950 W Bannock St Ste Physician Assistant Treasure Valley Llc 1100 Herzog, Hazen, PAx~* Goulding, Lesleyx~* Boise, ID 83702 Physician Assistant Holbrook, Mark, MDx~* Nurse Practitioner (888) 562-5442 NPI: 1932433190 Internal Medicine NPI: 1043730302 Group(s): Molina 115 Main St Ste 101 NPI: 1205884616 100 E Idaho St Pathways Of Texas Inc Boise, ID 83702 4840 N Cloverdale Rd Boise, ID 83712 Spanish (208) 381-3915 Boise, ID 83713 (208) 381-2711 Group(s): St Lukes Clinic (208) 706-8000 Heidt, Tiffany, NPx~* Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Nurse Practitioner Treasure Valley Llc Other Specialties: Family Treasure Valley Llc NPI: 1689683518 Medicine 900 N Liberty St Ste 201 Boise, ID 83704 (208) 367-6740 Group(s): Treasure Valley Endocrinology Pc

23 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Holliday, Jennifer, MDx Johnston, Tracy, NPx* Kantayya, Vivek, MDx~ Kipp, Adam, MDx~* ~* Family Nurse Practitioner * Family Medicine Family Medicine NPI: 1548693682 Family Medicine NPI: 1982968665 NPI: 1538320676 333 N 1st St Ste 140 NPI: 1437132479 777 N Raymond St 1520 W State St Ste 100 Boise, ID 83702 300 S 23rd St Boise, ID 83704 Boise, ID 83702 (208) 381-9026 Boise, ID 83702 (208) 514-2500 (208) 947-7700 Group(s): St Lukes Clinic (208) 344-3512 Group(s): The Family Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Terry Reilly Medicine Residency Of Treasure Valley Llc Health Services Boise Idaho Inc Jones, William, PAx~* Clinic - Medical Group, Hsu, Karin, PAx~* Physician Assistant Terry Reilly Health Kittelson, Brian, NPx~* Physician Assistant NPI: 1770835597 Services - Medical Family Medicine NPI: 1598223125 115 W Main St Ste 202 Group1134527708 NPI: 1730234345 1914 Broadway Boise, ID 83702 Tamil 1914 Broadway Boise, ID 83706 (208) 433-9466 Boise, ID 83706 (208) 463-3000 Group(s): Boise Radiology Kantayya, Vivek, MDx~ (208) 463-3000 Group(s): Saltzer Clinics Group Pllc * Group(s): Saltzer Clinics Family Medicine Other Specialties: Family Ingram, Rory, NPx~* Jones, William, PAx~* NPI: 1437132479 Nurse Practitioner Nurse Practitioner Physician Assistant 848 S La Cassia Dr NPI: 1225567431 NPI: 1770835597 Boise, ID 83705 Kocemba, Russell, MDx 190 E Bannock St 190 E Bannock St (208) 344-0086 ~* Boise, ID 83712 Boise, ID 83712 Group(s): Terry Reilly Family Medicine (208) 381-2222 (208) 381-2094 Health Services - Medical NPI: 1588629406 Group(s): St Lukes Clinic Group(s): Boise Radiology Group1134527708, Terry 3301 N Sawgrass Wy Treasure Valley Llc Group Pllc Reilly Health Services - Boise, ID 83704 (208) 375-0862 Johnson, Gregory, MDx Medical Jordan, Anthony, MDx~ Group(s): St Lukes Clinic ~* * Group1952756884 Treasure Valley Llc Family Medicine Family Medicine Tamil NPI: 1508969973 NPI: 1144212549 King, Ashley, MDx* Kohler, Gretchen, MDx~ 130 E Boise Ave * 12080 W Mcmillan Rd Family Medicine Boise, ID 83706 Internal Medicine Boise, ID 83713 NPI: 1235440314 (208) 345-4066 NPI: 1982698502 (208) 375-4955 1520 W State St Ste 100 Group(s): St Lukes Clinic 4840 N Cloverdale Rd Group(s): St Lukes Clinic Boise, ID 83702 Treasure Valley Llc Boise, ID 83713 Treasure Valley Llc (208) 947-7700 (208) 706-8000 Johnson, Troy, MDx~* Group(s): St Lukes Clinic Judy, Elizabeth, PA~* Group(s): St Lukes Clinic Internal Medicine Treasure Valley Llc Medical - Physician Treasure Valley Llc NPI: 1740422757 Assistant 190 E Bannock St NPI: 1083123277 Komori, Allyson, DOx~* Boise, ID 83712 10798 W Overland Rd Internal Medicine (208) 381-5015 Boise, ID 83709 NPI: 1679869473 Group(s): St Lukes Clinic (208) 377-3368 190 E Bannock St Treasure Valley Llc Group(s): Boise Family Boise, ID 83712 Spanish Medicine (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc

24 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Konrad, Jill, NPx~* Lamb, Kirsten, NPx* Ludwig, Jason, DOx~* Matthews, Brittany, NPx Family Medicine Nurse Practitioner Family Medicine ~* NPI: 1396261129 NPI: 1932602687 NPI: 1144258534 Family Nurse Practitioner 10255 W Overland Rd 1520 W State St Ste 100 13150 W Persimmon Ln NPI: 1962958892 Boise, ID 83709 Boise, ID 83702 Boise, ID 83713 300 E Jefferson St Ste 300 (208) 302-5600 (208) 947-7700 (208) 938-3663 Boise, ID 83712 Group(s): St Alphonsus Group(s): St Lukes Clinic Group(s): Pioneer Family (208) 381-4100 Regional Medical Center Treasure Valley Llc Medicine Group(s): St Lukes Clinic Physicians -1861676298 Treasure Valley Llc Larkin, Brian, DOx~* Madison, Michael, DOx~ Kornfield, Lee, MDx~* Family Medicine * Mccauley, Shane, MDx~ Internal Medicine NPI: 1205278355 Internal Medicine * NPI: 1275527186 777 N Raymond St NPI: 1508286790 Family Medicine 600 N Robbins Rd Ste 301 Boise, ID 83704 190 E Bannock St NPI: 1083603229 Boise, ID 83702 (208) 514-2500 Boise, ID 83712 6051 W Emerald St (208) 385-3329 Group(s): The Family (208) 381-2222 Boise, ID 83704 Group(s): St Lukes Clinic Medicine Residency Of Group(s): St Lukes Clinic (208) 302-7600 Treasure Valley Llc Idaho Inc Treasure Valley Llc Group(s): St Alphonsus Other Specialties: Sports Regional Medical Center Kracke, Elsa, MDx~* Maier, Eric, MDx~* Medicine - Family Physicians -1861676298 Family Medicine Family Medicine Medicine NPI: 1053707935 NPI: 1831154707 Mcclaskey, Daniel, MDx 701 E Parkcenter Blvd Lewis, Erika, MDx* 3301 N Sawgrass Wy ~* Boise, ID 83706 Internal Medicine Boise, ID 83704 Internal Medicine (208) 381-6500 NPI: 1659320570 (208) 375-0862 NPI: 1558560060 Group(s): St Lukes Clinic 300 E Jefferson St Ste 300 Group(s): St Lukes Clinic 190 E Bannock St Treasure Valley Llc Boise, ID 83712 Treasure Valley Llc Boise, ID 83712 (208) 381-4100 (208) 381-5015 Kroll, Becky, MDx~* Maier, Michael, MDx~* Group(s): St Lukes Clinic Group(s): St Lukes Clinic Family Medicine Family Medicine Treasure Valley Llc Treasure Valley Llc NPI: 1457648230 NPI: 1912963828 3301 N Sawgrass Wy Mcgeorge, Laura, MDx~ 3301 N Sawgrass Wy Lucas, Jennifer, PAx* * Boise, ID 83704 Physician Assistant Boise, ID 83704 (208) 375-0862 Internal Medicine (208) 375-0862 NPI: 1356893549 NPI: 1629029699 Group(s): St Lukes Clinic 12080 W Mcmillan Rd Group(s): St Lukes Clinic Treasure Valley Llc 300 E Jefferson St Ste 201 Treasure Valley Llc Boise, ID 83713 Boise, ID 83712 (208) 375-4955 Kroon, Melissa, PAx~* Makki, Ali, MDx~* (208) 381-4100 Group(s): St Lukes Clinic Physician Assistant Family Medicine Group(s): St Lukes Clinic Treasure Valley Llc NPI: 1962892240 NPI: 1144755901 Treasure Valley Llc 1914 Broadway 12080 W Mcmillan Rd Boise, ID 83706 Boise, ID 83713 (208) 463-3000 (208) 375-4955 Group(s): Saltzer Clinics Group(s): St Lukes Clinic Treasure Valley Llc

25 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Mebane, Mary, PAx~* Montamat, Stephen, MD Moran, Gregory, NPx~* Munting, Babette, NPx~ Physician Assistant x~* Adult Health Nurse * NPI: 1154374536 Internal Medicine Practitioner Family Nurse Practitioner 1000 E Park Blvd Ste 120 NPI: 1548210958 NPI: 1780006916 NPI: 1417910506 Boise, ID 83712 300 E Jefferson St Ste 201 190 E Bannock St 121 E Fort St (208) 381-4100 Boise, ID 83712 Boise, ID 83712 Boise, ID 83712 Group(s): St Lukes Clinic (208) 381-4100 (208) 381-1615 (208) 514-2525 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): The Family Treasure Valley Llc Treasure Valley Llc Medicine Residency Of Mebane, Mary, PAx~* Idaho Inc Montgomery, Jason, NP Physician Assistant Mudge, Sandy, MD~* Spanish, Dutch NPI: 1154374536 x~* Family Medicine 701 E Parkcenter Blvd Family Nurse Practitioner NPI: 1366704017 Nadolski, Nancy, NPx~* Boise, ID 83706 NPI: 1013270792 121 E Fort St Family Nurse Practitioner (208) 381-6400 190 E Bannock St 10th Boise, ID 83712 NPI: 1881755023 Group(s): St Lukes Clinic Floor (208) 514-2525 1423 W Franklin St Treasure Valley Llc Boise, ID 83712 Group(s): The Family Boise, ID 83702 (208) 381-5500 Medicine Residency Of (208) 345-2212 Mering, Mark, MDx~* Group(s): St Lukes Clinic Idaho Inc Group(s): Nancy Nadolski Family Medicine Treasure Valley Llc Spanish, French Fnp NPI: 1578527990 777 N Raymond St Moorhouse, Aaron, DOx Mulder, Gertjan, MDx~ Nasser, Wajeeh, MDx~* Boise, ID 83704 ~* * Family Medicine (208) 514-2500 Family Medicine Family Medicine NPI: 1083694053 Group(s): The Family NPI: 1689602914 NPI: 1659336691 1520 W State St Ste 100 Medicine Residency Of 13150 W Persimmon Ln 3301 N Sawgrass Wy Boise, ID 83702 Idaho Inc Boise, ID 83713 Boise, ID 83704 (208) 947-7700 (208) 938-3663 (208) 375-0862 Group(s): St Lukes Clinic Millett, Tiffany, NPx~* Group(s): Pioneer Family Group(s): St Lukes Clinic Treasure Valley Llc Family Nurse Practitioner Medicine Treasure Valley Llc Necochea, Alejandro, NPI: 1457820334 Dutch 10583 W Lake Hazel Rd Morales, Jessica, DOx~* MDx~* Boise, ID 83709 Internal Medicine Munn, Stacia, MDx~* Internal Medicine (208) 302-5900 NPI: 1790048221 Family Medicine NPI: 1033273164 Group(s): St Alphonsus 190 E Bannock St NPI: 1477586162 190 E Bannock St Regional Medical Center Boise, ID 83712 1520 W State St Ste 100 Boise, ID 83712 Physicians -1861676298 (208) 381-5015 Boise, ID 83702 (208) 381-5015 Other Specialties: Nurse Group(s): St Lukes Clinic (208) 947-7700 Group(s): St Lukes Clinic Practitioner Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Spanish

26 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Nelson, Aurelia, MDx~* Nielsen, David, MDx~* Papa, Jared, PAx~* Pereda, Carissa, MDx~* Family Medicine Internal Medicine Physician Assistant Internal Medicine NPI: 1376761437 NPI: 1821048364 NPI: 1518047034 NPI: 1538486923 3301 N Sawgrass Wy 4840 N Cloverdale Rd 121 E Fort St 190 E Bannock St Boise, ID 83704 Boise, ID 83713 Boise, ID 83712 Boise, ID 83712 (208) 375-0862 (208) 706-8000 (208) 514-2525 (208) 381-5015 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): The Family Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Medicine Residency Of Treasure Valley Llc Other Specialties: General Chinese Idaho Inc Peterson, Timothy, MDx Practice Spanish Nona, Leslie, MDx~* ~* Spanish Internal Medicine Papa, Jared, PAx~* Family Medicine Nelson, Aurelia, MDx~* NPI: 1497704316 Physician Assistant NPI: 1922362490 Family Medicine 300 E Jefferson St Ste 300 NPI: 1518047034 2083 Hospitality Ln NPI: 1376761437 Boise, ID 83712 777 N Raymond St Boise, ID 83716 777 N Raymond St (208) 381-4100 Boise, ID 83704 (208) 333-8345 Boise, ID 83704 Group(s): St Lukes Clinic (208) 514-2500 Group(s): St Lukes Clinic (208) 514-2500 Treasure Valley Llc Group(s): The Family Treasure Valley Llc Group(s): The Family Medicine Residency Of Ogweno, Beryl, NP~* Pontickio, Steven, MDx~ Medicine Residency Of Idaho Inc Family Nurse Practitioner * Idaho Inc Spanish NPI: 1659805919 Internal Medicine Other Specialties: General 190 E Bannock St Pascual, Lena, NPx~* NPI: 1497097778 Practice Boise, ID 83712 Nurse Practitioner 190 E Bannock St Spanish (208) 385-3230 NPI: 1134657042 Boise, ID 83712 Nelson, Timothy, MDx~* Group(s): St Lukes Clinic 190 E Bannock St (208) 381-5015 Internal Medicine Treasure Valley Llc Boise, ID 83712 Group(s): St Lukes Clinic NPI: 1811021884 Swahili (208) 381-2222 Treasure Valley Llc 701 E Parkcenter Blvd Group(s): St Lukes Clinic Orchard, Danielle, MDx Povar, Jared, NPx~* Boise, ID 83706 ~* Treasure Valley Llc Family Nurse Practitioner (208) 381-6400 Internal Medicine Pelton, Michael, MDx~* NPI: 1215470661 Group(s): St Lukes Clinic NPI: 1831489715 Internal Medicine 13960 W Wainwright Dr Treasure Valley Llc 190 E Bannock St NPI: 1548219090 Boise, ID 83713 Nichols, Heather, MD~* Boise, ID 83712 701 E Parkcenter Blvd (208) 991-3232 Family Medicine (208) 381-5015 Boise, ID 83706 Group(s): Table Rock NPI: 1144246950 Group(s): St Lukes Clinic (208) 381-6400 Mobile Medicine 121 E Fort St Treasure Valley Llc Group(s): St Lukes Clinic Other Specialties: Nurse Practitioner Boise, ID 83712 Palmer, Todd, MDx~* Treasure Valley Llc (208) 514-2525 Family Medicine Group(s): The Family NPI: 1568595270 Medicine Residency Of 777 N Raymond St Idaho Inc Boise, ID 83704 Spanish (208) 514-2500 Group(s): The Family Medicine Residency Of Idaho Inc

27 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Prodzinski, Kirk, DOx~* Reis, Laura, DOx~* Ribbens, Terry, MDx~* Romito, Kathleen, MDx~ Family Medicine Family Medicine Family Medicine * NPI: 1245206648 NPI: 1902139066 NPI: 1548210552 Family Medicine 2141 E Parkcenter Blvd 300 S 23rd St 2083 Hospitality Ln NPI: 1619919933 Boise, ID 83706 Boise, ID 83702 Boise, ID 83716 6565 W Emerald St (208) 302-5000 (208) 344-3512 (208) 333-8345 Boise, ID 83704 Group(s): St Alphonsus Group(s): Terry Reilly Group(s): St Lukes Clinic (208) 514-2510 Regional Medical Center Health Services Boise Treasure Valley Llc Group(s): The Family Physicians -1861676298 Clinic - Medical Group Medicine Residency Of Rich, Kevin, MDx~* Idaho Inc Prodzinski, Kirk, DOx~* Reuter, Kimberley, NPx Family Medicine Family Medicine ~* NPI: 1902833031 Romito, Kathleen, MDx~ NPI: 1245206648 Family Nurse Practitioner 777 N Raymond St * 3587 S Federal Way NPI: 1194274555 Boise, ID 83704 Family Medicine Boise, ID 83705 12400 W Overland Rd Ste (208) 514-2500 NPI: 1619919933 (208) 302-5300 100 Group(s): The Family 777 N Raymond St Group(s): St Alphonsus Boise, ID 83709 Medicine Residency Of Boise, ID 83704 Regional Medical Center (208) 322-1199 Idaho Inc (208) 514-2500 Physicians -1861676298 Group(s): First Choice Spanish Group(s): The Family Healthcare Medicine Residency Of Pucciarelli, Irene, DOx* Richardson, Rosalia, MD Idaho Inc Internal Medicine Rheder, Jan, NPx~* x~* NPI: 1871559948 Family Nurse Practitioner Family Medicine Roscoe, Janet, NPx~* 701 E Parkcenter Blvd NPI: 1083038335 NPI: 1134150998 Nurse Practitioner Boise, ID 83706 13150 W Persimmon Ln 701 E Parkcenter Blvd NPI: 1376573170 (208) 381-6400 Boise, ID 83713 Boise, ID 83706 100 E Idaho St Ste 302 Group(s): St Lukes Clinic (208) 938-3663 (208) 381-6500 Boise, ID 83712 Treasure Valley Llc Group(s): Pioneer Family Group(s): St Lukes Clinic (208) 343-7501 Medicine Treasure Valley Llc Group(s): St Lukes Clinic Redden, Kaleb, DOx~* Spanish Treasure Valley Llc Family Medicine Rhodes, Michael, MDx~ NPI: 1366822892 * Ripepi, Bartholomew, Ross, Daniel, MDx* 703 S Americana Blvd Ste Internal Medicine DOx* Family Medicine 120 NPI: 1427212729 Family Medicine NPI: 1104112853 Boise, ID 83702 190 E Bannock St NPI: 1073873188 12080 W Mcmillan Rd (208) 706-2663 Boise, ID 83712 190 E Bannock St Boise, ID 83713 Group(s): St Lukes Clinic (208) 381-5015 Boise, ID 83712 (208) 375-4955 Treasure Valley Llc Group(s): St Lukes Clinic (208) 381-2222 Group(s): St Lukes Clinic Spanish Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Spanish Treasure Valley Llc Spanish Robinson, Neysa, PAx~* Physician Assistant NPI: 1457854515 8050 W Northview St Boise, ID 83704 (208) 327-0504 Group(s): Lifeways Inc

28 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Ross, Daniel, MDx* Rulon, Elizabeth, MDx~ Rutherford, Mark, MDx Sallstrom, Jessica, DOx~ Family Medicine * ~* * NPI: 1104112853 Family Medicine Family Medicine Family Medicine 1520 W State St Ste 100 NPI: 1558300475 NPI: 1972693786 NPI: 1265967038 Boise, ID 83702 121 E Fort St 130 E Boise Ave 848 S La Cassia Dr (208) 947-7700 Boise, ID 83712 Boise, ID 83706 Boise, ID 83705 Group(s): St Lukes Clinic (208) 514-2525 (208) 345-4066 (208) 344-0086 Treasure Valley Llc Group(s): The Family Group(s): St Lukes Clinic Group(s): Terry Reilly Spanish Medicine Residency Of Treasure Valley Llc Health Services - Medical Idaho Inc Group1134527708, Terry Sackman, Irvin, MDx~* Ross, Daniel, MDx* Reilly Health Services - Rulon, Elizabeth, MDx* Family Medicine Family Medicine Medical Family Medicine NPI: 1003919473 NPI: 1104112853 Group1457309122, Terry NPI: 1558300475 130 E Boise Ave 701 E Parkcenter Blvd Reilly Health Services - 130 E Boise Ave Boise, ID 83706 Boise, ID 83706 Medical Boise, ID 83706 (208) 345-4066 (208) 381-6500 Group1952756884 (208) 345-4066 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Spanish Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Spanish Treasure Valley Llc Sawmiller, Jennifer, PAx Sallstrom, Jessica, DOx~ ~* * Ross, Daniel, MDx~* Rulon, Elizabeth, MDx~ Family Medicine * Family Medicine Family Medicine NPI: 1710433859 Family Medicine NPI: 1265967038 NPI: 1104112853 300 S 23rd St NPI: 1558300475 300 S 23rd St 777 N Raymond St Boise, ID 83702 777 N Raymond St Boise, ID 83702 Boise, ID 83704 (208) 344-3512 Boise, ID 83704 (208) 344-3512 (208) 514-2500 Group(s): Terry Reilly (208) 514-2500 Group(s): Terry Reilly Group(s): The Family Health Services Boise Group(s): The Family Health Services Boise Medicine Residency Of Clinic - Medical Group, Medicine Residency Of Clinic - Medical Group, Idaho Inc Terry Reilly Health Idaho Inc Terry Reilly Health Spanish Services - Medical Services - Medical Rush, Audrey, NPx~* Group1134527708, Terry Rulon, Elizabeth, MDx* Group1134527708, Terry Nurse Practitioner Reilly Health Services - Family Medicine Reilly Health Services - NPI: 1215242086 Medical NPI: 1558300475 Medical 100 E Idaho St Ste 200 Group1457309122 100 E Idaho St Ste 200 Group1457309122 Boise, ID 83712 Other Specialties: Medical Boise, ID 83712 Spanish (208) 381-7092 (208) 381-9590 - Physician Assistant Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Ruth, Timothy, MDx~* Family Medicine NPI: 1588695944 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Group(s): St Lukes Clinic Treasure Valley Llc

29 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Sawmiller, Jennifer, PAx Schneider, Kathryn, MD Sheesley, Peter, DOx~* Slade, Jason, MDx~* ~* x~* Internal Medicine Internal Medicine Family Medicine Family Medicine NPI: 1831551886 NPI: 1750672481 NPI: 1710433859 NPI: 1457589640 190 E Bannock St 190 E Bannock St 848 S La Cassia Dr 777 N Raymond St Boise, ID 83712 Boise, ID 83712 Boise, ID 83705 Boise, ID 83704 (208) 381-5015 (208) 381-2222 (208) 344-0086 (208) 514-2500 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Terry Reilly Group(s): The Family Treasure Valley Llc Treasure Valley Llc Health Services - Medical Medicine Residency Of Group1134527708, Terry Idaho Inc Shoebridge, Nicholas, Smith, Alyson, MDx~* Reilly Health Services - DOx~* Family Medicine Schneider, Steven, MDx Internal Medicine NPI: 1972785244 Medical ~* Group1457309122, Terry NPI: 1760809958 701 E Parkcenter Blvd Family Medicine 190 E Bannock St Boise, ID 83706 Reilly Health Services - NPI: 1720377476 Medical Boise, ID 83712 (208) 381-6500 777 N Raymond St (208) 381-2222 Group(s): St Lukes Clinic Group1952756884 Boise, ID 83704 Other Specialties: Medical Group(s): St Lukes Clinic Treasure Valley Llc (208) 514-2500 Treasure Valley Llc - Physician Assistant Group(s): The Family Smith, Dustin, MDx* Scanlan, Kathleen, MDx Medicine Residency Of Sindt, Cezanne, MDx~* Family Medicine ~* Idaho Inc Family Medicine NPI: 1427219567 Family Medicine NPI: 1780941732 701 E Parkcenter Blvd Serio Iii, Vincent, MDx~ 6051 Emerald St Boise, ID 83706 NPI: 1972545465 * 10583 W Lake Hazel Rd Boise, ID 83704 (208) 381-6500 General Practice (208) 302-5100 Group(s): St Lukes Clinic Boise, ID 83709 NPI: 1750509725 (208) 302-5950 Group(s): St Alphonsus Treasure Valley Llc 777 N Raymond St Regional Medical Center Group(s): St Alphonsus Smith, Preston, PAx~* Boise, ID 83704 Physicians -1861676298 Regional Medical Center Physician Assistant (208) 514-2500 Other Specialties: Urgent Physicians -1861676298 NPI: 1992794929 Group(s): The Family Care Clinic Schell, Amy, MDx~* Medicine Residency Of 1914 Broadway Internal Medicine Idaho Inc Sisterman, Kathryn, NP Boise, ID 83706 NPI: 1275581753 Other Specialties: Family ~* (208) 463-3000 1000 E Park Blvd Ste 120 Medicine Family Nurse Practitioner Group(s): Saltzer Clinics Boise, ID 83712 Spanish, German NPI: 1942485891 Spanish (208) 381-4100 1055 N Curtis Rd Shanahan, Alexis, MDx~ Boise, ID 83706 Smith, Preston, PAx~* Group(s): St Lukes Clinic * Physician Assistant Treasure Valley Llc (208) 367-6225 Internal Medicine Group(s): St Alphonsus NPI: 1992794929 Schell, Amy, MDx~* NPI: 1376665471 Regional Medical Center 305 E Jefferson St Internal Medicine 190 E Bannock St Physicians -1861676298 Boise, ID 83712 NPI: 1275581753 Boise, ID 83712 (208) 381-7011 300 E Jefferson St Ste 201 (208) 381-5015 Group(s): St Lukes Clinic Boise, ID 83712 Group(s): St Lukes Clinic Treasure Valley Llc (208) 381-4100 Treasure Valley Llc Spanish Group(s): St Lukes Clinic Treasure Valley Llc

30 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Snyderman, David, PAx Sur, Mousoomi, MDx~* Thompson, E Gregory, Turcotte, Roger, MDx* ~* Family Medicine MDx~* Internal Medicine Physician Assistant NPI: 1518968841 Internal Medicine NPI: 1255574109 NPI: 1750342739 2083 Hospitality Ln NPI: 1497705826 300 E Jefferson St Ste 201 300 S 23rd St Boise, ID 83716 300 E Jefferson St Ste 201 Boise, ID 83712 Boise, ID 83702 (208) 333-8345 Boise, ID 83712 (208) 381-4100 (208) 344-3512 Group(s): St Lukes Clinic (208) 381-4100 Group(s): St Lukes Clinic Group(s): Terry Reilly Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Health Services Boise Bengali, Haitian Creole Treasure Valley Llc Clinic - Medical Group Underkofler, Kari, NPx~ * Spanish Svangstu, Deborah, NPx Thompson, John, PAx~* ~* Physician Assistant Nurse Practitioner Strohmeyer, Ronald, PA Nurse Practitioner NPI: 1942483490 NPI: 1841456191 x~* NPI: 1639282585 190 E Bannock St 1914 Broadway Physician Assistant 1055 N Curtis Rd Boise, ID 83712 Boise, ID 83706 NPI: 1154805729 Boise, ID 83706 (208) 381-2222 (208) 463-3000 1914 Broadway (208) 367-2121 Group(s): St Lukes Clinic Group(s): Saltzer Clinics Boise, ID 83706 Group(s): Saint Alphonsus Treasure Valley Llc (208) 463-3000 Valle Eger, Gabriel, MD Physician Services x~* Group(s): Saltzer Clinics Thompson, Stephanie, Tanabe, Alex, MDx~* NPx~* Internal Medicine Stubbs, Leslie, MDx~* Internal Medicine Nurse Practitioner NPI: 1528325065 Internal Medicine NPI: 1134513088 NPI: 1669901245 190 E Bannock St NPI: 1588613483 300 E Jefferson Ste 201 5966 Curtisian Ave Boise, ID 83712 701 E Parkcenter Blvd Boise, ID 83712 Boise, ID 83704 (208) 381-2222 Boise, ID 83706 (208) 381-4100 (208) 302-5400 Group(s): St Lukes Clinic (208) 381-6400 Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Regional Medical Center Vanden Beld, Klaas, NP Treasure Valley Llc Physicians -1861676298 x~* Spanish, Bosnian Tenley, Clifford, MDx~* Internal Medicine Thoreson, Micah, NP~* Nurse Practitioner Sullivan, Cara, MDx~* NPI: 1700835790 Internal Medicine NPI: 1073049235 Family Medicine 600 N Robbins Rd Ste 301 NPI: 1346734860 600 N Robbins Rd Ste 100 NPI: 1912347303 Boise, ID 83702 1000 E Park Blvd Ste 120 Boise, ID 83702 777 N Raymond St (208) 385-3329 Boise, ID 83712 (208) 706-2663 Boise, ID 83704 Group(s): St Lukes Clinic (208) 381-4100 Group(s): St Lukes Clinic (208) 514-2500 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Group(s): The Family Treasure Valley Llc Vander Lugt, Allison, Medicine Residency Of Tezeno-Burris, Phyllis, NPx~* Other Specialties: Nurse NPx~* Idaho Inc Practitioner Nurse Practitioner Spanish Family Nurse Practitioner NPI: 1073542056 NPI: 1134660061 1000 E Park Blvd Ste 120 190 E Bannock St Boise, ID 83712 Boise, ID 83712 (208) 381-4100 (208) 385-3230 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

31 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Vanty Jr, Lawrence, PA Weitemier, Kenneth, MD Williams, Ryan, MD~* Wimer, Douglas, MDx~* x~* x~* Internal Medicine Family Medicine Physician Assistant Family Medicine NPI: 1114053014 NPI: 1285780916 NPI: 1609144435 NPI: 1699717926 1055 N Curtis Rd 190 E Bannock St 300 S 23rd St 701 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83712 Boise, ID 83702 Boise, ID 83706 (208) 367-6279 (208) 381-5015 (208) 344-3512 (208) 381-6500 Group(s): St Alphonsus Group(s): St Lukes Clinic Group(s): Terry Reilly Group(s): St Lukes Clinic Regional Medical Center Treasure Valley Llc Health Services Boise Treasure Valley Llc Physicians -1861676298 Clinic - Medical Group Wonderlich, Thomas, Whitaker, Tara, MDx~* Willoughby, Scott, NPx~ MD~* Waters, Ty, MDx~* Family Medicine * Family Medicine Family Medicine NPI: 1134416647 Family Nurse Practitioner NPI: 1982016788 NPI: 1518492388 1520 W State St Ste 100 NPI: 1457897852 121 E Fort St 3301 N Sawgrass Wy Boise, ID 83702 13150 W Persimmon Ln Boise, ID 83712 Boise, ID 83704 (208) 947-7700 Boise, ID 83713 (208) 514-2525 (208) 375-0862 Group(s): St Lukes Clinic (208) 938-3663 Group(s): The Family Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Pioneer Family Medicine Residency Of Treasure Valley Llc Medicine Whitaker, Tara, MDx~* Idaho Inc Weese, Jeffrey, NP~* Family Medicine Wilson, Sara, MDx~* Wrobel, Bradley, NPx~* Family Nurse Practitioner NPI: 1134416647 Internal Medicine Family Nurse Practitioner NPI: 1689226177 413 N Allumbaugh St Ste NPI: 1659638864 NPI: 1558705806 10583 W Lake Hazel Rd 101 701 E Parkcenter Blvd 1107 N 9th St Boise, ID 83709 Boise, ID 83704 Boise, ID 83706 Boise, ID 83702 (208) 302-5900 (208) 323-1125 (208) 381-6400 (208) 861-2859 Group(s): St Alphonsus Group(s): Sage Health Group(s): St Lukes Clinic Group(s): Comprehensive Regional Medical Center Care Pllc Treasure Valley Llc Health Associates Pllc Physicians -1861676298 Whitlow, Ashley, NPx~* Wilson, Zechariah, MDx You, Phyllis, MDx~* Weinrobe, Mark, MDx~ Family Nurse Practitioner ~* Family Medicine * NPI: 1275169252 Family Medicine NPI: 1265693394 Internal Medicine 1914 Broadway NPI: 1104274950 1520 W State St Ste 100 NPI: 1891740338 Boise, ID 83706 777 N Raymond St Boise, ID 83702 7272 W Potomac Dr (208) 463-3000 Boise, ID 83704 (208) 947-7700 Boise, ID 83704 Group(s): Saltzer Clinics (208) 514-2500 Group(s): St Lukes Clinic (208) 884-2922 Group(s): The Family Treasure Valley Llc Group(s): Saltzer Clinics Williams, John, MDx~* Medicine Residency Of Family Medicine Idaho Inc Zeimantz, Stephen, NPx Weiss, Zachary, MDx~* NPI: 1235122714 Term Date: 12/31/2020 ~* Family Medicine 6565 W Emerald St Nurse Practitioner NPI: 1932557782 Boise, ID 83704 NPI: 1922001478 777 N Raymond St (208) 514-2510 10112 W Overland Rd Boise, ID 83704 Group(s): The Family Boise, ID 83709 (208) 514-2500 Medicine Residency Of (208) 780-3900 Group(s): The Family Idaho Inc Group(s): Lifepath Medicine Residency Of Counseling And Wellness Idaho Inc

32 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Aiken, Dawn, NPx~* East, Karen, MDx~* Hedemark, Michael, MD Kuper, Elisabeth, MDx* Family Nurse Practitioner Internal Medicine x~* Family Medicine NPI: 1295175313 NPI: 1255380150 Internal Medicine NPI: 1952509457 3101 E State St Ste 2120 3101 E State St Ste 2120 NPI: 1992805931 3101 E State St Ste 1100 Eagle, ID 83616 Eagle, ID 83616 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 (208) 473-3275 Eagle, ID 83616 (208) 473-3500 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 473-3275 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Bellomy, Kami, NPx~* Franklin, Robert, DOx* Mcgregor, James, MD~* Family Medicine Family Medicine Hulbert, Coleen, MDx~* Family Medicine NPI: 1952852642 NPI: 1487753067 Family Medicine NPI: 1093165912 868 E Riverside Dr Ste 3101 E State St Ste 2107 NPI: 1396970612 323 E Riverside Dr Ste 170 Eagle, ID 83616 3101 E State St Ste 1100 224 Eagle, ID 83616 (208) 473-3500 Eagle, ID 83616 Eagle, ID 83616 (208) 514-0670 Group(s): St Lukes Clinic (208) 473-3500 (208) 302-6000 Group(s): Keystone Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Alphonsus Therapy Treasure Valley Llc Regional Medical Center Genther, Matthew, NPx~ Other Specialties: Family * Hulbert, David, MDx* Physicians -1861676298 Nurse Practitioner Family Medicine Family Medicine Miller, Alisha, NPx~* Dancer, Amy, NPx~* NPI: 1548784606 NPI: 1730313586 Family Nurse Practitioner Family Nurse Practitioner 868 E Riverside Dr Ste 3101 E State St Ste 1100 NPI: 1205207313 NPI: 1407214497 170 Eagle, ID 83616 450 W State St Ste 100 868 E Riverside Dr Ste Eagle, ID 83616 (208) 473-3500 Eagle, ID 83616 170 (208) 514-0670 Group(s): St Lukes Clinic (208) 939-1035 Eagle, ID 83616 Group(s): Keystone Treasure Valley Llc Group(s): St Lukes Clinic Therapy (208) 514-0670 Huntington, Mary Ann, Treasure Valley Llc Group(s): Keystone Other Specialties: Family MDx~* Mohr, Caitlin, MD~* Therapy Nurse Practitioner Internal Medicine Internal Medicine Dirmann, Carla, NPx~* Gerrish, Sarah, MDx~* NPI: 1801057708 NPI: 1346535952 Family Nurse Practitioner Family Medicine 3101 E State St Ste 2120 21 N Fisher Park Way NPI: 1851624282 NPI: 1982832176 Eagle, ID 83616 Eagle, ID 83616 21 N Fisher Park Way 3101 E State St Ste 1100 (208) 473-3275 (208) 514-0670 Eagle, ID 83616 Eagle, ID 83616 Group(s): St Lukes Clinic Group(s): Keystone Health (208) 514-0670 (208) 473-3500 Treasure Valley Llc Care Group(s): Keystone Health Group(s): St Lukes Clinic Spanish Moore, Jeffrey, MDx~* Care Treasure Valley Llc Jensen, Leonard, NPx~* Internal Medicine Hammer, Carly, PAx~* Family Nurse Practitioner NPI: 1285907055 Physician Assistant NPI: 1851604904 3101 E State St Ste 2120 NPI: 1588840409 1159 E Iron Eagle Dr Ste Eagle, ID 83616 3101 E State St Ste 1100 170D (208) 473-3275 Eagle, ID 83616 Eagle, ID 83616 Group(s): St Lukes Clinic (208) 473-3500 (208) 209-3242 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Keystone Treasure Valley Llc Therapy

33 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Oliver, Rachel, MDx~* Tanabe, Kimberly, MDx Finnegan, Jordan, PAx~ Aney, Sara, MD* Obstetrics & Gynecology ~* * Family Medicine NPI: 1043449366 Internal Medicine Medical - Physician NPI: 1619397064 3101 E State St Ste 2199 NPI: 1194773598 Assistant 4949 S Hilldale Ave Eagle, ID 83616 3101 E State St Ste 2120 NPI: 1396106928 Meridian, ID 83642 (208) 938-2220 Eagle, ID 83616 943 N Linder Rd Ste 103 (208) 706-6400 Group(s): Ob/Gyn (208) 473-3275 Kuna, ID 83634 Group(s): St Lukes Clinic Associates Pa Group(s): St Lukes Clinic (208) 922-3355 Treasure Valley Llc Spanish Treasure Valley Llc Group(s): Advanced Spanish Family Medicine Pllc Schlickman, Louis, MDx Terrell, Stephanie, NPx~ Anson, Kerry, PAx~* * * Gerrish, Sarah, MDx~* Family Medicine Internal Medicine Nurse Practitioner Family Medicine NPI: 1902150139 NPI: 1629022116 NPI: 1336127190 NPI: 1982832176 2428 N Stokesberry Pl 1139 E Winding Creek Dr 3101 E State St Ste 2199 708 E Wythe Creek Ct Ste Meridian, ID 83646 Eagle, ID 83616 Eagle, ID 83616 103 (208) 895-0050 (208) 938-8887 (208) 938-2220 Kuna, ID 83634 Group(s): Treasure Valley Group(s): L Schlickman Group(s): Ob/Gyn (208) 922-5130 Family Medicine Md Pllc Associates Pa Group(s): The Family Medicine Residency Of Appel, Jennifer, PA~* Schott, Jonathan, MDx* Tolman, Mont, DOx* Idaho Inc Family Medicine Family Medicine Family Medicine NPI: 1588918924 NPI: 1710975024 NPI: 1124069828 Adams, Brenda, MDx~* 1525 E Leigh Field Dr Ste 3101 E State St Ste 1100 3101 E State St Ste 1100 Family Medicine 150 Eagle, ID 83616 Eagle, ID 83616 NPI: 1205887288 Meridian, ID 83646 (208) 473-3500 (208) 473-3500 3090 Gentry Wy Ste 200 (208) 888-1199 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Meridian, ID 83642 Group(s): Meridian Treasure Valley Llc Treasure Valley Llc (208) 887-6813 Family Medicine Group(s): St Lukes Clinic Schott, Jonathan, MDx* Ye-Liew, Louise, DO~* Other Specialties: Treasure Valley Llc Family Medicine Geriatric Medicine - Physician Assistant NPI: 1710975024 Family Medicine Allen, Daniel, MDx~* Spanish 3101 E State St Ste 2107 NPI: 1891051942 Family Medicine Araquistain, Mary, NPx Eagle, ID 83616 1983 N Synergy Pi NPI: 1720017247 ~* (208) 473-3500 Eagle, ID 83616 3080 E Gentry Way Ste Family Nurse Practitioner Group(s): St Lukes Clinic (208) 509-8987 100 NPI: 1427152784 Treasure Valley Llc Group(s): Brightview Meridian, ID 83642 1552 Crestmont Dr Ste B Senior Health (208) 947-5390 Meridian, ID 83642 Stickler, Susanne, MDx~ * Group(s): Daniel J Allen (208) 957-5532 Internal Medicine Do Pc, D&G Medical Group(s): Doctors House NPI: 1437198884 Associates Pllc Calls Llc Group 3101 E State St Ste 2120 Spanish Eagle, ID 83616 (208) 473-3275 Group(s): St Lukes Clinic Treasure Valley Llc

34 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Astley, Scott, PAx~* Bateman, Wade, MDx~* Berglund, J Alexander, Carmichael, Lindsey, PA Medical - Physician Family Medicine MDx~* x~* Assistant NPI: 1730131038 Internal Medicine Medical - Physician NPI: 1255482683 1828 S Millennium Way NPI: 1184915183 Assistant 3015 E Magic View Dr Ste 300 520 S Eagle Rd Ste 3102 NPI: 1285904144 Ste 120 Meridian, ID 83642 Meridian, ID 83642 3015 E Magic View Dr Meridian, ID 83642 (208) 895-8775 (208) 706-5100 Meridian, ID 83642 (208) 321-4000 Group(s): Summit Family Group(s): St Lukes Clinic (208) 321-4000 Group(s): Direct Health Treasure Valley Llc Group(s): Direct Orthopedic Care Orthopedic Care Beach, A Pendleton, MD Birch, Tyler, DOx~* Axtell, Ricky, MD~* ~* Internal Medicine Cook, Jennifer, NPx~* Family Medicine Family Medicine NPI: 1003278730 Nurse Practitioner NPI: 1548482771 NPI: 1912968892 520 S Eagle Rd Ste 3102 NPI: 1073858049 3277 E Louise Dr Ste 20 2275 S Eagle Rd Ste 120 Meridian, ID 83642 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 (208) 706-5100 Ste 100 (208) 463-3000 (208) 514-2520 Group(s): St Lukes Clinic Meridian, ID 83642 Group(s): Saltzer Clinics Group(s): The Family Treasure Valley Llc (208) 884-3376 Medicine Residency Of Group(s): Ada West Barnhart, Carolyn, NPx Idaho Inc Blanchard, Jordan, MDx Dermatology ~* ~* Spanish Nurse Practitioner Family Medicine Cron, Andrew, MDx* NPI: 1033190582 Beattie, Christie, NPx~* NPI: 1356630941 Family Medicine 520 S Eagle Rd Ste 1221 Nurse Practitioner 2855 E Magic View Dr NPI: 1497707897 Meridian, ID 83642 NPI: 1164734240 Meridian, ID 83642 1828 S Millennium Way (208) 706-5447 790 W Ustick Rd Ste 110 (208) 639-4900 Ste 300 Group(s): St Lukes Clinic Meridian, ID 83646 Group(s): Idaho Urologic Meridian, ID 83642 Treasure Valley Llc (208) 639-3990 Institute Pa (208) 895-8775 Group(s): Borron Family Other Specialties: Urgent Group(s): Summit Family Barron, Gregory, NPx~* Medicine Care Clinic Health Family Medicine NPI: 1932447695 Beaufort, Bradley, DOx~ Bossolono Williams, Crossland, Courtney, PA 3080 E Gentry Way Ste * Tina, NPx~* * 100 Family Medicine Family Nurse Practitioner Physician Assistant Meridian, ID 83642 NPI: 1063851434 NPI: 1891264545 NPI: 1811471790 (208) 947-5390 2347 E Gala St Ste 150 867 S Vanguard Way 4949 S Hilldale Ave Group(s): D&G Medical Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Associates Pllc (208) 345-3530 (208) 463-3000 (208) 706-6400 Other Specialties: Family Group(s): St Lukes Clinic Group(s): Saltzer Clinics Group(s): St Lukes Clinic Nurse Practitioner Treasure Valley Llc Treasure Valley Llc Tagalog Brown, Hayley, NPx~* Spanish Family Nurse Practitioner NPI: 1518395169 3399 E Louise Dr Ste 100 Meridian, ID 83642 (208) 887-6813 Group(s): St Lukes Clinic Treasure Valley Llc

35 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Crump, William, MDx~* Degeus, Mindy, NPx~* Dobbin, Heather, PAx~* Elder, Becky, NPx~* Family Medicine Family Nurse Practitioner Internal Medicine Nurse Practitioner NPI: 1740232529 NPI: 1316589278 NPI: 1194022889 NPI: 1417938473 3399 E Louise Dr Ste 100 39 W Pine Ave Ste B20 520 S Eagle Rd Ste 3102 520 S Eagle Rd Ste 3209 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 And 3219 (208) 887-6813 (208) 286-8670 (208) 706-5100 Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): D&G Medical Group(s): St Lukes Clinic (208) 345-5250 Treasure Valley Llc Associates Pllc Treasure Valley Llc Group(s): St Lukes Clinic Other Specialties: Treasure Valley Llc Dauten, Amanda, MD~* Develle, Robyn, NPx~* Physician Assistant Family Medicine Nurse Practitioner Ellefson, Shauna, NPx~* NPI: 1699154120 NPI: 1215954862 Domangue-Shiflett, Nurse Practitioner 2275 S Eagle Rd Ste 120 1552 Crestmont Dr Ste B Natalie, MDx~* NPI: 1588943435 Meridian, ID 83642 Meridian, ID 83642 Family Medicine 1620 S Celebration Ave (208) 514-2520 (208) 957-5532 NPI: 1376510123 Meridian, ID 83642 Group(s): The Family Group(s): Doctors House 4740 N Penngrove Rd Ste (208) 884-1030 Medicine Residency Of Calls Llc Group 100 Group(s): St Lukes Clinic Idaho Inc Meridian, ID 83646 Treasure Valley Llc Develle, Robyn, NPx~* (208) 938-3663 Davies, Danielle, MDx~* Nurse Practitioner Figueroa, April, NPx* Group(s): Pioneer Family Family Medicine NPI: 1215954862 Nurse Practitioner Medicine NPI: 1871904789 750 W Ustick Rd Ste 100 NPI: 1982952529 2275 S Eagle Rd Ste 120 Meridian, ID 83646 Duncan, Cassandra, NP~ 4949 S Hilldale Ave Meridian, ID 83642 (208) 639-1397 * Meridian, ID 83642 (208) 514-2520 Group(s): Align Integrated Family Nurse Practitioner (208) 706-6400 Group(s): The Family Medical Llc NPI: 1760025142 Group(s): St Lukes Clinic Medicine Residency Of 1545 E Leighfield Dr Ste Treasure Valley Llc Dirmann, Carla, NPx~* Idaho Inc 100 Family Nurse Practitioner Meridian, ID 83646 Freston, Christina, DOx ~* Davis, Toby, DOx~* NPI: 1851624282 (208) 957-6871 Family Medicine Family Medicine 2131 S Bonito Way Group(s): Bella Family NPI: 1003170176 NPI: 1891987467 Meridian, ID 83642 Healthcare Aesthetics 3399 E Louise Dr Ste 100 (208) 489-9500 1552 Crestmont Dr Ste B Meridian, ID 83642 Group(s): Apogee Medical Duncan, Cassandra, NP~ Meridian, ID 83642 (208) 288-2255 Group Idaho Pc * (208) 957-5532 Group(s): St Lukes Clinic Family Nurse Practitioner Group(s): Doctors House Dirmann, Carla, NPx~* Treasure Valley Llc NPI: 1760025142 Calls Llc Group Family Nurse Practitioner Other Specialties: Urgent 2536 N Stokesberry Pl NPI: 1851624282 Meridian, ID 83646 Fries-Geslin, Kelli, NPx~ Care Clinic * 625 S Arbor Lane 2nd Flr (208) 855-0880 Family Nurse Practitioner Ste A Group(s): Kaylor Family NPI: 1518415942 Meridian, ID 83642 Medicine (208) 209-3242 55 W Willowbrook Dr Ste Group(s): Keystone Health 103 Care Meridian, ID 83646 (208) 402-9956 Group(s): Finding Home Healthcare

36 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Galloway, Amy, NPx~* Guy, Rebecca, NPx* Hicks, Michelle, NPx~* Huffine, Esther, NP~* Family Nurse Practitioner Family Nurse Practitioner Adult Health Nurse Family Nurse Practitioner NPI: 1306817226 NPI: 1740532720 Practitioner NPI: 1326477258 3140 W Milano Dr Ste 3140 W Milano Dr Ste NPI: 1508973991 1672 S Woodsage Ave Ste 150 150 520 S Eagle Rd Ste 3211 102 Meridian, ID 83646 Meridian, ID 83646 Meridian, ID 83642 Meridian, ID 83642 (208) 887-4775 (208) 887-4775 (208) 706-5930 (208) 515-2273 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Meridian Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Advanced Psychiatry Llc Other Specialties: Family Genther, Matthew, NPx~ Hall, D Eric, DOx~* Jardine, Suzanne, NP~* Medicine * Family Medicine Family Nurse Practitioner Family Medicine NPI: 1780671347 Holland, Robert, MDx~* NPI: 1306390380 NPI: 1548784606 3399 E Louise Dr Ste 100 Family Medicine 1545 E Leighfield Dr Ste 625 S Arbor Ln Ste A Meridian, ID 83642 NPI: 1356348015 100 Meridian, ID 83642 (208) 887-6813 3399 E Louise Dr Ste 100 Meridian, ID 83646 (208) 549-7880 Group(s): St Lukes Clinic Meridian, ID 83642 (208) 957-6871 Group(s): Keystone Treasure Valley Llc (208) 288-2255 Group(s): Bella Family Therapy Spanish Group(s): St Lukes Clinic Healthcare Aesthetics Other Specialties: Family Treasure Valley Llc Nurse Practitioner Hasty, Robert, DOx~* Jares, Shannon, NP~* Internal Medicine Hollist, Julianne, NP~* Family Nurse Practitioner Gerrish, Sarah, MDx~* NPI: 1407812175 Gerontology Nurse NPI: 1831755271 Family Medicine 520 S Eagle Rd Ste 1221 Practitioner 1672 S Woodsage Ave Ste NPI: 1982832176 Meridian, ID 83642 NPI: 1356976039 102 2275 S Eagle Rd Ste 120 (208) 706-5447 55 W Willowbrook Dr Ste Meridian, ID 83642 Meridian, ID 83642 Group(s): St Lukes Clinic 103 (208) 515-2273 (208) 514-2520 Treasure Valley Llc Meridian, ID 83646 Group(s): Meridian Group(s): The Family Spanish (208) 402-9956 Advanced Psychiatry Llc Medicine Residency Of Group(s): Finding Home Henao, Gloria, MDx~* Jencks, Crystal, MDx~* Idaho Inc Healthcare Internal Medicine Family Medicine Gorham, Amber, PAx~* NPI: 1306036835 Hsu, Karin, PAx~* NPI: 1508877788 Internal Medicine 2131 S Bonito Way Physician Assistant 3025 W Cherry Ln Ste B NPI: 1881718880 Meridian, ID 83642 NPI: 1598223125 Meridian, ID 83642 3080 E Gentry Way Ste (208) 489-9500 867 S Vanguard Way (208) 302-6400 200 Group(s): Apogee Medical Meridian, ID 83642 Group(s): St Alphonsus Meridian, ID 83642 Group Idaho Pc (208) 463-3000 Regional Medical Center (208) 338-8900 Spanish Group(s): Saltzer Clinics Physicians -1861676298 Group(s): Womens Health Associates Pllc Other Specialties: Physician Assistant

37 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Johnson, Frank, MDx~* Keller, Katrina, ARNP~ Klein, Scott, NP~* Landry, Jennifer, PAx~* Internal Medicine * Family Nurse Practitioner Physician Assistant NPI: 1841249307 Family Nurse Practitioner NPI: 1174169254 NPI: 1245793157 520 S Eagle Rd Ste 3102 NPI: 1972860815 55 W Willowbrook Dr Ste 3399 E Louise Dr Ste 100 Meridian, ID 83642 3080 E Gentry Way Ste 103 Meridian, ID 83642 (208) 706-5100 100 Meridian, ID 83646 (208) 288-2255 Group(s): St Lukes Clinic Meridian, ID 83642 (208) 402-9956 Group(s): St Lukes Clinic Treasure Valley Llc (509) 535-1143 Group(s): Finding Home Treasure Valley Llc Group(s): Inland Healthcare Other Specialties: Family Jones Jr, James, NPx~* Community House Calls Medicine Nurse Practitioner Corp Krahn, Janae, MD~* NPI: 1184986101 Family Medicine Lane, Megan, PAx~* 55 W Willowbrook Dr Ste Kfoury, Abdallah, MDx~ NPI: 1740660273 Physician Assistant 103 * 2275 S Eagle Rd Ste 120 NPI: 1326380544 Meridian, ID 83646 Internal Medicine Meridian, ID 83642 3277 E Louise Dr Ste 350 (208) 402-9956 NPI: 1134132681 (208) 514-2520 Meridian, ID 83642 Group(s): Finding Home 3525 E Louise Dr Ste 400 Group(s): The Family (208) 887-9500 Healthcare Meridian, ID 83642 Medicine Residency Of Group(s): Idaho Arthritis (208) 322-1680 Idaho Inc Center Jordan, Anthony, MDx~ Group(s): St Lukes Clinic Spanish * Treasure Valley Llc Leonard, Bryce, PA~* Family Medicine Other Specialties: Kropf, Mark, MDx~* Physician Assistant NPI: 1144212549 Cardiovascular Disease Family Medicine NPI: 1356743843 1828 S Millennium Way French NPI: 1528052636 520 S Eagle Rd Ste 1241 Ste 300 3140 W Milano Dr Ste Meridian, ID 83642 Meridian, ID 83642 Kipsuge, Kimereng, NP~ 150 (208) 381-6930 (208) 895-8775 * Meridian, ID 83646 Group(s): St Lukes Clinic Group(s): Summit Family Gerontology Nurse (208) 887-4775 Treasure Valley Llc Health Practitioner Group(s): St Lukes Clinic Levitch, Rachel, PAx~* NPI: 1205489978 Treasure Valley Llc Kaylor, Michael, MD~* Medical - Physician 55 W Willowbrook Dr Ste Italian Family Medicine 103 Assistant NPI: 1104878610 Meridian, ID 83646 Laky, Devin, MDx~* NPI: 1740515287 2536 N Stokesberry Pl (208) 402-9956 Family Medicine 2275 S Eagle Rd Ste 120 Meridian, ID 83646 Group(s): Finding Home NPI: 1154732212 Meridian, ID 83642 (208) 855-0880 Healthcare 3399 E Louise Dr Ste 100 (208) 514-2520 Group(s): Kaylor Family Meridian, ID 83642 Group(s): The Family Medicine Kittelson, Brian, NPx~* (208) 288-2255 Medicine Residency Of Family Medicine Group(s): St Lukes Clinic Idaho Inc NPI: 1730234345 Treasure Valley Llc 3277 E Louise Dr Ste 200 Meridian, ID 83642 (208) 463-3000 Group(s): Saltzer Clinics Other Specialties: Family Nurse Practitioner

38 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Locke, Rebecca, DOx~* Martin-Thompson, Moorhouse, Aaron, DOx Pellant, Angela, MDx* Family Medicine Michelle, MDx~* ~* Family Medicine NPI: 1265672281 Internal Medicine Family Medicine NPI: 1780626358 3399 E Louise Dr Ste 100 NPI: 1730306705 NPI: 1689602914 1828 S Millennium Way Meridian, ID 83642 520 S Eagle Rd Ste 1221 4740 N Penngrove Rd Ste Ste 300 (208) 288-2255 Meridian, ID 83642 100 Meridian, ID 83642 Group(s): St Lukes Clinic (208) 706-5447 Meridian, ID 83646 (208) 895-8775 Treasure Valley Llc Group(s): St Lukes Clinic (208) 938-3663 Group(s): Summit Family Other Specialties: Treasure Valley Llc Group(s): Pioneer Family Health Obstetrics Medicine Term Date: 12/31/2020 Martinsen, Misty, NPx~* Long, Jessica, NP~* Family Nurse Practitioner Morgan, Mary, NPx~* Pennings, Kelly, DO~* Gerontology Nurse NPI: 1467685511 Family Nurse Practitioner Family Medicine Practitioner 55 W Willowbrook Dr Ste NPI: 1437381209 NPI: 1255866026 NPI: 1194244707 103 1660 S Woodsage Ave 4949 S Hillsdale Ave 55 W Willowbrook Dr Ste Meridian, ID 83646 Meridian, ID 83642 Meridian, ID 83642 103 (208) 402-9956 (208) 906-1231 (208) 706-6400 Meridian, ID 83646 Group(s): Finding Home Group(s): Morgan Family Group(s): St Lukes Clinic (208) 402-9956 Healthcare Medicine Treasure Valley Llc Group(s): Finding Home Spanish Mcdermott, J David, PA Poinier, Anne, MDx~* Healthcare x~* Morgan, Tracy, MDx~* Internal Medicine Loveland, William, MDx Physician Assistant Family Medicine NPI: 1962451138 * NPI: 1689627069 NPI: 1346277118 3277 E Louise Dr Ste 200 Family Medicine 520 S Eagle Rd Ste 3102 2347 E Gala St Ste 150 Meridian, ID 83642 NPI: 1831140854 Meridian, ID 83642 Meridian, ID 83642 (208) 463-3000 1828 S Millennium Way (208) 706-5100 (208) 345-3530 Group(s): Saltzer Clinics Ste 300 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc Povar, Jared, NPx~* (208) 895-8775 Family Nurse Practitioner Miltner, Natasha, MDx~ Olsen, Shayne, DOx~* Group(s): Summit Family NPI: 1215470661 * Internal Medicine Health 2016 S Eagle Rd Internal Medicine NPI: 1841320900 Japanese Meridian, ID 83642 NPI: 1396832770 520 S Eagle Rd (208) 887-6810 Major, Meikel, MDx~* 520 S Eagle Rd Ste 3102 Meridian, ID 83642 Group(s): Back 2 Life Family Medicine Meridian, ID 83642 (208) 706-5000 Medical Inc NPI: 1730317975 (208) 706-5100 Group(s): St Lukes Clinic Other Specialties: Nurse 3080 E Gentry Way Ste Group(s): St Lukes Clinic Treasure Valley Llc Practitioner 100 Treasure Valley Llc Partridge, Christopher, Meridian, ID 83642 Powers, Benjamin, MDx MDx~* ~* (208) 947-5390 Family Medicine Internal Medicine Group(s): D&G Medical NPI: 1497848766 NPI: 1841204567 Associates Pllc 2428 N Stokesberry Pl 520 S Eagle Rd Ste 3102 Meridian, ID 83646 Meridian, ID 83642 (208) 895-0050 (208) 706-5100 Group(s): Treasure Valley Group(s): St Lukes Clinic Family Medicine Treasure Valley Llc

39 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Prinzing, Benjamin, NPx Reynolds, Tricia, NP~* Robbins, Jeffrey, NPx~* Scott, Julie, PAx* ~* Family Nurse Practitioner Family Nurse Practitioner Medical - Physician Family Medicine NPI: 1427458322 NPI: 1669408514 Assistant NPI: 1437661345 55 W Willowbrook Dr Ste 1660 S Woodsage Ave NPI: 1811001415 2985 S Meridian Rd Ste 103 Meridian, ID 83642 1828 S Millennium Way 100 Ste 100 Meridian, ID 83646 (208) 906-1231 Ste 300 Meridian, ID 83642 (208) 402-9956 Group(s): Morgan Family Meridian, ID 83642 (208) 287-9444 Group(s): Finding Home Medicine (208) 895-8775 Group(s): Rmhw Meridian Healthcare Spanish, Portuguese Group(s): Summit Family South Health Rheder, Jan, NPx~* Robinson, Steven, NPx~* Ray, Amy, NPx~* Family Nurse Practitioner Family Medicine Serio Iii, Vincent, MDx~ Family Medicine NPI: 1083038335 NPI: 1457875833 * NPI: 1174778898 4740 N Penngrove Rd Ste 2985 S Meridian Rd Ste General Practice 2985 S Meridian Rd Ste 100 100 Ste 100 NPI: 1750509725 100 Ste 100 Meridian, ID 83646 Meridian, ID 83642 2275 S Eagle Rd Ste 120 Meridian, ID 83642 (208) 938-3663 (208) 287-9444 Meridian, ID 83642 (208) 287-9444 Group(s): Pioneer Family Group(s): Rmhw Meridian (208) 514-2520 Group(s): Rmhw Meridian Medicine South Group(s): The Family South Medicine Residency Of Richard, Nathan, PAx~* Ross, Allyson, MDx~* Idaho Inc Reed, Bonnie, MDx~* Medical - Physician Family Medicine Other Specialties: Family Family Medicine Assistant NPI: 1306157466 Medicine NPI: 1093155814 NPI: 1366993883 3140 W Milano Dr Ste Spanish, German 3399 E Louise Dr Ste 100 3399 E Louise Dr Ste 100 150 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83646 Shalz, Jennifer, MDx~* (208) 887-6813 (208) 887-6813 (208) 887-4775 Internal Medicine Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic NPI: 1245346303 Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc 3525 E Louise Dr Ste 500 Meridian, ID 83642 Reynolds, Catherine, Other Specialties: Urgent Sand, Lindsey, NPx* (208) 706-7050 MDx~* Care Clinic Family Nurse Practitioner Group(s): St Lukes Clinic Family Medicine Richardson, Erik, DOx~ NPI: 1285293639 Treasure Valley Llc NPI: 1104868884 * 2347 E Gala St Ste 150 2347 E Gala St Ste 150 Family Medicine Meridian, ID 83642 Shepherdson, Nikole, DO Meridian, ID 83642 NPI: 1942307640 (208) 345-3530 ~* (208) 345-3530 2840 S Meridian Rd Group(s): St Lukes Clinic Family Medicine Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc NPI: 1760610950 Treasure Valley Llc (208) 463-3000 2275 S Eagle Rd Ste 120 Group(s): Saltzer Clinics Meridian, ID 83642 Spanish (208) 514-2520 Group(s): The Family Medicine Residency Of Idaho Inc Spanish

40 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Singleton, Russell, PAx~ Taylor, Joy, NPx~* Vanden Beld, Klaas, NP Whitlow, Ashley, NPx~* * Family Nurse Practitioner x~* Family Nurse Practitioner Physician Assistant NPI: 1184850141 Nurse Practitioner NPI: 1275169252 NPI: 1588913214 55 W Willowbrook Dr Ste NPI: 1073049235 867 S Vanguard Way 2428 N Stokesberry Pl 103 3277 E Louise Dr Ste 410 Meridian, ID 83642 Meridian, ID 83646 Meridian, ID 83646 Meridian, ID 83642 (208) 463-3000 (208) 895-0050 (208) 402-9956 (208) 489-5800 Group(s): Saltzer Clinics Group(s): Treasure Valley Group(s): Finding Home Group(s): St Lukes Clinic Willis, Mark, NP~* Family Medicine Healthcare Treasure Valley Llc Spanish Family Nurse Practitioner Terrell, Stephanie, NPx~ Vulcan, Florentina, NPx NPI: 1154838886 Slade, Jason, MDx~* * ~* 55 W Willowbrook Dr Ste Internal Medicine Nurse Practitioner Nurse Practitioner 103 NPI: 1750672481 NPI: 1336127190 NPI: 1376175083 Meridian, ID 83646 2131 S Bonito Way 3520 E Louise Dr 39 W Pine Ave Ste B20 (208) 402-9956 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Group(s): Finding Home (208) 489-9500 (208) 888-0909 (208) 286-8670 Healthcare Group(s): Apogee Medical Group(s): Ob/Gyn Group(s): D&G Medical Group Idaho Pc Associates Pa Associates Pllc Wilson, Kevin, MDx~* Family Medicine Sparks, Toni, NPx~* Tomey, David, PAx~* Watson, Kimberly, NP~* NPI: 1225080732 Family Nurse Practitioner Physician Assistant Family Nurse Practitioner 3140 W Milano Dr Ste NPI: 1356454839 NPI: 1841233160 NPI: 1760025639 150 2321 E Gala St Ste 3 Ste 3 2985 S Meridian Rd Ste 1130 E Fairview Ave Meridian, ID 83646 Meridian, ID 83642 100 Meridian, ID 83642 (208) 887-4775 (208) 888-5848 Meridian, ID 83642 (208) 895-6729 Group(s): St Lukes Clinic Group(s): Midvalley (208) 287-9444 Group(s): Unity Health Treasure Valley Llc Healthcare Group(s): Trinity Family Center Spanish Medicine Strohmeyer, Ronald, PA Wertzler, Kelsey, MD~* Wilson, Sara, NPx~* x~* Turner, Mark, MD~* Family Medicine Nurse Practitioner Physician Assistant Family Medicine NPI: 1659782829 NPI: 1417338104 NPI: 1154805729 NPI: 1962443101 2275 S Eagle Rd Ste 120 745 S Progress Ave Ste 867 S Vanguard Way 2463 E Gala St Meridian, ID 83642 120 Meridian, ID 83642 Meridian, ID 83642 (208) 514-2520 Meridian, ID 83642 (208) 463-3000 (208) 955-7333 Group(s): The Family (208) 795-5073 Group(s): Saltzer Clinics Group(s): Northwest Medicine Residency Of Group(s): West Valley Idaho Inc Tarter, Cherese, NPx~* Neurobehavioral Health Medical Group Specialty Spanish Nurse Practitioner Llc Services Llc NPI: 1275631244 Whitlow, Ashley, NPx~* 1560 N Crestmont Dr Ste Family Nurse Practitioner A NPI: 1275169252 Meridian, ID 83642 808 S Vanguard Way (208) 650-4888 Meridian, ID 83642 Group(s): Tarter Family (208) 463-3000 Medicine Group(s): Saltzer Clinics

41 Primary Care Providers / Proveedores de atención primaria Ada County continued/Condado seguido

Woodlief, Justin, MDx~* Bitters, J'cinda, MDx~* Czerna, Brittany, NPx~* Hoewing, Heather, PAx~ Internal Medicine Family Medicine Nurse Practitioner * NPI: 1184062911 NPI: 1104089556 NPI: 1427415835 Medical - Physician 520 S Eagle Rd Ste 3102 1906 Fairview Ave Ste 3110 Cleveland Blvd Bldg Assistant Meridian, ID 83642 203 A Ste A7 NPI: 1013148725 (208) 706-5100 Caldwell, ID 83605 Caldwell, ID 83605 1906 Fairview Ave Ste Group(s): St Lukes Clinic (208) 459-4667 (509) 222-1275 230 Treasure Valley Llc Group(s): West Valley Group(s): Ideal Option Caldwell, ID 83605 Medical Group Llc Pllc_Wa_Id (208) 459-4667 Burleigh Gilbert, Debra, Other Specialties: Family Group(s): West Valley NPx~* Bitters, J'cinda, MDx~* Nurse Practitioner Medical Group Llc, West Family Nurse Practitioner Family Medicine Valley Medical Associates NPI: 1124333927 NPI: 1104089556 Hoewing, Heather, PAx~ Inc * 10717 W State St 1906 Fairview Ave Ste Other Specialties: Medical - Physician Star, ID 83669 230 Physician Assistant (208) 302-2600 Caldwell, ID 83605 Assistant Group(s): St Alphonsus (208) 459-4667 NPI: 1013148725 Hogg, Nathanael, DOx~* Regional Medical Center Group(s): West Valley 1906 Fairview Ave Ste Internal Medicine Physicians -1861676298 Medical Group Llc 203 NPI: 1225420250 Caldwell, ID 83605 1717 Arlington Ave Canyon Bitters, J'cinda, MDx~* (208) 459-4667 Caldwell, ID 83605 Family Medicine Abul Husn, Nina, MDx~ Group(s): West Valley (208) 459-4641 NPI: 1104089556 Medical Group Llc Group(s): West Valley * 211 E Logan St Ste 303 Family Medicine Other Specialties: Medical Associates Inc And 203 Physician Assistant NPI: 1538421094 Caldwell, ID 83605 Hogg, Nathanael, DOx~* 2005 Arlington (208) 459-4667 Hoewing, Heather, PAx~ Internal Medicine Caldwell, ID 83605 Group(s): West Valley * NPI: 1225420250 (208) 459-1025 Medical Group Llc Medical - Physician 1906 Fairview Ave Ste Group(s): Terry Reilly Assistant 230 Health Services Caldwell Celedon, Jose, NPx~* NPI: 1013148725 Caldwell, ID 83605 Clinic - Mg1043230501 Gerontology Nurse 1906 Fairview Ave Ste (208) 459-4667 Spanish Practitioner 230 Group(s): West Valley NPI: 1326520719 Caldwell, ID 83605 Medical Associates Inc Baldwin, Brenton, MDx~ 2814 S Indiana Ave * (208) 459-4667 Caldwell, ID 83605 Hotchkiss, Ian, DOx~* Family Medicine Group(s): West Valley (208) 459-0808 Medical Associates Inc Family Medicine NPI: 1649610528 Group(s): Medical NPI: 1174063036 315 E Elm St Ste 100 Other Specialties: Directors Of Idaho Physician Assistant 315 E Elm St Ste 200 Caldwell, ID 83605 Caldwell, ID 83605 (208) 302-7100 (208) 302-7500 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

42 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Koga, Steven, MDx~* Llenos, Joe, MDx~* Orme, Lindsay, MD~* Sallstrom, Jessica, DOx~ Internal Medicine Family Medicine Family Medicine * NPI: 1144275512 NPI: 1003073560 NPI: 1235541699 Family Medicine 1906 Fairview Ave Ste 211 E Logan St Ste 303 315 E Elm St Ste 100 NPI: 1265967038 203 And 203 Caldwell, ID 83605 2005 Arlington Caldwell, ID 83605 Caldwell, ID 83605 (208) 302-7100 Caldwell, ID 83605 (208) 459-4667 (208) 459-4667 Group(s): St Alphonsus (208) 459-1025 Group(s): West Valley Group(s): West Valley Regional Medical Center Group(s): Terry Reilly Medical Group Llc Medical Group Llc Physicians -1861676298 Health Services Caldwell Other Specialties: Hospice Clinic - Mg1043230501, Llenos, Joe, MDx~* Page, Travis, DOx~* And Palliative Medicine - Terry Reilly Health Family Medicine Family Medicine Family Medicine Services - Medical NPI: 1003073560 NPI: 1396760385 Group1457309122 1906 Fairview Ave Ste Mccallister, Ashley, NPx 2523 S 10th Ave Ste 103 Spanish 203 ~* Caldwell, ID 83605 Caldwell, ID 83605 Family Nurse Practitioner (208) 459-7788 Sawmiller, Jennifer, PAx (208) 459-4667 NPI: 1083167357 Group(s): Caldwell ~* Group(s): West Valley 1717 Arlington Ave Immediate Care Family Medicine Medical Group Llc Caldwell, ID 83605 NPI: 1710433859 Renak, Mandy, NPx~* Other Specialties: Hospice (208) 459-4641 2005 Arlington Family Nurse Practitioner And Palliative Medicine - Group(s): West Valley Caldwell, ID 83605 NPI: 1205241650 Family Medicine Medical Associates Inc (208) 459-1025 13307 Miami Ln Group(s): Terry Reilly Llenos, Joe, MDx~* Mcconkie Jr, Richard, Caldwell, ID 83607 Health Services Caldwell Family Medicine NPx~* (208) 455-5300 Clinic - Mg1043230501, NPI: 1003073560 Nurse Practitioner Group(s): Southwest Terry Reilly Health 1906 Fairview Ave Ste NPI: 1457792277 District Health Services - Medical 230 1906 Fairview Ave Ste Reno, Adam, DO~* Group1457309122 Caldwell, ID 83605 203 Family Medicine Other Specialties: Medical (208) 459-4667 Caldwell, ID 83605 NPI: 1841731155 - Physician Assistant Group(s): West Valley (208) 459-4667 1906 Fairview Ave Ste Medical Group Llc Group(s): West Valley Stockton, Benjamin, MD 203 Other Specialties: Hospice Medical Group Llc x~* Caldwell, ID 83605 And Palliative Medicine - Family Medicine Moulton, Travis, DOx~* (208) 459-4667 Family Medicine NPI: 1124476072 Family Medicine Group(s): West Valley 315 E Elm St Ste 100 NPI: 1760744403 Medical Group Llc Caldwell, ID 83605 1906 Fairview Ave Ste Robinson, Neysa, PAx~* (208) 459-7415 203 Group(s): The Family Caldwell, ID 83605 Physician Assistant NPI: 1457854515 Medicine Residency Of (208) 459-4667 Idaho Inc Group(s): West Valley 13307 Miami Lane Medical Group Llc Caldwell, ID 83607 Spanish (208) 546-3046 Group(s): Lifeways Inc

43 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Sup, Jacob, DOx~* Walner, Staci, NPx~* Sallstrom, Jessica, DOx~ Sallstrom, Jessica, DOx~ Family Medicine Nurse Practitioner * * NPI: 1295266401 NPI: 1669036976 Family Medicine Family Medicine 2005 Arlington 3110 Cleveland Blvd Bldg NPI: 1265967038 NPI: 1265967038 Caldwell, ID 83605 A Ste A7 150 2nd St 201 S Paradise Ave (208) 459-1025 Caldwell, ID 83605 Melba, ID 83641 Middleton, ID 83644 Group(s): Terry Reilly (509) 222-1275 (208) 495-1011 (208) 585-0048 Health Services Caldwell Group(s): Ideal Option Group(s): Terry Reilly Group(s): Terry Reilly Clinic - Mg1043230501, Pllc_Wa_Id Health Clinics Melba Health Services - Medical Terry Reilly Health Dental - Mg1578574521, Group, Terry Reilly Wiberg, Ralene, MDx~* Services - Medical Terry Reilly Health Health Services - Medical Family Medicine Group1457309122 Services - Medical Group1134527708, Terry NPI: 1912956806 Group1457309122 Reilly Health Services - Thacker, Robert, NPx~* 2005 Arlington Spanish Medical Nurse Practitioner Caldwell, ID 83605 Group1457309122 Sawmiller, Jennifer, PAx NPI: 1124309224 (208) 459-1025 Spanish 1906 Fairview Ave Ste Group(s): Terry Reilly ~* 203 Health Services Caldwell Family Medicine Sawmiller, Jennifer, PAx Caldwell, ID 83605 Clinic - Mg1043230501 NPI: 1710433859 ~* (208) 459-4667 150 2nd St Family Medicine Wilson, Matthew, MDx~ Melba, ID 83641 NPI: 1710433859 Group(s): West Valley * Medical Group Llc (208) 495-1011 201 S Paradise Ave Family Medicine Group(s): Terry Reilly Middleton, ID 83644 Thacker, Robert, NPx~* NPI: 1063807097 Health Clinics Melba (208) 585-0048 Nurse Practitioner 2005 Arlington Dental - Mg1578574521, Group(s): Terry Reilly NPI: 1124309224 Caldwell, ID 83605 Terry Reilly Health Health Services - Medical 1906 Fairview Ave Ste (208) 459-1025 Services - Medical Group, Terry Reilly 230 Group(s): Terry Reilly Group1457309122 Health Services - Medical Caldwell, ID 83605 Health Services Caldwell Other Specialties: Medical Group1134527708, Terry (208) 459-4667 Clinic - Mg1043230501 - Physician Assistant Reilly Health Services - Group(s): West Valley Spanish Medical Medical Group Llc Laitinen, William, MDx~ Acevedo-Daniels, Suhrei, * Group1457309122 Thibault, Cheryl, NPx~* MDx~* Family Medicine Other Specialties: Medical Family Nurse Practitioner Family Medicine NPI: 1598792863 - Physician Assistant NPI: 1346301967 NPI: 1508824640 201 S Paradise Ave Abul Husn, Nina, MDx~ 13307 Miami Ln 150 2nd St Middleton, ID 83644 * Caldwell, ID 83607 Melba, ID 83641 (208) 585-0048 Family Medicine (208) 455-5300 (208) 495-1011 Group(s): Terry Reilly NPI: 1538421094 Group(s): Southwest Group(s): Terry Reilly Health Services - Medical 1603 12th Ave Rd District Health Health Clinics Melba Group Nampa, ID 83686 Spanish Dental - Mg1578574521 Spanish (208) 442-0096 Spanish Group(s): Raise The Bottom Training And Counseling Services-Phys Group Spanish

44 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Ashaye, Jaiyeola, MDx~ Black, Stuart, MDx~* Bowman, Jonathan, MD Buxton, Robert, DOx~* * Family Medicine x~* Family Medicine Family Medicine NPI: 1053351361 Family Medicine NPI: 1073778098 NPI: 1952488561 207 1st St S NPI: 1497703169 4403 E Flamingo Ave 9850 W St Lukes Dr Ste Nampa, ID 83651 207 1st St S Nampa, ID 83687 329 (208) 466-7869 Nampa, ID 83651 (208) 465-5000 Nampa, ID 83687 Group(s): Terry Reilly (208) 466-7869 Group(s): St Alphonsus (208) 463-7300 Health Services - Medical Group(s): Terry Reilly Regional Medical Center Group(s): St Lukes Clinic Group1134527708 Health Services - Medical Physicians -1861676298 Treasure Valley Llc Spanish Group1134527708 Carmichael, Lindsey, PA Astley, Scott, PAx~* Black, Stuart, MDx~* Brown, Kristina, DO~* x~* Medical - Physician Family Medicine Family Medicine Medical - Physician Assistant NPI: 1053351361 NPI: 1992104418 Assistant NPI: 1255482683 9850 W St Lukes Dr 9850 W St Lukes Dr Ste NPI: 1285904144 16818 N Market Pl Blvd Nampa, ID 83687 290 16818 N Market Pl Blvd Nampa, ID 83687 (208) 505-2000 Nampa, ID 83687 Nampa, ID 83687 (208) 321-4000 Group(s): Terry Reilly (208) 463-7300 (208) 321-4000 Group(s): Direct Health Services - Medical Group(s): St Lukes Clinic Group(s): Direct Orthopedic Care Group Treasure Valley Llc Orthopedic Care Bates, Allyson, NPx~* Spanish Buersmeyer, Patricia, Casebolt, Alex, PAx~* Family Nurse Practitioner Bohn, Erin, NP~* MDx~* Physician Assistant NPI: 1114479862 Nurse Practitioner Internal Medicine NPI: 1346283363 3908 E Flamingo Ave Ste NPI: 1063983153 NPI: 1104816198 215 E Hawaii Ave B 1150 N Sister Catherine 9850 St Lukes Dr Ste 129 Nampa, ID 83686 Nampa, ID 83687 Way Ste 129 (208) 463-3000 (208) 442-8035 Nampa, ID 83687 Nampa, ID 83687 Group(s): Saltzer Clinics Group(s): Lifestages (208) 463-3000 (208) 302-7050 Casebolt, Alex, PAx~* Ob-Gyn Pllc Group(s): Saltzer Clinics Group(s): St Alphonsus Physician Assistant Belford, Lucas, PA~* Regional Medical Center Buxton, Robert, DOx~* NPI: 1346283363 Physician Assistant Physicians -1861676298 Family Medicine 9850 St Lukes Dr Ste 129 NPI: 1104394337 Bossolono Williams, NPI: 1073778098 Ste 129 404 N Horton St Tina, NPx~* 1510 12th Ave Rd Ste 200 Nampa, ID 83687 Nampa, ID 83651 Family Nurse Practitioner Nampa, ID 83686 (208) 463-3000 (208) 472-8116 NPI: 1891264545 (208) 302-6800 Group(s): Saltzer Clinics Group(s): Medical Group(s): St Alphonsus 215 E Hawaii Ave Celedon, Jose, NPx~* Directors Of Idaho Regional Medical Center Nampa, ID 83686 Gerontology Nurse Physicians -1861676298 (208) 463-3000 Practitioner Group(s): Saltzer Clinics NPI: 1326520719 404 N Horton St Nampa, ID 83651 (208) 472-8116 Group(s): Medical Directors Of Idaho

45 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Celedon, Jose, NPx~* Crouch, Robert, DOx~* Davies, Danielle, MDx~* Flynn, Christie, PA~* Gerontology Nurse Family Medicine Family Medicine Physician Assistant Practitioner NPI: 1164801692 NPI: 1871904789 NPI: 1790923621 NPI: 1326520719 215 E Hawaii Ave 215 E Hawaii Ave 9850 W St Lukes Dr Ste 900 Happy Valley Rd Nampa, ID 83686 Nampa, ID 83686 290 Nampa, ID 83687 (208) 514-2502 (208) 514-2502 Nampa, ID 83687 (208) 401-9639 Group(s): The Family Group(s): The Family (208) 463-7300 Group(s): Medical Medicine Residency Of Medicine Residency Of Group(s): St Lukes Clinic Directors Of Idaho Idaho Inc Idaho Inc Treasure Valley Llc Spanish Chorn, Andy, PAx~* Davies, Danielle, MDx~* Freston, Christina, DOx Physician Assistant Crouch, Robert, DOx~* Family Medicine ~* NPI: 1205111390 Family Medicine NPI: 1871904789 Family Medicine 16818 N Market Pl Blvd NPI: 1164801692 9850 W St Lukes Dr Ste NPI: 1003170176 Nampa, ID 83687 9850 W St Lukes Dr Ste 329 215 E Hawaii Ave (208) 321-4000 329 Nampa, ID 83687 Nampa, ID 83686 Group(s): Direct Nampa, ID 83687 (208) 514-2509 (208) 514-2502 Orthopedic Care (208) 514-2509 Group(s): The Family Group(s): The Family Group(s): The Family Medicine Residency Of Medicine Residency Of Cook, Hannah, NP~* Medicine Residency Of Idaho Inc Idaho Inc Family Nurse Practitioner Idaho Inc Dee, Michael, MDx~* Galloway, Amy, NPx~* NPI: 1992199210 Spanish 3165 E Greenhurst Rd Internal Medicine Family Nurse Practitioner Nampa, ID 83686 Crownson, Bayo, MDx~* NPI: 1053302182 NPI: 1306817226 (208) 463-7330 Family Medicine 215 E Hawaii Ave 223 16th Ave N Group(s): St Lukes Clinic NPI: 1376589689 Nampa, ID 83686 Nampa, ID 83687 Treasure Valley Llc 215 E Hawaii Ave (208) 463-3000 (208) 467-7654 Nampa, ID 83686 Group(s): Saltzer Clinics Group(s): Terry Reilly Cracolice, Brianna, NPx (208) 463-3000 Health Services - Medical ~* Dehaven, Erin, PAx~* Group(s): Saltzer Clinics Group1457309122 Family Nurse Practitioner Physician Assistant NPI: 1639640402 Crownson, Bayo, MDx~* NPI: 1518075852 Gill, Taya, PAx~* 1007 W Orchard Family Medicine 215 E Hawaii Ave Physician Assistant Nampa, ID 83651 NPI: 1376589689 Nampa, ID 83686 NPI: 1790058618 (208) 461-2838 9850 W St Lukes Dr (208) 463-3000 9850 St Lukes Dr Ste 129 Group(s): All Seasons Nampa, ID 83687 Group(s): Saltzer Clinics Ste 129 Mental Health - Mg (208) 463-3000 Nampa, ID 83687 Fitchett, Brandy, NP~* (208) 463-3000 Cracolice, Brianna, NPx Group(s): Saltzer Clinics Family Nurse Practitioner Group(s): Saltzer Clinics ~* NPI: 1902315021 Family Nurse Practitioner 217 W Georgia Ave Ste NPI: 1639640402 120 215 E Hawaii Ave Nampa, ID 83686 Nampa, ID 83686 (208) 498-1760 (208) 463-3000 Group(s): Acacia Wellness Group(s): Saltzer Clinics Center

46 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Graham, Austin, MD~* Kantayya, Vivek, MDx~ Lange, Samantha, PAx~ Medrano, Cynthia, NPx~ Family Medicine * * * NPI: 1548228844 Family Medicine Physician Assistant Family Nurse Practitioner 9850 W St Lukes Dr Ste NPI: 1437132479 NPI: 1346792033 NPI: 1053703504 290 207 1st St S 1150 N Sister Catherine 207 1st St S Nampa, ID 83687 Nampa, ID 83651 Way Nampa, ID 83651 (208) 463-7300 (208) 466-7869 Nampa, ID 83687 (208) 466-7869 Group(s): St Lukes Clinic Group(s): Terry Reilly (208) 302-7000 Group(s): Terry Reilly Treasure Valley Llc Health Services - Medical Group(s): St Alphonsus Health Services - Medical Group1134527708 Regional Medical Center Group1134527708 Grote, Heather, PAx~* Tamil Physicians -1861676298 Other Specialties: Psych/ Physician Assistant Mental Health - Nurse Keefe, Tricia, DO~* Laskow, Bari, MDx~* NPI: 1477920817 Practitioner 215 E Hawaii Ave Family Medicine Family Medicine Nampa, ID 83686 NPI: 1730123043 NPI: 1689036063 Mello, Bethany, NPx~* (208) 463-3000 3165 E Greenhurst Rd 9850 W St Lukes Dr Ste Family Nurse Practitioner Group(s): Saltzer Clinics Nampa, ID 83686 329 NPI: 1033479696 (208) 463-7330 Nampa, ID 83687 16111 N Brinson St Ste Hoewing, Heather, PAx~ Group(s): St Lukes Clinic (208) 514-2509 110 * Treasure Valley Llc Group(s): The Family Nampa, ID 83687 Medical - Physician Medicine Residency Of (208) 468-9400 Assistant Kolnes, Kristen, NP~* Idaho Inc Group(s): Advanced Family Nurse Practitioner NPI: 1013148725 Spanish Specialty Care For NPI: 1831670629 16459 N Midland Blvd Women Nampa, ID 83687 404 N Horton St Llenos, Joe, MDx~* (208) 795-5075 Nampa, ID 83651 Family Medicine Millett, Tiffany, NPx~* Group(s): West Valley (208) 472-8116 NPI: 1003073560 Family Nurse Practitioner Medical Group Llc Group(s): Medical 16459 N Midland Blvd NPI: 1457820334 Other Specialties: Directors Of Idaho Nampa, ID 83687 4424 E Flamingo Ave Ste Physician Assistant (208) 795-5075 300 Ste 300 Kroon, Melissa, PAx~* Group(s): West Valley Nampa, ID 83687 Hornbaker, Ann, NP~* Physician Assistant Medical Group Llc (208) 302-0200 NPI: 1962892240 Gerontology Nurse Other Specialties: Hospice Group(s): St Alphonsus 9850 St Lukes Dr Ste 129 Practitioner And Palliative Medicine - Regional Medical Center Ste 129 NPI: 1902817000 Family Medicine Physicians -1861676298 Nampa, ID 83687 404 N Horton St Other Specialties: Nurse (208) 463-3000 Nampa, ID 83651 Practitioner (208) 472-8116 Group(s): Saltzer Clinics Group(s): Medical Olsen, Shayne, DOx~* Directors Of Idaho Internal Medicine NPI: 1841320900 x~* Hsu, Karin, PA 9850 W St Lukes Dr Ste Physician Assistant 207 NPI: 1598223125 Nampa, ID 83687 9850 W St Lukes Dr (208) 505-2712 Nampa, ID 83687 Group(s): St Lukes Clinic (208) 463-3000 Treasure Valley Llc Group(s): Saltzer Clinics

47 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Partridge, Christopher, Porter, Sarah, MD* Rutschke, Sean, DO~* Sawmiller, Jennifer, PAx MDx~* Family Medicine Family Medicine ~* Family Medicine NPI: 1427491737 NPI: 1396278958 Family Medicine NPI: 1497848766 9850 W St Lukes Dr Ste 9850 W St Lukes Dr Ste NPI: 1710433859 207 1st St S 290 290 207 1st St S Nampa, ID 83651 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83651 (208) 466-7869 (208) 463-7300 (208) 463-7300 (208) 466-7869 Group(s): Terry Reilly Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Terry Reilly Health Services - Medical Treasure Valley Llc Treasure Valley Llc Health Services - Medical Group1134527708 Group1134527708, Terry Poulter, Luke, DO~* Sallstrom, Jessica, DOx~ Reilly Health Services - * Patterson, Sara, NPx~* Family Medicine Medical Family Medicine Family Nurse Practitioner NPI: 1700290947 Group1457309122 NPI: 1265967038 NPI: 1285057976 3165 E Greenhurst Rd Other Specialties: Medical 207 1st St S 1150 N Sister Catherine Nampa, ID 83686 - Physician Assistant Way (208) 463-7330 Nampa, ID 83651 Nampa, ID 83687 Group(s): St Lukes Clinic (208) 466-7869 Sawmiller, Jennifer, PAx (208) 302-7000 Treasure Valley Llc Group(s): Terry Reilly ~* Group(s): St Alphonsus Health Services - Medical Family Medicine Powell, Heather, NP~* Regional Medical Center Group1134527708, Terry NPI: 1710433859 Family Nurse Practitioner Physicians -1861676298 Reilly Health Services - 223 16th Ave N NPI: 1083079784 Medical Nampa, ID 83687 Poinier, Anne, MDx~* 9850 W St Lukes Dr Ste Group1457309122 (208) 467-7654 Internal Medicine 290 Spanish Group(s): Terry Reilly NPI: 1962451138 Nampa, ID 83687 Health Services Boise 215 E Hawaii Ave (208) 463-7300 Sallstrom, Jessica, DOx~ Clinic - Medical Group, * Nampa, ID 83686 Group(s): St Lukes Clinic Terry Reilly Health Family Medicine (208) 463-3000 Treasure Valley Llc Services Caldwell Clinic - NPI: 1265967038 Group(s): Saltzer Clinics Mg1043230501, Terry Richardson, Erik, DOx~ 223 16th Ave N Reilly Health Services - Poinier, Anne, MDx~* * Nampa, ID 83687 Medical Internal Medicine Family Medicine (208) 467-7654 Group1457309122 NPI: 1962451138 NPI: 1942307640 Group(s): Terry Reilly Other Specialties: Medical 9850 St Lukes Dr Ste 129 9850 St Lukes Dr Ste 129 Health Services Boise - Physician Assistant Ste 129 Ste 129 Clinic - Medical Group, Nampa, ID 83687 Nampa, ID 83687 Terry Reilly Health Siegersma, Wendy, MDx (208) 463-3000 (208) 463-3000 Services Caldwell Clinic - ~* Group(s): Saltzer Clinics Group(s): Saltzer Clinics Mg1043230501, Terry Family Medicine Spanish Reilly Health Services - NPI: 1720077753 Riley, Mari, MDx~* Medical 215 E Hawaii Ave Family Medicine Group1457309122 Nampa, ID 83686 NPI: 1821108317 Spanish (208) 463-3000 9850 St Lukes Dr Ste 129 Group(s): Saltzer Clinics Ste 129 Nampa, ID 83687 (208) 463-3000 Group(s): Saltzer Clinics

48 Primary Care Providers / Proveedores de atención primaria Canyon County continued/Condado seguido

Smith, Preston, PAx~* Sullivan, Cara, MDx~* Vernon, Monica, PAx~* Williams, Ryan, MD~* Physician Assistant Family Medicine Physician Assistant Internal Medicine NPI: 1992794929 NPI: 1912347303 NPI: 1386192102 NPI: 1114053014 215 E Hawaii Ave 9850 W St Lukes Dr 11035 W Karcher Rd 404 N Horton St Nampa, ID 83686 Nampa, ID 83687 Nampa, ID 83651 Nampa, ID 83651 (208) 463-3000 (208) 505-2000 (208) 302-6600 (208) 472-8116 Group(s): Saltzer Clinics Group(s): Terry Reilly Group(s): St Alphonsus Group(s): Medical Spanish Health Services - Medical Regional Medical Center Directors Of Idaho Group1134527708 Physicians -1861676298 Smith, Preston, PAx~* Wilson, Martha, MDx~* Spanish Physician Assistant Weiss, Zachary, MDx~* Family Medicine NPI: 1992794929 Terrell, Stephanie, NPx~ Family Medicine NPI: 1417268574 9850 St Lukes Dr Ste 129 * NPI: 1932557782 207 1st St S Ste 129 Nurse Practitioner 1510 12th Ave Rd Ste 200 Nampa, ID 83651 Nampa, ID 83687 NPI: 1336127190 Nampa, ID 83686 (208) 466-7869 (208) 463-3000 9850 W St Lukes Dr Ste (208) 302-6800 Group(s): Terry Reilly Group(s): Saltzer Clinics 221 Group(s): St Alphonsus Health Services - Medical Spanish Nampa, ID 83686 Regional Medical Center Group1134527708 (208) 455-1784 Physicians -1861676298 Spanish Staller, Sarah, MDx~* Group(s): Ob/Gyn Family Medicine Associates Pa Whitlow, Ashley, NPx~* Mcconkie Jr, Richard, NPI: 1336450402 Family Nurse Practitioner NPx~* 207 1st St S Thacker, Robert, NPx~* NPI: 1275169252 Nurse Practitioner Nampa, ID 83651 Nurse Practitioner 215 E Hawaii Ave NPI: 1457792277 (208) 466-7869 NPI: 1124309224 Nampa, ID 83686 124 5th St Ste A Group(s): Terry Reilly 16459 N Midland Blvd (208) 463-3000 Wilder, ID 83676 Health Services - Medical Nampa, ID 83687 Group(s): Saltzer Clinics (208) 482-7430 Group1134527708 (208) 795-5075 Group(s): West Valley Whitlow, Ashley, NPx~* French Group(s): West Valley Medical Group Llc Medical Group Llc Family Nurse Practitioner Strohmeyer, Ronald, PA NPI: 1275169252 x~* Underkofler, Kari, NPx~ 9850 W St Lukes Dr Physician Assistant * Nampa, ID 83687 NPI: 1154805729 Nurse Practitioner (208) 463-3000 215 E Howall Ave NPI: 1841456191 Group(s): Saltzer Clinics Nampa, ID 83686 9850 St Lukes Dr Ste 129 (208) 463-3000 Ste 129 Wiberg, Ralene, MDx~* Group(s): Saltzer Clinics Nampa, ID 83687 Family Medicine (208) 463-3000 NPI: 1912956806 Group(s): Saltzer Clinics 3908 E Flamingo Ave Ste B Nampa, ID 83687 (208) 442-8035 Group(s): Lifestages Ob-Gyn Pllc

49 Specialists / Especialistas Acupuncturist/Acupuntor Ada County/Condado Total Count/Cuenta total: 2946

Acupuncturist Canyon - 83712 Hofer, Jennifer, NPx~* Davis, Rachel, NPx~* NPI: 1215396478 Idaho NAMPA NPI: 1174156962 2347 E Gala St Ada - 83686 100 E Idaho St Meridian, ID 83642 Shaw, Alan, LACx~* Boise, ID 83712 (208) 323-3767 BOISE NPI: 1689981623 (208) 381-2733 Group(s): St Lukes Clinic - 83712 308 E Hawaii Ave Group(s): St Lukes Clinic Treasure Valley Llc Marx, Benjamin, LAC~* Nampa, ID 83686 Treasure Valley Llc Rood, Ashley, NPx~* NPI: 1174755664 (208) 467-6700 NPI: 1881140283 100 E Idaho St Group(s): St Lukes Clinic Rood, Ashley, NPx~* NPI: 1881140283 520 S Eagle Rd Ste 1221 Boise, ID 83712 Treasure Valley Llc Meridian, ID 83642 (208) 381-2782 190 E Bannock St Acute Care Nurse Boise, ID 83712 (208) 706-5447 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Practitioner (208) 381-5015 Group(s): St Lukes Clinic Treasure Valley Llc Idaho Shaw, Alan, LACx~* Treasure Valley Llc - 83646 NPI: 1689981623 Ada 100 E Idaho St Suida, Jennifer, NPx~* Elliott, Jason, NP~* Boise, ID 83712 BOISE NPI: 1316046972 NPI: 1275199663 (208) 381-2711 - 83704 100 E Idaho St 55 W Willowbrook Dr Ste Boise, ID 83712 103 Group(s): St Lukes Clinic Hughes, Angela, NPx~* Treasure Valley Llc (208) 381-2711 Meridian, ID 83646 NPI: 1336193598 Group(s): St Lukes Clinic (208) 402-9956 Wimmer, Paige, LACx~ 6933 W Emerald St Ste A Treasure Valley Llc Group(s): Finding Home * Boise, ID 83704 Healthcare NPI: 1497931562 (208) 321-0634 - 83716 100 E Idaho St Group(s): All Seasons Hofer, Jennifer, NPx~* Hofer, Jennifer, NPx~* Boise, ID 83712 Mental Health - Mg NPI: 1215396478 NPI: 1215396478 (208) 381-2711 55 W Willowbrook Dr Ste - 83705 2051 E Summersweet Dr Group(s): St Lukes Clinic Boise, ID 83716 103 Treasure Valley Llc Hughes, Angela, NPx~* (208) 323-3767 Meridian, ID 83646 NPI: 1336193598 (208) 402-9956 MERIDIAN Group(s): St Lukes Clinic 9635 Orchard St Ste 103 Treasure Valley Llc Group(s): Finding Home - 83642 Boise, ID 83705 Healthcare Shaw, Alan, LACx~* (208) 794-1134 MERIDIAN NPI: 1689981623 Group(s): Brc Mental - 83642 520 S Eagle Rd Health Services Llc Brooks, Aimee, NPx~* Meridian, ID 83642 NPI: 1861924151 (208) 706-5651 2347 E Gala St Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc (208) 323-3767 Group(s): St Lukes Clinic Treasure Valley Llc

50 Specialists / Especialistas Acute Care Nurse Practitioner continued/Enfermería especializada en cuidados intensivos continuación Canyon County/Condado

Canyon Vaughn, Shannon, NPx* Murray, Janel, NPx~* MERIDIAN NPI: 1306006929 NPI: 1922261577 - 83642 NAMPA 190 E Bannock St 315 E Elm St Ste 350 Armstrong, Jared, MDx - 83687 Boise, ID 83712 Caldwell, ID 83605 ~* Harvey, Ryan, NP~* (208) 381-2222 (208) 322-1680 NPI: 1609040567 NPI: 1023516911 Group(s): St Lukes Clinic Group(s): St Lukes Clinic 3399 E Louise Dr Ste 200 9850 W St Lukes Dr Ste Treasure Valley Llc Treasure Valley Llc Meridian, ID 83642 180 MERIDIAN NAMPA (208) 706-2663 Nampa, ID 83687 - 83642 - 83687 Group(s): St Lukes Clinic (208) 322-1680 Treasure Valley Llc Group(s): St Lukes Clinic Southwick, April, NPx~* Murray, Janel, NPx~* Spanish Treasure Valley Llc NPI: 1225020993 NPI: 1922261577 520 S Eagle Rd Ste 1239 215 E Hawaii Ave Advanced Practice Misner, Wendy, NP~* Meridian, ID 83642 Nampa, ID 83687 Midwife NPI: 1356857106 (208) 706-7200 (208) 322-1680 1150 N Sister Catherine Group(s): St Lukes Clinic Group(s): St Lukes Clinic Idaho Way Treasure Valley Llc Treasure Valley Llc Ada Nampa, ID 83687 (208) 302-7050 Tomey, Susan, NPx~* Murray, Janel, NPx~* BOISE Group(s): St Alphonsus NPI: 1063506616 NPI: 1922261577 - 83702 124 E Pine Ave 9850 W St Lukes Dr Ste Regional Medical Center Ainslie, Georgianna, Physicians -1861676298 Meridian, ID 83642 180 (208) 887-5422 Nampa, ID 83687 CNMx~* Adult Health Nurse Group(s): Olde Town (208) 322-1680 NPI: 1073566089 Practitioner Medical Group(s): St Lukes Clinic 333 N 1st St Ste 240 Treasure Valley Llc Boise, ID 83702 Idaho Canyon (208) 338-8900 Ada Adult Reconstructive Group(s): Womens Health CALDWELL Orthopaedic Surgery Associates Pllc BOISE - 83605 Idaho - 83704 - 83712 Carloy, Karen, NPx~* NPI: 1700949260 Ada English-Burt, Amy~* Conrad, Whitney, ARNP NPI: 1568407765 x~* 315 Elm St Ste 310 BOISE 900 N Liberty St Ste 202 NPI: 1073985339 Caldwell, ID 83605 Boise, ID 83704 1000 E Park Blvd Ste 120 (208) 454-2035 - 83704 (208) 302-1200 Boise, ID 83712 Group(s): West Valley Holley, Keith, MDx~* Group(s): St Alphonsus (208) 381-4100 Medical Group Specialty NPI: 1386616183 Regional Medical Center Group(s): St Lukes Clinic Services Llc 7979 W Rifleman St Physicians -1861676298 Treasure Valley Llc Boise, ID 83704 (208) 855-2410 Group(s): Allied Orthopedics

51 Specialists / Especialistas Advanced Practice Midwife continued/Parteras de práctica avanzada continuación Ada County continued/Condado seguido

- 83712 Allergy & Ambulance - 83704 Underdahl, Hannah, Immunology Idaho Idaho Endoscopy CNM~* Center_Ascx~* Idaho NPI: 1073952016 Ada NPI: 1750616249 121 E Fort St Ada 6259 W Emerald St BOISE Boise, ID 83712 Boise, ID 83704 - 83712 (208) 514-2525 BOISE (208) 489-1900 Group(s): The Family - 83706 St Lukes Boise Meridian Group(s): Idaho Medicine Residency Of Jeppson, John, MDx~* Ambulancex~* Endoscopy Center_Asc Idaho Inc NPI: 1417943622 NPI: 1518115195 Southwest Idaho Surgery Spanish 901 N Curtis Rd Ste 100 190 E Bannock St Center Inc~* Boise, ID 83706 Boise, ID 83712 MERIDIAN NPI: 1477619005 (208) 378-0080 (208) 381-2222 900 N Liberty St Ste 450 - 83642 Group(s): Boise Valley Group(s): St Lukes Boise Boise, ID 83704 Parker, Tasha, CNMx~* Asthma And Allergy Meridian Ambulance (208) 367-7431 NPI: 1760727002 Clinic 520 S Eagle Rd Ste 2110 Ambulatory Surgical Group(s): Southwest Idaho Meridian, ID 83642 Keiley, Michael, MDx~* Center Surgery Center Inc NPI: 1679569149 (208) 706-3220 Idaho - 83706 Group(s): St Lukes Clinic 901 N Curtis Rd Ste 100 Premier Surgical Center Treasure Valley Llc Boise, ID 83706 Ada (208) 378-0080 Inc* Reusser, Helene, CNMx~ Group(s): Boise Valley BOISE NPI: 1275516718 * Asthma And Allergy - 83702 5680 W Gage St NPI: 1265506000 Clinic Boise Endoscopy Center Boise, ID 83706 520 S Eagle Rd Ste 2110 Spanish Llc - Ascx* (208) 377-3937 Meridian, ID 83642 NPI: 1114912102 Group(s): Premier (208) 706-3220 Palmer, George, MDx~* Surgical Center Inc NPI: 1033105259 425 W Bannock St Group(s): St Lukes Clinic Boise, ID 83702 Treasure Valley Llc 901 N Curtis Rd Ste 100 MERIDIAN Boise, ID 83706 (208) 342-7169 - 83642 x~ Group(s): Boise Rolan, Tamara, CNM (208) 378-0080 Eagle Eye Surgery Laser * Endoscopy Center Llc - Group(s): Boise Valley Centerx~* NPI: 1467882456 Asthma And Allergy Asc 520 S Eagle Rd Ste 2110 NPI: 1235255605 Clinic Pain Care Boisex~* 3090 Gentry Way Ste 100 Meridian, ID 83642 German (208) 706-3220 NPI: 1619998648 Ste 100 Group(s): St Lukes Clinic 301 W Myrtle Meridian, ID 83642 Treasure Valley Llc Boise, ID 83702 (208) 288-1600 (208) 342-8200 Group(s): Eagle Eye Group(s): Pain Care Boise Surgery Laser Center

52 Specialists / Especialistas Ambulatory Surgical Center continued/Centro de cirugía ambulatoria continuación Ada County continued/Condado seguido

Idaho Physical Medicine Vision Care Center Of Brumbach, Samantha, Richman, Jay, AUDx~* And Rehabilitation Pax~ Idaho Llc~* AUDx~* NPI: 1578991196 * NPI: 1083674196 NPI: 1457977118 510 N 2nd St Ste 201 NPI: 1497949705 3071 E Franklin Rd Ste 510 N 2nd St Ste 201 Boise, ID 83702 3551 E Overland Rd 101 Boise, ID 83702 (208) 385-3440 Meridian, ID 83642 Meridian, ID 83642 (208) 385-3440 Group(s): St Lukes Clinic (208) 287-6565 (208) 228-1400 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Idaho Physical Group(s): Vision Care Treasure Valley Llc Portuguese Medicine And Center Of Idaho Llc Coleman, Corinne, AUD Sellers, Jenna, AUDx~* Rehabilitation Pa Other Specialties: x~* NPI: 1790006096 Spanish Ophthalmologic Surgery NPI: 1598388357 510 N 2nd St Ste 201 Spanish Meridian Endoscopy 510 N 2nd St Ste 201 Boise, ID 83702 Center - Ascx* Canyon Boise, ID 83702 (208) 385-3440 NPI: 1912992900 (208) 385-3440 Group(s): St Lukes Clinic 2235 E Gala St NAMPA Group(s): St Lukes Clinic Treasure Valley Llc Meridian, ID 83642 - 83686 Treasure Valley Llc (208) 695-2100 Smith, Kristie, AUx~* Healing Arts Day Fagerson, April, AUDx~ NPI: 1740533389 Group(s): Meridian Surgery Llc~* * Endoscopy Center - Asc 510 N 2nd St Ste 201 NPI: 1164515276 NPI: 1609047919 Boise, ID 83702 Millennium Surgery 222 W Iowa Ave 510 N 2nd St Ste 201 (208) 385-3440 Center~* Nampa, ID 83686 Boise, ID 83702 Group(s): St Lukes Clinic NPI: 1770598591 (208) 467-3432 (208) 385-3440 Treasure Valley Llc 1828 S Millennium Wy Group(s): Healing Arts Group(s): St Lukes Clinic Ste 100 Day Surgery Llc Treasure Valley Llc Stich-Hennen, Jessica, AUDx~* Meridian, ID 83642 Audiologist Lindberg, Sarah, AUDx~ (208) 381-0262 NPI: 1578840153 * 510 N 2nd St Ste 201 Group(s): Millennium Idaho NPI: 1902213945 Surgery Center Boise, ID 83702 Ada 510 N 2nd St Ste 201 (208) 385-3440 Sinus Surgery Center Boise, ID 83702 BOISE Group(s): St Lukes Clinic Idaho Pax~* (208) 385-3440 Treasure Valley Llc NPI: 1902960206 - 83702 Group(s): St Lukes Clinic 3085 E Magic View Dr Bargen, Gabriel, AUDx~ Treasure Valley Llc Trimarco, Theresa, AUD * x~* Ste 140 Pargman, Karrie, AUDx NPI: 1679704639 Meridian, ID 83642 NPI: 1194917567 ~* 510 N 2nd St Ste 201 510 N 2nd St Ste 201 (208) 433-9300 NPI: 1235416892 Boise, ID 83702 Group(s): Sinus Surgery Boise, ID 83702 510 N 2nd St Ste 201 (208) 385-3440 (208) 385-3440 Center Idaho Pa Boise, ID 83702 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 385-3440 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Spanish Treasure Valley Llc

53 Specialists / Especialistas Audiologist continued/Audiólogo continuación Ada County continued/Condado seguido

- 83704 Carlson, Hillary, AUDx~ EAGLE Cheshire, Spencer, AUD Cheshire, Spencer, AUD * - 83616 x~* NPI: 1508289901 NPI: 1437320082 x~* Clark, Jessica, AUDx~* NPI: 1437320082 100 E Idaho St Ste 200 NPI: 1457606832 3080 E Gentry Way Ste 900 N Liberty St Ste 400 Boise, ID 83712 3101 E State St Ste 2108 200 (208) 381-9590 Meridian, ID 83642 Boise, ID 83704 Eagle, ID 83616 Group(s): St Lukes Clinic (208) 367-3320 (208) 367-3320 (208) 489-4975 Group(s): Southwest Idaho Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Southwest Idaho Ear Nose And Throat Ear Nose And Throat Clark, Jessica, AUDx~* Treasure Valley Llc NPI: 1457606832 Faber, Alison, AUx~* Reyes, Adam, AUDx~* Clark, Russell, AUDx~* NPI: 1669822672 100 E Idaho St Ste 200 NPI: 1538692249 NPI: 1376820993 900 N Liberty St Ste 400 Boise, ID 83712 3101 E State St Ste 2108 520 S Eagle Rd Ste 1225 (208) 381-9590 Meridian, ID 83642 Boise, ID 83704 Eagle, ID 83616 Group(s): St Lukes Clinic (208) 385-3560 (208) 367-3320 (208) 489-4975 Group(s): Southwest Idaho Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Ear Nose And Throat Pargman, Karrie, AUDx Treasure Valley Llc Theobald, Roger, AUDx ~* Fisher, Maria, AUDx~* NPI: 1235416892 Taylor, Rebecca, AUDx~ ~* * NPI: 1225307093 100 E Idaho St Ste 200 NPI: 1417056201 NPI: 1730116419 520 S Eagle Rd Ste 1225 1084 N Cole Rd Boise, ID 83712 3101 E State St Ste 2108 Meridian, ID 83642 Boise, ID 83704 (208) 381-9590 Eagle, ID 83616 (208) 385-3560 Group(s): St Lukes Clinic (208) 377-0019 (208) 489-4975 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Hearing Group(s): St Lukes Clinic Treasure Valley Llc Counselors & Richman, Jay, AUDx~* Treasure Valley Llc Gower, Shannon, AUDx Audiologists NPI: 1578991196 ~* Vore, Abram, AUDx~* 305 E Jefferson St NPI: 1033496617 - 83712 NPI: 1891095097 Boise, ID 83712 520 S Eagle Rd Ste 1225 Baerlocher, Deborah, 440 E State St Ste 100 (208) 381-9590 Eagle, ID 83616 Meridian, ID 83642 AUDx~* Group(s): St Lukes Clinic (208) 385-3560 (208) 939-9359 NPI: 1821303561 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Eagle Hearing 100 E Idaho St Ste 200 Portuguese Treasure Valley Llc Boise, ID 83712 Llc (208) 381-9590 Stich-Hennen, Jessica, American Sign Language Mecier, Brenda, AUDx~ AUDx~* * Group(s): St Lukes Clinic MERIDIAN NPI: 1578840153 NPI: 1790853539 Treasure Valley Llc - 83642 100 E Idaho St Ste 200 520 S Eagle Rd Ste 1225 Blanchard, Erika, AUDx Baerlocher, Deborah, Meridian, ID 83642 ~* Boise, ID 83712 (208) 381-9590 AUDx~* (208) 385-3560 NPI: 1487963948 NPI: 1821303561 Group(s): St Lukes Clinic 100 E Idaho St Ste 200 Group(s): St Lukes Clinic Treasure Valley Llc 520 S Eagle Rd Ste 1225 Treasure Valley Llc Boise, ID 83712 Meridian, ID 83642 (208) 381-9590 (208) 385-3560 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

54 Specialists / Especialistas Audiologist continued/Audiólogo continuación Ada County continued/Condado seguido

Neuhaus, Bailey, AUDx~ Canyon Savage, Kate, AUDx~* Cardiovascular * NPI: 1417337395 Disease NPI: 1346863115 NAMPA 172 2nd St S 520 S Eagle Rd Ste 1225 - 83651 Nampa, ID 83651 Idaho Meridian, ID 83642 Carlson, Hillary, AUDx~ (208) 489-5950 Ada (208) 385-3560 * Group(s): St Lukes Clinic Group(s): St Lukes Clinic NPI: 1508289901 Treasure Valley Llc BOISE Treasure Valley Llc 172 2nd St S Stucki, Laurie, AUDx~* - 83702 Nampa, ID 83651 Reed, Suzanne, AUDx~* NPI: 1508173998 Noonan, Daniel, MDx~* (208) 489-5950 NPI: 1437519568 172 2nd St S NPI: 1942474853 Group(s): St Lukes Clinic 520 S Eagle Rd Ste 1225 Nampa, ID 83651 287 W Jefferson St Treasure Valley Llc Meridian, ID 83642 (208) 489-5950 Boise, ID 83702 (208) 385-3560 Diller, Jacob, AUx~* Group(s): St Lukes Clinic (208) 322-1680 Group(s): St Lukes Clinic NPI: 1902328495 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc 172 2nd St S Spanish Treasure Valley Llc Nampa, ID 83651 Savage, Kate, AUDx~* Theobald, Roger, AUDx Peachey, Dana, NPx~* NPI: 1417337395 (208) 489-5950 ~* NPI: 1699720383 520 S Eagle Rd Ste 1225 Group(s): St Lukes Clinic NPI: 1417056201 287 W Jefferson St Meridian, ID 83642 Treasure Valley Llc 2635 Caldwell Blvd Ste Boise, ID 83702 (208) 385-3560 Gladd, Dana, AUDx~* 102 (208) 322-1680 Group(s): St Lukes Clinic NPI: 1437430535 Nampa, ID 83651 Group(s): St Lukes Clinic Treasure Valley Llc 172 2nd St S (208) 463-4900 Treasure Valley Llc Group(s): Hearing Theobald, Roger, AUDx Nampa, ID 83651 - 83704 ~* (208) 489-5950 Counselors & Group(s): St Lukes Clinic Audiologists Benfield, Samantha, NP~ NPI: 1417056201 * Treasure Valley Llc 745 S Progress Ave - 83687 NPI: 1508308396 Meridian, ID 83642 Lancaster, Paul, AUDx~ Adams, Shalise, AUDx~* 6140 W Curtisian Ave Ste (208) 888-6102 * NPI: 1477725158 100 Group(s): Hearing NPI: 1356449532 4424 E Flamingo Ave Ste Boise, ID 83704 Counselors & 172 2nd St S 320 (208) 302-0130 Audiologists Nampa, ID 83651 Nampa, ID 83687 Group(s): St Alphonsus - 83646 (208) 489-5950 (208) 367-3320 Regional Medical Center Group(s): St Lukes Clinic Group(s): Southwest Idaho Physicians -1861676298 Strickland, Tosha, AUDx Treasure Valley Llc ~* Ear Nose And Throat Clapp, Alexandra, PAx~ NPI: 1992958565 Mann, Larissa, AUDx~* * 1516 W Cayuse Ste 100 NPI: 1508170473 NPI: 1174070098 Meridian, ID 83646 172 2nd St S 6140 Curtisian Ave Ste (208) 375-4327 Nampa, ID 83651 300 Group(s): Strickland Ear (208) 489-5950 Boise, ID 83704 Clinic Group(s): St Lukes Clinic (208) 302-0000 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

55 Specialists / Especialistas Cardiovascular Disease continued/Enfermedades cardiovasculares continuación Ada County continued/Condado seguido

Clapp, Alexandra, PAx~ Lawler, Helen, PAx~* Olsen, Jessicax~* Sielaff, Jenna, PA~* * NPI: 1336184803 NPI: 1891247284 NPI: 1174707020 NPI: 1174070098 6140 W Curtisian Ave Ste 6140 Curtisian Ave Ste 6140 W Curtisian Ave Ste 6140 W Curtisian Ave Ste 200 Ste 200 300 100 200 Ste 200 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 302-0000 (208) 302-0000 (208) 302-0130 (208) 302-0000 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Malasky, Beth, MD~* Olsen, Jessicax~* Sim, David, MDx~* Codina, Michael, MDx~* NPI: 1730285719 NPI: 1891247284 NPI: 1114106952 NPI: 1871540708 6140 W Curtisian Ave Ste 6140 W Curtisian Ave Ste 6014 W Emerald St 6140 W Curtisian Ave Ste 102 200 Ste 200 Boise, ID 83704 200 Ste 200 Boise, ID 83704 Boise, ID 83704 (208) 376-8666 Boise, ID 83704 (208) 302-0000 (208) 302-0000 Group(s): David N Sim (208) 302-0000 Group(s): St Alphonsus Group(s): St Alphonsus Md Pa Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Valentine, Dominick, PA Physicians -1861676298 Physicians -1861676298 ~* Physicians -1861676298 Mccullough, Jocelyn, Rogien, Frances, NPx~* NPI: 1568891638 Johnson, Alex, MDx~* CNSx~* NPI: 1487936829 6140 W Curtisian Ave Ste NPI: 1417081399 NPI: 1306274006 6140 Curtisian Ave Ste 100 6140 W Curtisian Ave Ste 6140 W Curtisian Ave Ste 300 Boise, ID 83704 200 Ste 200 200 Ste 200 Boise, ID 83704 (208) 302-0130 Boise, ID 83704 Boise, ID 83704 (208) 302-0000 Group(s): St Alphonsus (208) 302-0000 (208) 302-0000 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Watson, Kellie, NP~* Physicians -1861676298 Physicians -1861676298 Rogien, Frances, NPx~* NPI: 1992206742 Kirtley-Perez, Amber, Moore, Timothy, MDx~* NPI: 1487936829 6140 W Curtisian Ave Ste PAx~* NPI: 1124064423 6140 W Curtisian Ave Ste 100 NPI: 1194278754 6140 W Curtisian Ave Ste 200 Ste 200 Boise, ID 83704 6140 W Curtisian Ave Ste 200 Ste 200 Boise, ID 83704 (208) 302-0130 200 Ste 200 Boise, ID 83704 (208) 302-0000 Group(s): St Alphonsus Boise, ID 83704 (208) 302-0000 Group(s): St Alphonsus Regional Medical Center (208) 302-0000 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298

56 Specialists / Especialistas Cardiovascular Disease continued/Enfermedades cardiovasculares continuación Ada County continued/Condado seguido

Wever-Pinzon, Omar, EAGLE Broberg, Craig, MDx~* Michaels, Andrew, MDx MDx~* - 83616 NPI: 1508874058 ~* NPI: 1588618250 NPI: 1205926250 Anderson, Jennifer, MD 3525 E Louise Dr Ste 400 6140 W Curtisian Ave Ste x~* Meridian, ID 83642 3025 W Cherry Ln Ste 200 Ste 200 NPI: 1093825903 (208) 322-1680 205 Boise, ID 83704 323 E Riverside Dr Ste Group(s): St Lukes Clinic Meridian, ID 83642 (208) 302-0000 224 Treasure Valley Llc (208) 302-0160 Group(s): St Alphonsus Group(s): St Alphonsus Eagle, ID 83616 Chai, Andrew, MDx~* Regional Medical Center Regional Medical Center (208) 302-0000 NPI: 1063466423 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus 3525 E Louise Dr Ste 400 Other Specialties: Internal Regional Medical Center Meridian, ID 83642 Moore, Timothy, MDx~* Medicine Physicians -1861676298 (208) 322-1680 NPI: 1124064423 - 83712 Other Specialties: Internal Group(s): St Lukes Clinic 3025 W Cherry Ln Ste Medicine Fry, Stephanie, MDx~* Treasure Valley Llc 205 Meridian, ID 83642 NPI: 1881649572 Kirtley-Perez, Amber, Keen, Jessica, ARNPx~* 300 E Jefferson St Ste 101 PAx~* (208) 302-0160 NPI: 1942736731 Group(s): St Alphonsus Boise, ID 83712 NPI: 1194278754 3525 E Louise Dr Ste 400 (208) 322-1680 323 E Riverside Dr Ste Regional Medical Center Meridian, ID 83642 Physicians -1861676298 Group(s): St Lukes Clinic 224 (208) 322-1680 Treasure Valley Llc Eagle, ID 83616 Group(s): St Lukes Clinic Nolan, Brian, DOx~* (208) 302-0000 Hinchman, David, MDx~ Treasure Valley Llc NPI: 1538282678 * Group(s): St Alphonsus Other Specialties: 3525 E Louise Dr Ste 400 Regional Medical Center NPI: 1710914528 Gerontology Nurse Meridian, ID 83642 300 E Jefferson St Ste 101 Physicians -1861676298 Practitioner (208) 322-1680 Boise, ID 83712 MERIDIAN Group(s): St Lukes Clinic Lawler, Helen, PAx~* Treasure Valley Llc (208) 322-1680 - 83642 NPI: 1336184803 Group(s): St Lukes Clinic Anderson, Jennifer, MD 3025 W Cherry Ln Ste Canyon Treasure Valley Llc x~* 205 CALDWELL Sim, David, MDx~* NPI: 1093825903 Meridian, ID 83642 - 83605 NPI: 1114106952 3025 W Cherry Ln Ste (208) 302-0160 190 E Bannock St 205 Group(s): St Alphonsus Bathina, Murali, MDx~* Boise, ID 83712 Meridian, ID 83642 Regional Medical Center NPI: 1265486625 (208) 381-2222 (208) 302-0160 Physicians -1861676298 315 E Elm St Ste 350 Group(s): St Alphonsus Caldwell, ID 83605 Group(s): St Lukes Clinic Linzmeyer, Kristin, MD Treasure Valley Llc Regional Medical Center x~* (208) 322-1680 Physicians -1861676298 NPI: 1932200524 Group(s): St Lukes Clinic Other Specialties: Internal 3525 E Louise Dr Ste 400 Treasure Valley Llc Medicine Meridian, ID 83642 (208) 322-1680 Group(s): St Lukes Clinic Treasure Valley Llc

57 Specialists / Especialistas Cardiovascular Disease continued/Enfermedades cardiovasculares continuación Canyon County continued/Condado seguido

Bergset, Jon, MDx~* Bergset, Jon, MDx~* Hostetler, Michael, MDx Muthusamy, NPI: 1558475038 NPI: 1558475038 ~* Purushothaman, MDx~* 315 E Elm St Ste 350 9850 W St Lukes Dr Ste NPI: 1932155082 NPI: 1033473285 Caldwell, ID 83605 180 4424 E Flamingo Ave Ste 4424 E Flamingo Ave Ste (208) 322-1680 Nampa, ID 83687 300 Ste 300 300 Ste 300 Group(s): St Lukes Clinic (208) 322-1680 Nampa, ID 83687 Nampa, ID 83687 Treasure Valley Llc Group(s): St Lukes Clinic (208) 302-0200 (208) 302-0200 Treasure Valley Llc Group(s): St Alphonsus Group(s): St Alphonsus Codina, Michael, MDx~* Regional Medical Center Regional Medical Center NPI: 1871540708 Box, Lyndon, MDx~* Physicians -1861676298 Physicians -1861676298 1906 Fairview Ave Ste NPI: 1174620512 Other Specialties: Internal 430 16458 N Midland Blvd Medicine, Interventional Payvar, Saeed, MD~* Caldwell, ID 83605 Nampa, ID 83687 Cardiology NPI: 1134339104 (208) 302-0200 (208) 795-5075 16458 N Midland Blvd Group(s): St Alphonsus Group(s): West Valley Johnson, Tosha, NPx~* Nampa, ID 83687 Regional Medical Center Medical Group Specialty NPI: 1639214216 (208) 795-5075 Physicians -1861676298 Services Llc 4424 E Flamingo Ave Ste Group(s): West Valley 300 Ste 300 Medical Group Specialty NAMPA Chambers, John, MDx~* Nampa, ID 83687 Services Llc - 83686 NPI: 1578568242 (208) 302-0200 Badger, Rodney, MDx~* 4424 E Flamingo Ave Ste Group(s): St Alphonsus Chiropractor 300 Ste 300 NPI: 1003874439 Regional Medical Center Idaho 215 E Hawaii Ave Nampa, ID 83687 Physicians -1861676298 Nampa, ID 83686 (208) 302-0200 Ada x (208) 463-3000 Group(s): St Alphonsus Michaels, Andrew, MD ~* BOISE Group(s): Saltzer Clinics Regional Medical Center Physicians -1861676298 NPI: 1588618250 - 83703 Other Specialties: Internal 4424 E Flamingo Ave Ste Medicine Codina, Michael, MDx~* Davis, William, DCx~* 300 Ste 300 NPI: 1144398389 - 83687 NPI: 1871540708 Nampa, ID 83687 4424 E Flamingo Ave Ste 2301 N 36th St Bathina, Murali, MDx~* (208) 302-0200 Boise, ID 83703 300 Ste 300 Group(s): St Alphonsus NPI: 1265486625 Nampa, ID 83687 (208) 331-3100 215 E Hawaii Ave Regional Medical Center Group(s): Northside (208) 302-0200 Physicians -1861676298 Nampa, ID 83687 Group(s): St Alphonsus Chiropractic (208) 322-1680 Regional Medical Center Moore, Timothy, MDx~* Thompson, Lee, DC~* Group(s): St Lukes Clinic Physicians -1861676298 NPI: 1124064423 NPI: 1114982006 Treasure Valley Llc 4424 E Flamingo Ave Ste 2999 N Lake Harbor Ln Bergset, Jon, MDx~* 300 Ste 300 Ste 201 NPI: 1558475038 Nampa, ID 83687 Boise, ID 83703 215 E Hawaii Ave (208) 302-0200 (208) 853-2277 Nampa, ID 83687 Group(s): St Alphonsus Group(s): Thompson (208) 322-1680 Regional Medical Center Chiropractic Group(s): St Lukes Clinic Physicians -1861676298 Treasure Valley Llc

58 Specialists / Especialistas Chiropractor continued/Quiropráctico continuación Ada County continued/Condado seguido

Tiegs, Micki, DCx~* Fisher, Christopher, DC Nowland, Jonathan, DCx Rae, Michael, DCx~* NPI: 1497750350 x~* ~* NPI: 1194057802 2301 N 36th St NPI: 1225175771 NPI: 1437573458 1149 W Boise Ave Boise, ID 83703 7149 W Emerald St 3211 N Milwaukee St Boise, ID 83706 (208) 331-3100 Boise, ID 83704 Boise, ID 83704 (208) 345-3630 Group(s): Northside (208) 955-6606 (208) 375-2225 Group(s): Rae Chiropractic Group(s): South Valley Group(s): Advantage Chiropractic Center Chiropractic Walk In Chiropractic Spanish Torres, Rian, DCx~* Spanish NPI: 1407900327 Franklin, Jesse, DCx~* - 83709 2301 N 36th St NPI: 1134376064 Smith, Scott, CHx~* Norris, Troy, DC~* Boise, ID 83703 7149 W Emerald St NPI: 1598101370 NPI: 1578525986 (208) 331-3100 Boise, ID 83704 3211 N Milwaukee St 6013 W Overland Rd Ste Group(s): Northside (208) 955-6606 Boise, ID 83704 101 Chiropractic Group(s): South Valley (208) 375-2225 Boise, ID 83709 Chiropractic Group(s): Advantage - 83704 (208) 344-4469 Spanish Walk In Chiropractic Group(s): Balance Beyer, Floyd, DCx~* Chiropractic Clinics NPI: 1083796783 Hollingsworth, James, - 83705 7149 W Emerald St DCx~* Hickey, John, DCx~* - 83713 NPI: 1982792735 Boise, ID 83704 NPI: 1194222901 Henze Iii, Ronald, DC~* (208) 955-6606 10451 Garverdale Ct Ste 376 Latah St 203 NPI: 1932508272 Group(s): South Valley Boise, ID 83705 13999 W Wainwright Dr Chiropractic Boise, ID 83704 (208) 202-4037 (208) 375-4415 Ste 201 Spanish Group(s): John C Hickey Boise, ID 83713 Group(s): James Dc Pc Bingham, James, DCx~* Hollingsworth Dc (208) 939-0775 NPI: 1508947979 Hickey, Thomas, DCx~* Group(s): Active Living 1701 N Regal Dr Hood, Chad, CHx~* NPI: 1881773992 Chiropractic And Boise, ID 83704 NPI: 1356431431 376 S Latah St Wellness 3211 N Milwaukee St (208) 377-9500 Boise, ID 83705 EAGLE Boise, ID 83704 (208) 338-9111 Group(s): Boise Valley - 83616 Chiropractic (208) 375-2225 Group(s): Hickey Group(s): Advantage Chiropractic Cramer, Todd, DC~* Edvalson, Noah, DCx~* Walk In Chiropractic NPI: 1760551956 NPI: 1275767519 - 83706 Mckim, R, DCx~* 1580 E State St Ste 104 3271 N Milwaukee St Kranz, James, DCx~* Eagle, ID 83616 Boise, ID 83704 NPI: 1477516169 7149 W Emerald St NPI: 1972614485 (208) 939-3737 (208) 629-5374 910 N Curtis Rd Group(s): Eagle Cramer Group(s): Noah Blue Boise, ID 83704 (208) 955-6606 Boise, ID 83706 Chiropractic Edvalson Dc (208) 377-3777 Russian Group(s): South Valley Chiropractic Group(s): Kranz Spanish Chiropractic Chartered

59 Specialists / Especialistas Chiropractor continued/Quiropráctico continuación Ada County continued/Condado seguido

GARDEN CITY MERIDIAN Harris-Sartin, Danielle, Sampson, Richard, DCx - 83714 - 83642 DCx~* ~* NPI: 1174517858 Spainhower, J Tod, DCx Anderson, Amanda, DCx NPI: 1497133201 ~* ~* 3715 E Overland Rd Ste 1504 N Main St NPI: 1881642312 NPI: 1083735633 105 Meridian, ID 83642 9217 W State St 845 E Fairview Ave Ste Meridian, ID 83642 (208) 888-2267 Garden City, ID 83714 115 (208) 888-0055 Group(s): Care (208) 853-7221 Meridian, ID 83642 Group(s): Spinal Dynamic Chiropractic Clinic Inc Group(s): Boise (208) 893-5401 Chiropractic Wagnon, Jeremy, DCx~* Chiropractic Inc Group(s): Back 2 Health Haycock, Jason, DCx~* NPI: 1679879050 Chiropractic KUNA NPI: 1841271517 1220 N Meridian Rd - 83634 Baker, Steven, DCx~* 3175 S Meridian Rd Ste Meridian, ID 83642 NPI: 1801122981 100 (208) 884-5000 Burtenshaw, Stephen, Meridian, ID 83642 Group(s): Better Life x~* 14 W Franklin Rd DC (208) 855-2688 Chiropractor NPI: 1386652691 Meridian, ID 83642 (208) 906-1564 Group(s): Haycock Warwick, Anne, DC~* 757 E Wythe Creek Ct Ste Chiropractic Pc 102 Group(s): Pre Hab Health NPI: 1053883793 Kuna, ID 83634 And Performance Mar, Shaun, DCx~* 1326 N Main St (208) 922-4908 Spanish NPI: 1952807836 Meridian, ID 83642 Group(s): Pioneer Sports Bechtel, Joshawa, DCx~ 2016 S Eagle Rd (208) 884-3368 And Pain Center * Meridian, ID 83642 Group(s): Empowered NPI: 1376980615 (208) 887-6810 Chiropractic And Fitness Dennis, William, DCx~* 2016 S Eagle Rd Group(s): Back 2 Life NPI: 1013086412 - 83646 Meridian, ID 83642 Medical Inc 708 E Wythe Creek Ct Ste (208) 887-6810 Allen, Russell, DCx~* 102 Price, Christian, DCx~* Group(s): Back 2 Life NPI: 1093730400 Kuna, ID 83634 NPI: 1427399989 Medical Inc 750 W Ustick Rd Ste 100 (208) 922-9904 1220 N Meridian Rd Meridian, ID 83646 Group(s): Cedar Health Braman, Selena, DCx~* Meridian, ID 83642 (208) 639-1397 Center NPI: 1346768843 (208) 884-5000 Group(s): Align Integrated 1220 N Meridian Rd Group(s): Better Life Rosenlund, Kevin, DCx~ Medical Llc * Meridian, ID 83642 Chiropractor (208) 884-5000 Gibbons, Scott, DC~* NPI: 1174560346 Ramos, William, DCx~* NPI: 1992830699 675 W 4th St Group(s): Better Life NPI: 1841707007 Chiropractor 3120 W Belltower Dr Ste Kuna, ID 83634 1767 W Franklin Rd Ste 150 (208) 922-5057 Cook, Christian, DCx~* 160 Meridian, ID 83646 Group(s): Kuna NPI: 1881090603 Meridian, ID 83642 (208) 846-8898 Chiropractic Family Care 2016 S Eagle Rd (208) 614-2290 Group(s): Bridge Tower Center Meridian, ID 83642 Group(s): Foundation Chiropractic (208) 887-6810 Chiropractic Group(s): Back 2 Life Medical Inc

60 Specialists / Especialistas Chiropractor continued/Quiropráctico continuación Ada County continued/Condado seguido

White, Judson, DCx~* Franklin, Jesse, DCx~* NAMPA Mckim, R, DCx~* NPI: 1467998807 NPI: 1134376064 - 83651 NPI: 1477516169 1520 E Heritage Park St 2523 S 10th Ave Ste 102 Belnap, Cameron, DCx~ 2023 12th Ave Ste 150 Ste 102 * Nampa, ID 83686 Meridian, ID 83646 Caldwell, ID 83605 NPI: 1215903315 (208) 467-5756 (208) 895-2600 (208) 649-4321 723 16th Ave S Group(s): South Valley Group(s): White Brothers Group(s): South Valley Nampa, ID 83651 Chiropractic Investments Pllc Chiropractic (208) 466-1600 Spanish Spanish Woolner, Chad, DCx~* Group(s): Belnap Weaver, Jordan, DC~* NPI: 1700027547 King, Robin, DCx~* Chiropractic NPI: 1164987020 750 W Ustick Rd Ste 100 NPI: 1578630091 - 83686 2023 12th Ave Meridian, ID 83646 1523 Fairview Ave Nampa, ID 83686 Beyer, Floyd, DCx~* (208) 639-1397 Caldwell, ID 83605 (208) 467-5756 NPI: 1083796783 Group(s): Align Integrated (208) 455-9591 Group(s): South Valley 2023 12th Ave Medical Llc Group(s): Chiropractic Chiropractic Nampa, ID 83686 And Rehabilitation (208) 467-5756 - 83687 Canyon Spanish Group(s): South Valley Mcconnell, Michael, DC CALDWELL Mckim, R, DCx~* Chiropractic x~* - 83605 NPI: 1477516169 Spanish NPI: 1710986518 2523 S 10th Ave Ste 102 Downey, Dennis, DCx~* Fisher, Christopher, DC 16730 N Marketplace NPI: 1639201957 Ste 102 x~* Blvd 108 E Pine Caldwell, ID 83605 NPI: 1225175771 Nampa, ID 83687 Caldwell, ID 83605 (208) 649-4321 2023 12th Ave (208) 466-4600 (208) 459-0858 Group(s): South Valley Nampa, ID 83686 Group(s): Balanced Group(s): Downey Chiropractic (208) 467-5756 Movement Chiropractic Chiropractic Clinic Spanish Group(s): South Valley Clinical Cardiac Chiropractic Fisher, Christopher, DC Soren, Jaron, DCx~* Electrophysiology x~* NPI: 1124350020 Franklin, Jesse, DCx~* NPI: 1225175771 309 E Logan St NPI: 1134376064 Idaho 2523 S 10th Ave Ste 102 Caldwell, ID 83605 2023 12th Ave Ada Ste 102 (208) 455-0678 Nampa, ID 83686 Caldwell, ID 83605 Group(s): Balance Point (208) 467-5756 BOISE (208) 649-4321 Wellness Group(s): South Valley - 83702 Group(s): South Valley Spanish Chiropractic Marks, Melinda, MDx~* Chiropractic Spanish NPI: 1669409785 287 W Jefferson St Boise, ID 83702 (208) 322-1680 Group(s): St Lukes Clinic Treasure Valley Llc

61 Specialists / Especialistas Clinical Cardiac Electrophysiology continued/Electrofisiología cardíaca clínica continuación Ada County continued/Condado seguido

Mozes, Joshua, MDx~* Poskanzer, Sheri, MD~* Labcorp Boisex~* Laboratory Corporation NPI: 1679733414 NPI: 1851785067 NPI: 1730349317 Of America Pocatellox~* 287 W Jefferson St 305 E Jefferson St 6086 W Emerald St NPI: 1619955978 Boise, ID 83702 Boise, ID 83712 Boise, ID 83704 1965 S Eagle Rd Ste 130 (208) 322-1680 (208) 381-7339 (208) 322-3086 Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Labcorp Boise (208) 888-6535 Treasure Valley Llc Treasure Valley Llc Group(s): Laboratory Laboratory Corporation Corporation Of America - 83704 Of America Pocatellox~* Clinical Medical Pocatello Vloka, Margot, MDx~* Laboratory NPI: 1619955978 NPI: 1174517775 6086 W Emerald St Canyon Idaho 6140 Curtisian Ave Ste Boise, ID 83704 NAMPA 300 Ada (208) 322-3086 Boise, ID 83704 Group(s): Laboratory - 83651 (208) 302-0000 BOISE Corporation Of America Interpath Laboratoryx~ Group(s): St Alphonsus - 83704 Pocatello * NPI: 1548208440 Regional Medical Center Interpath Laboratoryx~ - 83712 Physicians -1861676298 * 207 1st St S NPI: 1548208440 Interpath Laboratoryx~ Nampa, ID 83651 * Clinical Genetics 6565 W Emerald St (208) 514-2509 NPI: 1548208440 Boise, ID 83704 Group(s): Interpath Idaho 121 E Fort St (208) 514-2510 Laboratory Boise, ID 83712 Ada Group(s): Interpath (208) 514-2525 - 83686 Laboratory BOISE Group(s): Interpath Interpath Laboratoryx~ - 83712 Interpath Laboratoryx~ Laboratory * Fleming, Leah, MD~* * NPI: 1548208440 NPI: 1548208440 MERIDIAN 215 E Hawaii Ave NPI: 1922241686 - 83642 305 E Jefferson St 777 N Raymond St Nampa, ID 83686 Boise, ID 83712 Boise, ID 83704 Interpath Laboratoryx~ (208) 514-2502 (208) 514-2500 * Group(s): Interpath (208) 381-7339 NPI: 1548208440 Group(s): St Lukes Clinic Group(s): Interpath Laboratory Laboratory 2275 S Eagle Rd Ste 120 Treasure Valley Llc Meridian, ID 83642 Harding, Cary, MD~* Interpath Laboratoryx~ (208) 514-2500 * NPI: 1952327926 Group(s): Interpath NPI: 1548208440 305 E Jefferson St Laboratory 8660 W Emerald St Ste Boise, ID 83712 102 Interpath Laboratoryx~ (208) 381-7339 Boise, ID 83704 * Group(s): St Lukes Clinic (208) 375-2350 NPI: 1548208440 Treasure Valley Llc Group(s): Interpath 3277 E Louise Dr Laboratory Meridian, ID 83642 (208) 514-2509 Group(s): Interpath Laboratory

62 Specialists / Especialistas Clinical Nurse Specialist/Especialista en enfermería clínica Ada County/Condado

Clinical Nurse Gomes, Kristin, CNMx~ Weidner, Tessx~* - 83712 Specialist * NPI: 1861861841 Lee, Jennifer, MDx~* NPI: 1891184115 1072 N Liberty St Ste 100 NPI: 1598927642 Idaho 900 N Liberty St Ste 202 Boise, ID 83704 125 E Idaho St Ste 303 Ada Boise, ID 83704 (208) 302-1200 Boise, ID 83712 (208) 302-1200 Group(s): St Alphonsus (208) 381-9350 BOISE Group(s): St Alphonsus Regional Medical Center Group(s): St Lukes Clinic - 83702 Regional Medical Center Physicians -1861676298 Treasure Valley Llc Osipchuk, Alla, CNSx~* Physicians -1861676298 Weidner, Tessx~* Dermatology NPI: 1891116653 Johnson, Erika, CNMx~ NPI: 1861861841 633 N 4th St * 900 N Liberty St Ste 202 Idaho Boise, ID 83702 NPI: 1235507310 Boise, ID 83704 Ada (208) 342-9800 1072 N Liberty St Ste 100 (208) 302-1200 Group(s): The Pain Center Boise, ID 83704 Group(s): St Alphonsus BOISE (208) 302-1200 - 83704 Regional Medical Center - 83704 Group(s): St Alphonsus Physicians -1861676298 Fayette, Rebekah, CNM Regional Medical Center Brooks, Naomi, MDx~* x~* Physicians -1861676298 Canyon NPI: 1972653566 NPI: 1043690175 7733 W Emerald St 1072 N Liberty St Ste 100 Johnson, Joann, CNMx~ CALDWELL Boise, ID 83704 Boise, ID 83704 * - 83605 (208) 939-4599 NPI: 1801842257 (208) 302-1200 Osipchuk, Alla, CNSx~* Group(s): Dermatology Group(s): St Alphonsus 1072 N Liberty St Ste 100 Clinic Of Idaho Boise, ID 83704 NPI: 1891116653 Regional Medical Center 1825 S Kimball Ave Stewart, James, MDx~* Physicians -1861676298 (208) 302-1200 Group(s): St Alphonsus Caldwell, ID 83605 NPI: 1104870567 Fayette, Rebekah, CNM Regional Medical Center (208) 455-3535 7733 W Emerald St x~* Physicians -1861676298 Group(s): The Pain Center Boise, ID 83704 NPI: 1043690175 Colon & Rectal (208) 939-4599 900 N Liberty St Ste 202 Johnson, Joann, CNMx~ Group(s): Mountain West * Boise, ID 83704 Surgery Derm-Blackhart Pllc NPI: 1801842257 (208) 302-1200 Idaho Group(s): St Alphonsus 900 N Liberty St Ste 202 - 83706 Regional Medical Center Boise, ID 83704 Ada Ririe, Marnie, MDx~* Physicians -1861676298 (208) 302-1200 NPI: 1134170855 Group(s): St Alphonsus BOISE - 83704 1070 N Curtis Rd Ste 150 Gomes, Kristin, CNMx~ Regional Medical Center Boise, ID 83706 * Physicians -1861676298 Green, Johnny, MD~* (208) 258-2078 NPI: 1891184115 NPI: 1386612414 Group(s): Boise Skin 1072 N Liberty St Ste 100 1072 N Liberty St Ste 201 Clinic Boise, ID 83704 Boise, ID 83704 Spanish (208) 302-1200 (208) 302-2400 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

63 Specialists / Especialistas Dermatology continued/Dermatología continuación Ada County continued/Condado seguido

- 83713 Schwendiman, Mark, Winchester, Daniel, MD Wells, Gregory, MDx~* Portela, Dustin, MDx~* DOx~* x~* NPI: 1871609370 NPI: 1588002547 NPI: 1417184409 NPI: 1740628023 4574 N Ten Mile Ste 120 6051 N Eagle Rd 1618 S Millenium Way 1618 S Millenium Way Meridian, ID 83646 Boise, ID 83713 Ste 100 Ste 100 (208) 884-3376 (208) 519-4333 Meridian, ID 83642 Meridian, ID 83642 Group(s): Ada West Group(s): Treasure Valley (208) 884-3376 (208) 884-3376 Dermatology Dermatology And Skin Group(s): Ada West Group(s): Ada West Portuguese Dermatology Dermatology Cancer Center Winchester, Daniel, MD MERIDIAN Swanson, Elizabeth, MD - 83646 x~* x~* NPI: 1740628023 - 83642 Burr, Randall, MDx~* NPI: 1174596951 NPI: 1740217603 4574 N Ten Mile Ste 120 Burr, Randall, MDx~* 1618 S Millenium Way 4574 N Ten Mile Ste 120 Meridian, ID 83646 NPI: 1740217603 Ste 100 Meridian, ID 83646 (208) 884-3376 1618 S Millenium Way Meridian, ID 83642 Group(s): Ada West Ste 100 (208) 884-3376 (208) 884-3376 Group(s): Ada West Dermatology Meridian, ID 83642 Group(s): Ada West Dermatology (208) 884-3376 Canyon Dermatology Japanese Group(s): Ada West CALDWELL Dermatology Thorpe, Ryan, MDx~* Hoyt, Brian, MDx~* Japanese NPI: 1568880995 NPI: 1558789560 - 83605 1618 S Millenium Way 4574 N Ten Mile Ste 120 Thomas, Richard, DOx~ Hoyt, Brian, MDx~* Ste 100 * NPI: 1558789560 Meridian, ID 83646 Meridian, ID 83642 (208) 884-3376 NPI: 1265795660 1618 S Millenium Way (208) 884-3376 Group(s): Ada West 1818 S 10th Ave Ste 240 Ste 100 Group(s): Ada West Dermatology Caldwell, ID 83605 Meridian, ID 83642 Dermatology (208) 898-7467 (208) 884-3376 Pitt, Alan, MDx~* Group(s): Mountain Pine Wells, Gregory, MDx~* Group(s): Ada West NPI: 1659301950 Dermatology Pllc NPI: 1871609370 Dermatology 4574 N Ten Mile Ste 120 Spanish 1618 S Millenium Way Meridian, ID 83646 Pitt, Alan, MDx~* Ste 100 NAMPA NPI: 1659301950 (208) 884-3376 Meridian, ID 83642 Group(s): Ada West - 83651 1618 S Millenium Way (208) 884-3376 Dermatology Powell, Gavin, MDx~* Ste 100 Group(s): Ada West Meridian, ID 83642 Schwendiman, Mark, NPI: 1215933940 Dermatology 318 2nd St S (208) 884-3376 DOx~* Portuguese Nampa, ID 83651 Group(s): Ada West NPI: 1417184409 (208) 467-3006 Dermatology 4574 N Ten Mile Ste 120 Group(s): Dermatology Meridian, ID 83646 Center Of Canyon County (208) 884-3376 Group(s): Ada West Dermatology

64 Specialists / Especialistas Dermatology continued/Dermatología continuación Canyon County continued/Condado seguido

Ryser, Ted, MDx~* Dietitian, Registered - 83704 Brown, Krista, RD~* NPI: 1326434069 NPI: 1801218359 Idaho Kamp, Kyle, RDx~* 318 2nd St S NPI: 1336547264 305 E Jefferson St Nampa, ID 83651 Ada 900 N Liberty St Ste 204 Boise, ID 83712 (208) 467-3006 Boise, ID 83704 (208) 381-7081 BOISE Group(s): Dermatology (208) 367-7380 Group(s): St Lukes Clinic Center Of Canyon County - 83702 Group(s): Saint Alphonsus Treasure Valley Llc Dermatopathology Hosier, Jennifer, RD~* Physician Services Brunelle, Sarah, RD~* NPI: 1972914695 NPI: 1457809725 Idaho 115 W Main St Suite 203 Ruszel, Kelseyx~* NPI: 1144654377 305 E Jefferson St Boise, ID 83702 Boise, ID 83712 Ada (208) 381-8330 777 N Raymond St Boise, ID 83704 (208) 381-7081 MERIDIAN Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc (208) 514-2500 - 83642 Group(s): The Family Treasure Valley Llc Measham, Christine, MD Pohley, Richey, RDx~* Medicine Residency Of Duclos, Kody, RD~* x~* NPI: 1700219169 Idaho Inc NPI: 1033748124 NPI: 1558321323 1290 W Myrtle St Ste 190 Spanish 305 E Jefferson St 1618 S Millenium Way Boise, ID 83702 Boise, ID 83712 Ste 100 - 83712 (208) 616-1161 (208) 381-7081 Meridian, ID 83642 Group(s): Saltzer Clinics Boquette, Laura E, RD~ Group(s): St Lukes Clinic (208) 884-3376 * Treasure Valley Llc Group(s): Ada West Poulsen, Sara, RDx~* NPI: 1659665545 Dermatology NPI: 1346767746 305 E Jefferson St Hernandez, Rachel, RD~ 115 W Main S Ste 203 Boise, ID 83712 * - 83646 Boise, ID 83702 (208) 381-7081 NPI: 1669954129 Measham, Christine, MD (208) 381-8330 Group(s): St Lukes Clinic 305 E Jefferson St x~* Group(s): St Lukes Clinic Treasure Valley Llc Boise, ID 83712 NPI: 1558321323 Treasure Valley Llc (208) 381-7081 4574 N Ten Mile Ste 120 Bork, Joanna, RD~* Group(s): St Lukes Clinic Stamper, Shannon, RD~ NPI: 1740605740 Meridian, ID 83646 * Treasure Valley Llc 305 E Jefferson St (208) 884-3376 NPI: 1659754810 Group(s): Ada West Boise, ID 83712 Nebeker, Danielle, RD~* 610 W Hays St (208) 381-7081 NPI: 1699166306 Dermatology Boise, ID 83702 Group(s): St Lukes Clinic 305 E Jefferson St (208) 381-7092 Treasure Valley Llc Boise, ID 83712 Group(s): St Lukes Clinic (208) 381-7081 Treasure Valley Llc Bourn, Brenda, RD~* Group(s): St Lukes Clinic NPI: 1477728178 Treasure Valley Llc 305 E Jefferson St Boise, ID 83712 (208) 381-7340 Group(s): St Lukes Clinic Treasure Valley Llc Other Specialties: Nutritionist

65 Specialists / Especialistas Dietitian, Registered continued/Dietista, registrado continuación Ada County continued/Condado seguido

Roggia, Jennifer, RD~* Durable Medical National Medical - 83709 NPI: 1669039301 Equipment & Medical Solutions Incx~* Mountain Brace Systems 305 E Jefferson St Supplies NPI: 1235571746 ~* Boise, ID 83712 8601 W Emerald St Ste NPI: 1821436718 (208) 381-7081 Idaho 100 248 S Cole Rd Group(s): St Lukes Clinic Boise, ID 83704 Ada Boise, ID 83709 Treasure Valley Llc (208) 377-1881 (208) 350-3092 Group(s): National Schmidt, Kimberly, RD~ BOISE Group(s): Mountain Brace * - 83702 Medical Solutions Inc Systems NPI: 1104391424 Norco Inc~* The Center For Sleep - 83713 305 E Jefferson St NPI: 1902960396 Apnea And Tmj Pa - Apria Healthcare Inc - Boise, ID 83712 400 Main St Dme~* (208) 381-7081 Boise~* Boise, ID 83702 NPI: 1003969288 NPI: 1437485703 Group(s): St Lukes Clinic (208) 344-0299 8119 W Ustick Rd 103 11880 W President Dr Ste Treasure Valley Llc Group(s): Norco Inc Boise, ID 83704 E Other Specialties: Oxygen Varner, Tracy, RD~* (208) 376-3600 Boise, ID 83713 NPI: 1730109299 Equipment & Supplies, Group(s): The Center For (208) 322-2372 Prosthetic/Orthotic 305 E Jefferson St Sleep Apnea And Tmj Pa - Group(s): Apria Supplier Boise, ID 83712 Dme Healthcare Inc - Boise (208) 381-7081 Sawtooth Orthotics & - 83705 Group(s): St Lukes Clinic MERIDIAN Prostheticsx~* Amador Medical Llc~* Treasure Valley Llc - 83642 NPI: 1487663514 NPI: 1467923789 101 Mobilityx~* MERIDIAN 780 S 14th St 963 S Orchard St Ste 203 Boise, ID 83702 NPI: 1801387634 - 83642 Boise, ID 83705 905 S Industry Way Ste (208) 344-9981 (208) 514-0173 Kees, Linda, RDx~* 107 Group(s): Sawtooth Group(s): Amador NPI: 1326530932 Meridian, ID 83642 Orthotics & Prosthetics Medical Llc 520 S Eagle Rd Ste 1223 Spanish (208) 906-3881 Meridian, ID 83642 - 83706 Group(s): 101 Mobility (208) 706-5260 - 83704 Pacific Medical Incx~* Cpapnow~* Group(s): St Lukes Clinic Ascend Medical Llcx~* NPI: 1326048893 NPI: 1518066414 Treasure Valley Llc NPI: 1750772869 901 N Curtis Rd Ste 101 3067 E Copper Point Dr 7677 W Emerald St Pohley, Richey, RDx~* Boise, ID 83706 Meridian, ID 83642 Boise, ID 83704 NPI: 1700219169 (208) 367-4680 (208) 287-1733 (208) 321-1800 808 S Vanguard Way Group(s): Pacific Medical Group(s): Cpapnow Group(s): Ascend Medical Meridian, ID 83642 Inc Other Specialties: Oxygen Llc (208) 463-3000 Other Specialties: Equipment & Supplies Group(s): Saltzer Clinics Prosthetic/Orthotic Supplier

66 Specialists / Especialistas Durable Medical Equipment & Medical Supplies continued/Equipos médicos duraderos y suministros médicos continuación Ada County continued/Condado seguido

Lincare - Meridian~* Prairie Medical Llcx~* Emergency Medical Emergency Medicine NPI: 1114002334 NPI: 1588998124 Services 1200 E Watertower St Ste 1809 N Lakes Pl Idaho 101 Meridian, ID 83646 Idaho Ada Meridian, ID 83642 (800) 627-0617 Ada (208) 323-6050 Group(s): Prairie Medical BOISE Group(s): Lincare - Llc BOISE - 83702 Meridian - 83702 Elliott, Eric, MDx~* Canyon United Seating And Gude, Warren, MDx~* NPI: 1174655740 Mobility - Meridian~* CALDWELL NPI: 1255399820 600 N Robbins Rd Ste 100 NPI: 1477877934 - 83605 600 N Robbins Rd Boise, ID 83702 (208) 489-5800 1270 E Fairview Ave Ste Norco Inc~* Boise, ID 83702 Group(s): St Lukes Clinic 150 NPI: 1932263597 (208) 489-4444 Treasure Valley Llc Meridian, ID 83642 1906 Fairview Ave Ste Group(s): St Lukes Clinic (208) 288-5460 100 Treasure Valley Llc - 83704 Group(s): United Seating Caldwell, ID 83605 MERIDIAN Ashby, Hansel, MDx~* And Mobility - Meridian (208) 402-0100 - 83642 NPI: 1548213457 Group(s): Norco Inc - 83646 Gnadinger, Christopher, 6051 W Emerald St Adderson Healthcare Of NAMPA MDx~* Boise, ID 83704 Idaho Incx~* - 83686 NPI: 1437109253 (208) 302-5150 Group(s): St Alphonsus NPI: 1235231002 The Center For Sleep 3080 E Gentry Way Ste 3120 W Belltower Dr Ste 210 Regional Medical Center Apnea & Tmj Pax~* Physicians -1861676298 100 NPI: 1053686485 Meridian, ID 83642 Meridian, ID 83646 1436 S Edgewater Cir (208) 384-9022 Heyborne, Ryan, MDx~* (208) 895-0033 Nampa, ID 83686 Group(s): St Lukes Clinic NPI: 1659573889 Group(s): Adderson (208) 376-3600 Treasure Valley Llc 6051 W Emerald St Healthcare Of Idaho Inc Group(s): The Center For Gude, Warren, MDx~* Boise, ID 83704 Norco Inc~* Sleep Apnea & Tmj Pa NPI: 1255399820 (208) 302-5150 Group(s): St Alphonsus NPI: 1821158692 - 83687 3277 E Louise Dr Ste 410 2882 N Ealgle Rd Meridian, ID 83642 Regional Medical Center Norco Inc~* (208) 489-5800 Physicians -1861676298 Meridian, ID 83646 NPI: 1932269735 (208) 898-0202 Group(s): St Lukes Clinic Kunz, Derek, MDx~* 150 Shannon Dr Treasure Valley Llc Group(s): Norco Inc Nampa, ID 83687 NPI: 1760740708 Other Specialties: Oxygen (208) 467-3070 6051 W Emerald St Equipment & Supplies, Group(s): Norco Inc Boise, ID 83704 Prosthetic/Orthotic (208) 302-5150 Supplier Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

67 Specialists / Especialistas Emergency Medicine continued/Medicina de emergencia continuación Ada County continued/Condado seguido

Kunz, Derek, MDx~* Heyborne, Ryan, MDx~* - 83712 Heyborne, Ryan, MDx~* NPI: 1760740708 NPI: 1659573889 Fish, Boyce, DOx~* NPI: 1659573889 6165 Emerald St 2141 E Parkcenter Blvd NPI: 1235365545 757 E Wythe Creek Ct Boise, ID 83704 Boise, ID 83706 190 E Bannock St Kuna, ID 83634 (208) 302-3500 (208) 302-5050 Boise, ID 83712 (208) 302-6500 Group(s): St Alphonsus Group(s): St Alphonsus (208) 381-2235 Group(s): St Alphonsus Regional Medical Center Regional Medical Center Group(s): St Lukes Clinic Regional Medical Center Physicians -1861676298 Physicians -1861676298 Treasure Valley Llc Physicians -1861676298 - 83705 Quinn, Jason, MD~* Loehr, Alexander, MDx~ MERIDIAN Ashby, Hansel, MDx~* NPI: 1710978036 * - 83642 NPI: 1548213457 1055 N Curtis Rd NPI: 1780038711 Andrew, Nathan, MDx~ 3587 S Federal Way Boise, ID 83706 190 E Bannock St * Boise, ID 83705 (208) 367-7350 Boise, ID 83712 NPI: 1346295045 (208) 302-5350 Group(s): St Alphonsus (208) 381-2222 3080 E Gentry Way Ste Group(s): St Alphonsus Regional Medical Center Group(s): St Lukes Clinic 210 Regional Medical Center Physicians -1861676298 Treasure Valley Llc Meridian, ID 83642 Physicians -1861676298 Wyatt, Christopher, MD Rose, Justin, DOx~* (208) 384-9022 Group(s): St Lukes Clinic ~* NPI: 1447518451 Heyborne, Ryan, MDx~* Treasure Valley Llc NPI: 1659573889 NPI: 1649487430 190 E Bannock St 3587 S Federal Way 1055 N Curtis Rd Boise, ID 83712 Ashby, Hansel, MDx~* Boise, ID 83705 Boise, ID 83706 (208) 381-2235 NPI: 1548213457 (208) 302-5350 (208) 367-7350 Group(s): St Lukes Clinic 3025 W Cherry Ln Ste B Group(s): St Alphonsus Group(s): St Alphonsus Treasure Valley Llc Ste B Regional Medical Center Regional Medical Center Torres, James, MDx~* Meridian, ID 83642 Physicians -1861676298 (208) 302-6450 Physicians -1861676298 NPI: 1639124217 Group(s): St Alphonsus - 83706 - 83709 190 E Bannock St Ashby, Hansel, MDx~* Boise, ID 83712 Regional Medical Center Ashby, Hansel, MDx~* Physicians -1861676298 NPI: 1548213457 NPI: 1548213457 (208) 381-2222 2141 E Parkcenter Blvd 10583 W Lake Hazel Rd Group(s): St Lukes Clinic Baruch, Amy, DOx~* Boise, ID 83706 Boise, ID 83709 Treasure Valley Llc NPI: 1174578025 (208) 302-5950 3080 E Gentry Way Ste (208) 302-5050 KUNA Group(s): St Alphonsus 210 Group(s): St Alphonsus - 83634 Regional Medical Center Regional Medical Center Meridian, ID 83642 Physicians -1861676298 Ashby, Hansel, MDx~* (208) 384-9022 Physicians -1861676298 NPI: 1548213457 Heyborne, Ryan, MDx~* Group(s): St Lukes Clinic Heaton, Rhoda, PAx~* 757 E Wythe Creek Ct Treasure Valley Llc NPI: 1700164092 NPI: 1659573889 Kuna, ID 83634 999 N Curtis Rd Ste 415 10583 W Lake Hazel Rd (208) 302-6500 Boise, ID 83706 Boise, ID 83709 Group(s): St Alphonsus (208) 302-2600 (208) 302-5950 Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

68 Specialists / Especialistas Emergency Medicine continued/Medicina de emergencia continuación Ada County continued/Condado seguido

Brandecker, John, MDx Crane, Heather, MDx~* Gauthier, Allison, MDx~ Hightower, David, MDx ~* NPI: 1205859063 * ~* NPI: 1427099571 3080 E Gentry Way Ste NPI: 1285863803 NPI: 1720089527 3080 E Gentry Way Ste 210 3080 E Gentry Way Ste 3277 E Louise Dr Ste 410 210 Meridian, ID 83642 210 Meridian, ID 83642 Meridian, ID 83642 (208) 384-9022 Meridian, ID 83642 (208) 489-5800 (208) 384-9022 Group(s): St Lukes Clinic (208) 384-9022 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Hulquist, Matthew, MDx Diemont, Stephen, MDx Spanish Butler-Hall, Ian, MDx~* ~* ~* NPI: 1356460711 NPI: 1124007604 Hansen, Duane, MDx~* NPI: 1467490185 3080 E Gentry Way Ste 3080 E Gentry Way Ste NPI: 1417995374 3080 E Gentry Way Ste 210 210 3080 E Gentry Way Ste 210 Meridian, ID 83642 Meridian, ID 83642 210 Meridian, ID 83642 (208) 384-9022 (208) 384-9022 Meridian, ID 83642 (208) 384-9022 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 384-9022 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Byrne, Brian, MAx~* Fish, Boyce, DOx~* Kartel, Douglas, MDx~* NPI: 1376863308 NPI: 1235365545 Heyborne, Ryan, MDx~* NPI: 1508800111 3080 E Gentry Way Ste 3080 E Gentry Way Ste NPI: 1659573889 3080 E Gentry Way Ste 210 210 3025 W Cherry Ln Ste B 210 Meridian, ID 83642 Meridian, ID 83642 Ste B Meridian, ID 83642 (208) 384-9022 (208) 384-9022 Meridian, ID 83642 (208) 384-9022 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 302-6450 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Clive, Stuart, MDx~* Franklin, Joachim, MDx Kendall, Eric, MDx~* Physicians -1861676298 NPI: 1053396614 ~* NPI: 1386674976 3080 E Gentry Way Ste NPI: 1922028554 Hightower, David, MDx 3080 E Gentry Way Ste 210 3080 E Gentry Way Ste ~* 210 Meridian, ID 83642 210 NPI: 1720089527 Meridian, ID 83642 (208) 384-9022 Meridian, ID 83642 3080 E Gentry Way Ste (208) 384-9022 Group(s): St Lukes Clinic (208) 384-9022 210 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc (208) 384-9022 Kessler, Konrad, MDx~* Cowley, L Tad, MDx~* Group(s): St Lukes Clinic NPI: 1356505309 NPI: 1073554804 Treasure Valley Llc 3080 E Gentry Way Ste 3080 E Gentry Way Ste 210 210 Meridian, ID 83642 Meridian, ID 83642 (208) 384-9022 (208) 384-9022 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

69 Specialists / Especialistas Emergency Medicine continued/Medicina de emergencia continuación Ada County continued/Condado seguido

Klein, Frederick, MDx~* Rose, Justin, DOx~* Trainer, Marlin, DOx~* Yeakley, Rourke, MDx~ NPI: 1144273079 NPI: 1447518451 NPI: 1982655932 * 3277 E Louise Dr Ste 410 3080 E Gentry Way Ste 3080 E Gentry Way Ste NPI: 1790723286 Meridian, ID 83642 210 210 3080 E Gentry Way Ste (208) 489-5800 Meridian, ID 83642 Meridian, ID 83642 210 Group(s): St Lukes Clinic (208) 384-9022 (208) 384-9022 Meridian, ID 83642 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 384-9022 German Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Macdonald, Richard, Soni, Neeraj, MDx~* Urban, Mark, MDx~* Spanish MDx~* NPI: 1821035817 NPI: 1508043001 NPI: 1437102050 3080 E Gentry Way Ste 3080 E Gentry Way Ste - 83646 3080 E Gentry Way Ste 210 210 Moss, Brian, MDx~* 210 Meridian, ID 83642 Meridian, ID 83642 NPI: 1033384201 Meridian, ID 83642 (208) 384-9022 (208) 384-9022 750 W Ustick Rd Ste 100 (208) 384-9022 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Meridian, ID 83646 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc (208) 639-1397 Treasure Valley Llc Sturkie, Murry, DOx~* Washington, Charles, Group(s): Align Integrated Martin, Jaime, MDx~* NPI: 1700825122 MDx~* Medical Llc NPI: 1841226602 3080 E Gentry Way Ste NPI: 1497998538 STAR 3080 E Gentry Way Ste 210 3080 E Gentry Way Ste - 83669 210 Meridian, ID 83642 210 Ashby, Hansel, MDx~* Meridian, ID 83642 (208) 384-9022 Meridian, ID 83642 NPI: 1548213457 (208) 384-9022 Group(s): St Lukes Clinic (208) 384-9022 10717 W State St Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Star, ID 83669 Treasure Valley Llc Treasure Valley Llc Thomas, Rachel, MDx~* (208) 302-6350 Spanish NPI: 1861703670 Wilhelmsen, Jason, MDx Group(s): St Alphonsus Otto, Raymond, MDx~* 3080 E Gentry Way Ste ~* Regional Medical Center NPI: 1063455301 210 NPI: 1912964404 Physicians -1861676298 3277 E Louise Dr Ste 410 Meridian, ID 83642 3080 E Gentry Way Ste Heyborne, Ryan, MDx~* Meridian, ID 83642 (208) 384-9022 210 NPI: 1659573889 (208) 489-5800 Group(s): St Lukes Clinic Meridian, ID 83642 10717 W State St Group(s): St Lukes Clinic Treasure Valley Llc (208) 384-9022 Star, ID 83669 Treasure Valley Llc Group(s): St Lukes Clinic Timmel, Kevin, MDx~* Treasure Valley Llc (208) 302-6350 Rader, Kendall, MDx~* NPI: 1114971256 Group(s): St Alphonsus NPI: 1548497241 3080 E Gentry Way Ste Wyman, Steven, MDx~* Regional Medical Center 3080 E Gentry Way Ste 210 NPI: 1356384770 Physicians -1861676298 210 Meridian, ID 83642 3080 E Gentry Way Ste Meridian, ID 83642 (208) 384-9022 210 (208) 384-9022 Group(s): St Lukes Clinic Meridian, ID 83642 Group(s): St Lukes Clinic Treasure Valley Llc (208) 384-9022 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc

70 Specialists / Especialistas Emergency Medicine continued/Medicina de emergencia continuación Canyon County/Condado

Canyon - 83687 End-Stage Renal NAMPA Ashby, Hansel, MDx~* - 83686 CALDWELL Disease (Esrd) NPI: 1548213457 Treatment Liberty Dialysis Nampax - 83605 1150 N Sister Catherine ~* Ashby, Hansel, MDx~* Way Idaho NPI: 1396802070 NPI: 1548213457 Nampa, ID 83687 Ada 280 W Georgia Ave 315 E Elm St Ste 100 Ste (208) 302-7050 Nampa, ID 83686 100 Group(s): St Alphonsus BOISE (208) 463-8558 Caldwell, ID 83605 Regional Medical Center - 83702 Group(s): Liberty Dialysis (208) 302-7150 Physicians -1861676298 Fresenius Kidney Care Nampa Group(s): St Alphonsus Boisex~* Regional Medical Center Heyborne, Ryan, MDx~* Endocrinology, NPI: 1659573889 NPI: 1427472141 Physicians -1861676298 1109 W Myrtle St Ste 120 Diabetes & 1150 N Sister Catherine Metabolism Heyborne, Ryan, MDx~* Way Boise, ID 83702 NPI: 1659573889 Nampa, ID 83687 (208) 333-8315 Idaho 315 E Elm St Ste 100 Ste Group(s): Fresenius (208) 302-7050 Ada 100 Group(s): St Alphonsus Kidney Care Boise Caldwell, ID 83605 Regional Medical Center MERIDIAN BOISE (208) 302-7150 Physicians -1861676298 - 83642 - 83702 Group(s): St Alphonsus Regional Medical Center Wyatt, Christopher, MD Boise Dialysisx~* Christensen, Richard, ~* Physicians -1861676298 NPI: 1639115785 MDx~* NPI: 1649487430 3525 E Louise Dr Ste 100 NPI: 1346272127 NAMPA 4400 E Flamingo Ave Meridian, ID 83642 403 S 11th St Ste 100 - 83651 Nampa, ID 83687 (208) 846-9815 Boise, ID 83702 Ashby, Hansel, MDx~* (208) 302-0860 Group(s): Boise Dialysis (208) 429-0300 NPI: 1548213457 Group(s): St Alphonsus Group(s): St Lukes Clinic 11035 Karcher Rd Regional Medical Center Canyon Treasure Valley Llc Physicians -1861676298 Nampa, ID 83651 CALDWELL Sikder, Shanaz, MDx~* (208) 302-6650 - 83605 NPI: 1083980734 Group(s): St Alphonsus Liberty Dialysis Caldwell 403 S 11th St Ste 100 Regional Medical Center x~* Boise, ID 83702 Physicians -1861676298 NPI: 1255643243 (208) 429-0300 Heyborne, Ryan, MDx~* 4620 Enterprise Way Group(s): St Lukes Clinic NPI: 1659573889 Caldwell, ID 83605 Treasure Valley Llc 11035 Karcher Rd (208) 454-1101 Nampa, ID 83651 Group(s): Liberty Dialysis (208) 302-6650 Caldwell Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

71 Specialists / Especialistas Endocrinology, Diabetes & Metabolism continued/Endocrinología, diabetes y metabolismo continuación Ada County continued/Condado seguido

- 83704 - 83713 Veldhuis, Johannes, MD - 83704 Foote, Julie, MDx~* Roosevelt, Theodore, x~* Bartling, Victor, DOx~* NPI: 1104836303 MDx~* NPI: 1477530335 NPI: 1174598684 900 N Liberty St Ste 201 NPI: 1699754697 520 S Eagle Rd Ste 1234 5966 Curtisian Ave Boise, ID 83704 13909 W Wainwright Dr Meridian, ID 83642 Boise, ID 83704 (208) 367-6740 Boise, ID 83713 (208) 429-0300 (208) 302-5400 Group(s): Treasure Valley (208) 389-2213 Group(s): St Lukes Clinic Group(s): St Alphonsus Endocrinology Pc Group(s): Idaho Diabetes Treasure Valley Llc Regional Medical Center Other Specialties: Internal And Endocrine Associates Family Medicine Physicians -1861676298 Medicine GARDEN CITY Idaho Chong, Joshua, DOx~* Foote, Julie, MDx~* - 83714 NPI: 1326431198 Ada NPI: 1104836303 Casper, John, MDx~* 6051 Emerald St 900 N Liberty Ste 201 NPI: 1275642191 BOISE Boise, ID 83704 Boise, ID 83704 272 E 36th St - 83702 (208) 302-5100 (208) 367-6740 Garden City, ID 83714 Group(s): St Alphonsus Group(s): Treasure Valley Coleman, Scott, PAx~* Regional Medical Center (208) 514-0518 NPI: 1649352139 Endocrinology Pc Group(s): Medical Physicians -1861676298 Other Specialties: Internal 300 S 23rd St Consulting Services Davis, Charles, DOx~* Medicine Boise, ID 83702 MERIDIAN (208) 344-3512 NPI: 1104877364 - 83706 - 83642 Group(s): Terry Reilly 6051 Emerald St Domby, Kylee, NPx~* Health Services - Medical Boise, ID 83704 Holyoak, Michael, DOx~ (208) 302-5100 NPI: 1124398458 * Group1134527708 Group(s): St Alphonsus 1055 N Curtis Rd NPI: 1679968051 Other Specialties: Boise, ID 83706 Physician Assistant Regional Medical Center 520 S Eagle Rd Ste 1234 Physicians -1861676298 (208) 367-4096 Meridian, ID 83642 Sup, Jacob, DOx~* Group(s): St Alphonsus (208) 429-0300 NPI: 1295266401 Fink, Laura, MDx~* Regional Medical Center Group(s): St Lukes Clinic 300 S 23rd St NPI: 1487094108 Physicians -1861676298 Treasure Valley Llc Boise, ID 83702 6051 W Emerald St Boise, ID 83704 Prinzing, Catherine, Sikder, Shanaz, MDx~* (208) 344-3512 CNS~* Group(s): Terry Reilly (208) 302-5150 NPI: 1083980734 Group(s): St Alphonsus NPI: 1932331626 520 S Eagle Rd Ste 1234 Health Services Boise 1000 N Curtis Rd Ste 305 Clinic - Medical Group, Regional Medical Center Meridian, ID 83642 Physicians -1861676298 Boise, ID 83706 (208) 429-0300 Terry Reilly Health (208) 302-0600 Services - Medical Other Specialties: Sports Group(s): St Lukes Clinic Medicine - Internal Group(s): St Alphonsus Treasure Valley Llc Group1134527708, Terry Regional Medical Center Reilly Health Services - Medicine Physicians -1861676298 Medical Group1457309122

72 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Gray, Jennifer, MD~* Lamers, Stacy, DOx~* Shepler, Michael, NPx~* - 83705 NPI: 1700927902 NPI: 1003867094 NPI: 1356836639 Biggerstaff, Jennifer, 6533 W Emerald St 6051 W Emerald St 6051 W Emerald St MDx~* Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 NPI: 1861690745 (208) 302-5200 (208) 302-5150 (208) 302-5150 1880 W Judith Ln Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Boise, ID 83705 Regional Medical Center Regional Medical Center Regional Medical Center (208) 302-5200 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus Spanish, Tagalog Lawler, Monica, MDx~* Sindt, Cezanne, MDx~* Regional Medical Center Hamilton, Brady, PAx~* NPI: 1932441979 NPI: 1780941732 Physicians -1861676298 NPI: 1245221258 3301 N Sawgrass Wy 6051 W Emerald St Graff, Michael, MDx~* 413 N Allumbaugh St Ste Boise, ID 83704 Boise, ID 83704 NPI: 1689603219 101 (208) 375-0862 (208) 302-5150 3587 S Federal Way Boise, ID 83704 Group(s): St Lukes Clinic Group(s): St Alphonsus Boise, ID 83705 (208) 323-1125 Treasure Valley Llc Regional Medical Center (208) 302-5350 Group(s): Sage Health Physicians -1861676298 Palmer, Todd, MDx~* Group(s): St Alphonsus Care Pllc Other Specialties: Urgent NPI: 1568595270 Regional Medical Center Other Specialties: Care Clinic 5966 W Curtisian Ave Physicians -1861676298 Physician Assistant Boise, ID 83704 Slappey, Kristen, DOx~* Other Specialties: Urgent Spanish (208) 302-5490 NPI: 1932463494 Care Clinic Johnson, Shae, DOx~* Group(s): St Alphonsus 6051 W Emerald St Hollopeter, Sarah, MDx NPI: 1669588315 Regional Medical Center Boise, ID 83704 ~* 6051 Emerald St Physicians -1861676298 (208) 302-7600 NPI: 1144243619 Boise, ID 83704 Group(s): St Alphonsus Palmer, Todd, MDx~* 1880 W Judith Ln (208) 302-5100 Regional Medical Center NPI: 1568595270 Boise, ID 83705 Group(s): St Alphonsus Physicians -1861676298 5966 W Curtisian Ave (208) 302-5200 Regional Medical Center Boise, ID 83704 Southard, Jennifer, MDx Group(s): St Alphonsus Physicians -1861676298 (208) 302-5470 ~* Regional Medical Center Karas, Daria, PAx~* Group(s): St Alphonsus NPI: 1023216538 Physicians -1861676298 NPI: 1174993463 Regional Medical Center 6051 Emerald St Karas, Daria, PAx~* 6051 W Emerald St Physicians -1861676298 Boise, ID 83704 NPI: 1174993463 Boise, ID 83704 (208) 302-5100 3587 S Federal Way Schwendiman, Scott, MD Group(s): St Alphonsus (208) 302-5150 x~* Boise, ID 83705 Regional Medical Center Group(s): St Alphonsus NPI: 1538110234 (208) 302-5350 Physicians -1861676298 Regional Medical Center 6051 Emerald St Group(s): St Alphonsus Physicians -1861676298 Boise, ID 83704 Tuthill, Mary, PAx~* Regional Medical Center Hebrew, Russian (208) 302-5100 NPI: 1720020217 Physicians -1861676298 Group(s): St Alphonsus 6051 Emerald St Hebrew, Russian Regional Medical Center Boise, ID 83704 Physicians -1861676298 (208) 302-5100 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

73 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Lamers, Stacy, DOx~* Sup, Jacob, DOx~* Genther, Matthew, NPx~ Kern, Lisa, MDx~* NPI: 1003867094 NPI: 1295266401 * NPI: 1588618219 3587 S Federal Way 848 S La Cassia Dr NPI: 1548784606 2141 E Parkcenter Blvd Boise, ID 83705 Boise, ID 83705 999 N Curtis Rd Ste 415 Boise, ID 83706 (208) 302-5350 (208) 344-0086 Boise, ID 83706 (208) 302-5000 Group(s): St Alphonsus Group(s): Terry Reilly (208) 302-2600 Group(s): St Alphonsus Regional Medical Center Health Services - Medical Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Group1134527708, Terry Regional Medical Center Physicians -1861676298 Reilly Health Services - Physicians -1861676298 Moore, Harold, MDx~* Lamers, Stacy, DOx~* Medical Other Specialties: Family NPI: 1356320915 NPI: 1003867094 Group1457309122, Terry Nurse Practitioner 1880 W Judith Ln 2141 E Parkcenter Blvd Reilly Health Services - Boise, ID 83705 Graff, Michael, MDx~* Boise, ID 83706 Medical (208) 302-5200 NPI: 1689603219 (208) 302-5050 Group1952756884 Group(s): St Alphonsus 2141 E Parkcenter Blvd Group(s): St Alphonsus Regional Medical Center - 83706 Boise, ID 83706 Regional Medical Center Physicians -1861676298 Devitt, Angeline, MDx~* (208) 302-5050 Physicians -1861676298 NPI: 1659324358 Group(s): St Alphonsus Roser, Louis, MDx~* Regional Medical Center Miller, Katherine, MDx~ 2141 E Parkcenter Blvd * NPI: 1497715866 Physicians -1861676298 Boise, ID 83706 NPI: 1225066707 1880 W Judith Ln Other Specialties: Urgent (208) 302-5000 2141 E Parkcenter Blvd Boise, ID 83705 Care Clinic (208) 302-5200 Group(s): St Alphonsus Boise, ID 83706 Group(s): St Alphonsus Regional Medical Center Hayton, Derek, DO~* (208) 302-5000 Regional Medical Center Physicians -1861676298 NPI: 1821384579 Group(s): St Alphonsus Physicians -1861676298 Edwards, William, MD~ 1055 N Curtis Rd Regional Medical Center * Boise, ID 83706 Physicians -1861676298 Shepler, Michael, NPx~* (208) 367-6279 NPI: 1679745590 Paytash, Susan, PAx~* NPI: 1356836639 Group(s): St Alphonsus 1055 N Curtis Rd NPI: 1912073370 3587 S Federal Way Regional Medical Center Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83705 Physicians -1861676298 (208) 367-6279 Boise, ID 83706 (208) 302-5350 Term Date: 12/31/2020 Group(s): St Alphonsus Group(s): St Alphonsus (208) 302-5000 Regional Medical Center Regional Medical Center Karas, Daria, PAx~* Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 NPI: 1174993463 Regional Medical Center Genther, Matthew, NPx~ 2141 E Parkcenter Blvd Physicians -1861676298 Sindt, Cezanne, MDx~* Boise, ID 83706 * Schwind, Adam, DO~* NPI: 1780941732 (208) 302-5050 NPI: 1548784606 NPI: 1831539220 3587 S Federal Way Group(s): St Alphonsus 901 N Curtis Rd Ste 501 1055 N Curtis Rd Boise, ID 83705 Regional Medical Center Boise, ID 83706 Boise, ID 83706 (208) 302-5350 Physicians -1861676298 (208) 302-3900 (208) 367-6279 Group(s): St Alphonsus Hebrew, Russian Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Other Specialties: Urgent Physicians -1861676298 Other Specialties: Family Care Clinic Nurse Practitioner

74 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Shepler, Michael, NPx~* - 83709 Graff, Michael, MDx~* Lamers, Stacy, DOx~* NPI: 1356836639 Aspesi, Anthony, MDx~* NPI: 1689603219 NPI: 1003867094 2141 E Parkcenter Blvd NPI: 1902210560 10583 W Lake Hazel Rd 10583 W Lake Hazel Rd Boise, ID 83706 10255 W Overland Rd Boise, ID 83709 Boise, ID 83709 (208) 302-5050 Boise, ID 83709 (208) 302-5950 (208) 302-5950 Group(s): St Alphonsus (208) 302-5600 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298 Other Specialties: Urgent Sindt, Cezanne, MDx~* Physicians -1861676298 Patee, Caleb, DOx~* Care Clinic NPI: 1780941732 Beeson, Donna, MDx~* NPI: 1780078857 2141 E Parkcenter Blvd NPI: 1689630436 Hoilien, Michael, DOx~* 10583 W Lake Hazel Rd Boise, ID 83706 6651 W Franklin Rd NPI: 1881739076 Boise, ID 83709 (208) 302-5050 Boise, ID 83709 10583 W Lake Hazel Rd (208) 302-5950 Group(s): St Alphonsus (208) 947-5390 Boise, ID 83709 Group(s): St Alphonsus Regional Medical Center Group(s): Lyon Medical (208) 302-5950 Regional Medical Center Physicians -1861676298 Llc Group(s): St Alphonsus Physicians -1861676298 Other Specialties: Urgent Regional Medical Center Potter, Stephanie, MDx~ Care Clinic Clark, Juliet, PAx~* Physicians -1861676298 NPI: 1649214131 * Walizada, Shahla, DOx~ 10255 W Overland Rd Karas, Daria, PAx~* NPI: 1609892413 * Boise, ID 83709 NPI: 1174993463 6651 W Franklin Rd NPI: 1205272986 (208) 302-5600 10255 W Overland Rd Boise, ID 83709 2141 E Parkcenter Blvd Group(s): St Alphonsus Boise, ID 83709 (208) 947-5390 Boise, ID 83706 Regional Medical Center (208) 302-5600 Group(s): Lyon Medical (208) 302-5000 Physicians -1861676298 Group(s): St Alphonsus Llc Group(s): St Alphonsus Regional Medical Center Sindt, Cezanne, MDx~* Regional Medical Center Culpepper, Scott, MDx~ Physicians -1861676298 NPI: 1780941732 Physicians -1861676298 * Hebrew, Russian NPI: 1952321606 10583 W Lake Hazel Rd Wilson, Benjamin, MDx 10583 W Lake Hazel Rd Karas, Daria, PAx~* Boise, ID 83709 ~* Boise, ID 83709 NPI: 1174993463 (208) 302-5950 NPI: 1952694549 (208) 302-5900 10583 W Lake Hazel Rd Group(s): St Alphonsus 701 E Parkcenter Blvd Group(s): St Alphonsus Boise, ID 83709 Regional Medical Center Boise, ID 83706 Regional Medical Center (208) 302-5950 Physicians -1861676298 (208) 381-6500 Physicians -1861676298 Group(s): St Alphonsus Other Specialties: Urgent Group(s): St Lukes Clinic Term Date: 12/31/2020 Regional Medical Center Care Clinic Treasure Valley Llc Physicians -1861676298 Sterling, Hugh, MDx~* Hebrew, Russian NPI: 1538198098 6000 Overland Rd Boise, ID 83709 (208) 323-7588 Group(s): Firstline Medical French

75 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Watts, Karl, MDx~* Leman, Jarah, NPx~* EAGLE Karas, Daria, PAx~* NPI: 1578591053 NPI: 1912379165 - 83616 NPI: 1174993463 10255 W Overland Rd 100 E Idaho St Ste 200 Aragona, Erika, DO~* 3217 W Bavaria St Boise, ID 83709 Boise, ID 83712 NPI: 1316236466 Eagle, ID 83616 (208) 302-5600 (208) 381-2711 3217 W Bavaria St (208) 302-6200 Group(s): St Alphonsus Group(s): St Lukes Clinic Eagle, ID 83616 Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc (208) 302-6200 Regional Medical Center Physicians -1861676298 Other Specialties: Family Group(s): St Alphonsus Physicians -1861676298 Nurse Practitioner Hebrew, Russian - 83712 Regional Medical Center Beeson, Donna, MDx~* Millspaugh, Samantha, Physicians -1861676298 Knorpp, Daniel, DO~* NPI: 1689630436 PA~* Dunay, Megan, MD~* NPI: 1538214184 190 E Bannock St NPI: 1992270557 NPI: 1801107974 3217 W Bavaria St Boise, ID 83712 1000 E Park Blvd Ste 120 21 N Fisher Park Way Eagle, ID 83616 (208) 381-5015 Boise, ID 83712 Eagle, ID 83616 (208) 302-6200 Group(s): St Lukes Clinic (208) 381-4100 (208) 514-0670 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Keystone Health Regional Medical Center Treasure Valley Llc Physicians -1861676298 Herr, Jessica, ARNPx~* Care NPI: 1619385119 - 83713 Graff, Michael, MDx~* Shepler, Michael, NPx~* 100 E Idaho St Durham, Joshua, DOx~* NPI: 1689603219 NPI: 1356836639 Boise, ID 83712 NPI: 1013194208 3217 W Bavaria St 3217 W Bavaria St (208) 381-2711 12273 W Mcmillan Rd Eagle, ID 83616 Eagle, ID 83616 Group(s): St Lukes Clinic Boise, ID 83713 (208) 302-6200 (208) 302-6200 Treasure Valley Llc (208) 302-5500 Group(s): St Alphonsus Group(s): St Alphonsus Other Specialties: Nurse Group(s): St Alphonsus Regional Medical Center Regional Medical Center Practitioner Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Kozisek, Peter, MDx~* Other Specialties: Urgent KUNA Care Clinic NPI: 1659319085 Perko, Robert, MDx~* - 83634 190 E Bannock St NPI: 1043261803 Hughes, Jenifer, NPx~* Graff, Michael, MDx~* Boise, ID 83712 12273 W Mcmillan Rd NPI: 1679892335 NPI: 1689603219 (208) 381-1615 Boise, ID 83713 3101 E State St 757 E Wythe Creek Ct Group(s): St Lukes Clinic (208) 302-5500 Eagle, ID 83616 Kuna, ID 83634 Treasure Valley Llc Group(s): St Alphonsus (208) 473-3100 (208) 302-6500 Regional Medical Center Kozisek, Peter, MDx~* Group(s): St Lukes Clinic Group(s): St Alphonsus Physicians -1861676298 NPI: 1659319085 Treasure Valley Llc Regional Medical Center Other Specialties: Family Physicians -1861676298 300 E Jefferson St Ste 101 Boise, ID 83712 Nurse Practitioner Other Specialties: Urgent (208) 322-1680 Care Clinic Group(s): St Lukes Clinic Treasure Valley Llc

76 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Karas, Daria, PAx~* Sindt, Cezanne, MDx~* Castellano, Patrick, PAx Graff, Michael, MDx~* NPI: 1174993463 NPI: 1780941732 ~* NPI: 1689603219 757 E Wythe Creek Ct 757 E Wythe Creek Ct NPI: 1689856809 3025 W Cherry Ln Ste B Kuna, ID 83634 Kuna, ID 83634 520 S Eagle Rd Ste 2213 Ste B (208) 302-6500 (208) 302-6500 Meridian, ID 83642 Meridian, ID 83642 Group(s): St Alphonsus Group(s): St Alphonsus (208) 706-5447 (208) 302-6450 Regional Medical Center Regional Medical Center Group(s): St Lukes Clinic Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Treasure Valley Llc Regional Medical Center Hebrew, Russian Other Specialties: Urgent Other Specialties: Physicians -1861676298 Care Clinic Physician Assistant Other Specialties: Urgent Lamers, Stacy, DOx~* Term Date: 12/31/2020 Care Clinic NPI: 1003867094 MERIDIAN 757 E Wythe Creek Ct - 83642 Cheney, Mark, DOx~* Hartley, Arlene, PAx~* NPI: 1659504314 Kuna, ID 83634 Allen, Daniel, MDx~* NPI: 1194792473 3025 W Cherry Ln Ste B (208) 302-6500 NPI: 1720017247 3025 W Cherry Ln Ste B Group(s): St Alphonsus 2131 S Bonito Way Meridian, ID 83642 Meridian, ID 83642 Regional Medical Center Meridian, ID 83642 (208) 302-6400 (208) 302-6400 Group(s): St Alphonsus Physicians -1861676298 (208) 489-9500 Group(s): St Alphonsus Regional Medical Center Group(s): Apogee Medical Regional Medical Center Parkinson, Justin, DOx~ Physicians -1861676298 * Group Idaho Pc Physicians -1861676298 NPI: 1730529553 Spanish Fender, Fred, MDx~* Huffaker, Kristina, PAx 757 E Wythe Creek Ct NPI: 1558300491 ~* Ashaye, Jaiyeola, MDx~ Kuna, ID 83634 * 3025 W Cherry Ln Ste B NPI: 1508142613 (208) 302-6500 NPI: 1952488561 Meridian, ID 83642 3025 W Cherry Ln Ste B Group(s): St Alphonsus 2321 E Gala St Ste 3 Ste 3 (208) 302-6400 Meridian, ID 83642 Regional Medical Center Meridian, ID 83642 Group(s): St Alphonsus (208) 302-6400 Physicians -1861676298 (208) 888-5848 Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Shepler, Michael, NPx~* Group(s): Midvalley Physicians -1861676298 NPI: 1356836639 Healthcare Goldberg, Marcel, MDx ~* 757 E Wythe Creek Ct Castellano, Patrick, PAx Karas, Daria, PAx~* Kuna, ID 83634 ~* NPI: 1801837141 NPI: 1174993463 (208) 302-6500 NPI: 1689856809 3025 W Cherry Ln Ste B 3025 W Cherry Ln Ste B Group(s): St Alphonsus 3015 E Magic View Dr Meridian, ID 83642 Ste B Regional Medical Center Meridian, ID 83642 (208) 302-6400 Meridian, ID 83642 Physicians -1861676298 (208) 321-4000 Group(s): St Alphonsus (208) 302-6450 Group(s): Direct Regional Medical Center Group(s): St Alphonsus Orthopedic Care Physicians -1861676298 Regional Medical Center Other Specialties: Physicians -1861676298 Physician Assistant Hebrew, Russian Term Date: 12/31/2020

77 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Ada County continued/Condado seguido

Kozisek, Peter, MDx~* Major, Melissa, NPx~* Huffaker, Kristina, PAx Shepler, Michael, NPx~* NPI: 1659319085 NPI: 1629579388 ~* NPI: 1356836639 520 S Eagle Rd Ste 2104 3080 E Gentry Way Ste NPI: 1508142613 10717 W State St Meridian, ID 83642 100 10717 W State St Star, ID 83669 (208) 706-0201 Meridian, ID 83642 Star, ID 83669 (208) 302-6350 Group(s): St Lukes Clinic (208) 947-5390 (208) 302-6350 Group(s): St Alphonsus Treasure Valley Llc Group(s): D&G Medical Group(s): St Alphonsus Regional Medical Center Associates Pllc Regional Medical Center Physicians -1861676298 Lamers, Stacy, DOx~* Physicians -1861676298 NPI: 1003867094 Shepler, Michael, NPx~* Sindt, Cezanne, MDx~* 3025 W Cherry Ln Ste B NPI: 1356836639 Karas, Daria, PAx~* NPI: 1780941732 Ste B 3025 W Cherry Ln Ste B NPI: 1174993463 10717 W State St Meridian, ID 83642 Ste B 10717 W State St Star, ID 83669 (208) 302-6450 Meridian, ID 83642 Star, ID 83669 (208) 302-6350 Group(s): St Alphonsus (208) 302-6450 (208) 302-6350 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Other Specialties: Urgent Larson, Peter, NPx~* Hebrew, Russian Care Clinic NPI: 1073053518 Sindt, Cezanne, MDx~* 3025 W Cherry Ln Ste B NPI: 1780941732 Lamers, Stacy, DOx~* Canyon Meridian, ID 83642 3025 W Cherry Ln Ste B NPI: 1003867094 (208) 302-6400 Ste B 10717 W State St CALDWELL Group(s): St Alphonsus Meridian, ID 83642 Star, ID 83669 - 83605 Regional Medical Center (208) 302-6450 (208) 302-6350 Augustus, Richard, MDx Physicians -1861676298 Group(s): St Alphonsus Group(s): St Alphonsus ~* Regional Medical Center Regional Medical Center NPI: 1699717793 Lawler, Monica, MDx~* Physicians -1861676298 Physicians -1861676298 1717 Arlington Ave NPI: 1932441979 Other Specialties: Urgent Caldwell, ID 83605 3399 E Louise Dr Ste 100 Mcdonough, Katherine, Care Clinic (208) 459-4641 Meridian, ID 83642 DO~* Group(s): West Valley (208) 887-6813 STAR NPI: 1649589664 Medical Associates Inc Group(s): St Lukes Clinic - 83669 10717 W State St Treasure Valley Llc Graff, Michael, MDx~* Star, ID 83669 Augustus, Richard, MDx ~* NPI: 1689603219 (208) 302-6350 Lawler, Monica, MDx~* NPI: 1699717793 10717 W State St Group(s): St Alphonsus NPI: 1932441979 Regional Medical Center 1906 Fairview Ave Ste 4949 S Hilldale Ave Star, ID 83669 (208) 302-6350 Physicians -1861676298 230 Meridian, ID 83642 Caldwell, ID 83605 Group(s): St Alphonsus Scott, Jeffrey, DO~* (208) 706-6400 (208) 459-4667 Regional Medical Center NPI: 1811964570 Group(s): St Lukes Clinic Group(s): West Valley Physicians -1861676298 10717 W State St Treasure Valley Llc Medical Associates Inc Other Specialties: Urgent Star, ID 83669 Care Clinic (208) 302-6350 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 ÿ $FFHVVLELOW\SDUNLQJEXLOGLQJHOHYDWRURIILFH a$FFHSWLQJQHZSDWLHQWV$FHSWDQGRDQXHYRVSDFLHQWHV H[DPURRPDQGUHVWURRP(VWDFLRQDPLHQWR $FFHSWV0HGLFDLG$FHSWD0HGLFDLG LQVWDODFLyQDVFHQVRUFRQVXOWRULRFXDUWRGH ¨2IIHUV7HOHKHDOWKVHUYLFHV2IUHFHVHUYLFLRVGH H[SORUDFLyQ\EDxRVDFFHVLEOHV WHOHVDOXG

78 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Canyon County continued/Condado seguido

Baldwin, Brenton, MDx~ Graff, Michael, MDx~* Lamers, Stacy, DOx~* Portenier, Samantha, * NPI: 1689603219 NPI: 1003867094 MDx~* NPI: 1649610528 315 E Elm St Ste 100 Ste 315 E Elm St Ste 100 Ste NPI: 1356385132 315 E Elm St Ste 200 100 100 315 E Elm St Ste 100 Caldwell, ID 83605 Caldwell, ID 83605 Caldwell, ID 83605 Caldwell, ID 83605 (208) 302-7500 (208) 302-7150 (208) 302-7150 (208) 302-7100 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Other Specialties: Urgent Ball, Katherine, MDx~* Major, Meikel, MDx~* Redden, Kaleb, DOx~* Care Clinic NPI: 1427314475 NPI: 1730317975 NPI: 1366822892 315 E Elm St Ste 100 Hughes, Jenifer, NPx~* 1906 Fairview Ave Ste 315 E Elm St Ste 100 Caldwell, ID 83605 NPI: 1679892335 230 Caldwell, ID 83605 (208) 302-7100 2523 S 10th Ave Ste 103 Caldwell, ID 83605 (208) 302-7100 Group(s): St Alphonsus Caldwell, ID 83605 (208) 459-4667 Group(s): St Alphonsus Regional Medical Center (208) 459-7788 Group(s): West Valley Regional Medical Center Physicians -1861676298 Group(s): Caldwell Medical Associates Inc Physicians -1861676298 Immediate Care Spanish Donahue, Eric, MD~* Moulton, Travis, DOx~* Other Specialties: Family NPI: 1831624691 NPI: 1760744403 Roach, Michael, MDx~* Nurse Practitioner 211 E Logan St Ste 305 1906 Fairview Ave Ste NPI: 1528004389 Caldwell, ID 83605 Jackson, Cary, MDx~* 230 315 E Elm St Ste 100 (208) 649-5015 NPI: 1932169042 Caldwell, ID 83605 Caldwell, ID 83605 Group(s): West Valley 1906 Fairview Ave Ste (208) 459-4667 (208) 302-7100 Medical Associates Inc 430 Ste 430 Group(s): West Valley Group(s): St Alphonsus Gardner, James, MDx~* Caldwell, ID 83605 Medical Group Llc Regional Medical Center NPI: 1730275876 (208) 302-2100 Spanish Physicians -1861676298 Group(s): St Alphonsus 315 E Elm St Ste 100 Palmer, Todd, MDx~* Shepler, Michael, NPx~* Regional Medical Center Caldwell, ID 83605 NPI: 1568595270 NPI: 1356836639 Physicians -1861676298 (208) 302-7100 1906 Fairview Ave Ste 315 E Elm St Ste 100 Ste Other Specialties: Group(s): St Alphonsus 430 Ste 430 100 Pulmonary Disease, Sleep Regional Medical Center Caldwell, ID 83605 Caldwell, ID 83605 Medicine - Internal Physicians -1861676298 (208) 302-5470 (208) 302-7150 Medicine Gardner, Michelle, MDx Group(s): St Alphonsus Group(s): St Alphonsus ~* Karas, Daria, PAx~* Regional Medical Center Regional Medical Center NPI: 1437231354 NPI: 1174993463 Physicians -1861676298 Physicians -1861676298 315 E Elm St Ste 100 315 E Elm St Ste 100 Ste Caldwell, ID 83605 100 (208) 302-7100 Caldwell, ID 83605 Group(s): St Alphonsus (208) 302-7150 Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298 Hebrew, Russian

79 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Canyon County continued/Condado seguido

Sindt, Cezanne, MDx~* MIDDLETON Karas, Daria, PAx~* Sindt, Cezanne, MDx~* NPI: 1780941732 - 83644 NPI: 1174993463 NPI: 1780941732 315 E Elm St Ste 100 Ste Sup, Jacob, DOx~* 11035 Karcher Rd 11035 Karcher Rd 100 NPI: 1295266401 Nampa, ID 83651 Nampa, ID 83651 Caldwell, ID 83605 201 S Paradise Ave (208) 302-6650 (208) 302-6650 (208) 302-7150 Middleton, ID 83644 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus (208) 585-0048 Regional Medical Center Regional Medical Center Regional Medical Center Group(s): Terry Reilly Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Health Services - Medical Hebrew, Russian Other Specialties: Urgent Other Specialties: Urgent Care Clinic Group, Terry Reilly Lamers, Stacy, DOx~* Care Clinic Health Services - Medical NPI: 1003867094 Sup, Jacob, DOx~* Steinmann, Carl, PAx~* Group1134527708, Terry 11035 Karcher Rd NPI: 1295266401 NPI: 1992994776 Reilly Health Services - Nampa, ID 83651 207 1st St S 315 E Elm St Ste 100 Medical (208) 302-6650 Nampa, ID 83651 Caldwell, ID 83605 Group1457309122 Group(s): St Alphonsus (208) 466-7869 (208) 302-7100 NAMPA Regional Medical Center Group(s): Terry Reilly Group(s): St Alphonsus - 83651 Physicians -1861676298 Health Services - Medical Regional Medical Center Group1134527708 Linn, Erik, MDx~* Physicians -1861676298 Baron, Andrew, MDx~* NPI: 1750567731 NPI: 1487949475 - 83686 Wyatt, Roger, MDx~* 207 1st St S 11035 W Karcher Rd Fink, Laura, MDx~* NPI: 1326305004 Nampa, ID 83651 Nampa, ID 83651 NPI: 1487094108 315 E Elm St Ste 100 (208) 466-7869 (208) 302-6600 1510 12th Ave Rd Ste 200 Caldwell, ID 83605 Group(s): Terry Reilly Group(s): St Alphonsus Nampa, ID 83686 (208) 302-7100 Health Services - Medical Regional Medical Center (208) 302-6800 Group(s): St Alphonsus Group1134527708 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Mendenhall, Mitchell, Regional Medical Center Physicians -1861676298 Graff, Michael, MDx~* NPI: 1689603219 MDx~* Physicians -1861676298 MELBA 11035 Karcher Rd NPI: 1881033256 Other Specialties: Sports - 83641 Nampa, ID 83651 11035 W Karcher Rd Medicine - Internal Medicine Sup, Jacob, DOx~* (208) 302-6650 Nampa, ID 83651 NPI: 1295266401 Group(s): St Alphonsus (208) 302-6600 Hutchings, Randall, MD 150 2nd St Regional Medical Center Group(s): St Alphonsus x~* Melba, ID 83641 Physicians -1861676298 Regional Medical Center NPI: 1609818228 (208) 495-1011 Other Specialties: Urgent Physicians -1861676298 1510 12th Ave Rd Ste 200 Group(s): Terry Reilly Care Clinic Shepler, Michael, NPx~* Nampa, ID 83686 Health Clinics Melba NPI: 1356836639 (208) 302-6800 Dental - Mg1578574521, 11035 Karcher Rd Group(s): St Alphonsus Terry Reilly Health Nampa, ID 83651 Regional Medical Center Services - Medical (208) 302-6650 Physicians -1861676298 Group1457309122 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

80 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Canyon County continued/Condado seguido

Palmer, Todd, MDx~* Culpepper, Scott, MDx~ Harrold, Calvin, PAx~* Lamers, Stacy, DOx~* NPI: 1568595270 * NPI: 1598705311 NPI: 1003867094 1510 12th Ave Rd Ste 200 NPI: 1952321606 1150 N Sister Catherine 1150 N Sister Catherine Ste 200 4403 E Flamingo Ave Way Way Nampa, ID 83686 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 (208) 302-5470 (208) 465-5000 (208) 302-7000 (208) 302-7050 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Term Date: 12/31/2020 - 83687 Jackson, Cary, MDx~* Lavergne, Brigitta, MDx Black, Stuart, MDx~* Fink, Laura, MDx~* NPI: 1932169042 ~* NPI: 1053351361 NPI: 1487094108 4400 E Flamingo Ave Ste NPI: 1164596557 4403 E Flamingo Ave 4424 E Flamingo Ave Ste 200 1150 N Sister Catherine Nampa, ID 83687 110 Nampa, ID 83687 Way (208) 465-5000 Nampa, ID 83687 (208) 302-2000 Nampa, ID 83687 Group(s): St Alphonsus (208) 302-6800 Group(s): St Alphonsus (208) 302-7000 Regional Medical Center Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298 Regional Medical Center Spanish Physicians -1861676298 Other Specialties: Physicians -1861676298 Other Specialties: Sports Pulmonary Disease, Sleep Hungarian Bowman, Jonathan, MD Medicine - Internal Medicine - Internal Redd, Phillip, DOx~* x~* Medicine Medicine NPI: 1497703169 NPI: 1134296106 4403 E Flamingo Ave Freston, Christina, DOx Karas, Daria, PAx~* 1150 N Sister Catherine Nampa, ID 83687 ~* NPI: 1174993463 Way (208) 465-5000 NPI: 1003170176 1150 N Sister Catherine Nampa, ID 83687 Group(s): St Alphonsus 9850 W St Lukes Dr Way (208) 302-7000 Regional Medical Center Nampa, ID 83687 Nampa, ID 83687 Group(s): St Alphonsus Physicians -1861676298 (208) 505-2050 (208) 302-7050 Regional Medical Center Group(s): St Lukes Clinic Group(s): St Alphonsus Physicians -1861676298 Castellano, Patrick, PAx Treasure Valley Llc Regional Medical Center ~* Shepler, Michael, NPx~* Graff, Michael, MDx~* Physicians -1861676298 NPI: 1356836639 NPI: 1689856809 Hebrew, Russian 9850 W St Lukes Dr Ste NPI: 1689603219 1150 N Sister Catherine 207 1150 N Sister Catherine Laitinen, William, MDx~ Way Nampa, ID 83687 Way * Nampa, ID 83687 (208) 505-2712 Nampa, ID 83687 NPI: 1598792863 (208) 302-7050 Group(s): St Lukes Clinic (208) 302-7050 4403 E Flamingo Ave Group(s): St Alphonsus Treasure Valley Llc Group(s): St Alphonsus Nampa, ID 83687 Regional Medical Center Other Specialties: Regional Medical Center (208) 465-5000 Physicians -1861676298 Physician Assistant Physicians -1861676298 Group(s): St Alphonsus Term Date: 12/31/2020 Other Specialties: Urgent Regional Medical Center Care Clinic Physicians -1861676298 Spanish

81 Specialists / Especialistas Family Medicine continued/Medicina de familia continuación Canyon County continued/Condado seguido

Shields, Heidi, MDx~* Weiss, Zachary, MDx~* Binder, Shannon, NPx~* Parker, Michael, NPx~* NPI: 1053406488 NPI: 1932557782 NPI: 1710386396 NPI: 1457848913 1150 N Sister Catherine 4300 E Flamingo Ave 300 S 23rd St 125 E Idaho St Ste 300 Way Nampa, ID 83687 Boise, ID 83702 Boise, ID 83702 Nampa, ID 83687 (208) 465-5000 (208) 344-3512 (208) 381-7335 (208) 302-7000 Group(s): St Alphonsus Group(s): Terry Reilly Group(s): St Lukes Clinic Group(s): St Alphonsus Regional Medical Center Health Services - Medical Treasure Valley Llc Regional Medical Center Physicians -1861676298 Group1134527708 Pearson, Brooke, NPx~* Physicians -1861676298 Wilson, Martha, MDx~* Carter, Nadine, NPx~* NPI: 1457500332 Sindt, Cezanne, MDx~* NPI: 1417268574 NPI: 1114303039 333 N 1st St Ste 140 NPI: 1780941732 9850 W St Lukes Dr 403 S 11th St Ste 100 Boise, ID 83702 1150 N Sister Catherine Nampa, ID 83687 Boise, ID 83702 (208) 381-9026 Way (208) 505-2000 (208) 429-0300 Group(s): St Lukes Clinic Nampa, ID 83687 Group(s): Terry Reilly Group(s): St Lukes Clinic Treasure Valley Llc (208) 302-7050 Health Services - Medical Treasure Valley Llc Pedersen, Rachael, NPx~ Group(s): St Alphonsus Group1134527708 Gaffrey, Melissa, NP~* * Regional Medical Center Spanish NPI: 1730654435 NPI: 1659613636 Physicians -1861676298 Young, Kristen, MDx~* 500 S 8th St 115 Main St Ste 101 Other Specialties: Urgent NPI: 1790105518 Boise, ID 83702 Boise, ID 83702 Care Clinic 1150 N Sister Catherine (855) 255-1750 (208) 381-3915 Sullivan, Cara, MDx~* Way Group(s): United Wound Group(s): St Lukes Clinic NPI: 1912347303 Nampa, ID 83687 Healing Ps Treasure Valley Llc 4403 E Flamingo Ave (208) 302-7000 Medrano, Cynthia, NPx~ Read, Heidi, NPx~* Nampa, ID 83687 Group(s): St Alphonsus * NPI: 1558617167 (208) 465-5000 Regional Medical Center NPI: 1053703504 333 N 1st St Ste 140 Group(s): St Alphonsus Physicians -1861676298 300 S 23rd St Boise, ID 83702 Regional Medical Center Family Nurse Boise, ID 83702 (208) 381-9026 Physicians -1861676298 (208) 344-3512 Group(s): St Lukes Clinic Spanish Practitioner Group(s): Terry Reilly Treasure Valley Llc Idaho Health Services Boise Sup, Jacob, DOx~* Stenshoel, Lindsey, NPx NPI: 1295266401 Ada Clinic - Medical Group, ~* 223 16th Ave N Terry Reilly Health NPI: 1902185168 Nampa, ID 83687 BOISE Services - Medical 1276 W River St Ste 100 (208) 467-7654 - 83702 Group1134527708, Terry Boise, ID 83702 Group(s): Terry Reilly Bauter, Ashlee, NPx~* Reilly Health Services - (208) 338-4699 Health Services Boise NPI: 1356602361 Medical Group(s): Access Clinic - Medical Group, 222 N 2nd St Ste 311 Group1457309122 Behavioral Health Terry Reilly Health Boise, ID 83702 Other Specialties: Psych/ Services Services Caldwell Clinic - (208) 343-0907 Mental Health - Nurse Mg1043230501, Terry Group(s): St Lukes Clinic Practitioner Reilly Health Services - Treasure Valley Llc Medical Group1457309122

82 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Theisen, Regina, NPx~* Armendariz, Anna, NPx Bennett, Sharon, NP~* Heilman, Michael, NPx~ NPI: 1447582580 ~* NPI: 1598189821 * 425 W Bannock St NPI: 1235765652 545 N Benjamine Ste 175 NPI: 1316993546 Boise, ID 83702 131 N Allumbaugh St Boise, ID 83704 6051 W Emerald St (208) 343-1702 Boise, ID 83704 (208) 287-2564 Boise, ID 83704 Group(s): Idaho (208) 302-0900 Group(s): Pathways Of (208) 302-5150 Gastroenterology Group(s): St Alphonsus Idaho Llc - Medical Group Group(s): St Alphonsus Associates Llp Regional Medical Center Regional Medical Center Physicians -1861676298 Binder, Shannon, NPx~* Physicians -1861676298 Torrez, Jessica, NPx~* Effective Date: 1/1/2021 NPI: 1710386396 NPI: 1205307097 545 N Benjamin Ste 185 L'heureux, Nancy, NPx~ 500 S 8th St Bahadar, Denise, NPx~* Boise, ID 83704 * Boise, ID 83702 NPI: 1376899278 (208) 322-1026 NPI: 1003282708 (855) 255-1750 6051 W Emerald St Group(s): Pathways Of 6259 W Emerald St Group(s): United Wound Boise, ID 83704 Idaho Llc - Medical Group Boise, ID 83704 Healing Ps (208) 302-5150 (208) 489-1900 Group(s): St Alphonsus Boulton, Cynthia, NPx~* Group(s): Digestive Watkins, Tyler, NPx~* Regional Medical Center NPI: 1750397238 Health Clinic Llc NPI: 1174936462 Physicians -1861676298 7272 W Potomac Dr 703 S Americana Blvd Ste Boise, ID 83704 Mortimer, Margaret, NP 150 Bahadar, Denise, NPx~* (208) 884-2922 x~* Boise, ID 83702 NPI: 1376899278 Group(s): Saltzer Clinics NPI: 1770532780 (208) 706-6375 8800 W Emerald St Ste Other Specialties: Sleep 6565 W Emerald St Group(s): St Lukes Clinic 196 Medicine - Internal Boise, ID 83704 Treasure Valley Llc Boise, ID 83704 Medicine (208) 514-2510 (208) 375-1105 Group(s): The Family - 83704 Group(s): Northwest Frank, John, NPx~* Medicine Residency Of Ages, Lynette, NPx~* Occupational Medicine & NPI: 1518332667 Idaho Inc NPI: 1104341007 Neurosurgical Spine Instit 8050 W Northview St Spanish, French Boise, ID 83704 6051 W Emerald St Morton, Laura, NPx~* Boise, ID 83704 Barnes, Keri, NPx~* (208) 327-0504 NPI: 1407001852 Group(s): Lifeways Inc NPI: 1477597573 (208) 302-7600 6140 W Curtisian Ave Ste Group(s): St Alphonsus 6051 W Emerald St Boise, ID 83704 Hall, Sarah, NPx~* 102 Regional Medical Center NPI: 1346768330 Boise, ID 83704 Physicians -1861676298 (208) 302-5150 Group(s): St Alphonsus 6933 W Emerald St Ste A (208) 302-0000 Ages, Lynette, NPx~* Regional Medical Center Boise, ID 83704 Group(s): St Alphonsus NPI: 1104341007 Physicians -1861676298 (208) 321-0634 Regional Medical Center 8800 W Emerald St Ste Group(s): All Seasons Physicians -1861676298 196 Bennett, Sharon, NP~* Mental Health - Mg Boise, ID 83704 NPI: 1598189821 (208) 375-1105 545 N Benjamin Ste 185 Group(s): Northwest Boise, ID 83704 Occupational Medicine & (208) 322-1026 Neurosurgical Spine Instit Group(s): Pathways Of Idaho Llc - Medical Group

83 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Morton, Laura, NPx~* Barnes, Keri, NPx~* Medrano, Cynthia, NPx~ Barnes, Keri, NPx~* NPI: 1477597573 NPI: 1407001852 * NPI: 1407001852 6140 W Curtisian Ave Ste 3587 S Federal Way NPI: 1053703504 2141 E Parkcenter Blvd 200 Ste 200 Boise, ID 83705 5440 W Franklin Rd Ste Boise, ID 83706 Boise, ID 83704 (208) 302-5350 108 (208) 302-5050 (208) 302-0000 Group(s): St Alphonsus Boise, ID 83705 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center (208) 283-7314 Regional Medical Center Regional Medical Center Physicians -1861676298 Group(s): Integrity Physicians -1861676298 Physicians -1861676298 Psychiatric Services Hartwig, Laura, NP~* Other Specialties: Psych/ Bayes, Christy, NPx~* Munting, Babette, NPx~ NPI: 1023322856 Mental Health - Nurse NPI: 1760796296 * 9635 Orchard St Ste 103 Practitioner 1055 N Curtis Rd NPI: 1417910506 Boise, ID 83705 Boise, ID 83706 6565 W Emerald St (208) 794-1134 Patterson, Sara, NPx~* (208) 367-7350 Boise, ID 83704 Group(s): Brc Mental NPI: 1285057976 Group(s): St Alphonsus (208) 514-2510 Health Services Llc 3587 S Federal Way Regional Medical Center Group(s): The Family Boise, ID 83705 Physicians -1861676298 Medicine Residency Of Heilman, Michael, NPx~ (208) 302-5350 * Idaho Inc Group(s): St Alphonsus Cablik, Elizabeth, NPx~ NPI: 1316993546 * Spanish, Dutch Regional Medical Center 3587 S Federal Way NPI: 1306387329 Physicians -1861676298 Snow, Jynnah, NPx~* Boise, ID 83705 1075 N Curtis Rd Ste 300 NPI: 1437622776 (208) 302-5350 Sparks, Toni, NPx~* Boise, ID 83706 6933 W Emerald St Ste A Group(s): St Alphonsus NPI: 1356454839 (208) 302-3100 Boise, ID 83704 Regional Medical Center 1111 S Orchard St Ste 155 Group(s): St Alphonsus (208) 321-0634 Physicians -1861676298 Boise, ID 83705 Regional Medical Center Group(s): All Seasons (208) 333-0103 Physicians -1861676298 Johnson, Keri, NPx~* Mental Health - Mg Group(s): Toni Sparks NPI: 1902256019 Christensen, Donna, NPx Dnp - 83705 848 S La Cassia Dr ~* Bahadar, Denise, NPx~* Boise, ID 83705 - 83706 NPI: 1396978722 NPI: 1376899278 (208) 344-0086 Bahadar, Denise, NPx~* 3152 S Bbown Way Ste 3587 S Federal Way Group(s): Terry Reilly NPI: 1376899278 101 Boise, ID 83705 Health Services - Medical 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-5350 Group1134527708, Terry Boise, ID 83706 (208) 922-7055 Group(s): St Alphonsus Reilly Health Services - (208) 302-5050 Group(s): Nexgen Mental Regional Medical Center Medical Group(s): St Alphonsus Health And Wellness Physicians -1861676298 Group1457309122 Regional Medical Center Connley, Katy, NPx~* Spanish Physicians -1861676298 NPI: 1679980551 1000 N Curtis Rd Ste 305 Boise, ID 83706 (208) 302-0600 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

84 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Dedlow, Chelsea, NPx~* Moser, Devon, NPx~* - 83709 Christensen, Donna, NPx NPI: 1205103686 NPI: 1063912202 Ages, Lynette, NPx~* ~* 1055 N Curtis Rd 901 N Curtis Rd Ste 100 NPI: 1104341007 NPI: 1396978722 Boise, ID 83706 Boise, ID 83706 8921 W Hackamore Dr 10112 W Overland Rd (208) 367-7350 (208) 378-0080 Boise, ID 83709 Boise, ID 83709 Group(s): St Alphonsus Group(s): Boise Valley (208) 375-1105 (208) 780-3900 Regional Medical Center Asthma And Allergy Group(s): Northwest Group(s): Lifepath Physicians -1861676298 Clinic Occupational Medicine & Counseling And Wellness Denham, John-Paul, NP Neumayer, Jennifer, NP Neurosurgical Spine Instit Gooding, Jennifer, NPx~ x~* x~* * Bahadar, Denise, NPx~* NPI: 1356513519 NPI: 1750837548 NPI: 1639432131 NPI: 1376899278 1914 Broadway 901 N Curtis Rd Ste 100 12400 W Overland Rd Ste 10583 W Lake Hazel Rd 100 Boise, ID 83706 Boise, ID 83706 Boise, ID 83709 (208) 463-3000 (208) 378-0080 Boise, ID 83709 (208) 302-5950 (208) 322-1199 Group(s): Saltzer Clinics Group(s): Boise Valley Group(s): St Alphonsus Asthma And Allergy Group(s): First Choice Denham, John-Paul, NP Regional Medical Center Healthcare x~* Clinic Physicians -1861676298 NPI: 1750837548 Spanish Heilman, Michael, NPx~ Bahadar, Denise, NPx~* 701 E Parkcenter Blvd Peters, Heidi, NPx~* * Boise, ID 83706 NPI: 1376899278 NPI: 1316993546 NPI: 1447246905 8921 W Hackamore Dr (208) 381-6500 901 N Curtis Rd Ste 100 10583 W Lake Hazel Rd Group(s): St Lukes Clinic Boise, ID 83709 Boise, ID 83709 Boise, ID 83706 (208) 375-1105 Treasure Valley Llc (208) 378-0080 (208) 302-5950 Group(s): Northwest Group(s): St Alphonsus Funkhouser, Patricia, Group(s): Boise Valley Occupational Medicine & Asthma And Allergy Regional Medical Center NPx~* Neurosurgical Spine Instit Physicians -1861676298 NPI: 1689295180 Clinic Barnes, Keri, NPx~* 1914 Broadway Schlack, Alysha, NPx~* Kashubin, Sergey, NP~* Boise, ID 83706 NPI: 1407001852 NPI: 1912569351 NPI: 1144886516 10583 W Lake Hazel Rd (208) 463-3000 1075 N Curtis Rd Ste 200 10583 W Lake Hazel Rd Group(s): Saltzer Clinics Boise, ID 83709 Boise, ID 83709 Boise, ID 83706 (208) 302-5950 (208) 302-2000 (208) 302-5900 Heilman, Michael, NPx~ Group(s): St Alphonsus Group(s): St Alphonsus * Group(s): St Alphonsus Regional Medical Center Regional Medical Center NPI: 1316993546 Regional Medical Center Physicians -1861676298 Physicians -1861676298 2141 E Parkcenter Blvd Physicians -1861676298 Boise, ID 83706 Burleigh Gilbert, Debra, Paolinelli, Kirk, NPx~* (208) 302-5050 NPx~* NPI: 1235637240 Group(s): St Alphonsus NPI: 1124333927 10583 W Lake Hazel Rd Regional Medical Center 10583 W Lake Hazel Rd Boise, ID 83709 Physicians -1861676298 Boise, ID 83709 (208) 302-5950 (208) 302-5950 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

85 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Peruski, Denise, NPx~* Bacon, Crissie, NPx~* Bockenstette, Andrea, Mooney, Stephanie, NPx NPI: 1043730278 NPI: 1871992776 NPx~* ~* 10583 W Lake Hazel Rd 190 E Bannock St 9th NPI: 1437583408 NPI: 1518236785 Boise, ID 83709 Floor 300 E Jefferson St Ste 101 190 E Bannock St 9th (208) 302-5950 Boise, ID 83712 Boise, ID 83712 Floor Group(s): St Alphonsus (208) 381-5500 (208) 322-1680 Boise, ID 83712 Regional Medical Center Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 381-5500 Physicians -1861676298 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Reiners, Jeanette, NPx~* Barnes, Keri, NPx~* Cruz, Amy, NPx~* NPI: 1609418722 NPI: 1407001852 NPI: 1871751297 Pearson, Brooke, NPx~* 10583 W Lake Hazel Rd 190 E Bannock St 9th 100 E Idaho St NPI: 1457500332 Boise, ID 83709 Floor Boise, ID 83712 100 E Idaho St Ste 200 (208) 302-5950 Boise, ID 83712 (208) 381-2711 Boise, ID 83712 Group(s): St Alphonsus (208) 381-5500 Group(s): St Lukes Clinic (208) 381-2711 Regional Medical Center Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Physicians -1861676298 Treasure Valley Llc Spanish Treasure Valley Llc Rice, Jennifer, NPx~* Barrelier Verner, Nita, Demark, Kimberly, NP~ Pedersen, Rachael, NPx~ NPI: 1538631189 NPx~* * * 12400 W Overland Rd Ste NPI: 1558799270 NPI: 1821442708 NPI: 1659613636 100 190 E Bannock St 10th 305 E Jefferson St 125 E Idaho St Ste 202 Boise, ID 83709 Floor Boise, ID 83712 Boise, ID 83712 (208) 322-1199 Boise, ID 83712 (208) 381-2335 (208) 381-7050 Group(s): First Choice (208) 381-5500 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Healthcare Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc - 83712 Dey, Patricia, NPx~* Smart, Sean, NPx~* Spanish NPI: 1497994123 NPI: 1295189264 Aiken, Dawn, NPx~* 300 E Jefferson St Ste 101 NPI: 1295175313 Basse, Jeremy, NPx~* 100 E Idaho St Ste 200 NPI: 1578726485 Boise, ID 83712 Boise, ID 83712 300 E Jefferson St Ste 101 (208) 322-1680 Boise, ID 83712 190 E Bannock St (208) 381-2711 Boise, ID 83712 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 322-1680 Treasure Valley Llc Group(s): St Lukes Clinic (208) 381-1615 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Dirocco, Melissa, NPx~* Smith, Michael, NPx~* Treasure Valley Llc NPI: 1942598446 Bacon, Crissie, NPx~* NPI: 1770879942 Beveridge-Choo, Tricia, 190 E Bannock St 10th 125 E Idaho St Ste 100 NPI: 1871992776 Boise, ID 83712 190 E Bannock St 10th NP~* Floor NPI: 1295053189 Boise, ID 83712 (208) 338-0148 Floor Group(s): Sawtooth Boise, ID 83712 305 E Jefferson St (208) 381-5500 Boise, ID 83712 Group(s): St Lukes Clinic Epidemiology And (208) 381-5500 Infectious Diseases Pc Group(s): St Lukes Clinic (208) 381-2335 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc

86 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Spencer, Jeri, NPx~* - 83716 Thomas, Kelly, NPx~* Barnes, Keri, NPx~* NPI: 1285940965 Hayes, Joshua, ARNPx~ NPI: 1710395298 NPI: 1407001852 100 E Warm Springs Ave * 3101 E State St Ste 2199 757 E Wythe Creek Ct Ste B NPI: 1639486665 Eagle, ID 83616 Kuna, ID 83634 Boise, ID 83712 2051 E Summersweet Dr (208) 938-2220 (208) 302-6500 (208) 381-6930 Boise, ID 83716 Group(s): Ob/Gyn Group(s): St Alphonsus Group(s): St Lukes Clinic (208) 323-3767 Associates Pa Regional Medical Center Treasure Valley Llc Physicians -1861676298 Group(s): St Lukes Clinic GARDEN CITY Taylor, Benjamin, NP~* Treasure Valley Llc - 83714 Heilman, Michael, NPx~ * NPI: 1710261672 Soni, Margery, NPx~* Chin, Michelle, NPx~* 5 E Jefferson St NPI: 1245294529 NPI: 1649645938 NPI: 1316993546 Boise, ID 83712 2051 E Summersweet Dr 5593 N Glenwood St 757 E Wythe Creek Ct Kuna, ID 83634 (208) 381-6196 Boise, ID 83716 Garden City, ID 83714 (208) 302-6500 Group(s): St Lukes Clinic (208) 323-3767 (208) 322-5354 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Mountain View Group(s): St Alphonsus Spanish Treasure Valley Llc Behavioral Health Regional Medical Center Physicians -1861676298 Winwood, Kaylynn, NPx EAGLE Other Specialties: Mental ~* - 83616 Health (Including MERIDIAN NPI: 1336772029 Community Mental Health - 83642 Bates, Allyson, NPx~* 190 E Bannock St Center) Bahadar, Denise, NPx~* Boise, ID 83712 NPI: 1114479862 Wright, Stacey, NPx~* NPI: 1376899278 (208) 381-1615 3101 E State St Ste 2199 Eagle, ID 83616 NPI: 1497716476 3025 W Cherry Ln Ste B Group(s): St Lukes Clinic 5593 N Glenwood St Ste B Treasure Valley Llc (208) 938-2220 Garden City, ID 83714 Meridian, ID 83642 Other Specialties: Nurse Group(s): Ob/Gyn (208) 322-5354 (208) 302-6450 Practitioner Associates Pa Group(s): Mountain View Group(s): St Alphonsus - 83713 Carter, Mason, NP~* Behavioral Health Regional Medical Center NPI: 1376188698 Physicians -1861676298 Anderson, Dara, NPx~* 21 N Fisher Park Way KUNA NPI: 1558921429 Eagle, ID 83616 - 83634 Barnes, Keri, NPx~* 4750 N Five Mile Rd Ste (208) 514-0670 Bahadar, Denise, NPx~* NPI: 1407001852 200 3025 W Cherry Ln Ste B Group(s): Keystone Health NPI: 1376899278 Boise, ID 83713 Ste B Care 757 E Wythe Creek Ct (208) 996-0931 Kuna, ID 83634 Meridian, ID 83642 Group(s): Valley Kinghorn, Lyndsy, NPx~ (208) 302-6500 (208) 302-6450 Behavioral Health - Group * Group(s): St Alphonsus Group(s): St Alphonsus NPI: 1730533548 Regional Medical Center Regional Medical Center 3101 E State St Physicians -1861676298 Eagle, ID 83616 Physicians -1861676298 (208) 473-3100 Group(s): St Lukes Clinic Treasure Valley Llc

87 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Bates, Allyson, NPx~* Dedlow, Chelsea, NPx~* Houtrouw, Annamarie, Patterson, Sara, NPx~* NPI: 1114479862 NPI: 1205103686 APRNx~* NPI: 1285057976 3520 E Louise Dr 3525 E Louise Dr Ste 400 NPI: 1326408824 3025 W Cherry Ln Ste B Meridian, ID 83642 Meridian, ID 83642 520 S Eagle Rd Ste 1234 Ste B (208) 888-0909 (208) 322-1680 Meridian, ID 83642 Meridian, ID 83642 Group(s): Ob/Gyn Group(s): St Lukes Clinic (208) 429-0300 (208) 302-6450 Associates Pa Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Bauter, Ashlee, NPx~* Denham, John-Paul, NP Physicians -1861676298 NPI: 1356602361 x~* Koster, Anne, NPx~* 520 S Eagle Rd Ste 1241 NPI: 1750837548 NPI: 1790739951 Peters, Heidi, NPx~* Meridian, ID 83642 867 S Vanguard Way 3080 E Gentry Way Ste NPI: 1447246905 (208) 381-6930 Meridian, ID 83642 210 2320 E Gala Ste 500 Group(s): St Lukes Clinic (208) 463-3000 Meridian, ID 83642 Meridian, ID 83642 Treasure Valley Llc Group(s): Saltzer Clinics (208) 384-9022 (208) 378-0080 Group(s): St Lukes Clinic Group(s): Boise Valley Cablik, Elizabeth, NPx~ Gooding, Jennifer, NPx~ * * Treasure Valley Llc Asthma And Allergy Clinic NPI: 1306387329 NPI: 1356513519 Lynn, Molly, NPx~* 3399 E Louise Dr Ste 200 1552 Crestmont Dr Ste B NPI: 1962773655 Poulson, William, NPx~* Meridian, ID 83642 Meridian, ID 83642 3525 E Louise Dr Ste 400 NPI: 1538414354 (208) 706-2663 (208) 957-5532 Meridian, ID 83642 3080 E Gentry Way Ste Group(s): St Lukes Clinic Group(s): Doctors House (208) 322-1680 210 Treasure Valley Llc Calls Llc Group Group(s): St Lukes Clinic Meridian, ID 83642 Cochran, Kathryn, NPx~ Hayes, Joshua, ARNPx~ Treasure Valley Llc (208) 384-9022 Group(s): St Lukes Clinic * * Moser, Devon, NPx~* Treasure Valley Llc NPI: 1871092478 NPI: 1639486665 NPI: 1063912202 520 S Eagle Rd Ste 2213 2347 E Gala St 2320 E Gala Ste 500 Poulson, William, NPx~* Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 NPI: 1538414354 (208) 706-5447 (208) 323-3767 (208) 378-0080 520 S Eagle Rd Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Boise Valley Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc Asthma And Allergy (208) 706-5000 Connley, Katy, NPx~* Heilman, Michael, NPx~ Clinic Group(s): St Lukes Clinic * Treasure Valley Llc NPI: 1679980551 x~* NPI: 1316993546 Parker, Michael, NP 3250 W Cherry Ln NPI: 1457848913 Smart, Sean, NPx~* Meridian, ID 83642 3025 W Cherry Ln Ste B Ste B 520 S Eagle Rd Ste 2207 NPI: 1295189264 (208) 302-0600 Meridian, ID 83642 3525 E Louise Dr Ste 400 Group(s): St Alphonsus Meridian, ID 83642 (208) 302-6450 (208) 706-6300 Meridian, ID 83642 Regional Medical Center Group(s): St Lukes Clinic (208) 322-1680 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc Group(s): St Lukes Clinic Physicians -1861676298 Treasure Valley Llc

88 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Ada County continued/Condado seguido

Soni, Margery, NPx~* - 83646 Canyon Bayes, Christy, NPx~* NPI: 1245294529 Maybach, Delores, NPx~ NPI: 1760796296 2347 E Gala St * CALDWELL 315 E Elm St Ste 350 Meridian, ID 83642 NPI: 1689191140 - 83605 Caldwell, ID 83605 (208) 323-3767 2428 N Stokesberry Pl Ages, Lynette, NPx~* (208) 322-1680 Group(s): St Lukes Clinic Meridian, ID 83646 NPI: 1104341007 Group(s): St Lukes Clinic Treasure Valley Llc (208) 895-0050 1818 S 10th Ave Ste 200 Treasure Valley Llc Sparks, Sarah, NPx~* Group(s): Treasure Valley Caldwell, ID 83605 Bennett, Sharon, NP~* NPI: 1366675985 Family Medicine (208) 453-6417 NPI: 1598189821 520 S Eagle Rd Ste 1239 Term Date: 12/31/2020 Group(s): Northwest 1305 S Kimball Meridian, ID 83642 Occupational Medicine & Caldwell, ID 83605 STAR Neurosurgical Spine Instit (208) 706-7200 - 83669 (208) 469-1039 Group(s): St Lukes Clinic Group(s): Pathways Of Bahadar, Denise, NPx~* Bahadar, Denise, NPx~* Treasure Valley Llc Idaho Llc - Medical Group NPI: 1376899278 NPI: 1376899278 Spencer, Jeri, NPx~* 10717 W State St 1818 S 10th Ave Ste 200 Binder, Shannon, NPx~* NPI: 1285940965 Star, ID 83669 Caldwell, ID 83605 NPI: 1710386396 520 S Eagle Rd Ste 1241 (208) 302-6350 (208) 453-6417 1305 S Kimball Meridian, ID 83642 Group(s): St Alphonsus Group(s): Northwest Caldwell, ID 83605 (208) 381-6930 Regional Medical Center Occupational Medicine & (208) 469-1039 Group(s): St Lukes Clinic Physicians -1861676298 Neurosurgical Spine Instit Group(s): Pathways Of Treasure Valley Llc Idaho Llc - Medical Group Barnes, Keri, NPx~* Bahadar, Denise, NPx~* Theisen, Regina, NPx~* NPI: 1407001852 NPI: 1376899278 Christofferson, Lesli, NP NPI: 1447582580 10717 W State St 315 E Elm St Ste 100 Ste x~* 2235 Gala St Star, ID 83669 100 NPI: 1912255704 Meridian, ID 83642 (208) 302-6350 Caldwell, ID 83605 315 E Elm St Ste 350 (208) 887-3724 Group(s): St Alphonsus (208) 302-7150 Caldwell, ID 83605 Group(s): Idaho Regional Medical Center Group(s): St Alphonsus (208) 322-1680 Gastroenterology Physicians -1861676298 Regional Medical Center Group(s): St Lukes Clinic Associates Llp Physicians -1861676298 Treasure Valley Llc Heilman, Michael, NPx~ Thomas, Kelly, NPx~* * Barnes, Keri, NPx~* Connley, Katy, NPx~* NPI: 1710395298 NPI: 1316993546 NPI: 1407001852 NPI: 1679980551 3520 E Louise Dr 10717 W State St 315 E Elm St Ste 100 Ste 1906 Fairview Ave Ste Meridian, ID 83642 Star, ID 83669 100 430 (208) 888-0909 (208) 302-6350 Caldwell, ID 83605 Caldwell, ID 83605 Group(s): Ob/Gyn Group(s): St Alphonsus (208) 302-7150 (208) 302-0600 Associates Pa Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

89 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Canyon County continued/Condado seguido

Crump, Jarrod, NPx~* Medrano, Cynthia, NPx~ Uricchio, Phoebe, NPx~* MIDDLETON NPI: 1184240194 * NPI: 1407461817 - 83644 NPI: 1053703504 2609 S 10th Ave 2609 S 10th Ave Johnson, Keri, NPx~* Caldwell, ID 83605 2005 Arlington Caldwell, ID 83605 NPI: 1902256019 (208) 454-2766 Caldwell, ID 83605 (208) 454-2766 201 S Paradise Ave (208) 459-1025 Group(s): Lifeways Inc Group(s): Lifeways Inc Middleton, ID 83644 Group(s): Terry Reilly (208) 585-0048 Frank, John, NPx~* Health Services Caldwell - 83607 NPI: 1518332667 Crump, Jarrod, NPx~* Group(s): Terry Reilly Clinic - Mg1043230501, Health Services - Medical 2609 S 10th Ave Terry Reilly Health NPI: 1184240194 Group1134527708, Terry Caldwell, ID 83605 Services - Medical 13307 Miami Lane Reilly Health Services - (208) 454-2766 Group1457309122 Caldwell, ID 83607 Group(s): Lifeways Inc (208) 546-3046 Medical Other Specialties: Psych/ Group1457309122 Mental Health - Nurse Group(s): Lifeways Inc Funkhouser, Patricia, Spanish NPx~* Practitioner Frank, John, NPx~* NPI: 1689295180 Medrano, Cynthia, NPx~ Patterson, Sara, NPx~* NPI: 1518332667 * 512 E Elm St NPI: 1285057976 13307 Miami Lane Caldwell, ID 83605 NPI: 1053703504 315 E Elm St Ste 100 Ste Caldwell, ID 83607 201 S Paradise Ave (208) 463-3000 100 (208) 546-3046 Group(s): Saltzer Clinics Middleton, ID 83644 Caldwell, ID 83605 Group(s): Lifeways Inc (208) 585-0048 Heilman, Michael, NPx~ (208) 302-7150 Hogg, Kiersten, NPx~* Group(s): Terry Reilly * Group(s): St Alphonsus NPI: 1821566316 Health Services - Medical NPI: 1316993546 Regional Medical Center 13307 Miami Lane Group, Terry Reilly 315 E Elm St Ste 100 Ste Physicians -1861676298 Caldwell, ID 83607 Health Services - Medical 100 Rosin, Kirsten, NPx~* (208) 546-3046 Group1134527708, Terry Caldwell, ID 83605 NPI: 1730615741 Group(s): Lifeways Inc Reilly Health Services - (208) 302-7150 2005 Arlington Medical Group(s): St Alphonsus MELBA Caldwell, ID 83605 Group1457309122 Regional Medical Center - 83641 (208) 459-1025 Other Specialties: Psych/ Physicians -1861676298 Group(s): Terry Reilly Medrano, Cynthia, NPx~ Mental Health - Nurse Hogg, Kiersten, NPx~* Health Services Caldwell * Practitioner NPI: 1053703504 NPI: 1821566316 Clinic - Mg1043230501 NAMPA 2609 S 10th Ave 150 2nd St Sjostrand, David, NPx~* - 83651 Caldwell, ID 83605 Melba, ID 83641 NPI: 1053850164 (208) 454-2766 (208) 495-1011 Bahadar, Denise, NPx~* 1906 Fairview Ave Ste Group(s): Lifeways Inc Group(s): Terry Reilly NPI: 1376899278 203 Health Clinics Melba 11035 Karcher Rd Caldwell, ID 83605 Dental - Mg1578574521, Nampa, ID 83651 (208) 459-4667 Terry Reilly Health (208) 302-6650 Group(s): West Valley Services - Medical Group(s): St Alphonsus Medical Group Llc Group1457309122 Regional Medical Center Other Specialties: Psych/ Physicians -1861676298 Mental Health - Nurse Practitioner

90 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Canyon County continued/Condado seguido

Barnes, Keri, NPx~* Layne, Juanita, NPx~* - 83686 - 83687 NPI: 1407001852 NPI: 1609362318 Bates, Allyson, NPx~* Bahadar, Denise, NPx~* 11035 Karcher Rd 207 1st St S NPI: 1114479862 NPI: 1376899278 Nampa, ID 83651 Nampa, ID 83651 9850 W St Lukes Dr Ste 1150 N Sister Catherine (208) 302-6650 (208) 466-7869 221 Way Group(s): St Alphonsus Group(s): Terry Reilly Nampa, ID 83686 Nampa, ID 83687 Regional Medical Center Health Services - Medical (208) 455-1784 (208) 302-7050 Physicians -1861676298 Group1134527708 Group(s): Ob/Gyn Group(s): St Alphonsus Bennett, Sharon, NP~* Mcclain, Penny, NPx~* Associates Pa Regional Medical Center Physicians -1861676298 NPI: 1598189821 NPI: 1972079820 Crump, Jarrod, NPx~* 204 10th Ave S 207 1st St S NPI: 1184240194 Barnes, Keri, NPx~* Nampa, ID 83651 Nampa, ID 83651 824 S Diamond St NPI: 1407001852 (208) 466-2229 (208) 466-7869 Nampa, ID 83686 1150 N Sister Catherine Group(s): Pathways Of Group(s): Terry Reilly (208) 546-3046 Way Idaho Llc - Medical Group Health Services - Medical Group(s): Lifeways Inc Nampa, ID 83687 Group1134527708 (208) 302-7050 Binder, Shannon, NPx~* Denham, John-Paul, NP NPI: 1710386396 Rosin, Kirsten, NPx~* x~* Group(s): St Alphonsus 204 10th Ave S NPI: 1730615741 NPI: 1750837548 Regional Medical Center Nampa, ID 83651 207 1st St S 215 E Howall Ave Physicians -1861676298 (208) 466-2229 Nampa, ID 83651 Nampa, ID 83686 Bayes, Christy, NPx~* Group(s): Pathways Of (208) 466-7869 (208) 463-3000 NPI: 1760796296 Idaho Llc - Medical Group Group(s): Terry Reilly Group(s): Saltzer Clinics 215 E Hawaii Ave Health Services - Medical Heilman, Michael, NPx~ Nampa, ID 83687 Group1134527708 Frank, John, NPx~* * NPI: 1518332667 (208) 322-1680 NPI: 1316993546 Snow, Jynnah, NPx~* 824 S Diamond St Group(s): St Lukes Clinic 11035 Karcher Rd NPI: 1437622776 Nampa, ID 83686 Treasure Valley Llc Nampa, ID 83651 1007 W Orchard (208) 546-3046 Bayes, Christy, NPx~* (208) 302-6650 Nampa, ID 83651 Group(s): Lifeways Inc NPI: 1760796296 Group(s): St Alphonsus (208) 461-2838 Hogg, Kiersten, NPx~* 4424 E Flamingo Ave Ste Regional Medical Center Group(s): All Seasons 300 Ste 300 Physicians -1861676298 Mental Health - Mg NPI: 1821566316 824 S Diamond St Nampa, ID 83687 Johnson, Keri, NPx~* Stenshoel, Lindsey, NPx Nampa, ID 83686 (208) 302-0200 NPI: 1902256019 ~* (208) 546-3046 Group(s): St Alphonsus 207 1st St S NPI: 1902185168 Group(s): Lifeways Inc Regional Medical Center Nampa, ID 83651 3307 Caldwell Blvd Ste Physicians -1861676298 Thomas, Kelly, NPx~* (208) 466-7869 104 Binder, Shannon, NPx~* Group(s): Terry Reilly Nampa, ID 83651 NPI: 1710395298 9850 W St Lukes Dr Ste NPI: 1710386396 Health Services - Medical (208) 465-4833 16368 Rainbow Dr Group1134527708, Terry Group(s): Access 221 Nampa, ID 83686 Nampa, ID 83687 Reilly Health Services - Behavioral Health (208) 639-1514 Medical Services (208) 455-1784 Group(s): Ob/Gyn Group(s): Stellar Mental Group1457309122 Health And Mediation Spanish Associates Pa

91 Specialists / Especialistas Family Nurse Practitioner continued/Enfermero practicante de medicina familiar continuación Canyon County continued/Condado seguido

Chin, Michelle, NPx~* Funkhouser, Patricia, Medrano, Cynthia, NPx~ Watkins, Tyler, NPx~* NPI: 1649645938 NPx~* * NPI: 1174936462 3904 E Flamingo Ave Ste NPI: 1689295180 NPI: 1053703504 9850 W St Lukes Dr Ste 200 9850 W St Lukes Dr 223 16th Ave N 329 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 (208) 639-1514 (208) 463-3000 (208) 467-7654 (208) 706-6375 Group(s): Stellar Mental Group(s): Saltzer Clinics Group(s): Terry Reilly Group(s): St Lukes Clinic Health And Mediation Health Services Boise Treasure Valley Llc Heilman, Michael, NPx~ Clinic - Medical Group, Other Specialties: Mental * Terry Reilly Health Weaver, Courtney, Health (Including NPI: 1316993546 Services Caldwell Clinic - ARNP~* Community Mental Health 1150 N Sister Catherine Mg1043230501, Terry NPI: 1740562420 Center) Way Reilly Health Services - 9850 W St Lukes Dr Ste Nampa, ID 83687 Christofferson, Lesli, NP Medical 180 x~* (208) 302-7050 Group1457309122 Nampa, ID 83687 NPI: 1912255704 Group(s): St Alphonsus Other Specialties: Psych/ (208) 322-1680 215 E Hawaii Ave Regional Medical Center Mental Health - Nurse Group(s): St Lukes Clinic Nampa, ID 83687 Physicians -1861676298 Practitioner Treasure Valley Llc (208) 322-1680 Johnson, Keri, NPx~* Group(s): St Lukes Clinic Mooney, Stephanie, NPx WILDER NPI: 1902256019 Treasure Valley Llc ~* - 83676 223 16th Ave N NPI: 1518236785 Sjostrand, David, NPx~* Christofferson, Lesli, NP Nampa, ID 83687 4424 E Flamingo Ave x~* NPI: 1053850164 (208) 467-7654 Nampa, ID 83687 NPI: 1912255704 124 5th St Ste A Group(s): Terry Reilly (208) 855-2900 9850 W St Lukes Dr Ste Wilder, ID 83676 Health Services - Medical Group(s): Spine Institute (208) 482-7430 180 Group, Terry Reilly Of Idaho Group(s): West Valley Nampa, ID 83687 Health Services - Medical Medical Group Llc (208) 322-1680 Group1457309122 Schlack, Alysha, NPx~* Group(s): St Lukes Clinic Spanish NPI: 1144886516 Treasure Valley Llc 4400 E Flamingo Ave Ste Kravchuk, Nadezhda, 200 Dirmann, Carla, NPx~* NP~* Nampa, ID 83687 NPI: 1851624282 NPI: 1033686076 (208) 302-2000 4400 E Flamingo Ave 1150 N Sister Catherine Group(s): St Alphonsus Nampa, ID 83687 Way Regional Medical Center (208) 302-0860 Nampa, ID 83687 Physicians -1861676298 Group(s): St Alphonsus (208) 302-7000 Regional Medical Center Group(s): St Alphonsus Snow, Jynnah, NPx~* Physicians -1861676298 Regional Medical Center NPI: 1437622776 Physicians -1861676298 3904 E Flamingo Ave Ste 200 Nampa, ID 83687 (208) 639-1514 Group(s): Stellar Mental Health And Mediation

92 Specialists / Especialistas Female Pelvic Medicine And Reconstructive Surgery/Medicina pélvica y cirugía reconstructiva en mujeres Ada County/Condado

Female Pelvic Hammerle, Christopher, Lockwood, Robert, MDx Story, Brian, MDx~* Medicine And MDx~* ~* NPI: 1851551089 NPI: 1740336361 NPI: 1588954101 425 W Bannock St Reconstructive 425 W Bannock St 425 W Bannock St Boise, ID 83702 Surgery Boise, ID 83702 Boise, ID 83702 (208) 342-7169 Idaho (208) 343-1702 (208) 343-6458 Group(s): Boise Group(s): Idaho Group(s): Idaho Endoscopy Center Llc, Ada Gastroenterology Gastroenterology Meridian Endoscopy Associates Llp BOISE Associates Llp Center Spanish - 83712 Sericati, Matthew, MDx Waite, Bonnie, MDx~* ~* Lillemon, Jennifer, MDx Hammerle, Christopher, NPI: 1770578759 ~* MDx~* NPI: 1194871871 425 W Bannock St NPI: 1467718932 NPI: 1740336361 425 W Bannock St Boise, ID 83702 100 E Idaho St 425 W Bannock St Boise, ID 83702 (208) 343-1702 Boise, ID 83712 Boise, ID 83702 (208) 343-1702 Group(s): Idaho (208) 381-2733 (208) 342-7169 Group(s): Idaho Gastroenterology Group(s): St Lukes Clinic Group(s): Boise Gastroenterology Associates Llp Treasure Valley Llc Endoscopy Center Llc, Associates Llp Spanish Meridian Endoscopy Sericati, Matthew, MDx Waite, Bonnie, MDx~* Gastroenterology Center ~* NPI: 1770578759 Spanish Idaho NPI: 1194871871 425 W Bannock St 425 W Bannock St Ada Jensen, Philip, MDx~* Boise, ID 83702 NPI: 1134114713 Boise, ID 83702 (208) 342-7169 BOISE 425 W Bannock St (208) 342-7169 Group(s): Boise - 83702 Boise, ID 83702 Group(s): Boise Endoscopy Center Llc, Endoscopy Center Llc, Dellaglio, Mark, MDx~* (208) 342-7169 Meridian Endoscopy Group(s): Boise Meridian Endoscopy Center NPI: 1477656460 Center 425 W Bannock St Endoscopy Center Llc, Spanish Boise, ID 83702 Meridian Endoscopy Story, Brian, MDx~* Wood, David, MDx~* (208) 343-1702 Center NPI: 1851551089 NPI: 1659367993 Group(s): Idaho Jensen, Philip, MDx~* 425 W Bannock St 425 W Bannock St Gastroenterology NPI: 1134114713 Boise, ID 83702 Boise, ID 83702 Associates Llp 425 W Bannock St (208) 343-1702 (208) 342-7169 Group(s): Idaho Gupta, Akshay, MDx~* Boise, ID 83702 Group(s): Boise (208) 343-1702 Gastroenterology Endoscopy Center Llc, NPI: 1255542338 Associates Llp 425 W Bannock St Group(s): Idaho Meridian Endoscopy Boise, ID 83702 Gastroenterology Center (208) 342-7169 Associates Llp Group(s): Boise Endoscopy Center Llc, Meridian Endoscopy Center

93 Specialists / Especialistas Gastroenterology continued/Gastroenterología continuación Ada County continued/Condado seguido

- 83704 MERIDIAN Lans, Joel, MDx~* Story, Brian, MDx~* Brimhall, Bryan, MDx~* - 83642 NPI: 1952362329 NPI: 1851551089 NPI: 1902195753 Gupta, Akshay, MDx~* 3277 E Louise Dr Ste 200 2235 E Gala St 6259 W Emerald St NPI: 1255542338 Meridian, ID 83642 Meridian, ID 83642 Boise, ID 83704 2235 E Gala St (208) 463-3000 (208) 887-3724 (208) 489-1900 Meridian, ID 83642 Group(s): Saltzer Clinics Group(s): Idaho Gastroenterology Group(s): Digestive (208) 887-3724 Lockwood, Robert, MDx Health Clinic Llc Group(s): Idaho ~* Associates Llp Other Specialties: Internal Gastroenterology NPI: 1588954101 Story, Brian, MDx~* Medicine Associates Llp 2235 Gala St NPI: 1851551089 Gibson, Samuel, MDx~* Gupta, Akshay, MDx~* Meridian, ID 83642 2235 E Gala St NPI: 1275500738 NPI: 1255542338 (208) 887-3724 Meridian, ID 83642 Group(s): Idaho 6259 W Emerald St 2235 E Gala St (208) 695-2100 Gastroenterology Boise, ID 83704 Meridian, ID 83642 Group(s): Meridian (208) 489-1900 (208) 695-2100 Associates Llp Endoscopy Center Group(s): Digestive Group(s): Meridian Morigeau, Kirsten, MDx Waite, Bonnie, MDx~* Health Clinic Llc Endoscopy Center ~* NPI: 1770578759 NPI: 1811123961 2235 E Gala St Jankowski, Meghan, MD Hammerle, Christopher, 2235 Gala St x~* MDx~* Meridian, ID 83642 NPI: 1518120179 Meridian, ID 83642 (208) 695-2100 NPI: 1740336361 (208) 887-3724 6259 W Emerald St 2235 E Gala St Group(s): Meridian Boise, ID 83704 Group(s): Idaho Endoscopy Center Meridian, ID 83642 Gastroenterology (208) 489-1900 (208) 695-2100 Spanish Group(s): Digestive Associates Llp Group(s): Meridian Spanish Witte, John, MDx~* Health Clinic Llc Endoscopy Center NPI: 1063407641 Spanish Sericati, Matthew, MDx 2235 E Gala St - 83712 ~* Patel, Kavan, MDx~* Jensen, Philip, MDx~* Meridian, ID 83642 NPI: 1194871871 (208) 695-2100 NPI: 1437541406 NPI: 1134114713 2235 E Gala St 190 E Bannock St 2235 E Gala St Group(s): Meridian Meridian, ID 83642 Endoscopy Center Boise, ID 83712 Meridian, ID 83642 (208) 887-3724 (208) 381-2222 (208) 887-3724 Group(s): Idaho Wood, David, MDx~* Group(s): St Lukes Clinic Group(s): Idaho Gastroenterology NPI: 1659367993 Treasure Valley Llc Gastroenterology Associates Llp 2235 E Gala St Associates Llp Meridian, ID 83642 Sericati, Matthew, MDx Jensen, Philip, MDx~* ~* (208) 887-3724 NPI: 1134114713 NPI: 1194871871 Group(s): Idaho 2235 E Gala St 2235 E Gala St Gastroenterology Meridian, ID 83642 Meridian, ID 83642 Associates Llp (208) 695-2100 (208) 695-2100 Group(s): Meridian Group(s): Meridian Endoscopy Center Endoscopy Center

94 Specialists / Especialistas Gastroenterology continued/Gastroenterología continuación Ada County continued/Condado seguido

Wood, David, MDx~* Jensen, Philip, MDx~* General Practice Canyon NPI: 1659367993 NPI: 1134114713 2235 E Gala St 1200 Garrity Blvd Idaho CALDWELL Meridian, ID 83642 Nampa, ID 83687 Ada - 83605 (208) 695-2100 (208) 343-6458 Ryan, Michael, MDx~* Group(s): Meridian Group(s): Idaho BOISE NPI: 1821039025 Endoscopy Center Gastroenterology - 83703 4519 Enterprise Way Associates Llp Bork, Nathaniel, DMD~* Caldwell, ID 83605 Canyon Lans, Joel, MDx~* NPI: 1972885200 (208) 454-4982 NAMPA NPI: 1952362329 2301 N 36th St Ste 2 Group(s): Imaging Center - 83686 9850 St Lukes Dr Ste 129 Boise, ID 83703 Of Idaho Llc (208) 336-8801 Croitoru, Raquel, MDx~ Ste 129 Group(s): Terry Reilly NAMPA * Nampa, ID 83687 - 83687 NPI: 1164525853 (208) 463-3000 Health Services Boise Dental Spackman, Michael, MD 222 W Iowa Ave Ste A Group(s): Saltzer Clinics x~* Nampa, ID 83686 Lockwood, Robert, MDx GARDEN CITY NPI: 1386887032 (208) 467-3432 ~* - 83714 4424 E Flamingo Ave Group(s): Treasure Valley NPI: 1588954101 Campana, Kirk, MD~* Nampa, ID 83687 Gastroenterology 9850 W St Lukes Dr NPI: 1205819950 (208) 855-2900 Other Specialties: Internal Nampa, ID 83687 6965 N Glenwood St Group(s): Spine Institute Medicine (208) 343-6458 Garden City, ID 83714 Of Idaho Spanish Group(s): Idaho (208) 853-3000 Lans, Joel, MDx~* Gastroenterology Group(s): Afc Urgent Care General Practice NPI: 1952362329 Associates Llp Spanish Dentist 215 E Hawaii Ave Morigeau, Kirsten, MDx MERIDIAN Idaho Nampa, ID 83686 ~* - 83642 Ada (208) 463-3000 NPI: 1811123961 Group(s): Saltzer Clinics 9850 W St Lukes Dr Ryan, Michael, MDx~* NPI: 1821039025 BOISE - 83687 Nampa, ID 83687 - 83703 (208) 343-6458 3581 E Overland Rd Gupta, Akshay, MDx~* Meridian, ID 83642 Limerick, Jocelyn, DMD Group(s): Idaho ~* NPI: 1255542338 Gastroenterology (208) 402-4467 1200 Garrity Blvd Group(s): Imaging Center NPI: 1124689997 Associates Llp 2301 N 36th St Ste 2 Nampa, ID 83687 Spanish Of Idaho Llc (208) 343-6458 Boise, ID 83703 Spackman, Michael, MD Group(s): Idaho Story, Brian, MDx~* (208) 336-8801 x~* Group(s): Terry Reilly Gastroenterology NPI: 1851551089 NPI: 1386887032 Associates Llp 1200 Garrity Blvd Health Services Boise 360 E Montvue Dr Ste 100 Dental Nampa, ID 83687 Ste 100 (208) 343-6458 Meridian, ID 83642 Group(s): Idaho (208) 855-2900 Gastroenterology Group(s): Spine Institute Associates Llp Of Idaho

95 Specialists / Especialistas General Practice Dentist continued/Dentistas de odontología general continuación Ada County continued/Condado seguido

- 83705 MIDDLETON Geriatric Medicine - Siegel, Sherri, NPx~* Limerick, Jocelyn, DMD - 83644 Internal Medicine NPI: 1447707120 ~* Limerick, Jocelyn, DMD 5966 W Curtisian Ave NPI: 1124689997 ~* Idaho Boise, ID 83704 848 S La Cassia Dr NPI: 1124689997 Ada (208) 302-5470 Boise, ID 83705 201 S Paradise Ave Group(s): St Alphonsus (208) 644-0086 Middleton, ID 83644 BOISE Regional Medical Center Group(s): Terry Reilly (208) 585-0048 - 83704 Physicians -1861676298 Health Services Group(s): Terry Reilly Kuntz, Kara, MDx~* Siegel, Sherri, NPx~* Health Services Middleton NPI: 1891057246 Canyon NPI: 1447707120 Dental 5966 W Curtisian Ave 5966 W Curtisian Ave CALDWELL NAMPA Boise, ID 83704 Boise, ID 83704 - 83605 - 83651 (208) 302-5490 (208) 302-5490 Group(s): St Alphonsus Group(s): St Alphonsus Limerick, Jocelyn, DMD Limerick, Jocelyn, DMD ~* Regional Medical Center Regional Medical Center ~* Physicians -1861676298 NPI: 1124689997 NPI: 1124689997 Physicians -1861676298 1914 Ellis Ave Other Specialties: Family 11136 Moss Ln Medicine Canyon Caldwell, ID 83605 Nampa, ID 83651 (208) 318-1231 (208) 466-0515 Kuntz, Kara, MDx~* CALDWELL Group(s): Terry Reilly Group(s): Terry Reilly NPI: 1891057246 - 83605 Health Services Caldwell Health Services Canyon 5966 W Curtisian Ave Kuntz, Kara, MDx~* Dental Dental Boise, ID 83704 NPI: 1891057246 (208) 302-5470 MELBA Limerick, Jocelyn, DMD 1906 Fairview Ave Ste - 83641 ~* Group(s): St Alphonsus 430 Ste 430 NPI: 1124689997 Regional Medical Center Caldwell, ID 83605 Limerick, Jocelyn, DMD Physicians -1861676298 ~* 207 1st St S (208) 302-5470 Nampa, ID 83651 Other Specialties: Family Group(s): St Alphonsus NPI: 1124689997 Medicine 150 2nd St (208) 466-7869 Regional Medical Center Melba, ID 83641 Group(s): Terry Reilly Kuntz, Kara, MDx~* Physicians -1861676298 (208) 495-1011 Health Services Nampa NPI: 1891057246 Other Specialties: Family Group(s): Terry Reilly 1St Dental 5966 W Curtisian Ave Medicine Health Services Melba Boise, ID 83704 Meier, Alexandra, MDx~ Dental (208) 302-5400 * Group(s): St Alphonsus NPI: 1619234622 Regional Medical Center 1906 Fairview Ave Ste Physicians -1861676298 430 Ste 430 Other Specialties: Family Caldwell, ID 83605 Medicine (208) 302-5470 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Other Specialties: Internal Medicine

96 Specialists / Especialistas Geriatric Medicine - Internal Medicine continued/Medicina de geriatría - medicina interna continuación Canyon County continued/Condado seguido

Siegel, Sherri, NPx~* Gerontology Nurse - 83712 Yanofsky, Alyson, NPx~ NPI: 1447707120 Practitioner Nielsen, Alexandra, NPx * 1906 Fairview Ave Ste ~* NPI: 1255789418 430 Ste 430 Idaho NPI: 1588124838 1552 Crestmont Dr Ste B Meridian, ID 83642 Caldwell, ID 83605 Ada 125 E Idaho St Ste 100 (208) 302-5470 Boise, ID 83712 (208) 957-5532 Group(s): St Alphonsus BOISE (208) 338-0148 Group(s): Doctors House Regional Medical Center - 83702 Group(s): Sawtooth Calls Llc Group Physicians -1861676298 Jue, Tyler, NP~* Epidemiology And Canyon NAMPA NPI: 1033641154 Infectious Diseases Pc CALDWELL - 83686 500 S 8th St EAGLE Boise, ID 83702 - 83605 Kuntz, Kara, MDx~* - 83616 (855) 255-1750 Cook, Sean, NP~* NPI: 1891057246 Punt, Carolyn, NP~* Group(s): United Wound NPI: 1891310892 1510 12th Ave Rd Ste 200 NPI: 1497296768 Healing Ps 211 E Logan St Ste 305 Ste 200 323 E Riverside Dr Caldwell, ID 83605 Nampa, ID 83686 Punt, Carolyn, NP~* Eagle, ID 83616 (208) 649-5015 (208) 302-5470 NPI: 1497296768 (208) 384-9073 Group(s): West Valley Group(s): St Alphonsus 877 W Main St Group(s): Intermountain Medical Associates Inc Regional Medical Center Boise, ID 83702 Medical Imaging Llc - Physicians -1861676298 (208) 384-9073 1326247511 NAMPA Other Specialties: Family Group(s): Gem State - 83687 Medicine Radiology Llp - Medical MERIDIAN Nielsen, Alexandra, NPx Group - 83642 Meier, Alexandra, MDx~ ~* Fowler, Matthew, NP~* * Punt, Carolyn, NP~* NPI: 1588124838 NPI: 1053943688 NPI: 1619234622 NPI: 1497296768 4403 E Flamingo Ave 1672 S Woodsage Ave Ste 1510 12th Ave Rd Ste 200 927 W Myrtle St Nampa, ID 83687 102 Ste 200 Boise, ID 83702 (208) 338-0148 Meridian, ID 83642 Nampa, ID 83686 (208) 384-9073 Group(s): Sawtooth (208) 515-2273 (208) 302-5470 Group(s): Intermountain Epidemiology And Group(s): Meridian Group(s): St Alphonsus Medical Imaging Infectious Diseases Pc Advanced Psychiatry Llc Regional Medical Center Llc1669423679 Physicians -1861676298 Punt, Carolyn, NP~* Punt, Carolyn, NP~* Other Specialties: Internal NPI: 1497296768 NPI: 1497296768 Medicine 2929 E Magic View Dr 927 West Myrtle St Ste B Meridian, ID 83642 Boise, ID 83702 (208) 472-8101 (208) 947-0100 Group(s): Intermountain Group(s): Advanced Vein Medical Imaging Therapy Llc1679520415

97 Specialists / Especialistas Gynecologic Oncology/Oncología ginecológica Ada County/Condado

Gynecologic Oncology Hematology & Stephenson Ii, William, MERIDIAN MDx~* - 83642 Idaho Oncology NPI: 1093787541 Bucur, Silvana, MDx~* Idaho Ada 1055 N Curtis Rd NPI: 1326140039 Ada Boise, ID 83706 520 S Eagle Rd BOISE (208) 367-3131 Meridian, ID 83642 - 83704 BOISE Group(s): St Alphonsus (208) 706-5651 Kokoulina, Polina, PAx~ - 83706 Regional Medical Center Group(s): St Lukes Clinic * Gorden, Nicholas, MDx~ Physicians -1861676298 Treasure Valley Llc NPI: 1013342468 * Spanish Romanian 900 N Liberty St Ste 101 NPI: 1568805810 - 83712 Boise, ID 83704 1055 N Curtis Rd Fountain, Eric, MDx~* (208) 302-2200 Boise, ID 83706 Alluri, Krishna, MDx~* NPI: 1649513250 Group(s): St Alphonsus (208) 367-3131 NPI: 1992908347 520 S Eagle Rd Regional Medical Center Group(s): St Alphonsus 100 E Idaho St Meridian, ID 83642 Physicians -1861676298 Regional Medical Center Boise, ID 83712 (208) 706-5651 Physicians -1861676298 (208) 381-2711 Group(s): St Lukes Clinic - 83712 Group(s): St Lukes Clinic Treasure Valley Llc Cooper, Amy, MD~* Karedan, Tezo, MD~* Treasure Valley Llc NPI: 1679887376 Hodson, Stephanie, MD~ NPI: 1306880398 Haitian Creole, Telugu * 1055 N Curtis Rd 100 E Idaho St Ste 200 NPI: 1265478374 Boise, ID 83706 Kreisle, William, MDx~* Boise, ID 83712 2855 E Magic View Dr (208) 367-3131 NPI: 1821010455 (208) 381-4171 Meridian, ID 83642 Group(s): St Alphonsus 100 E Idaho St Ste 200 Group(s): St Lukes Clinic (208) 888-8209 Regional Medical Center Boise, ID 83712 Treasure Valley Llc Group(s): Summit Cancer Physicians -1861676298 (208) 381-2711 Center Hematology Other Specialties: Medical Group(s): St Lukes Clinic Treasure Valley Llc Idaho Oncology Majithia, Neil, MDx~* NPI: 1235545690 Miranda, A Richard, Zuckerman, Dan, MDx~ Ada * 520 S Eagle Rd MD~* NPI: 1023093507 Meridian, ID 83642 BOISE NPI: 1669565669 100 E Idaho St (208) 706-5651 - 83712 1055 N Curtis Rd Boise, ID 83712 Group(s): St Lukes Clinic Boise, ID 83706 Alluri, Nitya, MDx~* (208) 381-2711 Treasure Valley Llc (208) 367-3131 NPI: 1073712709 Group(s): St Lukes Clinic Group(s): St Alphonsus 100 E Idaho St Treasure Valley Llc Boise, ID 83712 Regional Medical Center (208) 381-2711 Physicians -1861676298 Group(s): St Lukes Clinic Spanish Treasure Valley Llc Haitian Creole, Telugu

98 Specialists / Especialistas Hematology & Oncology continued/Hematología y Oncología continuación Canyon County/Condado

Canyon Home Health EAGLE Canyon - 83616 NAMPA Idaho CALDWELL All Care Health - 83686 - 83605 Ada Solutions~* Fiorentino, Larry, MDx~ NPI: 1396040614 Horizon Home Health BOISE * 815 S Bridgeway Place And Hospice~* - 83705 NPI: 1528086402 Ste 122 NPI: 1689996357 308 E Hawaii Ave Progressive Nursing Eagle, ID 83616 211 E Logan Street Ste Nampa, ID 83686 Services Inc~* (208) 473-2717 101 (208) 467-6700 NPI: 1104889526 Group(s): All Care Health Caldwell, ID 83605 Group(s): St Lukes Clinic 1514 Shoshone St Solutions (208) 455-1990 Treasure Valley Llc Boise, ID 83705 Group(s): Horizon Home MERIDIAN Morgan, Clinton, MDx~ (208) 336-9898 Health And Hospice Group(s): Progressive - 83642 * NAMPA Nursing Services Inc Multicare Home Health NPI: 1376779413 - 83687 308 E Hawaii Ave - 83709 Inc~* Nampa, ID 83686 NPI: 1831182278 Encompass Home Health (208) 467-6700 First Choice Home 324 S Meridian Rd Ste 10 & Hospice Of Idahox~* Group(s): St Lukes Clinic Health And Hospicex~* Meridian, ID 83642 NPI: 1801884374 Treasure Valley Llc NPI: 1952305286 (208) 884-5497 16151 N Brindson St 12400 W Overland Rd Ste Group(s): Multicare Home Nampa, ID 83687 - 83687 100 Health Inc (469) 621-8586 Qureshi, Ian, DOx~* Boise, ID 83709 Group(s): Encompass NPI: 1871934547 (208) 322-7061 Multicare Staffing Home Health & Hospice 4424 E Flamingo Ave Ste Group(s): First Choice Services Inc~* Of Idaho 300 Ste 300 Home Health And Hospice NPI: 1538283205 324 S Meridian Rd Ste 14 Signature Healthcare At Nampa, ID 83687 Saint Alphonsus Home Home~* (208) 302-0200 Meridian, ID 83642 Health Hospicex~* (208) 887-7719 NPI: 1841749462 Group(s): St Alphonsus NPI: 1598717696 3904 East Flamingo Ave Regional Medical Center Group(s): Multicare 9199 W Black Eagle Dr Staffing Services Inc Ste 100 Physicians -1861676298 Boise, ID 83709 Nampa, ID 83687 Other Specialties: Internal (208) 672-1707 - 83646 (208) 465-7121 Medicine Group(s): Saint Alphonsus Horizon Home Health Group(s): Signature Home Health Hospice And Hospice~* Healthcare At Home - 83712 NPI: 1689996357 63 W Willowbrook Dr St Lukes Homecarex~* Meridian, ID 83646 NPI: 1306945985 (208) 888-7877 190 E Bannock St Group(s): Horizon Home Boise, ID 83712 Health And Hospice (208) 381-2222 Group(s): St Lukes Homecare

99 Specialists / Especialistas Home Infusion Therapy Pharmacy/Farmacia de terapia de infusiones en el hogar Ada County/Condado

Home Infusion Hospice And - 83712 Hospice Care, Therapy Pharmacy Palliative Medicine - Erekson, Zachary, MDx Community Based Internal Medicine ~* Idaho NPI: 1942529912 Idaho Ada Idaho 1000 E Park Blvd Ste 120 Ada Ada Boise, ID 83712 MERIDIAN (208) 381-4100 BOISE - 83642 BOISE Group(s): St Lukes Clinic - 83707 Option Care~* - 83704 Treasure Valley Llc Complete Hospice Care NPI: 1558518795 Meshack-Hart, German Of Boise Llc~* 800 S Industry Way Ste Samantha, NPx~* Erekson, Zachary, MDx NPI: 1013317064 240 NPI: 1922240498 ~* 250 West Bobwhite Ct Ste Meridian, ID 83642 5966 Curtisian Ave NPI: 1942529912 130 (888) 884-2917 Boise, ID 83704 190 E Bannock St Boise, ID 83707 Group(s): Option Care (208) 302-5400 Boise, ID 83712 (208) 391-2724 Group(s): Complete Hospice And Group(s): St Alphonsus (208) 381-1615 Regional Medical Center Group(s): St Lukes Clinic Hospice Care Of Boise Llc Palliative Medicine - Physicians -1861676298 Treasure Valley Llc - 83712 Family Medicine Other Specialties: German Geriatric Medicine - St Lukes Hospice~* Idaho Hill, Julia, MDx~* Internal Medicine, Internal NPI: 1548365919 NPI: 1396781563 Ada Medicine 190 E Bannock St 190 E Bannock St Boise, ID 83712 BOISE Meshack-Hart, Boise, ID 83712 (208) 381-2222 - 83709 Samantha, NPx~* (208) 381-1615 Group(s): St Lukes Cooper, Christine, NPx~ NPI: 1922240498 Group(s): St Lukes Clinic Hospice 5966 W Curtisian Ave Treasure Valley Llc * EAGLE NPI: 1891176798 Boise, ID 83704 Canyon - 83616 12400 W Overland Rd Ste (208) 302-5490 100 Group(s): St Alphonsus NAMPA Keystone Hospice Llc~* Boise, ID 83709 Regional Medical Center - 83687 NPI: 1427421114 (208) 322-1199 Physicians -1861676298 21 N Fisher Park Way Meshack-Hart, Group(s): First Choice Other Specialties: Eagle, ID 83616 Samantha, NPx~* Healthcare Geriatric Medicine - (208) 514-0670 NPI: 1922240498 Other Specialties: Primary Internal Medicine, Internal Group(s): Keystone 4400 E Flamingo Ave Care Nurse Practitioner Medicine Hospice Llc Nampa, ID 83687 Smith, Sara, NPx~* (208) 302-5480 NPI: 1881129146 Group(s): St Alphonsus 5966 W Curtisian Ave Regional Medical Center Boise, ID 83704 Physicians -1861676298 (208) 302-5400 Other Specialties: Group(s): St Alphonsus Geriatric Medicine - Regional Medical Center Internal Medicine, Internal Physicians -1861676298 Medicine

100 Specialists / Especialistas Hospice Care, Community Based continued/Cuidados paliativos, Comunitarios continuación Ada County continued/Condado seguido

MERIDIAN Canyon Infectious Disease Klein, Nicole, MDx~* - 83642 NPI: 1811924616 CALDWELL Idaho Doctors Hospice Of 6565 W Emerald St - 83605 Idaho Llc~* Ada Boise, ID 83704 NPI: 1871946483 Harrisons Hope~* (208) 514-2510 BOISE 1550 N Crestmont Dr Ste NPI: 1114317153 Group(s): The Family - 83704 E 211 E Logan St Ste 102 Medicine Residency Of Meridian, ID 83642 Caldwell, ID 83605 Blue, Sky, MDx~* Idaho Inc (208) 985-2260 (208) 286-1300 NPI: 1659365575 Other Specialties: Group(s): Doctors Hospice Group(s): Harrisons Hope 777 N Raymond St Pulmonary Disease Boise, ID 83704 French Of Idaho Llc NAMPA (208) 514-2500 - 83712 Harrisons Hope~* - 83687 Group(s): The Family NPI: 1114317153 Treasure Valley Hospice Medicine Residency Of Dau, Birgitt, MDx~* 3137 S Meridian Rd Ste Llc~* Idaho Inc NPI: 1225167588 120 NPI: 1659553196 125 E Idaho St Ste 100 Meridian, ID 83642 8 6th St N Ste 200 Dau, Birgitt, MDx~* Boise, ID 83712 (208) 947-6800 Nampa, ID 83687 NPI: 1225167588 (208) 338-0148 Group(s): Harrisons Hope (208) 461-7423 6565 W Emerald St Group(s): Sawtooth Boise, ID 83704 Epidemiology And - 83646 Group(s): Treasure Valley Hospice Llc (208) 514-2510 Infectious Diseases Pc Heart N Home Hospice Group(s): The Family Other Specialties: Internal & Palliative Care Llc~* In Home Supportive Medicine Residency Of Medicine NPI: 1073514329 Care Idaho Inc Spanish 306 S Washington Ave Other Specialties: Internal Meridian, ID 83646 Idaho Medicine Klein, Nicole, MDx~* NPI: 1811924616 (208) 365-2099 Canyon Spanish Group(s): Heart N Home 125 E Idaho St Ste 100 CALDWELL Hahn, Christine, MDx~* Boise, ID 83712 Hospice & Palliative Care NPI: 1174781959 Llc - 83605 (208) 338-0148 6565 W Emerald St Group(s): Sawtooth 1 Assist Carex~* Heart N Home Hospice Boise, ID 83704 Epidemiology And NPI: 1912320318 & Palliative Care Llc~* (208) 514-2510 Infectious Diseases Pc 418 S 9th Ave NPI: 1073514329 Group(s): The Family Other Specialties: Caldwell, ID 83605 3557 E Overland Medicine Residency Of Pulmonary Disease (208) 214-3008 Meridian, ID 83646 Idaho Inc French (208) 288-1143 Group(s): 1 Assist Care Spanish Group(s): Heart N Home Reese, Camilla, MDx~* Hospice & Palliative Care NPI: 1689616914 Llc 125 E Idaho St Ste 100 Boise, ID 83712 (208) 338-0148 Group(s): Sawtooth Epidemiology And Infectious Diseases Pc

101 Specialists / Especialistas Infectious Disease continued/Infectología continuación Canyon County/Condado

Canyon Snow, Brian, DOx~* Cordum, Nic, MDx~* Wilson, Kevin, DOx~* NPI: 1558680587 NPI: 1205803756 NPI: 1174633085 NAMPA 1109 W Myrtle St Ste 100 6259 W Emerald St 5966 W Curtisian Ave - 83687 Boise, ID 83702 Boise, ID 83704 Boise, ID 83704 Coffman, Thomas, MD~ (208) 846-8335 (208) 489-1900 (208) 302-5400 * Group(s): Boise Kidney Group(s): Digestive Group(s): St Alphonsus NPI: 1245224823 And Hypertension Pllc Health Clinic Llc Regional Medical Center 4403 E Flamingo Ave Other Specialties: Physicians -1861676298 Kinahan, Caitlin, MDx~ Nampa, ID 83687 Nephrology * - 83706 (208) 338-0148 Turcotte, Roger, MDx* NPI: 1376938076 Group(s): Sawtooth Hicks, Nathan, MD~* NPI: 1255574109 5966 W Curtisian Ave Epidemiology And NPI: 1144667817 1226 W River St Boise, ID 83704 Infectious Diseases Pc 1055 N Curtis Rd Boise, ID 83702 (208) 302-5470 Boise, ID 83706 Reese, Camilla, MDx~* (208) 331-1155 Group(s): St Alphonsus (208) 367-6279 NPI: 1689616914 Group(s): St Lukes Clinic Regional Medical Center Group(s): St Alphonsus 4403 E Flamingo Ave Treasure Valley Llc Physicians -1861676298 Regional Medical Center Nampa, ID 83687 - 83704 Rich, Michael, MDx~* Physicians -1861676298 (208) 338-0148 NPI: 1972759124 Group(s): Sawtooth Colombowala, Ilyas, MD Hofstra, Jennifer, MD~* x~* 6140 W Curtisian Ave Ste NPI: 1003079120 Epidemiology And 200 Ste 200 Infectious Diseases Pc NPI: 1730194150 1055 N Curtis Rd 6140 Curtisian Ave Ste Boise, ID 83704 Boise, ID 83706 Internal Medicine 300 (208) 302-0000 (208) 367-6279 Group(s): St Alphonsus Idaho Boise, ID 83704 Group(s): St Alphonsus (208) 302-0000 Regional Medical Center Regional Medical Center Ada Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Regional Medical Center Other Specialties: BOISE Physicians -1861676298 Cardiovascular Disease Kellis, Nathan, MD~* - 83702 Other Specialties: NPI: 1942688627 Shea, Lauren, MDx~* 1055 N Curtis Rd Daccarett, Marcos, MDx Cardiovascular Disease NPI: 1316263601 ~* Spanish, Gujarati Boise, ID 83706 6259 W Emerald St (208) 367-6279 NPI: 1023144300 Boise, ID 83704 287 W Jefferson St Colombowala, Ilyas, MD Group(s): St Alphonsus x~* (208) 489-1900 Regional Medical Center Boise, ID 83702 Group(s): Digestive (208) 322-1680 NPI: 1730194150 Physicians -1861676298 6140 W Curtisian Ave Ste Health Clinic Llc Group(s): St Lukes Clinic Other Specialties: Kinahan, Caitlin, MDx~ Treasure Valley Llc 200 Ste 200 Boise, ID 83704 Gastroenterology * (208) 302-0000 NPI: 1376938076 Group(s): St Alphonsus 711 N Curtis Rd Regional Medical Center Boise, ID 83706 Physicians -1861676298 (208) 605-3000 Other Specialties: Group(s): St Alphonsus Cardiovascular Disease Regional Medical Center Spanish, Gujarati Physicians -1861676298

102 Specialists / Especialistas Internal Medicine continued/Medicina interna continuación Ada County continued/Condado seguido

Mathews, Katherine, Duerr, Robert, MDx~* Mcgeorge, Laura, MDx~ Salberg, Jonathan, DOx MD~* NPI: 1588611263 * ~* NPI: 1841296902 300 E Jefferson St Ste 101 NPI: 1629029699 NPI: 1710323126 1055 N Curtis Rd Boise, ID 83712 1000 E Park Blvd Ste 120 125 E Idaho St Ste 100 Boise, ID 83706 (208) 322-1680 Boise, ID 83712 Boise, ID 83712 (208) 367-6279 Group(s): St Lukes Clinic (208) 381-4100 (208) 338-0148 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Sawtooth Regional Medical Center Treasure Valley Llc Epidemiology And Fernandez Brandt, Physicians -1861676298 Infectious Diseases Pc Melina, MDx~* Miltner, Natasha, MDx~ Mcfarlane, Carolyn, MD NPI: 1366605180 * Salem, Nizar, MDx~* ~* 190 E Bannock St NPI: 1396832770 NPI: 1346546785 NPI: 1679802987 Boise, ID 83712 1000 E Park Blvd Ste 120 190 E Bannock St 1055 N Curtis Rd (208) 381-5015 Boise, ID 83712 Boise, ID 83712 Boise, ID 83706 Group(s): St Lukes Clinic (208) 381-4100 (208) 381-2222 (208) 367-6279 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Treasure Valley Llc Regional Medical Center Grooms, Shanda, MDx~ * Nelson, Timothy, MDx~* Schlickman, Louis, MDx Physicians -1861676298 NPI: 1750330080 NPI: 1811021884 * - 83712 190 E Bannock St 1000 E Park Blvd Ste 120 NPI: 1629022116 Blough, Susan, MDx~* Boise, ID 83712 Boise, ID 83712 190 E Bannock St NPI: 1336197870 (208) 381-5015 (208) 381-4100 Boise, ID 83712 1000 E Park Blvd Ste 120 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 381-2222 Boise, ID 83712 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc (208) 381-4100 Hoffmann, Jeffrey, MDx Pelton, Michael, MDx~* Group(s): St Lukes Clinic ~* NPI: 1548219090 Schulte, Michaela, MDx Treasure Valley Llc NPI: 1821095811 1000 E Park Blvd Ste 120 ~* French 190 E Bannock St Boise, ID 83712 NPI: 1821201179 190 E Bannock St Costello, Frederick, MD Boise, ID 83712 (208) 381-4100 x~* (208) 381-5015 Group(s): St Lukes Clinic Boise, ID 83712 NPI: 1285851337 Group(s): St Lukes Clinic Treasure Valley Llc (208) 381-5015 300 E Jefferson St Ste 101 Treasure Valley Llc Group(s): St Lukes Clinic Pucciarelli, Irene, DOx~ Treasure Valley Llc Boise, ID 83712 German * German (208) 322-1680 Lewis, Erika, MDx~* NPI: 1871559948 Group(s): St Lukes Clinic NPI: 1659320570 1000 E Park Blvd Ste 120 Shaub, Michelle, DOx~* Treasure Valley Llc 1000 E Park Blvd Ste 120 Boise, ID 83712 NPI: 1831458041 Donovan, Jodie, MDx~* Boise, ID 83712 (208) 381-4100 190 E Bannock St NPI: 1295027688 (208) 381-4100 Group(s): St Lukes Clinic Boise, ID 83712 1000 E Park Blvd Ste 120 Group(s): St Lukes Clinic Treasure Valley Llc (208) 381-5015 Boise, ID 83712 Treasure Valley Llc Group(s): St Lukes Clinic (208) 381-4100 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc

103 Specialists / Especialistas Internal Medicine continued/Medicina interna continuación Ada County continued/Condado seguido

Smith, Shani, DOx~* Wright, Erica, NPx~* Divietro, Matthew, DOx Miller, Spencer, MDx~* NPI: 1659674240 NPI: 1245795368 ~* NPI: 1720342777 190 E Bannock St 190 E Bannock St NPI: 1427265867 3525 E Louise Dr Ste 400 Boise, ID 83712 Boise, ID 83712 2347 E Gala St Meridian, ID 83642 (208) 381-2222 (208) 381-2222 Meridian, ID 83642 (208) 322-1680 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 323-3767 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Stubbs, Leslie, MDx~* EAGLE Olberding, Elizabeth, NPI: 1588613483 - 83616 Gettelman, Rebecca, MD MDx~* x~* 1000 E Park Blvd Ste 120 Swanson, Joel, MDx~* NPI: 1265481048 Boise, ID 83712 NPI: 1750491262 520 S Eagle Rd Ste 2104 NPI: 1013956705 3525 E Louise Dr Ste 500 (208) 381-4100 323 E Riverside Dr Ste Meridian, ID 83642 Group(s): St Lukes Clinic Meridian, ID 83642 (208) 706-0201 224 (208) 706-7050 Treasure Valley Llc Eagle, ID 83616 Group(s): St Lukes Clinic Spanish, Bosnian Group(s): St Lukes Clinic Treasure Valley Llc (208) 302-0000 Treasure Valley Llc Thongsri, Roslin, MDx~ Group(s): St Alphonsus Spanish Pangarkar, Sandeep, DO * Regional Medical Center x~* NPI: 1053751321 Physicians -1861676298 Gettelman, Rebecca, MD NPI: 1033106745 190 E Bannock St x~* 520 S Eagle Rd MERIDIAN Boise, ID 83712 NPI: 1750491262 Meridian, ID 83642 - 83642 (208) 381-2222 5155 S Hillsdale Ave (208) 381-5015 Group(s): St Lukes Clinic Alharethi, Rami, MDx~* Meridian, ID 83642 Group(s): St Lukes Clinic Treasure Valley Llc NPI: 1851306369 (208) 706-9710 Treasure Valley Llc 3525 E Louise Dr Ste 400 Group(s): St Lukes Clinic Tran, Tuan, MDx~* Meridian, ID 83642 Treasure Valley Llc Snow, Brian, DOx~* NPI: 1194716613 (208) 322-1680 Spanish NPI: 1558680587 190 E Bannock St 3525 E Louise Dr Ste 100 Group(s): St Lukes Clinic Hoewing, Bonnie, NPx~* Boise, ID 83712 Treasure Valley Llc Meridian, ID 83642 (208) 381-5015 NPI: 1063879633 (208) 846-8335 Group(s): St Lukes Clinic Defrang, Caroline, MDx 3080 E Gentry Way Ste Group(s): Boise Kidney Treasure Valley Llc ~* 100 And Hypertension Pllc Vietnamese NPI: 1699724690 Meridian, ID 83642 Other Specialties: 520 S Eagle Rd Ste 2104 (208) 947-5390 Nephrology Turcotte, Roger, MDx~* Meridian, ID 83642 Group(s): D&G Medical NPI: 1255574109 (208) 706-0201 Associates Pllc Thongsri, Roslin, MDx~ 1000 E Park Blvd Ste 120 Group(s): St Lukes Clinic Other Specialties: Nurse * Boise, ID 83712 Treasure Valley Llc Practitioner NPI: 1053751321 (208) 381-4100 520 S Eagle Rd Group(s): St Lukes Clinic Komori, Allyson, DOx~* Meridian, ID 83642 Treasure Valley Llc NPI: 1679869473 (208) 706-5000 520 S Eagle Rd Ste 2104 Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc (208) 706-0201 Group(s): St Lukes Clinic Treasure Valley Llc

104 Specialists / Especialistas Internal Medicine continued/Medicina interna continuación Ada County continued/Condado seguido

Undesser, Karl, MDx~* Brown, Sherri, MDx~* Undesser, Karl, MDx~* Snow, Brian, DOx~* NPI: 1013961242 NPI: 1235172644 NPI: 1013961242 NPI: 1558680587 745 S Progress Ave Ste 315 E Elm St Ste 200 1906 Fairview Ave Ste 4424 E Flamingo Ave Ste 120 Caldwell, ID 83605 230 340 Meridian, ID 83642 (208) 302-7500 Caldwell, ID 83605 Nampa, ID 83687 (208) 795-5073 Group(s): St Alphonsus (208) 459-4667 (208) 846-8335 Group(s): West Valley Regional Medical Center Group(s): West Valley Group(s): Boise Kidney Medical Group Specialty Physicians -1861676298 Medical Group Specialty And Hypertension Pllc Services Llc Services Llc Other Specialties: Chawla, Bobby, DOx~* Other Specialties: Other Specialties: Nephrology NPI: 1598956963 Cardiovascular Disease, Cardiovascular Disease, 3123 Medical Dr Tomal, Justin, MDx~* Clinical Cardiac Clinical Cardiac Caldwell, ID 83605 NPI: 1093129751 Electrophysiology Electrophysiology (208) 367-3131 1200 Garrity Blvd Wood, Lance, MDx~* Group(s): St Alphonsus NAMPA Nampa, ID 83687 NPI: 1598923591 Regional Medical Center - 83687 (208) 343-6458 1618 S Millenium Way Physicians -1861676298 Colombowala, Ilyas, MD Group(s): Idaho Ste 100 Other Specialties: x~* Gastroenterology Meridian, ID 83642 Hematology NPI: 1730194150 Associates Llp (208) 884-3376 Koga, Steven, MDx~* 4424 E Flamingo Ave Ste Townsend, Ryan, MD~* Group(s): Ada West NPI: 1144275512 300 Ste 300 NPI: 1285077701 Dermatology 211 E Logan St Ste 303 Nampa, ID 83687 1150 N Sister Catherine Wu, Liang, MDx~* And 203 (208) 302-0200 Way NPI: 1073776258 Caldwell, ID 83605 Group(s): St Alphonsus Nampa, ID 83687 3277 E Louise Dr Ste 200 (208) 459-4667 Regional Medical Center (208) 302-5460 Meridian, ID 83642 Group(s): West Valley Physicians -1861676298 Group(s): St Alphonsus (208) 463-3000 Medical Group Llc Other Specialties: Regional Medical Center Group(s): Saltzer Clinics Cardiovascular Disease Physicians -1861676298 Snow, Brian, DOx~* Chinese Spanish, Gujarati NPI: 1558680587 Undesser, Karl, MDx~* x Canyon 4620 Enterprise Way Ste Salberg, Jonathan, DO NPI: 1013961242 101 ~* 16459 N Midland Blvd CALDWELL Caldwell, ID 83605 NPI: 1710323126 Nampa, ID 83687 - 83605 (208) 846-8335 4403 E Flamingo Ave (208) 795-5075 Nampa, ID 83687 Brown, Sherri, MDx~* Group(s): Boise Kidney Group(s): West Valley And Hypertension Pllc (208) 338-0148 Medical Group Llc NPI: 1235172644 Group(s): Sawtooth 315 E Elm St Ste 100 Other Specialties: Other Specialties: Nephrology Epidemiology And Cardiovascular Disease, Caldwell, ID 83605 Infectious Diseases Pc (208) 302-7100 Clinical Cardiac Group(s): St Alphonsus Electrophysiology Regional Medical Center Physicians -1861676298

105 Specialists / Especialistas Interventional Cardiology/Cardiología intervencional Ada County/Condado

Interventional Nelson, Matthew, MDx~ Roan, Peter, MDx~* Robert, Alina, MDx~* Cardiology * NPI: 1326037342 NPI: 1609042258 NPI: 1376622985 6140 Curtisian Ave Ste 300 E Jefferson St Ste 101 Idaho 6140 W Curtisian Ave Ste 300 Boise, ID 83712 Ada 102 Boise, ID 83704 (208) 322-1680 Boise, ID 83704 (208) 302-0000 Group(s): St Lukes Clinic BOISE (208) 302-0000 Group(s): St Alphonsus Treasure Valley Llc - 83704 Group(s): St Alphonsus Regional Medical Center MERIDIAN Regional Medical Center Physicians -1861676298 Heslop, Jeffrey, MDx~* - 83642 NPI: 1144544644 Physicians -1861676298 Other Specialties: Coyle, David, MDx~* 6140 W Curtisian Ave Ste Other Specialties: Cardiovascular Disease NPI: 1023210515 100 Cardiovascular Disease Roan, Peter, MDx~* 3525 E Louise Dr Ste 400 Boise, ID 83704 Nelson, Matthew, MDx~ NPI: 1326037342 Meridian, ID 83642 (208) 302-0130 * 6140 W Curtisian Ave Ste (208) 322-1680 Group(s): St Alphonsus NPI: 1376622985 200 Ste 200 Group(s): St Lukes Clinic Regional Medical Center 6140 W Curtisian Ave Ste Boise, ID 83704 Treasure Valley Llc Physicians -1861676298 200 Ste 200 (208) 302-0000 Boise, ID 83704 Green, Nathan, MDx~* Heslop, Jeffrey, MDx~* Group(s): St Alphonsus (208) 302-0000 NPI: 1568540714 NPI: 1144544644 Regional Medical Center Group(s): St Alphonsus 3525 E Louise Dr Ste 400 6140 W Curtisian Ave Ste Physicians -1861676298 Regional Medical Center Meridian, ID 83642 200 Ste 200 Other Specialties: Physicians -1861676298 (208) 322-1680 Boise, ID 83704 Cardiovascular Disease Other Specialties: Group(s): St Lukes Clinic (208) 302-0000 Cardiovascular Disease - 83706 Treasure Valley Llc Group(s): St Alphonsus Writer, Steven, MD~* Regional Medical Center Parent, Mark, MDx~* x~* NPI: 1811942543 Linstroth, Lee, MD Physicians -1861676298 NPI: 1558301515 711 N Curtis Rd NPI: 1114361136 6140 W Curtisian Ave Ste 3525 E Louise Dr Ste 400 Kapadia, Carl, MDx~* Boise, ID 83706 200 Ste 200 Meridian, ID 83642 NPI: 1164682720 (208) 605-3000 Boise, ID 83704 (208) 322-1680 6140 W Curtisian Ave Ste Group(s): St Alphonsus (208) 302-0000 Group(s): St Lukes Clinic 200 Ste 200 Regional Medical Center Group(s): St Alphonsus Treasure Valley Llc Boise, ID 83704 Regional Medical Center Physicians -1861676298 (208) 302-0000 Physicians -1861676298 - 83712 Group(s): St Alphonsus Other Specialties: Coyle, David, MDx~* Regional Medical Center Cardiovascular Disease Physicians -1861676298 NPI: 1023210515 300 E Jefferson St Ste 101 Boise, ID 83712 (208) 322-1680 Group(s): St Lukes Clinic Treasure Valley Llc

106 Specialists / Especialistas Interventional Cardiology continued/Cardiología intervencional continuación Canyon County/Condado

Canyon Magnetic Resonance Maternal & Fetal Seyb, Stacy, MDx~* Imaging (Mri) Medicine NPI: 1497706469 NAMPA 333 N 1st St Ste 150 - 83687 Idaho Idaho Boise, ID 83702 Roan, Peter, MDx~* Ada Ada (208) 381-3088 NPI: 1326037342 Group(s): St Lukes Clinic 4424 E Flamingo Ave Ste BOISE BOISE Treasure Valley Llc 300 Ste 300 - 83702 - 83702 Winkler, Carey, MDx~* Nampa, ID 83687 Intermountain Medical Blea, Clarence, MDx~* NPI: 1669434395 (208) 302-0200 Imaging - Boisex~* NPI: 1558312199 333 N 1st St Ste 150 Group(s): St Alphonsus NPI: 1669423679 333 N 1st St Ste 150 Boise, ID 83702 Regional Medical Center 927 W Myrtle St Boise, ID 83702 (208) 381-3088 Physicians -1861676298 Boise, ID 83702 (208) 381-3088 Group(s): St Lukes Clinic Other Specialties: (208) 954-8011 Group(s): St Lukes Clinic Treasure Valley Llc Cardiovascular Disease Group(s): Intermountain Treasure Valley Llc - 83704 Interventional Pain Medical Imaging - Boise Spanish Other Specialties: Balderston, Keith, MDx~ Cooper, Kylie, MDx~* Medicine Radiology Clinic * NPI: 1043509730 Idaho NPI: 1871525337 MERIDIAN 333 N 1st St Ste 150 900 N Liberty St Ste 206 Ada - 83642 Boise, ID 83702 Boise, ID 83704 (208) 381-3088 (208) 302-1100 MERIDIAN Intermountain Medical Imaging - Meridianx~* Group(s): St Lukes Clinic Group(s): St Alphonsus - 83642 NPI: 1679520415 Treasure Valley Llc Regional Medical Center Maxwell, Shane, DOx~* 2929 E Magicview Dr Day, Leah, MDx~* Physicians -1861676298 NPI: 1508825456 Meridian, ID 83642 NPI: 1184627549 Other Specialties: 3551 E Overland Rd (208) 954-8127 333 N 1st St Ste 150 Obstetrics & Gynecology Meridian, ID 83642 Group(s): Intermountain Boise, ID 83702 Ball, Bruce, MD~* (208) 884-1333 Medical Imaging - (208) 381-3088 NPI: 1124131818 Group(s): Idaho Physical Meridian Group(s): St Lukes Clinic 900 N Liberty St Ste 206 Medicine And Other Specialties: Treasure Valley Llc Boise, ID 83704 Rehabilitation Pa Radiology Clinic Lee, Richard, MDx~* (208) 302-1100 NPI: 1588692933 Group(s): St Alphonsus 333 N 1st St Ste 150 Regional Medical Center Boise, ID 83702 Physicians -1861676298 (208) 381-3088 Other Specialties: Group(s): St Lukes Clinic Obstetrics & Gynecology Treasure Valley Llc Spanish

107 Specialists / Especialistas Maternal & Fetal Medicine continued/Medicina materna y fetal continuación Ada County continued/Condado seguido

Cazan-London, Gianina, Lam, Garrett, MD~* Lee, Richard, MDx~* Medical - Physician MD~* NPI: 1033172713 NPI: 1588692933 Assistant NPI: 1407834351 900 N Liberty St Ste 206 3525 E Louise Dr Ste 220 900 N Liberty St Ste 206 Boise, ID 83704 Meridian, ID 83642 Idaho Boise, ID 83704 (208) 302-1100 (208) 706-4636 Ada (208) 302-1100 Group(s): St Alphonsus Group(s): St Lukes Clinic Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc BOISE Regional Medical Center Physicians -1861676298 Spanish - 83702 Physicians -1861676298 Schneider, Michael, MD Seyb, Stacy, MDx~* Andreasen, Kacey, PAx~ German, Romanian ~* NPI: 1497706469 * Curtin, William, MD~* NPI: 1457399560 3525 E Louise Dr Ste 220 NPI: 1215160510 NPI: 1093749418 900 N Liberty St Ste 206 Meridian, ID 83642 600 N Robbins Rd Ste 100 900 N Liberty St Ste 206 Boise, ID 83704 (208) 706-4636 Boise, ID 83702 Boise, ID 83704 (208) 302-1100 Group(s): St Lukes Clinic (208) 706-2663 (208) 302-1100 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc Canyon Regional Medical Center Physicians -1861676298 Cline, Paige, PAx~* Physicians -1861676298 Winkler, Carey, MDx~* NAMPA NPI: 1437203965 Gesteland, Katherine, NPI: 1669434395 - 83687 703 S Americana Blvd Ste MD~* 900 N Liberty St Ste 206 Curtin, William, MD~* 130 NPI: 1124155007 Boise, ID 83704 NPI: 1093749418 Boise, ID 83702 900 N Liberty St Ste 206 (208) 302-1100 4424 E Flamingo Ave Ste (208) 706-7500 Boise, ID 83704 Group(s): St Alphonsus 220 Group(s): St Lukes Clinic (208) 302-1100 Regional Medical Center Nampa, ID 83687 Treasure Valley Llc Group(s): St Alphonsus Physicians -1861676298 (208) 302-1100 Daley, Jason, PAx~* Regional Medical Center MERIDIAN Group(s): St Alphonsus NPI: 1558664458 Physicians -1861676298 - 83642 Regional Medical Center 1109 W Myrtle St Ste 200 Physicians -1861676298 Boise, ID 83702 Jacobson, Sig-Linda, MD Blea, Clarence, MDx~* (208) 706-2663 ~* NPI: 1558312199 Group(s): St Lukes Clinic NPI: 1033291323 3525 E Louise Dr Ste 220 Treasure Valley Llc 900 N Liberty St Ste 206 Meridian, ID 83642 Boise, ID 83704 (208) 706-4636 Daley, Jason, PAx~* (208) 302-1100 Group(s): St Lukes Clinic NPI: 1558664458 Group(s): St Alphonsus Treasure Valley Llc 600 N Robbins Rd Ste 100 Regional Medical Center Spanish Boise, ID 83702 Physicians -1861676298 (208) 706-2663 Group(s): St Lukes Clinic Treasure Valley Llc

108 Specialists / Especialistas Medical - Physician Assistant continued/Atención médica - auxiliares médicos continuación Ada County continued/Condado seguido

Daley, Jason, PAx~* - 83703 Richard, Nathan, PAx~* Delic, Zana, PAx~* NPI: 1558664458 Delic, Zana, PAx~* NPI: 1366993883 NPI: 1528313749 703 S Americana Blvd Ste NPI: 1528313749 7979 W Rifleman St 7161 W Potomac Dr Ste A 120 5985 W State St Boise, ID 83704 Boise, ID 83706 Boise, ID 83702 Boise, ID 83703 (208) 855-2410 (208) 319-3513 (208) 706-2663 (208) 853-0071 Group(s): Direct Group(s): Perma Mental Group(s): St Lukes Clinic Group(s): Omega Mental Orthopedic Care Health Pllc Treasure Valley Llc Other Specialties: Urgent Health Services Ostolasa, Sis, PAx~* Care Clinic Johnson, Katrina, PAx~ - 83704 NPI: 1013952761 * - 83705 2141 E Parkcenter Blvd Combe, Courtney, PAx~ NPI: 1891927513 Ostolasa, Sis, PAx~* Boise, ID 83706 1109 W Myrtle St Ste 200 * NPI: 1053740290 NPI: 1013952761 (208) 302-5050 Boise, ID 83702 3587 S Federal Way Group(s): St Alphonsus (208) 706-2663 6550 W Emerald St Ste 108 Ste 108 Boise, ID 83705 Regional Medical Center Group(s): St Lukes Clinic (208) 302-5350 Physicians -1861676298 Treasure Valley Llc Boise, ID 83704 (208) 344-2228 Group(s): St Alphonsus Richard, Nathan, PAx~* Landis, David, PAx~* Group(s): Ambitions Of Regional Medical Center NPI: 1366993883 NPI: 1104044247 Idaho - Medical Group Physicians -1861676298 1789 S Broadway Ave 703 S Americana Blvd Ste Richard, Nathan, PAx~* Boise, ID 83706 130 Levitch, Rachel, PAx~* NPI: 1740515287 NPI: 1366993883 (208) 321-4000 Boise, ID 83702 3587 S Federal Way Group(s): Direct (208) 706-7500 777 N Raymond St Boise, ID 83704 Boise, ID 83705 Orthopedic Care Group(s): St Lukes Clinic (208) 302-5350 Other Specialties: Urgent Treasure Valley Llc (208) 514-2500 Group(s): The Family Group(s): St Alphonsus Care Clinic Watsen, Sharene, PAx~* Medicine Residency Of Regional Medical Center Richard, Nathan, PAx~* NPI: 1265464036 Idaho Inc Physicians -1861676298 NPI: 1366993883 403 S 11th St Ste 100 Other Specialties: Urgent Mcvey, Douglas, PAx~* 2141 E Parkcenter Blvd Boise, ID 83702 Care Clinic Boise, ID 83706 (208) 429-0300 NPI: 1841318276 6933 W Emerald St Ste A - 83706 (208) 302-5050 Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Boise, ID 83704 Carmichael, Lindsey, PA (208) 321-0634 x~* Regional Medical Center Physicians -1861676298 Wilson, Renee, PAx~* Group(s): All Seasons NPI: 1285904144 NPI: 1215019534 Mental Health - Mg 1789 S Broadway Ave Ste Other Specialties: Urgent 425 W Bannock St 100 Care Clinic Ostolasa, Sis, PAx~* Boise, ID 83702 Boise, ID 83706 NPI: 1013952761 (208) 343-1702 (208) 855-2410 6051 W Emerald St Group(s): Idaho Group(s): Allied Boise, ID 83704 Gastroenterology Orthopedics Associates Llp (208) 302-5150 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

109 Specialists / Especialistas Medical - Physician Assistant continued/Atención médica - auxiliares médicos continuación Ada County continued/Condado seguido

- 83709 Shedd, Lindsay, PAx~* GARDEN CITY Andreasen, Kacey, PAx~ Ostolasa, Sis, PAx~* NPI: 1982888103 - 83714 * NPI: 1215160510 NPI: 1013952761 100 E Idaho St Ste 301 Kasumovic, Sandra, PA~ 10583 W Lake Hazel Rd Boise, ID 83712 * 3399 E Louise Dr Ste 200 Boise, ID 83709 (208) 381-9250 NPI: 1780009506 Meridian, ID 83642 (208) 302-5950 Group(s): St Lukes Clinic 6965 N Glenwood St (208) 706-2663 Group(s): St Alphonsus Treasure Valley Llc Garden City, ID 83714 Group(s): St Lukes Clinic Treasure Valley Llc Regional Medical Center Tumanjan, Christine, PA (208) 853-3000 Physicians -1861676298 ~* Group(s): Afc Urgent Care Carmichael, Lindsey, PA NPI: 1447510201 Spanish, Bosnian x~* Richard, Nathan, PAx~* NPI: 1285904144 100 E Idaho St Ste 200 KUNA NPI: 1366993883 3015 E Magic View Dr 10583 W Lake Hazel Rd Boise, ID 83712 - 83634 (208) 381-4171 Ste 120 Boise, ID 83709 Ostolasa, Sis, PAx~* Meridian, ID 83642 (208) 302-5950 Group(s): St Lukes Clinic Treasure Valley Llc NPI: 1013952761 (208) 855-2410 Group(s): St Alphonsus 757 E Wythe Creek Ct Group(s): Allied Regional Medical Center - 83716 Kuna, ID 83634 Orthopedics Physicians -1861676298 Roy, Molly, PAx~* (208) 302-6500 Other Specialties: Urgent NPI: 1760414023 Group(s): St Alphonsus Cline, Paige, PAx~* Care Clinic 2051 E Summersweet Dr Regional Medical Center NPI: 1437203965 520 S Eagle Rd Ste 2213 - 83712 Boise, ID 83716 Physicians -1861676298 (208) 323-3767 Meridian, ID 83642 Cusack, Sorcha, PAx~* Richard, Nathan, PAx~* (208) 706-5447 NPI: 1396071056 Group(s): St Lukes Clinic NPI: 1366993883 Treasure Valley Llc Group(s): St Lukes Clinic 1000 E Park Blvd Ste 120 757 E Wythe Creek Ct Treasure Valley Llc Boise, ID 83712 EAGLE Kuna, ID 83634 (208) 381-4100 (208) 302-6500 Combe, Courtney, PAx~ - 83616 * Group(s): St Lukes Clinic Group(s): St Alphonsus Hawkins, Katherine, PA NPI: 1053740290 Treasure Valley Llc x~* Regional Medical Center Physicians -1861676298 3017 S Meridian Rd Cusack, Sorcha, PAx~* NPI: 1801131800 Meridian, ID 83642 3101 E State St Ste 2120 Other Specialties: Urgent NPI: 1396071056 Care Clinic (208) 888-6123 300 E Jefferson St Ste 300 Eagle, ID 83616 Group(s): Ambitions Of Boise, ID 83712 (208) 473-3275 MERIDIAN Idaho - Medical Group (208) 381-4100 Group(s): St Lukes Clinic - 83642 Daley, Jason, PAx~* Group(s): St Lukes Clinic Treasure Valley Llc Alexander, Robert, PAx NPI: 1558664458 Treasure Valley Llc ~* 520 S Eagle Rd Ste 2209 Mccoy, Alaina, PAx~* NPI: 1073842977 Meridian, ID 83642 NPI: 1710231238 3525 E Louise Dr Ste 400 (208) 706-2663 100 E Idaho St Ste 400 Meridian, ID 83642 Group(s): St Lukes Clinic Boise, ID 83712 (208) 322-1680 Treasure Valley Llc (208) 345-5250 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

110 Specialists / Especialistas Medical - Physician Assistant continued/Atención médica - auxiliares médicos continuación Ada County continued/Condado seguido

Delic, Zana, PAx~* Landis, David, PAx~* Pyke, Lauryn, PAx~* Soares, Colin, PAx~* NPI: 1528313749 NPI: 1104044247 NPI: 1407257025 NPI: 1588757850 2321 E Gala St Ste 3 Ste 3 520 S Eagle Rd Ste 2213 520 S Eagle Rd 520 S Eagle Rd Ste 1241 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 888-5848 (208) 706-5447 (208) 706-5651 (208) 381-6930 Group(s): Midvalley Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Healthcare Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc George, Kyle, PAx~* Levenson, Darcie, PAx~* Rafla, Hala, PAx~* Valerio, Michael, PAx~* NPI: 1225220643 NPI: 1912058512 NPI: 1265698492 NPI: 1437148434 3277 E Louise Dr Ste 350 3399 E Louise Dr Ste 100 520 S Eagle Rd Ste 2213 520 S Eagle Rd Ste 3102 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 887-9500 (208) 288-2255 (208) 706-5447 (208) 706-5100 Group(s): Idaho Arthritis Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Center Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Arabic Hansen, Tate, PAx~* Mccoy, Alaina, PAx~* STAR NPI: 1982944617 NPI: 1710231238 Richard, Nathan, PAx~* - 83669 3399 E Louise Dr Ste 100 520 S Eagle Rd Ste 3209 NPI: 1366993883 Ostolasa, Sis, PAx~* Meridian, ID 83642 And 3219 3015 E Magic View Dr NPI: 1013952761 (208) 706-8085 Meridian, ID 83642 Meridian, ID 83642 10717 W State St Group(s): St Lukes Clinic (208) 345-5250 (208) 321-4000 Star, ID 83669 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Direct (208) 302-6350 Treasure Valley Llc Orthopedic Care Hansen, Tate, PAx~* Group(s): St Alphonsus Other Specialties: Urgent NPI: 1982944617 Ostolasa, Sis, PAx~* Regional Medical Center Care Clinic 520 S Eagle Rd Ste 1241 NPI: 1013952761 Physicians -1861676298 Meridian, ID 83642 3025 W Cherry Ln Ste B Richard, Nathan, PAx~* Richard, Nathan, PAx~* (208) 381-6930 Ste B NPI: 1366993883 NPI: 1366993883 Group(s): St Lukes Clinic Meridian, ID 83642 3025 W Cherry Ln Ste B 10717 W State St Treasure Valley Llc (208) 302-6450 Ste B Star, ID 83669 Group(s): St Alphonsus Meridian, ID 83642 Heninger, Bradley, PAx~ (208) 302-6350 * Regional Medical Center (208) 302-6450 Group(s): St Alphonsus NPI: 1205103389 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Regional Medical Center 520 S Eagle Rd Ste 3213 Ostolasa, Sis, PAx~* Physicians -1861676298 Physicians -1861676298 Meridian, ID 83642 NPI: 1013952761 Other Specialties: Urgent Other Specialties: Urgent (208) 706-2663 3041 E Copper Point Dr Care Clinic Care Clinic Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc (208) 302-5700 Roy, Molly, PAx~* Spanish Group(s): St Alphonsus NPI: 1760414023 Regional Medical Center 2347 E Gala St Physicians -1861676298 Meridian, ID 83642 (208) 323-3767 Group(s): St Lukes Clinic Treasure Valley Llc

111 Specialists / Especialistas Medical - Physician Assistant continued/Atención médica - auxiliares médicos continuación Canyon County/Condado

Canyon Richard, Nathan, PAx~* Ostolasa, Sis, PAx~* - 83687 NPI: 1366993883 NPI: 1013952761 Carmichael, Lindsey, PA CALDWELL 315 E Elm St Ste 100 Ste 11035 Karcher Rd x~* - 83605 100 Nampa, ID 83651 NPI: 1285904144 Andreasen, Kacey, PAx~ Caldwell, ID 83605 (208) 302-6650 16818 N Marketplace * (208) 302-7150 Group(s): St Alphonsus Blvd NPI: 1215160510 Group(s): St Alphonsus Regional Medical Center Nampa, ID 83687 2523 S 10th Ave Ste 103 Regional Medical Center Physicians -1861676298 (208) 855-2410 Caldwell, ID 83605 Physicians -1861676298 Richard, Nathan, PAx~* Group(s): Allied (208) 459-7788 Other Specialties: Urgent NPI: 1366993883 Orthopedics Group(s): Caldwell Care Clinic 11035 Karcher Rd Immediate Care Franco, Janine, PAx~* GREENLEAF Nampa, ID 83651 NPI: 1578524559 Combe, Courtney, PAx~ - 83626 (208) 302-6650 3908 E Flamingo Ave Ste * Combe, Courtney, PAx~ Group(s): St Alphonsus B NPI: 1053740290 * Regional Medical Center Nampa, ID 83687 524 Cleveland Blvd Ste NPI: 1053740290 Physicians -1861676298 (208) 442-8035 180 Ste 180 20535 Academy Rd Other Specialties: Urgent Group(s): Lifestages Caldwell, ID 83605 Greenleaf, ID 83626 Care Clinic Ob-Gyn Pllc (208) 454-2996 (208) 466-7443 - 83686 Spanish Group(s): Ambitions Of Group(s): Ambitions Of Idaho - Medical Group Combe, Courtney, PAx~ Landis, David, PAx~* Idaho - Medical Group * NPI: 1104044247 George, Kyle, PAx~* NAMPA NPI: 1053740290 9850 W St Lukes Dr Ste NPI: 1225220643 - 83651 824 S Diamond St 207 1818 S 10th Ave Ste 120 Nampa, ID 83686 Nampa, ID 83687 Ste 120 Combe, Courtney, PAx~ * (208) 546-3046 (208) 505-2712 Caldwell, ID 83605 NPI: 1053740290 Group(s): Lifeways Inc Group(s): St Lukes Clinic (208) 887-9500 Treasure Valley Llc Group(s): Idaho Arthritis 1019 W Sanetta St Jensen, William, PAx~* Center Nampa, ID 83651 NPI: 1093805467 Ostolasa, Sis, PAx~* (208) 466-4541 215 E Hawaii Ave NPI: 1013952761 Ostolasa, Sis, PAx~* Group(s): Ambitions Of Nampa, ID 83686 1150 N Sister Catherine NPI: 1013952761 Idaho - Medical Group (208) 463-3000 Way 315 E Elm St Ste 100 Ste Combe, Courtney, PAx~ Group(s): Saltzer Clinics Nampa, ID 83687 100 * Portuguese (208) 302-7050 Caldwell, ID 83605 Group(s): St Alphonsus NPI: 1053740290 Pyke, Lauryn, PAx~* (208) 302-7150 Regional Medical Center 1031 W Sanetta St NPI: 1407257025 Group(s): St Alphonsus Physicians -1861676298 Nampa, ID 83651 308 E Hawaii Ave Regional Medical Center (208) 466-7443 Physicians -1861676298 Nampa, ID 83686 Group(s): Ambitions Of (208) 467-6700 Idaho - Medical Group Group(s): St Lukes Clinic Treasure Valley Llc

112 Specialists / Especialistas Medical - Physician Assistant continued/Atención médica - auxiliares médicos continuación Canyon County continued/Condado seguido

Richard, Nathan, PAx~* Butterfield, Jessica, NPx Schultheiss, Karl, MDx~ Zuckerman, Norman, NPI: 1366993883 ~* * MDx~* 1150 N Sister Catherine NPI: 1730432352 NPI: 1265478325 NPI: 1568484053 Way 1055 N Curtis Rd 1055 N Curtis Rd 100 E Idaho St Nampa, ID 83687 Boise, ID 83706 Boise, ID 83706 Boise, ID 83712 (208) 302-7050 (208) 367-3131 (208) 367-3131 (208) 381-2711 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Regional Medical Center Regional Medical Center Treasure Valley Llc Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Other Specialties: Urgent German MERIDIAN Lewis, Jenniferx~* - 83642 Care Clinic NPI: 1417300419 Sears, Esther, NPx~* Chandran, Rekha, MDx Richard, Nathan, PAx~* 1055 N Curtis Rd NPI: 1932137684 ~* NPI: 1366993883 Boise, ID 83706 1055 N Curtis Rd NPI: 1457393878 16818 N Market Pl Blvd (208) 367-3131 Boise, ID 83706 520 S Eagle Rd Nampa, ID 83687 Group(s): St Alphonsus (208) 367-3131 Meridian, ID 83642 (208) 321-4000 Regional Medical Center Group(s): St Alphonsus (208) 706-5651 Group(s): Direct Physicians -1861676298 Regional Medical Center Group(s): St Lukes Clinic Physicians -1861676298 Orthopedic Care Pierson, Andrew, MDx~ Treasure Valley Llc Other Specialties: Urgent * - 83712 Williams, Travis, DOx~* Care Clinic NPI: 1992760664 Haghighat, Peyman, MD NPI: 1043461817 1055 N Curtis Rd Medical Oncology ~* 520 S Eagle Rd Boise, ID 83706 NPI: 1558576496 Meridian, ID 83642 Idaho (208) 367-3131 100 E Idaho St (208) 706-5651 Group(s): St Alphonsus Ada Boise, ID 83712 Group(s): St Lukes Clinic Regional Medical Center (208) 381-2782 Treasure Valley Llc Physicians -1861676298 BOISE Group(s): St Lukes Clinic Spanish, Portuguese - 83706 Schultheiss, Karl, MDx~ Treasure Valley Llc Canyon Bishop, Rebecca, PAx~* * Patel, Jashmin, MDx~* NPI: 1679941850 NPI: 1265478325 NPI: 1811121759 CALDWELL 1055 N Curtis Rd 1055 N Curtis Rd 100 E Idaho St - 83605 Boise, ID 83706 Boise, ID 83706 Boise, ID 83712 Butterfield, Jessica, NPx (208) 367-3131 (208) 367-2121 (208) 381-2733 Group(s): St Alphonsus Group(s): Saint Alphonsus ~* Group(s): St Lukes Clinic NPI: 1730432352 Regional Medical Center Physician Services Treasure Valley Llc Physicians -1861676298 German 3123 Medical Dr Williams, Travis, DOx~* Caldwell, ID 83605 NPI: 1043461817 (208) 367-3131 100 E Idaho St Ste 200 Group(s): St Alphonsus Boise, ID 83712 Regional Medical Center (208) 381-2711 Physicians -1861676298 Group(s): St Lukes Clinic Treasure Valley Llc Spanish, Portuguese

113 Specialists / Especialistas Medical Oncology continued/Oncología médica continuación Canyon County continued/Condado seguido

Khaddour, Leila, MDx~ Butterfield, Jessica, NPx MERIDIAN - 83687 * ~* - 83642 Navarro, Jennifer, CNM NPI: 1750797486 NPI: 1730432352 Gustafson, Jill, CNMx~* x~* 3123 Medical Dr 4400 E Flamingo Ave NPI: 1992224166 NPI: 1821485012 Caldwell, ID 83605 Nampa, ID 83687 3080 E Gentry Way Ste 16111 N Brinson St Ste (208) 367-3131 (208) 205-0350 200 110 Group(s): St Alphonsus Group(s): St Alphonsus Meridian, ID 83642 Nampa, ID 83687 Regional Medical Center Regional Medical Center (208) 338-8900 (208) 468-9400 Physicians -1861676298 Physicians -1861676298 Group(s): Womens Health Group(s): Advanced Sears, Esther, NPx~* Pierson, Andrew, MDx~ Associates Pllc Specialty Care For NPI: 1932137684 * Other Specialties: Women 3123 Medical Dr NPI: 1992760664 Advanced Practice Obosky, Catherine, Caldwell, ID 83605 4400 E Flamingo Ave Midwife CNMx~* (208) 367-3131 Nampa, ID 83687 Obosky, Catherine, NPI: 1053857664 Group(s): St Alphonsus (208) 205-0350 CNMx~* 16111 N Brinson St Ste Regional Medical Center Group(s): St Alphonsus NPI: 1053857664 110 Physicians -1861676298 Regional Medical Center Nampa, ID 83687 Physicians -1861676298 520 S Eagle Rd Ste 2110 NAMPA Meridian, ID 83642 (208) 468-9400 - 83686 Sears, Esther, NPx~* (208) 706-3220 Group(s): Advanced Specialty Care For Swerdloff, Jonathan, MD NPI: 1932137684 Group(s): St Lukes Clinic x~* 4400 E Flamingo Ave Treasure Valley Llc Women NPI: 1588696538 Nampa, ID 83687 Other Specialties: Other Specialties: 308 E Hawaii Ave (208) 205-0350 Advanced Practice Advanced Practice Nampa, ID 83686 Group(s): St Alphonsus Midwife Midwife Regional Medical Center (208) 467-6700 Canyon Warrenburg, Erin, CNM Group(s): St Lukes Clinic Physicians -1861676298 x~* Treasure Valley Llc Midwife NAMPA NPI: 1972128395 9850 St Lukes Dr Ste 129 - 83687 - 83686 Idaho Ste 129 Bishop, Rebecca, PAx~* Warrenburg, Erin, CNM Ada x~* Nampa, ID 83687 NPI: 1679941850 NPI: 1972128395 (208) 463-3000 4400 E Flamingo Ave BOISE 215 E Hawaii Ave Group(s): Saltzer Clinics Nampa, ID 83687 - 83702 Nampa, ID 83686 (208) 205-0350 Gustafson, Jill, CNMx~* (208) 463-3000 Group(s): St Alphonsus NPI: 1992224166 Group(s): Saltzer Clinics Regional Medical Center 333 N 1st St Ste 240 Physicians -1861676298 Boise, ID 83702 (208) 338-8900 Group(s): Womens Health Associates Pllc Other Specialties: Advanced Practice Midwife

114 Specialists / Especialistas Neonatal - Nurse Practitioner/Enfermería especializada neonatal Ada County/Condado

Neonatal - Nurse Gibson, Elizabeth, NPx~ Neonatal-Perinatal Oriordan, Declan, MDx~ * * Practitioner NPI: 1841479714 Medicine NPI: 1629016043 Idaho 190 E Bannock St Idaho 190 E Bannock St Ada Boise, ID 83712 Ada Boise, ID 83712 (208) 381-2088 (208) 381-2088 BOISE Group(s): St Lukes Clinic BOISE Group(s): St Lukes Clinic - 83712 Treasure Valley Llc - 83712 Treasure Valley Llc Broderick, Anthony, NP Gray, Abby, NPx~* Chaudhry, Urmila, MDx Rhine, William, MDx~* x~* NPI: 1972810554 ~* NPI: 1003941329 NPI: 1194820555 190 E Bannock St NPI: 1427083278 190 E Bannock St 190 E Bannock St Boise, ID 83712 190 E Bannock St Boise, ID 83712 Boise, ID 83712 (208) 381-2088 Boise, ID 83712 (208) 381-2088 (208) 381-2088 Group(s): St Lukes Clinic (208) 381-2222 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Janousek, Laresa, NPx~ Shepard, Jennifer, NPx~ Buchanan, Janet, NPx~* * Crichton, Charlene, MD * NPI: 1619152444 NPI: 1013949155 x~* NPI: 1114382207 190 E Bannock St 190 E Bannock St NPI: 1922037852 190 E Bannock St Boise, ID 83712 Boise, ID 83712 190 E Bannock St Boise, ID 83712 (208) 381-2088 (208) 381-2088 Boise, ID 83712 (208) 381-2088 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 381-2088 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Cheatham, Maria, NPx~ Rozansky, Phillissa, NPx Snyder, Scott, MDx~* * ~* Kirk, Amy, MDx~* NPI: 1629000716 NPI: 1821027764 NPI: 1336668730 NPI: 1043330723 190 E Bannock St 190 E Bannock St 190 E Bannock St 190 E Bannock St Boise, ID 83712 Boise, ID 83712 Boise, ID 83712 Boise, ID 83712 (208) 381-2088 (208) 381-2088 (208) 381-2088 (208) 381-2088 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Thornton, Nathan, MDx Gesswein, Gayle, NPx~* MERIDIAN Meyers, Erik, MDx~* ~* NPI: 1821308677 - 83642 NPI: 1598828378 NPI: 1780870360 190 E Bannock St Gibson, Elizabeth, NPx~ 190 E Bannock St 190 E Bannock St Boise, ID 83712 * Boise, ID 83712 Boise, ID 83712 (208) 381-2088 NPI: 1841479714 (208) 381-2088 (208) 381-2088 Group(s): St Lukes Clinic 520 S Eagle Rd Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc (208) 381-2088 Group(s): St Lukes Clinic Treasure Valley Llc

115 Specialists / Especialistas Neonatal-Perinatal Medicine continued/Medicina neonatal-perinatal continuación Ada County continued/Condado seguido

Vanlooy, James, MDx~* Chen, Margaret, MDx~* Silva, Arnold, MDx~* Hall, Amanda, DOx~* NPI: 1558495796 NPI: 1578678272 NPI: 1497790646 NPI: 1871737973 190 E Bannock St 190 E Bannock St 3525 E Louise Dr Ste 195 4620 Enterprise Way Ste Boise, ID 83712 Boise, ID 83712 Meridian, ID 83642 101 (208) 381-2088 (208) 381-5015 (208) 846-8335 Caldwell, ID 83605 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Boise Kidney (208) 846-8335 Treasure Valley Llc Treasure Valley Llc And Hypertension Pllc Group(s): Boise Kidney And Hypertension Pllc Nephrology MERIDIAN Canyon - 83642 Keller, Christopher, MD Idaho CALDWELL x~* Hall, Amanda, DOx~* - 83605 Ada NPI: 1871737973 NPI: 1255467312 3525 E Louise Dr Ste 195 Davidson, Robert, MDx~ 4620 Enterprise Way Ste BOISE 101 Meridian, ID 83642 * - 83706 Caldwell, ID 83605 (208) 846-8335 NPI: 1144275694 Dytiapco, Ernest, MDx~ Group(s): Boise Kidney 4620 Enterprise Way Ste (208) 846-8335 * And Hypertension Pllc 101 Group(s): Boise Kidney NPI: 1255629846 Caldwell, ID 83605 And Hypertension Pllc 5610 W Gage St Ste A Ste Keller, Christopher, MD (208) 846-8335 Spanish A x~* Group(s): Boise Kidney NPI: 1255467312 Mallea, Michael, MDx~* Boise, ID 83706 And Hypertension Pllc NPI: 1043235377 (208) 501-8955 3525 E Louise Dr Ste 195 Meridian, ID 83642 Dytiapco, Ernest, MDx~ 4620 Enterprise Way Ste Group(s): St Clair * 101 Specialty Physicians Pc - (208) 846-8335 Group(s): Boise Kidney NPI: 1255629846 Caldwell, ID 83605 1154361616 1818 S 10th Ave Ste 120 (208) 846-8335 Tagalog And Hypertension Pllc Spanish Caldwell, ID 83605 Group(s): Boise Kidney Poirier, Mark, DOx~* (208) 501-8955 And Hypertension Pllc Meng, Jerry, MDx~* Group(s): St Clair NPI: 1497931893 Poirier, Mark, DOx~* NPI: 1295894939 Specialty Physicians Pc - 5610 W Gage St Ste A Ste NPI: 1497931893 3525 E Louise Dr Ste 195 1154361616 A 1818 S 10th Ave Ste 120 Meridian, ID 83642 Tagalog Boise, ID 83706 Caldwell, ID 83605 (208) 501-8955 (208) 846-8335 Group(s): Boise Kidney Fearday, Aaron, MDx~* (208) 501-8955 Group(s): St Clair NPI: 1952543118 Group(s): St Clair Specialty Physicians Pc - And Hypertension Pllc Spanish, Mandarin 4620 Enterprise Way Ste Specialty Physicians Pc - 1154361616 101 1154361616 - 83712 Silva, Arnold, MDx~* Caldwell, ID 83605 NPI: 1497790646 (208) 846-8335 Bender, Jean, MD~* 3525 E Louise Dr Ste 100 NPI: 1316981632 Group(s): Boise Kidney Meridian, ID 83642 And Hypertension Pllc 305 E Jefferson St (208) 846-8335 Boise, ID 83712 Group(s): Boise Kidney (208) 381-7336 And Hypertension Pllc Group(s): St Lukes Clinic Treasure Valley Llc

116 Specialists / Especialistas Neurological Surgery/Cirugía neurológica Ada County/Condado

Neurological Surgery Choutka, Ondrej, MD~* Montalbano, Paul, MDx - 83712 NPI: 1265651566 ~* Idaho Cherny, W Bruce, MD~* 1072 N Liberty St Ste 303 NPI: 1699793661 NPI: 1275575839 Ada Boise, ID 83704 6140 W Curtisian Ave Ste 305 E Jefferson St (208) 302-4100 400 Boise, ID 83712 BOISE Group(s): St Alphonsus Boise, ID 83704 (208) 381-7360 - 83702 Regional Medical Center (208) 327-5600 Group(s): St Lukes Clinic Frizzell, R Tyler, MDx~* Physicians -1861676298 Group(s): Paul Treasure Valley Llc NPI: 1114977600 Czech Montalbano Md Duckworth, Edward, 222 N 2nd St Ste 307 Hajjar, Michael, MDx~* - 83706 Boise, ID 83702 MDx~* NPI: 1154343309 ~ (208) 344-1000 Slavkovsky, Shasta, NP NPI: 1003038043 6140 W Curtisian Ave Ste * 190 E Bannock St 10th Group(s): St Lukes Clinic 400 NPI: 1932640968 Treasure Valley Llc Floor Boise, ID 83704 901 N Curtis Rd Ste 503 Boise, ID 83712 Jutzy, Ronald, MDx~* (208) 327-5600 Boise, ID 83706 (208) 381-5500 NPI: 1427070929 Group(s): Michael V (208) 302-4000 Group(s): St Lukes Clinic 222 N 2nd St Ste 307 Hajjar Md Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Boise, ID 83702 Hart, Bryan, PA~* (208) 344-1000 Physicians -1861676298 Harrison, Gregory, MDx NPI: 1518977826 ~* Group(s): St Lukes Clinic 1072 N Liberty St Ste 303 Weeks, Teresa, NP~* Treasure Valley Llc NPI: 1104825892 Boise, ID 83704 NPI: 1346259454 190 E Bannock St 10th - 83704 (208) 302-4100 901 N Curtis Rd Ste 503 Floor Andersen, Bruce, MD~* Group(s): St Alphonsus Boise, ID 83706 Boise, ID 83712 NPI: 1063420792 Regional Medical Center (208) 302-4000 (208) 381-5500 1072 N Liberty St Ste 303 Physicians -1861676298 Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Boise, ID 83704 Lochhead, Richard, MD Treasure Valley Llc (208) 302-4100 x~* Physicians -1861676298 Spanish Group(s): St Alphonsus NPI: 1578743522 Zimmerman, Christian, Little, Kenneth, MDx~* Regional Medical Center 6140 W Curtisian Ave Ste MD~* NPI: 1023039468 Physicians -1861676298 400 NPI: 1407874068 190 E Bannock St 10th Boise, ID 83704 901 N Curtis Rd Ste 503 Floor Bridges, Kelly, MDx~* (208) 327-5600 NPI: 1871883660 Boise, ID 83706 Boise, ID 83712 Group(s): Richard (208) 302-4000 (208) 381-5500 6140 W Curtisian Ave Ste Lochhead Md Pllc 400 Group(s): St Alphonsus Group(s): St Lukes Clinic Boise, ID 83704 Manning, Thomas, MDx Regional Medical Center Treasure Valley Llc (208) 327-5600 ~* Physicians -1861676298 Group(s): Kelly Bridges NPI: 1861501637 Neurosurgery Pllc 6140 W Curtisian Ave Ste 400 Boise, ID 83704 (208) 327-5600 Group(s): Manning Neurosurgery Pllc

117 Specialists / Especialistas Neurological Surgery continued/Cirugía neurológica continuación Ada County continued/Condado seguido

Martinez, Derek, MDx~* MERIDIAN Canyon Cline, Martha, MDx~* NPI: 1043506942 - 83642 NPI: 1043249964 CALDWELL 190 E Bannock St 10th Blaskiewicz, Donald, MD 125 E Idaho St Ste 300 Floor x~* - 83605 Boise, ID 83702 Boise, ID 83712 NPI: 1215176839 Blaskiewicz, Donald, MD (208) 381-7335 (208) 381-5500 360 E Montvue Dr Ste 100 x~* Group(s): St Lukes Clinic Group(s): St Lukes Clinic Ste 100 NPI: 1215176839 Treasure Valley Llc Treasure Valley Llc 1906 Fairview Ave Ste Meridian, ID 83642 Irwin, Anna, MDx~* 420 Ste 420 Osenbach, Richard, MD (208) 855-2900 NPI: 1407033228 Caldwell, ID 83605 x~* Group(s): Spine Institute 125 E Idaho St Ste 300 (208) 855-2900 NPI: 1396836789 Of Idaho Boise, ID 83702 Group(s): Spine Institute 190 E Bannock St 10th (208) 381-7335 Hajjar, Michael, MDx~* Of Idaho Floor NPI: 1154343309 Group(s): St Lukes Clinic Boise, ID 83712 3875 E Overland Rd NAMPA Treasure Valley Llc (208) 381-5500 Meridian, ID 83642 - 83687 Russian Group(s): St Lukes Clinic (208) 327-5600 Zimmerman, Christian, Treasure Valley Llc Kashirny, Sergei, MDx~ Group(s): Michael V MD~* * Yantes, Andrew, CNPx~ Hajjar Md NPI: 1407874068 NPI: 1548452683 * Manning, Thomas, MDx 4424 E Flamingo Ave Ste 125 E Idaho St Ste 300 NPI: 1740700723 ~* 310 Boise, ID 83702 190 E Bannock St NPI: 1861501637 Nampa, ID 83687 (208) 381-7335 Boise, ID 83712 3875 E Overland Rd (208) 302-4000 Group(s): St Lukes Clinic (208) 381-2222 Meridian, ID 83642 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic (208) 327-5600 Regional Medical Center Russian Treasure Valley Llc Physicians -1861676298 Group(s): Manning Miller, Gary, MDx~* Zouros, Alexander, MD~ Neurosurgery Pllc Neurology NPI: 1558488197 * Montalbano, Paul, MDx 125 E Idaho St Ste 300 NPI: 1619913548 ~* Idaho Boise, ID 83702 305 E Jefferson St NPI: 1699793661 Ada (208) 381-7335 Boise, ID 83712 3875 E Overland Rd Group(s): St Lukes Clinic (208) 381-7360 Meridian, ID 83642 BOISE Treasure Valley Llc Group(s): St Lukes Clinic - 83702 (208) 327-5600 Wadhwa, Anant, MDx~* Treasure Valley Llc Group(s): Paul Abenroth, Daniel, MDx~ French, Greek * NPI: 1477968188 Montalbano Md 125 E Idaho St Ste 300 NPI: 1053678342 Boise, ID 83702 125 E Idaho St Ste 300 (208) 381-7335 Boise, ID 83702 (208) 381-7335 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Lukes Clinic Hindi Treasure Valley Llc

118 Specialists / Especialistas Neurology continued/Neurología continuación Ada County continued/Condado seguido

Whiteside, James, MDx~ Simmons, Daniel, MDx~ - 83712 Smith, Ryan, DOx~* * * Vine, Daniel, MDx~* NPI: 1750600797 NPI: 1871588400 NPI: 1386903359 NPI: 1841219375 520 S Eagle Rd Ste 2207 125 E Idaho St Ste 300 1072 N Liberty St Ste 303 190 E Bannock St Meridian, ID 83642 Boise, ID 83702 Boise, ID 83704 Boise, ID 83712 (208) 706-6300 (208) 381-7335 (208) 302-4200 (208) 381-2222 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Alphonsus Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Regional Medical Center Treasure Valley Llc Finnish Physicians -1861676298 - 83704 MERIDIAN Zhao, Cong, MDx~* Spencer, Jane, CNSx~* Clark, Lukas, MDx~* - 83642 NPI: 1629248661 NPI: 1659519593 NPI: 1962709550 520 S Eagle Rd Ste 2207 1072 N Liberty St Ste 303 Ireland, Stephen, MDx~ Meridian, ID 83642 1072 N Liberty St Ste 303 * Boise, ID 83704 (208) 706-6300 Boise, ID 83704 NPI: 1871553511 (208) 302-4200 Group(s): St Lukes Clinic (208) 302-4200 520 S Eagle Rd Ste 2207 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Alphonsus Meridian, ID 83642 Regional Medical Center Regional Medical Center Physicians -1861676298 (208) 706-6300 Canyon Physicians -1861676298 Group(s): St Lukes Clinic Lyness, Colin, MD~* Whitesell, Jackie, MDx~ Treasure Valley Llc CALDWELL NPI: 1093126229 * - 83605 NPI: 1346367984 Irwin, Anna, MDx~* 1072 N Liberty St Ste 303 NPI: 1407033228 Swanson, Thomas, MDx 1072 N Liberty St Ste 303 ~* Boise, ID 83704 2347 E Gala St Boise, ID 83704 NPI: 1376535575 (208) 302-4100 Meridian, ID 83642 (208) 302-4200 1825 S Kimball Ave Group(s): St Alphonsus (208) 323-3767 Group(s): St Alphonsus Caldwell, ID 83605 Regional Medical Center Group(s): St Lukes Clinic Regional Medical Center (208) 367-7272 Physicians -1861676298 Treasure Valley Llc Physicians -1861676298 Group(s): Idaho Lyons, George, MDx~* Russian - 83706 Neurology NPI: 1386630465 Kashirny, Sergei, MDx~ 1072 N Liberty St Ste 303 Swanson, Thomas, MDx * NAMPA ~* Boise, ID 83704 NPI: 1548452683 - 83686 NPI: 1376535575 (208) 302-4200 520 S Eagle Rd Ste 2207 Djernes, Michael, MDx~ 901 N Curtis Rd Group(s): St Alphonsus Meridian, ID 83642 * Regional Medical Center Boise, ID 83706 (208) 706-6300 NPI: 1346230356 Physicians -1861676298 (208) 608-5825 Group(s): St Lukes Clinic 215 E Hawaii Ave Group(s): Idaho Treasure Valley Llc Nampa, ID 83686 Porth, Karen, MDx~* Neurology NPI: 1033179288 Russian (208) 463-3000 Group(s): Saltzer Clinics 1072 N Liberty St Ste 303 Boise, ID 83704 (208) 302-4200 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

119 Specialists / Especialistas Neurology continued/Neurología continuación Canyon County continued/Condado seguido

- 83687 Condie, John, MD~* Neuroradiology Nuclear Medicine NPI: 1417104548 Bennett, Alicia, DOx~* Idaho Idaho NPI: 1023317633 305 E Jefferson St 9850 W St Lukes Dr Boise, ID 83712 Ada Ada Nampa, ID 83687 (208) 381-5180 BOISE MERIDIAN (208) 505-2050 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc - 83712 - 83642 Treasure Valley Llc German Perl Ii, John, MDx~* Sigg, Daniel, MDx~* Foy, Lindsey, MD~* NPI: 1518906312 NPI: 1831281765 Spencer, Byron, MDx~* 190 E Bannock St 2855 E Magic View Dr NPI: 1518941343 NPI: 1083817795 305 E Jefferson St Boise, ID 83712 Meridian, ID 83642 9850 W St Lukes Dr (208) 381-2094 (208) 888-8209 Nampa, ID 83687 Boise, ID 83712 (208) 381-5180 Group(s): Boise Radiology Group(s): Summit Cancer (208) 505-2050 Group Pllc Center Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc MERIDIAN Nurse Anesthetist, Other Specialties: - 83642 Wagner, Jeffrey, MDx~* Neurology Certified Registered NPI: 1033321914 Swartz, Joel, MDx~* Idaho 9850 W St Lukes Dr - 83716 NPI: 1942231279 Nampa, ID 83687 Yamada, Kelvin, MDx~* 3085 E Magic View Dr Ada (208) 505-2050 NPI: 1710905435 Ste 140 Meridian, ID 83642 BOISE Group(s): St Lukes Clinic 2051 E Summersweet Dr - 83702 Treasure Valley Llc Boise, ID 83716 (208) 433-9300 (208) 323-3767 Group(s): Specialty Cottey, Dina, CRNAx~* Neurology With Group(s): St Lukes Clinic Clinics Of Idaho NPI: 1760459465 Special Qualifications Treasure Valley Llc 2537 W State St Ste 200 Canyon Boise, ID 83702 In Child Neurology MERIDIAN NAMPA (208) 336-0895 Idaho - 83642 - 83651 Group(s): Anesthesia x~* Associates Of Boise Pa Ada Yamada, Kelvin, MD Swartz, Joel, MDx~* NPI: 1710905435 NPI: 1942231279 Remmen, Nels, CRNAx~ BOISE 2347 E Gala St * - 83712 1001 Caldwell Blvd Meridian, ID 83642 Nampa, ID 83651 NPI: 1134678246 Arrington, Daniel, MD~* (208) 323-3767 (208) 318-0146 2537 W State St Ste 200 NPI: 1396065165 Group(s): St Lukes Clinic Group(s): Specialty Boise, ID 83702 Treasure Valley Llc 305 E Jefferson St Clinics Of Idaho (208) 336-0895 Boise, ID 83712 Group(s): Anesthesia (208) 381-5180 Associates Of Boise Pa Group(s): St Lukes Clinic Treasure Valley Llc

120 Specialists / Especialistas Nurse Anesthetist, Certified Registered continued/Enfermero anestesiólogo, certificado y registrado continuación Ada County continued/Condado seguido

- 83705 Gopp, Aaron, CRNAx~* Boyer, Shannon, NPx~* Larson, Megan, NPx~* Zinke, Donald, CRNAx~ NPI: 1144284423 NPI: 1770744609 NPI: 1861935660 * 1828 S Millenium Way 600 N Robbins Rd 287 W Jefferson St NPI: 1992874069 Ste 100 Boise, ID 83702 Boise, ID 83702 2822 S Vista Ave Meridian, ID 83642 (208) 489-4444 (208) 322-1680 Boise, ID 83705 (208) 381-0262 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 385-7576 Group(s): Treasure Valley Treasure Valley Llc Treasure Valley Llc Anesthesia Pc Group(s): Pacific Cataract Di Lulo, Kylie, NPx~* Leonard, Jennifer, & Laser Institute - Canyon NPI: 1932741212 ARNPx~* Medical Group 703 S Americana Blvd Ste NPI: 1649538463 - 83706 NAMPA 130 425 W Bannock St - 83687 Sherner, Tammie, CNSx Boise, ID 83702 Boise, ID 83702 ~* Sherner, Tammie, CNSx (208) 706-7500 (208) 343-1702 NPI: 1992130421 ~* Group(s): St Lukes Clinic Group(s): Idaho 1055 N Curtis Rd NPI: 1992130421 Treasure Valley Llc Gastroenterology 4400 E Flamingo Ave Associates Llp Boise, ID 83706 Farmer, James, NPx~* Nampa, ID 83687 (208) 367-3131 NPI: 1417389628 Nichols, Roxanne, NPx~ (208) 205-0350 Group(s): St Alphonsus 600 N Robbins Rd Ste 300 * Group(s): St Alphonsus Regional Medical Center Boise, ID 83702 NPI: 1497211486 Regional Medical Center Physicians -1861676298 (208) 706-0400 333 N 1st St Ste 250 Physicians -1861676298 - 83712 Group(s): St Lukes Clinic Boise, ID 83702 Nurse Practitioner Treasure Valley Llc (208) 381-9384 Hansen, David, CRNAx~ Group(s): St Lukes Clinic * Idaho Gere, Jenna, NPx~* Treasure Valley Llc NPI: 1033510433 NPI: 1730608688 338 E Bannock St Ada 417 S 6th St Oconnor, Sara, NPx~* Boise, ID 83712 BOISE Boise, ID 83702 NPI: 1639519853 (208) 336-0895 - 83702 (208) 577-4460 287 W Jefferson St Group(s): Anesthesia Group(s): St Lukes Clinic Boise, ID 83702 Associates Of Boise Pa Anderson, Caitlin, NPx~ Treasure Valley Llc (208) 322-1680 * Cantonese Group(s): St Lukes Clinic NPI: 1275031940 Jungman, Tracy, NPx~* Treasure Valley Llc MERIDIAN 333 N 1st St Ste 280 NPI: 1841728342 - 83642 Boise, ID 83702 417 S 6th St Olson, Marlene, NPx~* Gibb, Justin, CRNAx~* (208) 345-6545 Boise, ID 83702 NPI: 1215957733 NPI: 1023263894 Group(s): St Lukes Clinic (208) 577-4460 600 N Robbins Rd Ste 100 1828 S Millenium Way Treasure Valley Llc Group(s): St Lukes Clinic Boise, ID 83702 Ste 100 Treasure Valley Llc (208) 706-2663 Meridian, ID 83642 Group(s): St Lukes Clinic (208) 381-0262 Treasure Valley Llc Group(s): Treasure Valley Anesthesia Pc

121 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

Rasmussen, Melissa, NP Vandendries, Brian, NPx Holmes, Wendi, CNMx~ Randall, Mary, NPx~* x~* ~* * NPI: 1174871420 NPI: 1083131783 NPI: 1255485561 NPI: 1770857021 6140 W Curtisian Ave Ste 425 W Bannock St 703 S Americana Blvd Ste 1072 N Liberty St Ste 100 200 Ste 200 Boise, ID 83702 130 Boise, ID 83704 Boise, ID 83704 (208) 343-1702 Boise, ID 83702 (208) 302-1200 (208) 302-0000 Group(s): Idaho (208) 706-7500 Group(s): St Alphonsus Group(s): St Alphonsus Gastroenterology Group(s): St Lukes Clinic Regional Medical Center Regional Medical Center Associates Llp Treasure Valley Llc Physicians -1861676298 Physicians -1861676298 Other Specialties: Midwife Ruman, Lori, NPx~* - 83703 Skinner, Dixie, NPx~* NPI: 1326097270 Strong, Janet, NPx~* Kennedy, Michelle, NPx NPI: 1659876399 333 N 1st St Ste 240 NPI: 1255418539 ~* 6051 W Emerald St Boise, ID 83702 5985 W State St NPI: 1982062857 Boise, ID 83704 (208) 338-8900 Boise, ID 83703 6140 W Curtisian Ave Ste (208) 302-5150 Group(s): Womens Health (208) 853-0071 200 Ste 200 Group(s): St Alphonsus Associates Pllc Group(s): Omega Mental Boise, ID 83704 Regional Medical Center (208) 302-0000 Shuler, Cory, NPx~* Health Services Physicians -1861676298 Yoruba Group(s): St Alphonsus NPI: 1295177541 Regional Medical Center Svangstu, Deborah, NPx 425 W Bannock St - 83704 Physicians -1861676298 ~* Boise, ID 83702 NPI: 1639282585 Anderson, Katherine, NP Matsumuro, Gayle, NPx (208) 343-1702 ~* 6140 W Curtisian Ave Ste Group(s): Idaho ~* 400 NPI: 1760951537 Gastroenterology NPI: 1730712266 Boise, ID 83704 6165 Emerald St 413 N Allumbaugh St Ste Associates Llp Boise, ID 83704 (208) 327-5600 101 Group(s): Paul Thomason, Aaron, NPx~ (208) 302-3500 Boise, ID 83704 Montalbano Md * Group(s): St Alphonsus (208) 323-1125 NPI: 1730311564 Regional Medical Center Group(s): Headwaters Thompson, Stephanie, 333 N 1st St Ste 280 Physicians -1861676298 Mental Health Pllc NPx~* Boise, ID 83702 Fields, Pamela, NPx~* NPI: 1669901245 (208) 345-6545 Pilcher, John, NP~* 2036 N Cole Rd Group(s): St Lukes Clinic NPI: 1932124864 NPI: 1982071940 6165 Emerald St Boise, ID 83704 Treasure Valley Llc 6140 Curtisian Ave Ste (208) 375-0722 Spanish Boise, ID 83704 100 (208) 302-3500 Group(s): The Boise, ID 83704 Neighborhood Clinic Pllc Thurmond, Elizabeth, Group(s): St Alphonsus (208) 302-2300 NPx~* Regional Medical Center Group(s): St Alphonsus Thompson, Stephanie, NPI: 1902124142 Physicians -1861676298 Regional Medical Center NPx~* 287 W Jefferson St Physicians -1861676298 NPI: 1669901245 Boise, ID 83702 5966 W Curtisian Ave (208) 322-1680 Boise, ID 83704 Group(s): St Lukes Clinic (208) 302-5400 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 ÿ $FFHVVLELOW\SDUNLQJEXLOGLQJHOHYDWRURIILFH a$FFHSWLQJQHZSDWLHQWV$FHSWDQGRDQXHYRVSDFLHQWHV H[DPURRPDQGUHVWURRP(VWDFLRQDPLHQWR $FFHSWV0HGLFDLG$FHSWD0HGLFDLG LQVWDODFLyQDVFHQVRUFRQVXOWRULRFXDUWRGH ¨2IIHUV7HOHKHDOWKVHUYLFHV2IUHFHVHUYLFLRVGH H[SORUDFLyQ\EDxRVDFFHVLEOHV WHOHVDOXG

122 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

- 83705 Sjoberg, Christopher, King, Amanda, NPx~* Cardwell, Kimbra, NPx~ Skinner, Dixie, NPx~* NPx~* NPI: 1790053338 * NPI: 1659876399 NPI: 1235122284 10583 W Lake Hazel Rd NPI: 1619187861 3587 S Federal Way 5610 W Gage St Ste A Ste Boise, ID 83709 100 E Idaho St Boise, ID 83705 A (208) 302-5950 Boise, ID 83712 (208) 302-5350 Boise, ID 83706 Group(s): St Alphonsus (208) 381-2711 Group(s): St Alphonsus (208) 501-8955 Regional Medical Center Group(s): St Lukes Clinic Regional Medical Center Group(s): St Clair Physicians -1861676298 Treasure Valley Llc Physicians -1861676298 Specialty Physicians Pc - Other Specialties: Family Chea, Houng, NPx~* 1154361616 Nurse Practitioner NPI: 1285971747 - 83706 Spanish Skinner, Dixie, NPx~* 190 E Bannock St 9th Farmer, James, NPx~* NPI: 1659876399 Vander Lugt, Allison, Floor NPI: 1417389628 2141 E Parkcenter Blvd NPx~* Boise, ID 83712 1055 N Curtis Rd Boise, ID 83706 NPI: 1134660061 (208) 381-5500 Boise, ID 83706 (208) 302-5050 12400 W Overland Rd Ste Group(s): St Lukes Clinic (208) 367-3069 Group(s): St Alphonsus 100 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Boise, ID 83709 Regional Medical Center Clews, Richard, NPx~* Physicians -1861676298 (208) 322-1199 NPI: 1598015570 Physicians -1861676298 Group(s): First Choice Watts, Jamie, NPx~* 300 E Jefferson St Ste 101 Healthcare Fields, Pamela, NPx~* NPI: 1265062806 Boise, ID 83712 NPI: 1932124864 1914 Broadway - 83712 (208) 322-1680 711 N Curtis Rd Boise, ID 83706 Group(s): St Lukes Clinic Boise, ID 83706 Allen, Marni, NPx~* (208) 463-3000 NPI: 1154353118 Treasure Valley Llc (208) 605-3000 Group(s): Saltzer Clinics Group(s): St Alphonsus 100 E Idaho St Clifford, Kathleen, NPx~ Regional Medical Center - 83709 Boise, ID 83712 * (208) 381-2711 NPI: 1750303491 Physicians -1861676298 Adams, Candice, NPx~* Group(s): St Lukes Clinic 100 E Idaho St NPI: 1992237648 Nichols, Roxanne, NPx~ Treasure Valley Llc Boise, ID 83712 * 12400 W Overland Rd Ste (208) 381-2711 NPI: 1497211486 100 Bruce, Jessica, NPx~* Group(s): St Lukes Clinic 701 E Parkcenter Blvd Boise, ID 83709 NPI: 1205029162 Treasure Valley Llc Boise, ID 83706 (208) 322-1199 1000 E Park Blvd Ste 120 (208) 381-6500 Group(s): First Choice Boise, ID 83712 Doherty, Barbara, NPx~ Group(s): St Lukes Clinic Healthcare (208) 381-4100 * Treasure Valley Llc Group(s): St Lukes Clinic NPI: 1467508697 Treasure Valley Llc 100 E Idaho St Ste 200 Boise, ID 83712 (208) 381-6196 Group(s): St Lukes Clinic Treasure Valley Llc

123 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

Doherty, Barbara, NPx~ Gere, Jacob, NP~* King, Amanda, NPx~* Lorentzen, Michael, NPx * NPI: 1528587268 NPI: 1790053338 ~* NPI: 1467508697 305 E Jefferson St 121 E Fort St NPI: 1033638150 305 E Jefferson St Boise, ID 83712 Boise, ID 83712 190 E Bannock St 9th Boise, ID 83712 (208) 381-2335 (208) 514-2525 Floor (208) 381-7310 Group(s): St Lukes Clinic Group(s): The Family Boise, ID 83712 Group(s): St Lukes Clinic Treasure Valley Llc Medicine Residency Of (208) 381-5500 Treasure Valley Llc Idaho Inc Group(s): St Lukes Clinic Getlein Marques, Emily, Other Specialties: Family Treasure Valley Llc Dolan, Rachel, NPx~* NPx~* Nurse Practitioner NPI: 1891074506 NPI: 1912547647 Reynolds, Allyson, NP~* Spanish 190 E Bannock St 9th 190 E Bannock St NPI: 1093033102 Floor Boise, ID 83712 King, Kimberly, NP~* 305 E Jefferson St Boise, ID 83712 (208) 381-1615 NPI: 1528562899 Boise, ID 83712 (208) 381-5500 Group(s): St Lukes Clinic 305 E Jefferson St (208) 381-2335 Group(s): St Lukes Clinic Treasure Valley Llc Boise, ID 83712 Group(s): St Lukes Clinic Treasure Valley Llc (208) 345-0715 Treasure Valley Llc Gratzer, Jessica, NPx~* Group(s): St Lukes Clinic Spanish Erlandson, Linda, NPx~ NPI: 1205498201 Treasure Valley Llc * 190 E Bannock St Robinson, Rebecca, NPx NPI: 1184699480 Boise, ID 83712 Krasovich, Sharon, NPx ~* 100 E Idaho St (208) 381-2222 ~* NPI: 1992155600 Boise, ID 83712 Group(s): St Lukes Clinic NPI: 1437598059 190 E Bannock St (208) 381-2711 Treasure Valley Llc 300 E Jefferson St Ste 101 Boise, ID 83712 Group(s): St Lukes Clinic Boise, ID 83712 (208) 381-1615 Treasure Valley Llc Hilpert, Stephanie, NPx~ (208) 322-1680 Group(s): St Lukes Clinic * Group(s): St Lukes Clinic Treasure Valley Llc Frazier, Malia, NP~* NPI: 1760584346 Treasure Valley Llc NPI: 1891005716 100 E Idaho St Rye, Jared, NPx* 305 E Jefferson St Boise, ID 83712 Lee, Valerie, NPx~* NPI: 1457596413 Boise, ID 83712 (208) 381-2711 NPI: 1316975899 190 E Bannock St 10th (208) 381-9590 Group(s): St Lukes Clinic 190 E Bannock St Floor Group(s): St Lukes Clinic Treasure Valley Llc Boise, ID 83712 Boise, ID 83712 Treasure Valley Llc (208) 381-1615 (208) 381-5500 Hooker, Mallori, NPx~* Group(s): St Lukes Clinic Garner, Kara, NPx~* Group(s): St Lukes Clinic NPI: 1831237742 Treasure Valley Llc NPI: 1780924126 Treasure Valley Llc 100 E Idaho St Ste 200 Other Specialties: 100 E Idaho St Boise, ID 83712 Lorentzen, Michael, NPx Diabetes Educator Boise, ID 83712 (208) 381-2711 ~* (208) 381-2711 Group(s): St Lukes Clinic NPI: 1033638150 Sjoberg, Christopher, Group(s): St Lukes Clinic Treasure Valley Llc 190 E Bannock St 10th NPx~* Treasure Valley Llc Floor NPI: 1235122284 Boise, ID 83712 300 E Jefferson St Ste 101 (208) 381-5500 Boise, ID 83712 Group(s): St Lukes Clinic (208) 322-1680 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc

124 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

Stein, Mari, NPx* EAGLE KUNA Bauer, Laci, NPx~* NPI: 1255870309 - 83616 - 83634 NPI: 1558905653 100 E Idaho St Evans, Melanie, ARNPx Sansom, Susan, NPx~* 520 S Eagle Rd Ste 1243 Boise, ID 83712 ~* NPI: 1538611397 Meridian, ID 83642 (208) 381-2711 NPI: 1295778736 943 N Linder Rd Ste 103 (208) 333-2225 Group(s): St Lukes Clinic 3101 E State St Kuna, ID 83634 Group(s): St Lukes Clinic Treasure Valley Llc Eagle, ID 83616 (208) 922-3355 Treasure Valley Llc Winslow, Michele, NPx~ (208) 473-3100 Group(s): Advanced Bostrom, Meghann, NPx * Group(s): St Lukes Clinic Family Medicine Pllc ~* NPI: 1699956508 Treasure Valley Llc NPI: 1174839666 Skinner, Dixie, NPx~* 100 E Idaho St Ste 200 Raley, Anthony, NPx~* NPI: 1659876399 3525 E Louise Dr Ste 400 Boise, ID 83712 NPI: 1336596600 757 E Wythe Creek Ct Meridian, ID 83642 (208) 381-2711 (208) 322-1680 3101 E State St Kuna, ID 83634 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Eagle, ID 83616 (208) 302-6500 Treasure Valley Llc (208) 473-3100 Group(s): St Alphonsus Treasure Valley Llc Spanish Group(s): St Lukes Clinic Regional Medical Center Boydston, Dorene, NPx~ - 83716 Treasure Valley Llc Physicians -1861676298 * NPI: 1073524989 Brunk, Danielle, NPx~* Skinner, Dixie, NPx~* MERIDIAN 520 S Eagle Rd NPI: 1922363720 NPI: 1659876399 - 83642 2051 E Summersweet Dr 3217 W Bavaria St Meridian, ID 83642 Adams, Candice, NPx~* Boise, ID 83716 Eagle, ID 83616 (208) 706-5651 NPI: 1992237648 Group(s): St Lukes Clinic (208) 323-3767 (208) 302-6200 124 E Pine Ave Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Alphonsus Meridian, ID 83642 Treasure Valley Llc Regional Medical Center (208) 887-5422 Brunk, Danielle, NPx~* Physicians -1861676298 Gould, Linda, NPx~* Group(s): Olde Town NPI: 1922363720 2347 E Gala St NPI: 1457499261 GARDEN CITY Medical 2051 E Summersweet Dr Meridian, ID 83642 - 83714 Bafus, Dana, ARNPx~* Boise, ID 83716 (208) 323-3767 Schrader, Julie, NPx~* NPI: 1780007260 (208) 323-3767 Group(s): St Lukes Clinic NPI: 1932303104 3080 E Gentry Way Ste Group(s): St Lukes Clinic Treasure Valley Llc 5593 N Glenwood St 210 Treasure Valley Llc Garden City, ID 83714 Meridian, ID 83642 Develle, Robyn, NPx~* Watts, Jamie, NPx~* (208) 322-5354 (208) 384-9022 NPI: 1215954862 NPI: 1265062806 Group(s): Mountain View Group(s): St Lukes Clinic 3277 E Louise Dr Ste 410 3077 W Barber Valley Dr Behavioral Health Treasure Valley Llc Meridian, ID 83642 Boise, ID 83716 (208) 489-5800 Barnhart, Carolyn, NPx (208) 463-3000 Group(s): St Lukes Clinic ~* Treasure Valley Llc Group(s): Saltzer Clinics NPI: 1033190582 520 S Eagle Rd Ste 1239 Meridian, ID 83642 (208) 706-7200 Group(s): St Lukes Clinic Treasure Valley Llc

125 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

Di Lulo, Kylie, NPx~* Johnsen, Nicole, NPx~* Mccreath, Anna, NPx~* Rose, Ashley, NPx~* NPI: 1932741212 NPI: 1295130979 NPI: 1679528368 NPI: 1477198190 520 S Eagle Rd Ste 2213 3525 E Louise Dr Ste 400 3525 E Louise Dr Ste 400 3399 E Louise Dr Ste 400 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 706-5447 (208) 322-1680 (208) 322-1680 (208) 364-3000 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Evans, Melanie, ARNPx Lambertz, Colleen, NPx Miinch, Keely, NPx~* Sansom, Susan, NPx~* ~* ~* NPI: 1952955502 NPI: 1538611397 NPI: 1295778736 NPI: 1447366737 520 S Eagle Rd Ste 2207 360 E Montvue Dr Ste 100 3080 E Gentry Way Ste 520 S Eagle Rd Meridian, ID 83642 Ste 100 210 Meridian, ID 83642 (208) 706-6300 Meridian, ID 83642 Meridian, ID 83642 (208) 706-5651 Group(s): St Lukes Clinic (208) 855-2900 (208) 384-9022 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Spine Institute Group(s): St Lukes Clinic Treasure Valley Llc Of Idaho Treasure Valley Llc Neilson, Janice, NPx~* Lee, Valerie, NPx~* NPI: 1447289681 Skinner, Dixie, NPx~* Gould, Linda, NPx~* NPI: 1316975899 1618 S Millenium Way NPI: 1659876399 NPI: 1457499261 520 S Eagle Rd Ste 2104 Ste 100 3025 W Cherry Ln Ste B 2347 E Gala St Meridian, ID 83642 Meridian, ID 83642 Ste B Meridian, ID 83642 (208) 706-0201 (208) 884-3376 Meridian, ID 83642 (208) 323-3767 Group(s): St Lukes Clinic Group(s): Ada West (208) 302-6450 Group(s): St Lukes Clinic Treasure Valley Llc Dermatology Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Leonard, Jennifer, Olson, Marlene, NPx~* Physicians -1861676298 Hawks, Clayton, NPx~* ARNPx~* NPI: 1215957733 NPI: 1093342834 NPI: 1649538463 520 S Eagle Rd Ste 2209 Strong, Janet, NPx~* 520 S Eagle Rd Ste 3211 2235 Gala St Meridian, ID 83642 NPI: 1255418539 Meridian, ID 83642 Meridian, ID 83642 (208) 706-2663 2321 E Gala St Ste 3 Ste 3 (208) 706-5930 (208) 887-3724 Group(s): St Lukes Clinic Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): Idaho Treasure Valley Llc (208) 888-5848 Treasure Valley Llc Gastroenterology Group(s): Midvalley Associates Llp Rasmussen, Melissa, NP Huffine, Cory, NPx~* x~* Healthcare NPI: 1700879459 Martinez, Mario, NPx~* NPI: 1083131783 Yoruba 520 S Eagle Rd Ste 1222 NPI: 1891904132 2235 Gala St Svangstu, Deborah, NPx Meridian, ID 83642 3080 E Gentry Way Ste Meridian, ID 83642 ~* (208) 947-2266 210 (208) 887-3724 NPI: 1639282585 Group(s): St Lukes Clinic Meridian, ID 83642 Group(s): Idaho 3875 E Overland Rd Treasure Valley Llc (208) 384-9022 Gastroenterology Meridian, ID 83642 Group(s): St Lukes Clinic Associates Llp (208) 327-5600 Treasure Valley Llc Group(s): Paul Montalbano Md

126 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Ada County continued/Condado seguido

Thurmond, Elizabeth, STAR Mayo, Billiesue, NPx~* MIDDLETON NPx~* - 83669 NPI: 1396245742 - 83644 NPI: 1902124142 Skinner, Dixie, NPx~* 2523 S 10th Ave Ste 103 Schooler Smith, Andrea, 520 S Eagle Rd NPI: 1659876399 Caldwell, ID 83605 NPx~* Meridian, ID 83642 10717 W State St (208) 459-7788 NPI: 1629161625 (208) 706-5000 Star, ID 83669 Group(s): Caldwell 201 S Paradise Ave Group(s): St Lukes Clinic (208) 302-6350 Immediate Care Middleton, ID 83644 Treasure Valley Llc Group(s): St Alphonsus Skinner, Dixie, NPx~* (208) 585-0048 Watts, Jamie, NPx~* Regional Medical Center NPI: 1659876399 Group(s): Terry Reilly NPI: 1265062806 Physicians -1861676298 315 E Elm St Ste 100 Ste Health Services - Medical 100 Group 867 S Vanguard Way Canyon Meridian, ID 83642 Caldwell, ID 83605 Spanish (208) 463-3000 CALDWELL (208) 302-7150 NAMPA Group(s): Saltzer Clinics - 83605 Group(s): St Alphonsus - 83651 Regional Medical Center Wienand, Lindsay, NPx~ Bean, Karen, NPx~* Physicians -1861676298 Skinner, Dixie, NPx~* * NPI: 1326132432 NPI: 1659876399 NPI: 1922504158 1906 Fairview Ave Ste Thompson, Stephanie, 11035 Karcher Rd 3277 E Louise Dr Ste 200 203 NPx~* Nampa, ID 83651 Meridian, ID 83642 Caldwell, ID 83605 NPI: 1669901245 (208) 302-6650 (208) 463-3000 (208) 459-4667 315 E Elm St Ste 200 Group(s): St Alphonsus Group(s): Saltzer Clinics Group(s): West Valley Caldwell, ID 83605 Regional Medical Center - 83646 Medical Group Llc (208) 302-5470 Physicians -1861676298 Group(s): St Alphonsus Cook, Jennifer, NPx~* Buckland, Penny, NPx~* - 83686 NPI: 1194129411 Regional Medical Center NPI: 1073858049 Physicians -1861676298 Lambertz, Colleen, NPx 4574 N Ten Mile Ste 120 3110 Cleveland Blvd Bldg ~* Meridian, ID 83646 A Ste A7 Vantassell, Sharlynn, NP NPI: 1447366737 x~* (208) 884-3376 Caldwell, ID 83605 308 E Hawaii Ave Group(s): Ada West (509) 222-1275 NPI: 1366991846 Nampa, ID 83686 2609 S 10th Ave Dermatology Group(s): Ideal Option (208) 467-6700 Caldwell, ID 83605 Pllc_Wa_Id Group(s): St Lukes Clinic Stone, Brookney, NPx~* (208) 454-2766 NPI: 1053543660 Eberle, Corlene, ARNPx Treasure Valley Llc ~* Group(s): Lifeways Inc 790 W Ustick Rd Ste 110 Linn, Brittany, NPx~* NPI: 1588630792 Zeimantz, Stephen, NPx Meridian, ID 83646 NPI: 1871755942 3110 Cleveland Blvd Bldg ~* (208) 639-3990 308 E Hawaii Ave A Ste A7 NPI: 1922001478 Group(s): Borron Family Nampa, ID 83686 Caldwell, ID 83605 1906 Fairview Ave Ste Medicine (208) 467-6700 (509) 222-1275 350 Group(s): St Lukes Clinic Group(s): Ideal Option Caldwell, ID 83605 Treasure Valley Llc Pllc_Wa_Id (208) 454-9181 Other Specialties: Group(s): St Lukes Clinic Women's Health Nurse Treasure Valley Llc Practitioner

127 Specialists / Especialistas Nurse Practitioner continued/Enfermero practicante continuación Canyon County continued/Condado seguido

Thompson, Stephanie, Rasmussen, Melissa, NP Snuffin, Jessica, NPx~* Bailey-Dabney, Marie, NPx~* x~* NPI: 1609334127 RD~* NPI: 1669901245 NPI: 1083131783 1200 Garrity Blvd NPI: 1558761601 1510 12th Ave Rd Ste 200 1200 Garrity Blvd Nampa, ID 83687 305 E Jefferson St Ste 200 Nampa, ID 83687 (208) 343-6458 Boise, ID 83712 Nampa, ID 83686 (208) 343-6458 Group(s): Idaho (208) 381-7081 (208) 302-5470 Group(s): Idaho Gastroenterology Group(s): St Lukes Clinic Group(s): St Alphonsus Gastroenterology Associates Llp Treasure Valley Llc Regional Medical Center Associates Llp WILDER Kuchar, Jobeth, RD~* Physicians -1861676298 Sansom, Susan, NPx~* - 83676 NPI: 1144611872 - 83687 NPI: 1538611397 Bean, Karen, NPx~* 305 E Jefferson St Evans, Melanie, ARNPx 4424 E Flamingo Ave NPI: 1326132432 Boise, ID 83712 Nampa, ID 83687 ~* 124 5th St Ste A (208) 381-7081 (208) 855-2900 NPI: 1295778736 Wilder, ID 83676 Group(s): St Lukes Clinic 9850 W St Lukes Dr Group(s): Spine Institute (208) 482-7430 Treasure Valley Llc Of Idaho Nampa, ID 83687 Group(s): West Valley Wallinga, Melissa, RD~* (208) 505-2050 Shelly, Cassi, NP~* Medical Group Llc NPI: 1235538802 Group(s): St Lukes Clinic NPI: 1477994994 305 E Jefferson St Treasure Valley Llc Swainston, Rebecca, NPx 1811 E Karcher Rd ~* Boise, ID 83712 Leonard, Jennifer, Nampa, ID 83687 NPI: 1508201757 (208) 381-7081 ARNPx~* (208) 505-4419 124 5th St Ste A Group(s): St Lukes Clinic NPI: 1649538463 Group(s): Idaho Wilder, ID 83676 Treasure Valley Llc Behavioral Health 1200 Garrity Blvd (208) 482-7430 MERIDIAN Nampa, ID 83687 Shuler, Cory, NPx~* Group(s): West Valley - 83642 (208) 343-6458 NPI: 1295177541 Medical Group Llc Cox, Carolyn, RDx~* Group(s): Idaho 1200 Garrity Blvd NPI: 1972714293 Gastroenterology Nampa, ID 83687 Nutritionist 520 S Eagle Rd Ste 1229 Associates Llp (208) 343-6458 Idaho Meridian, ID 83642 Group(s): Idaho Maness, Tarasue, ARNP Ada (208) 884-4220 Gastroenterology ~* Group(s): St Lukes Clinic Associates Llp NPI: 1386191500 BOISE Treasure Valley Llc 4424 E Flamingo Ave Ste Skinner, Dixie, NPx~* - 83712 Miller, Callie, RDx~* 310 NPI: 1659876399 Arave, Serena, RD~* NPI: 1225562002 Nampa, ID 83687 1150 N Sister Catherine NPI: 1225423262 520 S Eagle Rd Ste 1223 (208) 302-3760 Way 305 E Jefferson St Meridian, ID 83642 Group(s): St Alphonsus Nampa, ID 83687 Boise, ID 83712 (208) 706-5260 Regional Medical Center (208) 302-7050 (208) 381-7081 Group(s): St Lukes Clinic Physicians -1861676298 Group(s): St Alphonsus Group(s): St Lukes Clinic Treasure Valley Llc Regional Medical Center Treasure Valley Llc Physicians -1861676298

128 Specialists / Especialistas Obstetrics/Obstetricia Ada County continued/Condado seguido

Obstetrics Klomp, G Robert, MDx~ Siudzinski, Kelly, MDx~ Harris, Francesx~* * * NPI: 1427322601 Idaho NPI: 1952351710 NPI: 1417906405 1072 N Liberty St Ste 100 Ada 333 N 1st St Ste 240 333 N 1st St Ste 240 Boise, ID 83704 Boise, ID 83702 Boise, ID 83702 (208) 302-1200 BOISE (208) 338-8900 (208) 338-8900 Group(s): St Alphonsus - 83712 Group(s): Womens Health Group(s): Womens Health Regional Medical Center Fountain, Cynthia, MDx Associates Pllc Associates Pllc Physicians -1861676298 ~* Other Specialties: - 83704 Harris, Francesx~* NPI: 1538402144 Gynecology NPI: 1427322601 100 E Idaho St Ste 302 Dutch Anstine, Suzanne, MDx~ * 900 N Liberty St Ste 202 Boise, ID 83712 Lopez, Maryalice, MDx~ Boise, ID 83704 (208) 343-7501 NPI: 1790770246 * (208) 302-1200 Group(s): St Lukes Clinic 777 N Raymond St NPI: 1033554480 Group(s): St Alphonsus Treasure Valley Llc Boise, ID 83704 333 N 1st St Ste 240 (208) 514-2500 Regional Medical Center Obstetrics & Boise, ID 83702 Group(s): The Family Physicians -1861676298 (208) 338-8900 Medicine Residency Of Gynecology Hayes, Cynthia, MDx~* Group(s): Womens Health Idaho Inc Idaho Associates Pllc NPI: 1386697399 Spanish Digiosia, Juliana, MDx~ 777 N Raymond St Ada * Boise, ID 83704 Maybach, Jacqueline, NPI: 1144335332 (208) 514-2500 BOISE MDx~* 1072 N Liberty St Ste 100 Group(s): The Family - 83702 NPI: 1568411460 Boise, ID 83704 Medicine Residency Of Fealko, Monika, MDx~* 333 N 1st St Ste 240 (208) 302-1200 Idaho Inc NPI: 1801891569 Boise, ID 83702 Group(s): St Alphonsus 333 N 1st St Ste 240 (208) 338-8900 Regional Medical Center Hoegsberg, Bente, MD~* Boise, ID 83702 Group(s): Womens Health Physicians -1861676298 NPI: 1760427041 (208) 338-8900 Associates Pllc French, Italian 900 N Liberty St Ste 206 Group(s): Womens Health Boise, ID 83704 Miller, Lauren, MDx~* Fish, Stacyx~* (208) 302-1100 Associates Pllc NPI: 1982999009 German NPI: 1598063851 Group(s): St Alphonsus 333 N 1st St Ste 150 1072 N Liberty St Ste 100 Regional Medical Center Hudson, Jennifer, DOx~ Boise, ID 83702 Boise, ID 83704 Physicians -1861676298 * (208) 381-3088 (208) 302-1200 NPI: 1265627319 Group(s): St Lukes Clinic Group(s): St Alphonsus Inman, Kandiss, NPx~* 333 N 1st St Ste 240 Treasure Valley Llc Regional Medical Center NPI: 1558620781 Boise, ID 83702 Physicians -1861676298 1072 N Liberty St Ste 100 (208) 338-8900 Rice, Suzanne, MDx~* Boise, ID 83704 Group(s): Womens Health NPI: 1780633164 (208) 302-1200 Associates Pllc 333 N 1st St Ste 240 Group(s): St Alphonsus Boise, ID 83702 Regional Medical Center (208) 338-8900 Physicians -1861676298 Group(s): Womens Health Associates Pllc

129 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Ada County continued/Condado seguido

Janowiak, Mary, MDx~* Preus, Eve, MDx~* Weyhrich, Darin, MDx~ - 83712 NPI: 1669506531 NPI: 1154680072 * Anstine, Suzanne, MDx~ 1072 N Liberty St Ste 100 1072 N Liberty St Ste 100 NPI: 1801860846 * Boise, ID 83704 Boise, ID 83704 777 N Raymond St NPI: 1790770246 (208) 302-1200 (208) 302-1200 Boise, ID 83704 190 E Bannock St Group(s): St Alphonsus Group(s): St Alphonsus (208) 514-2500 Boise, ID 83712 Regional Medical Center Regional Medical Center Group(s): The Family (208) 381-2267 Physicians -1861676298 Physicians -1861676298 Medicine Residency Of Group(s): St Lukes Clinic Idaho Inc Treasure Valley Llc Keenan, Karissa, MDx~* Shearer, Alison, MDx~* Other Specialties: NPI: 1316333107 NPI: 1396898482 Obstetrics Archibald, R Burke, MD 1072 N Liberty St Ste 203 1072 N Liberty St Ste 100 x~* Boise, ID 83704 Boise, ID 83704 - 83706 NPI: 1831147248 (208) 302-5800 (208) 302-1200 Caplinger, Patricia, MD 100 E Idaho St Ste 400 Group(s): St Alphonsus Group(s): St Alphonsus ~* Boise, ID 83712 Regional Medical Center Regional Medical Center NPI: 1588605364 (208) 345-5250 Physicians -1861676298 Physicians -1861676298 1055 N Curtis Rd Group(s): St Lukes Clinic Boise, ID 83706 Treasure Valley Llc Knutson, Christina, MD Sohl, Bryan, MD~* (208) 367-6279 x~* NPI: 1578621900 Bradley, Jenni, MDx~* Group(s): St Alphonsus NPI: 1649212119 900 N Liberty St Ste 206 NPI: 1265557656 Regional Medical Center 1072 N Liberty St Ste 100 Boise, ID 83704 100 E Idaho St Ste 400 Physicians -1861676298 Boise, ID 83704 (208) 302-1100 Boise, ID 83712 (208) 302-1200 Group(s): St Alphonsus Durst, Paula, DO~* (208) 345-5250 Group(s): St Alphonsus Regional Medical Center NPI: 1932547338 Group(s): St Lukes Clinic Regional Medical Center Physicians -1861676298 1055 N Curtis Rd Treasure Valley Llc Physicians -1861676298 Other Specialties: Boise, ID 83706 French Maternal & Fetal (208) 367-6279 Mccaffrey, Rebecca, MD Carlson, Dirk, MDx~* Medicine Group(s): St Alphonsus x~* NPI: 1508850140 Regional Medical Center NPI: 1215193263 Thomson, Sara, MD~* 100 E Idaho St Ste 302 Physicians -1861676298 1072 N Liberty St Ste 100 NPI: 1356316509 Boise, ID 83712 Boise, ID 83704 900 N Liberty St Ste 206 Thomson, Sara, MD~* (208) 343-7501 (208) 302-1200 Boise, ID 83704 NPI: 1356316509 Group(s): St Lukes Clinic Group(s): St Alphonsus (208) 302-1100 1055 N Curtis Rd Treasure Valley Llc Regional Medical Center Group(s): St Alphonsus Boise, ID 83706 Chasan, Heidi, MDx~* Physicians -1861676298 Regional Medical Center (208) 367-6279 NPI: 1417987710 Physicians -1861676298 Group(s): St Alphonsus Palmquist, Maria, MD~* 100 E Idaho St Ste 400 Regional Medical Center NPI: 1942369285 Boise, ID 83712 Physicians -1861676298 900 N Liberty St Ste 206 (208) 345-5250 Boise, ID 83704 Group(s): St Lukes Clinic (208) 302-1100 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

130 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Ada County continued/Condado seguido

Feighner, Anne, MDx~* Keating, Kathleen, DOx Pool, Leslie, MDx~* Thompson, Marietta, NPI: 1295001170 ~* NPI: 1255325882 MDx~* 100 E Idaho St Ste 400 NPI: 1154583094 100 E Idaho St Ste 302 NPI: 1447287644 Boise, ID 83712 100 E Idaho St Ste 400 Boise, ID 83712 121 E Fort St (208) 345-5250 Boise, ID 83712 (208) 343-7501 Boise, ID 83712 Group(s): St Lukes Clinic (208) 345-5250 Group(s): St Lukes Clinic (208) 514-2525 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc Group(s): The Family Spanish Treasure Valley Llc Medicine Residency Of Renner, Matthew, MDx~ Idaho Inc Hayes, Cynthia, MDx~* Lliteras, Katrina, MDx~ * NPI: 1386697399 * NPI: 1174787097 Thompson, Marietta, 121 E Fort St NPI: 1295964716 100 E Idaho St Ste 400 MDx~* Boise, ID 83712 100 E Idaho St Ste 302 Boise, ID 83712 NPI: 1447287644 (208) 514-2525 Boise, ID 83712 (208) 345-5250 190 E Bannock St Group(s): The Family (208) 343-7501 Group(s): St Lukes Clinic Boise, ID 83712 Medicine Residency Of Group(s): St Lukes Clinic Treasure Valley Llc (208) 381-2267 Treasure Valley Llc Idaho Inc Shrum, Brea, MDx~* Group(s): St Lukes Clinic Treasure Valley Llc Hayes, Cynthia, MDx~* Lowder, B Kerry, MDx~ NPI: 1821161548 NPI: 1386697399 * 100 E Idaho St Ste 302 Turner, Taylor, MD~* 190 E Bannock St NPI: 1124043989 Boise, ID 83712 NPI: 1700176567 Boise, ID 83712 100 E Idaho St Ste 400 (208) 343-7501 100 E Idaho St Ste 200 (208) 381-2267 Boise, ID 83712 Group(s): St Lukes Clinic Boise, ID 83712 Group(s): St Lukes Clinic (208) 345-5250 Treasure Valley Llc (208) 381-4171 Group(s): St Lukes Clinic Treasure Valley Llc Stevens, Holly, MDx~* Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Hodges, Bryan, MDx~* Japanese NPI: 1538301619 NPI: 1801815964 100 E Idaho St Ste 302 Werdel, John, MDx~* 100 E Idaho St Ste 400 Marzolf, Susan, MDx~* Boise, ID 83712 NPI: 1457389926 Boise, ID 83712 NPI: 1568447019 (208) 343-7501 100 E Idaho St Ste 400 (208) 345-5250 190 E Bannock St Group(s): St Lukes Clinic Boise, ID 83712 Group(s): St Lukes Clinic Boise, ID 83712 Treasure Valley Llc (208) 345-5250 (208) 381-2267 Treasure Valley Llc Swajkoski, Alan, MDx~* Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Javernick-Hodges, Treasure Valley Llc NPI: 1194719732 Necole, MDx~* Spanish, French 100 E Idaho St Ste 302 West, Timothy, MDx~* NPI: 1790700557 Boise, ID 83712 NPI: 1396796207 100 E Idaho St Ste 400 Moos, Aaron, MDx~* (208) 343-7501 100 E Idaho St Ste 400 Boise, ID 83712 NPI: 1255657011 Group(s): St Lukes Clinic Boise, ID 83712 (208) 345-5250 100 E Idaho St Ste 302 Treasure Valley Llc (208) 345-5250 Group(s): St Lukes Clinic Boise, ID 83712 Group(s): St Lukes Clinic Treasure Valley Llc (208) 343-7501 Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc

131 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Ada County continued/Condado seguido

Weyhrich, Darin, MDx~ Guzman, Trevino, MDx~ Archibald, R Burke, MD Feighner, Anne, MDx~* * * x~* NPI: 1295001170 NPI: 1801860846 NPI: 1881828010 NPI: 1831147248 520 S Eagle Rd Ste 3209 121 E Fort St 3217 W Bavaria St 520 S Eagle Rd Ste 3209 And 3219 Boise, ID 83712 Eagle, ID 83616 And 3219 Meridian, ID 83642 (208) 514-2525 (208) 302-1400 Meridian, ID 83642 (208) 345-5250 Group(s): The Family Group(s): St Alphonsus (208) 345-5250 Group(s): St Lukes Clinic Medicine Residency Of Regional Medical Center Group(s): St Lukes Clinic Treasure Valley Llc Idaho Inc Physicians -1861676298 Treasure Valley Llc Spanish Other Specialties: Kopperud, Tracey, DOx Armstrong, Scott, MDx~ Obstetrics Hodges, Bryan, MDx~* ~* * NPI: 1801815964 Weyhrich, Darin, MDx~ NPI: 1437194388 NPI: 1205806965 520 S Eagle Rd Ste 3209 * 3101 E State St Ste 2199 3520 E Louise Dr And 3219 NPI: 1801860846 Eagle, ID 83616 Meridian, ID 83642 Meridian, ID 83642 190 E Bannock St (208) 938-2220 (208) 888-0909 (208) 345-5250 Boise, ID 83712 Group(s): Ob/Gyn Group(s): Ob/Gyn Group(s): St Lukes Clinic (208) 381-2267 Associates Pa Associates Pa Treasure Valley Llc Group(s): St Lukes Clinic Parsons, Lee, MDx~* Bradley, Jenni, MDx~* Treasure Valley Llc Javernick-Hodges, NPI: 1831169598 NPI: 1265557656 Other Specialties: Necole, MDx~* 3101 E State St Ste 2199 520 S Eagle Rd Ste 3209 Obstetrics NPI: 1790700557 Eagle, ID 83616 And 3219 520 S Eagle Rd Ste 3209 EAGLE (208) 938-2220 Meridian, ID 83642 And 3219 - 83616 Group(s): Ob/Gyn (208) 345-5250 Meridian, ID 83642 Agrusa, Phillip, MDx~* Associates Pa Group(s): St Lukes Clinic (208) 345-5250 NPI: 1407826167 Spanish Treasure Valley Llc Group(s): St Lukes Clinic French 3101 E State St Ste 2199 Ross, Stuart, MDx~* Treasure Valley Llc Eagle, ID 83616 NPI: 1417217779 Chasan, Heidi, MDx~* Kaiser, John, MDx~* (208) 938-2220 3101 E State St Ste 2199 NPI: 1417987710 NPI: 1841280898 Group(s): Ob/Gyn Eagle, ID 83616 520 S Eagle Rd Ste 3209 2775 W Navigator Dr Associates Pa (208) 938-2220 And 3219 Meridian, ID 83642 Dawson, Jill, NPx~* Group(s): Ob/Gyn Meridian, ID 83642 (208) 463-3000 NPI: 1801908140 Associates Pa (208) 345-5250 Group(s): Saltzer Clinics Group(s): St Lukes Clinic 3101 E State St Ste 2199 MERIDIAN Treasure Valley Llc Kasper, Megan, MDx~* Eagle, ID 83616 - 83642 NPI: 1285757104 (208) 938-2220 Agrusa, Phillip, MDx~* Dawson, Jill, NPx~* 3277 E Louise Dr Ste 200 Group(s): Ob/Gyn NPI: 1407826167 NPI: 1801908140 Meridian, ID 83642 Associates Pa 3520 E Louise Dr 3520 E Louise Dr (208) 463-3000 Other Specialties: Nurse Meridian, ID 83642 Meridian, ID 83642 Group(s): Saltzer Clinics Practitioner (208) 888-0909 (208) 888-0909 Group(s): Ob/Gyn Group(s): Ob/Gyn Associates Pa Associates Pa Other Specialties: Nurse Practitioner

132 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Ada County continued/Condado seguido

Katseanes, Davis, MDx~ Oliver, Rachel, MDx~* Uranga, Rebecca, MDx~ Fu, Jessica, MDx~* * NPI: 1043449366 * NPI: 1710185111 NPI: 1366753089 3520 E Louise Dr NPI: 1558482026 315 Elm St Ste 310 520 S Eagle Rd Ste 2110 Meridian, ID 83642 3520 E Louise Dr Caldwell, ID 83605 Meridian, ID 83642 (208) 888-0909 Meridian, ID 83642 (208) 454-2035 (208) 706-3220 Group(s): Ob/Gyn (208) 888-0909 Group(s): West Valley Group(s): St Lukes Clinic Associates Pa Group(s): Ob/Gyn Medical Group Specialty Treasure Valley Llc Spanish Associates Pa Services Llc Keating, Kathleen, DOx Renner, Matthew, MDx~ Werdel, John, MDx~* Meserow, James, MDx~* ~* * NPI: 1457389926 NPI: 1609818657 NPI: 1154583094 NPI: 1174787097 520 S Eagle Rd Ste 3209 3110 Cleveland Blvd Bldg 520 S Eagle Rd Ste 3209 520 S Eagle Rd Ste 3209 And 3219 A Ste A7 And 3219 And 3219 Meridian, ID 83642 Caldwell, ID 83605 Meridian, ID 83642 Meridian, ID 83642 (208) 345-5250 (509) 222-1275 (208) 345-5250 (208) 345-5250 Group(s): St Lukes Clinic Group(s): Ideal Option Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Pllc_Wa_Id Treasure Valley Llc Treasure Valley Llc West, Timothy, MDx~* Other Specialties: Kopperud, Tracey, DOx Richards, Bronwyn, MD NPI: 1396796207 Maternal & Fetal ~* x~* 520 S Eagle Rd Ste 3209 Medicine NPI: 1437194388 NPI: 1548689045 And 3219 Stinger, William, DOx~* 3520 E Louise Dr 3520 E Louise Dr Meridian, ID 83642 NPI: 1922313253 Meridian, ID 83642 Meridian, ID 83642 (208) 345-5250 315 Elm St Ste 310 (208) 888-0909 (208) 888-0909 Group(s): St Lukes Clinic Caldwell, ID 83605 Group(s): Ob/Gyn Group(s): Ob/Gyn Treasure Valley Llc (208) 454-2035 Associates Pa Associates Pa Group(s): West Valley Canyon Lowder, B Kerry, MDx~ Ross, Stuart, MDx~* Medical Group Specialty * NPI: 1417217779 CALDWELL Services Llc NPI: 1124043989 3520 E Louise Dr - 83605 x~ 520 S Eagle Rd Ste 3209 Tillotson, Nathan, DO Meridian, ID 83642 Dado, Gina, MDx~* * And 3219 (208) 888-0909 NPI: 1770670473 Meridian, ID 83642 NPI: 1730146648 Group(s): Ob/Gyn 315 Elm St Ste 310 315 Elm St Ste 310 (208) 345-5250 Associates Pa Caldwell, ID 83605 Group(s): St Lukes Clinic Caldwell, ID 83605 Schroeder, Harmony, (208) 454-2035 (208) 454-2035 Treasure Valley Llc Group(s): West Valley Japanese MDx~* Group(s): West Valley NPI: 1104898550 Medical Group Specialty Medical Group Specialty Miller, Lauren, MDx~* 3520 E Louise Dr Services Llc Services Llc NPI: 1982999009 Meridian, ID 83642 3525 E Louise Dr Ste 220 (208) 888-0909 Meridian, ID 83642 Group(s): Ob/Gyn (208) 706-4636 Associates Pa Group(s): St Lukes Clinic Treasure Valley Llc

133 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Canyon County continued/Condado seguido

NAMPA Kopperud, Tracey, DOx Pittard, Darren, MDx~* - 83687 - 83686 ~* NPI: 1164644159 Anderson, Brennan, DO NPI: 1437194388 Agrusa, Phillip, MDx~* 9850 W St Lukes Dr Ste x~* NPI: 1407826167 9850 W St Lukes Dr Ste 221 NPI: 1609222355 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 4424 E Flamingo Ave Ste Nampa, ID 83686 221 (208) 455-1784 200 (208) 455-1784 Nampa, ID 83686 Group(s): Ob/Gyn Nampa, ID 83687 (208) 455-1784 Group(s): Ob/Gyn Associates Pa (208) 302-1400 Group(s): Ob/Gyn Associates Pa Spanish Group(s): St Alphonsus Associates Pa Newman, Jennifer, NPx~ Ross, Stuart, MDx~* Regional Medical Center * NPI: 1417217779 Physicians -1861676298 Armstrong, Scott, MDx~ NPI: 1710132931 * 9850 W St Lukes Dr Ste Arnold, Melissa, MDx~* NPI: 1205806965 9850 W St Lukes Dr Ste 221 NPI: 1700105921 221 9850 W St Lukes Dr Ste Nampa, ID 83686 9850 St Lukes Dr Ste 129 Nampa, ID 83686 221 (208) 455-1784 Ste 129 (208) 455-1784 Nampa, ID 83686 Group(s): Ob/Gyn Nampa, ID 83687 (208) 455-1784 Group(s): Ob/Gyn Associates Pa (208) 463-3000 Group(s): Ob/Gyn Associates Pa Group(s): Saltzer Clinics Other Specialties: Schroeder, Harmony, Associates Pa Obstetrics & Gynecology MDx~* Dimichele-Manes, Arnold, Melissa, MDx~* Nurse Practitioner NPI: 1104898550 Andrea, MDx~* NPI: 1700105921 9850 W St Lukes Dr Ste NPI: 1689774788 Oliver, Rachel, MDx~* 215 E Hawaii Ave 221 9850 St Lukes Dr Ste 129 NPI: 1043449366 Nampa, ID 83686 Nampa, ID 83686 Ste 129 (208) 463-3000 9850 W St Lukes Dr Ste (208) 455-1784 Nampa, ID 83687 Group(s): Saltzer Clinics 221 Group(s): Ob/Gyn (208) 463-3000 Nampa, ID 83686 Associates Pa Group(s): Saltzer Clinics Dawson, Jill, NPx~* (208) 455-1784 Spanish NPI: 1801908140 Group(s): Ob/Gyn Uranga, Rebecca, MDx~ 9850 W St Lukes Dr Ste Associates Pa * Gregerson, Gary, MDx~ 221 Spanish NPI: 1558482026 * Nampa, ID 83686 9850 W St Lukes Dr Ste NPI: 1801834866 x~* (208) 455-1784 Parsons, Lee, MD 221 223 16th Ave N Group(s): Ob/Gyn NPI: 1831169598 Nampa, ID 83686 Nampa, ID 83687 9850 W St Lukes Dr Ste Associates Pa (208) 455-1784 (208) 467-7654 221 Other Specialties: Nurse Group(s): Ob/Gyn Group(s): Terry Reilly Nampa, ID 83686 Practitioner Associates Pa Health Services - Medical (208) 455-1784 Group Group(s): Ob/Gyn Associates Pa Spanish

134 Specialists / Especialistas Obstetrics & Gynecology continued/Tocoginecología continuación Canyon County continued/Condado seguido

Guzman, Trevino, MDx~ Reese, Jeffery, DOx~* - 83712 Occupational * NPI: 1588084453 Martin, Kathleen, NPx~ Medicine NPI: 1881828010 4424 E Flamingo Ave Ste * 4424 E Flamingo Ave Ste 200 NPI: 1164441143 Idaho 200 Nampa, ID 83687 100 E Idaho St Ste 400 Ada Nampa, ID 83687 (208) 302-1400 Boise, ID 83712 (208) 302-1400 Group(s): St Alphonsus (208) 345-5250 BOISE Group(s): St Alphonsus Regional Medical Center Group(s): St Lukes Clinic - 83702 Regional Medical Center Physicians -1861676298 Treasure Valley Llc Heiner, Cody, MDx~* Physicians -1861676298 Walker, Linda, MDx~* Mcqueary, Jessica, NP~* NPI: 1770790313 Hughes, Dustan, MDx~* NPI: 1053467852 NPI: 1013572973 703 S Americana Blvd Ste NPI: 1770513228 4424 E Flamingo Ave Ste 100 E Idaho St Ste 200 130 3908 E Flamingo Ave Ste 200 Boise, ID 83712 Boise, ID 83702 B Nampa, ID 83687 (208) 381-4171 (208) 706-7500 Nampa, ID 83687 (208) 302-1400 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 442-8035 Group(s): St Alphonsus Treasure Valley Llc Treasure Valley Llc Group(s): Lifestages Regional Medical Center Spanish Ob-Gyn Pllc Physicians -1861676298 Tucker, Kerri, NPx~* NPI: 1629294194 Johns, Brian, MDx~* Hughes, Juliette, MDx~* Obstetrics & 100 E Idaho St Ste 400 NPI: 1003876137 NPI: 1154344190 Boise, ID 83712 703 S Americana Blvd Ste 3908 E Flamingo Ave Ste Gynecology Nurse 130 Practitioner (208) 345-5250 B Group(s): St Lukes Clinic Boise, ID 83702 Nampa, ID 83687 Idaho Treasure Valley Llc (208) 706-7500 (208) 442-8035 Group(s): St Lukes Clinic Group(s): Lifestages Ada MERIDIAN Treasure Valley Llc Ob-Gyn Pllc - 83642 BOISE - 83704 Spanish - 83702 Martin, Kathleen, NPx~ * Devinaspre, Justin, NPx Kasper, Megan, MDx~* Seabolt, Velma, NPx~* NPI: 1164441143 ~* NPI: 1285757104 NPI: 1699724633 520 S Eagle Rd Ste 3209 NPI: 1144738717 9850 St Lukes Dr Ste 129 333 N 1st St Ste 240 And 3219 6051 W Emerald St Ste 129 Boise, ID 83702 Meridian, ID 83642 Boise, ID 83704 Nampa, ID 83687 (208) 338-8900 (208) 345-5250 (208) 302-7600 (208) 463-3000 Group(s): Womens Health Group(s): St Lukes Clinic Group(s): St Alphonsus Group(s): Saltzer Clinics Associates Pllc Treasure Valley Llc Regional Medical Center Physicians -1861676298 Pettit, Ryan, DOx~* Stevens, Julie, NPx~* NPI: 1487092292 NPI: 1225008998 4424 E Flamingo Ave Ste 333 N 1st St Ste 240 200 Boise, ID 83702 Nampa, ID 83687 (208) 338-8900 (208) 302-1400 Group(s): Womens Health Group(s): St Alphonsus Associates Pllc Regional Medical Center Physicians -1861676298

135 Specialists / Especialistas Occupational Medicine continued/Medicina del trabajo continuación Ada County continued/Condado seguido

Gibson, Michael, MDx~* - 83706 NAMPA Occupational NPI: 1396789780 Nassir, Mark, MDx~* - 83687 Therapist 6051 W Emerald St NPI: 1649377169 Devinaspre, Justin, NPx Boise, ID 83704 1055 N Curtis Rd ~* Idaho (208) 302-7600 Boise, ID 83706 NPI: 1144738717 Ada Group(s): St Alphonsus (208) 367-7350 1150 N Sister Catherine Regional Medical Center Group(s): St Alphonsus Way BOISE Physicians -1861676298 Regional Medical Center Nampa, ID 83687 - 83702 Hoke, Jami, PAx~* Physicians -1861676298 (208) 302-7640 Short, Ann, OTx~* Group(s): St Alphonsus NPI: 1275695835 NPI: 1629354121 MERIDIAN Regional Medical Center 405 W Myrtle 6051 W Emerald St - 83642 Boise, ID 83704 Physicians -1861676298 Boise, ID 83702 Nassir, Mark, MDx~* (208) 302-7600 Frost, Charles, PAx~* (208) 489-5880 Group(s): St Alphonsus NPI: 1649377169 Group(s): St Lukes Clinic 3340 E Goldstone Way NPI: 1760425730 Regional Medical Center 1150 N Sister Catherine Treasure Valley Llc Physicians -1861676298 Meridian, ID 83642 (208) 452-8100 Way - 83705 Josefow, Kathryn, PAx~ Group(s): St Alphonsus Nampa, ID 83687 Craig, Amanda, OTx~* * Regional Medical Center (208) 302-7050 NPI: 1710393004 NPI: 1386616720 Physicians -1861676298 Group(s): St Alphonsus 4696 W Overland Rd Ste 6051 W Emerald St Regional Medical Center 232 Boise, ID 83704 Canyon Physicians -1861676298 Boise, ID 83705 (208) 302-7600 Shepherd, Brent, MDx~* (208) 908-6116 Group(s): St Alphonsus CALDWELL - 83605 NPI: 1770946998 Group(s): Ada Therapy Regional Medical Center 9850 W St Lukes Dr Ste Services Pllc Physicians -1861676298 Frost, Charles, PAx~* 207 Moores, Desiree, OTx~* NPI: 1760425730 Nampa, ID 83687 Kammer, Jacob, MDx~* 315 E Elm St Ste 100 Ste NPI: 1821400268 NPI: 1194761460 (208) 505-2712 4696 W Overland Rd Ste 100 Group(s): St Lukes Clinic 6051 W Emerald St Caldwell, ID 83605 232 Boise, ID 83704 Treasure Valley Llc Boise, ID 83705 (208) 302-7150 Spanish (208) 302-7600 Group(s): St Alphonsus (208) 908-6116 Group(s): St Alphonsus Regional Medical Center Group(s): Ada Therapy Regional Medical Center Physicians -1861676298 Services Pllc Physicians -1861676298 Spanish Gibson, Michael, MDx~* - 83713 NPI: 1396789780 Schroeder, Joanna, OTx Nassir, Mark, MDx~* 315 E Elm St Ste 100 Ste ~* NPI: 1649377169 100 NPI: 1184865578 6051 W Emerald St Caldwell, ID 83605 13895 W Wainwright Dr Boise, ID 83704 (208) 302-7150 Boise, ID 83713 (208) 302-7600 Group(s): St Alphonsus (208) 939-3334 Group(s): St Alphonsus Regional Medical Center Group(s): Idaho Pediatric Regional Medical Center Physicians -1861676298 Therapy Clinic Pllc Physicians -1861676298 Swedish

136 Specialists / Especialistas Occupational Therapist continued/Terapistas ocupacionales continuación Ada County continued/Condado seguido

Strauss, Rachel, OTx~* Zamzow, Deana, OT~* Vargason, Caroline, MD Grange, Landon, MDx~* NPI: 1578066056 NPI: 1194053066 x~* NPI: 1043620255 13895 W Wainwright Dr 2463 E Gala St NPI: 1922366251 5680 W Gage St Boise, ID 83713 Meridian, ID 83642 111 W Main St Ste 200 Boise, ID 83706 (208) 939-3334 (208) 955-7333 Boise, ID 83702 (208) 377-3937 Group(s): Idaho Pediatric Group(s): Northwest (208) 344-3220 Group(s): Vision Quest Therapy Clinic Pllc Neurobehavioral Health Group(s): Idaho Eyelid & Medical Center Pa Llc Facial Plastic Surgery Pllc Spanish Walker, Marilee, OTRx~ * Ophthalmology - 83704 Harf, Leo, MDx~* NPI: 1104281500 Wynn, Donraphael, MD NPI: 1417041849 13075 W Persimmon Ln Idaho x~* 999 N Curtis Rd Ste 205 Ste 120 Ada NPI: 1396188751 Boise, ID 83706 Boise, ID 83713 1072 N Liberty St Ste 303 (208) 373-1200 (208) 376-3591 BOISE Boise, ID 83704 Group(s): Intermountain Group(s): Boise Speech - 83702 (208) 302-4100 Eye And Laser Centers And Hearing Clinic Boerner, Mark, MDx~* Group(s): St Alphonsus Pllc Regional Medical Center MERIDIAN NPI: 1003819459 Hollingshead, Mark, MD - 83642 111 W Main St Ste 200 Physicians -1861676298 x~* Boise, ID 83702 Other Specialties: Malek, Sekayi, OT~* NPI: 1689670911 (208) 344-3220 Neurology 360 E Mallard Dr Ste 110 NPI: 1356988174 Group(s): Idaho Eyelid & 2463 E Gala St - 83706 Boise, ID 83706 Facial Plastic Surgery Pllc (208) 336-8700 Meridian, ID 83642 Spanish Barrett, Ryan, MDx~* (208) 955-7333 NPI: 1982994844 Group(s): Hollingshead Group(s): Northwest Brooks, Daniel, MDx~* 360 E Mallard Dr Ste 110 Eye Center Neurobehavioral Health NPI: 1225238561 Boise, ID 83706 Mannschreck, Molly, Llc 222 N 2nd St Ste 215 (208) 336-8700 MDx~* Boise, ID 83702 Meguess, Wendy, OTx~* Group(s): Hollingshead NPI: 1912091455 (208) 381-6910 Eye Center 999 N Curtis Rd Ste 205 NPI: 1649477704 Group(s): St Lukes Clinic 68 S Baltic Pl Spanish Boise, ID 83706 Treasure Valley Llc (208) 373-1200 Meridian, ID 83642 Spanish Fishburn, Jon, MDx~* (208) 898-0988 NPI: 1639123490 Group(s): Intermountain Group(s): Advanced Jackson, Chad, MDx~* 999 N Curtis Rd Ste 205 Eye And Laser Centers Therapy Care NPI: 1184067498 Boise, ID 83706 Pllc 111 W Main St Ste 200 Starcevich, Elliot, MAx~ (208) 373-1200 Moshirfar, Majid, MDx~ * Boise, ID 83702 Group(s): Intermountain * NPI: 1417476474 (208) 344-3220 Eye And Laser Centers NPI: 1700976313 68 S Baltic Pl Group(s): Idaho Eyelid & Pllc 999 N Curtis Rd Ste 205 Meridian, ID 83642 Facial Plastic Surgery Pllc Boise, ID 83706 (208) 898-0988 (208) 373-1200 Group(s): Advanced Group(s): Intermountain Therapy Care Eye And Laser Centers Pllc Persain (Farsi)

137 Specialists / Especialistas Ophthalmology continued/Oftalmología continuación Ada County continued/Condado seguido

Reynolds, Adam, MDx~* - 83712 EAGLE Kent, Gregory, MDx~* NPI: 1417916586 Gertsch, Kevin, MD~* - 83616 NPI: 1891868006 999 N Curtis Rd Ste 205 NPI: 1366679995 Reynolds, Adam, MDx~* 2620 S Eagle Rd Boise, ID 83706 305 E Jefferson St NPI: 1417916586 Meridian, ID 83642 (208) 373-1200 Boise, ID 83712 323 E Riverside Dr Ste (208) 342-5151 Group(s): Intermountain (208) 381-6910 122 Group(s): The Eye Eye And Laser Centers Group(s): St Lukes Clinic Eagle, ID 83616 Associates Pllc Treasure Valley Llc (208) 938-4749 Miller, Mark, MDx~* Group(s): Intermountain Torab Parhiz, Ali, MD~ Lee, Katherine, MD~* NPI: 1881629327 * NPI: 1386738839 Eye And Laser Centers 3045 E St Lukes St Ste NPI: 1295050110 305 E Jefferson St Pllc 100 901 N Curtis R Ste 302 Boise, ID 83712 MERIDIAN Meridian, ID 83642 Boise, ID 83706 (208) 381-6910 - 83642 (208) 288-2020 (208) 322-5996 Group(s): Treasure Valley Group(s): St Lukes Clinic Brooks, Daniel, MDx~* Group(s): Idaho Retina Treasure Valley Llc Eye Center Center Pllc NPI: 1225238561 Spanish - 83713 520 S Eagle Rd Ste 2203 Trotta, Francois, MDx~* Meridian, ID 83642 Mong, Jacob, DOx* NPI: 1891731014 Earl, James, MDx~* NPI: 1346535481 NPI: 1720248305 (208) 381-6910 128 E Mallard Dr Group(s): St Lukes Clinic 3025 W Cherry Ln Ste Boise, ID 83706 13923 W Wainwright Dr 207 Ste 301 Treasure Valley Llc (208) 323-8660 Spanish Meridian, ID 83642 Group(s): Francois D Boise, ID 83713 (208) 898-1614 Trotta Md Pa (208) 938-5624 Fethke, Kathryn, MDx~ Group(s): Vision Quest * French, Italian Group(s): Retina Medical Center Pa Specialists Of Idaho NPI: 1578657094 Tweeten, James, MDx~* Spanish 3090 Gentry Wy Ste 120 Canyon NPI: 1396791513 Meridian, ID 83642 999 N Curtis Rd Ste 205 Roberts, Denton, MDx~* (208) 888-0005 CALDWELL Boise, ID 83706 NPI: 1699742395 Group(s): Intermountain - 83605 13923 W Wainwright Dr (208) 373-1200 Eye And Laser Centers x~* Ste 301 Grange, Landon, MD Group(s): Intermountain Pllc NPI: 1043620255 Eye And Laser Centers Boise, ID 83713 (208) 938-5624 Grange, Landon, MDx~* 1906 Fairview Ave Ste Pllc 100 Spanish Group(s): Retina NPI: 1043620255 Specialists Of Idaho 3025 W Cherry Ln Ste Caldwell, ID 83605 - 83709 207 (208) 377-3937 Group(s): Vision Quest Anderson, Lawrence, Meridian, ID 83642 Medical Center Pa x* (208) 898-1614 MD Spanish NPI: 1922039114 Group(s): Vision Quest 8955 W Hackamore Dr Medical Center Pa Boise, ID 83709 Spanish (208) 344-7944 Group(s): Maple Grove Eye Clinic

138 Specialists / Especialistas Ophthalmology continued/Oftalmología continuación Canyon County continued/Condado seguido

Hainsworth, Kenneth, Martinez, Jorge, MDx~* Orthopaedic Hand Judd, Dustin, MDx~* MDx~* NPI: 1922076082 Surgery NPI: 1013113323 NPI: 1942290929 1615 12th Ave Rd Ste B 3277 E Louise Dr Ste 200 1818 S 10th Ave Ste 220 Nampa, ID 83686 Idaho Meridian, ID 83642 Caldwell, ID 83605 (208) 498-1700 Ada (208) 706-2663 (208) 463-3214 Group(s): Jorge A Group(s): St Lukes Clinic Group(s): Saltzer Clinics Martinez Md Pa BOISE Treasure Valley Llc Spanish Spanish - 83702 Spanish, Tagalog Kent, Gregory, MDx~* Mckinnon, Ryan, MDx~ Care, Steven, MDx~* Toomey, Jeremy, MDx~ NPI: 1891868006 * NPI: 1780694174 * 1602 Arlington Ave NPI: 1821087859 600 N Robbins Rd Ste 100 NPI: 1043474810 Caldwell, ID 83605 215 E Hawaii Ave Boise, ID 83702 3015 E Magic View Dr (208) 459-0717 Nampa, ID 83686 (208) 706-2663 Ste 120 Group(s): The Eye (208) 463-3000 Group(s): St Lukes Clinic Meridian, ID 83642 Associates Group(s): Saltzer Clinics Treasure Valley Llc (208) 855-2410 Spanish, Japanese Toomey, Jeremy, MDx~ Group(s): Allied Mong, Jacob, DOx~* Orthopedics NPI: 1346535481 Ostler, Erik, MDx~* * 1906 Fairview Ave Ste NPI: 1306251038 NPI: 1043474810 Toomey, Jeremy, MDx~ 100 1615 12th Ave Rd Ste B 600 N Robbins Rd Ste 100 * Caldwell, ID 83605 Nampa, ID 83686 Boise, ID 83702 NPI: 1043474810 (208) 377-3937 (208) 498-1700 (208) 706-2663 3277 E Louise Dr Ste 200 Group(s): Vision Quest Group(s): Jorge A Group(s): St Lukes Clinic Meridian, ID 83642 Medical Center Pa Martinez Md Pa Treasure Valley Llc (208) 706-2663 - 83704 Group(s): St Lukes Clinic NAMPA - 83687 Treasure Valley Llc - 83686 Harf, Leo, MDx~* Toomey, Jeremy, MDx~ * Hainsworth, Kenneth, NPI: 1417041849 Orthopaedic Surgery NPI: 1043474810 MDx~* 4400 E Flamingo Rd Ste Idaho 7979 W Rifleman St NPI: 1942290929 300 Boise, ID 83704 Ada 215 E Hawaii Ave Nampa, ID 83687 (208) 855-2410 Nampa, ID 83686 (208) 466-2222 Group(s): Allied BOISE (208) 463-3000 Group(s): Intermountain Orthopedics - 83702 Group(s): Saltzer Clinics Eye And Laser Centers Curtin, Michael, MDx~* Spanish Pllc MERIDIAN NPI: 1447206065 - 83642 Jensen, Johanna, MDx~* Reynolds, Adam, MDx~* 1109 W Myrtle St Ste 200 NPI: 1770552846 NPI: 1417916586 Care, Steven, MDx~* Boise, ID 83702 1615 12th Ave Rd Ste A 4400 E Flamingo Rd Ste NPI: 1780694174 (208) 706-2663 Nampa, ID 83686 300 3277 E Louise Dr Ste 200 Group(s): St Lukes Clinic (208) 467-3271 Nampa, ID 83687 Meridian, ID 83642 Treasure Valley Llc Group(s): Jensen Eye (208) 466-2222 (208) 706-2663 Associates Pllc Group(s): Intermountain Group(s): St Lukes Clinic Spanish Eye And Laser Centers Treasure Valley Llc Pllc

139 Specialists / Especialistas Orthopaedic Surgery continued/Cirugía ortopédica continuación Ada County continued/Condado seguido

Menzner, Jeffry, MDx~* Roser, Steven, MDx~* Smith, Carla, MDx~* Buzzini, Robert, PA~* NPI: 1487607198 NPI: 1992716872 NPI: 1336145721 NPI: 1497703730 600 N Robbins Rd Ste 100 600 N Robbins Rd Ste 100 703 S Americana Blvd Ste 1072 N Liberty St Ste 201 Boise, ID 83702 Boise, ID 83702 120 Boise, ID 83704 (208) 706-2663 (208) 706-2663 Boise, ID 83702 (208) 302-2400 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 706-2663 Group(s): St Alphonsus Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Regional Medical Center Treasure Valley Llc Physicians -1861676298 Menzner, Jeffry, MDx~* Showalter, Larry, MDx~ NPI: 1487607198 * Waters, Stanley, MDx~* Chopp, Thomas, MDx~* 703 S Americana Blvd Ste NPI: 1942211818 NPI: 1821046335 NPI: 1720081060 120 600 N Robbins Rd Ste 100 1673 W Shoreline Dr Ste 8854 W Emerald Ste 102 Boise, ID 83702 Boise, ID 83702 100 Boise, ID 83704 (208) 706-2663 (208) 706-2663 Boise, ID 83702 (208) 323-4747 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 322-0485 Group(s): The Shoulder Treasure Valley Llc Treasure Valley Llc Group(s): Stanley J Waters Clinic Of Idaho Md Moore, Andrew, MDx~* Showalter, Larry, MDx~ Daines, Steven, MDx~* NPI: 1780662999 * Wells, Britton, MDx~* NPI: 1326289364 600 N Robbins Rd Ste 100 NPI: 1942211818 NPI: 1245210400 6165 Emerald St Boise, ID 83702 703 S Americana Blvd Ste 600 N Robbins Rd Ste 100 Boise, ID 83704 (208) 706-2663 120 Boise, ID 83702 (208) 302-3500 Group(s): St Lukes Clinic Boise, ID 83702 (208) 706-2663 Group(s): St Alphonsus Treasure Valley Llc (208) 706-2663 Group(s): St Lukes Clinic Regional Medical Center Group(s): St Lukes Clinic Treasure Valley Llc Physicians -1861676298 Robison, Jason, MDx~* Treasure Valley Llc NPI: 1801010541 Wells, Britton, MDx~* Goodwin, Thomas, MDx 600 N Robbins Rd Ste 100 Sjostrom, Rebecca, MDx NPI: 1245210400 ~* Boise, ID 83702 ~* 703 S Americana Blvd Ste NPI: 1649208851 (208) 706-2663 NPI: 1760654651 120 8854 W Emerald Ste 102 Group(s): St Lukes Clinic 600 N Robbins Rd Ste 100 Boise, ID 83702 Boise, ID 83704 Treasure Valley Llc Boise, ID 83702 (208) 706-2663 (208) 323-4747 Spanish (208) 706-2663 Group(s): St Lukes Clinic Group(s): The Shoulder Group(s): St Lukes Clinic Treasure Valley Llc Clinic Of Idaho Robison, Jason, MDx~* Treasure Valley Llc NPI: 1801010541 - 83704 Haley, Amos, NPx~* Smith, Carla, MDx~* 600 N Robbins Rd Ste 401 Applonie, Ryan, DO~* NPI: 1154733244 Boise, ID 83702 NPI: 1336145721 6165 Emerald St 600 N Robbins Rd Ste 100 NPI: 1104266444 (208) 706-2663 8854 W Emerald St Ste Boise, ID 83704 Group(s): St Lukes Clinic Boise, ID 83702 (208) 302-3500 (208) 706-2663 140 Treasure Valley Llc Boise, ID 83704 Group(s): St Alphonsus Spanish Group(s): St Lukes Clinic Regional Medical Center Treasure Valley Llc (208) 321-4790 Group(s): Orthopaedic Physicians -1861676298 Associates Pa

140 Specialists / Especialistas Orthopaedic Surgery continued/Cirugía ortopédica continuación Ada County continued/Condado seguido

Hassinger, Sean, MDx~* Kemp, Travis, MDx~* Trimble, Michael, PAx~ Dang, Debbie, MDx~* NPI: 1619916939 NPI: 1669607172 * NPI: 1427324326 7979 W Rifleman St 7979 W Rifleman St NPI: 1649235581 1075 N Curtis Rd Ste 300 Boise, ID 83704 Boise, ID 83704 6165 Emerald St Boise, ID 83706 (208) 855-2410 (208) 855-2410 Boise, ID 83704 (208) 302-3100 Group(s): Allied Group(s): Allied (208) 302-3500 Group(s): St Alphonsus Orthopedics Orthopedics Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Hessing, Jeffrey, MD~* Lindner, William, MDx~ Physicians -1861676298 NPI: 1023068194 * Flint, Wesley, MDx~* 8854 W Emerald St Ste NPI: 1982649927 Trimble, Michael, PAx~ NPI: 1659691210 140 7979 W Rifleman St * 1075 N Curtis Rd Ste 300 Boise, ID 83704 Boise, ID 83704 NPI: 1649235581 Boise, ID 83706 (208) 321-4790 (208) 855-2410 6165 Emerald St (208) 302-3100 Group(s): Orthopaedic Group(s): Allied Boise, ID 83704 Group(s): St Alphonsus Associates Pa Orthopedics (208) 302-3500 Regional Medical Center Group(s): Saint Alphonsus Physicians -1861676298 Jin, Jenny, MD~* Lynch, Joseph, MDx~* Specialty Services Inc, St NPI: 1235493206 NPI: 1205944303 Alphonsus Regional Floyd, Charles, MD~* 6165 Emerald St 8854 W Emerald Ste 102 Medical Center Physicians NPI: 1124039714 Boise, ID 83704 Boise, ID 83704 -1861676298 1075 N Curtis Rd Ste 101 (208) 302-3500 (208) 323-4747 Boise, ID 83706 Group(s): St Alphonsus Group(s): The Shoulder Young, James, PAx~* (208) 287-9420 Regional Medical Center Clinic Of Idaho NPI: 1740557420 Group(s): Timothy Floyd Physicians -1861676298 6165 Emerald St Md Pllc Spelich, Mark, MDx~* Boise, ID 83704 Johnson, Jared, MDx~* NPI: 1972513083 (208) 302-3500 Garver, Rachelx~* NPI: 1891982559 7979 W Rifleman St Group(s): St Alphonsus NPI: 1447500210 8854 W Emerald Ste 102 Boise, ID 83704 Regional Medical Center 901 N Curtis Rd Ste 501 Boise, ID 83704 (208) 855-2410 Physicians -1861676298 Boise, ID 83706 (208) 323-4747 Group(s): Allied (208) 302-3900 Group(s): The Shoulder Orthopedics - 83706 Group(s): St Alphonsus Clinic Of Idaho Swenson, Andrew, PAx~ Coughlin, Michael, MDx Regional Medical Center ~* Physicians -1861676298 Jurgensmeier, Darin, * NPI: 1710362710 NPI: 1023010824 MDx~* 1075 N Curtis Rd Ste 300 Hirose, Christopher, MD 6165 Emerald St x~* NPI: 1952537060 Boise, ID 83706 Boise, ID 83704 NPI: 1437111267 6165 Emerald St (208) 302-3100 Boise, ID 83704 (208) 302-3500 1075 N Curtis Rd Ste 300 Group(s): St Alphonsus Group(s): St Alphonsus Boise, ID 83706 (208) 302-3500 Regional Medical Center Regional Medical Center (208) 302-3100 Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298 Russian

141 Specialists / Especialistas Orthopaedic Surgery continued/Cirugía ortopédica continuación Ada County continued/Condado seguido

Jones, Erin, PAx~* Overocker, Jason, PAx~ MERIDIAN Hansen, Robert, MDx~* NPI: 1255867552 * - 83642 NPI: 1285623702 NPI: 1033581269 1075 N Curtis Rd Ste 300 Andrew, Shane, DOx~* 3875 E Overland Rd Boise, ID 83706 901 N Curtis Rd Ste 501 NPI: 1356308316 Meridian, ID 83642 (208) 302-3100 Boise, ID 83706 3025 W Cherry Ln (208) 895-0888 (208) 302-3900 Group(s): St Alphonsus Meridian, ID 83642 Group(s): Orthopedic & Group(s): St Alphonsus Regional Medical Center (208) 302-3200 Fracture Clinic Pa Physicians -1861676298 Regional Medical Center Group(s): St Alphonsus French Physicians -1861676298 Regional Medical Center Knierim, Ann, MDx~* Other Specialties: Surgery Hassinger, Sean, MDx~* NPI: 1346402757 Physicians -1861676298 NPI: 1619916939 901 N Curtis Rd Ste 501 Overocker, Jason, PAx~ Tagalog 3015 E Magic View Dr * Boise, ID 83706 Bradley, William, MDx~ Ste 120 (208) 302-3900 NPI: 1033581269 * Meridian, ID 83642 999 N Curtis Rd Ste 415 Group(s): St Alphonsus NPI: 1245273382 (208) 855-2410 Boise, ID 83706 Regional Medical Center 360 E Montvue Dr Ste 100 Group(s): Allied (208) 302-2600 Physicians -1861676298 Ste 100 Orthopedics Group(s): St Alphonsus Low, Jeffrey, MDx~* Meridian, ID 83642 Kemp, Travis, MDx~* Regional Medical Center (208) 855-2900 NPI: 1407884141 Physicians -1861676298 NPI: 1669607172 Group(s): Spine Institute 901 N Curtis Rd Ste 501 Other Specialties: Surgery 3015 E Magic View Dr Boise, ID 83706 Of Idaho Ste 120 (208) 302-3900 - 83712 Other Specialties: Meridian, ID 83642 Group(s): St Alphonsus Showalter, Larry, MDx~ Orthopaedic Surgery Of (208) 855-2410 Regional Medical Center * The Spine Group(s): Allied Physicians -1861676298 NPI: 1942211818 Bradley, William, MDx~ Orthopedics 100 E Idaho St Ste 200 * Nixon, Devon, MD~* Boise, ID 83712 Kristensen, Ronald, MD NPI: 1245273382 x~* NPI: 1730525551 (208) 381-7122 520 S Eagle Rd Ste 1201 NPI: 1215948807 1075 N Curtis Rd Ste 300 Group(s): St Lukes Clinic Meridian, ID 83642 3399 E Louise Dr Ste 200 Boise, ID 83706 Treasure Valley Llc (208) 302-3100 (208) 381-5500 Meridian, ID 83642 Group(s): St Alphonsus EAGLE Group(s): St Lukes Clinic (208) 706-2663 Regional Medical Center - 83616 Treasure Valley Llc Group(s): St Lukes Clinic Physicians -1861676298 Other Specialties: Treasure Valley Llc Shevlin, Michael, MDx~ Orthopaedic Surgery Of Other Specialties: * The Spine Kristensen, Ronald, MD Orthopaedic Hand Surgery NPI: 1407075328 x~* 323 E Riverside Dr Ste Chlebeck, Jesse, MDx~* NPI: 1215948807 224 NPI: 1073879185 520 S Eagle Rd Ste 3213 Eagle, ID 83616 3277 E Louise Dr Ste 200 Meridian, ID 83642 (208) 302-0000 Meridian, ID 83642 (208) 706-2663 Group(s): St Alphonsus (208) 463-3000 Group(s): St Lukes Clinic Regional Medical Center Group(s): Saltzer Clinics Treasure Valley Llc Physicians -1861676298

142 Specialists / Especialistas Orthopaedic Surgery continued/Cirugía ortopédica continuación Ada County continued/Condado seguido

Lawler, Christopher, Poole, Colin, MD~* Sjostrom, Rebecca, MDx Tadje, Jared, MDx~* MDx~* NPI: 1215948104 ~* NPI: 1821006289 NPI: 1801801576 2365 E Gala St Ste 1 NPI: 1760654651 520 S Eagle Rd Ste 1201 520 S Eagle Rd Ste 3213 Meridian, ID 83642 3399 E Louise Dr Ste 200 Meridian, ID 83642 Meridian, ID 83642 (208) 391-5811 Meridian, ID 83642 (208) 706-5988 (208) 706-2663 Group(s): Poole Joint (208) 706-2663 Group(s): Tadje Group(s): St Lukes Clinic Replacement Group(s): St Lukes Clinic Orthopaedics Llc Treasure Valley Llc Treasure Valley Llc Cantonese Powell, Shelli, MDx~* Lindner, William, MDx~ NPI: 1114941176 Smith, Carla, MDx~* Walker, Robert, MDx~* * 3399 E Louise Dr Ste 200 NPI: 1336145721 NPI: 1306856471 NPI: 1982649927 Meridian, ID 83642 3399 E Louise Dr Ste 200 520 S Eagle Rd Ste 3213 3015 E Magic View Dr (208) 706-2663 Meridian, ID 83642 Meridian, ID 83642 Ste 120 Group(s): St Lukes Clinic (208) 706-2663 (208) 706-2663 Meridian, ID 83642 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 855-2410 Treasure Valley Llc Treasure Valley Llc Group(s): Allied Robison, Jason, MDx~* Smith, John, MDx~* Orthopedics NPI: 1801010541 Wells, Britton, MDx~* 520 S Eagle Rd Ste 2209 NPI: 1447249131 NPI: 1245210400 Menzner, Jeffry, MDx~* Meridian, ID 83642 3875 E Overland Rd 3399 E Louise Dr Ste 200 NPI: 1487607198 (208) 706-2663 Meridian, ID 83642 Meridian, ID 83642 520 S Eagle Rd Ste 3213 Group(s): St Lukes Clinic (208) 895-0888 (208) 706-2663 Meridian, ID 83642 Treasure Valley Llc Group(s): Orthopedic & Group(s): St Lukes Clinic (208) 706-2663 Spanish Fracture Clinic Pa Treasure Valley Llc Group(s): St Lukes Clinic Spanish, Italian Treasure Valley Llc Roser, Steven, MDx~* Canyon NPI: 1992716872 Spelich, Mark, MDx~* Moore, Andrew, MDx~* 520 S Eagle Rd Ste 2209 NPI: 1972513083 CALDWELL NPI: 1780662999 Meridian, ID 83642 3015 E Magic View Dr - 83605 520 S Eagle Rd Ste 2209 (208) 706-2663 Ste 120 Glover, Michael, MDx~* Meridian, ID 83642 Group(s): St Lukes Clinic Meridian, ID 83642 NPI: 1013235423 (208) 706-2663 Treasure Valley Llc (208) 855-2410 1906 Fairview Ave Ste Group(s): St Lukes Clinic Group(s): Allied 420 Ste 420 Treasure Valley Llc Showalter, Larry, MDx~ Orthopedics * Caldwell, ID 83605 Nicola, George, MDx~* NPI: 1942211818 Tadje, Jared, MDx~* (208) 855-2900 NPI: 1427047117 3399 E Louise Dr Ste 200 NPI: 1821006289 Group(s): Spine Institute 3875 E Overland Rd Meridian, ID 83642 2365 E Gala St Ste 1 Of Idaho Meridian, ID 83642 (208) 706-2663 Meridian, ID 83642 Nicola, George, MDx~* (208) 895-0888 Group(s): St Lukes Clinic (208) 515-2654 NPI: 1427047117 Group(s): Orthopedic & Treasure Valley Llc Group(s): Tadje 206 E Elm St Fracture Clinic Pa Orthopaedics Llc Caldwell, ID 83605 Cantonese (208) 459-4511 Group(s): Orthopedic & Fracture Clinic Pa

143 Specialists / Especialistas Orthopaedic Surgery continued/Cirugía ortopédica continuación Canyon County continued/Condado seguido

NAMPA Wolf, Jonathon, MDx~* Johnson, Miers, MDx~* Shevlin, Michael, MDx~ - 83686 NPI: 1245483031 NPI: 1942291521 * NPI: 1407075328 Chlebeck, Jesse, MDx~* 215 E Hawaii Ave 4424 E Flamingo Ave Ste NPI: 1073879185 Nampa, ID 83686 110 4424 E Flamingo Ave Ste 215 E Hawaii Ave (208) 463-3000 Nampa, ID 83687 110 Nampa, ID 83687 Nampa, ID 83686 Group(s): Saltzer Clinics (208) 302-3200 Group(s): St Alphonsus (208) 302-3200 (208) 463-3000 - 83687 Group(s): Saltzer Clinics Regional Medical Center Group(s): St Alphonsus Andrew, Shane, DOx~* Physicians -1861676298 Regional Medical Center Kristensen, Ronald, MD NPI: 1356308316 Physicians -1861676298 x~* 4424 E Flamingo Ave Ste Lawyer, Tracye, MD~* NPI: 1215948807 NPI: 1003170325 Winegar, Corbett, MDx~ 110 * 215 E Hawaii Ave Nampa, ID 83687 9850 W St Lukes Dr Ste Nampa, ID 83686 215 NPI: 1669632386 (208) 302-3200 9850 W St Lukes Dr (208) 706-2663 Nampa, ID 83687 Group(s): St Alphonsus Nampa, ID 83687 Group(s): St Lukes Clinic (208) 706-2663 Regional Medical Center (208) 463-3000 Treasure Valley Llc Physicians -1861676298 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Saltzer Clinics Newton, Aaron, DOx~* Tagalog Other Specialties: Surgery NPI: 1538507520 Chlebeck, Jesse, MDx~* Manos, Richard, MDx~* 215 E Hawaii Ave NPI: 1073879185 NPI: 1356451249 Orthopaedic Surgery - Nampa, ID 83686 9850 St Lukes Dr Ste 129 4424 E Flamingo Ave Sports Medicine Nampa, ID 83687 (208) 463-3000 Ste 129 Idaho Group(s): Saltzer Clinics Nampa, ID 83687 (208) 855-2900 Other Specialties: (208) 463-3000 Group(s): Spine Institute Ada Orthopaedic Surgery - Group(s): Saltzer Clinics Of Idaho Sports Medicine BOISE Davis, Richard, MDx~* Overocker, Jason, PAx~ - 83702 * Walker, Robert, MDx~* NPI: 1124017652 Cunagin, Catherine, MD NPI: 1306856471 4424 E Flamingo Ave Ste NPI: 1033581269 4400 E Flamingo Ave Ste x~* 215 E Hawaii Ave 110 NPI: 1740316116 Nampa, ID 83686 Nampa, ID 83687 200 Nampa, ID 83687 703 S Americana Blvd Ste (208) 706-2663 (208) 302-3200 120 Group(s): St Lukes Clinic Group(s): St Alphonsus (208) 302-2700 Group(s): St Alphonsus Boise, ID 83702 Treasure Valley Llc Regional Medical Center (208) 706-2663 Physicians -1861676298 Regional Medical Center Winegar, Corbett, MDx~ Physicians -1861676298 Group(s): St Lukes Clinic * Glover, Michael, MDx~* Other Specialties: Surgery Treasure Valley Llc NPI: 1669632386 NPI: 1013235423 Heggland, Erik, MDx~* 215 E Hawaii Ave 4424 E Flamingo Ave NPI: 1780694182 Nampa, ID 83686 Nampa, ID 83687 600 N Robbins Rd Ste 100 (208) 463-3000 (208) 855-2900 Boise, ID 83702 Group(s): Saltzer Clinics Group(s): Spine Institute (208) 706-2663 Other Specialties: Surgery Of Idaho Group(s): St Lukes Clinic Treasure Valley Llc

144 Specialists / Especialistas Orthopaedic Surgery - Sports Medicine continued/Cirugía ortopédica - medicina deportiva continuación Ada County continued/Condado seguido

- 83704 Orthopaedic Surgery Otolaryngology - 83712 Mcgee, Dennis, MDx~* Of The Spine Idaho Robison, Jacob, MD~* NPI: 1679584577 NPI: 1255596771 Idaho 6165 Emerald St Ada 305 E Jefferson St Boise, ID 83704 Boise, ID 83712 Canyon BOISE (208) 302-3500 (208) 381-9590 Group(s): St Alphonsus NAMPA - 83704 Group(s): St Lukes Clinic Regional Medical Center - 83687 Affleck, Brian, MDx~* Treasure Valley Llc Physicians -1861676298 Jorgenson, Samuel, MD~ NPI: 1386633824 Samoan * 900 N Liberty St Ste 400 Moore, Richard, MDx~* NPI: 1962447169 Boise, ID 83704 MERIDIAN NPI: 1679519367 4424 E Flamingo Ave (208) 367-3320 - 83642 6165 Emerald St Nampa, ID 83687 Group(s): Southwest Idaho Boyajian, John, MDx~* Boise, ID 83704 (208) 855-2900 Ear Nose And Throat NPI: 1942205604 (208) 302-3500 Group(s): Spine Institute Spanish 3085 E Magic View Dr Group(s): St Alphonsus Ste 140 Of Idaho Killian, Peter, MDx~* Regional Medical Center Meridian, ID 83642 NPI: 1821048091 Physicians -1861676298 Orthopaedic Trauma (208) 433-9300 900 N Liberty St Ste 400 Group(s): Specialty MERIDIAN Idaho Boise, ID 83704 - 83642 Clinics Of Idaho Ada (208) 367-3320 Neary, Kaitlin, MDx~* Group(s): Southwest Idaho Canyon NPI: 1053609073 BOISE Ear Nose And Throat 3399 E Louise Dr Ste 200 - 83706 NAMPA Schwarz, Matthew, MDx - 83687 Meridian, ID 83642 Squyer, Emily, MDx~* ~* (208) 706-2663 NPI: 1467618223 NPI: 1992788434 Affleck, Brian, MDx~* Group(s): St Lukes Clinic 901 N Curtis Rd Ste 501 900 N Liberty St Ste 400 NPI: 1386633824 Treasure Valley Llc Boise, ID 83706 Boise, ID 83704 4424 E Flamingo Ave Ste 320 Canyon (208) 302-3900 (208) 367-3320 Group(s): St Alphonsus Group(s): Southwest Idaho Nampa, ID 83687 NAMPA Regional Medical Center Ear Nose And Throat (208) 367-3320 - 83687 Physicians -1861676298 Group(s): Southwest Idaho - 83706 Ear Nose And Throat Foote, John, MD~* Beasley, Donald, MD~* Spanish NPI: 1154310597 NPI: 1770573750 4424 E Flamingo Ave Ste Beasley, Donald, MD~* 901 N Curtis Rd Ste 104 110 NPI: 1770573750 Nampa, ID 83687 Boise, ID 83706 4400 E Flamingo Ave Ste (208) 302-1000 (208) 302-6800 200 Group(s): St Alphonsus Group(s): St Alphonsus Nampa, ID 83687 Regional Medical Center Regional Medical Center (208) 302-1000 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus Spanish Regional Medical Center Physicians -1861676298

145 Specialists / Especialistas Otolaryngology continued/Otorrinolaringología continuación Canyon County continued/Condado seguido

Collins, Branson, MD~* Otolaryngology/ Otology & Pain Medicine NPI: 1588096804 Facial Plastic Surgery Neurotology 4424 E Flamingo Ave Ste Idaho 310 Idaho Idaho Ada Nampa, ID 83687 Ada Ada (208) 302-3760 BOISE Group(s): St Alphonsus BOISE BOISE - 83702 Regional Medical Center - 83713 - 83704 Martsenyuk, Anna, NPx Physicians -1861676298 Rodgers, Bret, MDx~* Maughan, Delray, MD~* ~* NPI: 1053719161 Harris, Eli, MD~* NPI: 1396763272 NPI: 1649253188 633 N 4th St NPI: 1235472531 6077 N Eagle Rd 1072 N Liberty St Ste 303 Boise, ID 83702 4424 E Flamingo Ave Ste Boise, ID 83713 Boise, ID 83704 (208) 342-9800 310 (208) 939-9000 (208) 302-4100 Group(s): The Pain Center Nampa, ID 83687 Group(s): Boise Laser And Group(s): St Alphonsus Russian, Ukrainian (208) 302-3760 Cosmetic Surgery Center Regional Medical Center Group(s): St Alphonsus Pc Physicians -1861676298 - 83706 Regional Medical Center Canyon Oxygen Equipment & Farrell, Patrick, MD~* Physicians -1861676298 Supplies NPI: 1740238849 Jones, Arthur, MDx~* NAMPA 1055 N Curtis Rd NPI: 1659354223 - 83687 Idaho Boise, ID 83706 4424 E Flamingo Ave Ste Garner, Eric, MDx~* Ada (208) 302-3700 320 NPI: 1225011893 Group(s): St Alphonsus Nampa, ID 83687 4424 E Flamingo Ave Ste MERIDIAN Regional Medical Center (208) 367-3320 320 - 83642 Physicians -1861676298 Group(s): Southwest Idaho Nampa, ID 83687 Medicap Pharmacy~* MERIDIAN Ear Nose And Throat (208) 367-3320 NPI: 1760597793 - 83642 Group(s): Southwest Idaho 2790 W Cherry Ln Ste Rustad, Todd, MDx~* Bretz, Bradley, MDx~* Ear Nose And Throat 100 NPI: 1306829973 NPI: 1124016464 Meridian, ID 83642 4424 E Flamingo Ave Ste 520 S Eagle Rd Ste 1222 (208) 805-1070 320 Meridian, ID 83642 Group(s): Medicap Nampa, ID 83687 (208) 947-2266 Pharmacy (208) 367-3320 Group(s): St Lukes Clinic Group(s): Southwest Idaho Treasure Valley Llc Ear Nose And Throat Severson, Michael, MDx Schwarz, Matthew, MDx ~* ~* NPI: 1205827904 NPI: 1992788434 520 S Eagle Rd Ste 1222 4424 E Flamingo Ave Ste Meridian, ID 83642 320 (208) 947-2266 Nampa, ID 83687 Group(s): St Lukes Clinic (208) 367-3320 Treasure Valley Llc Group(s): Southwest Idaho Ear Nose And Throat

146 Specialists / Especialistas Pain Medicine continued/Medicina para el dolor continuación Canyon County/Condado

Canyon Thompson, Sandra, MD Pain Medicine - Physical Medicine & x~* CALDWELL NPI: 1326085713 Physical Medicine & Rehabilitation - 83605 633 N 4th St Rehabilitation Idaho Martsenyuk, Anna, NPx Boise, ID 83702 Idaho Ada ~* (208) 342-9800 NPI: 1053719161 Group(s): The Pain Center Ada BOISE 1825 S Kimball Ave - 83704 MERIDIAN - 83702 Caldwell, ID 83605 - 83642 Cox, Rodde, MDx~* (208) 455-3535 Thompson, Sandra, MD x~* Rogers, Beth, MDx~* NPI: 1417950213 Group(s): The Pain Center NPI: 1326085713 NPI: 1427151539 600 N Robbins Rd Ste 300 Russian, Ukrainian 900 N Liberty St Ste 300 360 E Montvue Dr Ste 100 Boise, ID 83702 NAMPA Ste 300 Ste 100 (208) 706-0400 - 83687 Boise, ID 83704 Meridian, ID 83642 Group(s): St Lukes Clinic Treasure Valley Llc Lattin, John, MD~* (208) 991-5293 (208) 855-2900 NPI: 1477949261 Group(s): Precision Group(s): Spine Institute Friedman, Robert, MDx 4424 E Flamingo Ave Ste Surgery Center Pllc Of Idaho ~* NPI: 1457337446 310 Canyon Canyon Nampa, ID 83687 600 N Robbins Rd (208) 302-3760 CALDWELL NAMPA Entrance 1 Floor 2 Group(s): St Alphonsus - 83605 - 83687 Boise, ID 83702 (208) 381-9375 Regional Medical Center Thompson, Sandra, MD Rogers, Beth, MDx~* Physicians -1861676298 x~* NPI: 1427151539 Group(s): St Lukes Clinic Treasure Valley Llc Pain Medicine - NPI: 1326085713 4424 E Flamingo Ave 1825 S Kimball Ave Nampa, ID 83687 Friedman, Robert, MDx Anesthesiology Caldwell, ID 83605 (208) 855-2900 ~* Idaho (208) 455-3535 Group(s): Spine Institute NPI: 1457337446 Group(s): The Pain Center Of Idaho 600 N Robbins Rd Ste 300 Ada Ste 300 Pharmacy BOISE Boise, ID 83702 - 83702 Idaho (208) 489-4016 Group(s): Idaho Physical Binegar, William, MD~* Canyon Medicine And NPI: 1457393811 Rehabilitation Pa 301 W Myrtle St NAMPA Boise, ID 83702 - 83686 (208) 342-8200 Vics Family Pharmacy Group(s): Pain Care Incx~* Center Boise Llc NPI: 1255329405 1513 12th Ave Rd Nampa, ID 83686 (208) 465-7000 Group(s): Vics Family Pharmacy Inc

147 Specialists / Especialistas Physical Medicine & Rehabilitation continued/Medicina y rehabilitación física continuación Ada County continued/Condado seguido

Harris, Mark, MDx~* Krafft, Kevin, MDx~* Mcmartin, Michael, MD MERIDIAN NPI: 1790825842 NPI: 1447253232 x~* - 83642 NPI: 1174526974 600 N Robbins Rd Ste 300 6140 W Curtisian Ave Ste Cox, Rodde, MDx~* Ste 300 400 901 N Curtis Rd Ste 204 NPI: 1417950213 Boise, ID 83702 Boise, ID 83704 Boise, ID 83706 520 S Eagle Rd Ste 1243 (208) 302-3780 (208) 489-4016 (208) 327-5650 Meridian, ID 83642 Group(s): St Alphonsus Group(s): Idaho Physical Group(s): Northwest (208) 333-2225 Medicine And Physical Medicine And Regional Medical Center Group(s): St Lukes Clinic Rehabilitation Pa Rehabilitation Physicians -1861676298 Treasure Valley Llc Spanish Ziebarth, Jessica, DOx~* Whitaker, James, DOx~ Gussner, Christian, MDx Mcmartin, Michael, MD * NPI: 1467747618 ~* x~* NPI: 1750692562 1055 N Curtis Rd NPI: 1063498954 NPI: 1174526974 9510 W Fairview Ave Boise, ID 83706 3551 E Overland Rd 600 N Robbins Rd Ste 300 Boise, ID 83704 (208) 367-2121 Meridian, ID 83642 Boise, ID 83702 (208) 322-5922 Group(s): St Alphonsus (208) 884-1333 (208) 706-0400 Group(s): Idaho Joint And Regional Medical Center Group(s): Idaho Physical Group(s): St Lukes Clinic Spine Pc Physicians -1861676298 Medicine And Treasure Valley Llc - 83706 - 83712 Rehabilitation Pa Weiss, Michael, MDx~* Keel, Amanda, MDx~* Friedman, Robert, MDx Harris, Mark, MDx~* NPI: 1174574271 NPI: 1063491231 ~* NPI: 1790825842 703 S Americana Blvd Ste 1055 N Curtis Rd 6th NPI: 1457337446 3551 E Overland Rd 130 Floor S Tower 6 W 100 E Idaho St Ste 200 Meridian, ID 83642 Boise, ID 83702 Boise, ID 83706 Boise, ID 83712 (208) 884-1333 (208) 706-7500 (208) 367-3000 (208) 381-7122 Group(s): Idaho Physical Group(s): St Lukes Clinic Group(s): St Alphonsus Group(s): St Lukes Clinic Medicine And Treasure Valley Llc Regional Medical Center Treasure Valley Llc Rehabilitation Pa Albanian Physicians -1861676298 KUNA Spanish - 83704 Keel, Amanda, MDx~* - 83634 Keel, Amanda, MDx~* Baker, Janna, PA~* NPI: 1063491231 Whitaker, James, DOx~ NPI: 1063491231 NPI: 1376842138 901 N Curtis Rd Ste 204 * 520 S Eagle Rd Ste 1243 6051 W Emerald St Boise, ID 83706 NPI: 1750692562 Meridian, ID 83642 Boise, ID 83704 (208) 302-3780 1619 N Linder Rd (208) 333-2225 (208) 302-5150 Group(s): St Alphonsus Kuna, ID 83634 Group(s): St Lukes Clinic Group(s): St Alphonsus Regional Medical Center (208) 322-5922 Treasure Valley Llc Regional Medical Center Physicians -1861676298 Group(s): Idaho Joint And Physicians -1861676298 Spine Pc

148 Specialists / Especialistas Physical Medicine & Rehabilitation continued/Medicina y rehabilitación física continuación Ada County continued/Condado seguido

Quattrone, Barbara, MD Physical Therapist Comley, Tayler, PTx~* Hammer, Jim, PTx~* x~* NPI: 1649714163 NPI: 1245494269 NPI: 1093791972 Idaho 1520 W State St Ste 210 1673 W Shoreline St Ste 3551 E Overland Rd Ada Boise, ID 83702 230 Meridian, ID 83642 (208) 336-8433 Boise, ID 83702 (208) 884-1333 BOISE Group(s): Therapeutic (208) 343-4700 Group(s): Idaho Physical - 83702 Associates Inc Group(s): Foothills Medicine And Aberg, Jason, PTx~* Physical Therapy Pa Rehabilitation Pa Crawford, Jacob, PTx~* NPI: 1982611836 NPI: 1346764701 Hopstad, Jerret, PTx~* Williams, Travis, DOx~* 1673 W Shoreline St Ste 1673 W Shoreline Dr Ste NPI: 1083620553 NPI: 1417337387 230 230 1673 W Shoreline St Ste 3551 E Overland Rd Boise, ID 83702 Boise, ID 83702 230 Meridian, ID 83642 (208) 343-4700 (208) 343-4700 Boise, ID 83702 (208) 884-1333 Group(s): Foothills Group(s): Foothills (208) 343-4700 Group(s): Idaho Physical Physical Therapy Pa Physical Therapy Pa Group(s): Foothills Medicine And Anderson, Dave, PTx~* Arabic Physical Therapy Pa Rehabilitation Pa NPI: 1265870117 Crowe, Christopher, PT Kent, Dylan, PTx~* Canyon 1673 W Shoreline St Ste x~* NPI: 1376919548 230 NPI: 1750871422 1673 W Shoreline Dr Ste NAMPA Boise, ID 83702 1673 W Shoreline Dr Ste 230 - 83687 (208) 343-4700 230 Boise, ID 83702 Sutton, Danielle, NPx~* Group(s): Foothills Boise, ID 83702 (208) 343-4700 NPI: 1528427796 Physical Therapy Pa (208) 343-4700 Group(s): Foothills 16111 N Brinson St Ste Bastian, Bret, PTx~* Group(s): Foothills Physical Therapy Pa 110 Physical Therapy Pa NPI: 1760798375 Kutzner, Kimberly, PTx Nampa, ID 83687 1673 W Shoreline St Ste Devitt, Michael, PTx~* ~* (208) 468-9400 230 NPI: 1851455794 NPI: 1407123102 Group(s): Advanced Boise, ID 83702 1150 W State St Ste 301 2302 N Bogus Basin Rd Specialty Care For (208) 343-4700 Boise, ID 83702 Ste C Women Group(s): Foothills (208) 367-1528 Boise, ID 83702 Physical Therapy Pa Group(s): Focus Physical (208) 344-0737 Brunelle, Tommy, PTx~ Therapy Group(s): Thrive Physical Therapy And Pilates * Gerhart, Monica, PTx~* NPI: 1730356510 NPI: 1326140468 Lubbers, Ali, PTx~* 1673 W Shoreline St Ste 1150 W State St Ste 301 NPI: 1972911196 230 Boise, ID 83702 2302 N Bogus Basin Rd Boise, ID 83702 (208) 367-1528 Ste C (208) 343-4700 Group(s): Focus Physical Boise, ID 83702 Group(s): Foothills Therapy (208) 344-0737 Physical Therapy Pa Group(s): Thrive Physical Therapy And Pilates

149 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Martin, Pam, PTx~* Woods, Nick, PTx~* Pettinger, Jeremy, PTx~ Arnell, William, PTx~* NPI: 1154380293 NPI: 1790792646 * NPI: 1619537487 1673 W Shoreline St Ste 1673 W Shoreline St Ste NPI: 1700916087 554 N Steelhead Way Ste 230 230 5909 W State St 162 Boise, ID 83702 Boise, ID 83702 Boise, ID 83703 Boise, ID 83704 (208) 343-4700 (208) 343-4700 (208) 343-7700 (208) 323-9747 Group(s): Foothills Group(s): Foothills Group(s): Physical Group(s): Wright Physical Physical Therapy Pa Physical Therapy Pa Therapy 180 Therapy Limited Partnership Oneal, Brian, PTx~* - 83703 Saur, Sebastian, PTx~* NPI: 1093970675 Gustavsen, Evan, PTx~* NPI: 1740830801 Billings, David, PTx~* 1673 W Shoreline St Ste NPI: 1932754496 5909 W State St NPI: 1215233952 230 5909 W State St Boise, ID 83703 554 N Steelhead Way Ste Boise, ID 83702 Boise, ID 83703 (208) 343-7700 162 (208) 343-4700 (208) 343-7700 Group(s): Physical Boise, ID 83704 Group(s): Foothills Group(s): Physical Therapy 180 (208) 323-9747 Physical Therapy Pa Therapy 180 - 83704 Group(s): Wright Physical Therapy Limited Scanlan, Stacey, PTx~* Langley, Randall, PTx~* Allred, Jason, PTx~* Partnership NPI: 1689756603 NPI: 1598852139 NPI: 1417998162 2302 N Bogus Basin Rd 5470 W State St 554 N Steelhead Wy Ste Birnbaum, Susan, PTx~* Ste C Boise, ID 83703 162 NPI: 1245590686 Boise, ID 83702 (208) 344-2525 Boise, ID 83704 554 N Steelhead Wy Ste (208) 344-0737 Group(s): Rebound (208) 323-9747 162 Group(s): Thrive Physical Physical Therapy Group(s): Intermountain Boise, ID 83704 Therapy And Pilates Physical Therapy (208) 323-9747 Leddige, Sarah, PTx~* Group(s): Intermountain Swan, Lisa, PTx~* NPI: 1396210530 Anderson, Kade, PTx~* Physical Therapy NPI: 1275603086 5470 W State St NPI: 1942748934 1673 W Shoreline St Ste Boise, ID 83703 554 N Steelhead Way Ste Bradshaw, Jonathan, PT 230 (208) 344-2525 162 x~* Boise, ID 83702 Group(s): Rebound Boise, ID 83704 NPI: 1508413709 (208) 343-4700 Physical Therapy (208) 323-9747 554 N Steelhead Way Ste Group(s): Foothills Group(s): Wright Physical 162 Physical Therapy Pa Peppley, Anthony, PTx~ Therapy Limited Boise, ID 83704 * Partnership (208) 323-9747 Thatcher, Jody, PTx~* NPI: 1144335860 Group(s): Wright Physical NPI: 1881759645 5470 W State St Anttonen, Heidi, PTx~* Therapy Limited 2302 N Bogus Basin Rd Boise, ID 83703 NPI: 1538136163 Partnership Ste C (208) 344-2525 554 N Steelhead Wy Ste Boise, ID 83702 Group(s): Rebound 162 (208) 344-0737 Physical Therapy Boise, ID 83704 Group(s): Thrive Physical (208) 323-9747 Therapy And Pilates Group(s): Intermountain Physical Therapy

150 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Brady, Jordan, PTx~* Cherry, Kevin, PTx~* Holgate, Brian, PTx~* Leibler, Maria, PTx~* NPI: 1477959328 NPI: 1588924724 NPI: 1629312269 NPI: 1881051860 554 N Steelhead Way Ste 554 N Steelhead Way Ste 554 N Steelhead Wy Ste 554 N Steelhead Way Ste 162 162 162 162 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 323-9747 (208) 323-9747 (208) 323-9747 (208) 323-9747 Group(s): Wright Physical Group(s): Wright Physical Group(s): Intermountain Group(s): Intermountain Therapy Limited Therapy Limited Physical Therapy Physical Therapy Limited Partnership Partnership Partnership, Intermountain Horton, Mary, PTx~* Physical Therapy - Mg Broadhead, Elliot, PTx~ Christensen, Cory, PTx~ NPI: 1154773604 * * 554 N Steelhead Wy Ste Mcdermott, Brian, PTx~ NPI: 1255996468 NPI: 1417389909 162 * 554 N Steelhead Way Ste 554 N Steelhead Way Ste Boise, ID 83704 NPI: 1649506502 162 162 (208) 323-9747 7550 W Emerald St Ste Boise, ID 83704 Boise, ID 83704 Group(s): Intermountain 101 (208) 323-9747 (208) 323-9747 Physical Therapy Boise, ID 83704 Group(s): Wright Physical Group(s): Wright Physical (208) 375-0666 Therapy Limited Therapy Limited Huntington, Alexandra, Group(s): Peak Physical Partnership Partnership PTx~* Therapy NPI: 1609235415 Brown, Joel, PTx~* Dale, Ryan, PTx~* 554 N Steelhead Wy Ste Mcmartin, William, PTx NPI: 1679911267 NPI: 1598304321 162 ~* 554 N Steelhead Way Ste 554 N Steelhead Way Ste Boise, ID 83704 NPI: 1568904274 162 162 (208) 323-9747 554 N Steelhead Way Ste Boise, ID 83704 Boise, ID 83704 Group(s): Intermountain 162 (208) 323-9747 (208) 323-9747 Physical Therapy, Boise, ID 83704 Group(s): Wright Physical Group(s): Intermountain Intermountain Physical (208) 323-9747 Therapy Limited Physical Therapy Limited Therapy - Medical Group Group(s): Intermountain Partnership Partnership Physical Therapy Limited French Jarvis, Danielle, PTx~* Partnership, Intermountain Eichele, Daniel, PTx~* NPI: 1659433894 Physical Therapy - Mg Carling, Isaac, PTx~* NPI: 1376964759 8660 W Emerald St Ste NPI: 1689172355 7550 W Emerald St Ste 112 Mcmurray, James, PTx~ 554 N Steelhead Way Ste 101 Boise, ID 83704 * 162 Boise, ID 83704 (208) 321-7831 NPI: 1699231456 Boise, ID 83704 (208) 375-0666 Group(s): 62 Degrees 554 N Steelhead Way Ste (208) 323-9747 Group(s): Peak Physical Physical Therapy Llc 162 Group(s): Wright Physical Therapy Boise, ID 83704 Therapy Limited (208) 323-9747 Partnership Group(s): Wright Physical Therapy Limited Partnership

151 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Miller, James, PTx~* Olson, Garrett, PTx~* Sands, Charles, PTx~* Starcher, Christine, PTx NPI: 1942460845 NPI: 1629456058 NPI: 1821034513 ~* 554 N Steelhead Wy Ste 554 N Steelhead Way Ste 7550 W Emerald St Ste NPI: 1740459130 162 162 101 554 N Steelhead Wy Ste Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 162 (208) 323-9747 (208) 323-9747 (208) 375-0666 Boise, ID 83704 Group(s): Intermountain Group(s): Wright Physical Group(s): Peak Physical (208) 323-9747 Physical Therapy Therapy Limited Therapy Group(s): Intermountain Partnership Physical Therapy Moffett, Katrin, PTx~* Schnell, Sandra, PTx~* NPI: 1568892081 Peterson, James, PTx~* NPI: 1194870527 Taylor, Riley, PTx~* 8660 W Emerald St Ste NPI: 1669432076 554 N Steelhead Way Ste NPI: 1376008094 112 554 N Steelhead Way Ste 162 554 N Steelhead Way Ste Boise, ID 83704 162 Boise, ID 83704 162 (208) 321-7831 Boise, ID 83704 (208) 323-9747 Boise, ID 83704 Group(s): 62 Degrees (208) 323-9747 Group(s): Intermountain (208) 323-9747 Physical Therapy Llc Group(s): Intermountain Physical Therapy Limited Group(s): Wright Physical Faroese Physical Therapy Limited Partnership, Intermountain Therapy Limited Partnership, Intermountain Physical Therapy - Mg Partnership Moore, Steven, PTx~* Physical Therapy - Mg NPI: 1417914755 Schnell, Sandra, PTx~* Townsend, Spencer, PTx 554 N Steelhead Way Ste Reed, Mark, PTx~* NPI: 1194870527 ~* 162 NPI: 1871553388 554 N Steelhead Wy Ste NPI: 1659928885 Boise, ID 83704 554 N Steelhead Way Ste 162 554 N Steelhead Way Ste (208) 323-9747 162 Boise, ID 83704 162 Group(s): Intermountain Boise, ID 83704 (208) 323-9747 Boise, ID 83704 Physical Therapy Limited (208) 323-9747 Group(s): Intermountain (208) 323-9747 Partnership, Intermountain Group(s): Intermountain Physical Therapy, Group(s): Wright Physical Physical Therapy - Mg Physical Therapy Limited Intermountain Physical Therapy Limited Partnership, Intermountain Therapy - Medical Group Partnership Nichols, Deidra, PTx~* Physical Therapy - Mg NPI: 1225390305 Shovlin, Haley, PT~* Ward, Regan, PTx~* 554 N Steelhead Way Ste Richards, Kelson, PTx~* NPI: 1437773769 NPI: 1114374741 162 NPI: 1588010821 7550 W Emerald St 554 N Steelhead Way Ste Boise, ID 83704 554 N Steelhead Way Ste Boise, ID 83704 162 (208) 323-9747 162 (208) 375-0666 Boise, ID 83704 Group(s): Wright Physical Boise, ID 83704 Group(s): Peak Physical (208) 323-9747 Therapy Limited (208) 323-9747 Therapy - 1073551560 Group(s): Wright Physical Partnership Group(s): Wright Physical Therapy Limited Therapy Limited Partnership Partnership

152 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

White, Alex, PTx~* Wright, Bryan, PTx~* Mcmartin, William, PTx Coleman, Chloe, PTx~* NPI: 1417483280 NPI: 1265525315 ~* NPI: 1558979138 554 N Steelhead Way Ste 554 N Steelhead Way Ste NPI: 1568904274 1961 S Broadway 162 162 5255 Overland Rd Boise, ID 83706 Boise, ID 83704 Boise, ID 83704 Boise, ID 83705 (208) 422-9826 (208) 323-9747 (208) 323-9747 (208) 338-9486 Group(s): Mountain Land Group(s): Wright Physical Group(s): Wright Physical Group(s): Hands On Rehabilitation Inc Therapy Limited Therapy Limited Physical Therapy Comley, Tayler, PTx~* Partnership Partnership Oliver, Samantha, PTx~ NPI: 1649714163 Williams, Levi, PTx~* Wright, Clifton, PTx~* * 960 S Broadway Ave Ste NPI: 1871119446 NPI: 1275872590 NPI: 1821439019 200 554 N Steelhead Way Ste 554 N Steelhead Way Ste 5255 Overland Rd Boise, ID 83706 162 162 Boise, ID 83705 (208) 433-9211 Boise, ID 83704 Boise, ID 83704 (208) 338-9486 Group(s): Therapeutic (208) 323-9747 (208) 323-9747 Group(s): Hands On Associates Inc Group(s): Wright Physical Group(s): Wright Physical Physical Therapy Leddige, Sarah, PTx~* Therapy Limited Therapy Limited Richards, Candace, PTx NPI: 1396210530 Partnership Partnership ~* 1175 E Parkcenter Blvd Wilson, Ashley, PTx~* - 83705 NPI: 1356534218 Ste 104 Ste 104 NPI: 1750715157 5255 Overland Rd Boise, ID 83706 Basse, Andrea, PTx~* Boise, ID 83705 8854 W Emerald St Ste NPI: 1356756290 (208) 344-2525 280 (208) 338-9486 Group(s): Rebound 5255 Overland Rd Group(s): Hands On Boise, ID 83704 Boise, ID 83705 Physical Therapy (208) 377-5005 Physical Therapy (208) 338-9486 Tracy, Ian, PTx~* Group(s): Physical Group(s): Hands On - 83706 NPI: 1134643885 Therapy Centers Of Idaho Physical Therapy Axtell, April, PTx~* 1175 E Parkcenter Blvd Wood, James, PTx~* Chow, Bridget, PTx~* NPI: 1841606167 Ste 104 Ste 104 NPI: 1114364015 NPI: 1063418796 960 S Broadway Ave Ste Boise, ID 83706 554 N Steelhead Way Ste 5255 Overland Rd 200 (208) 344-2525 162 Boise, ID 83705 Boise, ID 83706 Group(s): Rebound Boise, ID 83704 (208) 338-9486 (208) 433-9211 Physical Therapy (208) 323-9747 Group(s): Therapeutic Group(s): Hands On White, Brian, PTx~* Group(s): Wright Physical Associates Inc Physical Therapy NPI: 1477657468 Therapy Limited Brinkman, Kenna, PTx~ 1907 S Broadway Ave Ste Partnership Dover, Twila, PTx~* * NPI: 1538165170 203 NPI: 1922452614 Boise, ID 83706 5255 Overland Rd 1961 S Broadway Boise, ID 83705 (208) 422-9826 Boise, ID 83706 Group(s): Mountain Land (208) 338-9486 (208) 422-9826 Group(s): Hands On Rehabilitation Inc Group(s): Mountain Land Danish Physical Therapy Rehabilitation Inc

153 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

- 83709 - 83713 Hamilton, Samantha, PT Oswald, Steven, PTx~* Barney, Alexander, PTx Adams, Robert, PTx~* x~* NPI: 1194266007 ~* NPI: 1881775633 NPI: 1013086610 12072 W Mcmillan Rd NPI: 1386193035 12072 W Mcmillan Rd 13895 W Wainwright Dr Boise, ID 83713 10790 W Overland Rd Boise, ID 83713 Boise, ID 83713 (208) 939-0533 Boise, ID 83709 (208) 939-0533 (208) 939-3334 Group(s): Idaho Spine (208) 322-8709 Group(s): Idaho Spine Group(s): Idaho Pediatric And Sports Physical Group(s): Rehab Authority And Sports Physical Therapy Clinic Pllc Therapy Llc Therapy Haskell, Tyler, PTx~* Patterson, Reid, PTx~* Box, Jeffrey, PTx~* Spanish NPI: 1669927000 NPI: 1750319745 NPI: 1104928258 Albrecht, Brianna, PTx~ 12072 W Mcmillan Rd 4776 N Five Mile Rd Ste 1435 S Maple Grove Rd * Boise, ID 83713 101 Boise, ID 83709 NPI: 1710417118 (208) 939-0533 Boise, ID 83713 (208) 322-6200 13895 W Wainwright Dr Group(s): Idaho Spine (208) 658-9500 Group(s): Mountain Land Boise, ID 83713 And Sports Physical Group(s): Achieve Rehabilitation Inc (208) 939-3334 Therapy Physical Therapy Group(s): Idaho Pediatric Spanish Cope, Adam, PTx~* Ineck, Yesenia, PTx~* Therapy Clinic Pllc NPI: 1811081896 NPI: 1083042154 Taylor, Jeffrey, PTx~* 10790 W Overland Rd Berg, Daranee, PTx~* 5418 N Eagle Rd Ste 170 NPI: 1346501962 Boise, ID 83709 NPI: 1649243015 Boise, ID 83713 12072 W Mcmillan Rd (208) 322-8709 5418 N Eagle Rd Ste 170 (208) 501-8264 Boise, ID 83713 Group(s): Rehab Authority Boise, ID 83713 Group(s): Restore Physical (208) 939-0533 Llc (208) 501-8264 Therapy Pc Group(s): Idaho Spine Group(s): Restore Physical Spanish And Sports Physical Jones, Alvin, PT~* Therapy Pc Therapy NPI: 1437187663 Maughan, Kyle, PTx~* 9362 W Overland Rd Cope, Adam, PTx~* NPI: 1689088726 Woodhouse, Cynthia, PT Boise, ID 83709 NPI: 1811081896 4776 N Five Mile Rd Ste x~* (208) 672-8144 5520 N Eagle Rd Ste 102 101 NPI: 1407096480 Group(s): Advance Boise, ID 83713 Boise, ID 83713 5418 N Eagle Rd Ste 170 Physical Therapy, Alvin L (208) 938-5255 (208) 658-9500 Boise, ID 83713 Jones Rpt Group(s): Rehab Authority Group(s): Achieve (208) 501-8264 Llc Physical Therapy Group(s): Restore Physical Mcmartin, William, PTx Therapy Pc ~* Dodge, Devyn, PTx~* Oliver, Samantha, PTx~ NPI: 1568904274 NPI: 1538458120 * Zacher, Tyler, PTx~* 8921 W Hackamore Dr 12072 W Mcmillan Rd NPI: 1821439019 NPI: 1437564895 Boise, ID 83709 Boise, ID 83713 5418 N Eagle Rd Ste 170 5520 N Eagle Rd Ste 102 (208) 375-1105 (208) 939-0533 Boise, ID 83713 Boise, ID 83713 Group(s): Northwest Group(s): Idaho Spine (208) 501-8264 (208) 938-5255 Occupational Medicine & And Sports Physical Group(s): Restore Physical Group(s): Rehab Authority Neurosurgical Spine Instit Therapy Therapy Pc Llc

154 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Zerr, Katie, PTx~* Burton, Tyler, PT~* Crawford, Jacob, PTx~* Herauf, Kyle, PTx~* NPI: 1285076398 NPI: 1669003695 NPI: 1346764701 NPI: 1609208156 5418 N Eagle Rd Ste 170 21 N Fisher Park Way 645 E State St Ste 101 875 E Plaza Dr Boise, ID 83713 Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 (208) 501-8264 (208) 514-0670 (208) 939-9594 (208) 939-0886 Group(s): Restore Physical Group(s): Keystone Health Group(s): Foothills Group(s): Mountain Land Therapy Pc Care Physical Therapy Pa Rehabilitation Inc Arabic EAGLE Candau, Matthew, PTx~ Hitman, Brianna, PTx~* - 83616 * Crowe, Christopher, PT NPI: 1841682895 NPI: 1457746067 x~* Aberg, Jason, PTx~* 868 E Riverside Dr Ste NPI: 1982611836 450 W State St Ste 270 NPI: 1750871422 170 645 E State St Ste 101 Eagle, ID 83616 645 E State St Ste 101 Eagle, ID 83616 (208) 462-0808 Eagle, ID 83616 Eagle, ID 83616 (208) 514-0670 Group(s): Performance (208) 939-9594 (208) 939-9594 Group(s): Keystone Group(s): Foothills Physical Therapy Of Idaho Group(s): Foothills Therapy Physical Therapy Pa Physical Therapy Pa Clark, Autumn, PTx~* Hopstad, Jerret, PTx~* NPI: 1821582495 Foxton, Emily, PTx~* Anderson, Dave, PTx~* NPI: 1083620553 77 N Fisher Park Way NPI: 1538684915 NPI: 1265870117 645 E State St Ste 101 645 E State St Ste 101 Eagle, ID 83616 77 N Fisher Park Way Eagle, ID 83616 (208) 972-0918 Eagle, ID 83616 Eagle, ID 83616 (208) 939-9594 Group(s): Caring Edge Op (208) 972-0918 (208) 939-9594 Group(s): Foothills Llc Group(s): Caring Edge Op Group(s): Foothills Physical Therapy Pa Llc Physical Therapy Pa Collins, Gina, PTx~* Horton, Mary, PTx~* NPI: 1871678037 Graham, Sarah Jo, PTx~ Bastian, Bret, PTx~* NPI: 1154773604 457 S Fitness Pl Ste 100 * NPI: 1760798375 868 E Riverside Dr Ste Eagle, ID 83616 NPI: 1386758464 170 645 E State St Ste 101 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Eagle, ID 83616 Group(s): Eagle Physical Eagle, ID 83616 (208) 939-9594 (208) 514-0670 Therapy (208) 939-3332 Group(s): Foothills Group(s): Keystone Group(s): Eagle Physical Therapy Physical Therapy Pa Comley, Tayler, PTx~* Therapy NPI: 1649714163 Johnson, James, PTx~* Boldridge, Allison, PTx~ Hammer, Jim, PTx~* * 12 N Fisher Park Way Ste NPI: 1942711882 NPI: 1245494269 NPI: 1023273331 100 77 N Fisher Park Way 645 E State St Ste 101 77 N Fisher Park Way Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 (208) 939-0140 Eagle, ID 83616 (208) 972-0918 (208) 939-9594 (208) 972-0918 Group(s): Therapeutic Group(s): Caring Edge Op Group(s): Foothills Group(s): Caring Edge Op Associates Inc Llc Physical Therapy Pa Llc

155 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Kent, Dylan, PTx~* Lougheed, Christopher, Oneal, Brian, PTx~* Swan, Lisa, PTx~* NPI: 1376919548 PTx~* NPI: 1093970675 NPI: 1275603086 645 E State St Ste 101 NPI: 1760627038 645 E State St Ste 101 645 E State St Ste 101 Eagle, ID 83616 77 N Fisher Park Way Eagle, ID 83616 Eagle, ID 83616 (208) 939-9594 Eagle, ID 83616 (208) 939-9594 (208) 939-9594 Group(s): Foothills (208) 972-0918 Group(s): Foothills Group(s): Foothills Physical Therapy Pa Group(s): Caring Edge Op Physical Therapy Pa Physical Therapy Pa Llc Kim, Serin, PTx~* Peppley, Anthony, PTx~ Talboy, Elise, PTx~* NPI: 1023626033 Martin, Pam, PTx~* * NPI: 1134606437 77 N Fisher Park Way NPI: 1154380293 NPI: 1144335860 77 N Fisher Park Way Eagle, ID 83616 645 E State St Ste 101 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 972-0918 Eagle, ID 83616 Eagle, ID 83616 (208) 972-0918 Group(s): Caring Edge Op (208) 939-9594 (208) 939-3332 Group(s): Caring Edge Op Llc Group(s): Foothills Group(s): Eagle Physical Llc Physical Therapy Pa Therapy Korell, Khristopher, PTx Tracy, Ian, PTx~* ~* Mason, Robert, PTx~* Rainey, Kimberly, PTx~ NPI: 1134643885 NPI: 1336433184 NPI: 1114308046 * 457 S Fitness Pl Ste 100 1159 E Iron Eagle Dr Ste 875 E Plaza Dr NPI: 1265689251 Eagle, ID 83616 170D Eagle, ID 83616 645 E State St Ste 101 (208) 939-3332 Eagle, ID 83616 (208) 939-0886 Eagle, ID 83616 Group(s): Eagle Physical (208) 209-3242 Group(s): Mountain Land (208) 939-9594 Therapy Group(s): Keystone Rehabilitation Inc Group(s): Foothills Therapy Physical Therapy Pa Woodhouse, Cynthia, PT Melton, Danielle, PTx~* x~* Langley, Randall, PTx~* NPI: 1255741963 Scott, Lauren, PTx~* NPI: 1407096480 NPI: 1598852139 645 E State St Ste 101 NPI: 1437266723 457 S Fitness Pl Ste 100 457 S Fitness Pl Ste 100 Eagle, ID 83616 645 E State St Ste 101 Eagle, ID 83616 Eagle, ID 83616 (208) 939-9594 Eagle, ID 83616 (208) 939-3332 (208) 939-3332 Group(s): Foothills (208) 939-9594 Group(s): Eagle Physical Group(s): Eagle Physical Physical Therapy Pa Group(s): Foothills Therapy Pa Therapy Physical Therapy Pa Oliver, Samantha, PTx~ Woods, Nick, PTx~* Leddige, Sarah, PTx~* * Simonson, Jared, PTx~* NPI: 1790792646 NPI: 1396210530 NPI: 1821439019 NPI: 1194001297 645 E State St Ste 101 457 S Fitness Pl Ste 100 457 S Fitness Pl Ste 100 77 N Fisher Park Way Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 Eagle, ID 83616 (208) 939-9594 (208) 939-3332 (208) 939-3332 (208) 972-0918 Group(s): Foothills Group(s): Eagle Physical Group(s): Eagle Physical Group(s): Caring Edge Op Physical Therapy Pa Therapy Pa Therapy Llc

156 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Yuly, Steven, PTx~* KUNA Hunsaker, Nathan, PTx~ Vanderford, Christian, NPI: 1679669436 - 83634 * PTx~* NPI: 1871687970 457 S Fitness Pl Ste 100 Arroyo, Bryan, PTx~* NPI: 1770747404 Eagle, ID 83616 NPI: 1457802191 943 N Linder Rd Ste 104 943 N Linder Rd Ste 104 (208) 939-3332 672 E Wythe Creek Ct Ste Ste 104 Ste 104 Kuna, ID 83634 Group(s): Eagle Physical 103 Kuna, ID 83634 (208) 922-1719 Therapy Kuna, ID 83634 (208) 922-1719 Group(s): Rehab Authority Group(s): Rehab Authority GARDEN CITY (208) 922-9828 Llc Llc - 83714 Group(s): Mountain Land Rehabilitation Inc Muir, James, PTx~* Mcmurray, James, PTx~ Vinci, Paul, PTx~* * Bailey, Greg, PTx~* NPI: 1558794552 NPI: 1306169602 NPI: 1699231456 NPI: 1215220587 943 N Linder Rd Ste 104 943 N Linder Rd Ste 104 Ste 104 7711 W Riverside Dr 943 N Linder Rd Ste 104 Ste 104 Kuna, ID 83634 Garden City, ID 83714 Ste 104 Kuna, ID 83634 (208) 813-9544 Kuna, ID 83634 (208) 922-1719 (208) 922-1719 Group(s): Wright Physical (208) 922-1719 Group(s): Rehab Authority Group(s): Rehab Authority Llc Therapy Limited Group(s): Rehab Authority Llc Partnership Llc Peterson, Kimberlee, PT MERIDIAN x~* Pollard, Brandon, PTx~* - 83642 Box, Jeffrey, PTx~* NPI: 1992807036 NPI: 1356822704 NPI: 1104928258 Aberg, Jason, PTx~* 7711 W Riverside Dr 672 E Wythe Creek Ct Ste 672 E Wythe Creek Ct Ste 103 NPI: 1982611836 Garden City, ID 83714 103 Kuna, ID 83634 1618 S Millenium Way (208) 813-9544 Kuna, ID 83634 (208) 922-9828 Suite 210 Group(s): Wright Physical (208) 922-9828 Meridian, ID 83642 Therapy Limited Group(s): Mountain Land Group(s): Mountain Land Rehabilitation Inc (208) 884-4647 Partnership Rehabilitation Inc Group(s): Foothills Rowan, Andrea, PTx~* Physical Therapy Pa Williams, Levi, PTx~* Haugen, Cody, PTx~* NPI: 1871119446 NPI: 1669823464 NPI: 1750759205 943 N Linder Rd Ste 104 Adams, Robert, PTx~* 7711 W Riverside Dr 672 E Wythe Creek Ct Ste Ste 104 NPI: 1881775633 Garden City, ID 83714 103 Kuna, ID 83634 2316 S Eagle Rd (208) 813-9544 Kuna, ID 83634 Meridian, ID 83642 Group(s): Wright Physical (208) 922-1719 (208) 922-9828 Group(s): Rehab Authority (208) 286-2707 Therapy Limited Group(s): Mountain Land Llc Group(s): Idaho Spine Partnership Rehabilitation Inc And Sports Physical Shaw, Clayton, PTx~* Therapy – Silverstone Hulsey, Kevin, PTx~* NPI: 1245586270 Spanish NPI: 1114012788 943 N Linder Rd Ste 104 943 N Linder Rd Ste 104 Ste 104 Ste 104 Kuna, ID 83634 Kuna, ID 83634 (208) 922-1719 (208) 922-1719 Group(s): Rehab Authority Group(s): Rehab Authority Llc Llc

157 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Anderson, Dave, PTx~* Bastian, Bret, PTx~* Bradshaw, Jonathan, PT Cherry, Kevin, PTx~* NPI: 1265870117 NPI: 1760798375 x~* NPI: 1588924724 1618 S Millenium Way 1618 S Millenium Way NPI: 1508413709 1739 S Jade Way Ste 110 Suite 210 Suite 210 1739 S Jade Way Ste 110 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 207-5454 (208) 884-4647 (208) 884-4647 (208) 207-5454 Group(s): Wright Physical Group(s): Foothills Group(s): Foothills Group(s): Wright Physical Therapy Limited Physical Therapy Pa Physical Therapy Pa Therapy Limited Partnership Partnership Anderson, Dave, PTx~* Beckham, Xavier, PTx~* Christensen, Cory, PTx~ NPI: 1265870117 NPI: 1598961567 Brady, Jordan, PTx~* * 1618 S Millennium Wy 1739 S Jade Way Ste 110 NPI: 1477959328 NPI: 1417389909 Ste 210 Meridian, ID 83642 1739 S Jade Way Ste 110 1739 S Jade Way Ste 110 Meridian, ID 83642 (208) 207-5454 Meridian, ID 83642 Meridian, ID 83642 (208) 884-4647 Group(s): Wright Physical (208) 207-5454 (208) 207-5454 Group(s): Foothills Therapy Limited Group(s): Wright Physical Group(s): Wright Physical Physical Therapy Pa Partnership Therapy Limited Therapy Limited Partnership Partnership Anderson, Kade, PTx~* Berg, Daranee, PTx~* NPI: 1942748934 NPI: 1649243015 Broadhead, Elliot, PTx~ Comley, Tayler, PTx~* 1739 S Jade Way Ste 110 3520 E Louise Dr * NPI: 1649714163 Meridian, ID 83642 Meridian, ID 83642 NPI: 1255996468 3645 E Overland Rd (208) 207-5454 (208) 501-8264 1739 S Jade Way Ste 110 Meridian, ID 83642 Group(s): Wright Physical Group(s): Restore Physical Meridian, ID 83642 (208) 888-7765 Therapy Limited Therapy Pc (208) 207-5454 Group(s): Therapeutic Partnership Group(s): Wright Physical Associates Inc Billings, David, PTx~* Therapy Limited Arnell, William, PTx~* NPI: 1215233952 Partnership Cope, Adam, PTx~* NPI: 1619537487 1739 S Jade Way Ste 110 NPI: 1811081896 1739 S Jade Way Ste 110 Meridian, ID 83642 Brown, Joel, PTx~* 3551 E Overland Rd Meridian, ID 83642 (208) 207-5454 NPI: 1679911267 Meridian, ID 83642 (208) 207-5454 Group(s): Wright Physical 1739 S Jade Way Ste 110 (208) 888-3900 Group(s): Wright Physical Therapy Limited Meridian, ID 83642 Group(s): Rehab Authority Therapy Limited Partnership (208) 207-5454 Llc Partnership Group(s): Wright Physical Box, Jeffrey, PTx~* Therapy Limited Crawford, Jacob, PTx~* Barker, Jonathan, PTx~ NPI: 1104928258 Partnership NPI: 1346764701 * 1450 E Fairview Ave Ste French 1618 S Millennium Wy NPI: 1619262425 201 Ste 210 1739 S Jade Way Ste 110 Meridian, ID 83642 Carling, Isaac, PTx~* Meridian, ID 83642 Meridian, ID 83642 (208) 887-6757 NPI: 1689172355 (208) 884-4647 (208) 207-5454 Group(s): Mountain Land 1739 S Jade Way Ste 110 Group(s): Foothills Group(s): Wright Physical Rehabilitation Inc Meridian, ID 83642 Physical Therapy Pa Therapy Limited (208) 207-5454 Arabic Partnership Group(s): Wright Physical Therapy Limited Partnership

158 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Crothers, Al, PT~* Hopstad, Jerret, PTx~* Kuznia, Benjamin, PTx~ Nichols, Deidra, PTx~* NPI: 1497976401 NPI: 1083620553 * NPI: 1225390305 1618 S Millenium Way 1618 S Millenium Way NPI: 1144518937 1739 S Jade Way Ste 110 Suite 210 Suite 210 3551 E Overland Rd Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 207-5454 (208) 884-4647 (208) 884-4647 (208) 888-3900 Group(s): Wright Physical Group(s): Foothills Group(s): Foothills Group(s): Rehab Authority Therapy Limited Physical Therapy Pa Physical Therapy Pa Llc Partnership Folger, Kristen, PTx~* Kibiloski, Sarah, PTx~* Loder, Molly, PTx~* Olsen, Nicole, PTx~* NPI: 1780052720 NPI: 1750833927 NPI: 1588915797 NPI: 1740439470 2316 S Eagle Rd 1618 S Millenium Way 360 E Montvue Dr Ste 100 1618 S Millenium Way Meridian, ID 83642 Suite 210 Ste 100 Suite 210 (208) 286-2707 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Group(s): Idaho Spine (208) 884-4647 (208) 855-2900 (208) 884-4647 And Sports Physical Group(s): Foothills Group(s): Spine Institute Group(s): Foothills Therapy – Silverstone Physical Therapy Pa Of Idaho Physical Therapy Pa Hammer, Jim, PTx~* Kibiloski, Sarah, PTx~* Martin, Pam, PTx~* Olsen, Nicole, PTx~* NPI: 1245494269 NPI: 1750833927 NPI: 1154380293 NPI: 1740439470 1618 S Millenium Way 1618 S Millennium Wy 1618 S Millenium Way 1618 S Millennium Wy Suite 210 Ste 210 Suite 210 Ste 210 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 884-4647 (208) 884-4647 (208) 884-4647 (208) 884-4647 Group(s): Foothills Group(s): Foothills Group(s): Foothills Group(s): Foothills Physical Therapy Pa Physical Therapy Pa Physical Therapy Pa Physical Therapy Pa Haskell, Tyler, PTx~* Kim, Serin, PTx~* Mcmurray, James, PTx~ Oneal, Brian, PTx~* NPI: 1669927000 NPI: 1023626033 * NPI: 1093970675 2316 S Eagle Rd 175 E Calderwood Dr NPI: 1699231456 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 1739 S Jade Way Ste 110 Suite 210 (208) 286-2707 (208) 297-3114 Meridian, ID 83642 Meridian, ID 83642 Group(s): Idaho Spine Group(s): Caring Edge Op (208) 207-5454 (208) 884-4647 And Sports Physical Llc Group(s): Wright Physical Group(s): Foothills Therapy – Silverstone Therapy Limited Physical Therapy Pa Kosberg, Paula, PTx~* Partnership Hitman, Brianna, PTx~* NPI: 1770878779 Pollard, Brandon, PTx~* NPI: 1841682895 2690 S Eagle Rd Ste 100 Melton, Danielle, PTx~* NPI: 1356822704 625 S Arbor Ln Ste A Meridian, ID 83642 NPI: 1255741963 1739 S Jade Way Ste 110 Meridian, ID 83642 (208) 898-1468 1618 S Millenium Way Meridian, ID 83642 (208) 549-7880 Group(s): Physical Suite 210 (208) 207-5454 Group(s): Keystone Therapy 180 Meridian, ID 83642 Group(s): Wright Physical Therapy (208) 884-4647 Therapy Limited Group(s): Foothills Partnership Physical Therapy Pa

159 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Ray, David, PT~* Searle, Shane, PTx~* Townsend, Spencer, PTx Woods, Nick, PTx~* NPI: 1386685493 NPI: 1316379662 ~* NPI: 1790792646 3090 Gentry Way #250 1739 S Jade Way Ste 110 NPI: 1659928885 1618 S Millenium Way Meridian, ID 83642 Meridian, ID 83642 1739 S Jade Way Ste 110 Suite 210 (208) 888-0044 (208) 207-5454 Meridian, ID 83642 Meridian, ID 83642 Group(s): Physical Group(s): Wright Physical (208) 207-5454 (208) 884-4647 Therapy Of Idaho Therapy Limited Group(s): Wright Physical Group(s): Foothills Partnership Therapy Limited Physical Therapy Pa Richards, Kelson, PTx~* Partnership NPI: 1588010821 Swan, Lisa, PTx~* Wright, Bryan, PTx~* 1739 S Jade Way Ste 110 NPI: 1275603086 Ward, Regan, PTx~* NPI: 1265525315 Meridian, ID 83642 1618 S Millenium Way NPI: 1114374741 1739 S Jade Way Ste 110 (208) 207-5454 Suite 210 1739 S Jade Way Ste 110 Meridian, ID 83642 Group(s): Wright Physical Meridian, ID 83642 Meridian, ID 83642 (208) 207-5454 Therapy Limited (208) 884-4647 (208) 207-5454 Group(s): Wright Physical Partnership Group(s): Foothills Group(s): Wright Physical Therapy Limited Physical Therapy Pa Therapy Limited Partnership Schmidt, Trevor, PTx~* Partnership NPI: 1659771954 Taylor, Jeffrey, PTx~* Wright, Clifton, PTx~* 1626 S Wells Ave Ste 105 NPI: 1346501962 White, Alex, PTx~* NPI: 1275872590 Meridian, ID 83642 2316 S Eagle Rd NPI: 1417483280 1739 S Jade Way Ste 110 (208) 789-0200 Meridian, ID 83642 1739 S Jade Way Ste 110 Meridian, ID 83642 Group(s): I Can Pt Llc (208) 286-2707 Meridian, ID 83642 (208) 207-5454 Spanish Group(s): Idaho Spine (208) 207-5454 Group(s): Wright Physical And Sports Physical Group(s): Wright Physical Therapy Limited Schow, Michael, PTx~* Therapy – Silverstone Therapy Limited Partnership NPI: 1154424752 Partnership 1450 E Fairview Ave Ste Taylor, Riley, PTx~* Zerr, Katie, PTx~* 201 NPI: 1376008094 Winn, Esther, PTx~* NPI: 1285076398 Meridian, ID 83642 1739 S Jade Way Ste 110 NPI: 1649778978 3520 E Louise Dr (208) 887-6757 Meridian, ID 83642 3919 E Overland Rd Meridian, ID 83642 Group(s): Mountain Land (208) 207-5454 Meridian, ID 83642 (208) 501-8264 Rehabilitation Inc Group(s): Wright Physical (208) 898-1468 Group(s): Restore Physical Danish Therapy Limited Group(s): Physical Therapy Pc Partnership Therapy 180 Scott, Lauren, PTx~* - 83646 NPI: 1437266723 Thomas, Robert, PT~* Wood, James, PTx~* Allred, Jason, PTx~* 1618 S Millenium Way NPI: 1295173326 NPI: 1114364015 NPI: 1417998162 Suite 210 3090 Gentry Way #250 1739 S Jade Way Ste 110 1588 W Cayuse Creek Dr Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Ste 200 (208) 884-4647 (208) 888-0044 (208) 207-5454 Meridian, ID 83646 Group(s): Foothills Group(s): Physical Group(s): Wright Physical (208) 515-7575 Physical Therapy Pa Therapy Of Idaho Therapy Limited Group(s): All In Physical Partnership Therapy Llc

160 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Amoruso, Melanie, PT~* Cope, Adam, PTx~* Dunne, Amanda, PTx~* Hulsey, Kevin, PTx~* NPI: 1942647482 NPI: 1811081896 NPI: 1104040237 NPI: 1114012788 2470 Stokeberry Pl 745 S Progress Ave 3035 W Mcmillan Rd Ste 745 S Progress Ave Meridian, ID 83646 Meridian, ID 83646 104 Meridian, ID 83646 (208) 884-8323 (208) 895-0309 Meridian, ID 83646 (208) 895-0309 Group(s): Atlas Physical Group(s): Modern Rehab (208) 887-8684 Group(s): Modern Rehab Therapy Group(s): Gridiron Rehab Dale, Ryan, PTx~* Huntington, Alexandra, And Athletic Fitness Llc Anttonen, Heidi, PTx~* NPI: 1598304321 PTx~* Spanish NPI: 1538136163 50 E James Court Dr Ste NPI: 1609235415 1588 W Cayuse Creek Dr A Gabrielsen, Jacob, PT~* 50 E James Ct Ste A Ste 200 Meridian, ID 83646 NPI: 1316072036 Meridian, ID 83646 Meridian, ID 83646 (208) 895-0715 2470 Stokeberry Pl (208) 895-0715 (208) 515-7575 Group(s): Intermountain Meridian, ID 83646 Group(s): Intermountain Group(s): All In Physical Physical Therapy Limited (208) 884-8323 Physical Therapy Therapy Llc Partnership Group(s): Atlas Physical Leibler, Maria, PTx~* Therapy Anttonen, Heidi, PTx~* Danielson, Galen, PTx~* NPI: 1881051860 NPI: 1538136163 NPI: 1225123599 Heninger, Lynae, PTx~* 1588 W Cayuse Creek Dr 50 E James Ct Ste A 1560 S Carol St NPI: 1508164039 Ste 200 Meridian, ID 83646 Meridian, ID 83646 3035 W Mcmillan Rd Ste Meridian, ID 83646 (208) 895-0715 (208) 287-9420 104 (208) 515-7575 Group(s): Intermountain Group(s): Rehab Authority Meridian, ID 83646 Group(s): All In Physical Physical Therapy Llc (208) 887-8684 Therapy Llc Group(s): Gridiron Rehab Birnbaum, Susan, PTx~* Danielson, Galen, PTx~* Leibler, Maria, PTx~* And Athletic Fitness Llc NPI: 1245590686 NPI: 1225123599 NPI: 1881051860 50 E James Ct Ste A 745 S Progress Ave Holgate, Brian, PTx~* 50 E James Ct Ste A Meridian, ID 83646 Meridian, ID 83646 NPI: 1629312269 Meridian, ID 83646 (208) 895-0715 (208) 895-0309 50 E James Ct Ste A (208) 895-0715 Group(s): Intermountain Group(s): Modern Rehab Meridian, ID 83646 Group(s): Intermountain Physical Therapy (208) 895-0715 Physical Therapy Dorius, Brian, PTx~* Group(s): Intermountain Borgerd, Wendy, PTx~* NPI: 1285267401 Mcmartin, William, PTx Physical Therapy NPI: 1023280815 745 S Progress Ave ~* 50 E James Court Dr Ste Meridian, ID 83646 Horton, Mary, PTx~* NPI: 1568904274 A (208) 895-0309 NPI: 1154773604 50 E James Court Dr Ste Meridian, ID 83646 Group(s): Modern Rehab 50 E James Ct Ste A A (208) 895-0715 Meridian, ID 83646 Meridian, ID 83646 Group(s): Intermountain (208) 895-0715 (208) 895-0715 Physical Therapy Limited Group(s): Intermountain Group(s): Intermountain Partnership Physical Therapy Physical Therapy Limited Partnership

161 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Miller, James, PTx~* Petersen, Angeline, PTx~ Reed, Mark, PTx~* Starcher, Christine, PTx NPI: 1942460845 * NPI: 1871553388 ~* 1588 W Cayuse Creek Dr NPI: 1417485590 50 E James Court Dr Ste NPI: 1740459130 Ste 200 1588 W Cayuse Creek Dr A 50 E James Ct Ste A Meridian, ID 83646 Ste 200 Meridian, ID 83646 Meridian, ID 83646 (208) 515-7575 Meridian, ID 83646 (208) 895-0715 (208) 895-0715 Group(s): All In Physical (208) 515-7575 Group(s): Intermountain Group(s): Intermountain Therapy Llc Group(s): All In Physical Physical Therapy Limited Physical Therapy Therapy Llc Partnership Miller, James, PTx~* Tamura, Eric, PTx~* NPI: 1942460845 Peterson, James, PTx~* Schnell, Sandra, PTx~* NPI: 1306121710 50 E James Ct Ste A NPI: 1669432076 NPI: 1194870527 3035 W Mcmillan Rd Ste Meridian, ID 83646 50 E James Court Dr Ste 50 E James Court Dr Ste 104 (208) 895-0715 A A Meridian, ID 83646 Group(s): Intermountain Meridian, ID 83646 Meridian, ID 83646 (208) 887-8684 Physical Therapy (208) 895-0715 (208) 895-0715 Group(s): Gridiron Rehab Group(s): Intermountain Group(s): Intermountain And Athletic Fitness Llc Moore, Steven, PTx~* Physical Therapy Limited Physical Therapy Limited NPI: 1417914755 Vanderford, Christian, Partnership Partnership 50 E James Court Dr Ste PTx~* A Peterson, James, PTx~* Schnell, Sandra, PTx~* NPI: 1770747404 Meridian, ID 83646 NPI: 1669432076 NPI: 1194870527 745 S Progress Ave (208) 895-0715 50 E James Ct Ste A 50 E James Ct Ste A Meridian, ID 83646 Group(s): Intermountain Meridian, ID 83646 Meridian, ID 83646 (208) 895-0309 Physical Therapy Limited (208) 895-0715 (208) 895-0715 Group(s): Modern Rehab Group(s): Intermountain Partnership Group(s): Intermountain Weishaar, Jamie, PTx~* Physical Therapy Physical Therapy Muir, James, PTx~* NPI: 1871632646 NPI: 1558794552 Pierce, Brett, PTx* Simpson, Douglas, PT~* 745 S Progress Ave 1560 S Carol St NPI: 1740614569 NPI: 1346329083 Meridian, ID 83646 Meridian, ID 83646 1532 W Cayuse Creek Dr 2470 Stokeberry Pl (208) 895-0309 (208) 287-9420 Meridian, ID 83646 Meridian, ID 83646 Group(s): Modern Rehab Group(s): Rehab Authority (208) 996-6612 (208) 884-8323 Group(s): Pierce Physical STAR Llc Group(s): Atlas Physical - 83669 Therapy And Sports Therapy Murphy, Dustin, PTx~* Rehab Nichols, Brian, PTx~* NPI: 1568087427 Bulgarian Smith, Matthew, PTx~* NPI: 1679679088 745 S Progress Ave NPI: 1851495030 9652 W State St Meridian, ID 83646 Pulsipher, Kaleb, PT~* 745 S Progress Ave Star, ID 83669 (208) 895-0309 NPI: 1467927129 Meridian, ID 83646 (208) 286-0766 Group(s): Modern Rehab 2470 Stokeberry Pl (208) 895-0309 Group(s): Nichols Therapy Meridian, ID 83646 Group(s): Modern Rehab Group Pc (208) 884-8323 Group(s): Atlas Physical Therapy

162 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Ada County continued/Condado seguido

Nichols, Judianne, PTx~ Bastian, Steven, PTx~* Hadley, J Kyle, PTx~* Kuznia, Benjamin, PTx~ * NPI: 1669602256 NPI: 1881077600 * NPI: 1184794810 1906 Fairview Ave Ste 1906 Fairview Ave Ste NPI: 1144518937 9652 W State St 410 410 120 E Pine St Star, ID 83669 Caldwell, ID 83605 Caldwell, ID 83605 Caldwell, ID 83605 (208) 286-0766 (208) 454-9839 (208) 454-9839 (208) 454-5142 Group(s): Nichols Therapy Group(s): Altitude Group(s): Altitude Group(s): Rehab Authority Group Pc Physical Therapy Inc Physical Therapy Inc Llc Williams, Eric, PTx~* Birnbaum, Susan, PTx~* Hadley, J Kyle, PTx~* Mcmartin, William, PTx NPI: 1437540168 NPI: 1245590686 NPI: 1881077600 ~* 64 S Star Rd 3110 E Cleveland Blvd 4623 Enterprise Wy NPI: 1568904274 Star, ID 83669 Bldg A Ste 5 Caldwell, ID 83605 3110 E Cleveland Blvd (208) 488-4250 Caldwell, ID 83605 (208) 455-4231 Bldg A Ste 5 Group(s): Rehab Authority (208) 453-8785 Group(s): Mountain Land Caldwell, ID 83605 Llc Group(s): Intermountain Rehabilitation Inc (208) 895-0715 Spanish Physical Therapy Group(s): Intermountain Haskell, Tyler, PTx~* Physical Therapy Limited Canyon Box, Jeffrey, PTx~* NPI: 1669927000 Partnership NPI: 1104928258 120 E Pine St CALDWELL 4623 Enterprise Wy Caldwell, ID 83605 Miller, James, PTx~* - 83605 Caldwell, ID 83605 (208) 454-5142 NPI: 1942460845 Anttonen, Heidi, PTx~* (208) 455-4231 Group(s): Rehab Authority 3110 E Cleveland Blvd NPI: 1538136163 Group(s): Mountain Land Llc Bldg A Ste 5 3110 E Cleveland Blvd Rehabilitation Inc Caldwell, ID 83605 Hawks, Rulin, PTx~* Bldg A Ste 5 (208) 453-8785 Dale, Ryan, PTx~* NPI: 1912116682 Caldwell, ID 83605 Group(s): Intermountain NPI: 1598304321 1818 S 10th Ave Ste 100A (208) 453-8785 Physical Therapy 3110 E Cleveland Blvd Caldwell, ID 83605 Group(s): Intermountain Bldg A Ste 5 (208) 453-9111 Moore, Steven, PTx~* Physical Therapy Caldwell, ID 83605 Group(s): Caldwell NPI: 1417914755 Bailey, Greg, PTx~* (208) 895-0715 Physical Therapy 3110 E Cleveland Blvd NPI: 1215220587 Group(s): Intermountain Spanish Bldg A Ste 5 120 E Pine St Physical Therapy Limited Caldwell, ID 83605 Horton, Mary, PTx~* Caldwell, ID 83605 Partnership (208) 895-0715 NPI: 1154773604 (208) 454-5142 Group(s): Intermountain Fox, Breann, PTx~* 3110 E Cleveland Blvd Group(s): Rehab Authority Physical Therapy Limited NPI: 1184059941 Bldg A Ste 5 Llc Partnership 2112 Cleveland Blvd Caldwell, ID 83605 Caldwell, ID 83605 (208) 453-8785 Moore, Steven, PTx~* (208) 459-5873 Group(s): Intermountain NPI: 1417914755 Group(s): Rehab Authority Physical Therapy 3110 E Cleveland Blvd Llc Bldg A Ste 5 Caldwell, ID 83605 (208) 453-8785 Group(s): Intermountain Physical Therapy

163 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Canyon County continued/Condado seguido

Muir, James, PTx~* Schnell, Sandra, PTx~* MIDDLETON Comley, Tayler, PTx~* NPI: 1558794552 NPI: 1194870527 - 83644 NPI: 1649714163 120 E Pine St 3110 E Cleveland Blvd Bennett, Jeffrey, PTx~* 2635 Caldwell Blvd Ste B Caldwell, ID 83605 Bldg A Ste 5 NPI: 1730575648 Nampa, ID 83651 (208) 454-5142 Caldwell, ID 83605 533 S Middleton Rd Ste (208) 442-0577 Group(s): Rehab Authority (208) 895-0715 100 Group(s): Therapeutic Llc Group(s): Intermountain Middleton, ID 83644 Associates Inc Physical Therapy Limited Olsen, Scott, PTx~* (208) 585-6566 Dale, Ryan, PTx~* Partnership NPI: 1003905332 Group(s): Peak Physical NPI: 1598304321 1818 S 10th Ave Ste 100A Smith, Matthew, PTx~* Therapy 1015 12th Ave S Ste 105 Caldwell, ID 83605 NPI: 1851495030 Lee, Brian, PTx~* Nampa, ID 83651 (208) 453-9111 120 E Pine St NPI: 1043365323 (208) 467-4357 Group(s): Caldwell Caldwell, ID 83605 18 E Main St Ste 1 Group(s): Intermountain Physical Therapy (208) 454-5142 Middleton, ID 83644 Physical Therapy Limited Spanish Group(s): Rehab Authority (208) 585-0051 Partnership Llc Patel, Gunjan, PTx~* Group(s): Lee Physical Horton, Mary, PTx~* NPI: 1861987356 Starcher, Christine, PTx Therapy NPI: 1154773604 ~* 1906 Fairview Ave Ste Sands, Charles, PTx~* 1015 12th Ave S Ste 105 420 Ste 420 NPI: 1740459130 NPI: 1821034513 Nampa, ID 83651 3110 E Cleveland Blvd Caldwell, ID 83605 533 S Middleton Rd Ste (208) 467-4357 Bldg A Ste 5 (208) 855-2900 100 Group(s): Intermountain Caldwell, ID 83605 Group(s): Spine Institute Middleton, ID 83644 Physical Therapy Of Idaho (208) 453-8785 (208) 585-6566 Group(s): Intermountain Huntington, Alexandra, Group(s): Peak Physical Peterson, James, PTx~* Physical Therapy PTx~* NPI: 1669432076 Therapy NPI: 1609235415 3110 E Cleveland Blvd Thomason, Jeffrey, PTx 1015 12th Ave S Ste 105 ~* NAMPA Bldg A Ste 5 - 83651 Nampa, ID 83651 Caldwell, ID 83605 NPI: 1538253752 (208) 467-4357 (208) 895-0715 4623 Enterprise Wy Anttonen, Heidi, PTx~* Group(s): Intermountain Group(s): Intermountain Caldwell, ID 83605 NPI: 1538136163 Physical Therapy Physical Therapy Limited (208) 455-4231 1015 12th Ave S Ste 105 Mcmartin, William, PTx Partnership Group(s): Mountain Land Nampa, ID 83651 Rehabilitation Inc (208) 467-4357 ~* Reed, Mark, PTx~* Group(s): Intermountain NPI: 1568904274 NPI: 1871553388 Vinci, Paul, PTx~* Physical Therapy 1015 12th Ave S Ste 105 3110 E Cleveland Blvd NPI: 1306169602 Nampa, ID 83651 Bldg A Ste 5 2112 Cleveland Blvd Birnbaum, Susan, PTx~* (208) 467-4357 Caldwell, ID 83605 Caldwell, ID 83605 NPI: 1245590686 Group(s): Intermountain (208) 895-0715 (208) 459-5873 1015 12th Ave S Ste 105 Physical Therapy - Group(s): Intermountain Group(s): Rehab Authority Nampa, ID 83651 Medical Group, Physical Therapy Limited Llc (208) 467-4357 Intermountain Physical Partnership Group(s): Intermountain Therapy Limited Physical Therapy Partnership

164 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Canyon County continued/Condado seguido

Miller, James, PTx~* Reed, Mark, PTx~* Mcmurray, Kayla, PTx~ Thornock, Brian, PTx~* NPI: 1942460845 NPI: 1871553388 * NPI: 1265820203 1015 12th Ave S Ste 105 1015 12th Ave S Ste 105 NPI: 1164912242 337 W Iowa St Nampa, ID 83651 Nampa, ID 83651 3151 E Greenhurst Rd Nampa, ID 83686 (208) 467-4357 (208) 467-4357 Nampa, ID 83686 (208) 467-7889 Group(s): Intermountain Group(s): Intermountain (208) 465-9418 Group(s): Rehab Authority Physical Therapy Physical Therapy - Group(s): Altitude Llc Medical Group, Physical Therapy Inc Spanish Moore, Steven, PTx~* Intermountain Physical NPI: 1417914755 Mortin Phelps, Faith, PT Williams, Alan, PT~* Therapy Limited 1015 12th Ave S Ste 105 ~* NPI: 1346395712 Partnership Nampa, ID 83651 NPI: 1407025158 2005 12th Ave Rd (208) 467-4357 - 83686 2005 12th Ave Rd Nampa, ID 83686 Nampa, ID 83686 Group(s): Intermountain Bastian, Steven, PTx~* (208) 463-0022 Physical Therapy - (208) 463-0022 Group(s): Idaho Physical NPI: 1669602256 Group(s): Idaho Physical Medical Group, 130 S Midland Blvd Therapy Intermountain Physical Therapy Nampa, ID 83686 - 83687 Therapy Limited (208) 461-5057 Rowley, Peter, PTx~* Amoruso, Melanie, PT~* Partnership Group(s): Altitude NPI: 1003300971 NPI: 1942647482 Physical Therapy Inc 337 W Iowa St Peterson, James, PTx~* 4301 Garrity Blvd Ste 103 NPI: 1669432076 Nampa, ID 83686 Bryan, Elizabeth, PTx~* (208) 467-7889 Nampa, ID 83687 1015 12th Ave S Ste 105 NPI: 1104196724 (208) 463-0700 Nampa, ID 83651 Group(s): Rehab Authority 130 S Midland Blvd Llc Group(s): Atlas Physical (208) 467-4357 Nampa, ID 83686 Therapy Group(s): Intermountain (208) 461-5057 Scharmann, Alexander, Bastian, Steven, PTx~* Physical Therapy - Group(s): Altitude PTx~* NPI: 1669602256 Medical Group, Physical Therapy Inc NPI: 1164805123 Intermountain Physical 3151 E Greenhurst Rd 5251 E Exchange Way x~* Therapy Limited Cope, Adam, PT Nampa, ID 83686 Nampa, ID 83687 Partnership NPI: 1811081896 (208) 465-9418 (208) 466-9642 337 W Iowa St Group(s): Mountain Land Reed, Mark, PTx~* Group(s): Altitude Nampa, ID 83686 Physical Therapy Inc Rehabilitation Inc NPI: 1871553388 (208) 467-7889 Spanish Berg, Daranee, PTx~* 1015 12th Ave S Ste 105 Group(s): Rehab Authority NPI: 1649243015 Nampa, ID 83651 Llc Shaw, Clayton, PTx~* (208) 467-4357 NPI: 1245586270 16211 N Brinson Ste 220 Group(s): Intermountain Hetherington, Samuel, 337 W Iowa St Nampa, ID 83687 Physical Therapy PT~* Nampa, ID 83686 (208) 936-2522 NPI: 1093325979 (208) 467-7889 Group(s): Restore Physical 2005 12th Ave Rd Group(s): Rehab Authority Therapy Pc Nampa, ID 83686 Llc (208) 463-0022 Group(s): Idaho Physical Therapy

165 Specialists / Especialistas Physical Therapist continued/Terapeuta físico continuación Canyon County continued/Condado seguido

Gabrielsen, Jacob, PT~* Woodhouse, Cynthia, PT Physician Assistant Conrad, Lee Ann, PAx~* NPI: 1316072036 x~* NPI: 1114140910 4301 Garrity Blvd Ste 103 NPI: 1407096480 Idaho 633 N 4th St Nampa, ID 83687 16211 N Brinson Ste 220 Ada Boise, ID 83702 (208) 463-0700 Nampa, ID 83687 (208) 342-9800 Group(s): Atlas Physical (208) 936-2522 BOISE Group(s): The Pain Center Therapy Group(s): Restore Physical - 83702 Therapy Pc Cottle, Jesse, PAx~* Graham, Sarah Jo, PTx~ Ambrosier, Amy, PAx~* NPI: 1962985085 * PARMA NPI: 1073898821 333 N 1st St Ste 250 NPI: 1386758464 - 83660 1520 W State St Ste 100 Boise, ID 83702 16211 N Brinson Ste 220 Boise, ID 83702 (208) 381-9384 Grow, Marc, PTx~* (208) 947-7700 Nampa, ID 83687 NPI: 1497939938 Group(s): St Lukes Clinic (208) 936-2522 Group(s): St Lukes Clinic Treasure Valley Llc 206 N 3rd St Treasure Valley Llc Group(s): Restore Physical Parma, ID 83660 Therapy Pc Davis, Tish, PACx~* (208) 722-7350 Baggs, Jacqueline, PAx~ NPI: 1548201007 * Myhre, Ryan, PTx~* Group(s): Parma Physical 425 W Bannock St NPI: 1932566874 NPI: 1851494637 Therapy Llc Boise, ID 83702 300 S 23rd St 5251 E Exchange Way Spanish (208) 343-1702 Boise, ID 83702 Nampa, ID 83687 Group(s): Idaho Physical Therapy (208) 344-3512 (208) 466-9642 Gastroenterology Group(s): Terry Reilly Group(s): Mountain Land Assistant Associates Llp Health Services Boise Rehabilitation Inc Idaho Other Specialties: Clinic - Medical Group Pulsipher, Kaleb, PT~* Gastroenterology Canyon Bizik, Brian, PAx~* NPI: 1467927129 Dunbar, Mark, PACx~* NPI: 1932166956 4301 Garrity Blvd Ste 103 NAMPA NPI: 1952619751 300 S 23rd St Nampa, ID 83687 - 83687 300 S 23rd St Boise, ID 83702 (208) 463-0700 Ries, Matthew, PAx~* Boise, ID 83702 (208) 344-3512 Group(s): Atlas Physical NPI: 1659880276 (208) 344-3512 Group(s): Terry Reilly Therapy 4400 E Flamingo Ave Ste Group(s): Terry Reilly Health Services Boise 200 Health Services - Medical Simpson, Douglas, PT~* Clinic - Medical Group NPI: 1346329083 Nampa, ID 83687 Group1457309122 (208) 302-2700 Chen, Erin, PAx~* 4301 Garrity Blvd Ste 103 Friel, Fred, PAx~* Group(s): St Alphonsus NPI: 1770913071 Nampa, ID 83687 NPI: 1730131178 Regional Medical Center 600 N Robbins Rd Ste 100 (208) 463-0700 301 W Myrtle St Physicians -1861676298 Boise, ID 83702 Group(s): Atlas Physical Boise, ID 83702 (208) 706-2663 Therapy (208) 342-8200 Group(s): St Lukes Clinic Group(s): William G Treasure Valley Llc Binegar Md Pa

166 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Garver, Nicholas, PAx~* Jones, William, PAx~* Lima, Madeline, PAx~* Rowe, Derrick, PAx~* NPI: 1467703728 NPI: 1770835597 NPI: 1508245010 NPI: 1851624340 300 S 23rd St 115 W Main St Ste 202 1520 W State St Ste 100 510 N 2nd St Ste 103 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 (208) 344-3512 (208) 433-9466 (208) 947-7700 (208) 381-4700 Group(s): Terry Reilly Group(s): Boise Radiology Group(s): St Lukes Clinic Group(s): St Lukes Clinic Health Services Boise Group Pllc Treasure Valley Llc Treasure Valley Llc Clinic - Medical Group French Kerns, Benjamin, PAx~* Scrivner, Cody, PAx~* Spanish NPI: 1659388783 Moak, Haley, PAx~* NPI: 1134671894 Heusinkveld, Kelly, PAx 703 S Americana Blvd Ste NPI: 1639697709 600 N Robbins Rd Ste 302 ~* 120 600 N Robbins Rd Ste 301 Boise, ID 83702 NPI: 1922505205 Boise, ID 83702 Boise, ID 83702 (208) 706-5930 600 N Robbins Rd Ste 300 (208) 706-2663 (208) 385-3329 Group(s): St Lukes Clinic Boise, ID 83702 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc (208) 706-0400 Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Stewart, Tyler, PAx~* Treasure Valley Llc Laible, Katherine, PAx~ Page, Sean, PAx~* NPI: 1538476239 * NPI: 1073840278 333 N 1st St Ste 280 Holder, Katy, PAx~* NPI: 1083739049 600 N Robbins Rd Ste 100 Boise, ID 83702 NPI: 1427143346 600 N Robbins Rd Ste 100 Boise, ID 83702 (208) 345-6545 222 N 2nd St Ste 115 Ste Boise, ID 83702 (208) 706-2663 Group(s): St Lukes Clinic 115 (208) 706-2663 Group(s): St Lukes Clinic Treasure Valley Llc Boise, ID 83702 Group(s): St Lukes Clinic Treasure Valley Llc Spanish (208) 639-4900 Treasure Valley Llc Group(s): Idaho Urologic Page, Sean, PAx~* Summa, Stacy, PAx~* Laible, Katherine, PAx~ Institute Pa NPI: 1073840278 NPI: 1295722478 * 703 S Americana Blvd Ste 600 N Robbins Rd Ste 100 Hudson, Kevin, PAx~* NPI: 1083739049 120 Boise, ID 83702 NPI: 1922088905 703 S Americana Blvd Ste Boise, ID 83702 (208) 706-2663 1520 W State St Ste 100 120 (208) 706-2663 Group(s): St Lukes Clinic Boise, ID 83702 Boise, ID 83702 Group(s): St Lukes Clinic Treasure Valley Llc (208) 947-7700 (208) 706-2663 Treasure Valley Llc Other Specialties: Group(s): St Lukes Clinic Group(s): St Lukes Clinic Orthopaedic Surgery Treasure Valley Llc Treasure Valley Llc Roskelley, Morgan, PAx ~* Voye, Sarah, PAx~* Hurty, Michelle, PAx~* Lee, Brenda, PAx~* NPI: 1376914838 NPI: 1750686044 NPI: 1588616122 NPI: 1699259044 600 N Robbins Rd Ste 100 1520 W State St Ste 100 600 N Robbins Rd Ste 302 300 S 23rd St Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 (208) 706-2663 (208) 947-7700 (208) 706-5930 (208) 344-3512 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Terry Reilly Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Health Services Boise Clinic - Medical Group Spanish

167 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Welch, Erin, PAx~* - 83703 Bohan, Carin, PAx~* Casebolt, Alex, PAx~* NPI: 1619230844 Bradberry, Cali, PAx~* NPI: 1710438874 NPI: 1346283363 301 W Myrtle St NPI: 1831473198 1072 N Liberty St Ste 303 8800 W Emerald St Ste Boise, ID 83702 5985 W State St Boise, ID 83704 196 (208) 342-8200 Boise, ID 83703 (208) 302-4100 Boise, ID 83704 Group(s): William G (208) 853-0071 Group(s): St Alphonsus (208) 375-1105 Binegar Md Pa Group(s): Omega Mental Regional Medical Center Group(s): Northwest Physicians -1861676298 Occupational Medicine & White, Michael, PAx~* Health Services Other Specialties: Neurosurgical Spine Instit NPI: 1780673707 Chandler, Christopher, Neurological Surgery, 1226 W River St Clements, David, PAx~* PACx~* Urgent Care Clinic Boise, ID 83702 NPI: 1972992329 NPI: 1114917168 (208) 429-0300 5985 W State St Bohan, Carin, PAx~* 7979 W Rifleman St Group(s): St Lukes Clinic Boise, ID 83703 NPI: 1710438874 Boise, ID 83704 Treasure Valley Llc (208) 853-0071 6051 W Emerald St (208) 855-2410 Boise, ID 83704 Group(s): Allied White, Michael, PAx~* Group(s): Omega Mental (208) 302-5150 Orthopedics NPI: 1780673707 Health Services Group(s): St Alphonsus 403 S 11th St Ste 100 Connley, Madeline, PAx Johnson, Jeffery, PAx~* Regional Medical Center Boise, ID 83702 ~* NPI: 1609887801 Physicians -1861676298 (208) 429-0300 NPI: 1912375460 5985 W State St Other Specialties: Group(s): St Lukes Clinic 6051 W Emerald St Boise, ID 83703 Neurological Surgery, Treasure Valley Llc (208) 853-0071 Boise, ID 83704 Urgent Care Clinic (208) 302-5150 Wilson, Kim, PAx~* Group(s): Omega Mental Burke, Louis, PAx~* Group(s): St Alphonsus NPI: 1073982245 Health Services NPI: 1952518060 Regional Medical Center 927 W Myrtle St - 83704 7979 W Rifleman St Physicians -1861676298 Boise, ID 83702 Boise, ID 83704 (208) 384-9073 Ahlstrom, Derek, PAx~* Darakjy, Albert, PAx~* (208) 855-2410 Group(s): Intermountain NPI: 1174096606 NPI: 1669953675 Group(s): Allied Medical Imaging 8050 W Northview St 413 N Allumbaugh St Ste Orthopedics Llc1669423679 Boise, ID 83704 101 (208) 327-0504 Callaway, Jackie, PAx~* Boise, ID 83704 Woods, Stacie, PAx~* Group(s): Lifeways Inc NPI: 1801196720 (208) 323-1125 NPI: 1184071680 7979 W Rifleman St Group(s): Sage Health 403 S 11th St Ste 100 Barnes, Addie, PA~* Boise, ID 83704 Care Pllc Boise, ID 83702 NPI: 1447534821 (208) 855-2410 (208) 429-0300 900 N Liberty St Ste 101 Demasters, Troy, PA~* Group(s): Direct Group(s): St Lukes Clinic Boise, ID 83704 NPI: 1427048891 Orthopedic Care Treasure Valley Llc (208) 302-2200 6140 Curtisian Ave Ste Group(s): St Alphonsus 100 Regional Medical Center Boise, ID 83704 Physicians -1861676298 (208) 302-2300 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

168 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Detweiler, Gayle, PAx~* Graef, Kylee, PAx~* Lachapelle, Brian, PAx~ Mckinnon, Tyler, PAx~* NPI: 1548339211 NPI: 1538679840 * NPI: 1790131480 8100 W Emerald St Ste 6051 W Emerald St NPI: 1891707618 7733 W Emerald St 150 Boise, ID 83704 6140 W Curtisian Ave Ste Boise, ID 83704 Boise, ID 83704 (208) 302-5150 100 (208) 939-4599 (208) 250-4561 Group(s): St Alphonsus Boise, ID 83704 Group(s): Mountain West Group(s): Starr Family Regional Medical Center (208) 302-0130 Derm-Blackhart Pllc Behavioral Health - Physicians -1861676298 Group(s): St Alphonsus Spanish Medical Group Regional Medical Center Griggs, Jeffrey, PAx~* Physicians -1861676298 Merrell, Katrina, PAx~* Ebinger, Lori, PAx~* NPI: 1861575797 NPI: 1326590498 NPI: 1629446661 8854 W Emerald Ste 102 Lilly, Alanna, PAx~* 6051 W Emerald St 6051 W Emerald St Boise, ID 83704 NPI: 1093182479 Boise, ID 83704 Boise, ID 83704 (208) 323-4747 6051 W Emerald St (208) 302-5150 (208) 302-5150 Group(s): The Shoulder Boise, ID 83704 Group(s): St Alphonsus Group(s): St Alphonsus Clinic Of Idaho (208) 302-5150 Regional Medical Center Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Hayden, Sarah, PAx~* Physicians -1861676298 Regional Medical Center NPI: 1033669908 Physicians -1861676298 Metzler, Andrea, PAx~* Eichenlaub, Alison, PAx 6051 W Emerald St NPI: 1083013056 ~* Boise, ID 83704 Mangeac, Olivia, PAx~* 7979 W Rifleman St NPI: 1245741503 (208) 302-5150 NPI: 1407303340 Boise, ID 83704 6051 W Emerald St Group(s): St Alphonsus 6051 W Emerald St (208) 855-2410 Boise, ID 83704 Regional Medical Center Boise, ID 83704 Group(s): Direct (208) 302-5150 Physicians -1861676298 (208) 302-5150 Orthopedic Care Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Housley, Michael, PAx~* Regional Medical Center Metzler, Andrea, PAx~* Physicians -1861676298 NPI: 1043665789 Physicians -1861676298 NPI: 1083013056 7733 W Emerald St 7979 W Rifleman St Fisher, Chadwick, PAx~ Boise, ID 83704 Mcgar, Dale, PA~* Boise, ID 83704 * (208) 939-4599 NPI: 1457328478 (208) 855-2410 NPI: 1497744338 Group(s): Mountain West 6140 W Curtisian Ave Ste Group(s): Allied 6051 W Emerald St Derm-Blackhart Pllc 100 Orthopedics Boise, ID 83704 Boise, ID 83704 (208) 302-5150 Johnson, Jeffery, PAx~* (208) 302-0130 Morris, Bradley, PAx~* Group(s): St Alphonsus NPI: 1609887801 Group(s): St Alphonsus NPI: 1346647526 Regional Medical Center 6051 W Emerald St Regional Medical Center 6051 W Emerald St Physicians -1861676298 Boise, ID 83704 Physicians -1861676298 Boise, ID 83704 (208) 302-5150 (208) 302-5150 Gomez, Jose, PAx~* Group(s): St Alphonsus Mckinnon, Tyler, PAx~* Group(s): St Alphonsus NPI: 1629505458 Regional Medical Center NPI: 1790131480 Regional Medical Center 6051 W Emerald St Physicians -1861676298 7733 W Emerald St Physicians -1861676298 Boise, ID 83704 Boise, ID 83704 (208) 302-5150 (208) 939-4599 Group(s): St Alphonsus Group(s): Dermatology Regional Medical Center Clinic Of Idaho Physicians -1861676298 Spanish

169 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Musgrove, Shane, PAx~* Peeler, Brittany, PAx~* Rota, Nicole, PAx~* Trump, Richard, PAx~* NPI: 1427408251 NPI: 1003288648 NPI: 1265685762 NPI: 1063601177 7979 W Rifleman St 1072 N Liberty St Ste 303 7272 W Potomac Dr 7979 W Rifleman St Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 855-2410 (208) 302-4200 (208) 884-2922 (208) 855-2410 Group(s): Direct Group(s): St Alphonsus Group(s): Saltzer Clinics Group(s): Allied Orthopedic Care Regional Medical Center Other Specialties: Family Orthopedics Physicians -1861676298 Medicine Nakamoto, Kylex~* Turner, Brett, PACx~* NPI: 1154831915 Ritari, Stephanie, PAx~* Ryser, Nicholas, PAx~* NPI: 1326067604 6051 W Emerald St NPI: 1730157447 NPI: 1376193151 7979 W Rifleman St Boise, ID 83704 6140 Curtisian Ave Ste 6259 W Emerald St Boise, ID 83704 (208) 302-5150 300 Boise, ID 83704 (208) 855-2410 Group(s): St Alphonsus Boise, ID 83704 (208) 489-1900 Group(s): Direct Regional Medical Center (208) 302-0000 Group(s): Digestive Orthopedic Care Physicians -1861676298 Group(s): St Alphonsus Health Clinic Llc Spanish Regional Medical Center Nichols, Katie, PA~* Schneider, David, PAx~* Vincent, Kelly, PAx~* Physicians -1861676298 NPI: 1700447141 NPI: 1033634936 NPI: 1194190637 1072 N Liberty St Ste 201 Ritari, Stephanie, PAx~* 6140 W Curtisian Ave Ste 7979 W Rifleman St Boise, ID 83704 NPI: 1730157447 400 Boise, ID 83704 (208) 302-2400 6140 W Curtisian Ave Ste Boise, ID 83704 (208) 855-2410 Group(s): St Alphonsus 200 Ste 200 (208) 327-5600 Group(s): Direct Regional Medical Center Boise, ID 83704 Group(s): Manning Orthopedic Care Physicians -1861676298 (208) 302-0000 Neurosurgery Pllc Vincent, Kelly, PAx~* Group(s): St Alphonsus Nieraeth, Michael, PAx~ Shuey, Yelena, PAx~* NPI: 1194190637 Regional Medical Center * NPI: 1124029939 8854 W Emerald Ste 102 Physicians -1861676298 NPI: 1487904280 6051 W Emerald St Boise, ID 83704 8854 W Emerald Ste 102 Robinson, Joseph, PAx~ Boise, ID 83704 (208) 323-4747 Boise, ID 83704 * (208) 302-5150 Group(s): The Shoulder (208) 323-4747 NPI: 1710315577 Group(s): St Alphonsus Clinic Of Idaho Group(s): The Shoulder 6051 W Emerald St Regional Medical Center - 83705 Clinic Of Idaho Boise, ID 83704 Physicians -1861676298 (208) 302-5150 Bohan, Carin, PAx~* Pease, Shaylan, PAx~* Group(s): St Alphonsus Talford, Chad, PAx~* NPI: 1710438874 NPI: 1275936981 Regional Medical Center NPI: 1639680051 3587 S Federal Way 6259 W Emerald St Physicians -1861676298 6051 W Emerald St Boise, ID 83705 Boise, ID 83704 German Boise, ID 83704 (208) 302-5350 (208) 489-1900 (208) 302-5150 Group(s): St Alphonsus Group(s): Digestive Group(s): St Alphonsus Regional Medical Center Health Clinic Llc Regional Medical Center Physicians -1861676298 Physicians -1861676298 Other Specialties: Neurological Surgery, Urgent Care Clinic

170 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Brown, Tiffany, PAx~* Ebinger, Lori, PAx~* Graef, Kylee, PAx~* Merrell, Katrina, PAx~* NPI: 1922473388 NPI: 1629446661 NPI: 1538679840 NPI: 1326590498 3587 S Federal Way 3587 S Federal Way 3587 S Federal Way 3587 S Federal Way Boise, ID 83705 Boise, ID 83705 Boise, ID 83705 Boise, ID 83705 (208) 302-5350 (208) 302-5350 (208) 302-5350 (208) 302-5350 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Other Specialties: Urgent Eichenlaub, Alison, PAx Hayden, Sarah, PAx~* Morris, Bradley, PAx~* Care Clinic ~* NPI: 1033669908 NPI: 1346647526 Term Date: 12/31/2020 NPI: 1245741503 3587 S Federal Way 3587 S Federal Way Connley, Madeline, PAx 3587 S Federal Way Boise, ID 83705 Boise, ID 83705 ~* Boise, ID 83705 (208) 302-5350 (208) 302-5350 NPI: 1912375460 (208) 302-5350 Group(s): St Alphonsus Group(s): St Alphonsus 3587 S Federal Way Group(s): St Alphonsus Regional Medical Center Regional Medical Center Boise, ID 83705 Regional Medical Center Physicians -1861676298 Physicians -1861676298 (208) 302-5350 Physicians -1861676298 Group(s): St Alphonsus Johnson, Jeffery, PAx~* Nakamoto, Kylex~* Fisher, Chadwick, PAx~ NPI: 1609887801 NPI: 1154831915 Regional Medical Center * Physicians -1861676298 3587 S Federal Way 3587 S Federal Way NPI: 1497744338 Boise, ID 83705 Boise, ID 83705 Detweiler, Gayle, PAx~* 3587 S Federal Way (208) 302-5350 (208) 302-5350 NPI: 1548339211 Boise, ID 83705 Group(s): St Alphonsus Group(s): St Alphonsus 5440 W Franklin Rd Ste (208) 302-5350 Regional Medical Center Regional Medical Center 108 Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Boise, ID 83705 Regional Medical Center (208) 283-7314 Physicians -1861676298 Lilly, Alanna, PAx~* Perkins, Danae, PAx~* NPI: 1093182479 NPI: 1821458241 Group(s): Integrity Fuhriman, Kathryn, PA Psychiatric Services 3587 S Federal Way 3587 S Federal Way x~* Boise, ID 83705 Boise, ID 83705 Dunbar, Mark, PACx~* NPI: 1992147201 (208) 302-5350 (208) 302-5350 NPI: 1952619751 3587 S Federal Way Group(s): St Alphonsus Group(s): St Alphonsus 848 S La Cassia Dr Boise, ID 83705 Regional Medical Center Regional Medical Center Boise, ID 83705 (208) 302-5350 Physicians -1861676298 Physicians -1861676298 (208) 644-0086 Group(s): St Alphonsus Group(s): Terry Reilly Regional Medical Center Mangeac, Olivia, PAx~* Popadics, Ashley, PAx~* Health Services - Medical Physicians -1861676298 NPI: 1407303340 NPI: 1811364177 Group1457309122 3587 S Federal Way 3587 S Federal Way Gomez, Jose, PAx~* Boise, ID 83705 Boise, ID 83705 NPI: 1629505458 (208) 302-5350 (208) 302-5350 3587 S Federal Way Group(s): St Alphonsus Group(s): St Alphonsus Boise, ID 83705 Regional Medical Center Regional Medical Center (208) 302-5350 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

171 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Robinson, Joseph, PAx~ Yan, Jie, PAx~* Brown, Tiffany, PAx~* Connley, Madeline, PAx * NPI: 1265820229 NPI: 1922473388 ~* NPI: 1710315577 3587 S Federal Way 2141 E Parkcenter Blvd NPI: 1912375460 3587 S Federal Way Boise, ID 83705 Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83705 (208) 302-5350 (208) 302-5050 Boise, ID 83706 (208) 302-5350 Group(s): St Alphonsus Group(s): St Alphonsus (208) 302-5050 Group(s): St Alphonsus Regional Medical Center Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Physicians -1861676298 Regional Medical Center Physicians -1861676298 Other Specialties: Urgent Physicians -1861676298 German - 83706 Care Clinic Ebinger, Lori, PAx~* Anstrand, Charles, PA~* Term Date: 12/31/2020 Searle, Jakeb, PACx~* NPI: 1427162874 NPI: 1629446661 NPI: 1801142146 901 N Curtis Rd Ste 104 Byers, Kyla, PAx~* 2141 E Parkcenter Blvd 3587 S Federal Way Boise, ID 83706 NPI: 1245738038 Boise, ID 83706 Boise, ID 83705 (208) 302-1000 901 N Curtis Rd Ste 501 (208) 302-5050 (208) 302-5350 Group(s): St Alphonsus Boise, ID 83706 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center (208) 302-3900 Regional Medical Center Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Regional Medical Center Eichenlaub, Alison, PAx Bickford, Albert, PA~* Physicians -1861676298 ~* Shuey, Yelena, PAx~* NPI: 1124092101 NPI: 1124029939 Callaway, Jackie, PAx~* NPI: 1245741503 2141 E Parkcenter Blvd 2141 E Parkcenter Blvd 3587 S Federal Way Boise, ID 83706 NPI: 1801196720 Boise, ID 83705 1789 S Broadway Ave Ste Boise, ID 83706 (208) 302-5050 (208) 302-5050 (208) 302-5350 Group(s): St Alphonsus 100 Group(s): St Alphonsus Boise, ID 83706 Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 (208) 321-4000 Physicians -1861676298 Group(s): Direct Physicians -1861676298 Bohan, Carin, PAx~* Orthopedic Care Fisher, Chadwick, PAx~ Talford, Chad, PAx~* NPI: 1710438874 NPI: 1639680051 Carver, Erin, PAx~* * 2141 E Parkcenter Blvd NPI: 1497744338 3587 S Federal Way Boise, ID 83706 NPI: 1902877624 Boise, ID 83705 1055 N Curtis Rd 2141 E Parkcenter Blvd (208) 302-5050 Boise, ID 83706 (208) 302-5350 Group(s): St Alphonsus Boise, ID 83706 Group(s): St Alphonsus (208) 367-4096 (208) 302-5050 Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Regional Medical Center Other Specialties: Physicians -1861676298 Vernon, Monica, PAx~* Neurological Surgery, Physicians -1861676298 NPI: 1386192102 Urgent Care Clinic Flynn, Christie, PA~* 3587 S Federal Way NPI: 1790923621 Boise, ID 83705 2141 E Parkcenter Blvd (208) 302-5350 Boise, ID 83706 Group(s): St Alphonsus (208) 302-5050 Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298

172 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Fuhriman, Kathryn, PA Johnson, Jeffery, PAx~* Magee, Stefanie, PAx~* Musgrove, Shane, PAx~* x~* NPI: 1609887801 NPI: 1639403041 NPI: 1427408251 NPI: 1992147201 2141 E Parkcenter Blvd 999 N Curtis Rd Ste 415 1789 S Broadway Ave Ste 2141 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83706 100 Boise, ID 83706 (208) 302-5050 (208) 302-2600 Boise, ID 83706 (208) 302-5050 Group(s): St Alphonsus Group(s): St Alphonsus (208) 321-4000 Group(s): St Alphonsus Regional Medical Center Regional Medical Center Group(s): Direct Regional Medical Center Physicians -1861676298 Physicians -1861676298 Orthopedic Care Physicians -1861676298 Lewis, Heather, PA~* Mangeac, Olivia, PAx~* Nakamoto, Kylex~* Gomez, Jose, PAx~* NPI: 1639402134 NPI: 1407303340 NPI: 1154831915 NPI: 1629505458 1000 N Curtis Rd Ste 202 2141 E Parkcenter Blvd 2141 E Parkcenter Blvd 2141 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 (208) 377-3435 (208) 302-5050 (208) 302-5050 (208) 302-5050 Group(s): Boise Physical Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Medicine And Regional Medical Center Regional Medical Center Regional Medical Center Rehabilitation Clinc Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Lilly, Alanna, PAx~* Merrell, Katrina, PAx~* Nelson, David, PA~* Graef, Kylee, PAx~* NPI: 1093182479 NPI: 1326590498 NPI: 1245607662 NPI: 1538679840 2141 E Parkcenter Blvd 1075 N Curtis Rd Ste 201 1055 N Curtis Rd 2141 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 (208) 302-5050 (208) 302-2000 (208) 367-7350 (208) 302-5050 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Lima, Madeline, PAx~* Merrell, Katrina, PAx~* Noel, Brenton, PAx~* Haas, Shane, PAx~* NPI: 1508245010 NPI: 1326590498 NPI: 1275961765 NPI: 1497153266 701 E Parkcenter Blvd 2141 E Parkcenter Blvd 701 E Parkcenter Blvd 1075 N Curtis Rd Ste 300 Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 (208) 381-6500 (208) 302-5050 (208) 381-6500 (208) 302-3100 Group(s): St Lukes Clinic Group(s): St Alphonsus Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Treasure Valley Llc Regional Medical Center French Physicians -1861676298 Physicians -1861676298 Partin, Michael, PA~* Lobb, Brian, PAx~* Morris, Bradley, PAx~* NPI: 1174072243 Hayden, Sarah, PAx~* NPI: 1336488378 NPI: 1346647526 2141 E Parkcenter Blvd NPI: 1033669908 1914 Broadway 2141 E Parkcenter Blvd Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83706 (208) 302-5050 Boise, ID 83706 (208) 463-3000 (208) 302-5050 Group(s): St Alphonsus (208) 302-5050 Group(s): Saltzer Clinics Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298

173 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Perkins, Danae, PAx~* Schwartz, Amanda, PA~ Talford, Chad, PAx~* Wolff, Kelley, PAx~* NPI: 1821458241 * NPI: 1639680051 NPI: 1609963081 2141 E Parkcenter Blvd NPI: 1619112216 2141 E Parkcenter Blvd 701 E Parkcenter Blvd Boise, ID 83706 901 N Curtis Rd Ste 104 Boise, ID 83706 Boise, ID 83706 (208) 302-5050 Boise, ID 83706 (208) 302-5050 (208) 381-6400 Group(s): St Alphonsus (208) 302-1000 Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298 Wood, Sarah, PAx~* Popadics, Ashley, PAx~* Turner, Brett, PACx~* NPI: 1407131733 NPI: 1811364177 Searle, Jakeb, PACx~* NPI: 1326067604 4477 W Emerald St Ste 2141 E Parkcenter Blvd NPI: 1801142146 1789 S Broadway Ave C100 Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83706 Boise, ID 83706 (208) 302-5050 Boise, ID 83706 (208) 321-4000 (208) 454-8389 Group(s): St Alphonsus (208) 302-5050 Group(s): Direct Group(s): Human Regional Medical Center Group(s): St Alphonsus Orthopedic Care Supports Of Idaho Physicians -1861676298 Regional Medical Center Spanish Physicians -1861676298 - 83709 Robinson, Joseph, PAx~ Vanderburg, Derek, PAx Allen, Shawn, PAx~* * Shuey, Yelena, PAx~* ~* NPI: 1265577811 NPI: 1710315577 NPI: 1124029939 NPI: 1922414598 10583 W Lake Hazel Rd 2141 E Parkcenter Blvd 2141 E Parkcenter Blvd 901 N Curtis Rd Ste 501 Boise, ID 83709 Boise, ID 83706 Boise, ID 83706 Boise, ID 83706 (208) 302-5950 (208) 302-5050 (208) 302-5050 (208) 302-3900 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 German Bohan, Carin, PAx~* Shumar, Sabrina, PAx~* Weber, Colette, PAx~* NPI: 1710438874 Rolfo, Stephanie, PAx~* NPI: 1457751802 NPI: 1922042464 10583 W Lake Hazel Rd NPI: 1568742096 901 N Curtis Rd Ste 501 1070 N Curtis Boise, ID 83709 1914 Broadway Boise, ID 83706 Boise, ID 83706 (208) 302-5950 Boise, ID 83706 (208) 302-3900 (208) 887-9500 Group(s): St Alphonsus (208) 463-3000 Group(s): St Alphonsus Group(s): Idaho Arthritis Regional Medical Center Group(s): Saltzer Clinics Regional Medical Center Center Physicians -1861676298 Physicians -1861676298 Rolfo, Stephanie, PAx~* Wilson, Kim, PAx~* Other Specialties: NPI: 1568742096 Subaitani, Jonathan, PA NPI: 1073982245 Neurological Surgery, 901 N Curtis Rd Ste 501 x~* 1055 N Curtis Rd Urgent Care Clinic Boise, ID 83706 NPI: 1821529918 Boise, ID 83706 (208) 302-3900 1914 Broadway (208) 472-8100 Group(s): St Alphonsus Boise, ID 83706 Group(s): Gem State Regional Medical Center (208) 463-3000 Radiology Llp - Medical Physicians -1861676298 Group(s): Saltzer Clinics Group

174 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Brown, Tiffany, PAx~* Fisher, Chadwick, PAx~ Heusinkveld, Kelly, PAx Merrell, Katrina, PAx~* NPI: 1922473388 * ~* NPI: 1326590498 10583 W Lake Hazel Rd NPI: 1497744338 NPI: 1922505205 10583 W Lake Hazel Rd Boise, ID 83709 10583 W Lake Hazel Rd 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 Boise, ID 83709 Boise, ID 83709 (208) 302-5950 Group(s): St Alphonsus (208) 302-5950 (208) 302-5900 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Other Specialties: Urgent Physicians -1861676298 Physicians -1861676298 Morris, Bradley, PAx~* Care Clinic Fuhriman, Kathryn, PA Johnson, Jeffery, PAx~* NPI: 1346647526 Term Date: 12/31/2020 x~* NPI: 1609887801 10583 W Lake Hazel Rd Connley, Madeline, PAx NPI: 1992147201 10583 W Lake Hazel Rd Boise, ID 83709 ~* 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 NPI: 1912375460 Boise, ID 83709 (208) 302-5950 Group(s): St Alphonsus 10583 W Lake Hazel Rd (208) 302-5950 Group(s): St Alphonsus Regional Medical Center Boise, ID 83709 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 (208) 302-5950 Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Physicians -1861676298 Nakamoto, Kylex~* Konkel, Eric, PAx~* Regional Medical Center NPI: 1154831915 Gomez, Jose, PAx~* NPI: 1184189839 Physicians -1861676298 10583 W Lake Hazel Rd NPI: 1629505458 10583 W Lake Hazel Rd Boise, ID 83709 Ebinger, Lori, PAx~* 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 NPI: 1629446661 Boise, ID 83709 (208) 302-5950 Group(s): St Alphonsus 10583 W Lake Hazel Rd (208) 302-5950 Group(s): St Alphonsus Regional Medical Center Boise, ID 83709 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 (208) 302-5950 Regional Medical Center Physicians -1861676298 Group(s): St Alphonsus Physicians -1861676298 Perkins, Danae, PAx~* Lilly, Alanna, PAx~* Regional Medical Center NPI: 1821458241 Graef, Kylee, PAx~* NPI: 1093182479 Physicians -1861676298 10583 W Lake Hazel Rd NPI: 1538679840 10583 W Lake Hazel Rd Boise, ID 83709 Eichenlaub, Alison, PAx 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 ~* Boise, ID 83709 (208) 302-5950 Group(s): St Alphonsus NPI: 1245741503 (208) 302-5950 Group(s): St Alphonsus Regional Medical Center 10583 W Lake Hazel Rd Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Boise, ID 83709 Regional Medical Center Physicians -1861676298 (208) 302-5950 Physicians -1861676298 Popadics, Ashley, PAx~* Group(s): St Alphonsus Mangeac, Olivia, PAx~* NPI: 1811364177 Hayden, Sarah, PAx~* Regional Medical Center NPI: 1407303340 10583 W Lake Hazel Rd NPI: 1033669908 Physicians -1861676298 10583 W Lake Hazel Rd Boise, ID 83709 10583 W Lake Hazel Rd Boise, ID 83709 (208) 302-5950 Boise, ID 83709 (208) 302-5950 Group(s): St Alphonsus (208) 302-5950 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298

175 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Robinson, Joseph, PAx~ Yan, Jie, PAx~* Jones, William, PAx~* Murphy, Caroline, PAx~ * NPI: 1265820229 NPI: 1770835597 * NPI: 1710315577 10583 W Lake Hazel Rd 190 E Bannock St NPI: 1447893896 10583 W Lake Hazel Rd Boise, ID 83709 Boise, ID 83712 125 E Idaho St Ste 303 Boise, ID 83709 (208) 302-5950 (208) 381-2094 Boise, ID 83712 (208) 302-5950 Group(s): St Alphonsus Group(s): Boise Radiology (208) 381-9350 Group(s): St Alphonsus Regional Medical Center Group Pllc Group(s): St Lukes Clinic Regional Medical Center Physicians -1861676298 Treasure Valley Llc Physicians -1861676298 Mack, Charisse, PAx~* Neisen, Misty, PAx~* German - 83712 NPI: 1801973615 Bowman, Dustin, PAx~* 190 E Bannock St 10th NPI: 1023409265 Searle, Jakeb, PACx~* NPI: 1386680239 Floor 125 E Idaho St Ste 303 NPI: 1801142146 100 E Idaho St Boise, ID 83712 Boise, ID 83712 10583 W Lake Hazel Rd Boise, ID 83712 (208) 381-5500 (208) 381-9350 Boise, ID 83709 (208) 381-2711 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 302-5950 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Alphonsus Treasure Valley Llc Porter, Robert, PAx~* Regional Medical Center Maddux, Sarah, PAx~* NPI: 1861565988 Physicians -1861676298 Cooper, Stacy, PAx~* NPI: 1518155662 NPI: 1518157544 190 E Bannock St 10th 190 E Bannock St Shuey, Yelena, PAx~* 100 E Idaho St Ste 400 Floor Boise, ID 83712 NPI: 1124029939 Boise, ID 83712 Boise, ID 83712 (208) 381-5015 10583 W Lake Hazel Rd (208) 345-5250 (208) 381-5500 Group(s): St Lukes Clinic Boise, ID 83709 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc (208) 302-5950 Treasure Valley Llc Treasure Valley Llc Singer, Nicole, PAx~* Group(s): St Alphonsus NPI: 1902870041 Regional Medical Center Greer, Finnegan, PAx~* Mcdowell, Elizabeth, 100 E Idaho St Ste 302 Physicians -1861676298 NPI: 1588031272 PACx~* 190 E Bannock St NPI: 1770640062 Boise, ID 83712 Talford, Chad, PAx~* Boise, ID 83712 190 E Bannock St 10th (208) 343-7501 NPI: 1639680051 (208) 381-5015 Floor Group(s): St Lukes Clinic 10583 W Lake Hazel Rd Group(s): St Lukes Clinic Boise, ID 83712 Treasure Valley Llc Boise, ID 83709 Treasure Valley Llc (208) 381-5500 Wolff, Kelley, PAx~* (208) 302-5950 Group(s): St Lukes Clinic NPI: 1609963081 Group(s): St Alphonsus Hague, Natalie, PAx~* Treasure Valley Llc 1000 E Park Blvd Ste 120 Regional Medical Center NPI: 1013388180 Boise, ID 83712 Physicians -1861676298 100 E Warm Springs Ave Morrill, Shannon, PAx~ Ste B * (208) 381-4100 Tobin, Micah, PAx~* Boise, ID 83712 NPI: 1225236383 Group(s): St Lukes Clinic NPI: 1013568468 (208) 381-6930 100 E Idaho St Ste 200 Treasure Valley Llc 10583 W Lake Hazel Rd Group(s): St Lukes Clinic Boise, ID 83712 Boise, ID 83709 Treasure Valley Llc (208) 381-5180 (208) 302-5950 Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Physicians -1861676298

176 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

- 83713 Green, Carolyn, PAx~* Eichenlaub, Alison, PAx Lane, Megan, PAx~* Lane, Sarah, PAx~* NPI: 1972876738 ~* NPI: 1326380544 NPI: 1336334192 2051 E Summersweet Dr NPI: 1245741503 3217 W Bavaria St 13909 W Wainwright Dr Boise, ID 83716 3217 W Bavaria St Eagle, ID 83616 Boise, ID 83713 (208) 323-3767 Eagle, ID 83616 (208) 302-6200 (208) 389-2213 Group(s): St Lukes Clinic (208) 302-6200 Group(s): St Alphonsus Group(s): Idaho Diabetes Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center And Endocrine Associates Regional Medical Center Physicians -1861676298 Klassen, Darren, PAx~* Physicians -1861676298 Mesaros, Lisa, PAx~* NPI: 1861779829 Morris, Bradley, PAx~* NPI: 1033397450 2051 E Summersweet Dr Fisher, Chadwick, PAx~ NPI: 1346647526 Boise, ID 83716 * 3217 W Bavaria St 4840 N Cloverdale Rd NPI: 1497744338 Boise, ID 83713 (208) 323-3767 Eagle, ID 83616 Group(s): St Lukes Clinic 3217 W Bavaria St (208) 302-6200 (208) 706-8000 Eagle, ID 83616 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Alphonsus (208) 302-6200 Regional Medical Center Treasure Valley Llc Subaitani, Jonathan, PA Group(s): St Alphonsus Physicians -1861676298 Tebbs, Jacob, PAx~* x~* Regional Medical Center NPI: 1154870251 NPI: 1821529918 Physicians -1861676298 Nakamoto, Kylex~* 3077 W Barber Valley Dr NPI: 1154831915 6051 N Eagle Rd Fuhriman, Kathryn, PA Boise, ID 83713 Boise, ID 83716 3217 W Bavaria St (208) 463-3000 x~* Eagle, ID 83616 (208) 519-4333 NPI: 1992147201 Group(s): Treasure Valley Group(s): Saltzer Clinics (208) 302-6200 3217 W Bavaria St Group(s): St Alphonsus Dermatology And Skin Wolf, Keely, PAx~* Eagle, ID 83616 Cancer Center NPI: 1891260378 Regional Medical Center (208) 302-6200 Physicians -1861676298 - 83716 2083 Hospitality Ln Group(s): St Alphonsus Boise, ID 83716 Regional Medical Center Talford, Chad, PAx~* Baisley, Kalyn, PAx~* (208) 333-8345 Physicians -1861676298 NPI: 1639680051 NPI: 1295163160 Group(s): St Lukes Clinic 3217 W Bavaria St 2051 E Summersweet Dr Treasure Valley Llc Graef, Kylee, PAx~* Eagle, ID 83616 Boise, ID 83716 NPI: 1538679840 (208) 302-6200 (208) 323-3767 EAGLE 3217 W Bavaria St - 83616 Group(s): St Alphonsus Group(s): St Lukes Clinic Eagle, ID 83616 Regional Medical Center Treasure Valley Llc Burns, Joshua, PAx~* (208) 302-6200 Physicians -1861676298 Group(s): St Alphonsus Florence, Branden, PAx NPI: 1760847057 ~* 3101 E State St Regional Medical Center Wilson, Kim, PAx~* NPI: 1730564923 Eagle, ID 83616 Physicians -1861676298 NPI: 1073982245 323 E Riverside Dr 2083 Hospitality Ln (208) 473-3100 Johnson, Jeffery, PAx~* Boise, ID 83716 Group(s): St Lukes Clinic Eagle, ID 83616 NPI: 1609887801 (208) 384-9073 (208) 333-8345 Treasure Valley Llc 3217 W Bavaria St Group(s): St Lukes Clinic Group(s): Intermountain Eagle, ID 83616 Medical Imaging Llc - Treasure Valley Llc (208) 302-6200 1326247511 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

177 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

GARDEN CITY Brown, Tiffany, PAx~* Eichenlaub, Alison, PAx Hayden, Sarah, PAx~* - 83714 NPI: 1922473388 ~* NPI: 1033669908 NPI: 1245741503 Detweiler, Gayle, PAx~* 757 E Wythe Creek Ct 757 E Wythe Creek Ct NPI: 1548339211 Kuna, ID 83634 757 E Wythe Creek Ct Kuna, ID 83634 5593 N Glenwood St (208) 302-6500 Kuna, ID 83634 (208) 302-6500 (208) 302-6500 Garden City, ID 83714 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus (208) 322-5354 Regional Medical Center Regional Medical Center Group(s): Mountain View Physicians -1861676298 Regional Medical Center Physicians -1861676298 Other Specialties: Urgent Physicians -1861676298 Behavioral Health Johnson, Jeffery, PAx~* Care Clinic Fisher, Chadwick, PAx~ NPI: 1609887801 Lynam, Rochelle, PAx~* Term Date: 12/31/2020 * 757 E Wythe Creek Ct NPI: 1215190798 NPI: 1497744338 6965 N Glenwood St Connley, Madeline, PAx Kuna, ID 83634 ~* 757 E Wythe Creek Ct Garden City, ID 83714 (208) 302-6500 NPI: 1912375460 Kuna, ID 83634 (208) 853-3000 Group(s): St Alphonsus 757 E Wythe Creek Ct (208) 302-6500 Regional Medical Center Group(s): Afc Urgent Care Group(s): St Alphonsus Spanish Kuna, ID 83634 Physicians -1861676298 (208) 302-6500 Regional Medical Center KUNA Group(s): St Alphonsus Physicians -1861676298 Lilly, Alanna, PAx~* NPI: 1093182479 - 83634 Regional Medical Center Fuhriman, Kathryn, PA Physicians -1861676298 757 E Wythe Creek Ct Ball, Jeffrey, PAx~* x~* Kuna, ID 83634 NPI: 1598790560 Crawford, Andrew, PAx NPI: 1992147201 (208) 302-6500 757 E Wythe Creek Ct ~* 757 E Wythe Creek Ct Group(s): St Alphonsus Kuna, ID 83634 NPI: 1588987309 Kuna, ID 83634 Regional Medical Center (208) 302-6500 943 N Linder Rd Ste 103 (208) 302-6500 Physicians -1861676298 Group(s): St Alphonsus Kuna, ID 83634 Group(s): St Alphonsus Regional Medical Center (208) 922-3355 Regional Medical Center Mangeac, Olivia, PAx~* Physicians -1861676298 Group(s): Advanced Physicians -1861676298 NPI: 1407303340 Other Specialties: Family Family Medicine Pllc 757 E Wythe Creek Ct Gomez, Jose, PAx~* Kuna, ID 83634 Medicine, Urgent Care French NPI: 1629505458 Clinic (208) 302-6500 Ebinger, Lori, PAx~* 757 E Wythe Creek Ct Group(s): St Alphonsus Bohan, Carin, PAx~* NPI: 1629446661 Kuna, ID 83634 Regional Medical Center NPI: 1710438874 757 E Wythe Creek Ct (208) 302-6500 Physicians -1861676298 757 E Wythe Creek Ct Kuna, ID 83634 Group(s): St Alphonsus Kuna, ID 83634 (208) 302-6500 Regional Medical Center Merrell, Katrina, PAx~* (208) 302-6500 Group(s): St Alphonsus Physicians -1861676298 NPI: 1326590498 Group(s): St Alphonsus Regional Medical Center 757 E Wythe Creek Ct Graef, Kylee, PAx~* Kuna, ID 83634 Regional Medical Center Physicians -1861676298 NPI: 1538679840 Physicians -1861676298 (208) 302-6500 757 E Wythe Creek Ct Group(s): St Alphonsus Other Specialties: Kuna, ID 83634 Neurological Surgery, Regional Medical Center (208) 302-6500 Physicians -1861676298 Urgent Care Clinic Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

178 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Morris, Bradley, PAx~* Searle, Jakeb, PACx~* Allen, Nicolas, PAx~* Bohan, Carin, PAx~* NPI: 1346647526 NPI: 1801142146 NPI: 1205910551 NPI: 1710438874 757 E Wythe Creek Ct 757 E Wythe Creek Ct 2855 E Magic View Dr 3025 W Cherry Ln Ste B Kuna, ID 83634 Kuna, ID 83634 Meridian, ID 83642 Ste B (208) 302-6500 (208) 302-6500 (208) 639-4900 Meridian, ID 83642 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): Idaho Urologic (208) 302-6450 Regional Medical Center Regional Medical Center Institute Pa Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Regional Medical Center Arhets, Alexander, PAx~ Physicians -1861676298 Nakamoto, Kylex~* Shuey, Yelena, PAx~* * Other Specialties: NPI: 1154831915 NPI: 1124029939 NPI: 1013956853 Neurological Surgery, 757 E Wythe Creek Ct 757 E Wythe Creek Ct 1618 S Millenium Way Urgent Care Clinic Kuna, ID 83634 Kuna, ID 83634 Ste 100 (208) 302-6500 (208) 302-6500 Meridian, ID 83642 Bradley, Benjamin, PAx Group(s): St Alphonsus Group(s): St Alphonsus (208) 884-3376 ~* Regional Medical Center Regional Medical Center Group(s): Ada West NPI: 1548546435 Physicians -1861676298 Physicians -1861676298 Dermatology 3399 E Louise Dr Ste 100 Meridian, ID 83642 Perkins, Danae, PAx~* Talford, Chad, PAx~* Assmus, Katherine, PAx ~* (208) 887-6813 NPI: 1821458241 NPI: 1639680051 Group(s): St Lukes Clinic 757 E Wythe Creek Ct 757 E Wythe Creek Ct NPI: 1063789311 3525 E Louise Dr Ste 400 Treasure Valley Llc Kuna, ID 83634 Kuna, ID 83634 Spanish, Portuguese (208) 302-6500 (208) 302-6500 Meridian, ID 83642 Group(s): St Alphonsus Group(s): St Alphonsus (208) 322-1680 Brioschi, Charles, PA~* Regional Medical Center Regional Medical Center Group(s): St Lukes Clinic NPI: 1083086870 Physicians -1861676298 Physicians -1861676298 Treasure Valley Llc 3340 E Goldstone Way Spanish Meridian, ID 83642 Popadics, Ashley, PAx~* Yan, Jie, PAx~* Barclay, D James, PAx~ (208) 452-8100 NPI: 1811364177 NPI: 1265820229 Group(s): St Alphonsus 757 E Wythe Creek Ct 757 E Wythe Creek Ct * NPI: 1285803445 Regional Medical Center Kuna, ID 83634 Kuna, ID 83634 Physicians -1861676298 (208) 302-6500 (208) 302-6500 1618 S Millenium Way Ste 100 Other Specialties: Group(s): St Alphonsus Group(s): St Alphonsus Orthopaedic Surgery Regional Medical Center Regional Medical Center Meridian, ID 83642 Physicians -1861676298 Physicians -1861676298 (208) 884-3376 Brown, Colin, PACx~* Group(s): Ada West NPI: 1386063980 Robinson, Joseph, PAx~ MERIDIAN Dermatology 3015 E Magic View Dr * - 83642 Ste 120 NPI: 1710315577 Blanchette, Anne, PACx Abe, Hodaka, PAx~* Meridian, ID 83642 757 E Wythe Creek Ct ~* NPI: 1013299866 (208) 321-4000 Kuna, ID 83634 NPI: 1851473961 3875 E Overland Rd Group(s): Direct (208) 302-6500 867 S Vanguard Way Meridian, ID 83642 Orthopedic Care Group(s): St Alphonsus Meridian, ID 83642 (208) 895-0888 Regional Medical Center (208) 463-3000 Group(s): Orthopedic & Group(s): Saltzer Clinics Physicians -1861676298 Fracture Clinic Pa German Other Specialties: Emergency Medicine

179 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Brown, Tiffany, PAx~* Campbell, Joseph, PAx~ Clements, David, PAx~* Ebinger, Lori, PAx~* NPI: 1922473388 * NPI: 1114917168 NPI: 1629446661 3025 W Cherry Ln Ste B NPI: 1467828186 3025 W Cherry Ln 3025 W Cherry Ln Ste B Ste B 3277 E Louise Dr Ste 100 Meridian, ID 83642 Ste B Meridian, ID 83642 Meridian, ID 83642 (208) 302-3200 Meridian, ID 83642 (208) 302-6450 (208) 706-7010 Group(s): St Alphonsus (208) 302-6450 Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc Physicians -1861676298 Regional Medical Center Physicians -1861676298 Other Specialties: Physicians -1861676298 Collins, Brandie, PAx~* Other Specialties: Urgent Radiology, Diagnostic NPI: 1124077151 Eichenlaub, Alison, PAx Care Clinic Casebolt, Alex, PAx~* 520 S Eagle Rd Ste 3102 ~* Term Date: 12/31/2020 NPI: 1346283363 Meridian, ID 83642 NPI: 1245741503 Burke, Louis, PAx~* 3015 E Magic View Dr (208) 706-5100 3025 W Cherry Ln Ste B NPI: 1952518060 Meridian, ID 83642 Group(s): St Lukes Clinic Ste B 3015 E Magic View Dr (208) 321-4000 Treasure Valley Llc Meridian, ID 83642 Ste 120 Group(s): Direct (208) 302-6450 Conlin, Cheryl, PAx~* Meridian, ID 83642 Orthopedic Care Group(s): St Alphonsus NPI: 1770026270 (208) 855-2410 Regional Medical Center Casebolt, Alex, PAx~* 3277 E Louise Dr Ste 100 Group(s): Allied Physicians -1861676298 NPI: 1346283363 Meridian, ID 83642 Orthopedics 867 S Vanguard Way (208) 706-7010 Fisher, Chadwick, PAx~ Burrup, Jay, PAx~* Meridian, ID 83642 Group(s): St Lukes Clinic * NPI: 1144504556 (208) 463-3000 Treasure Valley Llc NPI: 1497744338 3399 E Louise Dr Ste 400 Group(s): Saltzer Clinics 3025 W Cherry Ln Ste B Connley, Madeline, PAx Ste B Meridian, ID 83642 Chen, Erin, PAx~* ~* (208) 364-3000 Meridian, ID 83642 NPI: 1770913071 NPI: 1912375460 (208) 302-6450 Group(s): St Lukes Clinic 3399 E Louise Dr Ste 200 3025 W Cherry Ln Ste B Treasure Valley Llc Group(s): St Alphonsus Meridian, ID 83642 Ste B Regional Medical Center Callaway, Jackie, PAx~* (208) 706-2663 Meridian, ID 83642 Physicians -1861676298 NPI: 1801196720 Group(s): St Lukes Clinic (208) 302-6450 3015 E Magic View Dr Treasure Valley Llc Group(s): St Alphonsus Fitzsimonds, Taunya, PA Regional Medical Center x~* Ste 120 Chorn, Andy, PAx~* Physicians -1861676298 NPI: 1275582215 Meridian, ID 83642 NPI: 1205111390 (208) 321-4000 520 S Eagle Rd Ste 3213 2365 E Gala St Ste 1 Cooper, Stacy, PAx~* Meridian, ID 83642 Group(s): Direct Meridian, ID 83642 NPI: 1518157544 Orthopedic Care (208) 706-2663 (208) 391-5811 520 S Eagle Rd Ste 3209 Group(s): St Lukes Clinic Group(s): Poole Joint And 3219 Treasure Valley Llc Replacement Meridian, ID 83642 (208) 345-5250 Group(s): St Lukes Clinic Treasure Valley Llc

180 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Florence, Branden, PAx George, Megan, PAx~* Graef, Kylee, PAx~* Holder, Katy, PAx~* ~* NPI: 1053560367 NPI: 1538679840 NPI: 1427143346 NPI: 1730564923 3277 E Louise Dr Ste 350 3250 W Cherry Ln 2855 E Magic View Dr 3875 E Overland Rd Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 887-9500 (208) 302-0600 (208) 639-4900 (208) 895-0888 Group(s): Idaho Arthritis Group(s): St Alphonsus Group(s): Idaho Urologic Group(s): Orthopedic & Center Regional Medical Center Institute Pa Fracture Clinic Pa Spanish Physicians -1861676298 Jakobson, Tyson, PAx~* Freeland, Autumn, PAx~ Gomez, Jose, PAx~* Graklanoff, Teresa, PAx NPI: 1861737371 * NPI: 1629505458 ~* 3277 E Louise Dr Ste 200 NPI: 1790926210 3025 W Cherry Ln Ste B NPI: 1265461479 Meridian, ID 83642 3025 W Cherry Ln Ste B Ste B 1618 S Millenium Way (208) 706-2663 Meridian, ID 83642 Meridian, ID 83642 Ste 100 Group(s): St Lukes Clinic (208) 302-6400 (208) 302-6450 Meridian, ID 83642 Treasure Valley Llc Group(s): St Alphonsus Group(s): St Alphonsus (208) 884-3376 Jamison, Craig, PAx~* Regional Medical Center Regional Medical Center Group(s): Ada West NPI: 1447248141 Physicians -1861676298 Physicians -1861676298 Dermatology 3875 E Overland Rd Frelly, Stephen, PAx~* Goodspeed, Rebecca, PA Green, Carolyn, PAx~* Meridian, ID 83642 NPI: 1114966959 ~* NPI: 1972876738 (208) 895-0888 1618 S Millenium Way NPI: 1750327797 2347 E Gala St Group(s): Orthopedic & Ste 100 3025 W Cherry Ln Ste B Meridian, ID 83642 Fracture Clinic Pa Meridian, ID 83642 Ste B (208) 323-3767 (208) 884-3376 Meridian, ID 83642 Group(s): St Lukes Clinic Johnson, Jeffery, PAx~* Group(s): Ada West (208) 302-6450 Treasure Valley Llc NPI: 1609887801 Dermatology Group(s): St Alphonsus 3025 W Cherry Ln Ste B Hague, Natalie, PAx~* Regional Medical Center Ste B Friedt, Brian, PAx~* NPI: 1013388180 Physicians -1861676298 Meridian, ID 83642 NPI: 1568499713 520 S Eagle Rd Ste 1241 (208) 302-6450 1618 S Millenium Way Graef, Kylee, PAx~* Meridian, ID 83642 Group(s): St Alphonsus Ste 100 NPI: 1538679840 (208) 381-6930 Regional Medical Center Meridian, ID 83642 3025 W Cherry Ln Ste B Group(s): St Lukes Clinic Physicians -1861676298 (208) 884-3376 Ste B Treasure Valley Llc Group(s): Ada West Meridian, ID 83642 Jones, William, PAx~* Hayden, Sarah, PAx~* Dermatology (208) 302-6450 NPI: 1770835597 NPI: 1033669908 Group(s): St Alphonsus 3277 E Louise Dr Ste 100 Fuhriman, Kathryn, PA 3025 W Cherry Ln Ste B Regional Medical Center Meridian, ID 83642 x~* Ste B Physicians -1861676298 (208) 706-7010 NPI: 1992147201 Meridian, ID 83642 Group(s): St Lukes Clinic 3025 W Cherry Ln Ste B (208) 302-6450 Treasure Valley Llc Ste B Group(s): St Alphonsus Meridian, ID 83642 Regional Medical Center (208) 302-6450 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

181 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Kerns, Benjamin, PAx~* Martin, Brian, PAx~* Merrell, Katrina, PAx~* Mulkey, Bradley, PAx~* NPI: 1659388783 NPI: 1144542457 NPI: 1326590498 NPI: 1487691176 520 S Eagle Rd Ste 3213 520 S Eagle Rd Ste 1234 3025 W Cherry Ln Ste B 3525 E Louise Dr Ste 400 Meridian, ID 83642 Meridian, ID 83642 Ste B Meridian, ID 83642 (208) 706-2663 (208) 429-0300 Meridian, ID 83642 (208) 322-1680 Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 302-6450 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Klassen, Darren, PAx~* Martin, Cory, PAx~* Musgrove, Shane, PAx~* Physicians -1861676298 NPI: 1861779829 NPI: 1629201249 NPI: 1427408251 2347 E Gala St 3277 E Louise Dr Ste 100 Middleton, Julia, PAx~* 3015 E Magic View Dr Meridian, ID 83642 Meridian, ID 83642 NPI: 1215113741 Ste 120 (208) 323-3767 (208) 706-7010 520 S Eagle Rd Ste 1222 Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Meridian, ID 83642 (208) 321-4000 Treasure Valley Llc Treasure Valley Llc (208) 947-2266 Group(s): Direct Group(s): St Lukes Clinic Orthopedic Care Laible, Katherine, PAx~ Mcclenahan, Melissa, PA Treasure Valley Llc * x~* Nakamoto, Kylex~* NPI: 1083739049 NPI: 1053695676 Mondada, Katherine, PA NPI: 1154831915 520 S Eagle Rd Ste 2209 2855 E Magic View Dr x~* 3025 W Cherry Ln Ste B Meridian, ID 83642 Meridian, ID 83642 NPI: 1598231623 Ste B (208) 706-2663 (208) 639-4900 2855 E Magic View Dr Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): Idaho Urologic Meridian, ID 83642 (208) 302-6450 Treasure Valley Llc Institute Pa (208) 888-8209 Group(s): St Alphonsus Group(s): Summit Cancer Lilly, Alanna, PAx~* Mcinnally, Tessie, PAx~ Regional Medical Center Center NPI: 1093182479 * Physicians -1861676298 3025 W Cherry Ln Ste B NPI: 1174164305 Morch, Christian, PACx Nease, Arthur, PAx~* Ste B 3015 E Magic View Dr ~* NPI: 1881882066 Meridian, ID 83642 Meridian, ID 83642 NPI: 1881801405 2365 E Gala St Ste 1 (208) 302-6450 (208) 321-4000 3080 E Gentry Way Ste Meridian, ID 83642 Group(s): St Alphonsus Group(s): Direct 210 (208) 391-5811 Regional Medical Center Orthopedic Care Meridian, ID 83642 Group(s): Poole Joint (208) 384-9022 Physicians -1861676298 Merrell, Katrina, PAx~* Replacement Group(s): St Lukes Clinic NPI: 1326590498 Mangeac, Olivia, PAx~* Treasure Valley Llc Nease, Arthur, PAx~* NPI: 1407303340 3025 W Cherry Ln Ste NPI: 1881882066 3025 W Cherry Ln Ste B 204 Morris, Bradley, PAx~* 3015 E Magic View Dr Ste B Meridian, ID 83642 NPI: 1346647526 Meridian, ID 83642 Meridian, ID 83642 (208) 302-3300 3025 W Cherry Ln Ste B (208) 321-4000 (208) 302-6450 Group(s): St Alphonsus Ste B Group(s): Direct Group(s): St Alphonsus Regional Medical Center Meridian, ID 83642 Orthopedic Care Regional Medical Center Physicians -1861676298 (208) 302-6450 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

182 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Niezwaag, Krista, PAx~* Perkins, Melissa, PAx~* Rafla, Yustina, PAx~* Ryan, Andrew, PAx~* NPI: 1730589300 NPI: 1760425748 NPI: 1790224905 NPI: 1336318914 3015 E Magic View Dr 520 S Eagle Rd Ste 1243 520 S Eagle Rd Ste 1243 520 S Eagle Rd Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 321-4000 (208) 333-2225 (208) 333-2225 (208) 706-5000 Group(s): Direct Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Orthopedic Care Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Nyswyn, Sophia, PAx~* Pollmann, Robert, PAx~ Robinson, Joseph, PAx~ Schrader, Scott, PAx~* NPI: 1720356363 * * NPI: 1740223148 520 S Eagle Rd Ste 3112 NPI: 1528045283 NPI: 1710315577 3080 E Gentry Way Ste Meridian, ID 83642 3551 E Overland Rd 3025 W Cherry Ln Ste B 100 (208) 706-5800 Meridian, ID 83642 Ste B Meridian, ID 83642 Group(s): St Lukes Clinic (208) 884-1333 Meridian, ID 83642 (208) 947-5390 Treasure Valley Llc Group(s): Idaho Physical (208) 302-6450 Group(s): D&G Medical Tamil Medicine And Group(s): St Alphonsus Associates Pllc Rehabilitation Pa Regional Medical Center Otstot, Todd, PACx~* Physicians -1861676298 Schroeder, Amber, PAx~ Popadics, Ashley, PAx~* * NPI: 1275523276 German 3025 W Cherry Ln NPI: 1811364177 NPI: 1922458538 Meridian, ID 83642 3025 W Cherry Ln Ste B Rogers, Victoria, PAx~* 808 S Vanguard Way (208) 302-3200 Ste B NPI: 1922106194 Meridian, ID 83642 Group(s): St Alphonsus Meridian, ID 83642 3080 E Gentry Way Ste (208) 463-3000 Regional Medical Center (208) 302-6450 210 Group(s): Saltzer Clinics Physicians -1861676298 Group(s): St Alphonsus Meridian, ID 83642 Other Specialties: Regional Medical Center (208) 384-9022 Emergency Medicine, Page, Sean, PAx~* Physicians -1861676298 Group(s): St Lukes Clinic Surgery NPI: 1073840278 Treasure Valley Llc Powell, Kathryn, PAx~* Searle, Jakeb, PACx~* 3399 E Louise Dr Ste 200 Spanish Meridian, ID 83642 NPI: 1851728133 NPI: 1801142146 (208) 706-2663 3277 E Louise Dr Ste 410 Rolfo, Stephanie, PAx~* 3025 W Cherry Ln Ste B Group(s): St Lukes Clinic Meridian, ID 83642 NPI: 1568742096 Ste B Treasure Valley Llc (208) 489-5800 867 S Vanguard Way Meridian, ID 83642 Group(s): St Lukes Clinic Meridian, ID 83642 (208) 302-6450 Perkins, Danae, PAx~* Treasure Valley Llc (208) 463-3000 Group(s): St Alphonsus NPI: 1821458241 Spanish Group(s): Saltzer Clinics Regional Medical Center 3025 W Cherry Ln Ste B Physicians -1861676298 Ste B Proffitt, Frannie, PAx~* Ryan, Andrew, PAx~* Meridian, ID 83642 NPI: 1356694384 NPI: 1336318914 Shearing, Kevin, PAx~* (208) 302-6450 3277 E Louise Dr Ste 100 3080 E Gentry Way Ste NPI: 1376941914 Group(s): St Alphonsus Meridian, ID 83642 210 3277 E Louise Dr Ste 100 Regional Medical Center (208) 706-7010 Meridian, ID 83642 Meridian, ID 83642 Physicians -1861676298 Group(s): St Lukes Clinic (208) 384-9022 (208) 706-7010 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

183 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Shuey, Yelena, PAx~* Studebaker, Mandy, PA Taylor, Brent, PAx~* Visser, Juliann, PAx~* NPI: 1124029939 x~* NPI: 1780032649 NPI: 1922309848 3025 W Cherry Ln Ste B NPI: 1740517820 2347 E Gala St 1618 S Millenium Way Ste B 3277 E Louise Dr Ste 410 Meridian, ID 83642 Ste 100 Meridian, ID 83642 Meridian, ID 83642 (208) 323-3767 Meridian, ID 83642 (208) 302-6450 (208) 489-5800 Group(s): St Lukes Clinic (208) 884-3376 Group(s): St Alphonsus Group(s): St Lukes Clinic Treasure Valley Llc Group(s): Ada West Regional Medical Center Treasure Valley Llc Dermatology Trump, Richard, PAx~* Physicians -1861676298 Subaitani, Jonathan, PA NPI: 1063601177 Weber, Colette, PAx~* Smith, Jeffrey, PAx~* x~* 3015 E Magic View Dr NPI: 1922042464 NPI: 1013905793 NPI: 1821529918 Ste 120 3277 E Louise Dr Ste 350 3399 E Louise Dr Ste 200 2840 S Meridian Rd Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 855-2410 (208) 887-9500 (208) 706-2663 (208) 463-3000 Group(s): Allied Group(s): Idaho Arthritis Group(s): St Lukes Clinic Group(s): Saltzer Clinics Orthopedics Center Treasure Valley Llc Subaitani, Jonathan, PA Turner, Brett, PACx~* West, April, PAx~* Smith, Preston, PAx~* x~* NPI: 1326067604 NPI: 1801073143 NPI: 1992794929 NPI: 1821529918 3015 E Magic View Dr 3015 E Magic View Dr 520 S Eagle Rd Ste 2203 808 S Vanguard Way Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 321-4000 (208) 321-4000 (208) 381-7011 (208) 463-3000 Group(s): Direct Group(s): Direct Group(s): St Lukes Clinic Group(s): Saltzer Clinics Orthopedic Care Orthopedic Care Treasure Valley Llc Spanish Subaitani, Jonathan, PA West, April, PAx~* Spanish x~* NPI: 1821529918 Vernon, Monica, PAx~* NPI: 1801073143 x~* Smith, Preston, PA 867 S Vanguard Way NPI: 1386192102 3015 E Magic View Dr NPI: 1992794929 Meridian, ID 83642 3025 W Cherry Ln Ste B Ste 120 867 S Vanguard Way (208) 463-3000 Ste B Meridian, ID 83642 Meridian, ID 83642 Group(s): Saltzer Clinics Meridian, ID 83642 (208) 855-2410 (208) 463-3000 (208) 302-6450 Group(s): Allied Group(s): Saltzer Clinics Talford, Chad, PAx~* Group(s): St Alphonsus Orthopedics Spanish NPI: 1639680051 Regional Medical Center Wikfors, Bryce, PAx~* 3025 W Cherry Ln Ste B Physicians -1861676298 x~* Steinburg, Rick, PA Ste B NPI: 1588915292 x~* NPI: 1548265218 Meridian, ID 83642 Vincent, Kelly, PA 3875 E Overland Rd 3085 E Magic View Dr (208) 302-6450 NPI: 1194190637 Meridian, ID 83642 Ste 140 Group(s): St Alphonsus 2365 E Gala St Ste 1 (208) 895-0888 Meridian, ID 83642 Regional Medical Center Meridian, ID 83642 Group(s): Orthopedic & (208) 433-9300 Physicians -1861676298 (208) 515-2654 Fracture Clinic Pa Group(s): Specialty Group(s): Tadje Clinics Of Idaho Orthopaedics Llc

184 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Wilson, Kim, PAx~* Frelly, Stephen, PAx~* Visser, Juliann, PAx~* Ebinger, Lori, PAx~* NPI: 1073982245 NPI: 1114966959 NPI: 1922309848 NPI: 1629446661 2929 E Magic View Dr 4574 N Ten Mile Ste 120 4574 N Ten Mile Ste 120 10717 W State St Meridian, ID 83642 Meridian, ID 83646 Meridian, ID 83646 Star, ID 83669 (208) 472-8101 (208) 884-3376 (208) 884-3376 (208) 302-6350 Group(s): Intermountain Group(s): Ada West Group(s): Ada West Group(s): St Alphonsus Medical Imaging Dermatology Dermatology Regional Medical Center Llc1679520415 Physicians -1861676298 Friedt, Brian, PAx~* STAR Wren, Stephen, PAx~* NPI: 1568499713 - 83669 Eichenlaub, Alison, PAx ~* NPI: 1376090985 4574 N Ten Mile Ste 120 Bohan, Carin, PAx~* 520 S Eagle Rd Ste 1201 Meridian, ID 83646 NPI: 1710438874 NPI: 1245741503 Meridian, ID 83642 (208) 884-3376 10717 W State St 10717 W State St Star, ID 83669 (208) 381-5500 Group(s): Ada West Star, ID 83669 (208) 302-6350 Group(s): St Lukes Clinic Dermatology (208) 302-6350 Treasure Valley Llc Group(s): St Alphonsus Group(s): St Alphonsus Graklanoff, Teresa, PAx Regional Medical Center ~* Regional Medical Center Yan, Jie, PAx~* Physicians -1861676298 NPI: 1265820229 NPI: 1265461479 Physicians -1861676298 3025 W Cherry Ln Ste B 4574 N Ten Mile Ste 120 Other Specialties: Fisher, Chadwick, PAx~ Ste B Meridian, ID 83646 Neurological Surgery, * Meridian, ID 83642 (208) 884-3376 Urgent Care Clinic NPI: 1497744338 Group(s): Ada West 10717 W State St (208) 302-6450 Brown, Tiffany, PAx~* Group(s): St Alphonsus Dermatology Star, ID 83669 NPI: 1922473388 (208) 302-6350 Regional Medical Center Miller, Chelsea, PAx~* 10717 W State St Physicians -1861676298 Group(s): St Alphonsus NPI: 1043659196 Star, ID 83669 Regional Medical Center - 83646 1576 W Deer Crest St Ste (208) 302-6350 Physicians -1861676298 100 Group(s): St Alphonsus Allen, Laura, PAx~* Fuhriman, Kathryn, PA NPI: 1740476969 Meridian, ID 83646 Regional Medical Center Physicians -1861676298 x~* 4574 N Ten Mile Ste 120 (208) 898-7467 Group(s): Mountain Pine Other Specialties: Urgent NPI: 1992147201 Meridian, ID 83646 10717 W State St (208) 884-3376 Dermatology Pllc Care Clinic Term Date: 12/31/2020 Star, ID 83669 Group(s): Ada West Subaitani, Jonathan, PA (208) 302-6350 Dermatology x~* Connley, Madeline, PAx Group(s): St Alphonsus NPI: 1821529918 ~* Erstad, Lindsay, PA~* Regional Medical Center 6357 N Fox Run Way NPI: 1912375460 Physicians -1861676298 NPI: 1306168018 Meridian, ID 83646 10717 W State St 2536 N Stokesberry Pl (208) 463-3000 Star, ID 83669 Gomez, Jose, PAx~* Meridian, ID 83646 Group(s): Saltzer Clinics (208) 302-6350 NPI: 1629505458 (208) 855-0880 Group(s): St Alphonsus 10717 W State St Group(s): Kaylor Family Regional Medical Center Star, ID 83669 Medicine Physicians -1861676298 (208) 302-6350 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

185 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Ada County continued/Condado seguido

Graef, Kylee, PAx~* Merrell, Katrina, PAx~* Robinson, Joseph, PAx~ Canyon NPI: 1538679840 NPI: 1326590498 * 10717 W State St 10717 W State St NPI: 1710315577 CALDWELL Star, ID 83669 Star, ID 83669 10717 W State St - 83605 (208) 302-6350 (208) 302-6350 Star, ID 83669 Abe, Hodaka, PAx~* Group(s): St Alphonsus Group(s): St Alphonsus (208) 302-6350 NPI: 1013299866 Regional Medical Center Regional Medical Center Group(s): St Alphonsus 206 E Elm St Physicians -1861676298 Physicians -1861676298 Regional Medical Center Caldwell, ID 83605 Physicians -1861676298 (208) 459-4511 Hayden, Sarah, PAx~* Morris, Bradley, PAx~* German NPI: 1033669908 NPI: 1346647526 Group(s): Orthopedic & 10717 W State St 10717 W State St Searle, Jakeb, PACx~* Fracture Clinic Pa Star, ID 83669 Star, ID 83669 NPI: 1801142146 Ahlstrom, Derek, PAx~* (208) 302-6350 (208) 302-6350 10717 W State St NPI: 1174096606 Group(s): St Alphonsus Group(s): St Alphonsus Star, ID 83669 2609 S 10th Ave Regional Medical Center Regional Medical Center (208) 302-6350 Caldwell, ID 83605 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus (208) 454-2766 Regional Medical Center Group(s): Lifeways Inc Johnson, Jeffery, PAx~* Nakamoto, Kylex~* Physicians -1861676298 NPI: 1609887801 NPI: 1154831915 Anderson, Nicholas, PA~ 10717 W State St 10717 W State St Shuey, Yelena, PAx~* * Star, ID 83669 Star, ID 83669 NPI: 1124029939 NPI: 1093281016 (208) 302-6350 (208) 302-6350 10717 W State St 315 E Elm St Ste 100 Group(s): St Alphonsus Group(s): St Alphonsus Star, ID 83669 Caldwell, ID 83605 Regional Medical Center Regional Medical Center (208) 302-6350 (208) 302-7100 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Lilly, Alanna, PAx~* Perkins, Danae, PAx~* Physicians -1861676298 Physicians -1861676298 NPI: 1093182479 NPI: 1821458241 10717 W State St 10717 W State St Talford, Chad, PAx~* Baggs, Jacqueline, PAx~ Star, ID 83669 Star, ID 83669 NPI: 1639680051 * (208) 302-6350 (208) 302-6350 10717 W State St NPI: 1932566874 Group(s): St Alphonsus Group(s): St Alphonsus Star, ID 83669 2005 Arlington Regional Medical Center Regional Medical Center (208) 302-6350 Caldwell, ID 83605 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus (208) 459-1025 Regional Medical Center Group(s): Terry Reilly Mangeac, Olivia, PAx~* Popadics, Ashley, PAx~* Physicians -1861676298 Health Services Caldwell NPI: 1407303340 NPI: 1811364177 Clinic - Mg1043230501 10717 W State St 10717 W State St Yan, Jie, PAx~* Star, ID 83669 Star, ID 83669 NPI: 1265820229 (208) 302-6350 (208) 302-6350 10717 W State St Group(s): St Alphonsus Group(s): St Alphonsus Star, ID 83669 Regional Medical Center Regional Medical Center (208) 302-6350 Physicians -1861676298 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

186 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Bohan, Carin, PAx~* Conrad, Lee Ann, PAx~* Florence, Branden, PAx Hackenberg, Amber, PA NPI: 1710438874 NPI: 1114140910 ~* x~* 315 E Elm St Ste 100 Ste 1825 S Kimball Ave NPI: 1730564923 NPI: 1326357070 100 Caldwell, ID 83605 206 E Elm St 1906 Fairview Ave Ste Caldwell, ID 83605 (208) 455-3535 Caldwell, ID 83605 230 (208) 302-7150 Group(s): The Pain Center (208) 459-4511 Caldwell, ID 83605 Group(s): St Alphonsus Group(s): Orthopedic & (208) 459-4667 Dunbar, Mark, PACx~* Regional Medical Center Fracture Clinic Pa Group(s): West Valley NPI: 1952619751 Physicians -1861676298 Medical Group Llc 2005 Arlington Fuhriman, Kathryn, PA Other Specialties: Caldwell, ID 83605 x~* Hayden, Sarah, PAx~* Neurological Surgery, (208) 459-1025 NPI: 1992147201 NPI: 1033669908 Urgent Care Clinic Group(s): Terry Reilly 315 E Elm St Ste 100 Ste 315 E Elm St Ste 100 Ste Brown, Tiffany, PAx~* Health Services - Medical 100 100 NPI: 1922473388 Group1457309122 Caldwell, ID 83605 Caldwell, ID 83605 315 E Elm St Ste 100 Ste (208) 302-7150 (208) 302-7150 Ebinger, Lori, PAx~* 100 Group(s): St Alphonsus Group(s): St Alphonsus NPI: 1629446661 Caldwell, ID 83605 Regional Medical Center Regional Medical Center 315 E Elm St Ste 100 Ste (208) 302-7150 Physicians -1861676298 Physicians -1861676298 100 Group(s): St Alphonsus Caldwell, ID 83605 Gomez, Jose, PAx~* Henrich, Alicia, PAx~* Regional Medical Center (208) 302-7150 NPI: 1629505458 NPI: 1831603950 Physicians -1861676298 Group(s): St Alphonsus 315 E Elm St Ste 100 Ste 1906 Fairview Ave Ste Other Specialties: Urgent Regional Medical Center 100 420 Ste 420 Care Clinic Physicians -1861676298 Caldwell, ID 83605 Caldwell, ID 83605 Term Date: 12/31/2020 (208) 302-7150 (208) 855-2900 Eichenlaub, Alison, PAx Group(s): St Alphonsus Group(s): Spine Institute Casebolt, Alex, PAx~* ~* NPI: 1346283363 Regional Medical Center Of Idaho NPI: 1245741503 Physicians -1861676298 1818 S 10th Ave Ste 200 315 E Elm St Ste 100 Ste Jamison, Craig, PAx~* Caldwell, ID 83605 100 Graef, Kylee, PAx~* NPI: 1447248141 (208) 453-6417 Caldwell, ID 83605 NPI: 1538679840 206 E Elm St Group(s): Northwest (208) 302-7150 315 E Elm St Ste 100 Ste Caldwell, ID 83605 Occupational Medicine & Group(s): St Alphonsus 100 (208) 459-4511 Neurosurgical Spine Instit Regional Medical Center Caldwell, ID 83605 Group(s): Orthopedic & Connley, Madeline, PAx Physicians -1861676298 (208) 302-7150 Fracture Clinic Pa ~* Group(s): St Alphonsus Fisher, Chadwick, PAx~ Johnson, Jeffery, PAx~* NPI: 1912375460 Regional Medical Center * NPI: 1609887801 315 E Elm St Ste 100 Ste Physicians -1861676298 NPI: 1497744338 315 E Elm St Ste 100 Ste 100 315 E Elm St Ste 100 Ste 100 Caldwell, ID 83605 100 Caldwell, ID 83605 (208) 302-7150 Caldwell, ID 83605 (208) 302-7150 Group(s): St Alphonsus (208) 302-7150 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298

187 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Lavarias, Sari, PAx~* Merrell, Katrina, PAx~* Moss, Eric, PAx~* Robinson, Joseph, PAx~ NPI: 1033454426 NPI: 1326590498 NPI: 1013317296 * 1906 Fairview Ave Ste 315 E Elm St Ste 100 Ste 206 E Elm St NPI: 1710315577 420 Ste 420 100 Caldwell, ID 83605 315 E Elm St Ste 100 Ste Caldwell, ID 83605 Caldwell, ID 83605 (208) 459-4511 100 (208) 855-2900 (208) 302-7150 Group(s): Orthopedic & Caldwell, ID 83605 Group(s): Spine Institute Group(s): St Alphonsus Fracture Clinic Pa (208) 302-7150 Of Idaho Regional Medical Center Other Specialties: Group(s): St Alphonsus Physicians -1861676298 Orthopaedic Surgery Regional Medical Center Lilly, Alanna, PAx~* Physicians -1861676298 NPI: 1093182479 Miller, Chelsea, PAx~* Nakamoto, Kylex~* German 315 E Elm St Ste 100 Ste NPI: 1043659196 NPI: 1154831915 100 1818 S 10th Ave Ste 240 315 E Elm St Ste 100 Ste Robinson, Lucas, PAx~* Caldwell, ID 83605 Caldwell, ID 83605 100 NPI: 1225587025 (208) 302-7150 (208) 898-7467 Caldwell, ID 83605 1906 Fairview Ave Ste Group(s): St Alphonsus Group(s): Mountain Pine (208) 302-7150 420 Ste 420 Regional Medical Center Dermatology Pllc Group(s): St Alphonsus Caldwell, ID 83605 Physicians -1861676298 Regional Medical Center (208) 855-2900 Millward, Anthony, PAx Group(s): Spine Institute ~* Physicians -1861676298 Mangeac, Olivia, PAx~* Of Idaho NPI: 1407303340 NPI: 1609889252 Perkins, Danae, PAx~* 315 E Elm St Ste 100 Ste 2005 Arlington NPI: 1821458241 Searle, Jakeb, PACx~* 100 Caldwell, ID 83605 315 E Elm St Ste 100 Ste NPI: 1801142146 Caldwell, ID 83605 (208) 459-1025 100 315 E Elm St Ste 100 Ste (208) 302-7150 Group(s): Terry Reilly Caldwell, ID 83605 100 Group(s): St Alphonsus Health Services - Medical (208) 302-7150 Caldwell, ID 83605 Regional Medical Center Group Group(s): St Alphonsus (208) 302-7150 Physicians -1861676298 Other Specialties: Family Regional Medical Center Group(s): St Alphonsus Medicine Physicians -1861676298 Regional Medical Center Merrell, Katrina, PAx~* Spanish Physicians -1861676298 NPI: 1326590498 Popadics, Ashley, PAx~* 1906 Fairview Ave Ste Morris, Bradley, PAx~* NPI: 1811364177 Shuey, Yelena, PAx~* 430 Ste 430 NPI: 1346647526 315 E Elm St Ste 100 Ste NPI: 1124029939 Caldwell, ID 83605 315 E Elm St Ste 100 Ste 100 315 E Elm St Ste 100 Ste (208) 302-3300 100 Caldwell, ID 83605 100 Group(s): St Alphonsus Caldwell, ID 83605 (208) 302-7150 Caldwell, ID 83605 Regional Medical Center (208) 302-7150 Group(s): St Alphonsus (208) 302-7150 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298

188 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Subaitani, Jonathan, PA Willes, Jeremy, PAx~* - 83607 Bohan, Carin, PAx~* x~* NPI: 1356314843 Ahlstrom, Derek, PAx~* NPI: 1710438874 NPI: 1821529918 2523 S 10th Ave Ste 103 NPI: 1174096606 11035 Karcher Rd 512 E Elm St Caldwell, ID 83605 13307 Miami Lane Nampa, ID 83651 Caldwell, ID 83605 (208) 459-7788 Caldwell, ID 83607 (208) 302-6650 (208) 463-3000 Group(s): Caldwell (208) 546-3046 Group(s): St Alphonsus Group(s): Saltzer Clinics Immediate Care Group(s): Lifeways Inc Regional Medical Center Physicians -1861676298 Talford, Chad, PAx~* Wood, Sarah, PAx~* Vansant, Amanda, PAx~ Other Specialties: NPI: 1639680051 NPI: 1407131733 * Neurological Surgery, 315 E Elm St Ste 100 Ste 2609 S 10th Ave NPI: 1295071496 Urgent Care Clinic 100 Caldwell, ID 83605 13307 Miami Lane Caldwell, ID 83605 (208) 454-2766 Caldwell, ID 83607 Brown, Tiffany, PAx~* (208) 302-7150 Group(s): Lifeways Inc (208) 546-3046 NPI: 1922473388 Group(s): St Alphonsus 11035 Karcher Rd Wood, Sarah, PAx~* Group(s): Lifeways Inc Regional Medical Center Nampa, ID 83651 NPI: 1407131733 Physicians -1861676298 MELBA (208) 302-6650 314 Badiola St - 83641 Group(s): St Alphonsus Vernon, Monica, PAx~* Caldwell, ID 83605 Dunbar, Mark, PACx~* Regional Medical Center NPI: 1386192102 (208) 454-8389 NPI: 1952619751 Physicians -1861676298 315 E Elm St Ste 100 Ste Group(s): Human 150 2nd St Other Specialties: Urgent 100 Supports Of Idaho Caldwell, ID 83605 Melba, ID 83641 Care Clinic (208) 302-7150 Wren, Stephen, PAx~* (208) 495-1011 Term Date: 12/31/2020 NPI: 1376090985 Group(s): Terry Reilly Group(s): St Alphonsus Buchmiller, Camille, PA Regional Medical Center 1906 Fairview Ave Ste Health Services - Medical x~* Physicians -1861676298 420 Ste 420 Group1457309122 NPI: 1194092890 Caldwell, ID 83605 207 1st St S Weber, Colette, PAx~* NAMPA (208) 855-2900 Nampa, ID 83651 NPI: 1922042464 - 83651 Group(s): Spine Institute (208) 466-7869 1818 S 10th Ave Ste 120 Barcelo, Julia, PAx~* Of Idaho Group(s): Terry Reilly Ste 120 NPI: 1225287535 Health Services - Medical Caldwell, ID 83605 Yan, Jie, PAx~* 207 1st St S Group1134527708 (208) 887-9500 NPI: 1265820229 Nampa, ID 83651 Spanish Group(s): Idaho Arthritis 315 E Elm St Ste 100 Ste (208) 466-7869 Center 100 Group(s): Terry Reilly Camacho, Lucy, PAx~* Caldwell, ID 83605 Health Services - Medical NPI: 1508250754 Wikfors, Bryce, PAx~* (208) 302-7150 Group1134527708 207 1st St S NPI: 1588915292 Group(s): St Alphonsus Spanish Nampa, ID 83651 206 E Elm St Regional Medical Center (208) 466-7869 Caldwell, ID 83605 Physicians -1861676298 Group(s): Terry Reilly (208) 459-4511 Health Services - Medical Group(s): Orthopedic & Group1134527708 Fracture Clinic Pa Spanish

189 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Connley, Madeline, PAx Fuhriman, Kathryn, PA Heusinkveld, Kelly, PAx Lynam, Rochelle, PAx~* ~* x~* ~* NPI: 1215190798 NPI: 1912375460 NPI: 1992147201 NPI: 1922505205 207 1st St S 11035 Karcher Rd 11035 Karcher Rd 11035 Karcher Rd Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 466-7869 (208) 302-6650 (208) 302-6650 (208) 302-6650 Group(s): Terry Reilly Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Health Services - Medical Regional Medical Center Regional Medical Center Regional Medical Center Group1134527708 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Spanish Dunbar, Mark, PACx~* Gomez, Jose, PAx~* Isaacson, Ronnie, PAx~* Mangeac, Olivia, PAx~* NPI: 1952619751 NPI: 1629505458 NPI: 1275007965 NPI: 1407303340 207 1st St S 11035 Karcher Rd 915 Park Centre Way Ste 11035 Karcher Rd Nampa, ID 83651 Nampa, ID 83651 7 Nampa, ID 83651 (208) 466-7869 (208) 302-6650 Nampa, ID 83651 (208) 302-6650 Group(s): Terry Reilly Group(s): St Alphonsus (208) 442-7791 Group(s): St Alphonsus Health Services - Medical Regional Medical Center Group(s): Centerpointe Inc Regional Medical Center Group1457309122 Physicians -1861676298 Johnson, Jeffery, PAx~* Physicians -1861676298 Ebinger, Lori, PAx~* Graef, Kylee, PAx~* NPI: 1609887801 Merrell, Katrina, PAx~* NPI: 1629446661 NPI: 1538679840 11035 Karcher Rd NPI: 1326590498 11035 Karcher Rd 11035 Karcher Rd Nampa, ID 83651 11035 Karcher Rd Nampa, ID 83651 Nampa, ID 83651 (208) 302-6650 Nampa, ID 83651 (208) 302-6650 (208) 302-6650 Group(s): St Alphonsus (208) 302-6650 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Regional Medical Center Physicians -1861676298 Physicians -1861676298 Lilly, Alanna, PAx~* Physicians -1861676298 Eichenlaub, Alison, PAx Hayden, Sarah, PAx~* NPI: 1093182479 Morris, Bradley, PAx~* ~* NPI: 1033669908 11035 Karcher Rd NPI: 1346647526 NPI: 1245741503 11035 Karcher Rd Nampa, ID 83651 11035 Karcher Rd 11035 Karcher Rd Nampa, ID 83651 (208) 302-6650 Nampa, ID 83651 Nampa, ID 83651 (208) 302-6650 Group(s): St Alphonsus (208) 302-6650 (208) 302-6650 Group(s): St Alphonsus Regional Medical Center Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Physicians -1861676298 Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Looze, Emily, PAx~* Heaton, Thea, PTx~* NPI: 1265950612 Nakamoto, Kylex~* Fisher, Chadwick, PAx~ NPI: 1811998628 207 1st St S NPI: 1154831915 * 318 2nd St S Nampa, ID 83651 11035 Karcher Rd NPI: 1497744338 Nampa, ID 83651 (208) 466-7869 Nampa, ID 83651 11035 Karcher Rd (208) 467-3006 Group(s): Terry Reilly (208) 302-6650 Nampa, ID 83651 Group(s): Dermatology Health Services - Medical Group(s): St Alphonsus (208) 302-6650 Center Of Canyon County Group1134527708 Regional Medical Center Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Physicians -1861676298

190 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Perkins, Danae, PAx~* Shuey, Yelena, PAx~* Vernon, Monica, PAx~* Hill, Courtney, PAx~* NPI: 1821458241 NPI: 1124029939 NPI: 1386192102 NPI: 1558815670 11035 Karcher Rd 11035 Karcher Rd 11035 Karcher Rd 215 E Hawaii Ave Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83686 (208) 302-6650 (208) 302-6650 (208) 302-6650 (208) 463-3000 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Group(s): Saltzer Clinics Regional Medical Center Regional Medical Center Regional Medical Center Term Date: 12/31/2020 Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Jakobson, Tyson, PAx~* Permann, Seth, PAx~* Squire, Daniel, PAx~* Wren, Stephen, PAx~* NPI: 1861737371 NPI: 1508855974 NPI: 1447734892 NPI: 1376090985 215 E Hawaii Ave 318 2nd St S 207 1st St S 11035 Karcher Rd Nampa, ID 83686 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 706-2663 (208) 467-3006 (208) 466-7869 (208) 302-6650 Group(s): St Lukes Clinic Group(s): Dermatology Group(s): Terry Reilly Group(s): St Alphonsus Treasure Valley Llc Center Of Canyon County Health Services - Medical Regional Medical Center Kerns, Benjamin, PAx~* Group1134527708 Physicians -1861676298 Popadics, Ashley, PAx~* NPI: 1659388783 NPI: 1811364177 Subaitani, Jonathan, PA Yan, Jie, PAx~* 215 E Hawaii Ave 11035 Karcher Rd x~* NPI: 1265820229 Nampa, ID 83686 Nampa, ID 83651 NPI: 1821529918 11035 Karcher Rd (208) 706-2663 (208) 302-6650 13460 Generations Lane Nampa, ID 83651 Group(s): St Lukes Clinic Group(s): St Alphonsus Nampa, ID 83651 (208) 302-6650 Treasure Valley Llc Regional Medical Center (208) 463-3000 Group(s): St Alphonsus Popadics, Ashley, PAx~* Physicians -1861676298 Group(s): Saltzer Clinics Regional Medical Center NPI: 1811364177 Physicians -1861676298 Robinson, Joseph, PAx~ Talford, Chad, PAx~* 1510 12th Ave Rd Ste 200 * NPI: 1639680051 - 83686 Nampa, ID 83686 NPI: 1710315577 11035 Karcher Rd Ahlstrom, Derek, PAx~* (208) 302-6800 11035 Karcher Rd Nampa, ID 83651 NPI: 1174096606 Group(s): St Alphonsus Nampa, ID 83651 (208) 302-6650 824 S Diamond St Regional Medical Center (208) 302-6650 Group(s): St Alphonsus Nampa, ID 83686 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center (208) 546-3046 Reimers, Jeffrey, PAx~* Regional Medical Center Physicians -1861676298 Group(s): Lifeways Inc Physicians -1861676298 NPI: 1952339434 Vansant, Amanda, PAx~ 1510 12th Ave Rd Ste 200 German * Haas, Shane, PAx~* NPI: 1497153266 Nampa, ID 83686 Searle, Jakeb, PACx~* NPI: 1295071496 (208) 302-6800 915 Park Centre Way Ste 1510 12th Ave Rd Ste 200 NPI: 1801142146 Ste 200 Group(s): St Alphonsus 11035 Karcher Rd 7 Regional Medical Center Nampa, ID 83651 Nampa, ID 83686 Nampa, ID 83651 (208) 302-3100 Physicians -1861676298 (208) 302-6650 (208) 442-7791 Group(s): Centerpointe Inc Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Physicians -1861676298

191 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Rolfo, Stephanie, PAx~* - 83687 Brown, Tiffany, PAx~* Connley, Madeline, PAx NPI: 1568742096 Anstrand, Charles, PA~* NPI: 1922473388 ~* 215 E Hawaii Ave NPI: 1427162874 1150 N Sister Catherine NPI: 1912375460 Nampa, ID 83686 4400 E Flamingo Ave Ste Way 1150 N Sister Catherine (208) 463-3000 200 Nampa, ID 83687 Way Group(s): Saltzer Clinics Nampa, ID 83687 (208) 302-7050 Nampa, ID 83687 Group(s): St Alphonsus (208) 302-7050 Salzsieder, Todd, PAx~* (208) 302-1000 Regional Medical Center Group(s): St Alphonsus NPI: 1962875724 Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center 824 S Diamond St Regional Medical Center Other Specialties: Urgent Physicians -1861676298 Nampa, ID 83686 Physicians -1861676298 Care Clinic (208) 546-3046 Dunbar, Mark, PACx~* Baggs, Jacqueline, PAx~ Term Date: 12/31/2020 Group(s): Lifeways Inc * NPI: 1952619751 NPI: 1932566874 Buchmiller, Camille, PA 223 16th Ave N Subaitani, Jonathan, PA x~* Nampa, ID 83687 x~* 223 16th Ave N NPI: 1194092890 (208) 467-7654 NPI: 1821529918 Nampa, ID 83687 4400 E Flamingo Ave Ste Group(s): Terry Reilly 215 E Hawaii Ave (208) 467-7654 200 Health Services - Medical Nampa, ID 83686 Group(s): Terry Reilly Nampa, ID 83687 Group1457309122 (208) 463-3000 Health Services Boise (208) 302-2000 Group(s): Saltzer Clinics Clinic - Medical Group, Ebinger, Lori, PAx~* Group(s): St Alphonsus Terry Reilly Health NPI: 1629446661 Titmus, Mary, PA~* Regional Medical Center Services Caldwell Clinic - 1150 N Sister Catherine NPI: 1023410990 Physicians -1861676298 Mg1043230501 Way 3165 E Greenhurst Rd Spanish Nampa, ID 83687 Nampa, ID 83686 Bohan, Carin, PAx~* Burrup, Jay, PAx~* (208) 302-7050 (208) 463-7330 NPI: 1710438874 NPI: 1144504556 Group(s): St Alphonsus Group(s): St Lukes Clinic 1150 N Sister Catherine 9850 W St Lukes Dr Regional Medical Center Treasure Valley Llc Way Nampa, ID 83687 Physicians -1861676298 Spanish Nampa, ID 83687 (208) 505-2050 (208) 302-7050 Eichenlaub, Alison, PAx Webb, Nicole, PAx~* Group(s): St Alphonsus Group(s): St Lukes Clinic ~* NPI: 1669002721 Regional Medical Center Treasure Valley Llc NPI: 1245741503 215 E Hawaii Ave Physicians -1861676298 Callaway, Jackie, PAx~* 1150 N Sister Catherine Nampa, ID 83686 Other Specialties: NPI: 1801196720 Way (208) 463-3000 Neurological Surgery, 16818 N Market Pl Blvd Nampa, ID 83687 Group(s): Saltzer Clinics Urgent Care Clinic Nampa, ID 83687 (208) 302-7050 Wood, Sarah, PAx~* (208) 321-4000 Group(s): St Alphonsus NPI: 1407131733 Group(s): Direct Regional Medical Center 824 S Diamond St Orthopedic Care Physicians -1861676298 Nampa, ID 83686 (208) 546-3046 Group(s): Lifeways Inc

192 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Fisher, Chadwick, PAx~ Gomez, Jose, PAx~* Lavarias, Sari, PAx~* Merrell, Katrina, PAx~* * NPI: 1629505458 NPI: 1033454426 NPI: 1326590498 NPI: 1497744338 1150 N Sister Catherine 4424 E Flamingo Ave 1150 N Sister Catherine 1150 N Sister Catherine Way Nampa, ID 83687 Way Way Nampa, ID 83687 (208) 855-2900 Nampa, ID 83687 Nampa, ID 83687 (208) 302-7050 Group(s): Spine Institute (208) 302-7050 (208) 302-7050 Group(s): St Alphonsus Of Idaho Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Lewis, Leslie, PAx~* Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 NPI: 1952799009 Graef, Kylee, PAx~* 9850 W St Lukes Dr Ste Morris, Bradley, PAx~* Fuhriman, Kathryn, PA NPI: 1538679840 215 NPI: 1346647526 x~* 1150 N Sister Catherine Nampa, ID 83687 1150 N Sister Catherine NPI: 1992147201 Way (208) 706-2663 Way 1150 N Sister Catherine Nampa, ID 83687 Group(s): St Lukes Clinic Nampa, ID 83687 Way (208) 302-7050 Treasure Valley Llc (208) 302-7050 Nampa, ID 83687 Group(s): St Alphonsus Group(s): St Alphonsus Lilly, Alanna, PAx~* (208) 302-7050 Regional Medical Center Regional Medical Center NPI: 1093182479 Group(s): St Alphonsus Physicians -1861676298 Physicians -1861676298 Regional Medical Center 1150 N Sister Catherine Physicians -1861676298 Hayden, Sarah, PAx~* Way Musgrove, Shane, PAx~* NPI: 1033669908 Nampa, ID 83687 NPI: 1427408251 Gardiner, Shannon, PAx 1150 N Sister Catherine (208) 302-7050 16818 N Market Pl Blvd ~* Way Group(s): St Alphonsus Nampa, ID 83687 NPI: 1689701260 Nampa, ID 83687 Regional Medical Center (208) 321-4000 4424 E Flamingo Ave Ste (208) 302-7050 Physicians -1861676298 Group(s): Direct 320 Group(s): St Alphonsus Orthopedic Care Lobb, Brian, PAx~* Nampa, ID 83687 Regional Medical Center NPI: 1336488378 Nakamoto, Kylex~* (208) 367-3320 Physicians -1861676298 Group(s): Southwest Idaho 9850 St Lukes Dr Ste 129 NPI: 1154831915 Ear Nose And Throat Johnson, Jeffery, PAx~* Ste 129 1150 N Sister Catherine NPI: 1609887801 Nampa, ID 83687 Way Gibson, Lauren, PAx~* 1150 N Sister Catherine (208) 463-3000 Nampa, ID 83687 NPI: 1336372515 Way Group(s): Saltzer Clinics (208) 302-7050 4424 E Flamingo Ave Ste Nampa, ID 83687 Group(s): St Alphonsus Mangeac, Olivia, PAx~* 110 (208) 302-7050 Regional Medical Center NPI: 1407303340 Nampa, ID 83687 Group(s): St Alphonsus Physicians -1861676298 1150 N Sister Catherine (208) 302-3200 Regional Medical Center Way Nelson, David, PA~* Group(s): St Alphonsus Physicians -1861676298 Regional Medical Center Nampa, ID 83687 NPI: 1245607662 Physicians -1861676298 (208) 302-7050 4400 E Flamingo Ave Group(s): St Alphonsus Nampa, ID 83687 Regional Medical Center (208) 302-0860 Physicians -1861676298 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

193 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Otstot, Todd, PACx~* Popadics, Ashley, PAx~* Shuey, Yelena, PAx~* Tryon, Thomas, PAx~* NPI: 1275523276 NPI: 1811364177 NPI: 1124029939 NPI: 1205885092 4424 E Flamingo Ave Ste 1150 N Sister Catherine 1150 N Sister Catherine 16818 N Market Pl Blvd 110 Way Way Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83687 (208) 321-4000 (208) 302-3200 (208) 302-7050 (208) 302-7050 Group(s): Direct Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Alphonsus Orthopedic Care Regional Medical Center Regional Medical Center Regional Medical Center Turner, Brett, PACx~* Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 NPI: 1326067604 Perkins, Danae, PAx~* Robinson, Joseph, PAx~ Subaitani, Jonathan, PA 16818 N Market Pl Blvd NPI: 1821458241 * x~* Nampa, ID 83687 1150 N Sister Catherine NPI: 1710315577 NPI: 1821529918 (208) 321-4000 Way 1150 N Sister Catherine 9850 W St Lukes Dr Group(s): Direct Nampa, ID 83687 Way Nampa, ID 83687 Orthopedic Care (208) 302-7050 Nampa, ID 83687 (208) 463-3000 Spanish Group(s): St Alphonsus (208) 302-7050 Group(s): Saltzer Clinics Group(s): St Alphonsus Ward, Scott, PAx~* Regional Medical Center Talford, Chad, PAx~* Regional Medical Center NPI: 1053740258 Physicians -1861676298 NPI: 1639680051 Physicians -1861676298 16818 N Market Pl Blvd 1150 N Sister Catherine Perkins, Danae, PAx~* German Nampa, ID 83687 NPI: 1821458241 Way (208) 321-4000 1150 N Sister Catherine Robinson, Lucas, PAx~* Nampa, ID 83687 Group(s): Direct Way NPI: 1225587025 (208) 302-7050 Orthopedic Care Nampa, ID 83687 4424 E Flamingo Ave Group(s): St Alphonsus Webb, Nicole, PAx~* (208) 302-7000 Nampa, ID 83687 Regional Medical Center NPI: 1669002721 Group(s): St Alphonsus (208) 855-2900 Physicians -1861676298 9850 W St Lukes Dr Regional Medical Center Group(s): Spine Institute Taylor-Spillett, Bethany, Nampa, ID 83687 Physicians -1861676298 Of Idaho PAx~* (208) 463-3000 Perkins, Melissa, PAx~* Searle, Jakeb, PACx~* NPI: 1487843322 Group(s): Saltzer Clinics NPI: 1760425748 NPI: 1801142146 4400 E Flamingo Ave Ste Wilson, Kim, PAx~* 9850 W St Lukes Dr 1150 N Sister Catherine 200 NPI: 1073982245 Nampa, ID 83687 Way Nampa, ID 83687 4300 E Flamingo Ave (208) 505-2050 Nampa, ID 83687 (208) 302-2000 Nampa, ID 83687 Group(s): St Lukes Clinic (208) 302-7050 Group(s): St Alphonsus (208) 463-5000 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Regional Medical Center Physicians -1861676298 Group(s): Gem State Physicians -1861676298 Other Specialties: Radiology Llp - Medical Orthopaedic Surgery Group

194 Specialists / Especialistas Physician Assistant continued/Auxiliares médicos continuación Canyon County continued/Condado seguido

Wren, Stephen, PAx~* Jarrell, John, MDx~* - 83712 Canyon NPI: 1376090985 NPI: 1588877641 Gerety, Patrick, MD~* NAMPA 4424 E Flamingo Ave 900 N Liberty St Ste 101 NPI: 1164620720 Nampa, ID 83687 Boise, ID 83704 305 E Jefferson St - 83687 (208) 855-2900 (208) 302-2200 Boise, ID 83712 Jarrell, John, MDx~* Group(s): Spine Institute Group(s): St Alphonsus (208) 381-2335 NPI: 1588877641 Of Idaho Regional Medical Center Group(s): St Lukes Clinic 4400 E Flamingo Ave Ste Physicians -1861676298 Yan, Jie, PAx~* Treasure Valley Llc 200 Spanish NPI: 1265820229 Nampa, ID 83687 MERIDIAN (208) 302-2200 1150 N Sister Catherine Piccono, Molly, PAx~* - 83642 Way NPI: 1881739274 Group(s): St Alphonsus Nampa, ID 83687 900 N Liberty St Ste 101 Hegstad, Sumiko, MDx~ Regional Medical Center * (208) 302-7050 Boise, ID 83704 Physicians -1861676298 NPI: 1306870761 Group(s): St Alphonsus (208) 302-2200 Spanish 3399 E Louise Dr Ste 400 Regional Medical Center Group(s): St Alphonsus Meridian, ID 83642 Podiatrist Physicians -1861676298 Regional Medical Center (208) 364-3000 Physicians -1861676298 Idaho Plastic Surgery Group(s): St Lukes Clinic - 83711 Treasure Valley Llc Ada Idaho Cole, Patrick, MD~* Mistry Wolf, Dinu, MDx BOISE Ada NPI: 1023337631 ~* - 83702 1070 N Curtis Rd Ste 135 BOISE NPI: 1811943285 Millward, Gary, DPMx~ Boise, ID 83711 - 83702 3399 E Louise Dr Ste 400 * (208) 477-5014 Meridian, ID 83642 NPI: 1063462075 Jarrell, John, MDx~* Group(s): Boise Plastic (208) 364-3000 703 S Americana Blvd Ste NPI: 1588877641 Surgery Boise Hand Group(s): St Lukes Clinic 120 333 N 1st St Ste 240 Ste Center Pllc Treasure Valley Llc Boise, ID 83702 240 Spanish, German (208) 706-2663 Boise, ID 83702 Cole, Patrick, MD~* Group(s): St Lukes Clinic (208) 302-2200 NPI: 1023337631 Poppler, Louis, MDx~* Treasure Valley Llc Group(s): Jarrell Plastic 1828 Millenium Way NPI: 1275854630 Spanish Surgery Pllc Boise, ID 83711 3399 E Louise Dr Ste 400 Spanish (208) 477-5014 Meridian, ID 83642 - 83704 Group(s): Boise Plastic (208) 364-3000 - 83704 Surgery Boise Hand Anderson, Kerry, DPMx Group(s): St Lukes Clinic ~* Center Pllc Etherington, Linsey, MD Treasure Valley Llc NPI: 1659310829 x~* Cole, Patrick, MD~* French, Russian 809 N Liberty St NPI: 1336309434 NPI: 1023337631 Boise, ID 83704 900 N Liberty St Ste 101 2855 E Magic View Dr (208) 327-0627 Boise, ID 83704 Boise, ID 83711 Group(s): Idaho Foot & (208) 302-2200 (208) 477-5014 Ankle Associates Group(s): St Alphonsus Group(s): Boise Plastic Regional Medical Center Surgery Boise Hand Physicians -1861676298 Center Pllc

195 Specialists / Especialistas Podiatrist continued/Podólogo continuación Ada County continued/Condado seguido

Devries, Jason, DPMx~* MERIDIAN Lowe, Randy, DPMx~* - 83686 NPI: 1952592404 - 83642 NPI: 1801071550 Burk, Phillip, DPMx~* 727 E Riverpark Ln Ste Anderson, Kerry, DPMx 1828 Millenium Way Ste NPI: 1699763540 100 ~* 200 203 12th Ave Rd Boise, ID 83704 NPI: 1659310829 Meridian, ID 83642 Nampa, ID 83686 (208) 319-0497 2947 E Magic View Dr (208) 387-0900 (208) 466-3338 Group(s): South Idaho Ste 2 Group(s): Park Center Group(s): Foot And Ankle Foot And Ankle Group Meridian, ID 83642 Foot And Ankle Clinic Medical Center Kemp, Ryan, DPMx~* (208) 888-9876 Millward, Gary, DPMx~ Spanish, Portuguese NPI: 1437442290 Group(s): Idaho Foot & * Ankle Associates Hooker, Justin, DPMx~* 809 N Liberty St NPI: 1063462075 NPI: 1013250950 Boise, ID 83704 Graviet, Scott, DPMx~* 3399 E Louise Dr Ste 200 222 W Iowa Ave Ste 225 (208) 327-0627 NPI: 1578514618 Meridian, ID 83642 Nampa, ID 83686 Group(s): Idaho Foot & 3399 E Louise Dr Ste 200 (208) 706-2663 (208) 855-5955 Ankle Associates Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): Rocky Spanish, Portuguese (208) 706-2663 Treasure Valley Llc Mountaint Foot & Ankle Spanish Leis, Stanley, DPMx~* Group(s): St Lukes Clinic Spanish Treasure Valley Llc NPI: 1194779066 Canyon - 83687 809 N Liberty St Kemp, Ryan, DPMx~* NAMPA Graviet, Scott, DPMx~* Boise, ID 83704 NPI: 1437442290 (208) 327-0627 - 83651 NPI: 1578514618 2947 E Magic View Dr 9850 W St Lukes Dr Group(s): Idaho Foot & Ste 2 Anderson, Kerry, DPMx Ankle Associates ~* Nampa, ID 83687 Meridian, ID 83642 (208) 706-2663 Spanish (208) 888-9876 NPI: 1659310829 2635 Caldwell Blvd Ste Group(s): St Lukes Clinic - 83706 Group(s): Idaho Foot & Treasure Valley Llc Ankle Associates 101 Lowe, Randy, DPMx~* Spanish, Portuguese Nampa, ID 83651 Podiatrist - Foot & NPI: 1801071550 (208) 463-1660 230 W Mallard Dr Ste C Leis, Stanley, DPMx~* Group(s): Idaho Foot & Ankle Surgery Boise, ID 83706 NPI: 1194779066 Ankle Associates Idaho (208) 387-0900 2947 E Magic View Dr Group(s): Park Center Ste 2 Kemp, Ryan, DPMx~* Ada Foot And Ankle Clinic Meridian, ID 83642 NPI: 1437442290 2635 Caldwell Blvd Ste BOISE (208) 888-9876 - 83702 Group(s): Idaho Foot & 101 Ankle Associates Nampa, ID 83651 Clark, Clinton, DPMx~* Spanish (208) 463-1660 NPI: 1710924345 Group(s): Idaho Foot & 703 S Americana Blvd Ste Ankle Associates 120 Spanish, Portuguese Boise, ID 83702 (208) 706-2663 Group(s): St Lukes Clinic Treasure Valley Llc

196 Specialists / Especialistas Podiatrist - Foot & Ankle Surgery continued/Podólogos - cirugía de pies y tobillos continuación Ada County continued/Condado seguido

- 83704 EAGLE Canyon Swensen, Robert, DPMx Jones, Stewart, DPMx~* - 83616 ~* CALDWELL NPI: 1225354244 NPI: 1083643464 Johnson, Clark, DPMx~ 809 N Liberty St * - 83605 1510 12th Ave Rd Ste 200 Boise, ID 83704 NPI: 1518225929 Burk, Phillip, DPMx~* Ste 200 (208) 327-0627 776 E Riverside Dr Ste NPI: 1306064258 Nampa, ID 83686 Group(s): Idaho Foot & 209 1818 S 10th Ave Ste 250 (208) 302-3100 Ankle Associates Eagle, ID 83616 Caldwell, ID 83605 Group(s): St Alphonsus (208) 546-9548 (208) 855-5955 Regional Medical Center Mackay, Jenna, DPMx~ Group(s): Treasure Valley Group(s): Rocky Physicians -1861676298 * Foot And Ankle Mountaint Foot & Ankle - 83687 NPI: 1689029936 Spanish 809 N Liberty St Romanian Swensen, Robert, DPMx Boise, ID 83704 MERIDIAN NAMPA ~* (208) 327-0627 - 83642 - 83651 NPI: 1225354244 4400 E Flamingo Ave Group(s): Idaho Foot & Clark, Clinton, DPMx~* Jones, Stewart, DPMx~* Nampa, ID 83687 Ankle Associates NPI: 1710924345 NPI: 1083643464 (208) 302-0860 3399 E Louise Dr Ste 200 2635 Caldwell Blvd Ste - 83706 Group(s): St Alphonsus Meridian, ID 83642 101 Swensen, Robert, DPMx Regional Medical Center (208) 706-2663 Nampa, ID 83651 ~* Physicians -1861676298 NPI: 1225354244 Group(s): St Lukes Clinic (208) 463-1660 1055 N Curtis Rd Treasure Valley Llc Group(s): Idaho Foot & Podiatrist - Foot Ankle Associates Boise, ID 83706 Jones, Stewart, DPMx~* Surgery (208) 367-7350 NPI: 1083643464 - 83686 Idaho Group(s): St Alphonsus 2947 E Magic View Dr Fowler, Troy, DPMx~* Regional Medical Center Ste 2 NPI: 1235575044 Ada Physicians -1861676298 Meridian, ID 83642 203 12th Ave Rd BOISE (208) 888-9876 Swensen, Robert, DPMx Nampa, ID 83686 - 83702 ~* Group(s): Idaho Foot & (208) 466-3338 NPI: 1225354244 Ankle Associates Group(s): Foot And Ankle Stano, William, DPMx~* NPI: 1063426948 1075 N Curtis Rd Ste 300 Kinghorn, Kurt, DPMx~ Medical Center Boise, ID 83706 Finnish 220 W Jefferson St * Boise, ID 83702 (208) 302-3100 NPI: 1396023446 Group(s): St Alphonsus Martin, Trever, DPMx~ (208) 343-8907 1828 S Millenium Way * Group(s): The Walking Regional Medical Center Ste 200 NPI: 1316236797 Physicians -1861676298 Center At The Foot Meridian, ID 83642 203 12th Ave Rd Institute Of Idaho (208) 884-0313 Nampa, ID 83686 Other Specialties: Group(s): Ankle And Foot (208) 466-3338 Podiatrist - Foot & Ankle Medical Center Pc Group(s): Foot And Ankle Surgery Medical Center Portuguese

197 Specialists / Especialistas Podiatrist - Foot Surgery continued/Podólogos - cirugía de pies continuación Ada County continued/Condado seguido

- 83704 Portable Xray - 83705 Canyon Owen, Dana, DPM~* Rosendahl Foot And Supplier NAMPA NPI: 1972595676 Shoe Center~* Idaho 900 N Liberty Ste 306 NPI: 1356372221 - 83651 Boise, ID 83704 Ada 125 S Curtis Rd Brownfields Prosthetic & (208) 367-7887 Boise, ID 83705 Orthotics Technologies Group(s): Treasure Valley BOISE (208) 343-4242 Inc* Podiatry Inc - 83713 Group(s): Rosendahl Foot NPI: 1437384344 Bedside Xray Service Inc And Shoe Center 847-1 Parkcentre Way Owen, James, DMD~* ~* Nampa, ID 83651 NPI: 1306838016 NPI: 1992860324 - 83706 (208) 342-4659 900 N Liberty Ste 306 1110 North Five Mile Coyote Prosthetics & Group(s): Brownfields Boise, ID 83704 Road Orthotics - Boise~* Prosthetic & Orthotics (208) 367-7887 Boise, ID 83713 NPI: 1912905100 Technologies Inc Group(s): Treasure Valley (208) 489-6600 427 N Curtis Rd Podiatry Inc Group(s): Bedside Xray Boise, ID 83706 Public Health & Canyon Service Inc (208) 342-4104 General Preventive Group(s): Coyote Medicine NAMPA Bedside Xray Service Inc Prosthetics & Orthotics - ~* Idaho - 83687 NPI: 1992860324 Boise Yorgason, Kyle, DPMx~ 1889 Wildwood St Ste G MERIDIAN Ada * Boise, ID 83713 - 83642 BOISE NPI: 1629223110 (208) 489-6600 4424 E Flamingo Ave Ste Brownfields Prosthetic & - 83704 Group(s): Bedside Xray Orthotics Technologies 110 Service Inc Archuleta, Cheryl, PAx~ Nampa, ID 83687 Inc~* * (208) 302-3200 Prosthetic/Orthotic NPI: 1265756886 NPI: 1891849667 Group(s): St Alphonsus Supplier 1912 E Franklin Rd 707 N Armstrong Pl Regional Medical Center Meridian, ID 83642 Boise, ID 83704 Physicians -1861676298 Idaho (208) 342-4659 (208) 375-5211 Ada Group(s): Brownfields Group(s): Central District Prosthetic & Orthotics Health Department BOISE Technologies Inc Ault, Susan, NPx~* - 83704 NPI: 1528271103 Kormylo Orthopedic Inc 707 N Armstrong Pl - Boise~* Boise, ID 83704 NPI: 1902811433 (208) 375-5211 175 N Benjamin Ln Group(s): Central District Boise, ID 83704 Health Department (208) 377-4024 Group(s): Kormylo Orthopedic Inc - Boise

198 Specialists / Especialistas Public Health & General Preventive Medicine continued/Salud pública y medicina general preventiva continuación Ada County continued/Condado seguido

Duncan, Jana, NPx~* MERIDIAN Holweger, Joshua, MDx Mcinerney, Meghan, MD NPI: 1396162905 - 83642 ~* x~* 707 N Armstrong Pl Hutt, Nicholas, PAx~* NPI: 1417102930 NPI: 1235338955 1075 N Curtis Rd Ste 200 1075 N Curtis Rd Ste 200 Boise, ID 83704 NPI: 1487944716 Boise, ID 83706 Boise, ID 83706 (208) 375-5211 520 S Eagle Rd Ste 1243 Group(s): Central District Meridian, ID 83642 (208) 302-2000 (208) 302-2000 Health Department (208) 333-2225 Group(s): St Alphonsus Group(s): St Alphonsus Regional Medical Center Regional Medical Center Group(s): St Lukes Clinic Fitzmaurice, Megan, NP Physicians -1861676298 Physicians -1861676298 x~* Treasure Valley Llc NPI: 1336523703 Other Specialties: Jones, Robyn, NPx~* Palmer, Sarah, CNSx~* 707 N Armstrong Pl Physician Assistant NPI: 1790034312 NPI: 1619274727 Boise, ID 83704 1055 N Curtis Rd 1055 N Curtis Rd Hutt, Nicholas, PAx~* (208) 375-5211 NPI: 1487944716 Boise, ID 83706 Boise, ID 83706 Group(s): Central District 520 S Eagle Rd Ste 2213 (208) 302-2000 (208) 367-4096 Health Department Group(s): St Alphonsus Group(s): St Alphonsus Meridian, ID 83642 Other Specialties: Family Regional Medical Center Regional Medical Center (208) 706-5447 Nurse Practitioner Physicians -1861676298 Physicians -1861676298 Group(s): St Lukes Clinic Other Specialties: Hospice Hutt, Nicholas, PAx~* Treasure Valley Llc Jones, Robyn, NPx~* And Palliative Medicine - NPI: 1487944716 Other Specialties: NPI: 1790034312 Internal Medicine 707 N Armstrong Pl Physician Assistant 1075 N Curtis Rd Ste 200 Boise, ID 83704 Boise, ID 83706 Palmer, Sarah, CNSx~* (208) 375-5211 Pulmonary Disease (208) 302-2000 NPI: 1619274727 Group(s): Central District Idaho Group(s): St Alphonsus 1055 N Curtis Rd Health Department Regional Medical Center Boise, ID 83706 Other Specialties: Ada Physicians -1861676298 (208) 302-2000 Physician Assistant Group(s): St Alphonsus BOISE Kienlen, Jennifer, NPx~* Regional Medical Center Swanson, Eileen Gale, - 83706 NPI: 1255706461 Physicians -1861676298 NPx~* 1055 N Curtis Rd Braksiek, Jessica, NPx~* Other Specialties: Hospice NPI: 1528282092 Boise, ID 83706 NPI: 1558808501 And Palliative Medicine - 707 N Armstrong Pl (208) 302-2000 1075 N Curtis Rd Ste 200 Internal Medicine Boise, ID 83704 Boise, ID 83706 Group(s): St Alphonsus (208) 375-5211 (208) 302-2000 Regional Medical Center Palmer, Sarah, CNSx~* Group(s): Central District Group(s): St Alphonsus Physicians -1861676298 NPI: 1619274727 Health Department 1075 N Curtis Rd Ste 200 Regional Medical Center Kienlen, Jennifer, NPx~* Boise, ID 83706 Physicians -1861676298 NPI: 1255706461 (208) 302-2000 1075 N Curtis Rd Ste 200 Group(s): St Alphonsus Boise, ID 83706 Regional Medical Center (208) 302-2000 Physicians -1861676298 Group(s): St Alphonsus Other Specialties: Hospice Regional Medical Center And Palliative Medicine - Physicians -1861676298 Internal Medicine

199 Specialists / Especialistas Pulmonary Disease continued/Enfermedad pulmonar continuación Ada County continued/Condado seguido

Patel, Anil, MDx~* - 83712 Goltry, Brian, MDx~* Reger, Andrew, DOx~* NPI: 1356350664 Miller, Karen, MDx~* NPI: 1578591210 NPI: 1477874360 1055 N Curtis Rd NPI: 1629117619 2051 E Summersweet Dr 2051 E Summersweet Dr Boise, ID 83706 100 E Idaho St Ste 200 Boise, ID 83716 Boise, ID 83716 (208) 302-2000 Boise, ID 83712 (208) 323-3767 (208) 323-3767 Group(s): St Alphonsus (208) 381-7092 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Regional Medical Center Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Physicians -1861676298 Treasure Valley Llc Kouskov, Oleg, MDx~* Sasso, David, MDx~* Patel, Anil, MDx~* - 83716 NPI: 1053521203 NPI: 1467590661 NPI: 1356350664 2051 E Summersweet Dr 2051 E Summersweet Dr 1075 N Curtis Rd Ste 200 Akhtar, Saadia, MDx~* Boise, ID 83716 Boise, ID 83716 Boise, ID 83706 NPI: 1790823904 (208) 323-3767 (208) 323-3767 (208) 302-2000 2051 E Summersweet Dr Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Alphonsus Boise, ID 83716 Treasure Valley Llc Treasure Valley Llc Regional Medical Center (208) 323-3767 Russian Souza, James, MDx~* Physicians -1861676298 Group(s): St Lukes Clinic Treasure Valley Llc Lin, Jeffrey, MDx~* NPI: 1659419448 Rutte, Megan, PAx~* NPI: 1891704169 2051 E Summersweet Dr Bergquist, William, MDx NPI: 1881084994 ~* 2051 E Summersweet Dr Boise, ID 83716 1055 N Curtis Rd NPI: 1730227927 Boise, ID 83716 (208) 323-3767 Boise, ID 83706 2051 E Summersweet Dr (208) 323-3767 Group(s): St Lukes Clinic (208) 302-2000 Boise, ID 83716 Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Alphonsus Treasure Valley Llc (208) 323-3767 Weis, Patrick, MDx~* Regional Medical Center Group(s): St Lukes Clinic Linderman, Derek, MDx NPI: 1174602536 Physicians -1861676298 Treasure Valley Llc ~* 2051 E Summersweet Dr x~* NPI: 1093815821 Rutte, Megan, PA Dittrich, William, MDx~ Boise, ID 83716 NPI: 1881084994 * 2051 E Summersweet Dr (208) 323-3767 1075 N Curtis Rd Ste 200 NPI: 1154469328 Boise, ID 83716 Group(s): St Lukes Clinic Boise, ID 83706 2051 E Summersweet Dr (208) 323-3767 Treasure Valley Llc (208) 302-2000 Group(s): St Lukes Clinic Boise, ID 83716 EAGLE Group(s): St Alphonsus Treasure Valley Llc (208) 323-3767 - 83616 Regional Medical Center Group(s): St Lukes Clinic Miller, Karen, MDx~* Physicians -1861676298 Mccusker, Kevin, MDx~ Treasure Valley Llc NPI: 1629117619 * Sutherland, Kathleen, Fonseca, David, MDx~* 2051 E Summersweet Dr NPI: 1285677377 MDx~* NPI: 1205034238 Boise, ID 83716 1159 E Iron Eagle Dr Ste NPI: 1326186115 2051 E Summersweet Dr (208) 323-3767 170D 1075 N Curtis Rd Ste 200 Boise, ID 83716 Group(s): St Lukes Clinic Eagle, ID 83616 Boise, ID 83706 (208) 323-3767 Treasure Valley Llc (208) 209-3242 (208) 302-2000 Group(s): St Lukes Clinic Group(s): Keystone Group(s): St Alphonsus Treasure Valley Llc Therapy Regional Medical Center Physicians -1861676298

200 Specialists / Especialistas Pulmonary Disease continued/Enfermedad pulmonar continuación Ada County continued/Condado seguido

MERIDIAN Fonseca, David, MDx~* Norris, Wendi, MDx~* Weis, Patrick, MDx~* - 83642 NPI: 1205034238 NPI: 1104964204 NPI: 1174602536 Akhtar, Saadia, MDx~* 2347 E Gala St 2347 E Gala St 2347 E Gala St NPI: 1790823904 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 2347 E Gala St (208) 323-3767 (208) 323-3767 (208) 323-3767 Meridian, ID 83642 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic (208) 323-3767 Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Group(s): St Lukes Clinic Goltry, Brian, MDx~* Nowbar, Sogol, MDx~* Canyon Treasure Valley Llc NPI: 1578591210 NPI: 1265570360 NAMPA Bergquist, William, MDx 2347 E Gala St 2347 E Gala St ~* Meridian, ID 83642 Meridian, ID 83642 - 83686 NPI: 1730227927 (208) 323-3767 (208) 323-3767 Jerome, Peter, MDx~* 2347 E Gala St Group(s): St Lukes Clinic Group(s): St Lukes Clinic NPI: 1396740668 Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc 215 E Hawaii Ave (208) 323-3767 Kouskov, Oleg, MDx~* Reger, Andrew, DOx~* Nampa, ID 83686 Group(s): St Lukes Clinic NPI: 1053521203 NPI: 1477874360 (208) 463-3000 Treasure Valley Llc 2347 E Gala St 2347 E Gala St Group(s): Saltzer Clinics Other Specialties: Internal Dittrich, William, MDx~ Meridian, ID 83642 Meridian, ID 83642 * (208) 323-3767 (208) 323-3767 Medicine NPI: 1154469328 Group(s): St Lukes Clinic Group(s): St Lukes Clinic - 83687 2347 E Gala St Treasure Valley Llc Treasure Valley Llc Holweger, Joshua, MDx Russian Meridian, ID 83642 Rich, Eric, MDx~* ~* (208) 323-3767 Lin, Jeffrey, MDx~* NPI: 1487776530 NPI: 1417102930 Group(s): St Lukes Clinic NPI: 1891704169 2347 E Gala St 4400 E Flamingo Ave Ste Treasure Valley Llc 2347 E Gala St Meridian, ID 83642 200 Dodson, Mark, MDx~* Meridian, ID 83642 (208) 323-3767 Nampa, ID 83687 NPI: 1710275599 (208) 323-3767 Group(s): St Lukes Clinic (208) 302-2000 2347 E Gala St Group(s): St Lukes Clinic Treasure Valley Llc Group(s): St Alphonsus Meridian, ID 83642 Treasure Valley Llc Regional Medical Center Sasso, David, MDx~* Physicians -1861676298 (208) 323-3767 Miller, Karen, MDx~* NPI: 1467590661 Group(s): St Lukes Clinic NPI: 1629117619 2347 E Gala St Kaczmarczyk, Treasure Valley Llc 2347 E Gala St Meridian, ID 83642 Katarzyna, MDx~* Fall, Michael, DOx~* Meridian, ID 83642 (208) 323-3767 NPI: 1275979692 NPI: 1851548648 (208) 323-3767 Group(s): St Lukes Clinic 4400 E Flamingo Ave Ste 2347 E Gala St Group(s): St Lukes Clinic Treasure Valley Llc 200 Treasure Valley Llc Nampa, ID 83687 Meridian, ID 83642 Souza, James, MDx~* (208) 323-3767 (208) 302-2000 NPI: 1659419448 Group(s): St Alphonsus Group(s): St Lukes Clinic 2347 E Gala St Treasure Valley Llc Regional Medical Center Meridian, ID 83642 Physicians -1861676298 Other Specialties: Internal (208) 323-3767 Medicine Group(s): St Lukes Clinic Treasure Valley Llc

201 Specialists / Especialistas Pulmonary Disease continued/Enfermedad pulmonar continuación Canyon County continued/Condado seguido

Linderman, Derek, MDx Radiology Clinic - 83706 MERIDIAN ~* Brooks, Joseph, MDx~* - 83642 NPI: 1093815821 Idaho NPI: 1457323693 Bolender, Sarah, MDx~* 9850 W St Lukes Dr Ste Ada 1055 N Curtis Rd NPI: 1811003395 380 Boise, ID 83706 520 S Eagle Rd Nampa, ID 83687 EAGLE (208) 367-3131 Meridian, ID 83642 (208) 323-3767 - 83616 Group(s): St Alphonsus (208) 706-5651 Group(s): St Lukes Clinic Intermountain Medical Regional Medical Center Group(s): St Lukes Clinic Treasure Valley Llc Imaging - Eagle~* Physicians -1861676298 Treasure Valley Llc Pidcock, Wesley, DOx~* NPI: 1326247511 - 83712 Brooks, Joseph, MDx~* NPI: 1013335157 323 E Riverside Dr Ste 108 Dorn, Ronald, MDx* NPI: 1457323693 4400 E Flamingo Ave Ste 2855 E Magic View Dr 200 Eagle, ID 83616 NPI: 1780790279 Meridian, ID 83642 Nampa, ID 83687 (208) 954-1823 100 E Idaho St Group(s): Intermountain Boise, ID 83712 (208) 639-4900 (208) 302-2000 Group(s): Idaho Urologic Group(s): St Alphonsus Medical Imaging - Eagle (208) 381-2711 Group(s): St Lukes Clinic Institute Pa Regional Medical Center Radiology, Radiation Physicians -1861676298 Treasure Valley Llc Kuhn, Tonya, MDx~* Oncology Other Specialties: Internal Kuhn, Tonya, MDx~* NPI: 1700992088 Medicine Idaho NPI: 1700992088 520 S Eagle Rd Meridian, ID 83642 Pidcock, Wesley, DOx~* 100 E Idaho St Ada (208) 706-5651 NPI: 1013335157 Boise, ID 83712 BOISE (208) 381-2711 Group(s): St Lukes Clinic 4400 E Flamingo Ave Ste Treasure Valley Llc 200 - 83704 Group(s): St Lukes Clinic Nampa, ID 83687 Gamboa, Christina, MD Treasure Valley Llc Canyon (208) 302-1000 ~* Sawyer, Timothy, MDx~ Group(s): St Alphonsus NPI: 1144563370 * CALDWELL Regional Medical Center 9357 W Emerald St NPI: 1548206584 - 83605 Physicians -1861676298 Boise, ID 83704 100 E Idaho St Brooks, Joseph, MDx~* Other Specialties: Internal (608) 672-1000 Boise, ID 83712 NPI: 1457323693 Medicine Group(s): Cancer Center (208) 381-2711 3123 Medical Dr Of Idaho Scholten, Eric, MD~* Group(s): St Lukes Clinic Caldwell, ID 83605 NPI: 1003110313 Gamboa, John, MD~* Treasure Valley Llc (208) 367-3131 Group(s): Saint Alphonsus 9850 W St Lukes Dr Ste NPI: 1477597045 Smith, Stephen, MDx~* Caldwell Cancer 380 9357 W Emerald St NPI: 1184660409 Treatment Center Llc Nampa, ID 83687 Boise, ID 83704 100 E Idaho St (208) 323-3767 (608) 672-1000 Boise, ID 83712 Group(s): St Lukes Clinic Group(s): Cancer Center (208) 381-2711 Treasure Valley Llc Of Idaho Group(s): St Lukes Clinic Treasure Valley Llc

202 Specialists / Especialistas Radiology, Radiation Oncology continued/Radiología, Oncología Radiológica continuación Canyon County continued/Condado seguido

Sales, Lindsay, MDx~* Widener, Margaret, MERIDIAN Rheumatology NPI: 1720248040 CNMx~* - 83642 Idaho 3123 Medical Dr NPI: 1063454437 Ronnau, Kyle, ARNP~* Caldwell, ID 83605 900 N Liberty St Ste 202 NPI: 1326584640 Ada (208) 367-3131 Boise, ID 83704 1672 S Woodsage Ave Ste BOISE Group(s): Saint Alphonsus (208) 302-1200 102 - 83702 Caldwell Cancer Group(s): St Alphonsus Meridian, ID 83642 Treatment Center Llc Regional Medical Center (208) 515-2273 Dingman, Achini, MDx~ Physicians -1861676298 Group(s): Meridian * NAMPA NPI: 1174594758 - 83686 - 83706 Advanced Psychiatry Llc Other Specialties: 600 N Robbins Rd Ste 302 Dorn, Ronald, MDx* Lynch, Chelsea, NPx~* Addiction Medicine - Boise, ID 83702 NPI: 1780790279 NPI: 1255773909 Family Medicine, Mental (208) 706-5930 308 E Hawaii Ave 1055 N Curtis Rd Health (Including Group(s): St Lukes Clinic Nampa, ID 83686 Boise, ID 83706 Community Mental Health Treasure Valley Llc (208) 467-6700 (208) 367-4096 Center), Psych/Mental Group(s): St Lukes Clinic Group(s): St Alphonsus Loveless, James, MDx~* Health - Nurse Practitioner Treasure Valley Llc Regional Medical Center NPI: 1396851341 600 N Robbins Rd Ste 302 Physicians -1861676298 Canyon Sawyer, Timothy, MDx~ Boise, ID 83702 * - 83712 NAMPA (208) 706-5930 NPI: 1548206584 Lynch, Chelsea, NPx~* - 83687 Group(s): St Lukes Clinic 308 E Hawaii Ave Treasure Valley Llc NPI: 1255773909 Lynch, Chelsea, NPx~* Nampa, ID 83686 125 E Idaho St Ste 100 (208) 467-6700 NPI: 1255773909 Solich, Chara, MDx~* Boise, ID 83712 4403 E Flamingo Ave NPI: 1134158892 Group(s): St Lukes Clinic (208) 338-0148 Treasure Valley Llc Nampa, ID 83687 600 N Robbins Rd Ste 302 Group(s): Sawtooth (208) 338-0148 Boise, ID 83702 Registered Nurse Epidemiology And Group(s): Sawtooth (208) 706-5930 Infectious Diseases Pc Idaho Epidemiology And Group(s): St Lukes Clinic Infectious Diseases Pc Treasure Valley Llc Ada EAGLE BOISE - 83616 - 83704 Solich, Chara, MDx~* Widener, Margaret, NPI: 1134158892 CNMx~* 3101 E State St Ste 2107 NPI: 1063454437 Eagle, ID 83616 1072 N Liberty St Ste 100 (208) 706-5930 Boise, ID 83704 Group(s): St Lukes Clinic (208) 302-1200 Treasure Valley Llc Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

203 Specialists / Especialistas Rheumatology continued/Reumatología continuación Ada County continued/Condado seguido

MERIDIAN Sleep Medicine - Proctor, Erin, PAx~* - 83716 - 83642 Internal Medicine NPI: 1811987076 Thompson, William, MD Ader, John, DOx~* 1075 N Curtis Rd Ste 200 x~* Idaho NPI: 1992789564 Boise, ID 83706 NPI: 1770594186 3277 E Louise Dr Ste 200 Ada (208) 302-2000 2051 E Summersweet Dr Meridian, ID 83642 Group(s): St Alphonsus Boise, ID 83716 (208) 463-3000 BOISE Regional Medical Center (208) 323-3767 Group(s): Saltzer Clinics - 83706 Physicians -1861676298 Group(s): St Lukes Clinic Spanish Carvalho, Paula, MDx~* Ramsey, Rory, MDx~* Treasure Valley Llc NPI: 1255432910 NPI: 1174634737 Other Specialties: Dingman, Achini, MDx~ Pulmonary Disease * 1075 N Curtis Rd Ste 200 1075 N Curtis Rd Ste 200 NPI: 1174594758 Boise, ID 83706 Boise, ID 83706 MERIDIAN 520 S Eagle Rd Ste 3211 (208) 302-2000 (208) 302-2000 - 83642 Group(s): St Alphonsus Group(s): St Alphonsus Meridian, ID 83642 Hale, Jennifer, DO~* Regional Medical Center Regional Medical Center (208) 706-5930 NPI: 1831143338 Physicians -1861676298 Physicians -1861676298 Group(s): St Lukes Clinic 3025 W Cherry Ln Ste Treasure Valley Llc Hale, Jennifer, DO~* Ramsey, Rory, MDx~* 204 Knibbe, William, MDx~ NPI: 1831143338 NPI: 1174634737 Meridian, ID 83642 * 1075 N Curtis Rd Ste 201 1075 N Curtis Rd Ste 201 (208) 302-3300 NPI: 1457363673 Boise, ID 83706 Boise, ID 83706 Group(s): St Alphonsus 520 S Eagle Rd Ste 3211 (208) 302-2000 (208) 302-2000 Regional Medical Center Meridian, ID 83642 Group(s): St Alphonsus Group(s): St Alphonsus Physicians -1861676298 (208) 706-5930 Regional Medical Center Regional Medical Center Physicians -1861676298 O'donnell, Janat, MDx~ Group(s): St Lukes Clinic Physicians -1861676298 * Treasure Valley Llc O'donnell, Janat, MDx~ Van, Zandt, NP~* NPI: 1013946391 Other Specialties: Internal * NPI: 1700076312 3025 W Cherry Ln Ste Medicine NPI: 1013946391 1075 N Curtis Rd Ste 201 204 Meadows, Teri, NPx~* 1075 N Curtis Rd Ste 200 Boise, ID 83706 Meridian, ID 83642 NPI: 1457846206 Boise, ID 83706 (208) 302-2000 (208) 302-3300 520 S Eagle Rd Ste 3211 (208) 302-2000 Group(s): St Alphonsus Group(s): St Alphonsus Meridian, ID 83642 Group(s): St Alphonsus Regional Medical Center Regional Medical Center (208) 706-5930 Regional Medical Center Physicians -1861676298 Physicians -1861676298 Physicians -1861676298 Group(s): St Lukes Clinic Ramsey, Rory, MDx~* Treasure Valley Llc O'donnell, Janat, MDx~ NPI: 1174634737 * Wilson, Gregory, DOx~* 3025 W Cherry Ln Ste NPI: 1013946391 NPI: 1669406799 204 1075 N Curtis Rd Ste 201 520 S Eagle Rd Ste 3211 Meridian, ID 83642 Boise, ID 83706 Meridian, ID 83642 (208) 302-3300 (208) 302-2000 (208) 706-5930 Group(s): St Alphonsus Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Regional Medical Center Treasure Valley Llc Physicians -1861676298 Physicians -1861676298

204 Specialists / Especialistas Sleep Medicine - Internal Medicine continued/Medicina del sueño - medicina interna continuación Ada County continued/Condado seguido

Thompson, William, MD NAMPA Womack, Michael, MDx Canyon x~* - 83687 ~* NPI: 1770594186 NPI: 1912950338 NAMPA Khochay, Natalia, NP~* - 83686 2347 E Gala St NPI: 1255653796 100 E Idaho St Ste 200 Meridian, ID 83642 4400 East Flamingo Boise, ID 83712 Klein, Eric, MDx~* (208) 323-3767 (208) 453-9962 Avenue Ste 302 NPI: 1023013109 Group(s): St Lukes Clinic Group(s): Michael S Nampa, ID 83687 6915 E Hunt Ave Treasure Valley Llc (208) 302-2000 Womack Md Nampa, ID 83686 Other Specialties: Group(s): St Alphonsus Spanish (208) 639-4900 Pulmonary Disease Regional Medical Center Womack, Michael, MDx Group(s): Idaho Urologic Van, Zandt, NP~* Physicians -1861676298 ~* Institute Pa NPI: 1912950338 NPI: 1700076312 Russian, Ukrainian Speech-Language 3025 W Cherry Ln Ste 190 E Bannock St Ramsey, Rory, MDx~* 204 Boise, ID 83712 Pathologist NPI: 1174634737 Meridian, ID 83642 (208) 381-2222 Idaho 4400 East Flamingo Group(s): St Lukes Clinic (208) 302-3300 Avenue Ste 302 Group(s): St Alphonsus Treasure Valley Llc Ada Nampa, ID 83687 Regional Medical Center Spanish (208) 302-2000 BOISE Physicians -1861676298 Group(s): St Alphonsus MERIDIAN - 83713 Canyon Regional Medical Center - 83642 Ambrose, Marla, SLPx~ Physicians -1861676298 Corson, Donald, MDx~* * CALDWELL NPI: 1689828907 Specialist NPI: 1679705586 - 83605 3080 E Gentry Way Ste 13895 W Wainwright Dr Hale, Jennifer, DO~* Idaho 210 Boise, ID 83713 NPI: 1831143338 (208) 939-3334 Ada Meridian, ID 83642 1906 Fairview Ave Ste (208) 384-9022 Group(s): Idaho Pediatric 430 Ste 430 BOISE Group(s): St Lukes Clinic Therapy Clinic Pllc Caldwell, ID 83605 - 83712 Treasure Valley Llc Boeder, Jess, SLPx~* (208) 302-3300 Perez, Gerardo, MD~* NPI: 1972988210 Group(s): St Alphonsus Klein, Eric, MDx~* NPI: 1730103995 NPI: 1023013109 13075 W Persimmon Ln Regional Medical Center 100 E Idaho St Ste 200 Ste 120 Physicians -1861676298 2855 E Magic View Dr Boise, ID 83712 Meridian, ID 83642 Boise, ID 83713 Van, Zandt, NP~* (208) 381-4171 (208) 639-4900 (208) 376-3591 NPI: 1700076312 Group(s): St Lukes Clinic Group(s): Idaho Urologic Group(s): Boise Speech 1906 Fairview Ave Ste Treasure Valley Llc Institute Pa And Hearing Clinic 430 Ste 430 Spanish Caldwell, ID 83605 (208) 302-3300 Group(s): St Alphonsus Regional Medical Center Physicians -1861676298

205 Specialists / Especialistas Speech-Language Pathologist continued/Patologistas del habla y el lenguaje continuación Ada County continued/Condado seguido

Chatterton, Rian, SLPx~ EAGLE Waite, Deborah, SLPx~* Hardy, Amy, SLPx~* * - 83616 NPI: 1588962674 NPI: 1386869642 NPI: 1861609885 Cusack, Caitlin, SLPx~* 935 E Winding Creek Dr 1311 E Central Dr 13075 W Persimmon Ln NPI: 1417470253 Ste 120 Meridian, ID 83642 Ste 120 935 E Winding Creek Dr Eagle, ID 83616 (208) 373-1723 Boise, ID 83713 Ste 120 (208) 938-4748 Group(s): Idaho State (208) 376-3591 Eagle, ID 83616 Group(s): Speech Tree Inc University Health Center Group(s): Boise Speech (208) 938-4748 And Hearing Clinic MERIDIAN Learned, Laura, SLP~* Group(s): Speech Tree Inc - 83642 NPI: 1720326986 Clarke, Leslie, MSx~* Evans, Lyndsey, SLPx~* Bos, Taunya, SLPx~* 2463 E Gala St NPI: 1093181257 NPI: 1720464902 NPI: 1487929766 Meridian, ID 83642 13075 W Persimmon Ln 935 E Winding Creek Dr 68 S Baltic Pl (208) 955-7333 Ste 120 Ste 120 Meridian, ID 83642 Group(s): Northwest Boise, ID 83713 Eagle, ID 83616 (208) 898-0988 Neurobehavioral Health (208) 376-3591 (208) 938-4748 Group(s): Advanced Llc Group(s): Boise Speech Group(s): Speech Tree Inc Therapy Care And Hearing Clinic Loftin, Joni, SLPx~* Russian Nikodym, Deanna, SLPx Daniel, Rebecca, SLPx~* NPI: 1700953296 ~* NPI: 1639218860 1311 E Central Dr x~* Kesler, Jerri, SLP NPI: 1952793358 68 S Baltic Pl Meridian, ID 83642 NPI: 1124450861 935 E Winding Creek Dr Meridian, ID 83642 (208) 373-1723 13075 W Persimmon Ln Ste 120 (208) 898-0988 Group(s): Idaho State Ste 120 Eagle, ID 83616 Group(s): Advanced University Health Center Boise, ID 83713 (208) 938-4748 Therapy Care (208) 376-3591 Mckinnis, Chelsea, SLP~ Group(s): Speech Tree Inc * Group(s): Boise Speech Guryan, Beth, SLPx~* NPI: 1598288268 And Hearing Clinic Rogers, Laura, SLPx~* NPI: 1700944766 NPI: 1760858716 1311 E Central Dr 2463 E Gala St Tyson Mcomie, Jaimee, 935 E Winding Creek Dr Meridian, ID 83642 Meridian, ID 83642 x~* (208) 955-7333 SLP Ste 120 (208) 373-1723 Group(s): Northwest NPI: 1114316817 Eagle, ID 83616 Group(s): Idaho State 13075 W Persimmon Ln (208) 938-4748 University Health Center Neurobehavioral Health Ste 120 Group(s): Speech Tree Inc Llc Boise, ID 83713 Hansen, Karrie, SLPx~* Nixon, Kara, SLP~* (208) 376-3591 Stockton, Nancy, SLPx~ NPI: 1851612873 NPI: 1134663008 Group(s): Boise Speech * 1311 E Central Dr 2463 E Gala St And Hearing Clinic NPI: 1689954315 Meridian, ID 83642 Meridian, ID 83642 935 E Winding Creek Dr (208) 373-1723 (208) 955-7333 Ste 120 Group(s): Idaho State Eagle, ID 83616 University Health Center Group(s): Northwest (208) 938-4748 Neurobehavioral Health Group(s): Speech Tree Inc Llc

206 Specialists / Especialistas Speech-Language Pathologist continued/Patologistas del habla y el lenguaje continuación Ada County continued/Condado seguido

Peterson, Terri, SLPx~* Vandonsel, Mary, SLPx~ Willoughby, Laura, SLP Sports Medicine - NPI: 1013443605 * x~* Family Medicine 68 S Baltic Pl NPI: 1700083896 NPI: 1790183697 Meridian, ID 83642 1311 E Central Dr 156 Mcclure Ave Idaho (208) 898-0988 Meridian, ID 83642 Nampa, ID 83651 Ada Group(s): Advanced (208) 373-1723 (208) 466-9686 Therapy Care Group(s): Idaho State Group(s): Communicate BOISE University Health Center Therapy Services Llc Pifer, Jami, SLP~* - 83702 NPI: 1821220799 Ybarlucea, Heather, SLP Spinal Cord Injury Gopon, Tobias, MDx~* 2463 E Gala St x~* Medicine NPI: 1508152257 Meridian, ID 83642 NPI: 1639545197 1109 W Myrtle St Ste 200 (208) 955-7333 68 S Baltic Pl Idaho Boise, ID 83702 Group(s): Northwest Meridian, ID 83642 Ada (208) 706-2663 Neurobehavioral Health (208) 898-0988 Group(s): St Lukes Clinic Llc Group(s): Advanced BOISE Treasure Valley Llc Therapy Care - 83702 Other Specialties: Family Rutten, Karissa, SLPx~* Kadyan, Vic, MDx~* Medicine NPI: 1144638636 Canyon German 68 S Baltic Pl NPI: 1417950205 Meridian, ID 83642 NAMPA 600 N Robbins Rd Ste 300 Gopon, Tobias, MDx~* (208) 898-0988 - 83651 Boise, ID 83702 NPI: 1508152257 Group(s): Advanced Kuiper, Kristen, SLPx~* (208) 706-0400 703 S Americana Blvd Ste Therapy Care NPI: 1235656828 Group(s): St Lukes Clinic 120 156 Mcclure Ave Treasure Valley Llc Boise, ID 83702 Sinfield, Courtney, SLPx Nampa, ID 83651 (208) 706-2663 ~* - 83706 (208) 466-9686 Group(s): St Lukes Clinic NPI: 1699183186 Group(s): Communicate Kadyan, Vic, MDx~* Treasure Valley Llc 68 S Baltic Pl Therapy Services Llc NPI: 1417950205 Other Specialties: Family Meridian, ID 83642 1055 N Curtis Rd 6th Medicine x~* (208) 898-0988 Maier, Erica, SLP Floor S Tower 6 W German Group(s): Advanced NPI: 1194248880 Boise, ID 83706 Therapy Care 156 Mcclure Ave (208) 367-3000 Lyons, Trek, MDx~* Nampa, ID 83651 NPI: 1043210248 Smith, Shauna, SLPx~* Group(s): St Alphonsus (208) 466-9686 1109 W Myrtle St Ste 200 NPI: 1386715696 Regional Medical Center Group(s): Communicate Boise, ID 83702 1311 E Central Dr Physicians -1861676298 Therapy Services Llc (208) 706-2663 Meridian, ID 83642 MERIDIAN Group(s): St Lukes Clinic (208) 373-1723 Martin-Cowger, Alicia, - 83642 Treasure Valley Llc Group(s): Idaho State SLPx~* Kadyan, Vic, MDx~* Other Specialties: Family University Health Center NPI: 1841745080 NPI: 1417950205 Medicine 156 Mcclure Ave 520 S Eagle Rd Ste 1243 Nampa, ID 83651 Meridian, ID 83642 (208) 466-9686 (208) 333-2225 Group(s): Communicate Group(s): St Lukes Clinic Therapy Services Llc Treasure Valley Llc

207 Specialists / Especialistas Sports Medicine - Family Medicine continued/Medicina deportiva - medicina de familia continuación Ada County continued/Condado seguido

Lyons, Trek, MDx~* Radnovich, Richard, DO Canyon Williams, Mark, DOx~* NPI: 1043210248 x~* NPI: 1114961166 703 S Americana Blvd Ste NPI: 1407944655 CALDWELL 16818 N Market Pl Blvd 120 4850 N Rosepoint Way - 83605 Nampa, ID 83687 Boise, ID 83702 Ste 100 Radnovich, Richard, DO (208) 321-4000 (208) 706-2663 Boise, ID 83713 x~* Group(s): Direct Group(s): St Lukes Clinic (208) 577-5904 NPI: 1407944655 Orthopedic Care Treasure Valley Llc Group(s): Richard 409 E Elm St Other Specialties: Family Radnovich Do Pc Caldwell, ID 83605 Sports Medicine - Medicine Other Specialties: Family (208) 939-2100 Physical Medicine & Medicine, Group(s): Injury Care Nilsson, Kurt, MDx~* Rehabilitation Neuromusculoskeletal Medical Center NPI: 1477581122 Idaho Medicine, Sports Med Other Specialties: Family 1109 W Myrtle St Ste 200 Medicine, Boise, ID 83702 MERIDIAN Ada Neuromusculoskeletal (208) 706-2663 - 83642 Medicine, Sports Med BOISE Group(s): St Lukes Clinic Gopon, Tobias, MDx~* - 83702 Treasure Valley Llc Radnovich, Richard, DO NPI: 1508152257 Homaechevarria, 520 S Eagle Rd Ste 3213 x~* - 83713 NPI: 1407944655 Alejandro, MDx~* Meridian, ID 83642 NPI: 1518978337 Radnovich, Richard, DO (208) 706-2663 4109 E Elm St x~* Caldwell, ID 83605 1109 W Myrtle St Ste 200 NPI: 1407944655 Group(s): St Lukes Clinic Boise, ID 83702 Treasure Valley Llc (208) 939-2100 4850 N Rosepoint Way Group(s): Richard (208) 706-2663 Ste 100 Other Specialties: Family Group(s): St Lukes Clinic Medicine Radnovich Do Pc Boise, ID 83713 Treasure Valley Llc German Other Specialties: Family (208) 939-2100 Medicine, Shea, Kevin, MDx~* Group(s): Injury Care Nilsson, Kurt, MDx~* Neuromusculoskeletal NPI: 1336150218 Medical Center NPI: 1477581122 Medicine, Sports Med 1109 W Myrtle St Ste 200 Other Specialties: Family 520 S Eagle Rd Ste 3213 Boise, ID 83702 Medicine, Meridian, ID 83642 NAMPA - 83687 (208) 706-2663 Neuromusculoskeletal (208) 706-2663 Group(s): St Lukes Clinic Medicine, Sports Med Group(s): St Lukes Clinic Gopon, Tobias, MDx~* Treasure Valley Llc Treasure Valley Llc NPI: 1508152257 9850 W St Lukes Dr Shea, Kevin, MDx~* Nampa, ID 83687 NPI: 1336150218 (208) 706-2663 600 N Robbins Rd Ste 100 Group(s): St Lukes Clinic Boise, ID 83702 Treasure Valley Llc (208) 706-2663 Other Specialties: Family Group(s): St Lukes Clinic Medicine Treasure Valley Llc German

208 Specialists / Especialistas Sports Medicine - Physical Medicine & Rehabilitation continued/Medicina deportiva - medicina y rehabilitación física continuación Ada County continued/Condado seguido

Shea, Kevin, MDx~* Campbell, Annie, PAx~* Korn, Robert, MDx~* Prier, Elizabeth, MDx~* NPI: 1336150218 NPI: 1154414902 NPI: 1700862786 NPI: 1306983689 600 N Robbins Rd Ste 401 115 Main St Ste 101 115 Main St Ste 101 900 N Liberty St Ste 101 Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Boise, ID 83704 (208) 706-2663 (208) 381-3915 (208) 381-3915 (208) 302-2200 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Regional Medical Center Physicians -1861676298 MERIDIAN Huntington, Ciara, MD~ Olson, James, MD~* - 83642 * NPI: 1912992249 Prior, Daniel, DO~* Homaechevarria, NPI: 1063774727 333 N 1st St Ste 130 NPI: 1942568118 222 N 2nd St Ste 107 Alejandro, MDx~* Boise, ID 83702 1072 N Liberty St Ste 201 Boise, ID 83702 NPI: 1518978337 (208) 424-0280 Boise, ID 83704 (208) 344-4999 520 S Eagle Rd Ste 2209 Group(s): Center For (208) 302-2400 Group(s): Huntington Meridian, ID 83642 Colorectal Care Group(s): St Alphonsus Laparoscopy Pc Regional Medical Center (208) 706-2663 - 83704 Physicians -1861676298 Group(s): St Lukes Clinic Huntington, Thomas, Anderson, Bryan, MD~* Treasure Valley Llc MD~* NPI: 1811059264 Reising, Christopher, Shea, Kevin, MDx~* NPI: 1376567180 1072 N Liberty St Ste 201 MD~* 222 N 2nd St Ste 107 NPI: 1336150218 Boise, ID 83704 NPI: 1285699165 Boise, ID 83702 520 S Eagle Rd Ste 2209 (208) 302-2400 6140 Curtisian Ave Ste (208) 344-4999 Meridian, ID 83642 Group(s): St Alphonsus 100 (208) 706-2663 Group(s): Huntington Regional Medical Center Boise, ID 83704 Laparoscopy Pc Group(s): St Lukes Clinic Physicians -1861676298 (208) 302-2300 Group(s): St Alphonsus Treasure Valley Llc Kemp, Jason, MDx~* Brown, David, MDx~* NPI: 1023128097 Regional Medical Center Surgery NPI: 1184652364 Physicians -1861676298 115 Main St Ste 101 6140 Curtisian Ave Ste Idaho Boise, ID 83702 100 Williams, Steven, MD~* (208) 381-3915 NPI: 1568451581 Ada Boise, ID 83704 Group(s): St Lukes Clinic (208) 302-2900 8854 W Emerald St Ste BOISE Treasure Valley Llc Group(s): Saint Alphonsus 140 - 83702 Kemp, Jason, MDx~* Specialty Services Inc Boise, ID 83704 (208) 321-4790 Beckmann, James, MDx NPI: 1023128097 Getz, Jon, MDx~* ~* 222 N 2nd St Ste 201 Group(s): Orthopaedic NPI: 1174575138 Associates Pa NPI: 1164657854 Boise, ID 83702 8854 W Emerald St Ste 1109 W Myrtle St Ste 200 (208) 381-6390 140 Boise, ID 83702 Group(s): St Lukes Clinic Boise, ID 83704 (208) 706-2663 Treasure Valley Llc (208) 321-4790 Group(s): St Lukes Clinic Group(s): Orthopaedic Treasure Valley Llc Associates Pa

209 Specialists / Especialistas Surgery continued/Cirugía continuación Ada County continued/Condado seguido

- 83706 Bowman, Kendra, MD~* Livingston, Elizabeth, EAGLE Eden, Christine, MD~* NPI: 1811029507 MDx~* - 83616 NPI: 1609208610 305 E Jefferson St NPI: 1083690069 Macha, Matthew, MD~* 1075 N Curtis Rd Ste 101 Boise, ID 83712 125 E Idaho St Ste 202 NPI: 1730190836 Boise, ID 83706 (208) 381-2335 Boise, ID 83712 323 E Riverside Dr Ste (208) 302-2800 Group(s): St Lukes Clinic (208) 381-7050 220 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Eagle, ID 83616 Treasure Valley Llc Regional Medical Center Kading, Kellan, MDx~* (208) 343-5600 Physicians -1861676298 NPI: 1447517735 Shiozaki, Teisha, MDx~* Group(s): Idaho Surgical Perry Iii, Alvin, MDx~* 100 E Warm Springs Ave NPI: 1730448184 Partners Pc NPI: 1427316942 Ste B 100 E Warm Springs Ave MERIDIAN 999 N Curtis Rd Ste 415 Boise, ID 83712 Ste B - 83642 Boise, ID 83706 (208) 381-6930 Boise, ID 83712 Group(s): St Lukes Clinic (208) 381-6930 Agee, Jon, MDx~* (208) 302-2600 NPI: 1710941026 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic Treasure Valley Llc 3277 E Louise Dr Ste 200 Regional Medical Center Karsten, Benjamin, MDx Meridian, ID 83642 Physicians -1861676298 ~* Stepp, Lindsay, MDx~* (208) 463-3000 - 83712 NPI: 1124227137 NPI: 1023454741 Group(s): Saltzer Clinics 125 E Idaho St Ste 303 100 E Warm Springs Ave Spanish Ali, Cyrus, MDx~* Boise, ID 83712 Ste B NPI: 1831374610 (208) 381-9350 Boise, ID 83712 Ali, Cyrus, MDx~* 100 E Warm Springs Ave Group(s): St Lukes Clinic (208) 381-6930 NPI: 1831374610 Ste B Treasure Valley Llc Group(s): St Lukes Clinic 520 S Eagle Rd Ste 1241 Boise, ID 83712 Treasure Valley Llc Meridian, ID 83642 (208) 381-6930 Keswani, Sundeep, MD~ (208) 381-6930 Group(s): St Lukes Clinic * Svennevik, Eirik, MDx~ Group(s): St Lukes Clinic Treasure Valley Llc NPI: 1578748646 * Treasure Valley Llc 305 E Jefferson St NPI: 1003049776 Arthur, Caroline, MDx~ Boise, ID 83712 100 E Warm Springs Ave Arthur, Caroline, MDx~ * (208) 381-2335 Ste B * NPI: 1669636809 Group(s): St Lukes Clinic Boise, ID 83712 NPI: 1669636809 100 E Warm Springs Ave Treasure Valley Llc (208) 381-6930 520 S Eagle Rd Ste 1241 Ste B Meridian, ID 83642 Lee, Timothy, MD~* Group(s): St Lukes Clinic Boise, ID 83712 Treasure Valley Llc (208) 381-6930 (208) 381-6930 NPI: 1841457306 Group(s): St Lukes Clinic Group(s): St Lukes Clinic 305 E Jefferson St Verner, Reese, MDx~* Treasure Valley Llc Treasure Valley Llc Boise, ID 83712 NPI: 1427085281 (208) 381-2335 100 E Warm Springs Ave Ballantyne, Richard, DO x~* Barton, Joshua, MDx~* Group(s): St Lukes Clinic Ste B NPI: 1174745582 NPI: 1265401947 Treasure Valley Llc Boise, ID 83712 3399 E Louise Dr Ste 400 100 E Idaho St Ste 301 (208) 381-6930 Meridian, ID 83642 Boise, ID 83712 Group(s): St Lukes Clinic (208) 364-3000 (208) 381-9250 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

210 Specialists / Especialistas Surgery continued/Cirugía continuación Ada County continued/Condado seguido

Barresi, Roberto, MDx~ Elder, James, MD~* Kading, Kellan, MDx~* Canyon * NPI: 1609926740 NPI: 1447517735 NPI: 1740231620 520 S Eagle Rd Ste 1241 520 S Eagle Rd Ste 1241 CALDWELL 520 S Eagle Rd Ste 1241 Meridian, ID 83642 Meridian, ID 83642 - 83605 Meridian, ID 83642 (208) 381-6930 (208) 381-6930 Cornwell, Ronald, MDx~ (208) 381-6930 Group(s): St Lukes Clinic Group(s): St Lukes Clinic * Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc NPI: 1215990981 Treasure Valley Llc 1906 Fairview Ave Ste Gay, Daniel, DOx~* Pedracini, Amber, DO~* 430 Beckmann, James, MDx NPI: 1679716591 NPI: 1619396785 Caldwell, ID 83605 ~* 3277 E Louise Dr 520 S Eagle Rd Ste 1241 (208) 302-2700 NPI: 1164657854 Meridian, ID 83642 Meridian, ID 83642 Group(s): St Alphonsus 520 S Eagle Rd Ste 3213 (208) 459-0028 (208) 381-6930 Regional Medical Center Meridian, ID 83642 Group(s): Saltzer Clinics Group(s): St Lukes Clinic Physicians -1861676298 (208) 706-2663 Treasure Valley Llc Gay, Daniel, DOx~* Group(s): St Lukes Clinic Gay, Daniel, DOx~* NPI: 1679716591 Shiozaki, Teisha, MDx~* Treasure Valley Llc NPI: 1679716591 3277 E Louise Dr Ste 200 NPI: 1730448184 404 E Elm St Blair, Ronald, DO~* Meridian, ID 83642 520 S Eagle Rd Ste 1241 Caldwell, ID 83605 NPI: 1114947389 (208) 463-3000 Meridian, ID 83642 (208) 888-6768 520 S Eagle Rd Ste 1241 Group(s): Saltzer Clinics (208) 381-6930 Group(s): Saltzer Clinics Meridian, ID 83642 Group(s): St Lukes Clinic Gay, Daniel, DOx~* (208) 381-6930 Treasure Valley Llc Gay, Daniel, DOx~* NPI: 1679716591 Group(s): St Lukes Clinic NPI: 1679716591 745 S Progress Ave Ste Stepp, Lindsay, MDx~* Treasure Valley Llc 404 East Elm St 120 NPI: 1023454741 Caldwell, ID 83605 Bowers, Howard, MDx~ Meridian, ID 83642 520 S Eagle Rd Ste 1241 (208) 459-0028 * (208) 795-5073 Meridian, ID 83642 Group(s): West Valley NPI: 1538484167 Group(s): West Valley (208) 381-6930 Medical Group Specialty 520 S Eagle Rd Ste 1241 Medical Group Specialty Group(s): St Lukes Clinic Services Llc Meridian, ID 83642 Services Llc Treasure Valley Llc (208) 381-6930 Hardy, Ryan, MDx~* Getz, Jon, MDx~* Verner, Reese, MDx~* Group(s): St Lukes Clinic NPI: 1477593648 NPI: 1174575138 NPI: 1427085281 Treasure Valley Llc 404 E Elm St 3399 E Louise Dr Ste 400 520 S Eagle Rd Ste 1241 Caldwell, ID 83605 Cavagnol, Robert, MD~* Meridian, ID 83642 Meridian, ID 83642 (208) 888-6768 NPI: 1043273188 (208) 364-3000 (208) 381-6930 Group(s): Saltzer Clinics 520 S Eagle Rd Ste 1241 Group(s): St Lukes Clinic Group(s): St Lukes Clinic German Meridian, ID 83642 Treasure Valley Llc Treasure Valley Llc (208) 381-6930 Group(s): St Lukes Clinic Henson, Scott, MDx~* Waage, Trent, MDx~* Treasure Valley Llc NPI: 1023060258 NPI: 1588005789 520 S Eagle Rd Ste 1241 520 S Eagle Rd Ste 1241 Meridian, ID 83642 Meridian, ID 83642 (208) 381-6930 (208) 381-6930 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

211 Specialists / Especialistas Surgery continued/Cirugía continuación Canyon County continued/Condado seguido

Hardy, Ryan, MDx~* Beckmann, James, MDx Hardy, Ryan, MDx~* Surgery Of The Hand NPI: 1477593648 ~* NPI: 1477593648 - Plastic Surgery 404 East Elm St NPI: 1164657854 9850 St Lukes Dr Ste 129 Caldwell, ID 83605 9850 W St Lukes Dr Ste 129 Idaho (208) 459-0028 Nampa, ID 83687 Nampa, ID 83687 Ada Group(s): West Valley (208) 706-2663 (208) 463-3000 Medical Group Specialty Group(s): St Lukes Clinic Group(s): Saltzer Clinics BOISE Services Llc Treasure Valley Llc German - 83704 German Bowers, Howard, MDx~ Martin, Richard, MDx~* Dattani, Sheev, MD~* NAMPA * NPI: 1285698571 NPI: 1760903363 - 83686 NPI: 1538484167 4400 E Flamingo Ave Ste 1072 N Liberty St Ste 201 9850 St Lukes Dr Ste Boise, ID 83704 Newton, Carrie, MDx~* 200 320A (208) 302-2400 NPI: 1902245764 Nampa, ID 83687 Nampa, ID 83687 Group(s): St Alphonsus 215 E Hawaii Ave (208) 302-2700 (208) 381-6930 Regional Medical Center Nampa, ID 83686 Group(s): St Alphonsus Group(s): St Lukes Clinic Regional Medical Center Physicians -1861676298 (208) 463-3000 Treasure Valley Llc Group(s): Saltzer Clinics Physicians -1861676298 - 83706 Cornwell, Ronald, MDx~ Newton, Carrie, MDx~* Undurraga, Perl, MDx~* - 83687 * NPI: 1902245764 NPI: 1083931067 Agee, Jon, MDx~* NPI: 1215990981 9850 St Lukes Dr Ste 129 999 N Curtis Rd Ste 415 NPI: 1710941026 4400 E Flamingo Ave Ste Ste 129 Boise, ID 83706 9850 St Lukes Dr Ste 129 200 Nampa, ID 83687 (208) 302-2600 Ste 129 Nampa, ID 83687 (208) 463-3000 Group(s): St Alphonsus Nampa, ID 83687 (208) 302-2700 Group(s): Saltzer Clinics Regional Medical Center (208) 463-3000 Group(s): St Alphonsus Physicians -1861676298 Group(s): Saltzer Clinics Regional Medical Center Prier, Elizabeth, MDx~* Spanish Physicians -1861676298 NPI: 1306983689 Surgical - Physician 4400 E Flamingo Ave Assistant Ballantyne, Richard, DO Fredline, Forrest, DOx~ Nampa, ID 83687 x~* * (208) 302-2200 Idaho NPI: 1174745582 NPI: 1245493840 Group(s): St Alphonsus 215 E Hawaii Ave 4400 E Flamingo Ave Ste Ada Regional Medical Center Nampa, ID 83687 200 Physicians -1861676298 (208) 364-3000 Nampa, ID 83687 BOISE Group(s): St Lukes Clinic (208) 302-2700 Taylor, Amber, MDx~* - 83702 Treasure Valley Llc Group(s): St Alphonsus NPI: 1902154149 Brown, Megan, PAx~* Regional Medical Center 4400 E Flamingo Ave Ste NPI: 1124377338 Ballantyne, Richard, DO x~* Physicians -1861676298 200 333 N 1st St Ste 280 Boise, ID 83702 NPI: 1174745582 Gay, Daniel, DOx~* Nampa, ID 83687 (208) 345-6545 9850 St Lukes Dr Ste 260 NPI: 1679716591 (208) 302-2700 Group(s): St Lukes Clinic Nampa, ID 83687 9850 W St Lukes Dr Group(s): St Alphonsus Treasure Valley Llc (208) 381-6930 Nampa, ID 83687 Regional Medical Center Group(s): St Lukes Clinic (208) 463-3000 Physicians -1861676298 Treasure Valley Llc Group(s): Saltzer Clinics

212 Specialists / Especialistas Surgical - Physician Assistant continued/Cirugía - auxiliares médicos continuación Ada County continued/Condado seguido

Burnett, Scott, PAx~* - 83706 - 83712 Layton, Boyd, PAx~* NPI: 1295787240 Hardesty, Michael, PAx~ Breilh, Stephanie, PAx~* NPI: 1750839502 333 N 1st St Ste 280 * NPI: 1730433319 323 E Riverside Dr Ste Boise, ID 83702 NPI: 1912035999 190 E Bannock St 10th 224 (208) 333-8346 1055 N Curtis Rd Floor Eagle, ID 83616 Group(s): St Lukes Clinic Boise, ID 83706 Boise, ID 83712 (208) 302-0000 Treasure Valley Llc (208) 472-8100 (208) 381-5500 Group(s): St Alphonsus Regional Medical Center Burnett, Scott, PAx~* Group(s): Gem State Group(s): St Lukes Clinic Physicians -1861676298 NPI: 1295787240 Radiology Llp - Medical Treasure Valley Llc Group 333 N 1st St Ste 280 Jones, Wendy, PAx~* MERIDIAN Boise, ID 83702 Hardesty, Michael, PAx~ NPI: 1902188147 - 83642 (208) 345-6545 * 100 E Warm Springs Ave Breilh, Stephanie, PAx~* Group(s): St Lukes Clinic NPI: 1912035999 Ste B NPI: 1730433319 Treasure Valley Llc 999 N Curtis Rd Ste 415 Boise, ID 83712 520 S Eagle Rd Ste 1201 Boise, ID 83706 Hardesty, Michael, PAx~ (208) 381-6930 Meridian, ID 83642 * (208) 302-2600 Group(s): St Lukes Clinic (208) 381-5500 NPI: 1912035999 Group(s): St Alphonsus Treasure Valley Llc Group(s): St Lukes Clinic 927 W Myrtle St Regional Medical Center Treasure Valley Llc Physicians -1861676298 Mathews, Joel, PAx~* Boise, ID 83702 NPI: 1679090617 Cole, Alisha, PAC~* (208) 384-9073 Page, Jamie, PAx~* 100 E Warm Springs Ave NPI: 1952691768 Group(s): Intermountain NPI: 1740650316 Ste B 520 S Eagle Rd Ste 1241 Medical Imaging 901 N Curtis Rd Ste 501 Boise, ID 83712 Meridian, ID 83642 Llc1669423679 Boise, ID 83706 (208) 381-6930 (208) 381-6930 Jones, Wendy, PAx~* (208) 302-3900 Group(s): St Lukes Clinic Group(s): St Lukes Clinic NPI: 1902188147 Group(s): St Alphonsus Treasure Valley Llc Treasure Valley Llc Regional Medical Center 333 N 1st St Ste 280 EAGLE Galligar, Lauren, PAx~* Boise, ID 83702 Physicians -1861676298 - 83616 NPI: 1245789536 (208) 345-6545 Reeve, Tracey, PAx~* 3399 E Louise Dr Ste 400 Group(s): St Lukes Clinic Hardesty, Michael, PAx~ NPI: 1174789994 Meridian, ID 83642 Treasure Valley Llc * 999 N Curtis Rd Ste 415 NPI: 1912035999 (208) 364-3000 Walker, Beau, PAx~* Boise, ID 83706 323 E Riverside Dr Group(s): St Lukes Clinic (208) 302-2600 NPI: 1558508085 Eagle, ID 83616 Treasure Valley Llc Group(s): St Alphonsus 333 N 1st St Ste 280 (208) 384-9073 Regional Medical Center Hardesty, Michael, PAx~ Boise, ID 83702 Group(s): Intermountain Physicians -1861676298 * (208) 345-6545 Medical Imaging Llc - NPI: 1912035999 Group(s): St Lukes Clinic 1326247511 2929 E Magic View Dr Treasure Valley Llc Meridian, ID 83642 (208) 472-8101 Group(s): Intermountain Medical Imaging Llc1679520415

213 Specialists / Especialistas Surgical - Physician Assistant continued/Cirugía - auxiliares médicos continuación Ada County continued/Condado seguido

Layton, Boyd, PAx~* - 83687 Surgical Critical Care Surgical Oncology NPI: 1750839502 Hardesty, Michael, PAx~ Idaho Idaho 3025 W Cherry Ln * Meridian, ID 83642 NPI: 1912035999 Ada Ada (208) 302-3200 4300 E Flamingo Ave Group(s): St Alphonsus Nampa, ID 83687 BOISE BOISE Regional Medical Center (208) 463-5000 - 83706 - 83712 Physicians -1861676298 Group(s): Gem State Gale, Stephen, MDx~* Wolf, James, MDx~* Mathews, Joel, PAx~* Radiology Llp - Medical NPI: 1407862410 NPI: 1538164272 NPI: 1679090617 Group 999 N Curtis Rd Ste 415 100 E Warm Springs Ave Boise, ID 83706 Ste B 520 S Eagle Rd Ste 1241 Layton, Boyd, PAx~* Meridian, ID 83642 (208) 302-2600 Boise, ID 83712 NPI: 1750839502 Group(s): St Alphonsus (208) 381-6930 (208) 381-6930 4424 E Flamingo Ave Ste Group(s): St Lukes Clinic Regional Medical Center Group(s): St Lukes Clinic 110 Physicians -1861676298 Treasure Valley Llc Treasure Valley Llc Nampa, ID 83687 Peterson, Anne, PAx~* (208) 302-3200 Hill, Britani, MDx~* MERIDIAN NPI: 1447688312 Group(s): St Alphonsus NPI: 1275718595 - 83642 3399 E Louise Dr Ste 400 Regional Medical Center 999 N Curtis Rd Ste 415 Menen, Rhiana, MDx~* Meridian, ID 83642 Physicians -1861676298 Boise, ID 83706 NPI: 1427205160 (208) 302-2600 (208) 364-3000 x~* 3399 E Louise Dr Ste 400 Peterson, Anne, PA Group(s): St Alphonsus Group(s): St Lukes Clinic NPI: 1447688312 Meridian, ID 83642 Treasure Valley Llc Regional Medical Center (208) 364-3000 215 E Hawaii Ave Physicians -1861676298 German Nampa, ID 83687 Group(s): St Lukes Clinic Treasure Valley Llc ~* (208) 364-3000 Munayirji, Aziz, MDx~* Pyle, Nicole, PA Spanish NPI: 1821009788 Group(s): St Lukes Clinic NPI: 1003869629 2365 E Gala St Ste 1 Treasure Valley Llc 999 N Curtis Rd Ste 415 Thoracic Surgery Meridian, ID 83642 German Boise, ID 83706 (208) 302-2600 (Cardiothoracic (208) 391-5811 Peterson, Anne, PAx~* Group(s): St Alphonsus Vascular Surgery) Group(s): Poole Joint NPI: 1447688312 Replacement Regional Medical Center Idaho 9850 St Lukes Dr Ste 260 Physicians -1861676298 Nampa, ID 83687 Canyon Arabic Ada (208) 381-6930 NAMPA Group(s): St Lukes Clinic Walker, Jeffrey, MDx~* BOISE - 83651 Treasure Valley Llc NPI: 1609167063 - 83702 German 999 N Curtis Rd Ste 415 Reeve, Tracey, PAx~* Forbes, Andrew, MDx~* Boise, ID 83706 NPI: 1174789994 NPI: 1346292679 (208) 302-2600 404 N Horton St 333 N 1st St Ste 280 Group(s): St Alphonsus Nampa, ID 83651 Boise, ID 83702 Regional Medical Center (208) 472-8116 (208) 345-6545 Physicians -1861676298 Group(s): Medical Group(s): St Lukes Clinic Directors Of Idaho Treasure Valley Llc

214 Specialists / Especialistas Thoracic Surgery (Cardiothoracic Vascular Surgery) continued/Cirugía torácica (Cirugía vascular cardiotorácica) continuación Ada County continued/Condado seguido

Huerd, Steven, MDx~* Taylor, Benedict, MD~* Canyon Undersea And NPI: 1891747275 NPI: 1831355957 Hyperbaric Medicine 333 N 1st St Ste 280 6140 W Curtisian Ave Ste NAMPA Boise, ID 83702 100 - 83687 - Preventive Medicine (208) 345-6545 Boise, ID 83704 Giles, Jonathan, MDx~* Idaho Group(s): St Lukes Clinic (208) 302-0130 NPI: 1457382723 Ada Treasure Valley Llc Group(s): St Alphonsus 215 E Hawaii Ave Regional Medical Center Mesher, Andrew, MDx~ Nampa, ID 83687 BOISE * Physicians -1861676298 (208) 364-3000 - 83706 NPI: 1003131509 Trauma Surgery Group(s): St Lukes Clinic Lossmann, Scott, MD~* 333 N 1st St Ste 280 Treasure Valley Llc NPI: 1720032725 Idaho Boise, ID 83702 Undersea And 1055 N Curtis Rd (208) 345-6545 Ada Boise, ID 83706 Group(s): St Lukes Clinic Hyperbaric Medicine (208) 367-7350 Treasure Valley Llc BOISE - Emergency Group(s): St Alphonsus - 83706 Schoolfield, Matthew, Medicine Regional Medical Center MDx~* Fillmore, Parker, MDx~ Idaho Physicians -1861676298 * Spanish NPI: 1275758377 Ada 333 N 1st St Ste 280 NPI: 1417155086 999 N Curtis Rd Ste 415 Urology Boise, ID 83702 BOISE Boise, ID 83706 (208) 345-6545 - 83702 Idaho Group(s): St Lukes Clinic (208) 302-2600 Group(s): St Alphonsus Barnes, Randy, MDx~* Ada Treasure Valley Llc NPI: 1295811867 Regional Medical Center BOISE Stuesse, David, MDx~* 600 N Robbins Rd Ste 100 Physicians -1861676298 - 83702 NPI: 1427155290 Spanish Boise, ID 83702 333 N 1st St Ste 280 (208) 489-5800 Auge, Brian, MDx~* Boise, ID 83702 MERIDIAN Group(s): St Lukes Clinic NPI: 1477523900 (208) 345-6545 - 83642 Treasure Valley Llc 510 N 2nd St Ste 103 Giles, Jonathan, MDx~* Boise, ID 83702 Group(s): St Lukes Clinic MERIDIAN Treasure Valley Llc NPI: 1457382723 (208) 381-4700 3399 E Louise Dr Ste 400 - 83642 Group(s): St Lukes Clinic - 83704 Meridian, ID 83642 Barnes, Randy, MDx~* Treasure Valley Llc ~* NPI: 1295811867 Fall, Stephen, MD (208) 364-3000 Erpelding, Scott, MDx~* 3277 E Louise Dr Ste 410 NPI: 1366458085 Group(s): St Lukes Clinic NPI: 1225444029 Meridian, ID 83642 6140 W Curtisian Ave Ste Treasure Valley Llc 510 N 2nd St Ste 103 100 (208) 489-5800 Boise, ID 83702 Group(s): St Lukes Clinic Boise, ID 83704 (208) 381-4700 Treasure Valley Llc (208) 302-0130 Group(s): St Lukes Clinic Group(s): St Alphonsus Treasure Valley Llc Regional Medical Center Physicians -1861676298

215 Specialists / Especialistas Urology continued/Urología continuación Ada County continued/Condado seguido

Fairfax, Cynthia, MDx~ Waldmann, Todd, MDx~ Ebbers, Michele, MD~* Fredriksson, William, * * NPI: 1154358067 MDx~* NPI: 1417906330 NPI: 1104877299 5 E Jefferson St NPI: 1841280872 222 N 2nd St Ste 115 Ste 222 N 2nd St Ste 115 Ste Boise, ID 83712 2855 E Magic View Dr 115 115 (208) 381-6196 Meridian, ID 83642 Boise, ID 83702 Boise, ID 83702 Group(s): St Lukes Clinic (208) 639-4900 (208) 639-4900 (208) 639-4900 Treasure Valley Llc Group(s): Idaho Urologic Group(s): Idaho Urologic Group(s): Idaho Urologic Institute Pa Institute Pa Institute Pa Saperston, Kara, MD~* NPI: 1396931010 Greer, John, MDx~* King-Menzner, Dawn, Weese, Donald, MDx~* 5 E Jefferson St NPI: 1356393227 MDx~* NPI: 1154323392 Boise, ID 83712 2855 E Magic View Dr NPI: 1568413763 510 N 2nd St Ste 103 (208) 381-6196 Meridian, ID 83642 222 N 2nd St Ste 115 Ste Boise, ID 83702 Group(s): St Lukes Clinic (208) 639-4900 115 (208) 381-4700 Treasure Valley Llc Group(s): Idaho Urologic Boise, ID 83702 Group(s): St Lukes Clinic German Institute Pa (208) 639-4900 Treasure Valley Llc Group(s): Idaho Urologic EAGLE Heiner, Jared, MDx~* Williams, Joseph, MDx~ - 83616 NPI: 1710097068 Institute Pa * Taylor, Michael, MDx~* 2855 E Magic View Dr Kuo, Helen, MDx~* NPI: 1194777060 Meridian, ID 83642 222 N 2nd St Ste 115 Ste NPI: 1689828162 NPI: 1346407921 3101 E State St Ste 2107 (208) 639-4900 222 N 2nd St Ste 115 Ste 115 Group(s): Idaho Urologic Boise, ID 83702 Eagle, ID 83616 115 (208) 381-4700 Institute Pa Boise, ID 83702 (208) 639-4900 Spanish Group(s): Idaho Urologic Group(s): St Lukes Clinic (208) 639-4900 Treasure Valley Llc Group(s): Idaho Urologic Institute Pa Heiner, Jared, MDx~* Spanish NPI: 1710097068 Institute Pa - 83712 Spanish, Mandarin Weese, Donald, MDx~* 3085 E Magic View Dr Brassell, Stephen, MDx~ NPI: 1154323392 Ste 140 x~* Vuturo, Maggie, MD * 3101 E State St Ste 2107 Meridian, ID 83642 NPI: 1003086588 NPI: 1538108311 Eagle, ID 83616 (208) 229-9009 510 N 2nd St Ste 103 100 E Idaho St (208) 381-4700 Group(s): Treasure Valley Boise, ID 83702 Boise, ID 83712 Group(s): St Lukes Clinic Urology (208) 381-4700 (208) 381-2733 Treasure Valley Llc Spanish Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc MERIDIAN Jackson, Robert, MDx~* Spanish - 83642 NPI: 1184740045 Derkacs, Derek, PAx~* 520 S Eagle Rd Ste 3112 NPI: 1720157720 Fairfax, Cynthia, MDx~ Meridian, ID 83642 * 100 E Idaho St (208) 706-5800 NPI: 1417906330 Boise, ID 83712 Group(s): St Lukes Clinic 2855 E Magic View Dr (208) 381-2733 Treasure Valley Llc Group(s): St Lukes Clinic Meridian, ID 83642 Treasure Valley Llc (208) 639-4900 Other Specialties: Group(s): Idaho Urologic Physician Assistant Institute Pa ÿ $FFHVVLELOW\SDUNLQJEXLOGLQJHOHYDWRURIILFH a$FFHSWLQJQHZSDWLHQWV$FHSWDQGRDQXHYRVSDFLHQWHV H[DPURRPDQGUHVWURRP(VWDFLRQDPLHQWR $FFHSWV0HGLFDLG$FHSWD0HGLFDLG LQVWDODFLyQDVFHQVRUFRQVXOWRULRFXDUWRGH ¨2IIHUV7HOHKHDOWKVHUYLFHV2IUHFHVHUYLFLRVGH H[SORUDFLyQ\EDxRVDFFHVLEOHV WHOHVDOXG

216 Specialists / Especialistas Urology continued/Urología continuación Ada County continued/Condado seguido

King-Menzner, Dawn, Vuturo, Maggie, MDx~* Bridger, Autumn, DOx~ Fredriksson, William, MDx~* NPI: 1003086588 * MDx~* NPI: 1568413763 520 S Eagle Rd Ste 3112 NPI: 1609003656 NPI: 1841280872 2855 E Magic View Dr Meridian, ID 83642 1906 Fairview Ave Ste 6915 E Hunt Ave Meridian, ID 83642 (208) 706-5800 350 Nampa, ID 83686 (208) 639-4900 Group(s): St Lukes Clinic Caldwell, ID 83605 (208) 639-4900 Group(s): Idaho Urologic Treasure Valley Llc (208) 454-9181 Group(s): Idaho Urologic Institute Pa Spanish Group(s): St Lukes Clinic Institute Pa Treasure Valley Llc Kuo, Helen, MDx~* Waldmann, Todd, MDx~ Vascular & NPI: 1346407921 * Morris, Michael, MDx~* Interventional 2855 E Magic View Dr NPI: 1104877299 NPI: 1295750289 Meridian, ID 83642 2855 E Magic View Dr 1906 Fairview Ave Ste Radiology (208) 639-4900 Meridian, ID 83642 350 Idaho Group(s): Idaho Urologic (208) 639-4900 Caldwell, ID 83605 Institute Pa Group(s): Idaho Urologic (208) 454-9181 Ada Spanish, Mandarin Institute Pa Group(s): St Lukes Clinic MERIDIAN Treasure Valley Llc Parrillo, Lisa, MDx~* Williams, Joseph, MDx~ - 83642 NPI: 1659663482 * Stritzke, Donald, MDx~* Sonntag, P David, MDx* 2855 E Magic View Dr NPI: 1194777060 NPI: 1457331019 NPI: 1760682066 Meridian, ID 83642 2855 E Magic View Dr 1906 Fairview Ave Ste 3277 E Louise Dr Ste 100 (208) 639-4900 Meridian, ID 83642 350 Meridian, ID 83642 Group(s): Idaho Urologic (208) 639-4900 Caldwell, ID 83605 (208) 706-7010 Institute Pa Group(s): Idaho Urologic (208) 454-9181 Group(s): St Lukes Clinic Institute Pa Group(s): St Lukes Clinic Treasure Valley Llc Spencer, Craig, MDx~* Treasure Valley Llc Spanish NPI: 1033186606 Canyon 520 S Eagle Rd Ste 3112 NAMPA Vascular Surgery Meridian, ID 83642 CALDWELL - 83686 - 83605 Idaho (208) 706-5800 Adams, Gregory, MDx~ Group(s): St Lukes Clinic Adams, Gregory, MDx~ * Ada Treasure Valley Llc * NPI: 1366659476 NPI: 1366659476 BOISE Taylor, Michael, MDx~* 9850 W St Lukes Dr 1906 Fairview Ave Ste Nampa, ID 83686 - 83702 NPI: 1689828162 350 520 S Eagle Rd Ste 3112 (208) 463-7380 Bluemn, Eric, MDx~* Caldwell, ID 83605 Group(s): St Lukes Clinic NPI: 1093134090 Meridian, ID 83642 (208) 454-9181 (208) 706-5800 Treasure Valley Llc 333 N 1st St Ste 280 Group(s): St Lukes Clinic Boise, ID 83702 Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc (208) 345-6545 Spanish Group(s): St Lukes Clinic Treasure Valley Llc

217 Specialists / Especialistas Vascular Surgery continued/Cirugía vascular continuación Ada County continued/Condado seguido

Gilbertson, Jeffrey, MDx Masser, Philippe, MDx~ Donald, Graham, MD~* Havelka, George, MD~* ~* * NPI: 1043527286 NPI: 1215187695 NPI: 1790738516 NPI: 1104878446 6140 Curtisian Ave Ste 1075 N Curtis Rd Ste 101 333 N 1st St Ste 280 333 N 1st St Ste 280 102 Boise, ID 83706 Boise, ID 83702 Boise, ID 83702 Boise, ID 83704 (208) 302-2800 (208) 345-6545 (208) 345-6545 (208) 302-2800 Group(s): St Alphonsus Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): St Alphonsus Regional Medical Center Treasure Valley Llc Treasure Valley Llc Regional Medical Center Physicians -1861676298 Physicians -1861676298 Gilbertson, Jeffrey, MDx Matteson, Brian, MDx~* MERIDIAN ~* NPI: 1609828003 Havelka, George, MD~* - 83642 NPI: 1790738516 333 N 1st St Ste 280 NPI: 1215187695 333 N 1st St Ste 280 Tullis, Michael, MD~* Boise, ID 83702 6140 Curtisian Ave Ste NPI: 1598717985 Boise, ID 83702 (208) 333-8346 102 3875 E Overland Rd Ste (208) 333-8346 Group(s): St Lukes Clinic Boise, ID 83704 2D Group(s): St Lukes Clinic Treasure Valley Llc (208) 302-2800 Treasure Valley Llc Meridian, ID 83642 Matteson, Brian, MDx~* Group(s): St Alphonsus (208) 484-2431 Hamlat, Christian, MDx NPI: 1609828003 Regional Medical Center Group(s): Superior Vein ~* 333 N 1st St Ste 280 Physicians -1861676298 Care Pllp NPI: 1629188933 Boise, ID 83702 Salloum, Ellis, MDx~* Other Specialties: Surgery 333 N 1st St Ste 280 (208) 345-6545 NPI: 1871540088 Boise, ID 83702 Group(s): St Lukes Clinic 6140 Curtisian Ave Ste Women's Health (208) 345-6545 Treasure Valley Llc 102 Nurse Practitioner Group(s): St Lukes Clinic - 83704 Boise, ID 83704 Idaho Treasure Valley Llc (208) 302-2800 Alessi, Christopher, MD Group(s): St Alphonsus Ada Hamlat, Christian, MDx x~* ~* Regional Medical Center NPI: 1598726960 EAGLE NPI: 1629188933 Physicians -1861676298 - 83616 333 N 1st St Ste 280 1906 Fairview Ave Ste Boise, ID 83702 420 - 83706 Fife, Annie, NPx~* (208) 333-8346 Boise, ID 83704 Donald, Graham, MD~* NPI: 1144325572 Group(s): St Lukes Clinic (208) 378-9977 NPI: 1043527286 3101 E State St Ste 2199 Treasure Valley Llc Group(s): Alessi Vascular 711 N Curtis Rd Eagle, ID 83616 Surgery Pc Boise, ID 83706 (208) 938-2220 Masser, Philippe, MDx~ (208) 605-3000 Group(s): Ob/Gyn * Alessi, Christopher, MD x~* Group(s): St Alphonsus Associates Pa NPI: 1104878446 Regional Medical Center 333 N 1st St Ste 280 NPI: 1598726960 Physicians -1861676298 Boise, ID 83702 6140 W Curtisian Ave Ste (208) 333-8346 400 Group(s): St Lukes Clinic Boise, ID 83704 Treasure Valley Llc (208) 378-9977 Group(s): Alessi Vascular Surgery Pc

218 Specialists / Especialistas Women's Health Nurse Practitioner continued/Nurse Practitioner Salud de la Mujer continuación Ada County continued/Condado seguido

MERIDIAN - 83642 Fife, Annie, NPx~* NPI: 1144325572 3520 E Louise Dr Meridian, ID 83642 (208) 888-0909 Group(s): Ob/Gyn Associates Pa Canyon NAMPA - 83686 Fife, Annie, NPx~* NPI: 1144325572 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Group(s): Ob/Gyn Associates Pa

219 Hospitals / Hospitales Ada County/Condado Total Count/Cuenta total: 6

Idaho Canyon Ada NPI: 1891891792 Saint Alphonsus Medical NPI: 1992736649 Center - Ontario Inc* Saint Alphonsus 4300 E Flamingo Ave Regional Medical Center Nampa, ID 83687 * Inc (800) 645-3055 1055 N Curtis Rd Group(s): Saint Alphonsus Boise, ID 83706 Medical Center - Ontario (208) 367-4148 Inc Group(s): Saint Alphonsus Regional Medical Center NPI: 1659371870 Inc Saint Alphonsus Medical Center Nampa* NPI: 1265921456 4300 E Flamingo Ave Saint Alphonsus Nampa, ID 83687 Regional Rehabilitation (800) 645-3055 Hospitalx* Group(s): Saint Alphonsus 711 N Curtis Rd Medical Center Nampa Boise, ID 83706 (208) 605-3000 Group(s): Saint Alphonsus Regional Rehabilitation Hospital NPI: 1831590660 St Lukes Nampa Medical Center Ltd* 190 E Bannock St Boise, ID 83712 (208) 706-7481 Group(s): St Lukes Nampa Medical Center Ltd NPI: 1770586794 St Lukes Regional Medical Center* 190 East Bannock St Boise, ID 83712 (208) 381-2222 Group(s): St Lukes Regional Medical Center

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220 Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF) Ada County/Condado Total Count/Cuenta total: 19

Idaho NPI: 1306207279 NPI: 1932685583 NPI: 1891148979 Life Care Center Of Creekside Transitional Karcher Post-Acute & Ada Boise* Care And Rehabilitation Rehabilitation Center* NPI: 1194762815 808 N Curtis Rd x* 1127 Caldwell Blvd Apex Centerx* Boise, ID 83706 1351 West Pine Ave Nampa, ID 83651 8211 Ustick Rd (208) 376-5273 Meridian, ID 83642 (208) 465-4935 Boise, ID 83704 Group(s): Life Care Center (208) 888-7049 Group(s): Karcher (208) 375-3700 Of Boise Group(s): Creekside Post-Acute & Group(s): Apex Center Transitional Care And Rehabilitation Center NPI: 1184678617 Rehabilitation NPI: 1245574896 Life Care Center Of NPI: 1083146484 Avamere Transitional Treasure Valley* NPI: 1801351176 Meadow View Nursing Care And Rehabilitation 502 N Kimball Pl Meridian Meadows And Rehabilitation* x* - Boisex* Boise, ID 83704 Transitional Care 46 N Midland Blvd 1001 S Hilton (208) 377-1900 2656 E Magic View Dr Nampa, ID 83651 Boise, ID 83705 Group(s): Life Care Center Meridian, ID 83646 (208) 466-7803 (208) 252-5902 (208) 345-4464 Of Treasure Valley Group(s): Meadow View Group(s): Meridian Nursing And Group(s): Avamere NPI: 1265782189 Transitional Care And Meadows Transitional Rehabilitation Riverview Rehabilitation Care Rehabilitation - Boise * NPI: 1790732337 NPI: 1295249241 3550 Americana Terrace Canyon Sunny Ridge* Boise, ID 83706 2609 Sunnybrook Dr Boise Of Cascadia Llc* NPI: 1770009680 6000 W Denton St (208) 615-4940 Nampa, ID 83686 Group(s): Riverview Canyon West Of Boise, ID 83704 (208) 467-7298 Rehabilitation Cascadia, Llcx* Group(s): Sunny Ridge (506) 351-4535 2814 S Indiana Ave Group(s): Boise Of NPI: 1700245594 Caldwell, ID 83605 NPI: 1912418229 Cascadia Llc Shaw Mountain Of (208) 459-0808 The Orchards Of NPI: 1053392548 Cascadiax* Group(s): Canyon West Cascadiax* Good Samaritan Society 909 E Reserve St Of Cascadia, Llc 404 N Horton St Boise, ID 83712 Nampa, ID 83651 - Boise Villagex* NPI: 1356867683 3115 Sycamore Dr (206) 351-4535 (208) 466-9292 Group(s): Shaw Mountain Cascadia Of Nampa* Boise, ID 83703 Group(s): The Orchards Of Cascadia 900 N Happy Valley Rd Of Cascadia (208) 343-7726 Nampa, ID 83687 Group(s): Good Samaritan NPI: 1093131450 (208) 401-9600 NPI: 1699208280 Society - Boise Village St Lukes Rehab Elks Group(s): Cascadia Of Wellspring Health & NPI: 1285624627 Subacute Rehab Unit* Nampa Rehab Of Cascadiax* Idaho State Veterans 600 N Robbins Rd 2105 12th Ave Rd Home - Boise* Boise, ID 83702 Nampa, ID 83686 320 Collins Rd (208) 489-4552 (208) 467-5721 Group(s): St Lukes Rehab Boise, ID 83702 Group(s): Wellspring Elks Subacute Rehab Unit (208) 780-1600 Health & Rehab Of Group(s): Idaho State Cascadia Veterans Home - Boise

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221 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County/Condado Total Count/Cuenta total: 624

Idaho Aron, Emmalee, LMSW Astbury, Carl, DOx~* Baumer, Ka-Sia, LCSW ~* Psychiatry ~* Ada Clinical Social Worker NPI: 1124415823 Clinical Social Worker Adamcik, Lacey, LCSW NPI: 1629584743 703 S Americana Blvd Ste NPI: 1568647998 ~* 2273 S Vista Ave Ste 190 150 716 N Orchard Ave Clinical Social Worker Boise, ID 83705 Boise, ID 83702 Boise, ID 83706 NPI: 1881073682 (208) 343-2737 (208) 706-6375 (208) 429-0330 1075 E Park Blvd Group(s): Idaho Group(s): St Lukes Clinic Group(s): Community Boise, ID 83712 Behavioral Health Treasure Valley Llc Support Center Inc - Mg (208) 381-5970 Ashaye, Olurotimi, MDx Atkinson, Jacob, CP~* Baumgart, David, LCSW Group(s): St Lukes Clinic ~* Psychologist ~* Treasure Valley Llc Psychiatry NPI: 1477858785 Clinical Social Worker Ahlrichs, Thomas, NPI: 1649208315 671 E Riverpark Ln Ste NPI: 1962892372 303 N Allumbaugh St 8100 W Emerald St Ste LCSWx* 200 Boise, ID 83704 150 Clinical Social Worker Boise, ID 83706 (208) 288-2280 Boise, ID 83704 NPI: 1013135078 (208) 344-2071 Group(s): Ratus Pllc (208) 250-4561 777 N Raymond St Group(s): Atkinson Group(s): Starr Family Boise, ID 83704 Ashaye, Olurotimi, MDx Psychology Llc - Mg Behavioral Health - (208) 514-2500 ~* Baker, Kenneth, LPCx~ Medical Group Group(s): The Family Psychiatry * Medicine Residency Of NPI: 1649208315 Counselor Bawcom, Diane, LCSWx Idaho Inc 5985 W State St NPI: 1427391028 ~* Boise, ID 83703 Clinical Social Worker Aloka Hassan, Uday, 305 E Jefferson St (208) 853-0071 Boise, ID 83712 NPI: 1750700472 MDx~* Group(s): Omega Mental 100 E Idaho St Psychiatry (208) 385-3420 Health Services Group(s): St Lukes Clinic Boise, ID 83712 NPI: 1730576505 (208) 381-2711 Ashenbrener, Sadie, Treasure Valley Llc 190 E Bannock St Group(s): St Lukes Clinic LCSW~* Other Specialties: Mental Boise, ID 83712 Treasure Valley Llc (208) 381-2222 Clinical Social Worker Health Counselor Group(s): St Lukes Clinic NPI: 1649601519 Bates, John, MDx~* Beauclaire, Helenex~* Treasure Valley Llc 1075 E Park Blvd Psychiatry Counselor Boise, ID 83712 NPI: 1720170228 NPI: 1366517401 Amarello, Amy, PSYDx~ (208) 381-5970 701 E Parkcenter Blvd * 4477 W Emerald St Ste Group(s): St Lukes Clinic Boise, ID 83706 Psychiatry C100 Treasure Valley Llc (208) 381-6500 NPI: 1164551537 Boise, ID 83706 Group(s): St Lukes Clinic 610 W Hays St (208) 454-8389 Treasure Valley Llc Boise, ID 83702 Group(s): Human Other Specialties: (208) 381-5970 Supports Of Idaho Professional Counselor Group(s): St Lukes Clinic Treasure Valley Llc

222 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Bechtel, Brandi, LPC~* Bell, Jacqueline, DOx~* Betts, Michele, LCSWx~ Bolen, Beth, LCSWx~* Counselor Child & Adolescent * Social Worker NPI: 1215398524 Psychiatry Clinical Social Worker NPI: 1275640013 148 S Cole Rd NPI: 1619297785 NPI: 1548681380 1075 E Park Blvd Boise, ID 83709 610 W Hays St 100 E Idaho St Boise, ID 83712 (208) 683-8320 Boise, ID 83702 Boise, ID 83712 (208) 381-5970 Group(s): A Body & Mind (208) 381-5970 (208) 381-2711 Group(s): St Lukes Clinic Health Services Llc Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc Treasure Valley Llc Other Specialties: Mental Beckett, Sidra, LPCx~* Health Counselor Counselor Benavente, Karen, Bice, Andrea, LMSW~* NPI: 1942635735 LCSWx~* Clinical Social Worker Bolen, Beth, LCSWx~* 608 Hays St Clinical Social Worker NPI: 1275803520 Social Worker Boise, ID 83702 NPI: 1982863890 1075 E Park Blvd NPI: 1275640013 (208) 381-5970 6933 W Emerald St Ste A Boise, ID 83712 608 W Hays St Group(s): St Lukes Clinic Boise, ID 83704 (208) 381-5970 Boise, ID 83702 Treasure Valley Llc (208) 321-0634 Group(s): St Lukes Clinic (208) 381-5970 Group(s): All Seasons Treasure Valley Llc Group(s): St Lukes Clinic Beddoes, Bryan, LPC~* Mental Health - Mg Other Specialties: Mental Treasure Valley Llc Mental Health Counselor Health Counselor Other Specialties: Mental NPI: 1427399773 Bernier, Melissa, LCSW Health Counselor 2607 Hwy 21 ~* Bishop, Tami, LCSW~* Boise, ID 83716 Social Worker Clinical Social Worker Bonovitz, Nathaniel, (208) 890-3787 NPI: 1508079856 NPI: 1255836748 LPC~* Group(s): Evergreen 6550 Emerald St Ste 112 2206 North Cole Rd Mental Health Counselor Behavioral Health Boise, ID 83704 Boise, ID 83704 NPI: 1154586550 (208) 342-6300 (208) 451-0101 3308 N Cole Rd Beddoes, Bryan, LPC~* Group(s): About Balance Group(s): Idacare Inc Boise, ID 83704 Mental Health Counselor Mental Health (208) 600-1115 NPI: 1427399773 Black, Joseph, PHDx~* Group(s): Nate Bonovitz 814 N 8th St Best, Katie, CSW~* Psychologist Counseling Boise, ID 83702 Clinical Social Worker NPI: 1841609740 (208) 890-3786 NPI: 1699096032 600 N Robbins Rd Boucher, June, LCSW~* Group(s): Evergreen 6533 W Emerald St Boise, ID 83702 Social Worker Behavioral Health Boise, ID 83704 (208) 489-4444 NPI: 1841716511 (208) 302-5200 Group(s): St Lukes Clinic 8100 W Emerald St Ste Beglinger, Leigh, PHDx~ Group(s): St Alphonsus Treasure Valley Llc * 150 Regional Medical Center Clinical Blum, Jerilynn, LPCx~* Boise, ID 83704 Physicians -1861676298 Neuropsychologist Mental Health Counselor (208) 250-4561 NPI: 1952396632 Bettinger, Katelyn, NPI: 1437221710 Group(s): Starr Family 600 N Robbins Rd LCSWx~* 1510 Robert St Ste 102 Behavioral Health - Boise, ID 83702 Clinical Social Worker Boise, ID 83705 Medical Group (208) 489-4444 NPI: 1922614478 (208) 429-1865 Group(s): St Lukes Clinic 8050 W Northview St Group(s): Jerilynn Blum Treasure Valley Llc Boise, ID 83704 Lcpc (208) 327-0504 Group(s): Lifeways Inc

223 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Bowman, Lea, LCSW~* Briley, Shawn, LCSWx~ Byrd, Stephen, MDx~* Cobb, Jesse, LCSWx~* Social Worker * Psychiatry Clinical Social Worker NPI: 1629557905 Social Worker NPI: 1710908330 NPI: 1083001630 1000 E Park Blvd Ste 120 NPI: 1801068127 131 N Allumbaugh St 8050 W Northview St Boise, ID 83712 2206 North Cole Rd Boise, ID 83704 Boise, ID 83704 (208) 381-4100 Boise, ID 83704 (208) 302-0900 (208) 327-0504 Group(s): St Lukes Clinic (208) 451-0101 Group(s): St Alphonsus Group(s): Lifeways Inc Treasure Valley Llc Group(s): Idacare Inc Regional Medical Center Connelly, Lillian, LCSW Other Specialties: Clinical Brotman, Adam, PSYDx Physicians -1861676298 ~* Social Worker ~* Chapdelaine, Sheila, Clinical Social Worker Bowman, Patricia, Mental Health Counselor LCSWx~* NPI: 1457881989 LCSWx~* NPI: 1114166956 Clinical Social Worker 545 N Benjamin Ste 185 Clinical Social Worker 740 Warm Springs Ave NPI: 1780039545 Boise, ID 83704 NPI: 1427485432 Boise, ID 83712 4477 W Emerald St Ste (208) 322-1026 6550 W Emerald St Ste (208) 343-7797 C100 Group(s): Pathways Of 108 Ste 108 Group(s): Warm Springs Boise, ID 83706 Idaho Llc - Medical Group Counseling Center Boise, ID 83704 (208) 454-8389 Connelly, Lillian, LCSW (208) 344-2228 Browne, Larissa, LPC~* Group(s): Human ~* Group(s): Ambitions Of Counselor Supports Of Idaho Clinical Social Worker Idaho - Medical Group NPI: 1215566740 Chippolla, Michael, NPI: 1457881989 Boyno, Elizabeth, LCSW 3076 N Five Mile Rd LCSWx~* 545 N Benjamine Ste 175 x~* Boise, ID 83713 Social Worker Boise, ID 83704 Clinical Social Worker (208) 376-4999 NPI: 1679969976 (208) 287-2564 NPI: 1477976116 Group(s): Community 4477 W Emerald St Ste Group(s): Pathways Of 1226 W River St Partnerships Of Idaho C100 Idaho Llc - Medical Group Inc-1679787816 Boise, ID 83702 Boise, ID 83706 Cook, Corie, LCSW~* (208) 331-1155 Buch, David, LCSWx~* (208) 454-8389 Clinical Social Worker Group(s): St Lukes Clinic Clinical Social Worker Group(s): Human NPI: 1487711305 Treasure Valley Llc NPI: 1407269483 Supports Of Idaho 4696 Overland Rd Ste 276 Brick House Recoveryx~ 6933 W Emerald St Ste A Chrisman, Jill, LCSWx~ Boise, ID 83705 * Boise, ID 83704 * (208) 722-2200 Community/Behavioral (208) 321-0634 Clinical Social Worker Group(s): Wildflower Health Group(s): All Seasons NPI: 1245438357 Intuitive Center Llc NPI: 1770987844 Mental Health - Mg 6565 W Emerald St Cooper, Staci, LPCx~* 3663 N Lake Harbor Lane Bushi, Stephen, MDx~* Boise, ID 83704 Counselor Boise, ID 83703 Psychiatry (208) 514-2510 NPI: 1629228663 (208) 286-4274 NPI: 1356336648 Group(s): The Family 6933 W Emerald St Ste A Group(s): Brick House 1902 W Judith Lane Ste Medicine Residency Of Boise, ID 83704 Recovery 110 Idaho Inc (208) 321-0634 Boise, ID 83705 Spanish Group(s): All Seasons (208) 658-0800 Mental Health - Mg Group(s): Stephen Bushi Md

224 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Corbett, Carolyn, NPx~* Cullinan, Michelle, NPx~ Dawn, Deborah, LPC~* Dehaan, Susan, LCSWx Psych/Mental Health - * Counselor ~* Nurse Practitioner Psych/Mental Health - NPI: 1013444678 Clinical Social Worker NPI: 1841529310 Nurse Practitioner 545 N Benjamin Ste 185 NPI: 1821143033 1276 W River St Ste 100 NPI: 1619487345 Boise, ID 83704 6550 W Emerald St Ste Boise, ID 83702 413 N Allumbaugh St Ste (208) 322-1026 108 Ste 108 (208) 338-4699 101 Group(s): Pathways Of Boise, ID 83704 Group(s): Access Boise, ID 83704 Idaho Llc - Medical Group (208) 344-2228 Behavioral Health (208) 323-1125 Group(s): Ambitions Of Day, Dan, PHDx~* Services Group(s): Sage Health Idaho - Medical Group Care Pllc Psychologist Corbett, Carolyn, NPx~* NPI: 1861755068 Deidrick, Kathleen, PHD Psych/Mental Health - Daggett, Anne, LCSWx~ 740 Warm Springs Ave ~* Nurse Practitioner * Boise, ID 83712 Clinical Psychologist NPI: 1841529310 Clinical Social Worker (208) 343-7797 NPI: 1891742540 3152 S Bown Way Ste NPI: 1689096067 Group(s): Warm Springs 305 E Jefferson St 101 100 E Idaho St Ste 200 Counseling Center Boise, ID 83712 Boise, ID 83706 Boise, ID 83712 (208) 381-5000 Day, Natalie, LCSW~* (208) 376-1737 (208) 381-7092 Group(s): St Lukes Clinic Clinical Social Worker Group(s): Carolynn Group(s): St Lukes Clinic Treasure Valley Llc NPI: 1336633247 Corbett Pmhnp Treasure Valley Llc 8100 W Emerald St Ste Desai, Abhilash, MDx~* Crill, Carey, NPx~* Dalton, Jeannie, LCSWx 150 Psychiatry Mental Health (Including ~* Boise, ID 83704 NPI: 1366519084 Community Mental Health Clinical Social Worker (208) 250-4561 413 N Allumbaugh St Ste Center) NPI: 1316304678 Group(s): Starr Family 101 NPI: 1457530693 6550 W Emerald St Ste Behavioral Health - Boise, ID 83704 5440 W Franklin Rd Ste 108 Ste 108 Medical Group (208) 323-1125 108 Boise, ID 83704 Group(s): Idaho Memory (208) 344-2228 De Nofa, Angelique, And Aging Center Boise, ID 83705 LCSWx~* (208) 283-7314 Group(s): Ambitions Of Gujarati, Hindi, Marathi Clinical Social Worker Group(s): Integrity Idaho - Medical Group NPI: 1588958482 Dickinson, Valery, LPCx Psychiatric Services Davis, Patricia, LCSWx~ 5985 W State St ~* Other Specialties: Psych/ * Boise, ID 83703 Counselor Mental Health - Nurse Clinical Social Worker (208) 853-0071 NPI: 1619317559 Practitioner NPI: 1871069708 Group(s): Omega Mental 6550 W Emerald St Ste 703 S Americana Blvd Ste 108 Ste 108 Critchlow, Baylee, 150 Health Services LCSWx~* Boise, ID 83704 Boise, ID 83702 Dee, Brenda, LCSW~* (208) 344-2228 Clinical Social Worker (208) 706-6375 Clinical Social Worker Group(s): Ambitions Of NPI: 1487261939 Group(s): St Lukes Clinic NPI: 1609201151 Idaho - Medical Group 8050 W Northview St Treasure Valley Llc 5460 W Franklin Rd Russian Boise, ID 83704 Boise, ID 83705 (208) 327-0504 (208) 378-9636 Group(s): Lifeways Inc Group(s): Brenda Dee

225 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Dizdar-Barac, Aida, Doty-Jones, Amelia, Edwards, Amy, MDx~* Eldredge, Melissa, LCSW~* LCSWx~* Psychiatry LCSW~* Clinical Social Worker Clinical Social Worker NPI: 1881688810 Clinical Social Worker NPI: 1952655490 NPI: 1285000380 1423 W Franklin St NPI: 1568906758 2273 S Vista Ave Ste 190 1520 W State St Ste 100 Boise, ID 83702 3076 N Five Mile Rd Boise, ID 83705 Boise, ID 83702 (208) 345-2212 Boise, ID 83713 (208) 343-2737 (208) 947-7700 Group(s): North End (208) 376-4999 Group(s): Idaho Group(s): St Lukes Clinic Psychiatry Group(s): Community Behavioral Health Treasure Valley Llc Partnerships Of Idaho Edwards, Amy, MDx~* Corsican Inc-1679787816 Eames, Kimi, LCSW~* Psychiatry Doepke, Dawn, CSWx~* Clinical Social Worker NPI: 1881688810 Firth, Sandra, PHDx~* Clinical Social Worker NPI: 1427333673 1423 W Franklin St Psychologist NPI: 1447612098 500 W Bannock St Boise, ID 83702 NPI: 1487862470 1055 N Curtis Rd Boise, ID 83702 (208) 345-2212 1902 W Judith Lane Ste Boise, ID 83706 (208) 251-8901 Group(s): Amy S Edwards 110 (208) 367-2121 Group(s): Kimi Eames Md Boise, ID 83705 Group(s): Saint Alphonsus Lcsw (208) 658-0800 Eiguren, Amaya, PSYx~ Physician Services Group(s): Stephen Bushi Eason-Barnett, Jennifer, * Md Dolman, Heather, LCSWx~* Psychologist LMSW~* Clinical Social Worker NPI: 1548454432 Firth, Sandra, PHDx~* Clinical Social Worker NPI: 1982846069 740 Warm Springs Ave Psychologist NPI: 1578049185 10101 W Overland Rd Ste Boise, ID 83712 NPI: 1487862470 8950 W Emerald St Ste 110 (208) 343-7797 502 N Kimball Place 178 Boise, ID 83709 Group(s): Warm Springs Boise, ID 83704 Boise, ID 83704 (208) 333-9578 Counseling Center (210) 615-3424 (208) 376-7083 Group(s): Ability Health Eldredge, Melissa, Group(s): Deer Oaks Group(s): Recovery 4 Life And Rehabilitation Llc LCSW~* Mental Health Associates Other Specialties: Social Pc Echeverria, Joshua, Clinical Social Worker Worker CSWx~* NPI: 1568906758 Firth, Sandra, PHDx~* Doty, Jenny, LCSW~* Clinical Social Worker 1993 E 8th St N Psychologist Clinical Social Worker NPI: 1699267252 Boise, ID 83713 NPI: 1487862470 NPI: 1215360631 1276 W River St Ste 100 (208) 376-4999 808 N Curtis Rd 3076 N Five Mile Rd Boise, ID 83702 Group(s): Community Boise, ID 83706 Boise, ID 83713 (208) 338-4699 Partnerships Of Idaho (210) 615-3424 (208) 376-4999 Group(s): Access Inc-1679787816 Group(s): Deer Oaks Group(s): Community Behavioral Health Mental Health Associates Partnerships Of Idaho Services Pc Inc-1679787816

226 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Fishman, Jennifer, LPC~ Gakwa, Christopher, NP Garidel, Bridgette, Germain, Ninon, MDx~* * x~* LCSWx~* Psychiatry Mental Health Counselor Psych/Mental Health - Clinical Social Worker NPI: 1588705560 NPI: 1356596019 Nurse Practitioner NPI: 1588192371 413 N Allumbaugh St Ste 6550 Emerald St Ste 112 NPI: 1205355831 4840 N Cloverdale Rd 101 Boise, ID 83704 1276 W River St Ste 100 Boise, ID 83713 Boise, ID 83704 (208) 342-6300 Boise, ID 83702 (208) 706-8000 (208) 302-0900 Group(s): About Balance (208) 338-4699 Group(s): St Lukes Clinic Group(s): Ninon Germain Mental Health Group(s): Access Treasure Valley Llc Md Pllc Russian Behavioral Health Other Specialties: Services Gayle, Gretchen, NPx~* Ford, Meredith, LCSW~ Neurology Other Specialties: Mental Psych/Mental Health - French * Nurse Practitioner Clinical Social Worker Health (Including Community Mental Health NPI: 1649757279 Gerrish, Winslow, PHDx NPI: 1821472051 ~* Center) 5985 W State St 1075 E Park Blvd Boise, ID 83703 Clinical Psychologist Boise, ID 83712 Gakwa, Christopher, NP (208) 853-0071 NPI: 1013297621 (208) 381-5970 x~* Group(s): Omega Mental 121 E Fort St Group(s): St Lukes Clinic Psych/Mental Health - Health Services Boise, ID 83712 Treasure Valley Llc Nurse Practitioner (208) 514-2525 NPI: 1205355831 Gentilman, Karen, Group(s): The Family Franace, Natalie, LCSW LCSWx~* x~* 303 N Allumbaugh Suite Medicine Residency Of 335 Clinical Social Worker Idaho Inc Clinical Social Worker NPI: 1063961951 NPI: 1780970400 Boise, ID 83704 Other Specialties: (208) 888-5848 600 N Robbins Rd Psychologist 4477 W Emerald St Ste Entrance 1 Floor 2 C100 Group(s): Midvalley Healthcare Boise, ID 83702 Gerrish, Winslow, PHDx Boise, ID 83706 ~* Other Specialties: Mental (208) 381-9375 (208) 454-8389 Clinical Psychologist Health (Including Group(s): St Lukes Clinic Group(s): Human NPI: 1013297621 Community Mental Health Treasure Valley Llc Supports Of Idaho 6565 W Emerald St Center) Germain, Ninon, MDx~* Franace, Natalie, LCSW Boise, ID 83704 x~* Gakwa, Christopher, NP Psychiatry (208) 514-2510 Clinical Social Worker x~* NPI: 1588705560 Group(s): The Family NPI: 1780970400 Psych/Mental Health - 131 N Allumbaugh St Medicine Residency Of 740 Warm Springs Ave Nurse Practitioner Boise, ID 83704 Idaho Inc Boise, ID 83712 NPI: 1205355831 (208) 302-0900 Other Specialties: (208) 343-7797 5985 W State St Group(s): St Alphonsus Psychologist Group(s): Warm Springs Boise, ID 83703 Regional Medical Center Counseling Center (208) 853-0071 Physicians -1861676298 Group(s): Omega Mental Other Specialties: Health Services Neurology Other Specialties: Mental French Health (Including Community Mental Health Center)

227 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Gerrish, Winslow, PHDx Gosline, Matthew, Haas, Cody, NPx~* Hardin, Daniel, LPCx~* ~* LCSWx~* Psych/Mental Health - Mental Health Counselor Clinical Psychologist Clinical Social Worker Nurse Practitioner NPI: 1134399215 NPI: 1013297621 NPI: 1255570776 NPI: 1902462039 1276 W River St Ste 100 777 N Raymond St 740 Warm Springs Ave 5440 Franklin Rd Ste 108 Boise, ID 83702 Boise, ID 83704 Boise, ID 83712 Boise, ID 83705 (208) 338-4699 (208) 514-2500 (208) 343-7797 (208) 283-7314 Group(s): Access Group(s): The Family Group(s): Warm Springs Group(s): Treasure Valley Behavioral Health Medicine Residency Of Counseling Center Psychiatry And Mental Services Idaho Inc Health Other Specialties: Green, Paula, LPCx~* Harlan Drewel, Elena, Psychologist Counselor Haas, Cody, NPx~* PHDx~* NPI: 1225084304 Psych/Mental Health - Clinical Gierhart, Megan, PSYD 608 Hays St Nurse Practitioner Neuropsychologist x~* Boise, ID 83702 NPI: 1902462039 NPI: 1538490834 Clinical Psychologist (208) 381-5970 5440 W Franklin Rd Ste 100 E Idaho St Ste 200 NPI: 1225312374 Group(s): St Lukes Clinic 108 Boise, ID 83712 1276 W River St Ste 100 Treasure Valley Llc Boise, ID 83705 (208) 381-5000 Boise, ID 83702 (208) 283-7314 Group(s): St Lukes Clinic Green, Paula, LPCx~* (208) 338-4699 Group(s): Integrity Treasure Valley Llc Counselor Group(s): Access Psychiatric Services Behavioral Health NPI: 1225084304 Harrington, Kristina, Services 610 W Hays St Hakes, Diane, LCSWx~* MDx~* Boise, ID 83702 Clinical Social Worker Psychiatry Gilbreath, Eric, MDx* (208) 381-5970 NPI: 1962821249 NPI: 1407887623 Psychiatry Group(s): St Lukes Clinic 315 N Allumbaugh St 5985 W State St NPI: 1548290711 Treasure Valley Llc Boise, ID 83704 Boise, ID 83703 413 N Allumbaugh Ste (208) 376-3546 Gudmundsen, Gretchen, (208) 853-0071 101 Group(s): Boise Group(s): Omega Mental PHDx* Boise, ID 83704 Psychological Services Health Services (208) 323-1125 Psychologist Group(s): Eric Gilbreath NPI: 1821232562 Hansen, Bonnie, LPC~* Harris, Honor, LCSWx~ Md 100 E Idaho St Ste 200 Mental Health Counselor * Boise, ID 83712 NPI: 1669036133 Clinical Social Worker Gilman, Andrea, LMSW (208) 381-7360 148 S Cole Rd NPI: 1134305139 ~* Group(s): St Lukes Clinic Boise, ID 83709 5985 W State St Clinical Social Worker Treasure Valley Llc (208) 683-8320 Boise, ID 83703 NPI: 1184242299 Group(s): A Body & Mind (208) 853-0071 10108 W Overland Rd Ste Health Services Llc Group(s): Omega Mental A Health Services Boise, ID 83709 (208) 371-7226 Group(s): Calm Waters Counseling

228 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Hart, Jill, NPx~* Hausner, Nancy, LCSW Hegg-James, Kim, Hillam, Michael, PSYDx Psych/Mental Health - x~* LCSW~* ~* Nurse Practitioner Clinical Social Worker Clinical Social Worker Clinical Psychologist NPI: 1689065377 NPI: 1124451067 NPI: 1346702008 NPI: 1982738563 1423 W Franklin St 10112 W Overland Rd 545 N Benjamine Ste 175 4696 W Overland Ste 156 Boise, ID 83702 Boise, ID 83709 Boise, ID 83704 Boise, ID 83705 (208) 345-2212 (208) 780-3900 (208) 287-2564 (208) 286-5196 Group(s): North End Group(s): Lifepath Group(s): Pathways Of Group(s): Michael L Psychiatry Counseling And Wellness Idaho Llc - Medical Group Hillam Psyd Hart, Jill, NPx~* Hawkins, Roma, LCSW~ Helfer, Tamara, MDx* Hislop, Donna, LCSW~* Psych/Mental Health - * Child & Adolescent Clinical Social Worker Nurse Practitioner Clinical Social Worker Psychiatry NPI: 1972520617 NPI: 1689065377 NPI: 1942500996 NPI: 1962663633 8100 W Emerald St Ste 2273 S Vista Ave Ste 190 8100 W Emerald St Ste 413 N Allumbaugh St Ste 150 Boise, ID 83705 150 101 Boise, ID 83704 (208) 343-2737 Boise, ID 83704 Boise, ID 83704 (208) 250-4561 Group(s): Idaho (208) 250-4561 (208) 323-1125 Group(s): Starr Family Behavioral Health Group(s): Starr Family Group(s): Tamara Helfer Behavioral Health, Starr Behavioral Health - Md Pllc Family Behavioral Health Hatfield, Julie, LCSWx~ Medical Group - Medical Group * Spanish Social Worker Headley, Rebecca, Helfer, Tamara, MDx~* Hofkins, Gabriel, LMSW NPI: 1790237279 LCSW~* Child & Adolescent x~* 3062 N Five Mile Rd Clinical Social Worker Psychiatry Social Worker Boise, ID 83713 NPI: 1558603134 NPI: 1962663633 NPI: 1255867156 (208) 376-4999 610 W Hays St 608 Hays St 300 S 23rd St Group(s): Community Boise, ID 83702 Boise, ID 83702 Boise, ID 83702 Partnerships Of Idaho Inc (208) 381-7092 (208) 381-5970 (208) 345-1170 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Group(s): Terry Reilly Hatfield, Julie, LCSWx~ Treasure Valley Llc Health Services Sane * Treasure Valley Llc Solutions Ao Social Worker Hegg-James, Kim, Spanish NPI: 1790237279 LCSW~* Herrera, Cecilia, LCSW Holbrook, Katherine, 408 N Allumbaugh St Clinical Social Worker x~* LCSWx~* Boise, ID 83704 NPI: 1346702008 Clinical Social Worker Clinical Social Worker (208) 323-9600 545 N Benjamin Ste 185 NPI: 1639539927 NPI: 1942622188 Group(s): Terry Reilly Boise, ID 83704 1819 W State St 2273 S Vista Ave Ste 190 Health Services Sane (208) 322-1026 Boise, ID 83702 Boise, ID 83705 Solutions Av - Mg Group(s): Pathways Of (208) 429-3854 (208) 343-2737 Idaho Llc - Medical Group Group(s): Foothills Group(s): Idaho Counseling & Wellness Behavioral Health Llc

229 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Holbrook, Katherine, Hoyt, Brenda, NP~* Hunter, Donna, LCSW~ Jackson, Elizabeth, LCSWx* Psych/Mental Health - * LCSW~* Clinical Social Worker Nurse Practitioner Clinical Social Worker Clinical Social Worker NPI: 1942622188 NPI: 1982097481 NPI: 1558350306 NPI: 1649694233 4477 W Emerald St Ste 6550 Emerald St Ste 112 1993 E 8th St N 9635 Orchard St Ste 103 C100 Boise, ID 83704 Boise, ID 83713 Boise, ID 83705 Boise, ID 83706 (208) 342-6300 (208) 376-4999 (208) 794-1134 (208) 454-8389 Group(s): About Balance Group(s): Community Group(s): Brc Mental Group(s): Human Mental Health Partnerships Of Idaho Health Services Llc Supports Of Idaho Inc-1679787816 Hoyt, Heather, CP~* Jackson, Yvette, LCSWx Hood, Kersondra, Psychologist Hunter, Donna, LCSW~ ~* LMSW~* NPI: 1144771338 * Clinical Social Worker Clinical Social Worker 671 E Riverpark Ln Ste Clinical Social Worker NPI: 1063927853 NPI: 1598278673 200 NPI: 1558350306 703 S Americana Blvd Ste 8950 W Emerald St Ste Boise, ID 83706 3076 N Five Mile Rd 150 178 (208) 334-2071 Boise, ID 83713 Boise, ID 83702 Boise, ID 83704 Group(s): Heather (208) 376-4999 (208) 706-6375 (208) 376-7083 Eskridge Hoyt Phd Llc Group(s): Community Group(s): St Lukes Clinic Group(s): Recovery 4 Life Partnerships Of Idaho Treasure Valley Llc Huck, Brian, LCSWx~* Inc-1679787816 Hooper, Pamela, LCSW Clinical Social Worker Jepson, Mark, NPx~* x~* NPI: 1659669455 Iddings, Amy, LMSWx~ Psychiatry Clinical Social Worker 608 W Hays St * NPI: 1306089271 NPI: 1689973588 Boise, ID 83702 Social Worker 131 N Allumbaugh St 1055 N Curtis Rd (208) 381-5970 NPI: 1093052441 Boise, ID 83704 Boise, ID 83706 Group(s): St Lukes Clinic 408 N Allumbaugh St (208) 302-0900 (208) 367-2121 Treasure Valley Llc Boise, ID 83704 Group(s): St Alphonsus Group(s): Saint Alphonsus (208) 323-9600 Regional Medical Center Physician Services Hulbert, Ryan, PHDx~* Group(s): Terry Reilly Physicians -1861676298 Psychologist Health Services Sane Hooper, Pamela, LCSW NPI: 1053689356 Solutions Av - Mg Jessen, Rachel, LCSWx~ x~* 6550 W Emerald St Ste * Clinical Social Worker 108 Ste 108 Jackson, Elizabeth, Social Worker NPI: 1689973588 Boise, ID 83704 LCSW~* NPI: 1013094309 1055 N Curtis Rd (208) 344-2228 Clinical Social Worker 5985 W State St Boise, ID 83706 Group(s): Ambitions Of NPI: 1649694233 Boise, ID 83703 (208) 367-3069 Idaho - Medical Group 1111 South Orchard St Ste (208) 853-0071 Group(s): Saint Alphonsus 254 Group(s): Omega Mental Reg Medical Boise, ID 83705 Health Services Ctr_Professional (208) 322-0643 Other Specialties: Clinical Group(s): Utopia Social Worker Counselling And Adoption Services

230 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

John, Jennifer, LCSWx~ Johnson, Susanne, Johnson, Susanne, Juarez, Dominique, * LCSWx~* LCSWx~* LMSWx~* Social Worker Clinical Social Worker Clinical Social Worker Social Worker NPI: 1891102125 NPI: 1518137546 NPI: 1518137546 NPI: 1871965533 8050 W Northview St 2200 W Fairview Ave 848 S La Cassia Dr 4477 W Emerald St Ste Boise, ID 83704 Boise, ID 83702 Boise, ID 83705 C100 (208) 327-0504 (208) 344-3512 (208) 344-0086 Boise, ID 83706 Group(s): Lifeways Inc Group(s): Terry Reilly Group(s): Terry Reilly (208) 454-8389 Johnson, Craig, CSWx~ Health Services New Path Health Services - Medical Group(s): Human * Clinic - Fqhc - Mg Group1134527708, Terry Supports Of Idaho Reilly Health Services - Clinical Social Worker Johnson, Susanne, Kaldor, Sarah, LPC~* Medical NPI: 1053841247 LCSWx~* Counselor Group1457309122, Terry 4477 W Emerald St Ste NPI: 1790947661 Clinical Social Worker Reilly Health Services - C100 NPI: 1518137546 1075 E Park Blvd Medical Boise, ID 83706 300 S 23rd St Boise, ID 83712 Group1952756884 (208) 454-8389 Boise, ID 83702 (208) 381-5970 Group(s): Human (208) 344-3512 Johnson, Tina, LCSWx~ Group(s): St Lukes Clinic Supports Of Idaho Group(s): Terry Reilly * Treasure Valley Llc Health Services Boise Clinical Social Worker Johnson, Robby, MAx~* Keenan, Katie, LCSW~* Clinic - Medical Group, NPI: 1508290115 Counselor Clinical Social Worker Terry Reilly Health 300 E Jefferson St Ste 101 NPI: 1144654849 NPI: 1265682744 Services - Medical Boise, ID 83712 1075 E Park Blvd 545 N Benjamin Ste 185 Group1134527708, Terry (208) 381-1615 Boise, ID 83712 Boise, ID 83704 Reilly Health Services - Group(s): St Lukes Clinic (208) 381-5970 (208) 322-1026 Medical Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Pathways Of Group1457309122 Treasure Valley Llc Johnson, Vanessa, Idaho Llc - Medical Group Johnson, Robby, MAx~* Johnson, Susanne, LMSWx~* Social Worker Kenley, Lindsay, LPCx~ Counselor LCSWx~* * NPI: 1861847261 NPI: 1144654849 Clinical Social Worker Counselor 1276 W River St Ste 100 740 Warm Springs Ave NPI: 1518137546 NPI: 1831643154 Boise, ID 83702 Boise, ID 83712 777 N Raymond St 10112 W Overland Rd (208) 338-4699 (208) 343-7797 Boise, ID 83704 Boise, ID 83709 Group(s): Access Group(s): Warm Springs (208) 514-2500 (208) 780-3900 Behavioral Health Counseling Center Group(s): The Family Group(s): Lifepath Services Medicine Residency Of Counseling And Wellness Johnson, S, LCSWx~* Idaho Inc Clinical Social Worker Kent, David, MDx~* NPI: 1467531996 Psychiatry 10112 W Overland Rd NPI: 1215965199 Boise, ID 83709 413 N Allumbaugh Ste (208) 780-3900 101 Group(s): Lifepath Boise, ID 83704 Counseling And Wellness (208) 954-5591 Group(s): Treasure Valley Tms

231 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Killian, Tye, LCSW~* Kreizenbeck, Kara, Kuehne, Shawna, NPx~* Larson, Matthew, LCSW Clinical Social Worker LCSWx~* Psych/Mental Health - ~* NPI: 1194134163 Social Worker Nurse Practitioner Clinical Social Worker 545 N Benjamin Ste 185 NPI: 1821352378 NPI: 1679898225 NPI: 1982941027 Boise, ID 83704 11513 W Fairview Ave 1276 W River St Ste 100 148 S Cole Rd (208) 322-1026 Ste 105 Boise, ID 83702 Boise, ID 83709 Group(s): Pathways Of Boise, ID 83713 (208) 338-4699 (208) 683-8320 Idaho Llc - Medical Group (208) 908-7882 Group(s): Access Group(s): A Body & Mind Group(s): Avanzar Behavioral Health Health Services Llc Kimpton, Tory, PHDx~* Wellness Llc Services Psychologist Leet, Leslie, LCSW~* NPI: 1962921619 Krumm, Jane, LCSWx~ Labernik, Julie, LCSWx Clinical Social Worker 600 N Robbins Rd * ~* NPI: 1699021246 Boise, ID 83702 Clinical Social Worker Clinical Social Worker 1130 N Allumbaugh St (208) 489-4444 NPI: 1578559308 NPI: 1376732933 Boise, ID 83704 Group(s): St Lukes Clinic 608 W Hays St 5440 W Franklin Rd Ste (208) 283-7181 Treasure Valley Llc Boise, ID 83702 108 Group(s): Leslie Leet Llc (208) 381-5970 Boise, ID 83705 Leet, Leslie, LCSW~* Knight, Brian, LCSWx~ Group(s): St Lukes Clinic (208) 283-7314 * Clinical Social Worker Treasure Valley Llc Group(s): Integrity Social Worker NPI: 1699021246 Psychiatric Services NPI: 1831510320 Krumm, Tiffany, LPC~* 5815 Coffey Other Specialties: Social 4477 W Emerald St Ste Counselor Boise, ID 83704 Worker C100 NPI: 1720348097 (208) 283-7181 Boise, ID 83706 1011 West Williams St Ladimir, Lolita, LCSWx Group(s): Leslie Leet Llc (208) 454-8389 Boise, ID 83706 ~* Leet, Leslie, LCSW~* Group(s): Human (208) 991-0222 Clinical Social Worker Clinical Social Worker Supports Of Idaho Group(s): Real Solutions NPI: 1922470780 NPI: 1699021246 Counseling 703 S Americana Blvd Ste Krause, Alison, MDx~* 150 8211 Ustick Rd Psychiatry Kuehne, John, LCSWx~ Boise, ID 83702 Boise, ID 83704 * NPI: 1528488905 (208) 706-6375 (208) 283-7181 Clinical Social Worker 777 N Raymond St Group(s): St Lukes Clinic Group(s): Leslie Leet Llc Boise, ID 83704 NPI: 1255801205 Treasure Valley Llc Looze, Jordan, LPC~* (208) 514-2500 1276 W River St Ste 100 Mental Health Counselor Group(s): The Family Boise, ID 83702 Lara, Benjamin, LMSW NPI: 1366874224 Medicine Residency Of (208) 338-4699 ~* 6003 W Overland Rd Ste Idaho Inc Group(s): Access Clinical Social Worker Behavioral Health NPI: 1063846764 301 Services 9196 W Barnes Dr Boise, ID 83709 Boise, ID 83709 (208) 801-6806 (208) 433-0400 Group(s): Case Managers Group(s): Raise The Of Idaho Llc Bottom Training And Counseling Services-Phys Group

232 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Mancini, Carlie, NPx~* Martin, Susan, PSYDx~* Mcmahan, Nancy, LPC~ Mills, Joanna, LCSWx~* Psych/Mental Health - Psychologist * Clinical Social Worker Nurse Practitioner NPI: 1992868020 Mental Health Counselor NPI: 1760815583 NPI: 1285081695 6565 W Emerald St NPI: 1811549629 4477 W Emerald St Ste 610 W Hays St Boise, ID 83704 2273 S Vista Ave Ste 190 C100 Boise, ID 83702 (208) 514-2510 Boise, ID 83705 Boise, ID 83706 (208) 381-5970 Group(s): The Family (208) 343-2737 (208) 454-8389 Group(s): St Lukes Clinic Medicine Residency Of Group(s): Idaho Group(s): Human Treasure Valley Llc Idaho Inc Behavioral Health Supports Of Idaho Marion, Sarah, PHDx~* Mather, Kelly, LPCx~* Meehan, Johnny, LMSW Millward, Michael, MDx Clinical Psychologist Counselor ~* ~* NPI: 1518111590 NPI: 1952668683 Clinical Social Worker Psychiatry 600 N Robbins Rd 6550 W Emerald St Ste NPI: 1003103458 NPI: 1437164381 Boise, ID 83702 108 Ste 108 3076 N Five Mile Rd 10112 W Overland Rd (208) 489-4444 Boise, ID 83704 Boise, ID 83713 Boise, ID 83709 Group(s): St Lukes Clinic (208) 344-2228 (208) 376-4999 (208) 780-3900 Treasure Valley Llc Group(s): Ambitions Of Group(s): Community Group(s): Lifepath Idaho - Medical Group Partnerships Of Idaho Counseling And Wellness Markham, Bonnie, Inc-1679787816 LCSWx~* Matias, Kimberly, Minter, Kimberlee, Clinical Social Worker LCSW~* Meyer, Gregory, LCSW LCSWx~* x~* NPI: 1437629714 Social Worker Clinical Social Worker 3076 N Five Mile Rd NPI: 1073759049 Clinical Social Worker NPI: 1851620454 Boise, ID 83713 610 W Hays St NPI: 1497023212 413 N Allumbaugh St Ste (208) 376-4999 Boise, ID 83702 600 N Robbins Rd 101 Group(s): Community (208) 381-7092 Boise, ID 83702 Boise, ID 83704 Partnerships Of Idaho Group(s): St Lukes Clinic (208) 489-4444 (208) 323-1125 Inc-1679787816 Treasure Valley Llc Group(s): St Lukes Clinic Group(s): Kimberlee Treasure Valley Llc Minter Lmsw Martin, David, LPC~* Mccullough, Mark, Miller, Terry, LMHCx~ Montgomery, Mary, Counselor LCSWx~* * NPI: 1518340298 Clinical Social Worker LPC~* Mental Health Counselor Mental Health Counselor 10108 W Overland Rd Ste NPI: 1932160488 NPI: 1609069723 A 300 S 23rd St NPI: 1972885382 10108 W Overland Rd Ste 1412 W Washington St Boise, ID 83709 Boise, ID 83702 A (208) 371-7226 (208) 344-3512 Boise, ID 83702 Boise, ID 83709 (208) 559-6924 Group(s): Calm Waters Group(s): Terry Reilly (208) 376-1532 Counseling Health Services Sane Group(s): Evergreen Life Group(s): Metamorphosis Counseling Llc Solutions Ao, Terry Reilly Counseling Health Services Sane Co

233 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Montgomery, Richard, Morales, Alejandro, Napier, Helen, PHD~* Niezwaag, Leah, LCSWx MDx~* LCSWx~* Psychologist ~* Psychiatry Clinical Social Worker NPI: 1801867817 Counselor NPI: 1275567638 NPI: 1417421686 1055 N Curtis Rd NPI: 1326377847 1423 W Franklin St 6550 W Emerald St Ste Boise, ID 83706 740 Warm Springs Ave Boise, ID 83702 108 Ste 108 (208) 302-3700 Boise, ID 83712 (208) 345-2212 Boise, ID 83704 Group(s): St Alphonsus (208) 343-7797 Group(s): Richard (208) 344-2228 Regional Medical Center Group(s): Warm Springs Montgomery Md Group(s): Ambitions Of Physicians -1861676298 Counseling Center Idaho - Medical Group Moon, Heather, LCSW~ Navarro, Anabelx~* Nyarecha, Duke, NPx~* * Mortensen Stoddard, Mental Health Counselor Psych/Mental Health - Clinical Social Worker Risa, LPC~* NPI: 1225343296 Nurse Practitioner NPI: 1821261199 Mental Health Counselor 1276 W River St Ste 100 NPI: 1235625914 121 E Fort St NPI: 1093155871 Boise, ID 83702 5985 W State St Boise, ID 83712 2273 S Vista Ave Ste 190 (208) 338-4699 Boise, ID 83703 (208) 514-2525 Boise, ID 83705 Group(s): Access (208) 853-0071 Group(s): The Family (208) 343-2737 Behavioral Health Group(s): Omega Mental Medicine Residency Of Group(s): Idaho Services Health Services Idaho Inc Behavioral Health Neilson, Desteni, LCSWx Olson, Roger, PSYDx~* Morales, Alejandro, Murdock-Bell, Tessa, ~* Clinical Psychologist LCSWx~* LCSW~* Clinical Social Worker NPI: 1740331586 Clinical Social Worker Clinical Social Worker NPI: 1811528540 608 W Hays St NPI: 1417421686 NPI: 1992343396 1276 W River St Ste 100 Boise, ID 83702 1993 E 8th St N 6533 W Emerald St Boise, ID 83702 (208) 381-5970 Boise, ID 83713 Boise, ID 83704 (208) 338-4699 Group(s): St Lukes Clinic (208) 376-4999 (208) 302-5200 Group(s): Access Treasure Valley Llc Group(s): Community Behavioral Health Group(s): St Alphonsus Oprins, Nichole, LCSWx Partnerships Of Idaho Regional Medical Center Services ~* Inc-1679787816 Physicians -1861676298 Niederkruger, Theresa, Mental Health Counselor Morales, Alejandro, Musteti Oprea, Laura, LCSW~* NPI: 1619270071 LCSWx~* MDx~* Clinical Social Worker 4477 W Emerald St Ste Clinical Social Worker Psychiatry NPI: 1316020779 C100 NPI: 1417421686 NPI: 1922292143 2273 S Vista Ave Ste 190 Boise, ID 83706 3076 N Five Mile Rd 703 S Americana Blvd Ste Boise, ID 83705 (208) 454-8389 Boise, ID 83713 150 (208) 343-2737 Group(s): Human (208) 376-4999 Boise, ID 83702 Group(s): Idaho Supports Of Idaho Group(s): Community (208) 706-6375 Behavioral Health Partnerships Of Idaho Group(s): St Lukes Clinic Inc-1679787816 Treasure Valley Llc Romanian

234 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Orr, Dusty, CSWx~* Pahang, Michael, NPx~* Pfost-Banks, Danielle, Phipps, Kate, LPCx~* Clinical Social Worker Psych/Mental Health - LCSW~* Counselor NPI: 1487299129 Nurse Practitioner Social Worker NPI: 1730411851 300 S 23rd St NPI: 1033592605 NPI: 1477759660 740 Warm Springs Ave Boise, ID 83702 703 S Americana Blvd Ste 1993 E 8th St N Boise, ID 83712 (208) 345-1170 150 Boise, ID 83713 (208) 343-7797 Group(s): Terry Reilly Boise, ID 83702 (208) 376-4999 Group(s): Warm Springs Health Services Sane (208) 706-6375 Group(s): Community Counseling Center Solutions Ao Group(s): St Lukes Clinic Partnerships Of Idaho Piktel, James, MDx~* Treasure Valley Llc Inc-1679787816 Orthmeyer, Thomas, DO Psychiatry Tagalog x~* Pfost-Banks, Danielle, NPI: 1487883021 Psychiatry Panther, Brigitta, NPx~* LCSW~* 190 E Bannock St NPI: 1396132098 Psych/Mental Health - Social Worker Boise, ID 83712 703 S Americana Blvd Ste Nurse Practitioner NPI: 1477759660 (208) 381-2222 150 NPI: 1104309657 3076 N Five Mile Rd Group(s): St Lukes Clinic Boise, ID 83702 5440 W Franklin Rd Ste Boise, ID 83713 Treasure Valley Llc (208) 706-6375 108 (208) 376-4999 French, Polish Group(s): St Lukes Clinic Boise, ID 83705 Group(s): Community Piktel, James, MDx~* Treasure Valley Llc (208) 283-7314 Partnerships Of Idaho Psychiatry Group(s): Integrity Inc-1679787816 Ours-Bild, Renee, LCSW NPI: 1487883021 Psychiatric Services x~* Phillips, Jennifer, NPx~* 413 N Allumbaugh St Ste Other Specialties: Nurse Clinical Social Worker Psych/Mental Health - 101 Practitioner NPI: 1598725277 Nurse Practitioner Boise, ID 83704 1718 W Jefferson St Perry, Kenneth, LCSWx NPI: 1619433703 (208) 323-1125 Boise, ID 83702 ~* 1276 W River St Ste 100 Group(s): Sage Health (208) 336-3031 Clinical Social Worker Boise, ID 83702 Care Pllc Group(s): Renee L NPI: 1659405017 (208) 338-4699 French, Polish Ours-Bild Lcsw 1010 W Hays St Group(s): Access Posluszny, Matthew, Boise, ID 83702 Behavioral Health Page, Theotosca, LCSW LMSWx~* (208) 340-8419 Services x~* Social Worker Clinical Social Worker Group(s): Kenneth Perry Lcsw Phillips, Jennifer, NPx~* NPI: 1972982437 NPI: 1518269836 Psych/Mental Health - 300 S 23rd St 4477 W Emerald St Ste Perry, Kenneth, LCSWx Nurse Practitioner Boise, ID 83702 C100 ~* NPI: 1619433703 (208) 344-3512 Boise, ID 83706 Clinical Social Worker 703 S Americana Blvd Ste Group(s): Terry Reilly (208) 454-8389 NPI: 1659405017 150 Health Services Boise Group(s): Human 740 Warm Springs Ave Boise, ID 83702 Clinic - Medical Group, Supports Of Idaho Boise, ID 83712 (208) 706-6375 Terry Reilly Health (208) 343-7797 Group(s): St Lukes Clinic Services - Medical Group(s): Warm Springs Treasure Valley Llc Group1134527708 Counseling Center

235 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Powell, Nathan, LCSWx Ramirez-Hernandez, Root, Laura, LCSWx~* Russo, Deborah, LCSWx ~* Ricardo, LMSWx~* Clinical Social Worker ~* Clinical Social Worker Clinical Social Worker NPI: 1023171428 Clinical Social Worker NPI: 1083968374 NPI: 1093057739 131 N Allumbaugh St NPI: 1093129744 740 Warm Springs Ave 300 S 23rd St Boise, ID 83704 610 W Hays St Boise, ID 83712 Boise, ID 83702 (208) 302-0900 Boise, ID 83702 (208) 343-7797 (208) 344-3512 Group(s): St Alphonsus (208) 381-5970 Group(s): Warm Springs Group(s): Terry Reilly Regional Medical Center Group(s): St Lukes Clinic Counseling Center Health Services - Medical Physicians -1861676298 Treasure Valley Llc Group1134527708, Terry Printz, Carl, LMSWx~* Root, Laura, LCSWx~* Sadiki, Amy, LCSWx~* Reilly Health Services - Clinical Social Worker Clinical Social Worker Clinical Social Worker Medical NPI: 1952709198 NPI: 1023171428 NPI: 1326466871 Group1457309122 4477 W Emerald St Ste 315 N Allumbaugh St 1520 W State St Ste 100 Spanish C100 Boise, ID 83704 Boise, ID 83702 Boise, ID 83706 Ramirez-Hernandez, (208) 376-3546 (208) 947-7700 (208) 454-8389 Ricardo, LMSWx~* Group(s): Boise Group(s): St Lukes Clinic Group(s): Human Clinical Social Worker Psychological Services Treasure Valley Llc Supports Of Idaho NPI: 1093057739 Rosendahl, Crystal, LPC Salazar, Elisa, NPx~* Provencio, Mai, LCSW~ 848 S La Cassia Dr ~* Psychiatry * Boise, ID 83705 Counselor NPI: 1225359961 Clinical Social Worker (208) 344-0086 NPI: 1740722537 131 N Allumbaugh St NPI: 1821534017 Group(s): Terry Reilly 3076 N Five Mile Rd Boise, ID 83704 7237 Potomac Dr Ste 220 Health Services - Medical Boise, ID 83713 (208) 302-0900 Boise, ID 83704 Group1134527708, Terry (208) 376-4999 Group(s): St Alphonsus (208) 576-0571 Reilly Health Services - Group(s): Community Regional Medical Center Group(s): Mai Provencio Medical Partnerships Of Idaho Physicians -1861676298 Counseling Pllc Group1457309122, Terry Inc-1679787816 Reilly Health Services - Sanchez, Sierra, CSW~* Ramirez-Hernandez, Medical Roth, Erik, LCSWx~* Clinical Social Worker Ricardo, LMSWx~* Group1952756884 Clinical Social Worker NPI: 1609499912 Clinical Social Worker Spanish NPI: 1578803284 545 N Benjamin Ste 185 NPI: 1093057739 11513 W Fairview Ave Boise, ID 83704 2200 W Fairview Ave Rice, Charles, PSYDx~* Ste 105 (208) 322-1026 Boise, ID 83702 Psychologist Boise, ID 83713 Group(s): Pathways Of (208) 344-3512 NPI: 1336176171 (208) 908-7882 Idaho Llc - Medical Group Group(s): Terry Reilly 3308 N Cole Rd Ste A Group(s): Avanzar Sanchez, Sierra, CSW~* Health Services New Path Boise, ID 83704 Wellness Llc Clinic - Fqhc - Mg (208) 378-1122 Clinical Social Worker Spanish Group(s): Living Hope NPI: 1609499912 Clinic 545 N Benjamine Ste 175 Boise, ID 83704 (208) 287-2564 Group(s): Pathways Of Idaho Llc - Medical Group

236 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Saul, Sharon, LCSW~* Seiders, Joseph, LCSW~ Shaber, Joseph, LPCx~* Shiefer Iii, John, LCSW Clinical Social Worker * Counselor x~* NPI: 1407128010 Clinical Social Worker NPI: 1851699193 Clinical Social Worker 3350 Americana Blvd NPI: 1992193866 6550 W Emerald St Ste NPI: 1750651014 Boise, ID 83706 1075 E Park Blvd 108 Ste 108 4477 W Emerald St Ste (208) 297-3549 Boise, ID 83712 Boise, ID 83704 C100 Group(s): Aspire To Heal (208) 381-5970 (208) 344-2228 Boise, ID 83706 Counseling Group(s): St Lukes Clinic Group(s): Ambitions Of (208) 454-8389 Treasure Valley Llc Idaho - Medical Group Group(s): Human Saxton, Kimberly, Supports Of Idaho LCSWx~* Sekercan, Stacy, LMSW Shackelford, James, MD Clinical Social Worker ~* x~* Slavick, Sarahx~* NPI: 1528218351 Clinical Social Worker Psychiatry Mental Health Counselor 1055 N Curtis Rd NPI: 1174146567 NPI: 1639217359 NPI: 1669709325 Boise, ID 83706 545 N Benjamin Ste 185 777 N Raymond St 703 S Americana Blvd Ste (208) 367-2121 Boise, ID 83704 Boise, ID 83704 150 Group(s): Saint Alphonsus (208) 322-1026 (208) 514-2500 Boise, ID 83702 Physician Services Group(s): Pathways Of Group(s): The Family (208) 706-6375 Idaho Llc - Medical Group Medicine Residency Of Group(s): St Lukes Clinic Saxton, Kimberly, Sekercan, Stacy, LMSW Idaho Inc Treasure Valley Llc LCSWx~* Other Specialties: Family ~* Smith, Christina, LCSW Clinical Social Worker Medicine NPI: 1528218351 Clinical Social Worker x~* 1055 N Curtis Road NPI: 1174146567 Shafer, Jacqueline, Mental Health Counselor Boise, ID 83706 545 N Benjamine Ste 175 LCSW~* NPI: 1982907358 (208) 367-2121 Boise, ID 83704 Clinical Social Worker 204 S Colerd Group(s): Saint Alphonsus (208) 287-2564 NPI: 1053819300 Boise, ID 83709 Physician Services Group(s): Pathways Of 1993 E 8th St N (208) 991-0225 Idaho Llc - Medical Group Boise, ID 83713 Group(s): Christina M Schloss, Alexander, CSW (208) 376-4999 Smith Lcsw ~* Senderowicz, Laura, Group(s): Community Clinical Social Worker LCSW~* Smith, Christina, LCSW Social Worker Partnerships Of Idaho x~* NPI: 1659886380 Inc-1679787816 545 N Benjamin Ste 185 NPI: 1134151707 Mental Health Counselor Boise, ID 83704 1000 E Park Blvd Ste 120 Shafer, Jacqueline, NPI: 1982907358 (208) 322-1026 Boise, ID 83712 LCSW~* 5185 W Overland Rd Group(s): Pathways Of (208) 381-4100 Clinical Social Worker Boise, ID 83705 Idaho Llc - Medical Group Group(s): St Lukes Clinic NPI: 1053819300 (208) 991-0225 Treasure Valley Llc 3076 N Five Mile Rd Group(s): Christina M Schloss, Alexander, CSW Smith Lcsw ~* Senethavilay, Heidix~* Boise, ID 83713 Clinical Social Worker Psychologist (208) 376-4999 NPI: 1659886380 NPI: 1669825709 Group(s): Community 545 N Benjamine Ste 175 3308 N Cole Rd Ste A Partnerships Of Idaho Boise, ID 83704 Boise, ID 83704 Inc-1679787816 (208) 287-2564 (208) 378-1122 Group(s): Pathways Of Group(s): Living Hope Idaho Llc - Medical Group Clinic

237 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Smith, Lenore, LCSWx~ Stackle, Mary, NPx~* Stocking, Cory, LMSW~ Sweet, Justine, LCSWx~ * Psych/Mental Health - * * Clinical Social Worker Nurse Practitioner Clinical Social Worker Clinical Social Worker NPI: 1104986181 NPI: 1841522661 NPI: 1659733434 NPI: 1316228976 703 S Americana Blvd Ste 1276 W River St Ste 100 1075 E Park Blvd 545 N Benjamin Ste 185 150 Boise, ID 83702 Boise, ID 83712 Boise, ID 83704 Boise, ID 83702 (208) 338-4699 (208) 381-5970 (208) 322-1026 (208) 706-6375 Group(s): Access Group(s): St Lukes Clinic Group(s): Pathways Of Group(s): St Lukes Clinic Behavioral Health Treasure Valley Llc Idaho Llc - Medical Group Treasure Valley Llc Services Streeter, Christopher, Tangen, Robert, LCSWx Spanish Stackle, Mary, NPx~* MDx~* ~* Smith, Rusty, LPCx~* Psych/Mental Health - Child & Adolescent Clinical Social Worker Counselor Nurse Practitioner Psychiatry NPI: 1336571694 NPI: 1235323320 NPI: 1841522661 NPI: 1811968217 1276 W River St Ste 100 740 Warm Springs Ave 848 S La Cassia Dr 413 N Allumbaugh St Ste Boise, ID 83702 Boise, ID 83712 Boise, ID 83705 101 (208) 338-4699 (208) 343-7797 (208) 344-0086 Boise, ID 83704 Group(s): Access Group(s): Warm Springs Group(s): Terry Reilly (208) 323-1125 Behavioral Health Counseling Center Health Services - Medical Group(s): Sage Health Services Care Pllc Smith, Tara, LCSWx~* Group1952756884 Taylor, Angela, LPC~* Clinical Social Worker Stephenson, Mack, PHD Streeter, Christopher, Counselor NPI: 1780202440 x~* MDx~* NPI: 1962814723 4477 W Emerald St Ste Psychologist Child & Adolescent 2273 S Vista Ave Ste 190 C100 NPI: 1467676254 Psychiatry Boise, ID 83705 Boise, ID 83706 600 N Robbins Rd NPI: 1811968217 (208) 343-2737 (208) 454-8389 Entrance 1 Floor 2 608 W Hays St Group(s): Idaho Group(s): Human Boise, ID 83702 Boise, ID 83702 Behavioral Health Supports Of Idaho (208) 381-9375 (208) 381-5970 Taylor, Jacqueline, Group(s): St Lukes Clinic Spears, Kimberly, NPx~ Group(s): St Lukes Clinic LCSWx~* * Treasure Valley Llc Treasure Valley Llc Clinical Social Worker Psych/Mental Health - Stockett, Jeremy, LCSW Suhr, Cheryl, NP~* NPI: 1437429222 Nurse Practitioner x~* Psych/Mental Health - 8100 W Emerald St Ste NPI: 1558564138 Clinical Social Worker Nurse Practitioner 150 1276 W River St Ste 100 NPI: 1578859146 NPI: 1336413459 Boise, ID 83704 Boise, ID 83702 703 S Americana Blvd Ste 6550 Emerald St Ste 112 (208) 250-4561 (208) 338-4699 150 Boise, ID 83704 Group(s): Starr Family Group(s): Access Boise, ID 83702 (208) 342-6300 Behavioral Health - Behavioral Health (208) 706-6375 Group(s): About Balance Medical Group Services Group(s): St Lukes Clinic Mental Health Treasure Valley Llc

238 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Teed, David, LCSWx~* Torrez, Javier, CSWx~* Tuck, Wavey, LCSWx* Wamble-Fisher, Shell, Clinical Social Worker Social Worker Clinical Social Worker LCSWx~* NPI: 1437261401 NPI: 1366770224 NPI: 1659651743 Clinical Social Worker 1407 N 13th St 121 E Fort St 6565 W Emerald St NPI: 1629458914 Boise, ID 83702 Boise, ID 83712 Boise, ID 83704 1276 W River St Ste 100 (208) 424-3105 (208) 514-2525 (208) 514-2510 Boise, ID 83702 Group(s): David A Teed Group(s): The Family Group(s): The Family (208) 338-4699 Lcsw Medicine Residency Of Medicine Residency Of Group(s): Access Idaho Inc Idaho Inc Behavioral Health Tennant, Brenda, LCSW Other Specialties: Clinical Services x~* Turner, Ann, LCSWx~* Social Worker Clinical Social Worker Clinical Social Worker Ward, Emma, LMSW~* Spanish NPI: 1194044149 NPI: 1700164621 Social Worker 5440 W Franklin Rd Ste Torrez, Javier, CSWx~* 10112 W Overland Rd NPI: 1255780565 108 Social Worker Boise, ID 83709 1075 E Park Blvd Boise, ID 83705 NPI: 1366770224 (208) 780-3900 Boise, ID 83712 (208) 283-7314 6565 W Emerald St Group(s): Lifepath (208) 381-5970 Group(s): Integrity Boise, ID 83704 Counseling And Wellness Group(s): St Lukes Clinic Psychiatric Services (208) 514-2510 Treasure Valley Llc Tyndall Vaughan, Group(s): The Family Tennant, Brenda, LCSW Kaylene, LMSWx~* Ward, Yvette, PSYD~* Medicine Residency Of x~* Social Worker Clinical Psychologist Clinical Social Worker Idaho Inc Other Specialties: Clinical NPI: 1417473703 NPI: 1346229432 NPI: 1194044149 6550 W Emerald St Ste 2273 S Vista Ave Ste 190 Social Worker 7161 W Potomac Dr Ste A 108 Ste 108 Boise, ID 83705 Spanish Boise, ID 83704 Boise, ID 83704 (208) 343-2737 (208) 908-6399 Trausch, Kyley, LCSW~ (208) 344-2228 Group(s): Idaho Group(s): Starr Family * Group(s): Ambitions Of Behavioral Health Behavioral Health Clinical Social Worker Idaho - Medical Group NPI: 1558722520 Warren-Sutton, Thurston, Nicole, MDx~ Vaz, Arvind, MD~* Hamilton, MDx~* * 9488 Fairview Psychiatry Child & Adolescent Psychiatry Boise, ID 83704 (208) 322-2928 NPI: 1902149206 Psychiatry NPI: 1679782460 1075 E Park Blvd NPI: 1730154345 100 E Idaho St Group(s): Pride Mental Health Boise, ID 83712 413 N Allumbaugh St Ste Boise, ID 83712 (208) 381-5970 101 (208) 381-2711 Tremblay, Cynthia, Group(s): St Lukes Clinic Boise, ID 83704 Group(s): St Lukes Clinic PSYDx~* Treasure Valley Llc (208) 323-1125 Treasure Valley Llc Clinical Group(s): Hamilton Neuropsychologist Walton, Michael, MDx~ * Warren Sutton Md Pllc NPI: 1215305263 Psychiatry Spanish 600 N Robbins Rd NPI: 1114192028 Entrance 1 Floor 2 190 E Bannock St Boise, ID 83702 Boise, ID 83712 (208) 381-9375 (208) 381-2081 Group(s): St Lukes Clinic Group(s): St Lukes Clinic Treasure Valley Llc Treasure Valley Llc

239 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Waters, Christopher, Weathers, Coire, MDx~* White, Jacob, DO~* Williams, Malisa, LCSW PHDx~* Psychiatry Psychiatry x~* Clinical Psychologist NPI: 1437319662 NPI: 1831506351 Clinical Social Worker NPI: 1407122641 1919 W State St 413 N Allumbaugh St Ste NPI: 1184011124 3308 N Cole Rd Ste A Boise, ID 83702 101 6550 W Emerald St Ste Boise, ID 83704 (208) 484-1447 Boise, ID 83704 108 Ste 108 (208) 378-1122 Group(s): Lost River (208) 323-1125 Boise, ID 83704 Group(s): Living Hope Wellness Group(s): Jcw Psychiatry (208) 344-2228 Clinic Pllc Group(s): Ambitions Of Weires, Patty, LCSWx~* Spanish Idaho - Medical Group Watkins, Scott, NPx~* Clinical Social Worker Psych/Mental Health - NPI: 1508288093 Wick, Kathryn, NPx~* Wills, Alex, MDx~* Nurse Practitioner 417 S 6th St Psych/Mental Health - Psychiatry NPI: 1760950604 Boise, ID 83702 Nurse Practitioner NPI: 1649597055 10101 W Overland Rd Ste (208) 577-4460 NPI: 1184879363 6003 W Overland Rd Ste 110 Group(s): St Lukes Clinic 300 S 23rd St 101 Boise, ID 83709 Treasure Valley Llc Boise, ID 83702 Boise, ID 83709 (208) 333-9578 (208) 344-3512 (208) 922-6538 Wells, Candy, CSWx~* Group(s): Ability Health Group(s): Terry Reilly Group(s): Alliance Family Social Worker And Rehabilitation Llc Health Services Boise Services NPI: 1871085621 Clinic - Medical Group Watkins, Scott, NPx~* 8050 W Northview St Wills, Alex, MDx~* Psych/Mental Health - Boise, ID 83704 Williams, Jamie, CSWx~ Psychiatry Nurse Practitioner (208) 327-0504 * NPI: 1649597055 NPI: 1760950604 Group(s): Lifeways Inc Clinical Social Worker 7161 W Potomac Dr Ste A NPI: 1932532967 Boise, ID 83706 5985 W State St Wells, Ken, LCSWx~* Boise, ID 83703 777 N Raymond St (208) 319-3513 Clinical Social Worker Boise, ID 83704 Group(s): Perma Mental (208) 853-0071 NPI: 1912413279 Group(s): Omega Mental (208) 514-2500 Health Pllc 6550 W Emerald St Ste Health Services Group(s): Centerpointe Inc 108 Ste 108 Wilson, Dale, LCSWx~* Weathers, Coire, MDx~* Boise, ID 83704 Williams, Keith, PHDx~ Clinical Social Worker Psychiatry (208) 344-2228 * NPI: 1982901435 NPI: 1437319662 Group(s): Ambitions Of Clinical Psychologist 4477 W Emerald St Ste 190 E Bannock St Idaho - Medical Group NPI: 1174716005 C100 1161 W River St Ste 250 Boise, ID 83706 Boise, ID 83712 Wheelihan, Christian, (208) 381-2081 Boise, ID 83702 (208) 454-8389 LCSWx~* Group(s): St Lukes Clinic (208) 939-9917 Group(s): Human Clinical Social Worker Treasure Valley Llc Group(s): Williams Supports Of Idaho NPI: 1487084588 Psychology Inc 4477 W Emerald St Ste Witt, Stephanie, LPC~* C100 Mental Health Counselor Boise, ID 83706 NPI: 1669015178 (208) 454-8389 148 S Cole Rd Group(s): Human Boise, ID 83709 Supports Of Idaho (208) 683-8320 Group(s): A Body & Mind Health Services Llc

240 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Wolfe, Gina, LPCx~* Young, Hanna, LCSWx~ Moore, Cassandre, Gerrish, Winslow, PHDx Mental Health Counselor * LCSWx~* ~* NPI: 1679670319 Clinical Social Worker Social Worker Clinical Psychologist 740 Warm Springs Ave NPI: 1609068907 NPI: 1154667061 NPI: 1013297621 Boise, ID 83712 740 Warm Springs Ave 77 N Fisher Park Way 215 W 35th St (208) 343-7797 Boise, ID 83712 Eagle, ID 83616 Garden City, ID 83714 Group(s): Warm Springs (208) 343-7797 (208) 972-0918 (208) 514-2500 Counseling Center Group(s): Warm Springs Group(s): Caring Edge Op Group(s): The Family Counseling Center Llc Medicine Residency Of Woodall, Deborah, Idaho Inc Zucco, Frances, LMHCx LCSWx~* Neighbors, Alan, LCSW Other Specialties: ~* x~* Clinical Social Worker Psychologist NPI: 1215166038 Mental Health Counselor Clinical Social Worker 300 S 23rd St NPI: 1588845622 NPI: 1265874184 Zipf, Margaret, LCSWx Boise, ID 83702 3350 Americana Terrace 77 N Fisher Park Way ~* (208) 344-3512 Ste 210 Eagle, ID 83616 Clinical Social Worker Group(s): Terry Reilly Boise, ID 83706 (208) 972-0918 NPI: 1154477321 Health Services Boise (808) 330-6294 Group(s): Caring Edge Op 5593 N Glenwood St Clinic - Medical Group Group(s): Frances M Llc Garden City, ID 83714 Zucco Lcpc (208) 322-5354 Woods, Melissa, LCSWx Crill, Carey, NPx~* Group(s): Mountain View Bonovitz, Nathaniel, ~* Mental Health (Including Behavioral Health Clinical Social Worker LPC~* Community Mental Health NPI: 1598944159 Mental Health Counselor Center) Kuna Counseling Center 300 S 23rd St NPI: 1154586550 NPI: 1457530693 x~* Boise, ID 83702 1151 E Iron Eagle Dr 5593 N Glenwood St Community/Behavioral (208) 345-1170 Eagle, ID 83616 Garden City, ID 83714 Health Group(s): Terry Reilly (208) 600-1115 (208) 322-5354 NPI: 1568544047 Health Services Sane Group(s): Nate Bonovitz Group(s): Mountain View 145 E Deer Flat Rd Solutions Ao Counseling Behavioral Health Kuna, ID 83634 Other Specialties: Psych/ (208) 922-9001 Yavruian, Rick, DOx~* Huck, Brian, LCSWx~* Mental Health - Nurse Group(s): Kuna Psychiatry Clinical Social Worker Practitioner Counseling Center NPI: 1831131085 NPI: 1659669455 413 N Allumbaugh St Ste 450 W State St Ste 100 Dellairo, Deme, LCSWx Torrez, Javier, CSWx~* 101 Eagle, ID 83616 ~* Social Worker Boise, ID 83704 (208) 939-1035 Clinical Social Worker NPI: 1366770224 (208) 323-1125 Group(s): St Lukes Clinic NPI: 1952447450 708 E Wythe Creek Ct Ste Group(s): Yavruian Treasure Valley Llc 5593 N Glenwood St 103 Associates Garden City, ID 83714 Kuna, ID 83634 Other Specialties: (208) 322-5354 (208) 922-5130 Addiction Medicine - Group(s): Mountain View Group(s): The Family Psychiatry & Neurology Behavioral Health Medicine Residency Of Idaho Inc Other Specialties: Clinical Social Worker Spanish

241 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Ashaye, Olurotimi, MDx Bohlman, Juli, PHD~* Carpenter, James, Cox, Cameron, CSW~* ~* Psychologist LCSW~* Clinical Social Worker Psychiatry NPI: 1477831592 Social Worker NPI: 1154722536 NPI: 1649208315 2463 E Gala St NPI: 1053626085 3288 E Pine Ave 2321 E Gala St Ste 3 Ste 3 Meridian, ID 83642 2463 E Gala St Meridian, ID 83642 Meridian, ID 83642 (208) 955-7333 Meridian, ID 83642 (208) 888-8886 (208) 888-5848 Group(s): Northwest (208) 955-7333 Group(s): Inroads Llc Group(s): Midvalley Neurobehavioral Health Group(s): Northwest Samoan Healthcare Llc Neurobehavioral Health Curtis, Laura, LCSW~* Llc Astley, Keslie, LCSWx~* Bollingberg, Cristy, Social Worker Social Worker LCSWx~* Connors, Jamie, LCSWx NPI: 1245467620 NPI: 1568941979 Clinical Social Worker ~* 2463 E Gala St 3525 E Louise Dr Ste 500 NPI: 1558793901 Social Worker Meridian, ID 83642 Meridian, ID 83642 39 E State Ave NPI: 1194208306 (208) 955-7333 (208) 706-7050 Meridian, ID 83642 3525 E Louise Dr Ste 500 Group(s): Northwest Group(s): St Lukes Clinic (208) 999-5821 Meridian, ID 83642 Neurobehavioral Health Treasure Valley Llc Group(s): Beyond (208) 706-7050 Llc Group(s): St Lukes Clinic Banta, Lawrence, MDx~ Awakening Counseling Treasure Valley Llc Dallolio, Angie, LCSW~* * Bowman, Patricia, Mental Health Counselor Psychiatry LCSWx~* Corey, Ann, NP~* NPI: 1912390683 NPI: 1568440295 Clinical Social Worker Mental Health (Including 13 East Ada St 3023 E Copper Point Dr NPI: 1427485432 Community Mental Health Meridian, ID 83642 Ste 108 3017 S Meridian Rd Center) (208) 813-7378 Meridian, ID 83642 Meridian, ID 83642 NPI: 1821359522 Group(s): Care Counseling (208) 914-8924 (208) 888-6123 2463 E Gala St Clinic Llc Group(s): Thrive Group(s): Ambitions Of Meridian, ID 83642 Dalton, Jeannie, LCSWx Counseling Of Idaho - Idaho - Medical Group (208) 955-7333 Medical Group ~* Group(s): Northwest Clinical Social Worker Spanish Brooks, Ari, LCSW~* Neurobehavioral Health NPI: 1316304678 Clinical Social Worker Llc Bermensolo, Mary, 3017 S Meridian Rd NPI: 1649559360 Other Specialties: Psych/ LCSWx~* 13 East Ada St Meridian, ID 83642 Clinical Social Worker Mental Health - Nurse (208) 888-6123 Meridian, ID 83642 Practitioner NPI: 1659420693 (208) 813-7378 Group(s): Ambitions Of 2498 N Stokesberry Pl Ste Group(s): Care Counseling Cox, Cameron, CSW~* Idaho - Medical Group 120 Clinic Llc Clinical Social Worker Meridian, ID 83642 Davis, Eva, LCSW~* NPI: 1154722536 Social Worker (208) 412-6683 3288 E Pine Ave NPI: 1487615464 Group(s): Mary Kelleen Meridian, ID 83642 2463 E Gala St Bermensolo Lcsw (208) 888-8886 Meridian, ID 83642 Group(s): Journey Mental (208) 955-7333 Health Group(s): Northwest Samoan Neurobehavioral Health Llc Spanish

242 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Davlin, Rikki, LCSWx~* Gerrish, Winslow, PHDx Hall, Jeffrey~* Harsch, Tricia, LCSW~* Clinical Social Worker ~* Psychologist Clinical Social Worker NPI: 1205199007 Clinical Psychologist NPI: 1053568816 NPI: 1699029678 2321 E Gala St Ste 3 Ste 3 NPI: 1013297621 2463 E Gala St 1833 S Millenium Way Meridian, ID 83642 2275 S Eagle Rd Ste 120 Meridian, ID 83642 Meridian, ID 83642 (208) 888-5848 Meridian, ID 83642 (208) 955-7333 (208) 343-7797 Group(s): Midvalley (208) 514-2520 Group(s): Northwest Group(s): Warm Springs Healthcare Group(s): The Family Neurobehavioral Health Counseling Center Medicine Residency Of Llc Dehaan, Susan, LCSWx Idaho Inc Helsley, Amanda, LCSW ~* Other Specialties: Clinical x~* Other Specialties: Clinical Social Worker Psychologist Social Worker Psychologist NPI: 1821143033 Hall, Rebekah, PSYD~* NPI: 1265838601 3017 S Meridian Rd Ginkel, Ross, PSYD* Psychologist 3525 E Louise Dr Ste 500 Meridian, ID 83642 Clinical Psychologist NPI: 1689902280 Meridian, ID 83642 (208) 888-6123 NPI: 1568806016 2463 E Gala St (208) 706-7050 Group(s): Ambitions Of 750 W Ustick Rd Ste 120 Meridian, ID 83642 Group(s): St Lukes Clinic Idaho - Medical Group Meridian, ID 83646 (208) 955-7333 Treasure Valley Llc (208) 366-1657 Dickinson, Valery, LPCx Group(s): Northwest Helsley, Amanda, LCSW ~* Group(s): Ross Ginkel Neurobehavioral Health x~* Counselor Psyd Pllc Llc Social Worker NPI: 1619317559 Golden, Carolyn, PSYD~ Harrington, Kristina, NPI: 1265838601 3017 S Meridian Rd * MDx~* 5155 S Hillsdale Ave Meridian, ID 83642 Psychologist Psychiatry Meridian, ID 83642 (208) 888-6123 NPI: 1740314228 NPI: 1407887623 (208) 706-9710 Group(s): Ambitions Of 2463 E Gala St 2321 E Gala St Ste 3 Ste 3 Group(s): St Lukes Clinic Idaho - Medical Group Meridian, ID 83642 Meridian, ID 83642 Treasure Valley Llc Russian (208) 955-7333 (208) 888-5848 Herzog, Brooke, LCSWx Group(s): Northwest Ford, Calli, LMSWx~* Group(s): Midvalley ~* Neurobehavioral Health Social Worker Healthcare Social Worker Llc NPI: 1982153235 Harrison, Keisha, LCSW NPI: 1629402888 3017 S Meridian Rd Haase, Travis, LPCx~* x~* 925 W 1st St Meridian, ID 83642 Mental Health Counselor Clinical Social Worker Meridian, ID 83642 (208) 888-6123 NPI: 1649536418 NPI: 1912367715 (208) 514-2527 Group(s): Ambitions Of 3525 E Louise Dr Ste 250 3525 E Louise Dr Ste 400 Group(s): The Family Idaho - Medical Group Meridian, ID 83642 Meridian, ID 83642 Medicine Residency Of (208) 381-7312 Idaho Inc Gayle, Gretchen, NPx~* (208) 322-1680 Group(s): St Lukes Clinic Psych/Mental Health - Group(s): St Lukes Clinic Hulbert, Ryan, PHDx~* Treasure Valley Llc Nurse Practitioner Treasure Valley Llc Psychologist NPI: 1649757279 NPI: 1053689356 2321 E Gala St Ste 3 Ste 3 3017 S Meridian Rd Meridian, ID 83642 Meridian, ID 83642 (208) 888-5848 (208) 888-6123 Group(s): Midvalley Group(s): Ambitions Of Healthcare Idaho - Medical Group

243 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Inroads Inc~* Klabo, Colleen, PSYD~* Michaud, Kathleen, PHD Niezwaag, Leah, LCSWx Mental Health (Including Psychologist x~* ~* Community Mental Health NPI: 1679741490 Clinical Psychologist Counselor Center) 2463 E Gala St NPI: 1992997837 NPI: 1326377847 NPI: 1851413314 Meridian, ID 83642 2498 Stokesberry Pl Ste 1833 S Millenium Way 3288 E Pine Ave (208) 955-7333 140 Meridian, ID 83642 Meridian, ID 83642 Group(s): Northwest Meridian, ID 83646 (208) 343-7797 (208) 888-8886 Neurobehavioral Health (208) 971-5806 Group(s): Warm Springs Group(s): Inroads Inc Llc Group(s): Kathleen Counseling Center Other Specialties: Michaud Phd Loeb, Ashley, PSYD~* Nyarecha, Duke, NPx~* Adolescent And Children Psychologist Morales, Alejandro, Psych/Mental Health - Mental Health Clinic, NPI: 1013385384 LCSWx~* Nurse Practitioner Community/Behavioral 2463 E Gala St Clinical Social Worker NPI: 1235625914 Health Meridian, ID 83642 NPI: 1417421686 2321 E Gala St Ste 3 Ste 3 Jessen, Rachel, LCSWx~ (208) 955-7333 3017 S Meridian Rd Meridian, ID 83642 * Group(s): Northwest Meridian, ID 83642 (208) 888-5848 Social Worker Neurobehavioral Health (208) 888-6123 Group(s): Midvalley NPI: 1013094309 Llc Group(s): Ambitions Of Healthcare 2321 E Gala St Ste 3 Ste 3 Idaho - Medical Group Parks, Kimberly~* Meridian, ID 83642 Manwaring, Ryan, NP~* Moreno, Marcos, LCSW Psychologist (208) 888-5848 Psych/Mental Health - ~* NPI: 1659528677 Group(s): Midvalley Nurse Practitioner Social Worker 2463 E Gala St Healthcare NPI: 1447745401 NPI: 1528491834 Meridian, ID 83642 Other Specialties: Clinical 2463 E Gala St 2463 E Gala St (208) 955-7333 Social Worker Meridian, ID 83642 (208) 955-7333 Meridian, ID 83642 Group(s): Northwest Johnson, Tina, LCSWx~ Group(s): Northwest (208) 955-7333 Neurobehavioral Health * Neurobehavioral Health Group(s): Northwest Llc Clinical Social Worker Llc Neurobehavioral Health NPI: 1508290115 Llc Paternoster, Lisa, LPC~ * 520 S Eagle Rd Ste 2104 Mather, Kelly, LPCx~* Nation, Rebekah, NPx~* Counselor Meridian, ID 83642 Counselor Psych/Mental Health - NPI: 1033388236 (208) 381-1615 NPI: 1952668683 Nurse Practitioner 2463 E Gala St Group(s): St Lukes Clinic 3017 S Meridian Rd NPI: 1134497464 Meridian, ID 83642 Treasure Valley Llc Meridian, ID 83642 (208) 888-6123 1404 N Main St Ste 101 (208) 955-7333 Jorgensen, Melinda, Group(s): Ambitions Of Meridian, ID 83642 Group(s): Northwest PHD~* Idaho - Medical Group (208) 888-6264 Neurobehavioral Health Psychologist Group(s): Lifespan Llc NPI: 1053556258 Wellness Pllc 2463 E Gala St Meridian, ID 83642 (208) 955-7333 Group(s): Northwest Neurobehavioral Health Llc

244 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Price, Tessa, LPC~* Rix, Jessica, LCSW~* Shaber, Joseph, LPCx~* Sowers, Thomas, LCSW Counselor Social Worker Counselor ~* NPI: 1467692574 NPI: 1922658061 NPI: 1851699193 Clinical Social Worker 2463 E Gala St 2131 S Bonito Way 3017 S Meridian Rd NPI: 1114431947 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 3288 E Pine Ave (208) 955-7333 (208) 202-4700 (208) 888-6123 Meridian, ID 83642 Group(s): Northwest Group(s): Cottonwood Group(s): Ambitions Of (208) 888-8886 Neurobehavioral Health Creek Behavioral Hospital Idaho - Medical Group Group(s): Inroads Llc Llc - Mg Sherwood, Angela, Taylor, Jacqueline, Effective Date: 12/15/ Price, Whitney, LCSWx LCSW~* LCSWx~* 2020 ~* Clinical Social Worker Clinical Social Worker Clinical Social Worker Rush, Deborah, NPx~* NPI: 1326462896 NPI: 1437429222 NPI: 1790115137 Psych/Mental Health - 13 East Ada St 1550 N Crestmont Dr Ste 520 S Eagle Rd Ste 2104 Nurse Practitioner Meridian, ID 83642 A Meridian, ID 83642 NPI: 1518209196 (208) 813-7378 Meridian, ID 83642 (208) 381-1615 1550 N Crestmont Dr Ste Group(s): Care Counseling (208) 288-4200 Group(s): St Lukes Clinic A Clinic Llc Group(s): Renewed Hope Treasure Valley Llc Meridian, ID 83642 Counseling And Wellness Silk, Eric, PSY~* (208) 288-4200 Prince, Annie, LCSW~* Psychologist Thurston, Nicole, MDx~ Group(s): Renewed Hope Clinical Social Worker NPI: 1639541774 * Counseling And Wellness NPI: 1356627954 2463 E Gala St Psychiatry 3525 East Louise Dr Ste Sapp, Laurel, LCSW~* Meridian, ID 83642 NPI: 1679782460 255 Clinical Social Worker (208) 955-7333 520 S Eagle Rd Meridian, ID 83642 NPI: 1902307457 Group(s): Northwest Meridian, ID 83642 (208) 489-5099 3288 E Pine Ave Neurobehavioral Health (208) 706-5651 Group(s): St Lukes Clinic Meridian, ID 83642 Llc Group(s): St Lukes Clinic Treasure Valley Llc (208) 888-8886 Treasure Valley Llc Southwick, Jason, PHDx Rapp, Delisa, LCSWx~* Group(s): Inroads Llc ~* Torrez, Javier, CSWx~* Clinical Social Worker Schildhauer, Jena, Clinical Social Worker NPI: 1629443916 LCSWx~* Neuropsychologist NPI: 1366770224 520 S Eagle Rd Clinical Social Worker NPI: 1538412382 2275 S Eagle Rd Ste 120 Meridian, ID 83642 NPI: 1447675244 3061 S Meridian Rd Ste Meridian, ID 83642 (208) 706-5651 3525 E Louise Dr Ste 250 100 (208) 514-2520 Group(s): St Lukes Clinic Meridian, ID 83642 Meridian, ID 83642 Group(s): The Family Treasure Valley Llc (208) 381-7312 (208) 895-9852 Medicine Residency Of Group(s): St Lukes Clinic Group(s): Meridian Idaho Inc Treasure Valley Llc Neuropsychology Other Specialties: Clinical Social Worker Spanish

245 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Ada County continued/Condado seguido

Tuck, Wavey, LCSWx* Watkins, Scott, NPx~* Williams, Malisa, LCSW Canyon Clinical Social Worker Psych/Mental Health - x~* NPI: 1659651743 Nurse Practitioner Clinical Social Worker Anderson, Carolyn, 925 W 1st St NPI: 1760950604 NPI: 1184011124 LMSWx~* Meridian, ID 83642 2321 E Gala St Ste 3 3017 S Meridian Rd Social Worker (208) 514-2527 Meridian, ID 83642 Meridian, ID 83642 NPI: 1467899930 Group(s): The Family (208) 888-5848 (208) 888-6123 2609 S 10th Ave Medicine Residency Of Group(s): Recovery 4 Life Group(s): Ambitions Of Caldwell, ID 83605 Idaho Inc Idaho - Medical Group (208) 454-2766 Watkins, Scott, NPx~* Group(s): Lifeways Inc Tyndall Vaughan, Psych/Mental Health - Wills, Alex, MDx~* Kaylene, LMSWx~* Nurse Practitioner Psychiatry Andrade, Sarah, LCSWx Social Worker NPI: 1760950604 NPI: 1649597055 ~* NPI: 1417473703 2321 E Gala St Ste 3 Ste 3 2321 E Gala St Ste 3 Social Worker 3017 S Meridian Rd Meridian, ID 83642 Meridian, ID 83642 NPI: 1255753240 Meridian, ID 83642 (208) 888-5848 (208) 319-3513 2609 S 10th Ave (208) 888-6123 Group(s): Midvalley Group(s): Perma Mental Caldwell, ID 83605 Group(s): Ambitions Of Healthcare Health Pllc (208) 454-2766 Idaho - Medical Group Group(s): Lifeways Inc Wells, Ken, LCSWx~* Wilson, Michael, LCSW Waggaman, Becky, Clinical Social Worker x~* Annest, Stephen, LCSW x~* LCSW~* NPI: 1912413279 Clinical Social Worker Clinical Social Worker Clinical Social Worker 3017 S Meridian Rd NPI: 1366708216 NPI: 1497295620 NPI: 1821140898 Meridian, ID 83642 3023 E Copper Point Dr 1710 N Illinois Ave 3071 E Franklin Rd Ste (208) 888-6123 Ste 108 Caldwell, ID 83605 201 Group(s): Ambitions Of Meridian, ID 83642 (208) 465-5433 Meridian, ID 83642 Idaho - Medical Group (208) 914-8924 Group(s): Life Counseling (208) 807-2877 Group(s): Thrive Wick, Cathie, LCSWx~* Center Inc Group(s): Limitless Life Counseling Of Idaho - Clinical Social Worker Counseling Llc Medical Group Annest, Stephen, LCSW NPI: 1497961460 Wilson, Summer, LCSW x~* Walters, Amy, PHDx~* 2321 E Gala St Ste 3 Ste 3 Clinical Social Worker Clinical Psychologist Meridian, ID 83642 ~* Clinical Social Worker NPI: 1497295620 NPI: 1578729679 (208) 888-5848 3311 S 10th Ave 520 S Eagle Rd Ste 1229 Group(s): Midvalley NPI: 1295209617 4949 S Hillsdale Ave Caldwell, ID 83605 Meridian, ID 83642 Healthcare (208) 465-5433 (208) 884-4220 Meridian, ID 83642 Williams, Alicia, PSYD~ (208) 706-6400 Group(s): Life Counseling Group(s): St Lukes Clinic * Center Inc Treasure Valley Llc Group(s): St Lukes Clinic Clinical Treasure Valley Llc Neuropsychologist NPI: 1497265367 2463 E Gala St Meridian, ID 83642 (208) 955-7333 Group(s): Northwest Neurobehavioral Health Llc

246 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Annest, Stephen, LCSW Barrera-Lopez, Taylor, Bettinger, Katelyn, Brown, Cody, LPCx~* x~* LCSW~* LCSWx~* Mental Health Counselor Clinical Social Worker Clinical Social Worker Clinical Social Worker NPI: 1851766976 NPI: 1497295620 NPI: 1023572740 NPI: 1922614478 2609 S 10th Ave 6123 Graye Ln 923 Grant St 2609 S 10th Ave Caldwell, ID 83605 Caldwell, ID 83607 Caldwell, ID 83605 Caldwell, ID 83605 (208) 454-2766 (208) 465-5433 (208) 585-3375 (208) 454-2766 Group(s): Lifeways Inc Group(s): Life Counseling Group(s): Mana Resources Group(s): Lifeways Inc Bruning, Ashley, LMSW Center Inc Llc Bole, Becky, NPx~* ~* Arbon, Nicholas, LCSW Bates, John, MDx~* Psych/Mental Health - Clinical Social Worker ~* Psychiatry Nurse Practitioner NPI: 1821318940 Clinical Social Worker NPI: 1720170228 NPI: 1043621576 923 Grant St NPI: 1174922355 314 Badiola St 314 Badiola St Caldwell, ID 83605 524 S 9th Ave Ste 103 Caldwell, ID 83605 Caldwell, ID 83605 (208) 585-3375 Caldwell, ID 83605 (208) 454-8389 (208) 454-8389 Group(s): Mana Resources (208) 454-2144 Group(s): Human Group(s): Human Llc Group(s): Idaho Supports Of Idaho Supports Of Idaho Behavioral Health Campbell, Scott, NPx~* Baughman, Dennisx~* Bollingberg, Cristy, Psych/Mental Health - Baker, Kenneth, LPCx~ Mental Health Counselor LCSWx~* Nurse Practitioner * NPI: 1578742680 Clinical Social Worker NPI: 1639670961 Counselor 2609 S 10th Ave NPI: 1558793901 1803 Ellis Ave NPI: 1427391028 Caldwell, ID 83605 2609 S 10th Ave Caldwell, ID 83605 1906 Fairview Ave Ste (208) 454-2766 Caldwell, ID 83605 (208) 402-5675 330 Group(s): Lifeways Inc (208) 454-2766 Group(s): North End Caldwell, ID 83605 Group(s): Lifeways Inc Psychiatry (208) 385-3680 Belnap, Amy, NPx~* Spanish Group(s): St Lukes Clinic Psych/Mental Health - Book, Phares, CP~* Treasure Valley Llc Nurse Practitioner Psychologist Chapdelaine, Sheila, Other Specialties: Mental NPI: 1699202044 NPI: 1386660678 LCSWx~* Health Counselor 923 Grant St 1815 S 10th Ave Clinical Social Worker Caldwell, ID 83605 Caldwell, ID 83605 NPI: 1780039545 x~ Banta, Lawrence, MD (208) 585-3375 (208) 459-6962 314 Badiola St * Caldwell, ID 83605 Psychiatry Group(s): Mana Resources Group(s): Caldwell Llc Psychological Services (208) 454-8389 NPI: 1568440295 Group(s): Human 1906 Fairview Ave Ste Bettinger, Katelyn, Bowman, Patricia, Supports Of Idaho 203 LCSWx~* LCSWx~* Caldwell, ID 83605 Clinical Social Worker Clinical Social Worker Cobb, Jesse, LCSWx~* (208) 459-4667 NPI: 1922614478 NPI: 1427485432 Clinical Social Worker Group(s): West Valley 13307 Miami Lane 524 Cleveland Blvd Ste NPI: 1083001630 Medical Group Llc Caldwell, ID 83607 180 Ste 180 13307 Miami Lane Spanish (208) 546-3046 Caldwell, ID 83605 Caldwell, ID 83607 Group(s): Lifeways Inc (208) 454-2996 (208) 546-3046 Group(s): Ambitions Of Group(s): Lifeways Inc Idaho - Medical Group

247 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Cobb, Jesse, LCSWx~* Culp, Heather, CSWx~* Dickinson, Valery, LPCx Hart, Jill, NPx~* Clinical Social Worker Social Worker ~* Psych/Mental Health - NPI: 1083001630 NPI: 1538572177 Counselor Nurse Practitioner 2609 S 10th Ave 2609 S 10th Ave NPI: 1619317559 NPI: 1689065377 Caldwell, ID 83605 Caldwell, ID 83605 524 Cleveland Blvd Ste 524 S 9th Ave Ste 103 (208) 454-2766 (208) 454-2766 180 Ste 180 Caldwell, ID 83605 Group(s): Lifeways Inc Group(s): Lifeways Inc Caldwell, ID 83605 (208) 454-2144 (208) 454-2996 Group(s): Idaho Connelly, Lillian, LCSW Dalton, Jeannie, LCSWx Group(s): Ambitions Of ~* ~* Behavioral Health Idaho - Medical Group Clinical Social Worker Clinical Social Worker Russian Hegg-James, Kim, NPI: 1457881989 NPI: 1316304678 LCSW~* 1305 S Kimball 524 Cleveland Blvd Ste Dizdar-Barac, Aida, Clinical Social Worker Caldwell, ID 83605 180 Ste 180 LCSW~* NPI: 1346702008 (208) 469-1039 Caldwell, ID 83605 Clinical Social Worker 1305 S Kimball Group(s): Pathways Of (208) 454-2996 NPI: 1952655490 Caldwell, ID 83605 Idaho Llc - Medical Group Group(s): Ambitions Of 524 S 9th Ave Ste 103 (208) 469-1039 Idaho - Medical Group Caldwell, ID 83605 Critchlow, Baylee, Group(s): Pathways Of (208) 454-2144 LCSWx~* Dehaan, Susan, LCSWx Idaho Llc - Medical Group Group(s): Idaho Clinical Social Worker ~* Behavioral Health Hoid, Amber, LMSWx~ NPI: 1487261939 Clinical Social Worker * Corsican 13307 Miami Lane NPI: 1821143033 Social Worker Caldwell, ID 83607 524 Cleveland Blvd Ste Garner, Curtis, EDDx~* NPI: 1922621747 (208) 546-3046 180 Ste 180 Psychologist 314 Badiola St Group(s): Lifeways Inc Caldwell, ID 83605 NPI: 1689158776 Caldwell, ID 83605 (208) 454-2996 13307 Miami Lane (208) 454-8389 Critchlow, Baylee, Group(s): Ambitions Of Caldwell, ID 83607 Group(s): Human LCSWx~* Idaho - Medical Group (208) 546-3046 Supports Of Idaho Clinical Social Worker Group(s): Lifeways Inc NPI: 1487261939 Detrempe, Athena, Holbrook, Katherine, 2609 S 10th Ave LCSW~* Gass, Caroline, MD~* LCSWx* Caldwell, ID 83605 Social Worker Psychiatry Clinical Social Worker (208) 454-2766 NPI: 1922250869 NPI: 1306256086 NPI: 1942622188 Group(s): Lifeways Inc 524 S 9th Ave Ste 103 1906 Fairview Ave Ste 314 Badiola St Caldwell, ID 83605 220 Caldwell, ID 83605 Croft, Ashley, NPx~* (208) 454-2144 Caldwell, ID 83605 (208) 454-8389 Psych/Mental Health - Group(s): Idaho (208) 795-5072 Group(s): Human Nurse Practitioner Behavioral Health Group(s): West Valley Supports Of Idaho NPI: 1316311954 Medical Group Llc 2609 S 10th Ave Caldwell, ID 83605 (208) 454-2766 Group(s): Lifeways Inc

248 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Hulbert, Ryan, PHDx~* Keenan, Katie, LCSW~* Mather, Kelly, LPCx~* Millward, Michael, MDx Psychologist Clinical Social Worker Counselor ~* NPI: 1053689356 NPI: 1265682744 NPI: 1952668683 Psychiatry 524 Cleveland Blvd Ste 1305 S Kimball 524 Cleveland Blvd Ste NPI: 1437164381 180 Ste 180 Caldwell, ID 83605 180 Ste 180 2005 Arlington Caldwell, ID 83605 (208) 469-1039 Caldwell, ID 83605 Caldwell, ID 83605 (208) 454-2996 Group(s): Pathways Of (208) 454-2996 (208) 459-1025 Group(s): Ambitions Of Idaho Llc - Medical Group Group(s): Ambitions Of Group(s): Terry Reilly Idaho - Medical Group Idaho - Medical Group Health Services Caldwell Killian, Tye, LCSW~* Clinic - Mg1043230501 John, Jennifer, LCSWx~ Clinical Social Worker Mauk, Steven, LPCx~* * NPI: 1194134163 Counselor Morales, Alejandro, Social Worker 1305 S Kimball NPI: 1184873952 LCSWx~* NPI: 1891102125 Caldwell, ID 83605 314 Badiola St Clinical Social Worker 13307 Miami Lane (208) 469-1039 Caldwell, ID 83605 NPI: 1417421686 Caldwell, ID 83607 Group(s): Pathways Of (208) 454-8389 524 Cleveland Blvd Ste (208) 546-3046 Idaho Llc - Medical Group Group(s): Human 180 Ste 180 Group(s): Lifeways Inc Supports Of Idaho Caldwell, ID 83605 Knight, Brian, LCSWx~ (208) 454-2996 Johnson, Craig, CSWx~ * Mcdonald, Blake, APRN Group(s): Ambitions Of * Social Worker ~* Idaho - Medical Group Clinical Social Worker NPI: 1831510320 Psych/Mental Health - NPI: 1053841247 314 Badiola St Nurse Practitioner Moravek, Adam, LCSW 314 Badiola St Caldwell, ID 83605 NPI: 1396379475 x~* Caldwell, ID 83605 (208) 454-8389 1906 Fairview Ave Ste Clinical Social Worker (208) 454-8389 Group(s): Human 220 NPI: 1386007060 Group(s): Human Supports Of Idaho Caldwell, ID 83605 13307 Miami Lane Supports Of Idaho (208) 795-5072 Caldwell, ID 83607 Lee, Lisa, LCSWx~* Group(s): West Valley (208) 546-3046 Johnson, Susanne, Clinical Social Worker Medical Group Llc Group(s): Lifeways Inc LCSWx~* NPI: 1205289618 Clinical Social Worker 314 Badiola St Mills, Joanna, LCSWx~* Moravek, Adam, LCSW NPI: 1518137546 Caldwell, ID 83605 Clinical Social Worker x~* 2005 Arlington (208) 454-8389 NPI: 1760815583 Clinical Social Worker Caldwell, ID 83605 Group(s): Human 314 Badiola St NPI: 1386007060 (208) 459-1025 Supports Of Idaho Caldwell, ID 83605 2609 S 10th Ave Group(s): Terry Reilly (208) 454-8389 Caldwell, ID 83605 Leet, Leslie, LCSW~* Health Services Caldwell Group(s): Human (208) 454-2766 Clinical Social Worker Clinic - Mg1043230501, Supports Of Idaho Group(s): Lifeways Inc Terry Reilly Health NPI: 1699021246 Services - Medical 2814 S Indiana Ave Group1457309122 Caldwell, ID 83605 (208) 283-7181 Group(s): Leslie Leet Llc

249 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Niederkruger, Theresa, Printz, Carl, LMSWx~* Sekercan, Stacy, LMSW Taylor, Angela, LPC~* LCSW~* Clinical Social Worker ~* Counselor Clinical Social Worker NPI: 1952709198 Clinical Social Worker NPI: 1962814723 NPI: 1316020779 314 Badiola St NPI: 1174146567 524 S 9th Ave Ste 103 524 S 9th Ave Ste 103 Caldwell, ID 83605 1305 S Kimball Caldwell, ID 83605 Caldwell, ID 83605 (208) 454-8389 Caldwell, ID 83605 (208) 454-2144 (208) 454-2144 Group(s): Human (208) 469-1039 Group(s): Idaho Group(s): Idaho Supports Of Idaho Group(s): Pathways Of Behavioral Health Behavioral Health Idaho Llc - Medical Group Rodriguez, Jessica, CSW Turner, Gloria, CSWx~* Oprins, Nichole, LCSWx x~* Shaber, Joseph, LPCx~* Social Worker ~* Social Worker Counselor NPI: 1174931182 Mental Health Counselor NPI: 1932602232 NPI: 1851699193 2609 S 10th Ave NPI: 1619270071 2609 S 10th Ave 524 Cleveland Blvd Ste Caldwell, ID 83605 314 Badiola St Caldwell, ID 83605 180 Ste 180 (208) 454-2766 Caldwell, ID 83605 (208) 454-2766 Caldwell, ID 83605 Group(s): Lifeways Inc (208) 454-8389 Group(s): Lifeways Inc (208) 454-2996 Group(s): Human Spanish Group(s): Ambitions Of Tyndall Vaughan, Supports Of Idaho Idaho - Medical Group Kaylene, LMSWx~* Sanchez, Sierra, CSW~* Social Worker Page, Theotosca, LCSW Clinical Social Worker Sittig, Melanie, LCSWx~ NPI: 1417473703 x~* NPI: 1609499912 * 524 Cleveland Blvd Ste Clinical Social Worker 1305 S Kimball Clinical Social Worker 180 Ste 180 NPI: 1518269836 Caldwell, ID 83605 NPI: 1073723359 Caldwell, ID 83605 314 Badiola St (208) 469-1039 524 Cleveland Blvd Suite (208) 454-2996 Caldwell, ID 83605 Group(s): Pathways Of 227 Group(s): Ambitions Of (208) 454-8389 Idaho Llc - Medical Group Caldwell, ID 83605 Idaho - Medical Group Group(s): Human (208) 453-1439 Supports Of Idaho Schloss, Alexander, CSW Group(s): Insight Ward, Yvette, PSYD~* ~* Consulting Inc Clinical Psychologist Ponder, Yolanda, Clinical Social Worker NPI: 1346229432 LMSWx~* NPI: 1659886380 Smith, Tara, LCSWx~* 524 S 9th Ave Ste 103 Clinical Social Worker 1305 S Kimball Clinical Social Worker Caldwell, ID 83605 NPI: 1568743359 Caldwell, ID 83605 NPI: 1780202440 (208) 454-2144 524 Cleveland Blvd Ste (208) 469-1039 314 Badiola St Group(s): Idaho 180 Ste 180 Group(s): Pathways Of Caldwell, ID 83605 Behavioral Health Caldwell, ID 83605 Idaho Llc - Medical Group (208) 454-8389 (208) 454-2996 Group(s): Human Wells, Candy, CSWx~* Schmidt, Julie, LCSWx~ Social Worker Group(s): Ambitions Of * Supports Of Idaho Idaho - Medical Group NPI: 1871085621 Social Worker Steinberg, Si, MDx~* 13307 Miami Lane NPI: 1932346335 Psychiatry Caldwell, ID 83607 1906 Fairview Ave Ste NPI: 1881755718 (208) 546-3046 330 2609 S 10th Ave Group(s): Lifeways Inc Caldwell, ID 83605 Caldwell, ID 83605 (208) 385-3680 (208) 454-2766 Group(s): St Lukes Clinic Group(s): Lifeways Inc Treasure Valley Llc

250 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Wells, Candy, CSWx~* Bowman, Patricia, Ford, Angel, LCSWx~* Tyndall Vaughan, Social Worker LCSWx~* Clinical Social Worker Kaylene, LMSWx~* NPI: 1871085621 Clinical Social Worker NPI: 1114307626 Social Worker 2609 S 10th Ave NPI: 1427485432 20535 Academy Rd NPI: 1417473703 Caldwell, ID 83605 20535 Academy Rd Greenleaf, ID 83626 20535 Academy Rd (208) 454-2766 Greenleaf, ID 83626 (208) 466-7443 Greenleaf, ID 83626 Group(s): Lifeways Inc (208) 466-7443 Group(s): Ambitions Of (208) 466-7443 Group(s): Ambitions Of Idaho - Medical Group Group(s): Ambitions Of Wells, Ken, LCSWx~* Idaho - Medical Group Idaho - Medical Group Clinical Social Worker Hulbert, Ryan, PHDx~* NPI: 1912413279 Dalton, Jeannie, LCSWx Psychologist Wells, Ken, LCSWx~* 524 Cleveland Blvd Ste ~* NPI: 1053689356 Clinical Social Worker 180 Ste 180 Clinical Social Worker 20535 Academy Rd NPI: 1912413279 Caldwell, ID 83605 NPI: 1316304678 Greenleaf, ID 83626 20535 Academy Rd (208) 454-2996 20535 Academy Rd (208) 466-7443 Greenleaf, ID 83626 Group(s): Ambitions Of Greenleaf, ID 83626 Group(s): Ambitions Of (208) 466-7443 Idaho - Medical Group (208) 466-7443 Idaho - Medical Group Group(s): Ambitions Of Group(s): Ambitions Of Idaho - Medical Group Wheelihan, Christian, Idaho - Medical Group Mather, Kelly, LPCx~* LCSWx~* Counselor Wilkes, Stephanie, LPCx Clinical Social Worker Dehaan, Susan, LCSWx NPI: 1952668683 ~* NPI: 1487084588 ~* 20535 Academy Rd Mental Health Counselor 314 Badiola St Clinical Social Worker Greenleaf, ID 83626 NPI: 1568912723 Caldwell, ID 83605 NPI: 1821143033 (208) 466-7443 20535 Academy Rd (208) 454-8389 20535 Academy Rd Group(s): Ambitions Of Greenleaf, ID 83626 Group(s): Human Greenleaf, ID 83626 Idaho - Medical Group (208) 466-7443 Supports Of Idaho (208) 466-7443 Group(s): Ambitions Of Group(s): Ambitions Of Morales, Alejandro, Idaho - Medical Group Williams, Malisa, LCSW Idaho - Medical Group LCSWx~* x~* Clinical Social Worker Williams, Malisa, LCSW Clinical Social Worker Dickinson, Valery, LPCx NPI: 1417421686 x~* NPI: 1184011124 ~* 20535 Academy Rd Clinical Social Worker 524 Cleveland Blvd Ste Counselor Greenleaf, ID 83626 NPI: 1184011124 180 Ste 180 NPI: 1619317559 (208) 466-7443 20535 Academy Rd Caldwell, ID 83605 20535 Academy Rd Group(s): Ambitions Of Greenleaf, ID 83626 (208) 454-2996 Greenleaf, ID 83626 Idaho - Medical Group (208) 466-7443 Group(s): Ambitions Of (208) 466-7443 Group(s): Ambitions Of Idaho - Medical Group Group(s): Ambitions Of Shaber, Joseph, LPCx~* Idaho - Medical Group Idaho - Medical Group Counselor Andreae, Timothy, LPC Russian NPI: 1851699193 x~* 20535 Academy Rd Counselor Greenleaf, ID 83626 NPI: 1346626223 (208) 466-7443 20535 Academy Rd Group(s): Ambitions Of Greenleaf, ID 83626 Idaho - Medical Group (208) 466-7443 Group(s): Ambitions Of Idaho - Medical Group

251 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Johnson, Susanne, Anderson, Carolyn, Bauer, Michele, LCSWx Bowman, Patricia, LCSWx~* LMSWx~* ~* LCSWx~* Clinical Social Worker Social Worker Clinical Social Worker Clinical Social Worker NPI: 1518137546 NPI: 1467899930 NPI: 1932320843 NPI: 1427485432 150 2nd St 824 S Diamond St 1031 W Sanetta St 1019 W Sanetta St Melba, ID 83641 Nampa, ID 83686 Nampa, ID 83651 Nampa, ID 83651 (208) 495-1011 (208) 546-3046 (208) 466-7443 (208) 466-4541 Group(s): Terry Reilly Group(s): Lifeways Inc Group(s): Ambitions Of Group(s): Ambitions Of Health Clinics Melba Idaho - Medical Group Idaho - Medical Group Angstman, Kristine, Dental - Mg1578574521, LPCx~* Baughman, Dennisx~* Bowman, Patricia, Terry Reilly Health Counselor Mental Health Counselor LCSWx~* Services - Medical NPI: 1578742680 Group1457309122 NPI: 1477962272 Clinical Social Worker 223 16th Ave N 824 S Diamond St NPI: 1427485432 Johnson, Susanne, Nampa, ID 83687 Nampa, ID 83686 1031 W Sanetta St LCSWx~* (208) 467-7654 (208) 546-3046 Nampa, ID 83651 Clinical Social Worker Group(s): Terry Reilly Group(s): Lifeways Inc (208) 466-7443 NPI: 1518137546 Health Services - Medical Bettinger, Katelyn, Group(s): Ambitions Of 201 S Paradise Ave Group1457309122 LCSWx~* Idaho - Medical Group Middleton, ID 83644 Annest, Stephen, LCSW Clinical Social Worker Brown, Cody, LPCx~* (208) 585-0048 x~* NPI: 1922614478 Mental Health Counselor Group(s): Terry Reilly Clinical Social Worker 824 S Diamond St NPI: 1851766976 Health Services - Medical NPI: 1497295620 Nampa, ID 83686 824 S Diamond St Group, Terry Reilly 112 12th Ave Rd (208) 546-3046 Nampa, ID 83686 Health Services - Medical Nampa, ID 83686 Group(s): Lifeways Inc (208) 546-3046 Group1134527708, Terry (208) 465-5433 Billington, Ryan, MDx~* Group(s): Lifeways Inc Reilly Health Services - Group(s): Life Counseling Psychiatry Medical Center Inc Buch, David, LCSWx~* Group1457309122 NPI: 1891182861 Clinical Social Worker Arbon, Nicholas, LCSW 9850 W St Lukes Dr Ste NPI: 1407269483 Acosta, Estella, LMFTx~ ~* 329 * 1007 W Orchard Clinical Social Worker Nampa, ID 83687 Mental Health Counselor Nampa, ID 83651 NPI: 1174922355 (208) 706-6375 NPI: 1740689462 (208) 461-2838 1811 E Karcher Rd Group(s): St Lukes Clinic 1031 W Sanetta St Group(s): All Seasons Nampa, ID 83687 Treasure Valley Llc Mental Health - Mg Nampa, ID 83651 (208) 505-4419 (208) 466-7443 Group(s): Idaho Bollingberg, Cristy, Group(s): Ambitions Of Behavioral Health LCSWx~* Idaho - Medical Group Clinical Social Worker Baker, Billy, LCSWx~* NPI: 1558793901 Clinical Social Worker 824 S Diamond St NPI: 1831264852 Nampa, ID 83686 1219 4th St S (208) 546-3046 Nampa, ID 83651 Group(s): Lifeways Inc (208) 880-4160 Group(s): Billy D Baker

252 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Campbell, Scott, NPx~* Connelly, Lillian, LCSW Dalton, Jeannie, LCSWx Dickinson, Valery, LPCx Psych/Mental Health - ~* ~* ~* Nurse Practitioner Clinical Social Worker Clinical Social Worker Counselor NPI: 1639670961 NPI: 1457881989 NPI: 1316304678 NPI: 1619317559 207 1st St S 204 10th Ave S 1019 W Sanetta St 1019 W Sanetta St Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 466-7869 (208) 466-2229 (208) 466-4541 (208) 466-4541 Group(s): Terry Reilly Group(s): Pathways Of Group(s): Ambitions Of Group(s): Ambitions Of Health Services - Medical Idaho Llc - Medical Group Idaho - Medical Group Idaho - Medical Group Russian Group1134527708 Cooper, Staci, LPCx~* Dalton, Jeannie, LCSWx Spanish Counselor ~* Dickinson, Valery, LPCx Carpenter, Jessica, NPI: 1629228663 Clinical Social Worker ~* LCSWx~* 1007 W Orchard NPI: 1316304678 Counselor Clinical Social Worker Nampa, ID 83651 1031 W Sanetta St NPI: 1619317559 NPI: 1679938070 (208) 461-2838 Nampa, ID 83651 1031 W Sanetta St 9850 W St Lukes Dr Ste Group(s): All Seasons (208) 466-7443 Nampa, ID 83651 270 Mental Health - Mg Group(s): Ambitions Of (208) 466-7443 Nampa, ID 83687 Idaho - Medical Group Group(s): Ambitions Of Critchlow, Baylee, Idaho - Medical Group (208) 205-7820 Dehaan, Susan, LCSWx LCSWx~* Russian Group(s): St Lukes Clinic Clinical Social Worker ~* Treasure Valley Llc NPI: 1487261939 Clinical Social Worker Dizdar-Barac, Aida, Cobb, Jesse, LCSWx~* 824 S Diamond St NPI: 1821143033 LCSW~* Clinical Social Worker Nampa, ID 83686 1019 W Sanetta St Clinical Social Worker NPI: 1083001630 (208) 546-3046 Nampa, ID 83651 NPI: 1952655490 824 S Diamond St Group(s): Lifeways Inc (208) 466-4541 1811 E Karcher Rd Nampa, ID 83686 Group(s): Ambitions Of Nampa, ID 83687 Croft, Ashley, NPx~* Idaho - Medical Group (208) 505-4419 (208) 546-3046 Psych/Mental Health - Group(s): Lifeways Inc Dehaan, Susan, LCSWx Group(s): Idaho Nurse Practitioner Behavioral Health NPI: 1316311954 ~* Conder, Mary, LCSW~* Clinical Social Worker Corsican Clinical Social Worker 824 S Diamond St Nampa, ID 83686 NPI: 1821143033 NPI: 1841525474 1031 W Sanetta St 404 N Horton St (208) 546-3046 Group(s): Lifeways Inc Nampa, ID 83651 Nampa, ID 83651 (208) 466-7443 (210) 615-3424 Culp, Heather, CSWx~* Group(s): Ambitions Of Group(s): Deer Oaks Social Worker Idaho - Medical Group Mental Health Associates NPI: 1538572177 Pc 824 S Diamond St Nampa, ID 83686 (208) 546-3046 Group(s): Lifeways Inc

253 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Dowdy, Janina, LMSWx Firth, Sandra, PHDx~* Godsill, Hillary, CSWx~ Heikkila, Rick, LCSWx~ ~* Psychologist * * Clinical Social Worker NPI: 1487862470 Clinical Social Worker Clinical Social Worker NPI: 1851762843 2609 Sunnybrook Dr NPI: 1528500840 NPI: 1891734695 207 1st St S Nampa, ID 83686 3307 Caldwell Blvd Ste 3904 E Flamingo Ave Nampa, ID 83651 (210) 615-3424 102 Nampa, ID 83687 (208) 466-7869 Group(s): Deer Oaks Nampa, ID 83651 (208) 639-1514 Group(s): Terry Reilly Mental Health Associates (208) 465-4833 Group(s): Stellar Mental Health Services - Medical Pc Group(s): Access Health And Mediation Group1457309122, Terry Behavioral Health Firth, Sandra, PHDx~* Hooker, Lucas, LMHCx Reilly Health Services Services ~* Sane Solutions Av - Mg, Psychologist Hammargren Freeman, Mental Health Counselor Terry Reilly Health NPI: 1487862470 Ashley, LCSWx~* NPI: 1144580648 Services Behavioral 404 N Horton St Clinical Social Worker 824 S Diamond St Health Center Nampa, ID 83651 NPI: 1063825826 Nampa, ID 83686 Spanish (210) 615-3424 Group(s): Deer Oaks 223 16th Ave N (208) 546-3046 Dowdy, Janina, LMSWx Mental Health Associates Nampa, ID 83687 Group(s): Lifeways Inc ~* Pc (208) 467-7654 Hulbert, Ryan, PHDx~* Clinical Social Worker Group(s): Terry Reilly Psychologist NPI: 1851762843 Ganong, Eileen, LCSWx Health Services - Medical NPI: 1053689356 223 16th Ave N ~* Group1457309122 1019 W Sanetta St Nampa, ID 83687 Social Worker Nampa, ID 83651 (208) 467-7654 NPI: 1285084541 Hart, Jill, NPx~* (208) 466-4541 Group(s): Terry Reilly 1031 W Sanetta St Psych/Mental Health - Group(s): Ambitions Of Health Services - Medical Nampa, ID 83651 Nurse Practitioner Idaho - Medical Group Group1457309122 (208) 466-7443 NPI: 1689065377 Spanish Group(s): Ambitions Of 1811 E Karcher Rd Hulbert, Ryan, PHDx~* Idaho - Medical Group Nampa, ID 83687 Psychologist Drake, Andrea, LCSW~ (208) 505-4419 Garvin, Nicole, CSWx~* NPI: 1053689356 * Group(s): Idaho Clinical Social Worker 1031 W Sanetta St Clinical Social Worker Behavioral Health NPI: 1093208803 NPI: 1245680024 Nampa, ID 83651 204 10th Ave S 1031 W Sanetta St Hegg-James, Kim, (208) 466-7443 Nampa, ID 83651 Nampa, ID 83651 LCSW~* Group(s): Ambitions Of (208) 466-2229 (208) 466-7443 Clinical Social Worker Idaho - Medical Group Group(s): Pathways Of Group(s): Ambitions Of NPI: 1346702008 Irvin, Jeremy, LCSWx~ Idaho Llc - Medical Group Idaho - Medical Group 204 10th Ave S * Nampa, ID 83651 Clinical Social Worker Drewien, Karena, LCSW (208) 466-2229 ~* NPI: 1245684927 Group(s): Pathways Of 3307 Caldwell Blvd Ste Clinical Social Worker Idaho Llc - Medical Group NPI: 1932466018 102 1811 E Karcher Rd Nampa, ID 83651 Nampa, ID 83687 (208) 465-4833 (208) 505-4419 Group(s): Access Group(s): Idaho Behavioral Health Behavioral Health Services ÿ $FFHVVLELOW\SDUNLQJEXLOGLQJHOHYDWRURIILFH a$FFHSWLQJQHZSDWLHQWV$FHSWDQGRDQXHYRVSDFLHQWHV H[DPURRPDQGUHVWURRP(VWDFLRQDPLHQWR $FFHSWV0HGLFDLG$FHSWD0HGLFDLG LQVWDODFLyQDVFHQVRUFRQVXOWRULRFXDUWRGH ¨2IIHUV7HOHKHDOWKVHUYLFHV2IUHFHVHUYLFLRVGH H[SORUDFLyQ\EDxRVDFFHVLEOHV WHOHVDOXG

254 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Johnson, Susanne, Jones, Tami, LCSW~* Kopp, Nicole, LPCx~* Leavell, Kerry, LPCx~* LCSWx~* Clinical Social Worker Counselor Counselor Clinical Social Worker NPI: 1790819696 NPI: 1427424118 NPI: 1346547171 NPI: 1518137546 1811 E Karcher Rd 112 12th Avenue Rd 170 2nd St S 207 16th Ave N Nampa, ID 83687 Nampa, ID 83686 Nampa, ID 83651 Nampa, ID 83687 (208) 505-4419 (208) 465-5433 (208) 489-5700 (208) 467-7654 Group(s): Idaho Group(s): Life Counseling Group(s): St Lukes Clinic Group(s): Terry Reilly Behavioral Health Center Inc Treasure Valley Llc Health Services Jorgensen, Ashley, Kraus, Catherine, Leet, Leslie, LCSW~* Behavioral Health Center LCSWx~* LCSW~* Clinical Social Worker Johnson, Susanne, Clinical Social Worker Clinical Social Worker NPI: 1699021246 LCSWx~* NPI: 1760671648 NPI: 1205025525 2105 12th Ave Clinical Social Worker 824 S Diamond St 1224 1st St South Ste 307 Nampa, ID 83686 NPI: 1518137546 Nampa, ID 83686 Nampa, ID 83651 (208) 283-7181 207 1st St S (208) 546-3046 (208) 322-5859 Group(s): Leslie Leet Llc Group(s): Lifeways Inc Group(s): About Face Nampa, ID 83651 Leet, Leslie, LCSW~* (208) 466-7869 Mental Rehabilitation Judson, Julie, LMSWx~ Clinical Social Worker Group(s): Terry Reilly * Kuehne, John, LCSWx~ NPI: 1699021246 Health Services - Medical Social Worker * 4600 N Merchant Way Group1134527708, Terry NPI: 1861706186 Clinical Social Worker Nampa, ID 83651 Reilly Health Services - 207 1st St S NPI: 1255801205 (208) 283-7181 Medical Nampa, ID 83651 3307 Caldwell Blvd Ste Group(s): Leslie Leet Llc Group1457309122, Terry (208) 466-7869 104 Reilly Health Services Group(s): Terry Reilly Nampa, ID 83651 Levinger, Marni, LCSW x~* Behavioral Health Center Health Services - Medical (208) 465-4833 Clinical Social Worker Group1134527708 Group(s): Access Johnson, Susanne, NPI: 1205258688 Behavioral Health LCSWx~* Keenan, Katie, LCSW~* 112 12th Avenue Rd Services Clinical Social Worker Clinical Social Worker Nampa, ID 83686 NPI: 1518137546 NPI: 1265682744 Kuehne, Shawna, NPx~* (208) 465-5433 223 16th Ave N 204 10th Ave S Psych/Mental Health - Group(s): Life Counseling Nampa, ID 83687 Nampa, ID 83651 Nurse Practitioner Center Inc (208) 467-7654 (208) 466-2229 NPI: 1679898225 Liday, Erin, LCSWx~* Group(s): Terry Reilly Group(s): Pathways Of 3307 Caldwell Blvd Ste Social Worker Health Services Boise Idaho Llc - Medical Group 104 NPI: 1194234039 Clinic - Medical Group, Nampa, ID 83651 Killian, Tye, LCSW~* 1031 W Sanetta St Terry Reilly Health (208) 465-4833 Clinical Social Worker Nampa, ID 83651 Services Caldwell Clinic - Group(s): Access NPI: 1194134163 (208) 466-7443 Mg1043230501, Terry Behavioral Health 204 10th Ave S Group(s): Ambitions Of Reilly Health Services - Services Medical Nampa, ID 83651 Idaho - Medical Group Group1457309122 (208) 466-2229 Group(s): Pathways Of Idaho Llc - Medical Group

255 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

List, Elizabeth, PHDx~* Miner, Travis, LCSW~* Moreno, Jeffrey, LCSW Navarro, Anabelx~* Psychologist Clinical Social Worker x~* Mental Health Counselor NPI: 1205055613 NPI: 1760916449 Clinical Social Worker NPI: 1225343296 824 S Diamond St 9850 W St Lukes Dr Ste NPI: 1083983514 3307 Caldwell Blvd Ste Nampa, ID 83686 290 3904 E Flamingo Ave 104 (208) 546-3046 Nampa, ID 83687 Nampa, ID 83687 Nampa, ID 83651 Group(s): Lifeways Inc (208) 463-7300 (208) 639-1514 (208) 465-4833 Group(s): St Lukes Clinic Group(s): Stellar Mental Group(s): Access Mather, Kelly, LPCx~* Treasure Valley Llc Health And Mediation Behavioral Health Counselor Services NPI: 1952668683 Montgomery, Phyllis, Mortensen Stoddard, 1019 W Sanetta St CSWx~* Risa, LPC~* Neilson, Desteni, LCSWx Nampa, ID 83651 Clinical Social Worker Mental Health Counselor ~* (208) 466-4541 NPI: 1316106107 NPI: 1093155871 Clinical Social Worker Group(s): Ambitions Of 323 12th Ave Rd 1811 E Karcher Rd NPI: 1811528540 Idaho - Medical Group Nampa, ID 83686 Nampa, ID 83687 3307 Caldwell Blvd Ste (208) 463-0212 (208) 505-4419 102 Mather, Kelly, LPCx~* Group(s): Montgomery Group(s): Idaho Nampa, ID 83651 Counselor Counseling Center Behavioral Health (208) 465-4833 NPI: 1952668683 Group(s): Access 1031 W Sanetta St Morales, Alejandro, Mortensen, Emily, LPCx ~* Behavioral Health Nampa, ID 83651 LCSWx~* Services (208) 466-7443 Clinical Social Worker Counselor Group(s): Ambitions Of NPI: 1417421686 NPI: 1598240517 Niederkruger, Theresa, Idaho - Medical Group 1019 W Sanetta St 1019 W Sanetta St LCSW~* Nampa, ID 83651 Nampa, ID 83651 Clinical Social Worker Mccullough, Mark, (208) 466-4541 (208) 466-4541 NPI: 1316020779 LCSWx~* Group(s): Ambitions Of Group(s): Ambitions Of 1811 E Karcher Rd Clinical Social Worker Idaho - Medical Group Idaho - Medical Group Nampa, ID 83687 NPI: 1932160488 (208) 505-4419 1504 3rd St N Morales, Alejandro, Napier, Helen, PHD~* Psychologist Group(s): Idaho Nampa, ID 83687 LCSWx~* Behavioral Health (208) 345-1170 Clinical Social Worker NPI: 1801867817 Group(s): Terry Reilly NPI: 1417421686 4424 E Flamingo Ave Ste Nixon, Sean, LPCx~* Health Services Sane Co 1031 W Sanetta St 310 Counselor Nampa, ID 83651 Nampa, ID 83687 NPI: 1003167198 Meeks, Stephanie, CSWx (208) 302-3760 9850 W St Lukes Dr Ste ~* (208) 466-7443 Group(s): St Alphonsus 270 Clinical Social Worker Group(s): Ambitions Of Regional Medical Center Nampa, ID 83687 NPI: 1790263234 Idaho - Medical Group Physicians -1861676298 (208) 205-7820 207 1st St S Moravek, Adam, LCSW Group(s): St Lukes Clinic Nampa, ID 83651 x~* Treasure Valley Llc (208) 466-7869 Clinical Social Worker Group(s): Terry Reilly NPI: 1386007060 Health Services - Medical 824 S Diamond St Group1134527708 Nampa, ID 83686 (208) 546-3046 Group(s): Lifeways Inc

256 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Page, Theotosca, LCSW Quaine, Jennie, MDx~* Rodriguez, Jessica, CSW Shaber, Joseph, LPCx~* x~* Psychiatry x~* Counselor Clinical Social Worker NPI: 1699157339 Social Worker NPI: 1851699193 NPI: 1518269836 9850 W St Lukes Dr Ste NPI: 1932602232 1019 W Sanetta St 204 10th Ave S 270 824 S Diamond St Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83687 Nampa, ID 83686 (208) 466-4541 (208) 466-2229 (208) 205-7820 (208) 546-3046 Group(s): Ambitions Of Group(s): Pathways Of Group(s): St Lukes Clinic Group(s): Lifeways Inc Idaho - Medical Group Idaho Llc - Medical Group Treasure Valley Llc Spanish Shaber, Joseph, LPCx~* Peppersack, Deo, NP~* Ramirez-Hernandez, Rogers, David, LCSWx~ Counselor Psych/Mental Health - Ricardo, LMSWx~* * NPI: 1851699193 Nurse Practitioner Clinical Social Worker Clinical Social Worker 1031 W Sanetta St NPI: 1770538811 NPI: 1093057739 NPI: 1639506819 Nampa, ID 83651 217 W Georgia Ave Ste 1019 W Sanetta St 1504 3rd St N (208) 466-7443 120 Nampa, ID 83651 Nampa, ID 83687 Group(s): Ambitions Of Nampa, ID 83686 (208) 466-4541 (208) 345-1170 Idaho - Medical Group (208) 498-1760 Group(s): Ambitions Of Group(s): Terry Reilly Group(s): Acacia Wellness Health Services Sane Co Smith, Lenore, LCSWx~ Idaho - Medical Group * Center Spanish Sanchez, Sierra, CSW~* Clinical Social Worker Other Specialties: Nurse Clinical Social Worker NPI: 1104986181 Practitioner Ramirez-Hernandez, Ricardo, LMSWx~* NPI: 1609499912 9850 W St Lukes Dr Ste Phillips, Jennifer, NPx~* Clinical Social Worker 204 10th Ave S 329 Psych/Mental Health - NPI: 1093057739 Nampa, ID 83651 Nampa, ID 83687 Nurse Practitioner 1031 W Sanetta St (208) 466-2229 (208) 706-6375 NPI: 1619433703 Nampa, ID 83651 Group(s): Pathways Of Group(s): St Lukes Clinic 3307 Caldwell Blvd Ste (208) 466-7443 Idaho Llc - Medical Group Treasure Valley Llc 104 Group(s): Ambitions Of Schloss, Alexander, CSW Spanish Nampa, ID 83651 Idaho - Medical Group ~* Sobotta, Allysa, CSW~* (208) 465-4833 Spanish Clinical Social Worker Clinical Social Worker Group(s): Access NPI: 1659886380 NPI: 1215411038 Behavioral Health Ramirez-Hernandez, 204 10th Ave S 204 10th Ave S Services Ricardo, LMSWx~* Clinical Social Worker Nampa, ID 83651 Nampa, ID 83651 Posluszny, Matthew, NPI: 1093057739 (208) 466-2229 (208) 466-2229 LMSWx~* 207 16th Ave N Group(s): Pathways Of Group(s): Pathways Of Social Worker Nampa, ID 83687 Idaho Llc - Medical Group Idaho Llc - Medical Group NPI: 1972982437 (208) 467-7654 Sekercan, Stacy, LMSW 207 1st St S Group(s): Terry Reilly ~* Nampa, ID 83651 Health Services Clinical Social Worker (208) 466-7869 Behavioral Health Center NPI: 1174146567 Group(s): Terry Reilly Spanish 204 10th Ave S Health Services - Medical Nampa, ID 83651 Group1134527708 (208) 466-2229 Group(s): Pathways Of Idaho Llc - Medical Group

257 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios Canyon County continued/Condado seguido

Stackle, Mary, NPx~* Torrez, Javier, CSWx~* Tyndall Vaughan, Wells, Ken, LCSWx~* Psych/Mental Health - Social Worker Kaylene, LMSWx~* Clinical Social Worker Nurse Practitioner NPI: 1366770224 Social Worker NPI: 1912413279 NPI: 1841522661 17 12th Ave S Ste 207 NPI: 1417473703 1019 W Sanetta St 3307 Caldwell Blvd Ste Nampa, ID 83651 1031 W Sanetta St Nampa, ID 83651 104 (208) 350-8998 Nampa, ID 83651 (208) 466-4541 Nampa, ID 83651 Group(s): Andrea Torrez (208) 466-7443 Group(s): Ambitions Of (208) 465-4833 Ma Lcsw Llc Group(s): Ambitions Of Idaho - Medical Group Group(s): Access Other Specialties: Clinical Idaho - Medical Group Wells, Ken, LCSWx~* Behavioral Health Social Worker Wamble-Fisher, Shell, Clinical Social Worker Services Spanish LCSWx~* NPI: 1912413279 Steinberg, Si, MDx~* Torrez, Javier, CSWx~* Clinical Social Worker 1031 W Sanetta St Psychiatry Social Worker NPI: 1629458914 Nampa, ID 83651 NPI: 1881755718 NPI: 1366770224 3307 Caldwell Blvd Ste (208) 466-7443 824 S Diamond St 2488 Washington Ave 104 Group(s): Ambitions Of Nampa, ID 83686 Nampa, ID 83686 Nampa, ID 83651 Idaho - Medical Group (208) 546-3046 (208) 350-8998 (208) 465-4833 Williams, Malisa, LCSW Group(s): Lifeways Inc Group(s): Andrea Torrez Group(s): Access x~* Ma Lcsw Llc Behavioral Health Taylor, Angela, LPC~* Clinical Social Worker Other Specialties: Clinical Services NPI: 1184011124 Counselor Social Worker x~* 1019 W Sanetta St NPI: 1962814723 Spanish Ward, Gail, LPC 1811 E Karcher Rd Mental Health Counselor Nampa, ID 83651 Nampa, ID 83687 Torrez, Javier, CSWx~* NPI: 1891246054 (208) 466-4541 (208) 505-4419 Social Worker 1019 W Sanetta St Group(s): Ambitions Of Group(s): Idaho NPI: 1366770224 Nampa, ID 83651 Idaho - Medical Group Behavioral Health 9850 W St Lukes Dr Ste (208) 466-4541 Wilson, Michael, LCSW 270 Group(s): Ambitions Of Thurston, Nicole, MDx~ x~* * Nampa, ID 83687 Idaho - Medical Group Clinical Social Worker (208) 205-7820 Psychiatry ~* NPI: 1366708216 Group(s): St Lukes Clinic Ward, Yvette, PSYD NPI: 1679782460 Clinical Psychologist 323 12th Ave Rd 308 E Hawaii Ave Treasure Valley Llc Nampa, ID 83686 Other Specialties: Clinical NPI: 1346229432 Nampa, ID 83686 1811 E Karcher Rd (208) 463-0212 (208) 467-6700 Social Worker Group(s): Montgomery Spanish Nampa, ID 83687 Group(s): St Lukes Clinic (208) 505-4419 Counseling Center Treasure Valley Llc Tyndall Vaughan, Group(s): Idaho Young, Sydney, LPCx~* Kaylene, LMSWx~* Behavioral Health Mental Health Counselor Social Worker Wells, Candy, CSWx~* NPI: 1821407792 NPI: 1417473703 Social Worker 223 16th Ave N 1019 W Sanetta St Nampa, ID 83687 Nampa, ID 83651 NPI: 1871085621 824 S Diamond St (208) 467-7654 (208) 466-4541 Nampa, ID 83686 Group(s): Terry Reilly Group(s): Ambitions Of Health Services - Medical Idaho - Medical Group (208) 546-3046 Group(s): Lifeways Inc Group1457309122

258 Idaho Supplemental Benefits Information – 009 Molina Medicare Choice Care

Benefits Contact Information Dental* Eye Care (844) 560-9811, TTY/TDD: 711 Fitness 7 days a week, 8 a.m. to 8 p.m., local time Hearing*

Chiropractor*

You can schedule a ride for urgent or same day appointments, and when released from a health care facility. Transportation* (877) 926-4852

Call 24 hours a day, 7 days a week to schedule a ride.

(866) 420-4010, TTY/TDD: 711

Over-The-Counter (OTC): Monday – Friday, 8 a.m. – 11 p.m. EST Drugs available without (Closed on National Holidays) prescription See Summary of Benefits for allowance details. Allowance expires at the end of calendar year.

*Effective 1/1/2020

You can use this directory to find a provider for your services. To understand your benefits, see your Evidence of Coverage (EOC). If you need help or have questions about your benefits, call our Member Services Department. The number is on the back of your ID card.

You can look for providers online at: MolinaHealthcare.com/ProviderSearch To find a supplemental provider: 1. Select state: ID 2. Select your coverage: "Medicare” 3. Select appropriate supplemental search link 4. Select or fill out requested fields to search for local providers

Updated: 9/12/2019

259 Idaho Información sobre beneficios suplementarios – 009 Molina Medicare Choice Care

Beneficios Información de contacto Servicios dentales* Cuidado de ojos (844) 560-9811, TTY/TDD: 711 Ejercicio físico Los 7 días de la semana de 8 a.m. a 8 p.m., hora local Servicios de audición*

Quiropráctico*

Puede programar el traslado a una consulta urgente o en el mismo día, y cuando le dan el alta en un centro de atención médica.

Transporte* (877) 926-4852

Comuníquese las 24 horas del día, los 7 días de la semana para programar un traslado.

(866) 420-4010, TTY/TDD: 711 Medicamentos de venta libre de lunes a viernes, de 8 a.m. a 11 p.m., hora del este (OTC, por sus siglas en inglés): (Cerrado en días festivos) medicamentos disponibles sin receta médica Vea Resumen de Beneficios para detalles de asignación. La asignación expira al final del año natural.

*En vigor desde el 1/1/2020

Puede utilizar este directorio para encontrar un proveedor para los servicios que necesite. Para comprender sus beneficios, consulte la Evidencia de Cobertura (EOC). Si necesita ayuda o tiene alguna pregunta sobre los beneficios, comuníquese con el Departamento de Servicios para Miembros. El número telefónico se encuentra al reverso de su tarjeta de identificación.

Puede buscar proveedores en línea en: MolinaHealthcare.com/ProviderSearch Si desea localizar a un proveedor suplementario: 1. Seleccione el estado: ID 2. Seleccione su cobertura: "Medicare" 3. Seleccione el enlace de búsqueda suplementaria correspondiente 4. Seleccione o surta los campos solicitados para buscar a los proveedores locales

Actualizado: 9/12/2019

260 Supplemental Providers - Chiropractor / Proveedores Suplementarios - quiropráctico Chiropractor/Quiropráctico Ada County/Condado Total Count/Cuenta total: 38

Chiropractor Hollingsworth, James, - 83706 Rausch, Jeremy, DC~ DC~ Chiropractor Idaho Kranz, James, DC~ Chiropractor Chiropractor NPI: 1679648679 Ada NPI: 1982792735 NPI: 1972614485 Boise Spine Center James E Hollingsworth, Kranz Chiropractic 1390 S Maple Grove Rd BOISE Dc Chartered Ste 200 - 83702 10451 Garverdale Ste 203 910 N Curtis Rd Boise, ID 83709 Sartin, Cory, DC~ Boise, ID 83704 Boise, ID 83706 (208) 672-0100 (208) 375-4415 Chiropractor (208) 377-3777 - 83713 NPI: 1275777864 Reidhead, Tyler, DC~ - 83709 Fedewa Aicher, Yvonne, Keystone Physical Chiropractor Medicine Mooseau, Dixon, DC~ DC~ NPI: 1750830345 Chiropractor 420 W Main St Ste 206 Price Chiropractic Center Chiropractor Boise, ID 83702 NPI: 1558809558 NPI: 1689955809 9508 W Fairview Ave Essential Life Boise (208) 426-9200 Boise, ID 83704 Mooseau Chiropractic 1390 S Maple Grove Rd 12375 W Chinden Blvd - 83704 (208) 323-1313 Ste H Japanese Ste 200 Bingham, James, DC~ Boise, ID 83709 Boise, ID 83713 Chiropractor Sayer, Jaren, DC~ (208) 672-0100 (208) 991-0352 NPI: 1508947979 Chiropractor Norris, Troy, DC~ EAGLE Boise Valley Chiropractic NPI: 1942266317 - 83616 1701 N Regal Dr Healthquest Chiropractic Chiropractor Boise, ID 83704 Pc NPI: 1578525986 Cramer, Todd, DC~ (208) 377-9500 1100 N Cole Rd Balance Chiropractic Chiropractor Clinic NPI: 1760551956 Couchman, Brandon, Boise, ID 83704 (208) 375-3500 6013 W Overland Rd Ste Eagle Cramer DC~ 101 Chiropractic Chiropractor - 83705 Boise, ID 83709 1580 E State St Ste 104 NPI: 1518280890 Hickey, Thomas, DC~ (208) 344-4469 Eagle, ID 83616 Elevation Chiropractic Llc Chiropractor Pewe, Jeff, DC~ (208) 939-3737 10451 W Garverdale Ct NPI: 1881773992 Ste 204 Chiropractor KUNA Latah Chiropractic NPI: 1134376130 - 83634 Boise, ID 83704 376 S Latah St (208) 287-9393 Chiropractic Arts Pa Burtenshaw, Stephen, Boise, ID 83705 1305 S Five Mile Rd Harris, Jeffrey, DC~ (208) 338-9111 DC~ Boise, ID 83709 Chiropractor Chiropractor (208) 327-0666 NPI: 1356600647 NPI: 1386652691 Harris Chiropractic Pioneer Sports & Pain 3224 N Maple Grove Rd Center Boise, ID 83704 757 E Wythe Creek Ct St (208) 629-5374 102 Kuna, ID 83634 (208) 922-4908

261 Supplemental Providers - Chiropractor / Proveedores Suplementarios - quiropráctico Chiropractor continued/Quiropráctico continuación Ada County continued/Condado seguido

Rosenlund, Kevin, DC~ Jensen, Jared, DC~ White, Judson, DC~ Downey, Dennis, DC~ Chiropractor Chiropractor Chiropractor Chiropractor NPI: 1174560346 NPI: 1922262336 NPI: 1467998807 NPI: 1639201957 Kuna Chiropractic Family Revitalize Chiropractic Pain Relief Chiropractic Downey Chiropractic Care Center 2985 S Meridian Rd Ste & Massage Clinic 675 W 4th St 140 1520 E Heritage Park St 108 E Pine St Kuna, ID 83634 Meridian, ID 83642 Ste 150 Caldwell, ID 83605 (208) 922-5057 (208) 901-4888 Meridian, ID 83646 (208) 459-0858 (208) 895-2600 MERIDIAN Summers, Wade, DC~ Soren, Jaron, DC~ - 83642 Chiropractor Woolner, Chad, DC~ Chiropractor Baker, Steven, DC~ NPI: 1689031080 Chiropractor NPI: 1124350020 Chiropractor Enso Chiropractic NPI: 1700027547 Balance Point Wellness Pc NPI: 1801122981 903 N Main St Align Integrated Medical 309 E Logan St Prehab Health & Meridian, ID 83642 Llc Caldwell, ID 83605 Performance (208) 887-4747 750 W Ustick Rd Ste 100 (208) 455-0678 Meridian, ID 83646 14 W Franklin Rd Warwick, Leslie, DC~ Weaver, Jordan, DC~ (208) 639-1397 Meridian, ID 83642 Chiropractor Chiropractor (208) 906-1564 NPI: 1053883793 Canyon NPI: 1164987020 Spanish Empowered Chiropractic Mckim Chiropractic CALDWELL Cable, Lane, DC~ And Fitness Llc 2523 S 10th Ave Ste 102 - 83605 Chiropractor 1326 N Main St Caldwell, ID 83605 NPI: 1891949517 Meridian, ID 83642 Beyer Jr, Floyd, DC (208) 649-4321 (208) 884-3368 Alliance Physical Chiropractor - 83607 NPI: 1083796783 Medicine - 83646 Hein, Ryan, DC~ 1948 S Eagle Rd Mckim Chiropractic Allen, Russell, DC~ 2523 S 10th Ave Ste 102 Chiropractor Meridian, ID 83642 Chiropractor NPI: 1700020518 (208) 322-7900 Caldwell, ID 83605 NPI: 1093730400 (208) 649-4321 Boulevard Chiropractic Griffin, Justin, DC~ Align Integrated Medical 5216 Cleveland Blvd Ste Chiropractor Llc Downey Sr, John, DC~ G NPI: 1245201524 750 W Ustick Rd Ste 100 Chiropractor Caldwell, ID 83607 Back 2 Life Meridian, ID 83646 NPI: 1750419180 (208) 899-7323 (208) 639-1397 Caldwell Chiropractic 2016 S Eagle Rd NAMPA Meridian, ID 83642 Italian Center - 83651 (208) 887-6810 104 E Pine St Gibbons, Scott, DC~ Caldwell, ID 83605 Belnap, Cameron, DC~ Haycock, Jason, DC~ Chiropractor (208) 459-4354 Chiropractor Chiropractor NPI: 1992830699 NPI: 1215903315 NPI: 1841271517 Bridgetower Chiropractic Belnap Chiropractic Haycock Chiropractic 3120 W Belltower Dr Ste 723 16th Ave S 3175 S Meridian Rd Ste 150 Nampa, ID 83651 100 Meridian, ID 83646 (208) 466-1600 Meridian, ID 83642 (208) 846-8898 (208) 830-2520

262 Supplemental Providers - Chiropractor / Proveedores Suplementarios - quiropráctico Chiropractor continued/Quiropráctico continuación Canyon County continued/Condado seguido

Nelson, Wendell, DC~ Chiropractor NPI: 1497785679 Wendell Nelson Chiropractic 1012 12th Ave S Nampa, ID 83651 (208) 466-9249 - 83686 Franklin, Jesse, DC~ Chiropractor NPI: 1134376064 Mckim Chiropractic 2023 12th Ave Rd Nampa, ID 83686 (208) 467-5756 Mckim, Joshua, DC~ Chiropractor NPI: 1538345525 Mckim Chiropractic 2023 12th Ave Rd Nampa, ID 83686 (208) 467-5756

263 Supplemental Providers - Dental / Proveedores Suplementarios - dental Endodontist/Endodoncista Ada County/Condado Total Count/Cuenta total: 512

Endodontist - 83709 Olson Jr, Robert, DDS~* Buhrley, Louis, DMD~* Endodontist Endodontist Idaho Chapman, Brent, DDS~* Endodontist NPI: 1881861581 NPI: 1316040975 Ada NPI: 1932259173 5508 N Eagle Rd 742 W Cherry Ln 1555 S Timesquare Ln Boise, ID 83713 Meridian, ID 83642 BOISE Boise, ID 83709 (208) 386-3636 (208) 888-1010 - 83702 (208) 672-8860 Group(s): L Antoine Bluth Group(s): Louis J Buhrley Dmd Inc Bluth, Larue, DMD~* Group(s): Idaho Buhrley, Matthew, DDS~ Endodontist Endodontics - 83716 * NPI: 1396961157 Endodontist 403 S 11th St Ste 230 Shipp, Adam, DMDMS~ Bingham, Michael, DDS * ~* NPI: 1912113036 Boise, ID 83702 742 W Cherry Ln (208) 386-3636 Endodontist Endodontist NPI: 1114077369 NPI: 1124139134 Meridian, ID 83642 Group(s): L Antoine Bluth (208) 888-1010 Dmd Inc 1555 S Timesquare Ln 5898 S Quamash Way Boise, ID 83709 Boise, ID 83716 Group(s): Louis J Buhrley Burbank, Jarom, DDS~* (208) 672-8860 (208) 395-1000 Divine, Katherine, DDS~ Endodontist Group(s): Idaho Group(s): Willow Tree * NPI: 1346567112 Endodontics Dental Pllc Endodontist 403 S 11th St Ste 230 - 83713 MERIDIAN NPI: 1487093704 Boise, ID 83702 3240 E Louise Dr Ste 110 - 83642 (208) 386-3636 Bluth, Larue, DMD~* Meridian, ID 83642 Group(s): L Antoine Bluth Endodontist Bingham, Michael, DDS (208) 898-8866 Dmd Inc NPI: 1396961157 ~* Group(s): Blue Creek 5508 N Eagle Rd Endodontist Endodontics Pc Olson Jr, Robert, DDS~* Boise, ID 83713 NPI: 1124139134 Endodontist (208) 386-3636 317 W Cherry Ln Eaton, James, DDS~* NPI: 1881861581 Group(s): L Antoine Bluth Meridian, ID 83642 Endodontist 403 S 11th St Ste 230 Dmd Inc (208) 888-2055 NPI: 1831435460 Boise, ID 83702 Group(s): Willow Tree 3240 E Louise Dr Ste 110 (208) 386-3636 Burbank, Jarom, DDS~* Dental Pllc Meridian, ID 83642 Group(s): L Antoine Bluth Endodontist (208) 898-8866 Dmd Inc NPI: 1346567112 Bingham, Michael, DDS Group(s): Blue Creek ~* 5508 N Eagle Rd Endodontics Pc - 83704 Boise, ID 83713 Endodontist Bingham, Michael, DDS (208) 386-3636 NPI: 1124139134 ~* Group(s): L Antoine Bluth 1664 S Woodsage Ave Ste Endodontist Dmd Inc 110 NPI: 1124139134 Meridian, ID 83642 3308 N Milwaukee St (208) 395-1000 Boise, ID 83704 Group(s): Willow Tree (208) 323-1990 Dental Pllc Group(s): Michael J Bingham Dds Pa

264 Supplemental Providers - Dental / Proveedores Suplementarios - dental Endodontist continued/Endodoncista continuación Canyon County/Condado

Canyon General Dentist Frandsen, Justin, DDS~* Ririe, Robert, DDS~* General Dentist General Dentist CALDWELL Idaho NPI: 1407085467 NPI: 1245337625 - 83607 Ada 305 W Idaho St 398 S 9th St Ste 230 Widmer, Stanton, DDS~ Boise, ID 83702 Boise, ID 83702 * BOISE (208) 343-7271 (208) 336-0003 Endodontist - 83702 Group(s): Idaho Street Group(s): Bruce Dmd And NPI: 1497918809 Blaser, Herbert, DDS~* Dental Ririe Dds 4207 Clock Tower Ave General Dentist Haghighi, Arman, DDS~ Smith, Craig, DDS~* Caldwell, ID 83607 NPI: 1043411697 * General Dentist (208) 454-3636 1675 W Hill Rd General Dentist NPI: 1386751212 Group(s): Treasure Valley Boise, ID 83702 NPI: 1124433743 2803 N Bogus Basin Rd Endodontics (208) 342-3695 403 S 11th St Ste 300 Boise, ID 83702 NAMPA Group(s): Paventy Boise, ID 83702 (208) 343-1393 - 83686 Harrison Dental Llc (208) 344-9115 Group(s): Idaho Dental Fowler, Matthew, DMD~ Bruce, Daniel, DDS~* Group(s): Alpine Surgical Professionals Pc Arts Llc * General Dentist Smith, Evan, DMD~* Endodontist NPI: 1134226517 Other Specialties: Oral Surgeon General Dentist NPI: 1538257498 398 S 9th St Ste 230 NPI: 1265698666 347 W Iowa Ave Boise, ID 83702 Kowalczyk, Ryan, DDS~ 801 N 10th St Nampa, ID 83686 (208) 336-0003 * Boise, ID 83702 (208) 468-9699 Group(s): Bruce Dmd And General Dentist (208) 343-4986 Group(s): Matthew A Ririe Dds NPI: 1023121795 Group(s): Boise Dental Fowler Dmd Pc Bruce, Steven, DDS~* 1625 W Bannock St Center Pllc - 83687 General Dentist Boise, ID 83702 (208) 342-5444 Taylor, Brandon, DMD~ Chapman, Brent, DDS~* NPI: 1164529541 * 398 S 9th St Ste 230 Group(s): Downtown Endodontist Dental Pllc General Dentist NPI: 1932259173 Boise, ID 83702 NPI: 1760451306 1217 N Jacob Alcott Way (208) 336-0003 Morrell, W, DDS~* 800 W Main St Ste 205 Nampa, ID 83687 Group(s): Bruce Dmd And General Dentist Boise, ID 83702 (208) 936-4674 Ririe Dds NPI: 1679778740 (208) 906-0933 Group(s): West Valley Chrisman, Andrew, DDS 403 S 11th St Ste 200 Group(s): Boise Smile Endodontics ~* Boise, ID 83702 Design General Dentist (208) 342-3440 Shipp, Adam, DMDMS~ Group(s): Morrell W Scott Zeigler, Alice, DDS~* * NPI: 1043373210 General Dentist Endodontist 704 N 17th St Pothier, Diana, DMD~* NPI: 1942458005 NPI: 1114077369 Boise, ID 83702 General Dentist 704 N 17th St 1217 N Jacob Alcott Way (208) 344-0134 NPI: 1053666255 Boise, ID 83702 Nampa, ID 83687 Group(s): North End 398 S 9th St Ste 230 (208) 344-0134 (208) 936-4674 Dental Boise, ID 83702 Group(s): North End Group(s): West Valley (208) 336-0003 Dental Endodontics Group(s): Bruce Dmd And Ririe Dds

265 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

- 83703 Casebier, Kayla, DDS~* French, Robert, DMD~* Jensen, Kaci, DDS~* Ballou, Eric, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1194343152 NPI: 1124035472 NPI: 1952567430 NPI: 1952561003 2301 N 36th St Ste 102 813 N Stilson Rd Ste B 3810 N Garden Center 5355 W State St Boise, ID 83703 Boise, ID 83703 Way Boise, ID 83703 (208) 336-8801 (208) 342-4644 Boise, ID 83703 (208) 853-4687 Group(s): Terry Reilly Group(s): Parkway Dental (208) 853-5111 Health Services Group(s): Horizon Dental Group(s): Lakeharbor Gomez, Jerry, DDS~* Dental Pllc Clawson, Paul, DDS~* General Dentist Jensen, Melinda, DMD~ Beck, Karen, DDS~* General Dentist NPI: 1548374614 * General Dentist NPI: 1518371251 2301 N 36th St Ste 102 General Dentist NPI: 1568510014 813 N Stilson Rd Ste B Boise, ID 83703 NPI: 1801095310 813 N Stilson Rd Ste B Boise, ID 83703 (208) 336-8801 2301 N 36th St Ste 102 Boise, ID 83703 (208) 342-4644 Group(s): Terry Reilly Boise, ID 83703 (208) 342-4644 Group(s): Parkway Dental Health Services (208) 336-8801 Group(s): Parkway Dental Group(s): Terry Reilly Croft, Gordon, DMD~* Gray, Tyson, DMD~* Health Services Bohlman, Brock, DDS~* General Dentist General Dentist General Dentist NPI: 1417126244 NPI: 1659457885 Kellbach, Valerie, DDS~ 2301 N 36th St Ste 102 813 N Stilson Rd Ste B * NPI: 1891878484 General Dentist 5993 W State St Ste B Boise, ID 83703 Boise, ID 83703 (208) 336-8801 (208) 342-4644 NPI: 1801829858 Boise, ID 83703 2301 N 36th St Ste 102 (208) 384-0577 Group(s): Terry Reilly Group(s): Parkway Dental Health Services Boise, ID 83703 Group(s): Savannah Plaza Hendricks, Robert, DDS (208) 336-8801 Family Dentistry Dickie, Stephenie, DDS~ ~* Group(s): Terry Reilly Bork, Nathaniel, DMD~* * General Dentist Health Services General Dentist NPI: 1598836694 General Dentist Kriz, John, DDS~* NPI: 1972885200 NPI: 1487895223 2301 N 36th St Ste 102 2301 N 36th St Ste 102 Boise, ID 83703 General Dentist 2301 N 36th St Ste 102 NPI: 1003919986 Boise, ID 83703 Boise, ID 83703 (208) 336-8801 (208) 336-8801 Group(s): Terry Reilly 2301 N 36th St Ste 102 (208) 336-8801 Boise, ID 83703 Group(s): Terry Reilly Group(s): Terry Reilly Health Services Health Services (208) 336-8801 Health Services Hendricks, Tyler, DDS~* Group(s): Terry Reilly Callison, Jodie, DMD~* Drake, Zachary, DMD~* General Dentist Health Services General Dentist NPI: 1891356184 General Dentist Limerick, Jocelyn, DMD NPI: 1508480575 NPI: 1023310729 813 N Stilson Rd Ste B 2301 N 36th St Ste 102 Boise, ID 83703 ~* 2301 N 36th St Ste 102 General Dentist Boise, ID 83703 Boise, ID 83703 (208) 342-4644 (208) 336-8801 Group(s): Parkway Dental NPI: 1124689997 (208) 336-8801 2301 N 36th St Ste 102 Group(s): Terry Reilly Group(s): Terry Reilly Health Services Boise, ID 83703 Health Services (208) 336-8801 Group(s): Terry Reilly Health Services

266 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Madsen, Justin, DDS~* Pugh, Scott, DDS~* Bingham, David, DDS~* Bruce, Daniel, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1417290479 NPI: 1699078691 NPI: 1821401340 NPI: 1134226517 2301 N 36th St Ste 102 2301 N 36th St Ste 102 8300 W Northview St 7878 W Ustick Rd Ste 101 Boise, ID 83703 Boise, ID 83703 Boise, ID 83704 Boise, ID 83704 (208) 336-8801 (208) 336-8801 (208) 377-8078 (208) 376-2920 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Northwest Group(s): Bruce Dmd And Health Services Health Services Dental Group Ririe Dds Meshack Hart, Ernest, Sebastian, Raquel, DDS~ Bird, Brian, DDS~* Bruce, Steven, DDS~* DDS~* * General Dentist General Dentist General Dentist General Dentist NPI: 1316931819 NPI: 1164529541 NPI: 1033138235 NPI: 1144583329 1744 N Mitchell St 7878 W Ustick Rd Ste 101 2301 N 36th St Ste 102 2301 N 36th St Ste 102 Boise, ID 83704 Boise, ID 83704 Boise, ID 83703 Boise, ID 83703 (208) 322-1263 (208) 376-2920 (208) 336-8801 (208) 336-8801 Group(s): Brian R Bird Group(s): Bruce Dmd And Group(s): Terry Reilly Group(s): Terry Reilly Dmd Pllc Ririe Dds Health Services Health Services Other Specialties: Blair, Lon, DMD~* Cammann, Susanna, Peterson, Michael, DDS~ Endodontist General Dentist DDS~* * NPI: 1356424931 General Dentist General Dentist Spencer, Jessica, DDS~* 7915 W Ustick Rd NPI: 1265714851 NPI: 1942472691 General Dentist Boise, ID 83704 2455 N Milwaukee St 5355 W State St NPI: 1790018893 (208) 376-7599 Boise, ID 83704 Boise, ID 83703 813 N Stilson Rd Ste B Group(s): Scott Carter Inc (208) 658-0859 (208) 853-4687 Boise, ID 83703 Group(s): Brandon L Bolinske, Page, DDS~* Group(s): Lakeharbor (208) 342-4644 Taylor Dental Pllc Group(s): Parkway Dental General Dentist NPI: 1023468063 Carter, Scott, DMD~* Postler, Taylor, DDS~* - 83704 7235 W Emerald St Ste B General Dentist General Dentist Ackerman, Robert, DDS Boise, ID 83704 NPI: 1083723233 NPI: 1134610546 ~* (208) 327-0337 7915 W Ustick Rd 2301 N 36th St Ste 102 General Dentist Group(s): Boise Bench Boise, ID 83704 Boise, ID 83703 NPI: 1003973850 Dentistry (208) 376-7599 (208) 336-8801 10200 W Emerald St Ste Group(s): Scott Carter Inc Booth, Gregory, DDS~* Group(s): Terry Reilly 105 General Dentist Claiborne, Wayne, DDS~ Health Services Boise, ID 83704 NPI: 1073827333 * (208) 376-7954 Pottenger, Trista, DMD~ 9733 W Ustick Rd General Dentist Group(s): Robert * Boise, ID 83704 NPI: 1114096427 Ackerman General Dentist (208) 375-8720 10552 W Garverdale Ct NPI: 1942641246 Group(s): Vincent L Rigby Ste 902 3810 N Garden Center Dds Pa Boise, ID 83704 Way (208) 336-4777 Boise, ID 83703 Group(s): Wayne L (208) 853-5111 Claiborne Dds Group(s): Horizon Dental

267 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Clawson, Paul, DDS~* Crump, Steven, DDS~* Gray, Tyson, DMD~* Hess, Chad, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1518371251 NPI: 1437321312 NPI: 1659457885 NPI: 1316006893 7480 W Northview St 6363 W Emerald St Ste 7480 W Northview St 8850 W Emerald St Ste Boise, ID 83704 102 Boise, ID 83704 150 (208) 375-0607 Boise, ID 83704 (208) 375-0607 Boise, ID 83704 Group(s): Parkway Dental (208) 376-7413 Group(s): Parkway Dental (208) 323-2294 At Northview Group(s): Boise Family At Northview Group(s): Emerald West Dental Care Pllc Family Connaughton, Duston, Haas, Joan, DDS~* DDS~* Davis, Richard, DDS~* General Dentist Hess, Chad, DDS~* General Dentist General Dentist NPI: 1770895203 General Dentist NPI: 1902909997 NPI: 1598076473 10480 W Garverdale Ct NPI: 1316006893 7301 W Emerald St Ste 9502 W Fairview Ave Ste 804A 1212 N Cole Rd 102 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 (208) 377-2223 (208) 376-6613 (208) 375-4253 (208) 286-2699 Group(s): West Valley Group(s): European Group(s): Value Dental Group(s): Tree City Natural Dentistry Denture Center Heyrend, Joshua, DMD~ Family Dental Pllc Despain, Calvin, DDS~* Harker, Adam, DDS~* * Cook, Don, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1699398834 NPI: 1609069798 NPI: 1174062095 NPI: 1932378767 8660 W Emerald St Ste 6500 W Emerald St 8660 W Emerald St Ste 8300 W Northview St 152 Boise, ID 83704 152 Boise, ID 83704 Boise, ID 83704 (208) 893-5000 Boise, ID 83704 (208) 377-8078 (208) 639-4390 Group(s): Grant Dental (208) 639-4390 Group(s): Northwest Group(s): Towne Square Group Group(s): Towne Square Dental Group Dental Partners Pllc Dental Partners Pllc Hayhurst, Scott, DMD~* Croft, Gordon, DMD~* Elliott, Korth, DDS~* General Dentist Hisel, John, DDS~* General Dentist General Dentist NPI: 1285784116 General Dentist NPI: 1417126244 NPI: 1477683019 7337 W Northview St NPI: 1952346082 8300 W Northview St 8219 W Northview St Boise, ID 83704 10162 W Fairview Ave Boise, ID 83704 Boise, ID 83704 (208) 376-7721 Boise, ID 83704 (208) 377-8078 (208) 378-9280 Group(s): Scott E (208) 375-0192 Group(s): Northwest Group(s): Korth Elliott Hayhurst Dmd Pa Group(s): Paramount Dental Group Family Dental Llc Grant, Scott, DDS~* Hendricks, Robert, DDS General Dentist ~* Hitch, Michelle, DDS~* NPI: 1194898767 General Dentist General Dentist 6500 W Emerald St NPI: 1598836694 NPI: 1558373738 Boise, ID 83704 1744 N Mitchell St 1166 N Cole Rd Ste B (208) 893-5000 Boise, ID 83704 Boise, ID 83704 Group(s): Grant Dental (208) 322-1263 (208) 322-7478 Group Group(s): Brian R Bird Group(s): Michelle Hitch Dmd Pllc

268 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Hoidal, Eric, DDS~* Moss, J Randall, DDS~* Mower, Stephanie, DDS~ Pothier, Diana, DMD~* General Dentist General Dentist * General Dentist NPI: 1568666725 NPI: 1518026004 General Dentist NPI: 1053666255 10162 W Fairview Ave 1212 N Cole Rd NPI: 1538507348 7878 W Ustick Rd Ste 101 Boise, ID 83704 Boise, ID 83704 1166 N Cole Rd Ste A Boise, ID 83704 (208) 375-0192 (208) 375-4253 Boise, ID 83704 (208) 376-2920 Group(s): Paramount Group(s): Value Dental (208) 377-8383 Group(s): Bruce Dmd And Family Dental Llc Group(s): Stephanie J Ririe Dds Moss, J Randall, DDS~* Mower Dmd Pllc Hussar, Alexandra, DDS General Dentist Rigby, Vince, DDS~* ~* NPI: 1518026004 O Neill, Ava, DMD~* General Dentist General Dentist 8850 W Emerald St Ste General Dentist NPI: 1588785232 NPI: 1730665241 150 NPI: 1295255172 9733 W Ustick Rd 6500 W Emerald St Boise, ID 83704 6500 W Emerald St Boise, ID 83704 Boise, ID 83704 (208) 323-2294 Boise, ID 83704 (208) 375-8720 (208) 893-5000 Group(s): Emerald West (208) 893-5000 Group(s): Vincent L Rigby Group(s): Grant Dental Family Group(s): Grant Dental Dds Pa Group Group Mower, Michael, DDS~* Ririe, Robert, DDS~* Jacobsen, Luke, DDS~* General Dentist O Neill, Nathan, DMD~* General Dentist General Dentist NPI: 1972643153 General Dentist NPI: 1245337625 NPI: 1336460104 7800 W Ustick Rd NPI: 1730600701 7878 W Ustick Rd Ste 101 9502 W Fairview Ave Boise, ID 83704 8660 W Emerald St Ste Boise, ID 83704 Boise, ID 83704 (208) 322-0040 152 (208) 376-2920 (208) 377-2223 Group(s): Brookstone Boise, ID 83704 Group(s): Bruce Dmd And Group(s): West Valley Dental (208) 639-4390 Ririe Dds Natural Dentistry Group(s): Towne Square Mower, Michael, DDS~* Dental Partners Pllc Smith, Ashley, DMD~* Lewis, Janean, DDS~* General Dentist General Dentist General Dentist NPI: 1972643153 Olson, Ryan, DDS~* NPI: 1144382722 NPI: 1730276080 1166 N Cole Rd Ste A General Dentist 8660 W Emerald St Ste 1212 N Cole Rd Boise, ID 83704 NPI: 1760642045 152 Boise, ID 83704 (208) 377-8383 8660 W Emerald St Ste Boise, ID 83704 (208) 375-4253 Group(s): Stephanie J 152 (208) 639-4390 Group(s): Value Dental Mower Dmd Pllc Boise, ID 83704 Group(s): Towne Square (208) 639-4390 Malan, Na Ree, DDS~* Dental Partners Pllc Mower, Stephanie, DDS~ Group(s): Towne Square General Dentist * Dental Partners Pllc Spencer, Jessica, DDS~* NPI: 1396930517 General Dentist General Dentist 2455 N Milwaukee St NPI: 1538507348 NPI: 1790018893 Boise, ID 83704 7800 W Ustick Rd 7480 W Northview St (208) 658-0859 Boise, ID 83704 Boise, ID 83704 Group(s): Brandon L (208) 322-0040 (208) 375-0607 Taylor Group(s): Brookstone Group(s): Parkway Dental Dental At Northview

269 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Stevens, Michael, DMD~ Taylor, Brandon, DMD~ Wilson, Gregg, DDS~* Dickie, Stephenie, DDS~ * * General Dentist * General Dentist General Dentist NPI: 1164516225 General Dentist NPI: 1699004085 NPI: 1760451306 10497 W Garverdale Ct NPI: 1487895223 6500 W Emerald St 2455 N Milwaukee St Ste 107 848 S La Cassia Dr Boise, ID 83704 Boise, ID 83704 Boise, ID 83704 Boise, ID 83705 (208) 893-5000 (208) 658-0859 (208) 375-5720 (208) 344-0086 Group(s): Grant Dental Group(s): Brandon L Group(s): Wilson Dental Group(s): Terry Reilly Group Taylor Pllc Health Services Stevens, Robert, DDS~* Trejo, Chase, DDS~* - 83705 Drake, Zachary, DMD~* General Dentist General Dentist Bork, Nathaniel, DMD~* General Dentist NPI: 1659717916 NPI: 1962906156 General Dentist NPI: 1023310729 8660 W Emerald St Ste 6500 W Emerald St NPI: 1972885200 848 S La Cassia Dr 152 Boise, ID 83704 848 S La Cassia Dr Boise, ID 83705 Boise, ID 83704 (208) 893-5000 Boise, ID 83705 (208) 344-0086 (208) 639-4390 Group(s): Grant Dental (208) 344-0086 Group(s): Terry Reilly Group(s): Towne Square Group Group(s): Terry Reilly Health Services Dental Partners Pllc Turpen, Gary, DDS~* Health Services Gomez, Jerry, DDS~* Stillings, Fred, DMD~* General Dentist Callison, Jodie, DMD~* General Dentist General Dentist NPI: 1255434841 General Dentist NPI: 1548374614 NPI: 1497750145 10497 W Garverdale Ct NPI: 1508480575 848 S La Cassia Dr 10552 W Garverdale Ct Ste 105 848 S La Cassia Dr Boise, ID 83705 Ste 910 Boise, ID 83704 Boise, ID 83705 (208) 344-0086 Boise, ID 83704 (208) 321-1150 (208) 344-0086 Group(s): Terry Reilly (208) 377-3206 Group(s): Gary L Turpen Group(s): Terry Reilly Health Services Group(s): Fred J Stillings Wagner, Leslie, DMD~* Health Services Hendricks, Robert, DDS Dmd Pc ~* General Dentist Casebier, Kayla, DDS~* Summers, Renee, DMD~ NPI: 1639699036 General Dentist * General Dentist NPI: 1598836694 1212 N Cole Rd NPI: 1194343152 General Dentist Boise, ID 83704 848 S La Cassia Dr NPI: 1871740316 848 S La Cassia Dr Boise, ID 83705 (208) 375-4253 Boise, ID 83705 8660 W Emerald St Ste Group(s): Value Dental (208) 344-0086 152 (208) 344-0086 Group(s): Terry Reilly Boise, ID 83704 Weimer, Travis, DDS~* Group(s): Terry Reilly Health Services (208) 639-4390 General Dentist Health Services Jensen, Kaci, DDS~* Group(s): Towne Square NPI: 1962939421 Croft, Gordon, DMD~* General Dentist Dental Partners Pllc 8336 W Northview St General Dentist NPI: 1952567430 Boise, ID 83704 NPI: 1417126244 (208) 375-4544 5213 W Overland Rd 848 S La Cassia Dr Boise, ID 83705 Group(s): Weimer Dental Boise, ID 83705 Pllc (208) 345-2325 (208) 344-0086 Group(s): Horizon Dental Group(s): Terry Reilly Health Services

270 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Jensen, Melinda, DMD~ Meshack Hart, Ernest, Sachse, Martin, DMD~* Widdison, Scott, DMD~* * DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1790870293 NPI: 1336375427 NPI: 1801095310 NPI: 1033138235 2720 W Overland Rd 4061 W Overland Rd 848 S La Cassia Dr 848 S La Cassia Dr Boise, ID 83705 Boise, ID 83705 Boise, ID 83705 Boise, ID 83705 (208) 345-9096 (208) 343-1442 (208) 344-0086 (208) 344-0086 Group(s): Martin T Sachse Group(s): Scott L Group(s): Terry Reilly Group(s): Terry Reilly Dmd Pa Widdison Dmd Pa Health Services Health Services Schmidt, Joseph, DDS~* - 83706 Kellbach, Valerie, DDS~ Porter, Bryce, DDS~* General Dentist Bauter, Jonathan, DDS~ * General Dentist NPI: 1861832859 * General Dentist NPI: 1831242098 2600 W Rose Hill St Ste General Dentist NPI: 1801829858 5460 W Franklin Rd Ste G 100 NPI: 1013067115 848 S La Cassia Dr Boise, ID 83705 Boise, ID 83705 210 W Mallard Dr Ste E Boise, ID 83705 (208) 342-1411 (208) 345-1386 Boise, ID 83706 (208) 344-0086 Group(s): Bryce Condie Group(s): Joseph P (208) 344-8363 Group(s): Terry Reilly Porter Dds Schmidt Pllc Group(s): Jonathan W Health Services Postler, Taylor, DDS~* Sebastian, Raquel, DDS~ Bauter Dds Pllc Kriz, John, DDS~* General Dentist * Blaser, Herbert, DDS~* General Dentist NPI: 1134610546 General Dentist General Dentist NPI: 1003919986 848 S La Cassia Dr NPI: 1144583329 NPI: 1043411697 848 S La Cassia Dr Boise, ID 83705 848 S La Cassia Dr 144 E Mallard Dr Boise, ID 83705 (208) 344-0086 Boise, ID 83705 Boise, ID 83706 (208) 344-0086 Group(s): Terry Reilly (208) 344-0086 (208) 342-0315 Group(s): Terry Reilly Health Services Group(s): Terry Reilly Group(s): Timothy C Health Services Health Services Paventy Dmd Llc Pottenger, Trista, DMD~ Other Specialties: Limerick, Jocelyn, DMD * Endodontist Bowker, Dwight, DDS~* ~* General Dentist General Dentist General Dentist NPI: 1942641246 Wells, Christopher, DDS NPI: 1730387507 NPI: 1124689997 ~* 5213 W Overland Rd 345 W Bobwhite Ct Ste 848 S La Cassia Dr Boise, ID 83705 General Dentist Boise, ID 83705 140 (208) 345-2325 NPI: 1447421995 Boise, ID 83706 (208) 344-0086 Group(s): Horizon Dental 1880 W Judith Ln Ste 210 Group(s): Terry Reilly (208) 345-1383 Boise, ID 83705 Group(s): Dwight H Health Services Pugh, Scott, DDS~* (208) 345-2775 General Dentist Bowker Madsen, Justin, DDS~* Group(s): Christopher NPI: 1699078691 Wells General Dentist 848 S La Cassia Dr NPI: 1417290479 Boise, ID 83705 848 S La Cassia Dr (208) 344-0086 Boise, ID 83705 Group(s): Terry Reilly (208) 344-0086 Health Services Group(s): Terry Reilly Health Services

271 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Brewster, Carrick, DDS~ Green, David, DDS~* Paventy, Timothy, DDS~ - 83709 * General Dentist * Barney, R Eric, DDS~* General Dentist NPI: 1689764748 General Dentist General Dentist NPI: 1053585042 912 N Curtis Rd NPI: 1407134679 NPI: 1124078621 4801 W Fairview Ave Boise, ID 83706 144 E Mallard Dr 7421 W Victory Rd Ste Boise, ID 83706 (208) 375-2363 Boise, ID 83706 100 (208) 376-7447 Group(s): Dental Care (208) 342-0315 Boise, ID 83709 Group(s): Carrick C Center Pa Group(s): Timothy C (208) 402-1040 Brewster Dds Pa Paventy Dmd Llc Helvie Franklin, Elise, Group(s): Trevor Tafoya Brown, Quinn, DMD~* DDS~* Payne, Ryan, DMD~* Dds Victory Dental General Dentist General Dentist General Dentist Brown, Jeremiah, DMD~ NPI: 1659632529 NPI: 1578991931 NPI: 1225195282 * 1175 E Parkcenter Blvd 150 E Boise Ave 1975 S Broadway Ave General Dentist Ste 101 Boise, ID 83706 Boise, ID 83706 NPI: 1811371644 Boise, ID 83706 (208) 385-7500 (208) 345-8255 9931 W Cable Car Ste 150 (208) 888-5544 Group(s): Pennsylvania Group(s): Ryan M Payne Boise, ID 83709 Group(s): Riverview Dental Llc Dmd Pc (208) 391-3153 Dental Larkin, William, DDS~* Stampfli, Devin, DDS~* Group(s): Boise Dental Broyles, Todd, DDS~* General Dentist General Dentist Arts General Dentist NPI: 1003928268 NPI: 1821165986 Dayley, Blake, DDS~* NPI: 1205032356 600 E Riverpark Ln Ste 150 E Boise Ave General Dentist 727 E Riverpark Ln Ste 120 Boise, ID 83706 NPI: 1073775581 100 Boise, ID 83706 (208) 385-7500 1578 S Timesquare Ln Boise, ID 83706 (208) 344-5024 Group(s): Pennsylvania Boise, ID 83709 (208) 368-0500 Group(s): William Larkin Dental Llc (208) 321-1141 Group(s): East Boise Wold, John, DDS~* Group(s): Blake Isaac Dental Pc Osterkamp, James, DMD~* General Dentist Dayley Clark, Ryan, DDS~* General Dentist NPI: 1114086089 Despain, Calvin, DDS~* General Dentist NPI: 1720494131 727 E Riverpark Ln Ste General Dentist NPI: 1356639892 3157 S Bown Way Ste 100 NPI: 1699398834 580 W Parkcenter Blvd 200 Boise, ID 83706 10572 W Business Park Ste B Boise, ID 83706 (208) 368-0500 Ln Boise, ID 83706 (208) 342-8000 Group(s): East Boise Boise, ID 83709 (208) 336-8478 Group(s): Osterkamp Dental Pc (208) 375-5656 Group(s): Hidden Creek Family Dental Pllc Group(s): Stevens Dental Dental

272 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Fethke, Matthew, DDS~* Lowry, Benjamin, DDS~ Pottenger, Trista, DMD~ Summers, Renee, DMD~ General Dentist * * * NPI: 1447343488 General Dentist General Dentist General Dentist 12212 W Amity Rd NPI: 1932420254 NPI: 1942641246 NPI: 1871740316 Boise, ID 83709 9460 W Franklin Rd 12212 W Amity Rd 8321 W Overland Rd (208) 343-1677 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Group(s): Matthew Fethke (208) 377-0410 (208) 343-1677 (208) 605-3638 Dds Pa Group(s): Lowry Dental Group(s): Matthew Fethke Group(s): Id Dental Llp Dds Pa Associates Pc Harless, Helen, DDS~* General Dentist Lowry, Eric, DDS~* Scholes, William, DDS~* Tafoya, Trevor, DMD~* NPI: 1699751560 General Dentist General Dentist General Dentist 1201 S Five Mile Rd NPI: 1346271624 NPI: 1144240797 NPI: 1790126845 Boise, ID 83709 9460 W Franklin Rd 1223 S Maple Grove Rd 7421 W Victory Rd Ste (208) 322-5655 Boise, ID 83709 Boise, ID 83709 100 Group(s): Southwest (208) 377-0410 (208) 658-8990 Boise, ID 83709 Dental Arts Group(s): Lowry Dental Group(s): William S (208) 402-1040 Llp Scholes Dds Pc Group(s): Trevor Tafoya Hastings, Jon, DDS~* Dds Victory Dental General Dentist Lowry, F, DDS~* Smith, Ashley, DMD~* NPI: 1457369746 General Dentist General Dentist Walker, F, DMD~* 1529 S Timesquare Ln NPI: 1932325321 NPI: 1144382722 General Dentist Boise, ID 83709 9460 W Franklin Rd 10572 W Business Park NPI: 1154380277 (208) 343-1981 Boise, ID 83709 Ln 10233 W Overland Rd Group(s): Times Square (208) 377-0410 Boise, ID 83709 Boise, ID 83709 Dental Group(s): Lowry Dental (208) 375-5656 (208) 323-4700 Llp Group(s): Stevens Dental Group(s): All Seasons Heyrend, Joshua, DMD~ Dental * O Neill, Nathan, DMD~* Stevens, Robert, DDS~* General Dentist General Dentist General Dentist - 83712 NPI: 1174062095 NPI: 1730600701 NPI: 1659717916 Smith, Tyler, DMD~* 10572 W Business Park 10572 W Business Park 10572 W Business Park General Dentist Ln Ln Ln NPI: 1780714915 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 2200 E Warm Sprgs Ave (208) 375-5656 (208) 375-5656 (208) 375-5656 Ste 108 Group(s): Stevens Dental Group(s): Stevens Dental Group(s): Stevens Dental Boise, ID 83712 Hymas, Douglas, DDS~* O Neill, Nathan, DMD~* Summers, Renee, DMD~ (208) 343-2000 General Dentist General Dentist * Group(s): Warm Springs NPI: 1346455854 NPI: 1730600701 General Dentist Dental 1331 S Five Mile Rd 7421 W Victory Rd Ste NPI: 1871740316 Boise, ID 83709 100 10572 W Business Park (208) 375-3754 Boise, ID 83709 Ln Group(s): Douglas C (208) 402-1040 Boise, ID 83709 Hymas Group(s): Trevor Tafoya (208) 375-5656 Dds Victory Dental Group(s): Stevens Dental

273 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

- 83713 Clovis, Troy, DMD~* Lamb, Bryan, DDS~* Shipp, Michael, DMD~* Barney, R Eric, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1467524488 NPI: 1942416060 NPI: 1174628549 NPI: 1124078621 4552 N Cloverdale Rd 4255 N Eagle Rd Ste 102 6085 N Eagle Rd 13219 W Persimmon Ln Boise, ID 83713 Boise, ID 83713 Boise, ID 83713 Boise, ID 83713 (208) 376-2726 (208) 344-6300 (208) 938-9912 (208) 373-0018 Group(s): Clovis Troy A Group(s): Lamb Family Group(s): Michael Shipp Dental Dmd Inc Group(s): Brookdale Garpetti, Dennis, DDS~* Dental General Dentist Montgomery, Veronica, Simms, Michael, DDS~* Cantwell, David, DDS~* NPI: 1134132707 DDS~* General Dentist General Dentist 13108 W Persimmon Ln General Dentist NPI: 1396751434 NPI: 1164431763 Boise, ID 83713 NPI: 1871877704 4700 N Cloverdale Rd Ste 13238 W Persimmon Ln (208) 377-2160 4840 N Rosepoint Way 104 Ste 100 Group(s): Dennis J Ste A Boise, ID 83713 Boise, ID 83713 Garpetti Dds Pc Boise, ID 83713 (208) 376-8573 (208) 939-7620 Group(s): Michael C (208) 938-2468 Harward, Nathan, DMD Group(s): Atlantis Dental ~* Group(s): Boise Caring Simms Dds Pllc Dentistry Pc Care Pa General Dentist Stephenson, Glen, DMD Chung, Ki, DDS~* NPI: 1598254120 Moon, Stacy, DDS~* ~* General Dentist 13014 W Persimmon Ln General Dentist General Dentist NPI: 1871928150 Boise, ID 83713 NPI: 1881645166 NPI: 1467480863 4274 N Eagle Rd (208) 377-2072 4266 N Eagle Rd 12055 W Ustick Rd Boise, ID 83713 Group(s): Boise Boise, ID 83713 Boise, ID 83713 (208) 938-8228 Toothtown Dentistry For (208) 939-7053 (208) 375-4041 Group(s): All About You Kids Pll Group(s): Stacy J Moon Group(s): Glen Stephenson Dental Pllc Hunt, Sarah, DMD~* Dds Pa Clark, Jayson, DDS~* General Dentist Robertson, Brad, DDS~* - 83714 General Dentist NPI: 1215009238 General Dentist Ali, Kristine, DMD~* NPI: 1659667459 4552 N Cloverdale Rd NPI: 1568580074 General Dentist 4274 N Eagle Rd Boise, ID 83713 12055 W Ustick Rd NPI: 1982860987 Boise, ID 83713 (208) 376-2726 Boise, ID 83713 6657 N Glenwood St (208) 938-8228 Group(s): Clovis Troy A (208) 322-1747 Boise, ID 83714 Group(s): All About You Hyder, Brock, DDS~* Group(s): Robertson (208) 375-0572 Dental Pllc General Dentist Bradley E Group(s): Waters Edge Dental Clark, Taylor, DDS~* NPI: 1114403953 Robinson, Lavell, DDS~* General Dentist 13108 W Persimmon Ln General Dentist NPI: 1780635037 Boise, ID 83713 NPI: 1063074714 4274 N Eagle Rd (208) 377-2160 4274 N Eagle Rd Boise, ID 83713 Group(s): Dennis J Boise, ID 83713 (208) 938-8228 Garpetti Dds Pc (208) 938-8228 Group(s): All About You Group(s): All About You Dental Pllc Dental Pllc

274 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Bybee, William, DDS~* Walker, Todd, DDS~* French, Robert, DMD~* Royce, Travis, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1215360292 NPI: 1346453800 NPI: 1124035472 NPI: 1366672156 5833 W Hidden Springs 7723 W Riverside Dr 5898 S Quamash Way 2031 E Hospitality Ln Ste Dr Boise, ID 83714 Boise, ID 83716 100 Boise, ID 83714 (208) 853-8811 (208) 395-1000 Boise, ID 83716 (208) 229-4900 Group(s): Todd K Walker Group(s): Willow Tree (208) 333-9999 Group(s): Hidden Springs Dds Pc Dental Pllc Group(s): Tmd Pllc Dental - 83716 Hess, Julie, DDS~* Vania, Shane, DDS~* Herzog, Geoffrey, DMD~ Baird, Aaron, DDS~* General Dentist General Dentist * General Dentist NPI: 1053482158 NPI: 1083642722 General Dentist NPI: 1225445596 5898 S Quamash Way 5143 E Warm Springs Ave NPI: 1245513688 5898 S Quamash Way Boise, ID 83716 Boise, ID 83716 6657 N Glenwood St Boise, ID 83716 (208) 395-1000 (208) 392-9900 Boise, ID 83714 (208) 395-1000 Group(s): Willow Tree Group(s): The Dental (208) 375-0572 Group(s): Willow Tree Dental Pllc Center At Harris Ranch Group(s): Waters Edge Dental Pllc Dental Imam, Blake, DMD~* Wagner, Edward, DMD~ Brown, Jeremiah, DMD~ General Dentist * Mortensen, Wayne, * NPI: 1285040394 General Dentist DMD~* General Dentist 5898 S Quamash Way NPI: 1740393917 General Dentist NPI: 1811371644 Boise, ID 83716 2031 E Hospitality Ln Ste NPI: 1801023478 5898 S Quamash Way (208) 395-1000 100 9213 W State St Boise, ID 83716 Group(s): Willow Tree Boise, ID 83716 Boise, ID 83714 (208) 395-1000 Dental Pllc (208) 333-9999 (208) 853-3300 Group(s): Willow Tree Group(s): Tmd Pllc Group(s): Wayne Jackson, Christopher, Dental Pllc EAGLE Mortensen Dmd Pc DMD~* Dowdle, Douglas, DMD~ General Dentist - 83616 Petersen, Samuel, DMD~ * NPI: 1003478629 Baird, Aaron, DDS~* * General Dentist 5898 S Quamash Way General Dentist General Dentist NPI: 1083876775 Boise, ID 83716 NPI: 1225445596 NPI: 1720571284 5898 S Quamash Way (208) 395-1000 27 N Fisher Park Way Ste 7500 W State St Ste 100 Boise, ID 83716 Group(s): Willow Tree 103 Boise, ID 83714 (208) 395-1000 Dental Pllc Eagle, ID 83616 (208) 258-7740 Group(s): Willow Tree Malan, Daniel, DDS~* (208) 938-2100 Group(s): Dentists Of Dental Pllc General Dentist Group(s): Eagle River Boise And Orthodontics Smiles West Pc NPI: 1245496884 2398 E Gowen Rd Boise, ID 83716 (208) 345-1751 Group(s): Four Season Dentistry

275 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Baird, Andrew, DDS~* Gray, Tyson, DMD~* Larson, Don, DMD~* KUNA General Dentist General Dentist General Dentist - 83634 NPI: 1760595144 NPI: 1659457885 NPI: 1235435744 Blaisdell, Paul, DDS~* 661 S Rivershore Ln Ste 450 W State St Ste 115 700 E State St Ste 100 General Dentist 220 Eagle, ID 83616 Eagle, ID 83616 NPI: 1306337100 Eagle, ID 83616 (208) 939-0918 (208) 939-3500 1621 N Linder Rd (208) 938-2100 Group(s): Parkway Dental Group(s): Donald E Kuna, ID 83634 Group(s): Eagle River At Eagle Larson Dmd Pc (208) 922-5111 Smiles Gray, Tyson, DMD~* Seyler, Michael, DDS~* Group(s): Swan Falls Brown, Andrea, DDS~* General Dentist General Dentist Family Dentistry Pl General Dentist NPI: 1659457885 NPI: 1861549826 Brown, Jeremiah, DMD~ NPI: 1649651464 577 E State St 45 Cottonwood Ct Ste 110 * 3209 W Bavaria St Eagle, ID 83616 Eagle, ID 83616 General Dentist Eagle, ID 83616 (208) 939-0611 (208) 939-3113 NPI: 1811371644 (208) 855-0080 Group(s): Parkway Dental Group(s): Dental Artistry 1353 N Meridian Rd Ste Group(s): Castlebury At Eagle Llc 101 Dental Pc Hathaway, Evan, DDS~* Spencer, Jessica, DDS~* Kuna, ID 83634 Brown, Jacob, DDS~* General Dentist General Dentist (208) 922-1755 General Dentist NPI: 1033455019 NPI: 1790018893 Group(s): Deluxe Dental NPI: 1336191097 1217 E Iron Eagle Dr 450 W State St Ste 115 Group Kuna Llc 3209 W Bavaria St Eagle, ID 83616 Eagle, ID 83616 Croft, Douglas, DDS~* Eagle, ID 83616 (208) 377-1161 (208) 939-0918 General Dentist (208) 855-0080 Group(s): Evan Hathaway Group(s): Parkway Dental NPI: 1447200779 Group(s): Castlebury Dds Pa At Eagle 935 N Linder Rd Ste 101 Dental Pc Hendricks, Tyler, DDS~* Spencer, Jessica, DDS~* Kuna, ID 83634 Davis, Greg, DDS~* General Dentist General Dentist (208) 922-4149 General Dentist NPI: 1891356184 NPI: 1790018893 Group(s): Kuna Dental Pc NPI: 1699960039 450 W State St Ste 115 577 E State St Francis, Grant, DDS~* 467 S Rivershore Ln Eagle, ID 83616 Eagle, ID 83616 General Dentist Eagle, ID 83616 (208) 939-0918 (208) 939-0611 NPI: 1235390022 (208) 939-1700 Group(s): Parkway Dental Group(s): Parkway Dental 943 N Linder Rd Ste 101 Group(s): Eagle Dental At Eagle At Eagle Kuna, ID 83634 Clinic Pa Hendricks, Tyler, DDS~* Thomason, Christopher, (208) 922-1919 Dixon, Adam, DDS~* General Dentist DMD~* Group(s): Grant Francis General Dentist NPI: 1891356184 General Dentist Grant, James, DDS~* NPI: 1174184741 577 E State St NPI: 1730341827 General Dentist 3209 W Bavaria St Eagle, ID 83616 151 Stierman Way NPI: 1447345491 Eagle, ID 83616 (208) 939-0611 Eagle, ID 83616 672 E Wythe Creek Ct Ste (208) 855-0080 Group(s): Parkway Dental (208) 939-4111 101 Group(s): Castlebury At Eagle Group(s): Eagle Dental Kuna, ID 83634 Dental Pc Care (208) 629-2800 Group(s): Avalon Dental

276 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Haws, Anneliese, DDS~* Baird, Aaron, DDS~* Cammann, Michael, French, Robert, DMD~* General Dentist General Dentist DDS~* General Dentist NPI: 1487879292 NPI: 1225445596 General Dentist NPI: 1124035472 1621 N Linder Rd 317 W Cherry Ln NPI: 1891702189 317 W Cherry Ln Kuna, ID 83634 Meridian, ID 83642 780 W Cherry Ln Meridian, ID 83642 (208) 922-5111 (208) 888-2055 Meridian, ID 83642 (208) 888-2055 Group(s): Swan Falls Group(s): Willow Tree (208) 888-4711 Group(s): Willow Tree Family Dentistry Pl Dental Pllc Group(s): Meridian Dental Dental Pllc Haws, Daniel, DDS~* Bergloff, John, DDS~* Crawford, Brian, DDS~* French, Robert, DMD~* General Dentist General Dentist General Dentist General Dentist NPI: 1508017039 NPI: 1326087180 NPI: 1730304437 NPI: 1124035472 935 N Linder Rd Ste 101 1104 W Cherry Ln 1311 E Central Dr 1664 S Woodsage Ave Ste Kuna, ID 83634 Meridian, ID 83642 Meridian, ID 83642 110 (208) 922-4149 (208) 888-7889 (208) 373-1855 Meridian, ID 83642 Group(s): Kuna Dental Pc Group(s): Cherry Lane Group(s): Idaho State (208) 395-1000 Dental Pa University Group(s): Willow Tree Walker, Jeremy, DMD~* Dental Pllc General Dentist Brown, Jeremiah, DMD~ Dixon, Adam, DDS~* NPI: 1790137073 * General Dentist Gerard, Jake, DMD~* 1353 N Meridian Rd Ste General Dentist NPI: 1174184741 General Dentist 101 NPI: 1811371644 870 N Linder Rd Ste G NPI: 1750549325 Kuna, ID 83634 317 W Cherry Ln Meridian, ID 83642 1848 S Millenium Way (208) 922-1755 Meridian, ID 83642 (208) 888-3384 Meridian, ID 83642 Group(s): Deluxe Dental (208) 888-2055 Group(s): New Leaf (208) 888-2026 Group Kuna Llc Group(s): Willow Tree Dental Group(s): Millennium Dental Pllc Dental Meridian MERIDIAN Dowdle, Douglas, DMD~ - 83642 Brown, Jeremiah, DMD~ * Glenn, Randall, DMD~* * General Dentist General Dentist Baird, Aaron, DDS~* General Dentist General Dentist NPI: 1083876775 NPI: 1821095712 NPI: 1811371644 317 W Cherry Ln 2201 E Gala St NPI: 1225445596 1664 S Woodsage Ave Ste 1664 S Woodsage Ave Ste Meridian, ID 83642 Meridian, ID 83642 110 (208) 888-2055 (208) 888-3033 110 Meridian, ID 83642 Meridian, ID 83642 Group(s): Willow Tree Group(s): Mountain View (208) 395-1000 Dental Pllc Pointe Dental (208) 395-1000 Group(s): Willow Tree Group(s): Willow Tree Dental Pllc Dowdle, Douglas, DMD~ Grant, Scott, DDS~* Dental Pllc * General Dentist Cammann, John, DDS~* General Dentist NPI: 1194898767 General Dentist NPI: 1083876775 2275 S Eagle Rd Ste 150 NPI: 1740297035 1664 S Woodsage Ave Ste Meridian, ID 83642 780 W Cherry Ln 110 (208) 893-5000 Meridian, ID 83642 Meridian, ID 83642 Group(s): Caring Smiles (208) 888-4711 (208) 395-1000 Pllc Group(s): Meridian Dental Group(s): Willow Tree Dental Pllc

277 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Grant, Scott, DDS~* Hess, Julie, DDS~* Imam, Blake, DMD~* Jardine, Barry, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1194898767 NPI: 1053482158 NPI: 1285040394 NPI: 1992838627 2275 S Eagle Rd Ste 140 317 W Cherry Ln 1664 S Woodsage Ave Ste 1910 S Meridian Rd Ste Meridian, ID 83642 Meridian, ID 83642 110 150 (208) 888-2000 (208) 888-2055 Meridian, ID 83642 Meridian, ID 83642 Group(s): S W Grant Pc Group(s): Willow Tree (208) 395-1000 (208) 888-3540 Dental Pllc Group(s): Willow Tree Group(s): Southern Grant, Scott, DDS~* Dental Pllc Springs Dental Pllc General Dentist Hill, Graham, DDS~* NPI: 1194898767 General Dentist Imam, Blake, DMD~* Laney, Jeffrey, DDS~* 2275 S Eagle Rd Ste 150 NPI: 1265482301 General Dentist General Dentist Meridian, ID 83642 2026 S Eagle Rd NPI: 1285040394 NPI: 1265449565 (208) 342-7714 Meridian, ID 83642 317 W Cherry Ln 780 W Cherry Ln Group(s): The Smile (208) 888-3623 Meridian, ID 83642 Meridian, ID 83642 Company Pllc Group(s): Silverstone (208) 888-2055 (208) 888-4711 Family Dental Pc Group(s): Willow Tree Group(s): Meridian Dental Harker, Adam, DDS~* Dental Pllc General Dentist Hussar, Alexandra, DDS Larson, Carl, DDS~* NPI: 1609069798 ~* Jackson, Christopher, General Dentist 2275 S Eagle Rd Ste 140 General Dentist DMD~* NPI: 1295048692 Meridian, ID 83642 NPI: 1730665241 General Dentist 3909 E Fairview Ave Ste (208) 888-2000 2275 S Eagle Rd Ste 150 NPI: 1003478629 150 Group(s): S W Grant Pc Meridian, ID 83642 317 W Cherry Ln Meridian, ID 83642 (208) 893-5000 Meridian, ID 83642 (208) 996-5808 Harward, Nathan, DMD Group(s): Caring Smiles ~* (208) 888-2055 Group(s): Adacare Dental Pllc General Dentist Group(s): Willow Tree And Dentures Pllc Dental Pllc NPI: 1598254120 Hussar, Alexandra, DDS Lewis, David, DDS~* 1558 N Crestmont Dr Ste ~* Jackson, Christopher, General Dentist A General Dentist DMD~* NPI: 1124199237 Meridian, ID 83642 NPI: 1730665241 General Dentist 3175 S Meridian Rd Ste (208) 519-3474 2275 S Eagle Rd Ste 140 NPI: 1003478629 150 Group(s): Cherry Lane Meridian, ID 83642 1664 S Woodsage Ave Ste Meridian, ID 83642 Kids Dentistry Pc (208) 888-2000 110 (208) 888-5470 Group(s): S W Grant Pc Hess, Julie, DDS~* Meridian, ID 83642 Group(s): Dr David Lewis (208) 395-1000 General Dentist Hussar, Alexandra, DDS Lind, Daron, DDS~* Group(s): Willow Tree NPI: 1053482158 ~* General Dentist Dental Pllc 1664 S Woodsage Ave Ste General Dentist NPI: 1225288202 110 NPI: 1730665241 2320 E Gala St Ste 200 Meridian, ID 83642 2275 S Eagle Rd Ste 150 Meridian, ID 83642 (208) 395-1000 Meridian, ID 83642 (208) 846-8847 Group(s): Willow Tree (208) 342-7714 Group(s): Daron Lind Dds Dental Pllc Group(s): The Smile Pllc Company Pllc

278 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Mcrae, Lon, DMD~* Olson, Ryan, DDS~* Pluid, Jonathan, DDS~* Stevens, Michael, DMD~ General Dentist General Dentist General Dentist * NPI: 1558438903 NPI: 1760642045 NPI: 1922480284 General Dentist 1067 S Wells St 2201 E Gala St 2700 W Cherry Ln Ste NPI: 1699004085 Meridian, ID 83642 Meridian, ID 83642 120 2275 S Eagle Rd Ste 150 (208) 895-8486 (208) 639-4390 Meridian, ID 83642 Meridian, ID 83642 Group(s): Lon C Mcrae Group(s): Mountain View (208) 887-9000 (208) 342-7714 Pointe Dental Group(s): Wp Dental Group(s): The Smile O Neill, Ava, DMD~* Group Company Pllc General Dentist Orme, Aaron, DDS~* NPI: 1295255172 General Dentist Reed, Andrew, DDS~* Stevens, Michael, DMD~ 2275 S Eagle Rd Ste 150 NPI: 1235336827 General Dentist * Meridian, ID 83642 2201 E Gala St NPI: 1124035423 General Dentist (208) 893-5000 Meridian, ID 83642 780 W Cherry Ln NPI: 1699004085 Group(s): Caring Smiles (208) 947-4005 Meridian, ID 83642 2275 S Eagle Rd Ste 150 Pllc Group(s): Aaron G Orme (208) 888-4711 Meridian, ID 83642 Dds Pc Group(s): Meridian Dental (208) 893-5000 O Neill, Ava, DMD~* Group(s): Caring Smiles General Dentist Payne, Steven, DDS~* Richins, Lester, DMD~* Pllc NPI: 1295255172 General Dentist General Dentist 2275 S Eagle Rd Ste 150 NPI: 1710177886 NPI: 1831107945 Stevens, Michael, DMD~ Meridian, ID 83642 2700 W Cherry Ln Ste 3043 S Meridian Rd Ste * (208) 342-7714 120 100 General Dentist Group(s): The Smile Meridian, ID 83642 Meridian, ID 83642 NPI: 1699004085 Company Pllc (208) 887-9000 (208) 884-0888 2275 S Eagle Rd Ste 140 Group(s): Wp Dental Group(s): Advantage Meridian, ID 83642 O Neill, Ava, DMD~* Group Dental Pc (208) 888-2000 General Dentist Group(s): S W Grant Pc NPI: 1295255172 Peterson, John, DMD~* Smith, Randall, DDS~* 2275 S Eagle Rd Ste 140 General Dentist General Dentist Trejo, Chase, DDS~* Meridian, ID 83642 NPI: 1295875953 NPI: 1639264658 General Dentist (208) 888-2000 1859 S Topaz Way Ste 1848 S Millenium Way NPI: 1962906156 Group(s): S W Grant Pc 250 Meridian, ID 83642 2275 S Eagle Rd Ste 150 Meridian, ID 83642 (208) 888-2026 Meridian, ID 83642 O Neill, Nathan, DMD~* (208) 375-0185 Group(s): Millennium (208) 893-5000 General Dentist Group(s): Peterson Family Dental Meridian Group(s): Caring Smiles NPI: 1730600701 Dentistry Pllc 2201 E Gala St Steiner, Greg, DDS~* Meridian, ID 83642 Pieper, Brandon, DDS~* General Dentist Trejo, Chase, DDS~* (208) 639-4390 General Dentist NPI: 1427162296 General Dentist Group(s): Mountain View NPI: 1154577724 1550 N Crestmont Dr Ste NPI: 1962906156 Pointe Dental 1848 S Millenium Way C 2275 S Eagle Rd Ste 140 Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 888-2026 (208) 888-4481 (208) 888-2000 Group(s): Millennium Group(s): Greg Steiner Group(s): S W Grant Pc Dental Meridian

279 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

Williams, Nathan, DDS~ Hansen, Timothy, DDS~ Payne, Steven, DDS~* Pilling, Wade, DMD~* * * General Dentist General Dentist General Dentist General Dentist NPI: 1710177886 NPI: 1578571832 NPI: 1144416157 NPI: 1215911920 3118 W Milano Dr 4795 N Summit Way Ste 870 N Linder Rd Ste G 4702 N Penngrove Way Meridian, ID 83646 120 Meridian, ID 83642 Ste 100 (208) 715-5000 Meridian, ID 83646 (208) 888-3384 Meridian, ID 83646 Group(s): Ten Mile Smiles (208) 888-0662 Group(s): New Leaf (208) 938-1825 Pc Group(s): Aesthetic Dental Group(s): Austin Creek Smiles Dental Pc Petersen, Samuel, DMD~ Willis, Warren, DMD~* * Scott, Jonathan, DMD~* General Dentist Kooyman, Matthew, General Dentist General Dentist NPI: 1568535011 DDS~* NPI: 1720571284 NPI: 1881854123 2700 W Cherry Ln Ste General Dentist 6700 N Linder Rd Ste 132 110 E Ustick Rd 120 NPI: 1699782854 Meridian, ID 83646 Meridian, ID 83646 Meridian, ID 83642 1500 W Cayuse Creek Dr (208) 895-8555 (208) 888-9399 (208) 887-9000 Ste 100 Group(s): Eagle Smiles Group(s): Js Dental Pc Group(s): Wp Dental Meridian, ID 83646 Dentistry And Group (208) 893-5435 Orthodontics Pc Smith, Randall, DDS~* Group(s): Cr Smiles General Dentist - 83646 Pieper, Brandon, DDS~* Meridian Dental Care NPI: 1639264658 Crowley-Jarvis, Colleen, General Dentist 1720 W Mcmillan Rd DDS~* Mckim, Cynthia, DMD~ NPI: 1154577724 Meridian, ID 83646 * General Dentist 1720 W Mcmillan Rd (208) 216-6110 NPI: 1548431836 General Dentist Meridian, ID 83646 Group(s): Mcmillan 1508 W Cayuse Creek Dr NPI: 1780778837 (208) 216-6110 Family Dental Pllc Ste 150 4702 N Penngrove Way Group(s): Mcmillan Ste 100 Family Dental Pllc Thompson, Scott, DDS~* Meridian, ID 83646 General Dentist (208) 888-0900 Meridian, ID 83646 (208) 938-1825 Pilling, Jordan, DDS~* NPI: 1366707796 Group(s): Jarvis Dental General Dentist 6700 N Linder Rd Ste 132 And Orthodontics Group(s): Austin Creek Dental Pc NPI: 1194953703 Meridian, ID 83646 Gerard, Jake, DMD~* 4795 N Summit Way Ste (208) 895-8555 ~* General Dentist Oyler, Kenyon, DDS 120 Group(s): Eagle Smiles NPI: 1750549325 General Dentist Meridian, ID 83646 Dentistry And 1720 W Mcmillan Rd NPI: 1821180944 (208) 888-0662 Orthodontics Pc 3200 N Leslie Way Ste Group(s): Aesthetic Meridian, ID 83646 Tuft, Matthew, DDS~* (208) 216-6110 110 Smiles Meridian, ID 83646 General Dentist Group(s): Mcmillan NPI: 1083802268 Family Dental Pllc (208) 322-0024 Group(s): Kenyon L Oyler 3200 N Leslie Way Ste Dds 100 Meridian, ID 83646 (208) 376-5499 Group(s): Matthew Tuft Dental Llc

280 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Ada County continued/Condado seguido

White, Bernt, DMD~* Lewis, Robert, DMD~* Callison, Jodie, DMD~* Despain, Calvin, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1790783595 NPI: 1649470832 NPI: 1508480575 NPI: 1699398834 3118 W Milano Dr 88 N Seneca Springs Way 1916 Ellis Ave 4403 E Ustick Rd Ste 104 Meridian, ID 83646 Ste A Caldwell, ID 83605 Caldwell, ID 83605 (208) 715-5000 Star, ID 83669 (208) 318-1231 (208) 994-3033 Group(s): Ten Mile Smiles (208) 898-4080 Group(s): Terry Reilly Group(s): Dental Partners Pc Group(s): Morning Star Health Services Ustick Pllc Dental Willis, Warren, DMD~* Casebier, Kayla, DDS~* Dickie, Stephenie, DDS~ General Dentist Tingey, Kevin, DDS~* General Dentist * NPI: 1568535011 General Dentist NPI: 1194343152 General Dentist 3118 W Milano Dr NPI: 1427406420 1916 Ellis Ave NPI: 1487895223 Meridian, ID 83646 11615 W State St Caldwell, ID 83605 1916 Ellis Ave (208) 715-5000 Star, ID 83669 (208) 318-1231 Caldwell, ID 83605 Group(s): Ten Mile Smiles (208) 274-5500 Group(s): Terry Reilly (208) 318-1231 Pc Group(s): North Star Health Services Group(s): Terry Reilly Dentistry Pllc Health Services Yeakley, Rhett, DDS~* Clendenon, Kirby, DDS~ General Dentist Canyon * Drake, Zachary, DMD~* NPI: 1811297393 General Dentist General Dentist 1570 E Hrtg Park St Ste CALDWELL NPI: 1942311196 NPI: 1023310729 100 - 83605 1711 S 10th Ave 1916 Ellis Ave Meridian, ID 83646 Blaisdell, Thomas, DDS~ Caldwell, ID 83605 Caldwell, ID 83605 (208) 884-8066 * (208) 454-9217 (208) 318-1231 Group(s): Rhett Yeakley General Dentist Group(s): Kirby Group(s): Terry Reilly Dmd Pllc NPI: 1437356029 Clendenon Health Services 3611 S 10th Ave STAR Collins, Kyle, DMD~* Freeman, Keven, DMD~ Caldwell, ID 83605 - 83669 General Dentist * (208) 459-2376 General Dentist Dial, Carson, DMD~* NPI: 1730436189 Group(s): Blaisdell Dental 301 E Ash St NPI: 1629451109 General Dentist Center Caldwell, ID 83605 616 S 10th Ave NPI: 1497105944 Bork, Nathaniel, DMD~* (208) 454-1222 Caldwell, ID 83605 10706 W State St Ste 105 (208) 454-0473 Star, ID 83669 General Dentist Group(s): Collins Family NPI: 1972885200 Dentistry Pc Group(s): Crystal Canyon (208) 286-9890 Family Dental Group(s): Star Dental 1916 Ellis Ave Croft, Gordon, DMD~* Caldwell, ID 83605 General Dentist Gomez, Jerry, DDS~* (208) 318-1231 NPI: 1417126244 General Dentist Group(s): Terry Reilly 1916 Ellis Ave NPI: 1548374614 Health Services Caldwell, ID 83605 1916 Ellis Ave (208) 318-1231 Caldwell, ID 83605 Group(s): Terry Reilly (208) 318-1231 Health Services Group(s): Terry Reilly Health Services

281 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Haas, Joan, DDS~* Jensen, Melinda, DMD~ Madsen, Justin, DDS~* Pugh, Scott, DDS~* General Dentist * General Dentist General Dentist NPI: 1770895203 General Dentist NPI: 1417290479 NPI: 1699078691 205 E Logan St NPI: 1801095310 1916 Ellis Ave 1916 Ellis Ave Caldwell, ID 83605 1916 Ellis Ave Caldwell, ID 83605 Caldwell, ID 83605 (208) 459-2255 Caldwell, ID 83605 (208) 318-1231 (208) 318-1231 Group(s): European (208) 318-1231 Group(s): Terry Reilly Group(s): Terry Reilly Denture Center Group(s): Terry Reilly Health Services Health Services Health Services Hauser, Walter, DDS~* Meshack Hart, Ernest, Sebastian, Raquel, DDS~ General Dentist Kellbach, Valerie, DDS~ DDS~* * NPI: 1699889733 * General Dentist General Dentist 4603 Skyway St Ste 101 General Dentist NPI: 1033138235 NPI: 1144583329 Caldwell, ID 83605 NPI: 1801829858 1916 Ellis Ave 1916 Ellis Ave (208) 454-3114 1916 Ellis Ave Caldwell, ID 83605 Caldwell, ID 83605 Group(s): W Dan Hauser Caldwell, ID 83605 (208) 318-1231 (208) 318-1231 (208) 318-1231 Group(s): Terry Reilly Group(s): Terry Reilly Hendricks, Robert, DDS Group(s): Terry Reilly Health Services ~* Health Services Health Services Other Specialties: General Dentist O Neill, Nathan, DMD~* Endodontist NPI: 1598836694 Kriz, John, DDS~* General Dentist 1916 Ellis Ave General Dentist NPI: 1730600701 Smith, Ashley, DMD~* Caldwell, ID 83605 NPI: 1003919986 4403 E Ustick Rd Ste 104 General Dentist (208) 318-1231 1916 Ellis Ave Caldwell, ID 83605 NPI: 1144382722 Group(s): Terry Reilly Caldwell, ID 83605 (208) 994-3033 4403 E Ustick Rd Ste 104 Health Services (208) 318-1231 Group(s): Dental Partners Caldwell, ID 83605 Group(s): Terry Reilly Ustick Pllc (208) 994-3033 Heyrend, Joshua, DMD~ Health Services * Group(s): Dental Partners Postler, Taylor, DDS~* Ustick Pllc General Dentist Limerick, Jocelyn, DMD General Dentist NPI: 1174062095 ~* NPI: 1134610546 Stevens, Robert, DDS~* 4403 E Ustick Rd Ste 104 General Dentist 1916 Ellis Ave General Dentist Caldwell, ID 83605 NPI: 1124689997 Caldwell, ID 83605 NPI: 1659717916 (208) 994-3033 1916 Ellis Ave (208) 318-1231 4403 E Ustick Rd Ste 104 Group(s): Dental Partners Caldwell, ID 83605 Group(s): Terry Reilly Caldwell, ID 83605 Ustick Pllc (208) 318-1231 Health Services (208) 994-3033 Group(s): Terry Reilly Huffmire, Daniel, DMD~ Group(s): Dental Partners Health Services Powell, Russell, DDS~* Ustick Pllc * General Dentist General Dentist Lloyd, Spencer, DMD~* NPI: 1154773869 NPI: 1366805491 General Dentist 329 E Logan St 4403 E Ustick Rd Ste 104 NPI: 1558371377 Caldwell, ID 83605 Caldwell, ID 83605 4012 Brian Ave (208) 459-3388 (208) 994-3033 Caldwell, ID 83605 Group(s): Fairview Dental Group(s): Dental Partners (208) 459-4312 Ustick Pllc Group(s): Spencer J Lloyd

282 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Summers, Renee, DMD~ Waite, Patrick, DDS~* Dickie, Stephenie, DDS~ Kellbach, Valerie, DDS~ * General Dentist * * General Dentist NPI: 1407998271 General Dentist General Dentist NPI: 1871740316 4101 Clock Tower Ave NPI: 1487895223 NPI: 1801829858 4403 E Ustick Rd Ste 104 Caldwell, ID 83607 150 2nd St 150 2nd St Caldwell, ID 83605 (208) 455-0022 Melba, ID 83641 Melba, ID 83641 (208) 994-3033 Group(s): Patrick L Waite (208) 495-1011 (208) 495-1011 Group(s): Dental Partners Dds Pc Group(s): Terry Reilly Group(s): Terry Reilly Ustick Pllc Health Services Health Services MELBA Uniat, Brooks, DDS~* - 83641 Drake, Zachary, DMD~* Kriz, John, DDS~* General Dentist Bork, Nathaniel, DMD~* General Dentist General Dentist NPI: 1639184120 NPI: 1023310729 NPI: 1003919986 General Dentist 1913 S Kimball Ave 150 2nd St 150 2nd St NPI: 1972885200 Caldwell, ID 83605 150 2nd St Melba, ID 83641 Melba, ID 83641 (208) 459-0113 (208) 495-1011 (208) 495-1011 Melba, ID 83641 Group(s): Brooks J Uniat Group(s): Terry Reilly Group(s): Terry Reilly (208) 495-1011 Dds Health Services Health Services Group(s): Terry Reilly - 83607 Health Services Gomez, Jerry, DDS~* Limerick, Jocelyn, DMD ~* Harward, Nathan, DMD Callison, Jodie, DMD~* General Dentist NPI: 1548374614 General Dentist ~* General Dentist 150 2nd St NPI: 1124689997 General Dentist NPI: 1508480575 NPI: 1598254120 Melba, ID 83641 150 2nd St 150 2nd St Melba, ID 83641 4111 Clock Tower Ave Melba, ID 83641 (208) 495-1011 Group(s): Terry Reilly (208) 495-1011 Caldwell, ID 83607 (208) 495-1011 (208) 453-6188 Health Services Group(s): Terry Reilly Group(s): Terry Reilly Health Services Group(s): Smiles 4 Kids Health Services Hendricks, Robert, DDS Caldwell ~* Madsen, Justin, DDS~* Casebier, Kayla, DDS~* General Dentist General Dentist Mooso, Darin, DDS~* General Dentist General Dentist NPI: 1598836694 NPI: 1417290479 NPI: 1194343152 150 2nd St 150 2nd St NPI: 1841398286 150 2nd St 4105 Clock Tower Ave Melba, ID 83641 Melba, ID 83641 Melba, ID 83641 (208) 495-1011 (208) 495-1011 Caldwell, ID 83607 (208) 495-1011 (208) 455-9498 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly Health Services Health Services Group(s): Clock Tower Health Services Dental Pa Jensen, Melinda, DMD~ Meshack Hart, Ernest, Croft, Gordon, DMD~* * DDS~* General Dentist General Dentist General Dentist NPI: 1417126244 NPI: 1801095310 NPI: 1033138235 150 2nd St 150 2nd St 150 2nd St Melba, ID 83641 Melba, ID 83641 Melba, ID 83641 (208) 495-1011 (208) 495-1011 (208) 495-1011 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly Health Services Health Services Health Services

283 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Postler, Taylor, DDS~* Callison, Jodie, DMD~* Drake, Zachary, DMD~* Kellbach, Valerie, DDS~ General Dentist General Dentist General Dentist * NPI: 1134610546 NPI: 1508480575 NPI: 1023310729 General Dentist 150 2nd St 201 S Paradise Ave 201 S Paradise Ave NPI: 1801829858 Melba, ID 83641 Middleton, ID 83644 Middleton, ID 83644 201 S Paradise Ave (208) 495-1011 (208) 585-0048 (208) 585-0048 Middleton, ID 83644 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly (208) 585-0048 Health Services Health Services Health Services Group(s): Terry Reilly Health Services Pugh, Scott, DDS~* Cammann, John, DDS~* Ganir, Aries, DDS~* General Dentist General Dentist General Dentist Kriz, John, DDS~* NPI: 1699078691 NPI: 1740297035 NPI: 1902925126 General Dentist 150 2nd St 18 W Main St 1064 W Main St NPI: 1003919986 Melba, ID 83641 Middleton, ID 83644 Middleton, ID 83644 201 S Paradise Ave (208) 495-1011 (208) 585-3235 (208) 585-9200 Middleton, ID 83644 Group(s): Terry Reilly Group(s): Middleton Group(s): Aries Ganir (208) 585-0048 Health Services Dental Dmd Pc Group(s): Terry Reilly Health Services Sebastian, Raquel, DDS~ Casebier, Kayla, DDS~* Gomez, Jerry, DDS~* * General Dentist General Dentist Laney, Jeffrey, DDS~* General Dentist NPI: 1194343152 NPI: 1548374614 General Dentist NPI: 1144583329 201 S Paradise Ave 201 S Paradise Ave NPI: 1265449565 150 2nd St Middleton, ID 83644 Middleton, ID 83644 18 W Main St Melba, ID 83641 (208) 585-0048 (208) 585-0048 Middleton, ID 83644 (208) 495-1011 Group(s): Terry Reilly Group(s): Terry Reilly (208) 585-3235 Group(s): Terry Reilly Health Services Health Services Group(s): Middleton Health Services Dental Other Specialties: Croft, Gordon, DMD~* Hendricks, Robert, DDS ~* Limerick, Jocelyn, DMD Endodontist General Dentist NPI: 1417126244 General Dentist ~* MIDDLETON 201 S Paradise Ave NPI: 1598836694 General Dentist - 83644 Middleton, ID 83644 201 S Paradise Ave NPI: 1124689997 Bork, Nathaniel, DMD~* (208) 585-0048 Middleton, ID 83644 201 S Paradise Ave Middleton, ID 83644 General Dentist Group(s): Terry Reilly (208) 585-0048 NPI: 1972885200 Health Services Group(s): Terry Reilly (208) 585-0048 201 S Paradise Ave Health Services Group(s): Terry Reilly Dickie, Stephenie, DDS~ Health Services Middleton, ID 83644 * Jensen, Melinda, DMD~ (208) 585-0048 General Dentist * Madsen, Justin, DDS~* Group(s): Terry Reilly NPI: 1487895223 General Dentist General Dentist Health Services 201 S Paradise Ave NPI: 1801095310 NPI: 1417290479 Middleton, ID 83644 201 S Paradise Ave 201 S Paradise Ave (208) 585-0048 Middleton, ID 83644 Middleton, ID 83644 Group(s): Terry Reilly (208) 585-0048 (208) 585-0048 Health Services Group(s): Terry Reilly Group(s): Terry Reilly Health Services Health Services

284 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Meshack Hart, Ernest, Sebastian, Raquel, DDS~ Bybee, William, DDS~* Casebier, Kayla, DDS~* DDS~* * General Dentist General Dentist General Dentist General Dentist NPI: 1215360292 NPI: 1194343152 NPI: 1033138235 NPI: 1144583329 607 2nd St S 207 1st St S 201 S Paradise Ave 201 S Paradise Ave Nampa, ID 83651 Nampa, ID 83651 Middleton, ID 83644 Middleton, ID 83644 (208) 466-2456 (208) 466-7869 (208) 585-0048 (208) 585-0048 Group(s): Kim B Keller Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly Dds Pa Health Services Health Services Health Services Other Specialties: Callison, Jodie, DMD~* Croft, Gordon, DMD~* Postler, Taylor, DDS~* Endodontist General Dentist General Dentist General Dentist NPI: 1508480575 NPI: 1417126244 NPI: 1134610546 NAMPA 11136 Moss Ln 11136 Moss Ln 201 S Paradise Ave - 83651 Nampa, ID 83651 Nampa, ID 83651 Middleton, ID 83644 Asay, Eric, DDS~* (208) 466-0515 (208) 466-0515 (208) 585-0048 General Dentist Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly NPI: 1568470466 Health Services Health Services Health Services 11028 W Aldbury Ave Callison, Jodie, DMD~* Croft, Gordon, DMD~* Pugh, Scott, DDS~* Nampa, ID 83651 General Dentist General Dentist General Dentist (208) 466-3360 NPI: 1508480575 NPI: 1417126244 NPI: 1699078691 Group(s): Eric S Asay 207 1st St S 207 1st St S 201 S Paradise Ave Bork, Nathaniel, DMD~* Nampa, ID 83651 Nampa, ID 83651 Middleton, ID 83644 General Dentist (208) 466-7869 (208) 466-7869 (208) 585-0048 NPI: 1972885200 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly 11136 Moss Ln Health Services Health Services Health Services Nampa, ID 83651 Carter, Scott, DMD~* Despain, Calvin, DDS~* Reed, Andrew, DDS~* (208) 466-0515 General Dentist General Dentist General Dentist Group(s): Terry Reilly NPI: 1083723233 NPI: 1699398834 NPI: 1124035423 Health Services 607 2nd St S 203 7th Ave S 18 W Main St Bork, Nathaniel, DMD~* Nampa, ID 83651 Nampa, ID 83651 Middleton, ID 83644 General Dentist (208) 466-2456 (208) 466-8400 (208) 585-3235 NPI: 1972885200 Group(s): Kim B Keller Group(s): Todays Group(s): Middleton 207 1st St S Dds Pa Dentistry Dental Nampa, ID 83651 Casebier, Kayla, DDS~* Dickie, Stephenie, DDS~ (208) 466-7869 General Dentist * Group(s): Terry Reilly NPI: 1194343152 General Dentist Health Services 11136 Moss Ln NPI: 1487895223 Nampa, ID 83651 207 1st St S (208) 466-0515 Nampa, ID 83651 Group(s): Terry Reilly (208) 466-7869 Health Services Group(s): Terry Reilly Health Services

285 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Dickie, Stephenie, DDS~ Gray, Trever, DDS~* Heyrend, Joshua, DMD~ Jensen, Melinda, DMD~ * General Dentist * * General Dentist NPI: 1205248556 General Dentist General Dentist NPI: 1487895223 607 2nd St S NPI: 1174062095 NPI: 1801095310 11136 Moss Ln Nampa, ID 83651 203 7th Ave S 207 1st St S Nampa, ID 83651 (208) 466-2456 Nampa, ID 83651 Nampa, ID 83651 (208) 466-0515 Group(s): Kim B Keller (208) 466-8400 (208) 466-7869 Group(s): Terry Reilly Dds Pa Group(s): Todays Group(s): Terry Reilly Health Services Dentistry Health Services Hammer, Jason, DMD~* Drake, Zachary, DMD~* General Dentist Huffmire, Daniel, DMD~ Justin, Amelia, DDS~* General Dentist NPI: 1053441451 * General Dentist NPI: 1023310729 203 7th Ave S General Dentist NPI: 1053534305 11136 Moss Ln Nampa, ID 83651 NPI: 1366805491 607 2nd St S Nampa, ID 83651 (208) 466-8400 203 7th Ave S Nampa, ID 83651 (208) 466-0515 Group(s): Todays Nampa, ID 83651 (208) 466-2456 Group(s): Terry Reilly Dentistry (208) 466-8400 Group(s): Kim B Keller Health Services Group(s): Todays Dds Pa Harward, Nathan, DMD Dentistry Drake, Zachary, DMD~* ~* Kellbach, Valerie, DDS~ General Dentist General Dentist Humbert, Ryan, DDS~* * NPI: 1023310729 NPI: 1598254120 General Dentist General Dentist 207 1st St S 604 3rd St S NPI: 1336522770 NPI: 1801829858 Nampa, ID 83651 Nampa, ID 83651 607 2nd St S 207 1st St S (208) 466-7869 (208) 466-9088 Nampa, ID 83651 Nampa, ID 83651 Group(s): Terry Reilly Group(s): Idaho Dental (208) 466-2456 (208) 466-7869 Health Services Aid Group(s): Kim B Keller Group(s): Terry Reilly Dds Pa Health Services Gomez, Jerry, DDS~* Hendricks, Robert, DDS General Dentist ~* Jensen, Kaci, DDS~* Kellbach, Valerie, DDS~ NPI: 1548374614 General Dentist General Dentist * 11136 Moss Ln NPI: 1598836694 NPI: 1952567430 General Dentist Nampa, ID 83651 207 1st St S 203 7th Ave S NPI: 1801829858 (208) 466-0515 Nampa, ID 83651 Nampa, ID 83651 11136 Moss Ln Group(s): Terry Reilly (208) 466-7869 (208) 466-8400 Nampa, ID 83651 Health Services Group(s): Terry Reilly Group(s): Todays (208) 466-0515 Health Services Dentistry Group(s): Terry Reilly Gomez, Jerry, DDS~* Health Services General Dentist Hendricks, Robert, DDS Jensen, Melinda, DMD~ NPI: 1548374614 ~* * Keller, Kim, DDS~* 207 1st St S General Dentist General Dentist General Dentist Nampa, ID 83651 NPI: 1598836694 NPI: 1801095310 NPI: 1518978543 (208) 466-7869 11136 Moss Ln 11136 Moss Ln 607 2nd St S Group(s): Terry Reilly Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Health Services (208) 466-0515 (208) 466-0515 (208) 466-2456 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Kim B Keller Health Services Health Services Dds Pa

286 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Keller, Klint, DDS~* Madsen, Justin, DDS~* Olson, Ryan, DDS~* Pugh, Scott, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1942228176 NPI: 1417290479 NPI: 1760642045 NPI: 1699078691 203 7th Ave S 11136 Moss Ln 203 7th Ave S 11136 Moss Ln Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 466-8400 (208) 466-0515 (208) 466-8400 (208) 466-0515 Group(s): Todays Group(s): Terry Reilly Group(s): Todays Group(s): Terry Reilly Dentistry Health Services Dentistry Health Services Kriz, John, DDS~* Madsen, Justin, DDS~* Postler, Taylor, DDS~* Pulham, Daxton, DDS~* General Dentist General Dentist General Dentist General Dentist NPI: 1003919986 NPI: 1417290479 NPI: 1134610546 NPI: 1457881393 207 1st St S 207 1st St S 207 1st St S 607 2nd St S Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 466-7869 (208) 466-7869 (208) 466-7869 (208) 466-2456 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Kim B Keller Health Services Health Services Health Services Dds Pa Kriz, John, DDS~* Meshack Hart, Ernest, Postler, Taylor, DDS~* Sebastian, Raquel, DDS~ General Dentist DDS~* General Dentist * NPI: 1003919986 General Dentist NPI: 1134610546 General Dentist 11136 Moss Ln NPI: 1033138235 11136 Moss Ln NPI: 1144583329 Nampa, ID 83651 11136 Moss Ln Nampa, ID 83651 207 1st St S (208) 466-0515 Nampa, ID 83651 (208) 466-0515 Nampa, ID 83651 Group(s): Terry Reilly (208) 466-0515 Group(s): Terry Reilly (208) 466-7869 Health Services Group(s): Terry Reilly Health Services Group(s): Terry Reilly Health Services Health Services Limerick, Jocelyn, DMD Pottenger, Trista, DMD~ Other Specialties: ~* * Meshack Hart, Ernest, Endodontist General Dentist DDS~* General Dentist NPI: 1124689997 General Dentist NPI: 1942641246 Sebastian, Raquel, DDS~ 11136 Moss Ln NPI: 1033138235 607 2nd St S * Nampa, ID 83651 207 1st St S Nampa, ID 83651 General Dentist (208) 466-0515 Nampa, ID 83651 (208) 466-2456 NPI: 1144583329 Group(s): Terry Reilly (208) 466-7869 Group(s): Kim B Keller 11136 Moss Ln Health Services Group(s): Terry Reilly Dds Pa Nampa, ID 83651 Health Services (208) 466-0515 Limerick, Jocelyn, DMD Pugh, Scott, DDS~* Group(s): Terry Reilly ~* O Neill, Nathan, DMD~* General Dentist Health Services General Dentist General Dentist NPI: 1699078691 Other Specialties: NPI: 1124689997 NPI: 1730600701 207 1st St S Endodontist 207 1st St S 203 7th Ave S Nampa, ID 83651 Nampa, ID 83651 Nampa, ID 83651 (208) 466-7869 (208) 466-7869 (208) 466-8400 Group(s): Terry Reilly Group(s): Terry Reilly Group(s): Todays Health Services Health Services Dentistry

287 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Smith, Ashley, DMD~* - 83686 Elliott, Kevin, DMD~* Jangula, Michael, DDS~ General Dentist Adams, Riley, DDS~* General Dentist * NPI: 1144382722 General Dentist NPI: 1104910199 General Dentist 203 7th Ave S NPI: 1205115235 1601 12th Ave Rd Ste 103 NPI: 1821407552 Nampa, ID 83651 230 W Georgia Ave Ste Nampa, ID 83686 1601 12th Ave Rd Ste 103 (208) 466-8400 100 (208) 467-9690 Nampa, ID 83686 Group(s): Todays Nampa, ID 83686 Group(s): Gentle Dental (208) 467-9690 Dentistry (208) 442-1088 Care Group(s): Gentle Dental Care Stevens, Robert, DDS~* Group(s): Dental Care Gardner, Scott, DDS~* General Dentist West General Dentist Justin, Amelia, DDS~* NPI: 1659717916 Bingham, Joel, DDS~* NPI: 1104931526 General Dentist 203 7th Ave S General Dentist 2065 12th Ave Rd NPI: 1053534305 Nampa, ID 83651 NPI: 1114939014 Nampa, ID 83686 1705 12th Ave Rd (208) 466-8400 801 S Rising Sun Dr (208) 466-3239 Nampa, ID 83686 Group(s): Todays Nampa, ID 83686 Group(s): Scott R Gardner (208) 466-6600 Dentistry (208) 466-6161 Dds Pc Group(s): Ns South Pllc Stevens, Robert, DDS~* Group(s): Joel R Bingham Gray, Trever, DDS~* Keller, Kim, DDS~* General Dentist Dds Pc General Dentist General Dentist NPI: 1659717916 Christensen, Shaun, DDS NPI: 1205248556 NPI: 1518978543 207 7th Ave S ~* 1705 12th Ave Rd 1705 12th Ave Rd Nampa, ID 83651 General Dentist Nampa, ID 83686 Nampa, ID 83686 (208) 442-0000 NPI: 1568560712 (208) 466-6600 (208) 466-6600 Group(s): Bradford B 155 S Midland Blvd Group(s): Ns South Pllc Group(s): Ns South Pllc Fisher Dentistry Pllc Nampa, ID 83686 Hamblin, Robbie, DDS~ Kido, Scott, DMD~* Summers, Renee, DMD~ (208) 466-7424 * General Dentist * Group(s): Shaun General Dentist NPI: 1205958899 General Dentist Christensen Dmd Pc NPI: 1720002769 341 W Iowa Ave NPI: 1871740316 Crank, Joshua, DMD~* 351 W Iowa Ave Nampa, ID 83686 203 7th Ave S General Dentist Nampa, ID 83686 (208) 467-7401 Nampa, ID 83651 NPI: 1992188353 (208) 461-2600 Group(s): Lovelace And (208) 466-8400 155 S Midland Blvd Group(s): Brookside Kido Dental Group Pc Group(s): Todays Dental Pc Nampa, ID 83686 Lovelace, Lori, DDS~* Dentistry (208) 466-7424 Humbert, Ryan, DDS~* General Dentist Group(s): Shaun General Dentist NPI: 1366565897 Christensen Dmd Pc NPI: 1336522770 341 W Iowa Ave 1705 12th Ave Rd Nampa, ID 83686 Nampa, ID 83686 (208) 467-7401 (208) 466-6600 Group(s): Lovelace And Group(s): Ns South Pllc Kido Dental Group Pc

288 Supplemental Providers - Dental / Proveedores Suplementarios - dental General Dentist continued/dentista general continuación Canyon County continued/Condado seguido

Mansfield, Kelly, DDS~* Stucki, Keith, DMD~* Harward, Nathan, DMD Summers, Renee, DMD~ General Dentist General Dentist ~* * NPI: 1982616983 NPI: 1780792010 General Dentist General Dentist 109 12th Ave Rd 1436 S Edgewater Cir NPI: 1598254120 NPI: 1871740316 Nampa, ID 83686 Nampa, ID 83686 6144 Birch Ln 16375 N Merchant Way (208) 467-9271 (208) 463-9600 Nampa, ID 83687 Nampa, ID 83687 Group(s): Kelly B Group(s): Edgewater (208) 936-7111 (208) 505-1878 Mansfield Dds Pc Dental Group(s): Aspen Creek Group(s): Aspen Dental Dental Mcdonald, Mark, DDS~* Thuernagle, Andrew, Wolff, William, DDS~* General Dentist DDS~* Jangula, Michael, DDS~ General Dentist NPI: 1063604429 General Dentist * NPI: 1992938674 1601 12th Ave Rd Ste 103 NPI: 1609003466 General Dentist 5550 E Franklin Rd Nampa, ID 83686 3161 E Greenhurst Rd NPI: 1821407552 Nampa, ID 83687 (208) 467-9690 Nampa, ID 83686 4411 E Flamingo Ave (208) 461-5829 Group(s): Gentle Dental (208) 466-9915 Nampa, ID 83687 Group(s): Idaho Center Care Group(s): Aat Investments (208) 466-3597 Dental Care Pc Group(s): Gentle Dental Medaris, Bryan, DDS~* Care PARMA General Dentist - 83687 - 83660 Mcdonald, Mark, DDS~* NPI: 1174673222 Adams, G, DDS~* Stevenson, Allan, DDS~* 1601 12th Ave Rd Ste 103 General Dentist General Dentist General Dentist NPI: 1063604429 Nampa, ID 83686 NPI: 1306001888 NPI: 1710191838 4411 E Flamingo Ave (208) 467-9690 205 W Highway 95 6144 Birch Ln Nampa, ID 83687 Group(s): Gentle Dental Nampa, ID 83687 Parma, ID 83660 Care (208) 466-3597 (208) 722-6400 (208) 936-7111 Group(s): Gentle Dental Group(s): Allan W Miller, Roarke, DMD~* Group(s): Aspen Creek Care General Dentist Dental Stevenson Dds Pc NPI: 1508816000 Medaris, Bryan, DDS~* Bolinske, Page, DDS~* General Dentist Oral Surgeon 2811 12th Ave Rd General Dentist Nampa, ID 83686 NPI: 1174673222 Idaho NPI: 1023468063 4411 E Flamingo Ave (208) 466-2458 4401 E Flamingo Ave Ada Group(s): Todd L Squires Nampa, ID 83687 Nampa, ID 83687 (208) 466-3597 Dds Pllc (208) 461-5459 BOISE Group(s): Gentle Dental - 83702 Squires, Todd, DDS~* Group(s): Idaho Pediatric Care General Dentist Dentistry Bailey, Michael, DDS~* Satchwell, Chris, DDS~* Oral Surgeon NPI: 1063894145 Elliott, Kevin, DMD~* General Dentist NPI: 1891727582 2811 12th Ave Rd General Dentist NPI: 1730379793 403 S 11th St Ste 300 Nampa, ID 83686 NPI: 1104910199 16377 N Marketplace Boise, ID 83702 (208) 466-2458 4411 E Flamingo Ave Blvd (208) 344-9115 Group(s): Todd L Squires Nampa, ID 83687 Nampa, ID 83687 Group(s): Alpine Surgical Dds Pllc (208) 466-3597 (208) 461-5222 Arts Llc Group(s): Gentle Dental Group(s): Awp Dental Care Group

289 Supplemental Providers - Dental / Proveedores Suplementarios - dental Oral Surgeon continued/Cirujano oral continuación Ada County continued/Condado seguido

Comstock, James, DDS~ Malan, John, DDS~* Malan, John, DDS~* Canyon * Oral Surgeon Oral Surgeon Oral Surgeon NPI: 1093907610 NPI: 1093907610 CALDWELL NPI: 1710938733 2857 S Meridian Rd Ste 2274 N Eagle Rd Ste 130 - 83607 403 S 11th St Ste 320 150 Meridian, ID 83646 Massoth, Nicholas, DMD Boise, ID 83702 Meridian, ID 83642 (208) 893-5440 ~* (208) 375-0191 (208) 888-5177 Group(s): Meridian Smiles Oral Surgeon Group(s): J B Comstock Group(s): Owyhee Oral Dentistry Pc NPI: 1114957917 Surgery 4121 Clock Tower Ave - 83704 Obrien, Timothy, Caldwell, ID 83607 Obrien, Timothy, DDSMD~* Bobst, Jeffrey, DDS~* (208) 459-7800 DDSMD~* Oral Surgeon Oral Surgeon Group(s): Canyon County Oral Surgeon NPI: 1487910733 NPI: 1275747859 Oral Maxillofaci 7910 W Ustick Rd NPI: 1487910733 6700 N Linder Rd Ste 132 Boise, ID 83704 2857 S Meridian Rd Ste Meridian, ID 83646 NAMPA (208) 322-5522 150 (208) 895-8555 - 83686 Group(s): J Scott Bobst Meridian, ID 83642 Group(s): Eagle Smiles Ballenger Jr, Joseph, Dds Implant And Oral (208) 888-5177 Dentistry And DDS~* Surgery Group(s): Owyhee Oral Orthodontics Pc Oral Surgeon Surgery - 83706 Obrien, Timothy, NPI: 1598773749 1613 12th Ave Rd Ste A Anderson, Cole, DMD~* - 83646 DDSMD~* Anderson, Cole, DMD~* Oral Surgeon Nampa, ID 83686 Oral Surgeon (208) 505-1946 Oral Surgeon NPI: 1487910733 NPI: 1316175458 Group(s): Owyhee Oral NPI: 1316175458 2274 N Eagle Rd Ste 130 1000 N Curtis Rd Ste 103 Surgery Boise, ID 83706 3118 W Milano Dr Meridian, ID 83646 (208) 343-0909 Meridian, ID 83646 (208) 893-5440 Ballenger Jr, Joseph, Group(s): Treasure Valley (208) 343-0909 Group(s): Meridian Smiles DDS~* Oral And Facial Surgery Group(s): Treasure Valley Dentistry Pc Oral Surgeon Oral And Facial Surgery NPI: 1598773749 MERIDIAN STAR Malan, John, DDS~* - 83669 339 W Iowa Ave - 83642 Nampa, ID 83686 Oral Surgeon Anderson, Cole, DMD~* Ballenger Jr, Joseph, (208) 467-1227 NPI: 1093907610 Oral Surgeon DDS~* Group(s): Owyhee Oral 6700 N Linder Rd Ste 132 NPI: 1316175458 Oral Surgeon Surgery Meridian, ID 83646 NPI: 1598773749 12190 W Evely Pines Ln (208) 895-8555 ~* 2857 S Meridian Rd Ste Star, ID 83669 Malan, John, DDS Group(s): Eagle Smiles 150 (208) 789-7616 Oral Surgeon Dentistry And Meridian, ID 83642 Group(s): Idaho Kids NPI: 1093907610 Orthodontics Pc (208) 888-5177 Dentistry And 1613 12th Ave Rd Ste A Group(s): Owyhee Oral Orthodontics Nampa, ID 83686 Surgery (208) 505-1946 Group(s): Owyhee Oral Surgery

290 Supplemental Providers - Dental / Proveedores Suplementarios - dental Oral Surgeon continued/Cirujano oral continuación Canyon County continued/Condado seguido

Malan, John, DDS~* - 83706 EAGLE Mccombs, Joseph, DDS~ Oral Surgeon Demetter, Randy, DDS~ - 83616 * NPI: 1093907610 * Richardson, Bruce, DDS Periodontist 339 W Iowa Ave Periodontist ~* NPI: 1801122197 Nampa, ID 83686 NPI: 1275941288 Periodontist 6700 N Linder Rd Ste 132 (208) 467-1227 140 E Boise Ave Ste A NPI: 1306959424 Meridian, ID 83646 Group(s): Owyhee Oral Boise, ID 83706 1177 N Eagle Rd (208) 895-8555 Surgery (208) 385-9228 Eagle, ID 83616 Group(s): Eagle Smiles Group(s): Florence Lincks (208) 939-3010 Dentistry And Obrien, Timothy, Orthodontics Pc DDSMD~* And Associates Group(s): Lighthouse Dental Group Pllc Oral Surgeon Florence, Michael, NPI: 1487910733 DDSMD~* MERIDIAN 1613 12th Ave Rd Ste A Periodontist - 83642 Nampa, ID 83686 NPI: 1235147281 Richardson, Bruce, DDS (208) 505-1946 140 E Boise Ave Ste A ~* Group(s): Owyhee Oral Boise, ID 83706 Periodontist Surgery (208) 385-9228 NPI: 1306959424 Obrien, Timothy, Group(s): Florence Lincks 317 W Cherry Ln DDSMD~* And Associates Meridian, ID 83642 Oral Surgeon Lincks, Jack, DDSMS~* (208) 888-2055 NPI: 1487910733 Periodontist Group(s): Willow Tree 339 W Iowa Ave NPI: 1346224458 Dental Pllc Nampa, ID 83686 140 E Boise Ave Ste A Richardson, Bruce, DDS (208) 467-1227 Boise, ID 83706 ~* Group(s): Owyhee Oral (208) 385-9228 Periodontist Surgery Group(s): Florence Lincks NPI: 1306959424 Periodontist And Associates 1664 S Woodsage Ave Ste - 83716 110 Idaho Meridian, ID 83642 Richardson, Bruce, DDS Ada (208) 395-1000 ~* Group(s): Willow Tree Periodontist BOISE Dental Pllc NPI: 1306959424 - 83704 5898 S Quamash Way - 83646 Schenk, Stephen, DDS~* Boise, ID 83716 Mccombs, Joseph, DDS~ Periodontist (208) 395-1000 * NPI: 1871765974 Group(s): Willow Tree Periodontist 1228 N Cole Rd Dental Pllc NPI: 1801122197 Boise, ID 83704 2274 N Eagle Rd Ste 130 (208) 375-9480 Meridian, ID 83646 Group(s): Stephen F (208) 893-5440 Schenk Dds Pc Group(s): Meridian Smiles Dentistry Pc

291 Supplemental Providers - Hearing / Proveedores Suplementarios - audición General Audiology/Audiología general Ada County/Condado Total Count/Cuenta total: 6

General Audiology Hearing Aid Canyon Idaho Dispenser NAMPA Ada Idaho - 83651 Ada Mavy, Tim, B.A.~ BOISE Hearing Aid Dispenser - 83713 BOISE NPI: 1275940108 Stoker, Brek, AU.D.~* - 83705 Hearinglife Usa General Audiology West, Mark~ 326 1/2 Caldwell Blvd NPI: 1609822402 Hearing Aid Dispenser Nampa, ID 83651 Complete Care Aud D/B/A NPI: 1629358445 (855) 823-4632 Boise Speech & Hearing A World Of Hearing Group(s): Hearusa Clinic 4696 West Overland Road 13176 Persimmon Lane Suite 216 Suite 120 Boise, ID 83705 Boise, ID 83713 (855) 823-4632 (855) 823-4632 Group(s): Hearusa Group(s): Hearusa Spanish - 83713 West, Mark~ EAGLE Hearing Aid Dispenser - 83616 NPI: 1629358445 Vore, Abram, AU.D.~ A World Of Hearing Inc General Audiology 13495 W Pala Mesa Dr NPI: 1891095097 Boise, ID 83713 Eagle Hearing, Llc (855) 823-4632 440 E State Street Suite Group(s): Hearusa 100 Eagle, ID 83616 MERIDIAN (855) 823-4632 - 83646 Group(s): Hearusa West, Mark~ American Sign Language Hearing Aid Dispenser NPI: 1629358445 A World Of Hearing 3330 North Meridian Road Suite 150 Meridian, ID 83646 (855) 823-4632 Group(s): Hearusa

292 Supplemental Providers - Vision / Proveedores Suplementarios - visión Ophthalmology/Oftalmología Ada County/Condado Total Count/Cuenta total: 67

Ophthalmology Canyon Cleverly, Chad, ODx~* - 83706 Optometry Pabalis, Gary, ODx~ Idaho NAMPA NPI: 1386660959 Optometry - 83686 Ada Boise Vision Care, Pa NPI: 1396740262 Jensen, Johanna, MDx~* 3293 North Milwaukee St. 5680 West Gage St. BOISE Ophthalmology Boise, ID 83704 Boise, ID 83706 - 83706 NPI: 1770552846 (208) 322-2020 (208) 377-3937 Grange, Landon, MDx~* Jensen Eye Associates, Denison, Justin, ODx~* Spanish Ophthalmology Pllc Optometry NPI: 1043620255 1615 12th Avenue Road Reinschmidt, Stephen, NPI: 1396183935 ODx~* 5680 West Gage St. Suite A Boise Vision Care, Pa Boise, ID 83706 Nampa, ID 83686 Optometry 3293 North Milwaukee St. NPI: 1205161387 (208) 377-3937 (208) 467-3271 Boise, ID 83704 Spanish Spanish 5680 West Gage St. (208) 322-2020 Boise, ID 83706 Mong, Jacob, DOx~* Jensen, Peter, MDx~* Dixon, Jaimen, ODx~* (208) 377-3937 Ophthalmology Ophthalmology Optometry Spanish NPI: 1346535481 NPI: 1285602581 NPI: 1861841033 - 83713 5680 West Gage St. Jensen Eye Associates, Idaho Eyepros Boise, ID 83706 Pllc 291 North Milwaukee St. Stebel, Todd, ODx~* (208) 377-3937 1615 12th Avenue Road Boise, ID 83704 Optometry Spanish Suite A (208) 378-7020 NPI: 1144263963 Boise Mountain Eyecare MERIDIAN Nampa, ID 83686 (208) 467-3271 Mcsweeney, Kevin, ODx 13075 W Persimmon Lane - 83646 Spanish ~* Suite 110 Grange, Landon, MDx~* Optometry Boise, ID 83713 Ophthalmology Optometry NPI: 1841397940 (208) 938-9900 NPI: 1043620255 Idaho Idaho Eyepros 2720 West Cherry Lane 291 North Milwaukee St. KUNA Meridian, ID 83646 Ada Boise, ID 83704 - 83634 (208) 377-3937 (208) 378-7020 Grigg, Lisa, ODx~* BOISE Spanish Spanish Optometry - 83704 NPI: 1851313704 Mong, Jacob, DOx~* Thompson, Erik, ODx~* Blaylock, Kacey, ODx~ Clarifeye Family Eyecare Ophthalmology Optometry Optometry 762 East Wythe Creek NPI: 1346535481 NPI: 1891082186 NPI: 1164871489 Court Suite 102 2720 West Cherry Lane Idaho Eyepros Idaho Eyepros Kuna, ID 83634 Meridian, ID 83646 291 North Milwaukee St. 291 North Milwaukee St. (208) 922-3060 (208) 377-3937 Suite A3 Suite A-3 Boise, ID 83704 Boise, ID 83704 (208) 378-7020 (208) 378-7020 Spanish Spanish

293 Supplemental Providers - Vision / Proveedores Suplementarios - visión Optometry continued/Optometría continuación Ada County continued/Condado seguido

Grigg, Robert, ODx~* - 83646 Adams, Doug, ODx~* Black, William, ODx~* Optometry Mcelroy, Kevin, ODx~* Optometry Optometry NPI: 1780698522 Optometry NPI: 1144750886 NPI: 1063591162 Clarifeye Family Eyecare NPI: 1528154242 Family Eyecare Family Eyecare 762 East Wythe Creek Meridian Vision Specialists Specialists Court Suite 102 50 East Carmel Drive 420 E Elm St 1906 Fairview Ave Ste Kuna, ID 83634 Meridian, ID 83646 Caldwell, ID 83605 100 (208) 922-3060 (208) 888-5252 (208) 459-3366 Caldwell, ID 83605 Mandarin, Spanish (208) 459-2020 MERIDIAN Pabalis, Gary, ODx~* Mandarin, Spanish - 83642 Optometry Bewley, James, ODx~* Brewer, Paul, ODx~* NPI: 1396740262 Optometry Farris, Stephen, ODx~* Optometry 2720 West Cherry Lane NPI: 1639257017 Optometry NPI: 1396120234 Meridian, ID 83646 Family Eyecare NPI: 1619072287 Brewer Eye Care (208) 377-3937 Specialists Family Eyecare 795 West Overland Road Spanish 420 East Elm St. Specialists Caldwell, ID 83605 1906 Fairview Ave Ste Meridian, ID 83642 Reinschmidt, Stephen, (208) 505-0909 (208) 459-3366 100 ODx~* Spanish Mandarin, Spanish Caldwell, ID 83605 Optometry (208) 459-2020 Bewley, James, ODx~* Howard, Jason, ODx~* NPI: 1205161387 Mandarin, Spanish Optometry 2720 West Cherry Lane Optometry NPI: 1720436744 Meridian, ID 83646 NPI: 1639257017 Farris, Stephen, ODx~* Brewer Eye Care (208) 377-3937 Family Eyecare Optometry 795 West Overland Road Specialists NPI: 1619072287 Meridian, ID 83642 Canyon 1906 Fairview Ave Ste Family Eyecare 100 Specialists (208) 505-0909 CALDWELL Spanish Caldwell, ID 83605 420 E Elm St - 83605 (208) 459-2020 Caldwell, ID 83605 Nielson, Ana, ODx~* Adams, Doug, ODx~* Mandarin, Spanish (208) 459-3366 Optometry Optometry Mandarin, Spanish NPI: 1972547503 NPI: 1144750886 Black, William, ODx~* The Eye Site Family Eyecare Optometry Heiner, Darren, ODx~* 1715 South Wells Ave Specialists NPI: 1063591162 Optometry Meridian, ID 83642 1906 Fairview Ave Ste Family Eyecare NPI: 1780935007 (208) 898-0304 100 Specialists Family Eyecare Caldwell, ID 83605 420 E Elm St Specialists Nielson, Ryan, ODx~* Caldwell, ID 83605 1906 Fairview Ave Ste Optometry (208) 459-2020 Mandarin, Spanish (208) 459-3366 100 NPI: 1538103148 Mandarin, Spanish Caldwell, ID 83605 The Eye Site (208) 459-2020 1715 South Wells Ave Mandarin, Spanish Meridian, ID 83642 (208) 898-0304

294 Supplemental Providers - Vision / Proveedores Suplementarios - visión Optometry continued/Optometría continuación Canyon County continued/Condado seguido

Heiner, Darren, ODx~* Bewley, James, ODx~* Heiner, Darren, ODx~* Watson, Jacob, ODx~* Optometry Optometry Optometry Optometry NPI: 1780935007 NPI: 1639257017 NPI: 1780935007 NPI: 1851676910 Family Eyecare Family Eyecare Family Eyecare Advanced Eyecare Specialists Specialists Specialists 901 12th Avenue South 420 E Elm St 381 South Middleton 381 S Middleton Rd Nampa, ID 83651 Caldwell, ID 83605 Road Middleton, ID 83644 (208) 466-9251 (208) 459-3366 Middleton, ID 83644 (208) 585-3445 Spanish Mandarin, Spanish (208) 585-3445 Mandarin, Spanish White, Rodney, ODx~* Mandarin, Spanish Hernandez, Joel, ODx~* Hernandez, Joel, ODx~* Optometry Optometry Black, William, ODx~* Optometry NPI: 1487647509 NPI: 1952831695 Optometry NPI: 1952831695 Advanced Eyecare Family Eyecare NPI: 1063591162 Family Eyecare 901 12th Avenue South Specialists Family Eyecare Specialists Nampa, ID 83651 1906 Fairview Ave Ste Specialists 381 S Middleton Rd (208) 466-9251 100 381 S Middleton Rd Middleton, ID 83644 Spanish Caldwell, ID 83605 Middleton, ID 83644 (208) 585-3445 - 83686 (208) 459-2020 (208) 585-3445 Mandarin, Spanish Mandarin, Spanish Mandarin, Spanish Brewer, Paul, ODx~* NAMPA Optometry Hernandez, Joel, ODx~* Dayton, Drew, ODx~* - 83651 NPI: 1396120234 Optometry Optometry Hadzic, Emir, ODx~* Brewer Eye Care NPI: 1952831695 NPI: 1740231737 Optometry 2100 12th Avenue Road Family Eyecare Hometown Family NPI: 1407371891 Nampa, ID 83686 Specialists Eyecare Icare Optical (208) 505-0909 420 E Elm St 622 East Main St. 1017 12th Avenue South Spanish Caldwell, ID 83605 Middleton, ID 83644 Nampa, ID 83651 Dean, James, ODx~* (208) 459-3366 (208) 585-9500 (208) 466-5600 Mandarin, Spanish French Optometry Bosnian, Spanish NPI: 1033121538 MIDDLETON Farris, Stephen, ODx~* Naugle, Emily, ODx~* 343 West Iowa Ave - 83644 Optometry Optometry Nampa, ID 83686 Adams, Doug, ODx~* NPI: 1619072287 NPI: 1639331069 (208) 467-0001 Optometry Family Eyecare Advanced Eyecare Spanish Specialists NPI: 1144750886 901 12th Avenue South Dean, Kevin, ODx~* Family Eyecare 381 S Middleton Rd Nampa, ID 83651 Middleton, ID 83644 Optometry Specialists (208) 466-9251 NPI: 1962516385 381 S Middleton Rd (208) 585-3445 Spanish Mandarin, Spanish Visions Eyeheakth Center Middleton, ID 83644 343 West Iowa Ave (208) 585-3445 Nampa, ID 83686 Mandarin, Spanish (208) 466-7000 Spanish

295 Supplemental Providers - Vision / Proveedores Suplementarios - visión Optometry continued/Optometría continuación Canyon County continued/Condado seguido

Howard, Jason, ODx~* Bewley, James, ODx~* Blaylock, Kacey, ODx~ Heiner, Darren, ODx~* Optometry Optometry Optometry Optometry NPI: 1720436744 NPI: 1639257017 NPI: 1164871489 NPI: 1780935007 Brewer Eye Care Family Eyecare Idaho Eyepros Family Eyecare 2100 12th Avenue Road Specialists 16448 North Midland Specialists Nampa, ID 83686 4424 East Flamingo Ave Blvd 4424 E Flamingo Ave Ste (208) 505-0909 Ste 100 Nampa, ID 83687 100 Spanish Nampa, ID 83687 (208) 467-7020 Nampa, ID 83687 (208) 461-2010 (208) 461-2010 Lamers, John, ODx~* Dixon, Jaimen, ODx~* Mandarin, Spanish Mandarin, Spanish Optometry Optometry NPI: 1578643409 Bewley, James, ODx~* NPI: 1861841033 Heiner, Darren, ODx~* Jensen Eye Associates, Optometry Idaho Eyepros Optometry Pllc NPI: 1639257017 16448 North Midland NPI: 1780935007 1603 East 12th Avenue Family Eyecare Blvd Family Eyecare Road Suite E Specialists Nampa, ID 83687 Specialists Nampa, ID 83686 1213 Jacob Alcott Way (208) 467-7020 1213 Jacob Alcott Way (208) 466-0255 Nampa, ID 83687 Farris, Stephen, ODx~* Nampa, ID 83687 Spanish (208) 697-5546 (208) 697-5546 Optometry Mandarin, Spanish Mandarin, Spanish Lamers, John, ODx~* NPI: 1619072287 Optometry Black, William, ODx~* Family Eyecare Hernandez, Joel, ODx~* NPI: 1578643409 Optometry Specialists Optometry Jensen Eye Associates, NPI: 1063591162 4424 E Flamingo Ave Ste NPI: 1952831695 Pllc Family Eyecare 100 Family Eyecare 1615 12th Avenue Road Specialists Nampa, ID 83687 Specialists Suite A 4424 E Flamingo Ave Ste (208) 461-2010 4424 E Flamingo Ave Ste Nampa, ID 83686 100 Mandarin, Spanish 100 (208) 467-3271 Nampa, ID 83687 Nampa, ID 83687 Farris, Stephen, ODx~* Spanish (208) 461-2010 (208) 461-2010 Optometry Mandarin, Spanish Mandarin, Spanish - 83687 NPI: 1619072287 Adams, Doug, ODx~* Black, William, ODx~* Family Eyecare Mcsweeney, Kevin, ODx Optometry Optometry Specialists ~* NPI: 1144750886 NPI: 1063591162 1213 Jacob Alcott Way Optometry Family Eyecare Family Eyecare Nampa, ID 83687 NPI: 1841397940 Specialists Specialists (208) 697-5546 Idaho Eyepros 4424 E Flamingo Ave Ste 1213 Jacob Alcott Way Mandarin, Spanish 16448 North Midland 100 Nampa, ID 83687 Blvd Nampa, ID 83687 (208) 697-5546 Nampa, ID 83687 (208) 461-2010 Mandarin, Spanish (208) 467-7020 Mandarin, Spanish

296 Supplemental Providers - Vision / Proveedores Suplementarios - visión Optometry continued/Optometría continuación Canyon County continued/Condado seguido

Thompson, Erik, ODx~* Optometry NPI: 1891082186 Idaho Eyepros 16448 North Midland Blvd Nampa, ID 83687 (208) 467-7020

297 Molina Medicare Choice Care HMO 2020 Pharmacy Directory

Section 3- Introduction This booklet provides a list of Molina Medicare Choice Care network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage Molina Medicare Choice Care 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 Choice Care. 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 Choice Care 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 E vidence 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 12/2020 . 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 where the pharmacy section begins: • Retail Pharmacies, including Chain Pharmacies • Mail Order Pharmacies • Home Infusion Pharmacies • Long-Term Care Pharmacies

The pharmacies listed in this directory are in alphabetical order by: county, city, zip code, and name.

298 Molina Medicare Choice Care HMO Directorio de farmacias 2020 Sección 3 - Introducción Este cuadernillo enumera las farmacias de la red Molina Medicare Choice Care’s. Para obtener la descripción completa de su cobertura para medicamentos con receta, incluido cómo surtir sus recetas, revise la Evidencia de Cobertura y el formulario de Molina Medicare Choice Care’s Cuando en el directorio de farmacias se menciona "nosotros", "nos" o "nuestro", se está haciendo referencia a Molina Healthcare. Cuando se refiere al "plan" o "nuestro plan", Molina Medicare Choice Care. Llamamos a las farmacias de nuestra lista "farmacias de la red" porque hicimos arreglos con estas para que proporcionen medicamentos recetados a los miembros del plan. En la mayoría de los casos, Molina Medicare Choice Care cubrirá sus recetas solo si se surten las recetas en una farmacia de la red o a través de nuestro servicio de pedido por correo. Después de ir a una farmacia, no se le exige que continúe usando la misma farmacia para surtir su receta médica; puede cambiarse a cualquier otra farmacia dentro de nuestra red. Surtiremos medicamentos recetados en farmacias fuera de la red en ciertas circunstancias específicas conforme se describe en la Evidencia de cobertura. Es posible que no se incluyan todas las farmacias en este directorio. Es posible que se hayan agregado 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 pueden existir nuevas farmacias en nuestra red que no están incluidas. Esta lista está actualizada a 12/2020 . Para consultar una lista más actualizada, comuníquese con nosotros. Nuestra información de contacto aparece en las páginas de la portada y la contraportada.

Puede recibir medicamentos recetados en su domicilio a través de nuestro programa de entrega de pedidos por correo dentro de la red llamado “Programa de Servicio de Farmacia por Correo de CVS Caremark” Para obtener más información, comuníquese con nosotros o consulte la sección de pedidos por correo de este directorio de farmacias.

Si tiene preguntas acerca de lo mencionado anteriormente, consulte nuestra información de contacto en la portada y la contraportada de este directorio para comunicarse con nosotros.

Todas las farmacias que se incluyen en este directorio se encuentran disponibles dentro de nuestra red. Para encontrar un tipo de farmacia dentro de nuestra red, siga este formato de organización donde comienza la sección de las farmacias: • Farmacias al por menor, incluyendo las cadenas de farmacias • Farmacia con servicia por correo • Servicios de Farmacias de Infusión en Casa • Farmacias para Cuidados a Largo Plazo

Las farmacias que se incluyen en este directorio están ordenadas alfabéticamente según: condado, ciudad, código postal y nombre.

299 Section 4 - Pharmacies / Sección 4 - Farmacias Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Ada County/Condado Total Count/Cuenta total: 112

Ada - 83703 MOUNTAIN CARE FRED MEYER SAV-ON PHARMACY PHARMACY (L) PHARMACY BOISE 3614 W State St 286 N Maple Grove Rd 3527 S Federal Way - 83702 Boise, ID 83703 Boise, ID 83704 Boise, ID 83705 CUSTOMEDICA (208) 426-9639 (208) 287-4667 (208) 424-7533 PHARMACY NORTH TTY: 711 TTY: 711 TTY: 711 END - 83704 SAV-ON PHARMACY MEDSYNC 1915 W State St 1520 N Cole Rd PHARMACY Boise, ID 83702 CONTINUED CARE Boise, ID 83704 801 S Vista Ave (208) 515-2211 LTC PHCY IDAHO (208) 375-8278 Boise, ID 83705 TTY: 711 LLC (O) (L) TTY: 711 (208) 364-7777 8601 W Emerald St Ste GENOA TTY: 711 176 WALGREENS HEALTHCARE LLC 8100 W Fairview Ave RITE AID PHARMACY (L) Boise, ID 83704 Boise, ID 83704 1100 S Vista Ave 1276 W River St Ste 138 (888) 557-4318 (208) 375-2825 Boise, ID 83705 Boise, ID 83702 TTY: 711 TTY: 711 (208) 344-2529 (208) 576-4500 CVS PHARMACY TTY: 711 TTY: 711 7402 W Fairview Ave WALGREENS 10580 W Ustick Rd RITE AID PHARMACY RITE AID PHARMACY Boise, ID 83704 Boise, ID 83704 5005 W Overland Rd 1515 W State St (208) 375-4670 (208) 377-3581 Boise, ID 83705 Boise, ID 83702 TTY: 711 TTY: 711 (208) 389-1448 (208) 345-7684 FAMILY MEDICINE TTY: 711 TTY: 711 HLTH CNTR PHCY WALMART PHARMACY SAV-ON PHARMACY SAV-ON PHARMACY 6565 W Emerald St 3233 N Cole Rd 1653 S Vista Ave 1650 W State St Boise, ID 83704 Boise, ID 83704 Boise, ID 83705 Boise, ID 83702 (208) 514-2512 (208) 501-7032 (208) 331-3007 (208) 344-8660 TTY: 711 TTY: 711 TTY: 711 TTY: 711 HEARTLAND LTC - 83705 SAV-ON PHARMACY WALGREENS PHARMACY (L) 5100 W Overland Rd 455 S Broadway Ave 8455 W Emerald St FRED MEYER Boise, ID 83705 Boise, ID 83702 Boise, ID 83704 PHARMACY (208) 343-1696 (208) 331-4187 (208) 323-0067 5230 W Franklin Rd TTY: 711 TTY: 711 TTY: 711 Boise, ID 83705 (208) 429-6433 WALGREENS TTY: 711 3395 S Federal Way Boise, ID 83705 (208) 319-1043 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 300 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Ada County continued/Condado seguido

WALGREENS FRED MEYER - 83713 WALMART 4924 W Overland Rd PHARMACY CORAM CVS/SPLTY PHARMACY Boise, ID 83705 10751 W Overland Rd INFUSION SVCS (L) 7319 W State St (208) 336-1728 Boise, ID 83709 11660 W Executive Dr Boise, ID 83714 TTY: 711 (208) 373-5233 Boise, ID 83713 (208) 853-4780 TTY: 711 TTY: 711 - 83706 (208) 323-0303 TTY: 711 ALBERTSON'S SAV-ON PHARMACY - 83716 PHARMACY 10500 W Overland Rd RITE AID PHARMACY SAV-ON PHARMACY 1219 S Broadway Ave Boise, ID 83709 10600 W Fairview Ave 6560 S Federal Way Boise, ID 83706 (208) 376-1382 Boise, ID 83713 Boise, ID 83716 (208) 433-9905 TTY: 711 (208) 322-0962 (208) 429-1088 TTY: 711 SAV-ON PHARMACY TTY: 711 TTY: 711 MEDNOW PHCY AT 10565 W Lake Hazel Rd SAV-ON PHARMACY EAGLE ST ALPHONSUS Boise, ID 83709 4700 N Eagle Rd - 83616 999 N Curtis Rd Ste 102 (208) 319-0882 Boise, ID 83713 TTY: 711 CUSTOMEDICA Boise, ID 83706 (208) 939-5149 PHARMACY (208) 367-2167 WALGREENS TTY: 711 149 W State St #101 TTY: 711 6195 S Five Mile Rd SAV-ON PHARMACY Eagle, ID 83616 RITE AID PHARMACY Boise, ID 83709 10700 Ustick Rd (208) 939-8008 660 E Boise Ave (208) 319-0191 Boise, ID 83713 TTY: 711 TTY: 711 Boise, ID 83706 (208) 322-7788 MEDNOW (208) 336-8340 WALGREENS TTY: 711 PHARMACY TTY: 711 10555 W Overland Rd - 83714 323 E Riverside Dr Ste Boise, ID 83709 SAV-ON PHARMACY RITE AID PHARMACY 120 909 E Parkcenter Blvd (208) 321-2669 Eagle, ID 83616 TTY: 711 7020 W State St Boise, ID 83706 Boise, ID 83714 (208) 367-4260 (208) 338-3722 WALMART (208) 853-3503 TTY: 711 TTY: 711 PHARMACY TTY: 711 SAV-ON PHARMACY WALGREENS 8300 W Overland Rd 250 S Eagle Rd Boise, ID 83709 SAV-ON PHARMACY 2285 S Apple St 7100 W State St Eagle, ID 83616 Boise, ID 83706 (208) 321-9080 (208) 939-9854 TTY: 711 Boise, ID 83714 (208) 336-3956 (208) 853-2606 TTY: 711 TTY: 711 - 83712 TTY: 711 WALGREENS - 83709 ST LUKES REG MED WALGREENS 265 S Eagle Rd COSTCO PHARMACY CTR PHCY O/P 6725 N Glenwood St Eagle, ID 83616 2051 S Cole Rd 190 E Bannock St Boise, ID 83714 (208) 319-0543 Boise, ID 83709 Boise, ID 83712 (208) 319-1271 TTY: 711 (208) 323-8707 (208) 381-4353 TTY: 711 TTY: 711 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 301 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Ada County continued/Condado seguido

GARDEN CITY FAMILY MEDICINE OPTION CARE (L) SAV-ON PHARMACY - 83714 HEALTH CENTER 800 S Industry Way Ste 20 E Fairview Ave FRED MEYER PHARM 240 Meridian, ID 83642 PHARMACY 2275 S Eagle Rd Ste 120 Meridian, ID 83642 (208) 888-4414 5425 W Chinden Blvd Meridian, ID 83642 (208) 884-0669 TTY: 711 (208) 954-8722 TTY: 711 Garden City, ID 83714 ST LUKES MERIDIAN TTY: 711 (208) 323-7036 PHARMERICA (L) MEDICAL CTR TTY: 711 FRED MEYER 2054 S Silverstone Way 520 S Eagle Rd Ste 1000 KUNA PHARMACY Meridian, ID 83642 Meridian, ID 83642 - 83634 1850 E Fairview Ave (208) 887-1951 (208) 706-5255 Meridian, ID 83642 TTY: 711 TTY: 711 CUSTOM RX (208) 887-5273 PORTICO WALGREENS 173 W 4th St TTY: 711 Kuna, ID 83634 PHARMACY 3150 W Cherry Ln (208) 922-4400 ID UROLOGIC 3355 E Louise Dr Meridian, ID 83642 TTY: 711 INSTITUTE Meridian, ID 83642 (208) 319-2312 PHARMACY (208) 288-4341 TTY: 711 RIDLEYS PHARMACY TTY: 711 2855 E Magic View Dr WALGREENS 1403 N Meridian Rd Meridian, ID 83642 Kuna, ID 83634 RED ROCK 1625 S Meridian Rd (208) 639-4900 PHARMACY (L) Meridian, ID 83642 (208) 922-9566 TTY: 711 TTY: 711 2370 S Titanium Pl (208) 319-0600 MEDICAP Meridian, ID 83642 TTY: 711 SAV-ON PHARMACY (208) 288-1200 PHARMACY (L) WALGREENS 700 E Avalon St 2790 W Cherry Ln Ste TTY: 711 Kuna, ID 83634 1570 E Fairview Ave 100 RITE AID PHARMACY Meridian, ID 83642 (208) 922-9836 Meridian, ID 83642 TTY: 711 3250 S Eagle Rd (208) 888-0034 (208) 288-1496 Meridian, ID 83642 TTY: 711 WALGREENS TTY: 711 (208) 898-2543 WALMART 869 E Avalon St MOUNTAIN TTY: 711 Kuna, ID 83634 PHARMACY PHARMACY RITE AID PHARMACY 795 W Overland Rd (208) 319-0205 2667 E Gala Ct Ste 125 TTY: 711 1600 N Main St Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 (208) 917-6905 MERIDIAN (208) 855-0701 (208) 888-7311 TTY: 711 - 83642 TTY: 711 TTY: 711 WALMART ALBERTSON'S OMNICARE OF BOISE SAV-ON PHARMACY PHARMACY PHARMACY (L) 3301 W Cherry Ln 4051 E Fairview Ave 3499 E Fairview Ave 320 E Corporate Dr Ste Meridian, ID 83642 Meridian, ID 83642 Meridian, ID 83642 320 (208) 884-5475 (208) 373-0024 (208) 605-3755 Meridian, ID 83642 TTY: 711 TTY: 711 TTY: 711 (208) 895-8399 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 302 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Ada County continued/Condado seguido

- 83646 STAR WALGREENS NAMPA COSTCO PHARMACY - 83669 4110 S 10th Ave - 83651 3403 West Chinden Blvd BI MART PHARMACY Caldwell, ID 83605 FRED MEYER Meridian, ID 83646 11347 W State St (208) 402-0154 PHARMACY (986) 200-4146 Star, ID 83669 TTY: 711 50 2nd St S TTY: 711 (208) 972-5181 WALGREENS Nampa, ID 83651 FRED MEYER TTY: 711 1012 Cleveland Blvd (208) 465-2836 TTY: 711 PHARMACY STAR PHARMACY Caldwell, ID 83605 1400 W Chinden Blvd 9732 W State St (208) 455-1792 SAV-ON PHARMACY Meridian, ID 83646 Star, ID 83669 TTY: 711 715 12th Ave S (208) 893-6033 (208) 286-0906 WALMART Nampa, ID 83651 TTY: 711 TTY: 711 PHARMACY (208) 466-3592 TTY: 711 TIMBERLINE Canyon 622 E Ustick Rd PHARMACY Caldwell, ID 83605 TERRY REILLY 4574 N Ten Mile Rd Suite CALDWELL (208) 453-2852 HEALTH SERVICES 110 - 83605 TTY: 711 207 1st St South Meridian, ID 83646 MEDICAL CLINIC - 83607 Nampa, ID 83651 (208) 616-1722 PHARMACY WALMART (208) 318-1376 TTY: 711 315 E Elm St # 150 PHARMACY TTY: 711 WALGREENS Caldwell, ID 83605 5108 Cleveland Blvd WALGREENS 4850 N Linder Rd (208) 459-1503 Caldwell, ID 83607 932 Caldwell Blvd Meridian, ID 83646 TTY: 711 (208) 455-0800 Nampa, ID 83651 (208) 319-0047 RITE AID PHARMACY TTY: 711 (208) 318-0018 TTY: 711 TTY: 711 2107 Blaine St MELBA WALGREENS Caldwell, ID 83605 - 83641 WALGREENS 3263 N Eagle Rd (208) 455-1094 700 12th Ave S TTY: 711 CUSTOM RX LLC Meridian, ID 83646 MELBA Nampa, ID 83651 (208) 319-0612 SAV-ON PHARMACY 112 4th Street (208) 467-1560 TTY: 711 415 Cleveland Blvd Melba, ID 83641 TTY: 711 WALMART Caldwell, ID 83605 (208) 495-9809 - 83686 PHARMACY (208) 459-1756 TTY: 711 TTY: 711 REDDISH PHARMACY 5001 N Ten Mile Rd MIDDLETON UNITED DRUG Meridian, ID 83646 SAV-ON PHARMACY - 83644 215 E Hawaii Ave (208) 982-3047 2500 Blaine St Nampa, ID 83686 TTY: 711 Caldwell, ID 83605 RIDLEY'S PHARMACY (208) 466-7823 (208) 454-0484 TTY: 711 TTY: 711 430 E Main St Middleton, ID 83644 (208) 585-2900 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 303 Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Canyon County continued/Condado seguido

SAV-ON PHARMACY - 83687 2400 12th Ave Rd COSTCO PHARMACY Nampa, ID 83686 16700 N Marketplace (208) 463-2903 Blvd TTY: 711 Nampa, ID 83687 VIC'S FAMILY (208) 465-3809 PHARMACY INC. (L) TTY: 711 118 S Midland Blvd CVS PHARMACY Nampa, ID 83686 16300 N Marketplace (208) 442-1000 Blvd TTY: 711 Nampa, ID 83687 VICS FAMILY (208) 465-6801 PHARMACY TTY: 711 1513 12th Ave Rd MEDNOW Nampa, ID 83686 PHARMACY (208) 465-7000 4400 E Flamingo Ave TTY: 711 Nampa, ID 83687 WALGREENS (208) 205-0660 2219 12th Ave Rd TTY: 711 Nampa, ID 83686 ST LUKE NAMPA (208) 318-0536 MED CTR OPT PHCY TTY: 711 9850 W St Lukes Drive WALMART Nampa, ID 83687 PHARMACY (208) 205-7155 2100 12th Ave Rd TTY: 711 Nampa, ID 83686 WALMART (208) 467-5159 PHARMACY TTY: 711 5875 E Franklin Rd WALMART Nampa, ID 83687 PHARMACY (208) 461-8718 175 S Middleton Rd TTY: 711 Nampa, ID 83686 PARMA (208) 546-3396 - 83660 TTY: 711 MEDICAP PHARMACY (L) 410 East Grove Avenue Parma, ID 83660 (208) 722-5269 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 304 Mail Order Pharmacy / Farmacia para Pedidos por Correo

Total Count/Cuenta total: 1

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 "Auto Refill and Renewal". 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 866-467-5461; TTY users should call 711. We are available 24 hours a day, 7 days a week.

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 866-467-5461; TTY users should call 711. We are available 24 hours a day, 7 days a week.

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, "Auto Refill and Renewal". Bajo este programa, empezaremos el proceso para su siguiente surtido automático cuando nuestros registros muestren que su medicamento esta 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 terminara su medicamento, para confirmar que su próxima orden se le envíe a tiempo. Para excluirse del programa de renovación automática, por favor llámenos al 866-467-5461; los usuarios de TTY deben llamar al 711. Estamos disponibles las 24 horas del día, los 7 días de la semana.

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 866-467-5461; los usuarios de TTY deben llamar al 711. Estamos disponibles las 24 horas del día, los 7 días de la semana.

CVS CAREMARK (866) 467-5461 TTY:711

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

305 Home Infusion Pharmacies / Servicios de Farmacias de Infusión en Casa Ada County/Condado Total Count/Cuenta total: 2

Please refer to the list of Molina Medicare Choice Care Network pharmacies below to find a home infusion pharmacy provider in your area. For more information, contact Member Services, as listed in the front and back covers. / Por favor vea la lista de las Farmacias dentro de la Red de Trabajo de Molina Medicare Choice Care para encontrar un proveedor en su área de farmacias de infusión en casa. Para más información, comuníquese con el departamento de Servicios para Miembros al número como aparece en la portada y contraportada. Ada BOISE - 83713 CORAM CVS/SPLTY INFUSION SVCS (L) 11660 W Executive Dr Boise, ID 83713 (208) 323-0303 TTY: 711 MERIDIAN - 83642 OPTION CARE (L) 800 S Industry Way Ste 240 Meridian, ID 83642 (208) 884-0669 TTY: 711

All pharmacies offer extended day supply unless otherwise noted/Todas las farmacias ofrecen un suministro diumo extendido, a menos que se indique lo contrario. 0 - Do not offer Extended Day Supply ofMedication/ No se ofrece un suministro diumo extendido del medicamento L - Limited Access: Pharmacies may not be available to all members/ Acceso limitado: es posible que las farmacias no esten disponibles para todos los miembros 306 Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo Ada County/Condado Total Count/Cuenta total: 10

Residents of a long-term care facility may access their prescription drugs covered under Molina Medicare Choice Care through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, contact Member Services, as listed in the front and back covers. / Los residentes de una institución de cuidados a largo plazo, pueden tener acceso a sus medicamentos prescritos cubiertos bajo Molina Medicare Choice Care a través de las farmacias de cuidados a largo plazo o de otras redes de farmacias de cuidados a largo plazo. Para màs información, comuníquese con el departamento de Servicios para Miembros al como aprace en la portado y contraportada. Ada MERIDIAN Canyon - 83642 BOISE NAMPA MEDICAP - 83702 - 83686 PHARMACY (L) GENOA 2790 W Cherry Ln Ste VIC'S FAMILY HEALTHCARE LLC 100 PHARMACY INC. (L) (L) Meridian, ID 83642 118 S Midland Blvd 1276 W River St Ste 138 (208) 288-1496 Nampa, ID 83686 Boise, ID 83702 TTY: 711 (208) 442-1000 (208) 576-4500 TTY: 711 TTY: 711 OMNICARE OF BOISE (L) PARMA - 83704 320 E Corporate Dr Ste - 83660 CONTINUED CARE 320 MEDICAP LTC PHCY IDAHO Meridian, ID 83642 PHARMACY (L) LLC (O) (L) (208) 895-8399 410 East Grove Avenue 8601 W Emerald St Ste TTY: 711 Parma, ID 83660 176 PHARMERICA (L) (208) 722-5269 Boise, ID 83704 2054 S Silverstone Way TTY: 711 (888) 557-4318 Meridian, ID 83642 TTY: 711 (208) 887-1951 HEARTLAND LTC TTY: 711 PHARMACY (L) RED ROCK 8455 W Emerald St PHARMACY (L) Boise, ID 83704 2370 S Titanium Pl (208) 323-0067 Meridian, ID 83642 TTY: 711 (208) 288-1200 MOUNTAIN CARE TTY: 711 PHARMACY (L) 286 N Maple Grove Rd Boise, ID 83704 (208) 287-4667 TTY: 711

Aloka Hassan, Uday ....222 Arhets, Alexander ...... 179 Baisley, Kalyn ...... 177 A Alviso, Marvin ...... 17 Armendariz, Anna ...... 83 Baker, Billy ...... 252 Abe, Hodaka ...... 179, 186 Amador Medical Llc .....66 Armstrong, Jared ...... 51 Baker, Bridgette ...... 17 Abenroth, Daniel ...... 118 Amarello, Amy ...... 222 Armstrong, Kate ...... 17 Baker, Janna ...... 148 Aberg, Jason 149, 155, 157 Ambrose, Marla ...... 205 Armstrong, Scott .132, 134 Baker, Kenneth ....222, 247 Abul Husn, Nina ...... 42, 44 Ambrosier, Amy ...... 166 Arnell, William ....150, 158 Baker, Steven ...... 262 Acevedo-Daniels, Suhrei Amoruso, Melanie ...... 161, Arnold, Melissa ...... 134 Baker, Steven ...... 60 ...... 44 165 Aron, Emmalee ...... 222 Balderston, Keith ...... 107 Ackerman, Robert ...... 267 Andersen, Bruce ...... 117 Arrington, Daniel ...... 120 Baldwin, Brenton .....42, 79 Acosta, Estella ...... 252 Anderson, Amanda ...... 60 Arroyo, Bryan ...... 157 Ball, Bruce ...... 107 Adamcik, Lacey ...... 222 Anderson, Brennan ...... 134 Arthur, Caroline ...... 210 Ball, Jeffrey ...... 178 Adams, Brenda ...... 34 Anderson, Bryan ...... 209 Asay, Eric ...... 285 Ball, Katherine ...... 79 Adams, Candice ...123, 125 Anderson, Caitlin ...... 121 Ascend Medical Llc ...... 66 Ballance, David ...... 17 Adams, Doug ...... 294-296 Anderson, Carolyn .....246, Ashaye, Jaiyeola ...... 45, 77 Ballantyne, Richard ....210, Adams, G ...... 289 252 Ashaye, Olurotimi ...... 222, 212 Adams, Gregory ...... 217 Anderson, Cole ...... 290 242 Ballenger Jr, Joseph .....290 Adams, Riley ...... 288 Anderson, Dara ...... 87 Ashby, Hansel ...... 67-68, Ballou, Eric ...... 266 Adams, Robert .....154, 157 Anderson, Dave ..149, 155, 70-71 Banta, Lawrence ..242, 247 Adams, Shalise ...... 55 158 Ashby, Laurie ...... 17 Barcelo, Julia ...... 189 Adamson, Theran ...... 17 Anderson, Jennifer ...... 57 Ashenbrener, Sadie ...... 222 Barclay, D James ...... 179 Adderson Healthcare Of Anderson, Kade ...150, 158 Aspesi, Anthony ...... 75 Bargen, Gabriel ...... 53 Idaho Inc ...... 67 Anderson, Katherine ....122 Assmus, Katherine ...... 179 Barinaga, Mary ...... 17 Ader, John ...... 204 Anderson, Kerry ...195-196 Astbury, Carl ...... 222 Barker, Jonathan ...... 158 Affleck, Brian ...... 145 Anderson, Lawrence ....138 Astley, Keslie ...... 242 Barnes, Addie ...... 168 Agee, Jon ...... 210, 212 Anderson, Nicholas .....186 Astley, Scott ...... 17, 35, 45 Barnes, Keri .83-87, 89, 91 Ages, Lynette .....83, 85, 89 Andrade, Sarah ...... 246 Atkinson, Jacob ...... 222 Barnes, Randy ...... 215 Agrusa, Phillip .....132, 134 Andreae, Timothy ...... 251 Atnip, Elizabeth ...... 17 Barney, Alexander ...... 154 Ahlrichs, Thomas ...... 222 Andreasen, Kacey ...... 108, Auge, Brian ...... 215 Barney, R Eric .....272, 274 Ahlstrom, Derek .168, 186, 110, 112 Augustus, Richard ...... 78 Barnhart, Carolyn ..35, 125 189, 191 Andrew, Nathan ...... 68 Ault, Susan ...... 198 Baron, Andrew ...... 80 Aiken, Dawn ...... 33, 86 Andrew, Shane ....142, 144 Avamere Transitional Care Barrelier Verner, Nita ....86 Ainslie, Georgianna ...... 51 Aney, Sara ...... 34 And Rehabilitation - Boise Barrera-Lopez, Taylor .247 Akhtar, Saadia ...... 200-201 Angstman, Kristine ...... 252 ...... 221 Barresi, Roberto ...... 211 Albrecht, Brianna ...... 154 Annest, Stephen ..246-247, Axtell, April ...... 153 Barrett, Ryan ...... 137 Alessi, Christopher ...... 218 252 Axtell, Ricky ...... 35 Barron, Gregory ...... 17, 35 Anson, Kerry ...... 34 Bartels, Josef ...... 18 Alexander, Robert ...... 110 B Alharethi, Rami ...... 104 Anstine, Suzanne ..129-130 Bartling, Victor ...... 72 Ali, Cyrus ...... 210 Anstrand, Charles 172, 192 Babcock, Jennifer ...... 17 Barton, Joshua ...... 210 Ali, Kristine ...... 274 Anttonen, Heidi ..150, 161, Bacon, Crissie ...... 86 Baruch, Amy ...... 68 All Care Health Solutions 163-164 Badger, Rodney ...... 58 Basse, Andrea ...... 153 ...... 99 Apex Center ...... 221 Baerlocher, Deborah ...... 54 Basse, Jeremy ...... 86 Allen, Daniel ...... 34, 77 Appel, Jennifer ...... 34 Bafus, Dana ...... 17, 125 Bastian, Allison ...... 18 Allen, Laura ...... 185 Applonie, Ryan ...... 140 Baggs, Jacqueline ...... 166, Bastian, Bret 149, 155, 158 Allen, Marni ...... 123 Apria Healthcare Inc - 186, 192 Bastian, Steven ....163, 165 Allen, Nicolas ...... 179 Boise ...... 66 Bahadar, Denise 83-85, 87, Bateman, Wade ...... 18, 35 Allen, Russell ...... 262 Aragona, Erika ...... 76 89-91 Bates, Allyson ...45, 87-88, Allen, Russell ...... 60 Araquistain, Mary ...... 34 Bailey, Greg ...... 157, 163 91 Allen, Shawn ...... 174 Arave, Serena ...... 128 Bailey, Justin ...... 17 Bates, John ...... 222, 247 Allen, Suzanne ...... 17 Arbon, Nicholas ..247, 252 Bailey, Michael ...... 289 Bathina, Murali ...... 57-58 Allred, Jason ...... 150, 160 Archibald, R Burke .....130, Bailey-Dabney, Marie .128 Bauer, Laci ...... 125 Alluri, Krishna ...... 98 132 Baird, Aaron ...... 275, 277 Bauer, Michele ...... 252 Alluri, Nitya ...... 98 Archuleta, Cheryl ...... 198 Baird, Andrew ...... 276

308 Index of Providers / Índice de Proveedores

Baughman, Dennis .....247, Betts, Michele ...... 223 Bohan, Carin ...... 168, 170, Bradley, Benjamin ...... 179 252 Beveridge-Choo, Tricia .86 172, 174, 178-179, 185, Bradley, Jenni ...... 130, 132 Baumer, Ka-Sia ...... 222 Bewley, James ...... 294-296 187, 189, 192 Bradley, William ...... 142 Baumgart, David ...... 222 Beyer Jr, Floyd ...... 262 Bohlman, Brock ...... 266 Bradshaw, Jonathan ....150, Bauter, Ashlee ...... 82, 88 Beyer, Floyd ...... 59, 61 Bohlman, Juli ...... 242 158 Bauter, Jonathan ...... 271 Bice, Andrea ...... 223 Bohn, Erin ...... 18, 4 5 Brady, Jordan ...... 151, 158 Bawcom, Diane ...... 222 Bickford, Albert ...... 172 Boise Dialysis ...... 71 Braksiek, Jessica ...... 199 Baxter, Susan ...... 18 Biggerstaff, Jennifer ...... 73 Boise Endoscopy Center Braman, Selena ...... 60 Bayes, Christy ...84, 89, 91 Billings, David ....150, 158 Llc - Asc ...... 52 Brandecker, John ...... 69 Beach, A Pendleton ...... 35 Billington, Ryan ...... 252 Boise Of Cascadia Llc .221 Brassell, Stephen ...... 216 Bean, Karen ...... 127-128 Binder, Shannon 82-83, 89, Boldridge, Allison ...... 155 Breilh, Stephanie ...... 213 Beasley, Donald ...... 145 91 Bole, Becky ...... 247 Bretz, Bradley ...... 146 Beattie, Christie ...... 35 Binegar, William ...... 147 Bolen, Beth ...... 22 3 Brewer, Paul ...... 294-295 Beauclaire, Helene ...... 222 Bingham, David ...... 267 Bolender, Sarah ...... 202 Brewster, Carrick ...... 272 Beaufort, Bradley ...... 35 Bingham, James ...... 261 Bolinske, Page .....267, 289 Brick House Recovery .224 Bechtel, Brandi ...... 223 Bingham, James ...... 59 Bollingberg, Cristy .....242, Bridger, Autumn ...... 217 Bechtel, Joshawa ...... 60 Bingham, Joel ...... 288 247, 252 Bridges, Kelly ...... 117 Beck, Karen ...... 266 Bingham, Michael ...... 264 Bollinger, William ...... 18 Briggs, Jessica ...... 18 Beckett, Sidra ...... 223 Birch, Michele ...... 18 Bonovitz, Nathaniel ....223, Briley, Shawn ...... 224 Beckham, Xavier ...... 158 Birch, Tyler ...... 35 241 Brimhall, Bryan ...... 94 Beckmann, James ...... 209, Bird, Brian ...... 267 Book, Phares ...... 24 7 Brinkman, Kenna ...... 153 211-212 Birnbaum, Susan 150, 161, Booth, Gregory ...... 267 Brioschi, Charles ...... 179 Beddoes, Bryan ...... 223 163-164 Boquette, Laura E ...... 65 Broadhead, Elliot .151, 158 Bedside Xray Service Inc Bishop, Rebecca ...113-114 Borgerd, Wendy ...... 161 Broberg, Craig ...... 57 ...... 1988 Bishop, Tami ...... 22...... 223 Bork, Joanna ...... 6 5 Broderick, Anthony .....115 Beeson, Donna ...... 75-76 Bitters, J'cinda ...... 42 Bork, Nathaniel ....95, 266, Bronner, Jason ...... 18 Beglinger, Leigh ...... 223 Bizik, Brian ...... 166 270, 281, 283-285 Brooks, Aimee ...... 50 Belford, Lucas ...... 45 Black, Joseph ...... 223 Bos, Taunya ...... 20 6 Brooks, Ari ...... 242 Bell, Jacqueline ...... 223 Black, Stuart ...... 45, 81 Bossolono Williams, Tina Brooks, Daniel .....137-138 Bellomy, Kami ...... 33 Black, William .....294-296 ...... 18, 35, 45 Brooks, Joseph ...... 202 Belnap, Amy ...... 247 Blair, Lon ...... 267 Bostrom, Meghann ...... 12 5 Brooks, Naomi ...... 63 Belnap, Cameron ...... 262 Blair, Ronald ...... 211 Boucher, June ...... 223 Brotman, Adam ...... 224 Belnap, Cameron ...... 61 Blaisdell, Paul ...... 276 Boulton, Cynthia ...... 83 Brown, Andrea ...... 276 Benavente, Karen ...... 223 Blaisdell, Thomas ...... 281 Bourn, Brenda ...... 65 Brown, Cody ...... 247, 252 Bender, Jean ...... 116 Blanchard, Erika ...... 54 Bowers, Howard ..211-212 Brown, Colin ...... 179 Benfield, Samantha ...... 55 Blanchard, Jordan ...... 35 Bowker, Dwight ...... 271 Brown, David ...... 209 Bennett, Alicia ...... 120 Blanchette, Anne ...... 179 Bowman, Dustin ...... 176 Brown, Hayley ...... 35 Bennett, Jeffrey ...... 164 Blaser, Herbert .....265, 271 Bowman, Jonathan ..45, 81 Brown, Jacob ...... 276 Bennett, Sharon .83, 89, 91 Blaskiewicz, Donald ....118 Bowman, Kendra ...... 210 Brown, Jeremiah ...... 272, Berg, Daranee .....154, 158, Blaylock, Kacey ..293, 296 Bowman, Lea ...... 224 275-277 165 Blea, Clarence ...... 107-108 Bowman, Patricia ...... 224, Brown, Joel ...... 151, 158 Bergloff, John ...... 277 Blough, Susan ...... 18, 103 242, 247, 251-252 Brown, Krista ...... 65 Berglund, J Alexander ...35 Blue, Sky ...... 101 Box, Jeffrey .154, 157-158, Brown, Kristina ...... 45 Bergquist, William Bluemn, Eric ...... 217 163 Brown, Megan ...... 212 ...... 200-2011 Blum, Jerilynn ...... 223 Box, Lesleigh ...... 1 8 Brown, Quinn ...... 272 Bergset, Jon ...... 58 Bluth, Larue ...... 264 Box, Lyndon ...... 5 8 Brown, Sherri ...... 105 Bermensolo, Mary ...... 242 Bobst, Jeffrey ...... 290 Boyajian, John ...... 145 Brown, Tiffany ....171-172, Bernier, Melissa ...... 223 Bockenstette, Andrea .....86 Boyce, Christal ...... 18 175, 178, 180, 185, 187, Best, Katie ...... 2233 Boeder, Jess ...... 205 Boydston, Dorene ...... 12 5 189, 192 Bethel, Tamara ...... 18 Boerner, Mark ...... 137 Boyer, Shannon ...... 121 Browne, Larissa ...... 224 Bettinger, Katelyn ...... 223, Boettiger, Taylor ...... 18 Boyno, Elizabeth ...... 224 247, 252 Bradberry, Cali ...... 168

309 Index of Providers / Índice de Proveedores

Brownfields Prosthetic & Callaway, Jackie .168, 172, Chambers, John ...... 58 Cleverly, Chad ...... 293 Orthotics Technologies Inc 180, 192 Chandler, Christopher .168 Clews, Richard ...... 123 ...... 198 Callison, Jodie ....266, 270, Chandran, Rekha ...... 113 Clifford, Kathleen ...... 123 Broyles, Todd ...... 272 281, 283-285 Chapdelaine, Sheila ....224, Cliften, Peter ...... 20 Bruce, Daniel ...... 265, 267 Camacho, Lucy ...... 189 247 Cline, Martha ...... 118 Bruce, Jessica ...... 18, 123 Cammann, John ...277, 284 Chapman, Brent ...264-265 Cline, Paige ...... 108, 110 Bruce, Steven ...... 265, 267 Cammann, Michael .....277 Chasan, Heidi ...... 130, 132 Clive, Stuart ...... 69 Brumbach, Samantha .....53 Cammann, Susanna .....267 Chasin, Judith ...... 19 Clovis, Troy ...... 274 Brunelle, Sarah ...... 65 Campana, Kirk ...... 19, 95 Chatterton, Rian ...... 206 Clyde, Travis ...... 20 Brunelle, Tommy ...... 149 Campbell, Annie ...... 209 Chaudhry, Urmila ...... 115 Coate, Katherine ...... 20 Bruning, Ashley ...... 247 Campbell, Joseph ...... 180 Chawla, Bobby ...... 105 Cobb, Jesse ..224, 247-248, Brunk, Danielle ...... 125 Campbell, Scott ...247, 253 Chea, Houng ...... 123 253 Bryan, Elizabeth ...... 165 Canales, Marilyn ...... 19 Cheatham, Maria ...... 115 Cochran, Kathryn ...... 88 Bryan, Thornton ...... 19 Candau, Matthew ...... 155 Chen, Erin ...... 166, 180 Codina, Michael ...... 56, 58 Buch, David ...... 224, 252 Cantwell, David ...... 274 Chen, Margaret ...... 116 Coffman, Thomas ...... 102 Buchanan, Janet ...... 115 Canyon West Of Cascadia, Cheney, Mark ...... 77 Cole, Alisha ...... 213 Buchmiller, Camille ...189, Llc ...... 221 Cherny, W Bruce ...... 11 7 Cole, Patrick ...... 195 192 Caplinger, Patricia ...... 130 Cherry, Kevin ...... 151, 158 Coleman, Chloe ...... 153 Buckland, Penny ...... 127 Cardwell, Kimbra ...... 123 Cheshire, Spencer ...... 54 Coleman, Corinne ...... 53 Bucur, Silvana ...... 98 Care, Steven ...... 139 Chin, Michelle ...... 87, 92 Coleman, Scott ...... 72 Buersmeyer, Patricia .....45 Carles, Toni ...... 19 Chippolla, Michael ...... 224 Collins, Brandie ...... 180 Buhrley, Louis ...... 264 Carling, Isaac ...... 151, 158 Chlebeck, Jesse ....142, 144 Collins, Branson ...... 146 Buhrley, Matthew ...... 264 Carloy, Karen ...... 51 Chong, Joshua ...... 72 Collins, Gina ...... 155 Burbank, Jarom ...... 264 Carlson, Chelsea ...... 19 Chopp, Thomas ...... 140 Collins, Kyle ...... 281 Burgess, Anne ...... 19 Carlson, Dirk ...... 130 Chorn, Andy ....20, 46, 180 Collins, Lucy ...... 20 Burk, Phillip ...... 196-197 Carlson, Hillary ...... 54-55 Choutka, Ondrej ...... 117 Colombowala, Ilyas ....102, Burke, Louis ...... 168, 180 Carmichael, Lindsey .....19, Chow, Bridget ...... 153 105 Burleigh Gilbert, Debra 42, 35, 45, 109-110, 112 Chrisman, Andrew ...... 265 Colson, Kathryn ...... 20 85 Carpenter, James ...... 242 Chrisman, Jill ...... 224 Colson, Loren ...... 20 Burnett, Scott ...... 213 Carpenter, Jessica ...... 253 Christensen, Cory 151, 158 Combe, Courtney 109-110, Burns, Joshua ...... 177 Carrasco, Alicia ...... 19 Christensen, Donna ..84-85 112 Burr, Randall ...... 64 Carter, Mason ...... 87 Christensen, Richard .....71 Comley, Tayler ...149, 153, Burrup, Jay ...... 180, 192 Carter, Nadine ...... 82 Christensen, Shaun ...... 288 155, 158, 164 Burtenshaw, Stephen ...261 Carter, Scott ...... 267, 285 Christofferson, Lesli 89, 92 Complete Hospice Care Of Burtenshaw, Stephen .....60 Carvalho, Paula ...... 204 Chung, Ki ...... 274 Boise Llc ...... 100 Burton, Tyler ...... 155 Carver, Erin ...... 172 Ciplinski, Carl ...... 20 Comstock, James ...... 290 Bushi, Stephen ...... 224 Cascadia Of Nampa .....221 Claiborne, Wayne ...... 267 Conder, Mary ...... 253 Butler-Hall, Ian ...... 69 Case, Shanna ...... 19 Clapp, Alexandra .....55-56 Condie, John ...... 120 Butterfield, Jessica Casebier, Kayla ..266, 270, Clark, Autumn ...... 155 Conlin, Cheryl ...... 180 ...... 113-114 281, 283-285 Clark, Clinton ...... 196-197 Connaughton, Duston ..268 Buxton, Robert ...... 45 Casebolt, Alex 19, 45, 168, Clark, Jayson ...... 274 Connelly, Lillian .224, 248, Buzzini, Robert ...... 140 180, 187 Clark, Jessica ...... 54 253 Bybee, William ....275, 285 Casper, John ...... 72 Clark, Juliet ...... 75 Connley, Katy ....84, 88-89 Byers, Kyla ...... 172 Castellano, Patrick ...77, 81 Clark, Lukas ...... 119 Connley, Madeline .....168, Byrd, Stephen ...... 224 Cavagnol, Robert ...... 211 Clark, Megan ...... 20 171-172, 175, 178, 180, Byrne, Brian ...... 69 Cazan-London, Gianina Clark, Russell ...... 54 185, 187, 190, 192 ...... 108 Clark, Ryan ...... 27 2 Connors, Jamie ...... 242 C Celedon, Jose ...... 19, 42, Clark, Taylor ...... 274 Conrad, Lee Ann .166, 187 Cable, Lane ...... 262 45-46 Clarke, Leslie ...... 206 Conrad, Whitney ...... 51 Cablik, Elizabeth .....84, 88 Chaganaboyana, Sulabha Clawson, Paul ...... 266, 268 Cook, Christian ...... 60 Cadwallader, Kara ...... 19 ...... 19 Clements, David ..168, 180 Cook, Corie ...... 224 Chai, Andrew ...... 57 Clendenon, Kirby ...... 281 Cook, Don ...... 268

310 Index of Providers / Índice de Proveedores

Cook, Hannah ...... 46 Crossland, Courtney ...... 35 Davis, Greg ...... 276 Di Lulo, Kylie .....121, 126 Cook, Jennifer .20, 35, 127 Crothers, Al ...... 159 Davis, Patricia ...... 225 Dial, Carson ...... 281 Cook, Sean ...... 97 7 Crouch, Robert ...... 20, 46 Davis, Rachel ...... 50 Dickie, Stephenie 266, 270, Cooper, Amy ...... 98 Crowe, Christopher ....149, Davis, Richard .....144, 268 281, 283-286 Cooper, Christine ...... 100 155 Davis, Tish ...... 166 Dickinson, Valery ...... 225, Cooper, Kylie ...... 107 Crowley-Jarvis, Colleen Davis, Toby ...... 36 243, 248, 251, 253 Cooper, Staci ...... 224, 253 ...... 280 Davis, William ...... 58 Diemont, Stephen ...... 69 Cooper, Stacy ...... 176, 180 Crownson, Bayo ...... 20, 46 Davlin, Rikki ...... 243 Digiosia, Juliana ...... 129 Cope, Adam 154, 158, 161, Crump, Jarrod ...... 90-91 Dawn, Deborah ...... 225 Diller, Jacob ...... 55 165 Crump, Steven ...... 268 Dawson, Jill ...... 132, 134 Dimichele-Manes, Andrea Corbett, Carolyn ...... 225 Crump, William ...... 36 Day, Dan ...... 225 ...... 134 Cordum, Nic ...... 102 2 Cruz, Amy ...... 86 Day, Leah ...... 107 Dingman, Achini ..203-204 Corey, Ann ...... 242 2 Culbertson, Eric ...... 20 Day, Natalie ...... 225 Dirmann, Carla ..33, 36, 92 Cornwell, Ronald .211-212 Cullinan, Michelle ...... 225 Dayley, Blake ...... 272 Dirocco, Melissa ...... 86 Corson, Donald ...... 205 Culp, Heather ...... 248, 253 Dayton, Drew ...... 295 Dittrich, William ..200-201 Costello, Frederick ...... 103 Culpepper, Scott ...... 75, 81 De Nofa, Angelique .....225 Divietro, Matthew ...... 104 Cottey, Dina ...... 120 Cunagin, Catherine ...... 144 Dean, James ...... 295 Divine, Katherine ...... 264 Cottle, Jesse ...... 166 Cureton, Jeremey ...... 21 Dean, Kevin ...... 295 Dixon, Adam ...... 276-277 Couchman, Brandon ....261 Curran, Laura ...... 21 Deblieck, Timothy ...... 21 Dixon, Jaimen ...... 293, 296 Coughlin, Michael ...... 141 Curtin, Michael ...... 139 Dedlow, Chelsea ...... 85, 88 Dizdar-Barac, Aida .....226, Cowley, L Tad ...... 69 Curtin, William ...... 108 Dee, Brenda ...... 225 248, 253 Cox, Cameron ...... 242 Curtis, Laura ...... 242 Dee, Michael ...... 46 Djernes, Michael ...... 119 Cox, Carolyn ...... 128 Curtright, Sarah ...... 21 Defrang, Caroline ..21, 104 Dobbin, Heather ...... 36 Cox, Rodde ...... 147-148 Cusack, Caitlin ...... 206 Degeus, Mindy ...... 36 Doctors Hospice Of Idaho Coyle, David ...... 106 Cusack, Sorcha ...... 110 Dehaan, Susan ....225, 243, Llc ...... 101 Coyote Prosthetics & Cyprus, Idalyn ...... 21 248, 251, 253 Dodge, Devyn ...... 154 Orthotics - Boise ...... 198 Czerna, Brittany ...... 42 Dehaven, Erin ...... 46 Dodson, Mark ...... 201 Cpapnow ...... 66 Deidrick, Kathleen ...... 225 Doepke, Dawn ...... 226 Cracolice, Brianna ...20, 46 D Delic, Zana ...... 109, 111 Doherty, Barbara ..123-124 Craig, Amanda ...... 136 Daccarett, Marcos ...... 102 Dellaglio, Mark ...... 93 Dolan, Rachel ...... 21, 124 Cramer, Todd ...... 261 Dado, Gina ...... 133 Dellairo, Deme ...... 241 Dolman, Heather ...... 226 Cramer, Todd ...... 59 Daggett, Anne ...... 225 Demark, Kimberly ...... 86 Domangue-Shiflett, Natalie Crane, Heather ...... 69 Daines, Steven ...... 140 Demars, Damon ...... 21 ...... 21, 36 Crank, Joshua ...... 288 Dale, Ryan ...... 151, 161, Demasters, Troy ...... 168 Domby, Kylee ...... 72 Crawford, Andrew ...... 178 163-164 Demetter, Randy ...... 291 Donahue, Eric ...... 79 Crawford, Brian ...... 277 Daley, Jason ...... 108-110 Denham, John-Paul 85, 88, Donald, Graham ...... 218 Crawford, Jacob .149, 155, Dallolio, Angie ...... 242 91 Donovan, Jodie ...... 21, 103 158 Dalton, Jeannie ...225, 242, Denison, Justin ...... 293 Doran, Michelle ...... 21 Creekside Transitional 248, 251, 253 Dennis, William ...... 60 Dorius, Brian ...... 161 Care And Rehabilitation Dancer, Amy ...... 33 Derkacs, Derek ...... 216 Dorn, Ronald ...... 202-203 ...... 221 Dang, Debbie ...... 141 Desai, Abhilash ...... 225 Doty, Jenny ...... 226 Crichton, Charlene ...... 115 Daniel, Rebecca ...... 206 Despain, Calvin ..268, 272, Doty-Jones, Amelia .....226 Crill, Carey ...... 225, 241 Danielson, Galen ...... 161 281, 285 Dover, Twila ...... 153 Critchlow, Baylee ...... 225, Darakjy, Albert ...... 168 Detrempe, Athena ...... 248 Dowdle, Douglas .275, 277 248, 253 Dattani, Sheev ...... 212 Detweiler, Gayle .169, 171, Dowdy, Janina ...... 254 Croft, Ashley ...... 248, 253 Dau, Birgitt ...... 101 178 Downey Sr, John ...... 262 Croft, Douglas ...... 276 Dauten, Amanda ...... 36 Develle, Robyn ...... 36, 125 Downey, Dennis ...... 262 Croft, Gordon .....266, 268, Davids, Abby ...... 21 Devinaspre, Justin 135-136 Downey, Dennis ...... 61 270, 281, 283-285 Davidson, Robert ...... 116 Devitt, Angeline ...... 74 Doyle, Catherine ...... 21 Croitoru, Raquel ...... 95 Davies, Danielle ...... 36, 46 Devitt, Michael ...... 149 Drake, Andrea ...... 254 Cron, Andrew ...... 20, 35 Davis, Charles ...... 72 Devries, Jason ...... 196 Drake, Zachary ...266, 270, Crosland, Laron ...... 20 Davis, Eva ...... 242 Dey, Patricia ...... 86 281, 283-284, 286

311 Index of Providers / Índice de Proveedores

Draper, Amanda ...... 21 Epperly, Ted ...... 22 Fisher, Maria ...... 54 Friedman, Robert .147-148 Drewien, Karena ...... 254 Erbele, Tara ...... 22 Fishman, Jennifer ...... 227 Friedt, Brian ...... 181, 185 Dsouza, Sherwin ...... 21 Erekson, Zachary ...... 100 Fitchett, Brandy ...... 46 Friel, Fred ...... 166 Duckworth, Edward ....117 Erlandson, Linda ...... 124 Fitzmaurice, Megan .....199 Fries-Geslin, Kelli ...... 36 Duclos, Kody ...... 65 Erpelding, Scott ...... 215 Fitzsimonds, Taunya ...180 Frizzell, R Tyler ...... 117 Duerr, Robert ...... 103 Erstad, Lindsay ...... 185 Fleming, Leah ...... 62 Frost, Charles ...... 136 Dunay, Megan ...... 76 Erwin, Ann ...... 22 Flint, Wesley ...... 141 Fry, Stephanie ...... 57 Dunbar, Mark .....166, 171, Etherington, Linsey .....195 Florence, Branden ...... 177, Fu, Jessica ...... 133 187, 189-190, 192 Evans, Lyndsey ...... 206 181, 187 Fuhriman, Kathryn .....171, Duncan, Cassandra ...... 36 Evans, Melanie ....125-126, Florence, Michael ...... 291 173, 175, 177-178, 181, Duncan, Jana ...... 199 128 Floyd, Charles ...... 141 185, 187, 190, 193 Dunlevy, Katharine ...... 21 Ewings, Maria ...... 22 Flynn, Christie ...... 46, 172 Funkhouser, Patricia .....85, Dunne, Amanda ...... 161 Folger, Kristen ...... 159 90, 92 Durham, Joshua ...... 76 F Fonseca, David .....200-201 G Durst, Paula ...... 130 Faber, Alison ...... 54 Foote, John ...... 145 Dytiapco, Ernest ...... 116 Fagerson, April ...... 53 Foote, Julie ...... 72 Gabrielsen, Jacob .161, 166 Forbes, Andrew ...... 214 E Fairfax, Cynthia ...... 216 Gaffrey, Melissa ...... 82 Fall, Michael ...... 201 Ford, Angel ...... 251 Gakwa, Christopher .....227 Eagle Eye Surgery Laser Fall, Stephen ...... 215 Ford, Calli ...... 243 Gale, Stephen ...... 214 Center ...... 52 2 Farmer, James ...... 121, 123 Ford, Meredith ...... 227 Gallafent, James ...... 22 Eames, Kimi ...... 226 6 Farmer, Josie ...... 22 Fountain, Cynthia ...... 129 Galligar, Lauren ...... 213 Earl, James ...... 138 8 Farrell, Patrick ...... 146 Fountain, Eric ...... 98 Galloway, Amy ...... 37, 46 Eason-Barnett, Jennifer Farris, Stephen .....294-296 Fowler, Matthew ...97, 265 Gamboa, Christina ...... 202 ...... 226 6 Fayette, Rebekah ...... 63 Fowler, Troy ...... 197 Gamboa, John ...... 202 East, Karen ...... 33 3 Fealko, Monika ...... 129 Fox, Breann ...... 163 Ganir, Aries ...... 284 Eaton, James ...... 264 Fearday, Aaron ...... 116 Fox, Jon ...... 22 Ganong, Eileen ...... 254 Ebbers, Michele ...... 216 Fedewa Aicher, Yvonne Foxton, Emily ...... 155 Gardiner, Shannon ...... 193 Eberle, Corlene ...... 127 ...... 261 Foy, Lindsey ...... 120 Gardner, James ...... 79 Ebinger, Lori ...... 169,, Feighner, Anne .....131-132 Franace, Natalie ...... 227 Gardner, Michelle ...... 79 171-172, 175, 178, 180, Fender, Fred ...... 77 Francis, Grant ...... 276 Gardner, Scott ...... 288 185, 187, 190, 192 Fernandez Brandt, Melina Franco, Janine ...... 112 Garidel, Bridgette ...... 227 Echeverria, Joshua ...... 226 ...... 103 Franden, Julie ...... 22 Garner, Curtis ...... 248 Eden, Christine ...... 210 Fethke, Kathryn ...... 138 Frandsen, Justin ...... 265 Garner, Eric ...... 146 Edvalson, Noah ...... 59 Fethke, Matthew ...... 273 Frank, John ...... 83, 90-91 Garner, Kara ...... 124 Edwards, Amy ...... 226 Fields, Pamela ...... 122-123 Franklin, Jesse ...... 263 Garpetti, Dennis ...... 274 Edwards, William ...... 74 Fife, Annie ...... 218-219 Franklin, Jesse ...... 59, 61 Garver, Nicholas ...... 167 Eichele, Daniel ...... 151 Figueroa, April ...... 22, 36 Franklin, Joachim ...... 69 Garver, Rachel ...... 141 Eichenlaub, Alison .....169, Fillmore, Parker ...... 215 Franklin, Robert ...... 33 Garvin, Nicole ...... 254 171-172, 175, 177-178, Fink, Laura ...... 72, 80-81 Frazier, Malia ...... 124 Gass, Caroline ...... 248 180, 185, 187, 190, 192 Finnegan, Jordan ...... 34 Fredline, Forrest ...... 212 Gauthier, Allison ...... 69 Eiguren, Amaya ...... 226 Fiorentino, Larry ...... 99 Fredriksson, William Gay, Daniel ...... 211-212 Elder, Becky ...... 22, 36 First Choice Home Health ...... 216-217 Gayle, Gretchen ...227, 243 Elder, James ...... 211 And Hospice ...... 99 Freeland, Autumn ...... 181 Gendler, Julie ...... 22 Eldredge, Melissa ...... 226 Firth, Sandra ...... 226, 254 Freeman, Keven ...... 281 Genther, Matthew ...33, 37, Ellefson, Shauna ...... 36 Fish, Boyce ...... 68-69 Freeman, Leah ...... 22 74 Elliott, Eric ...... 67 7 Fish, Cheryl ...... 22 Frelly, Stephen ....181, 185 Gentilman, Karen ...... 227 Elliott, Jason ...... 50 0 Fish, Stacy ...... 129 French, Robert ....266, 275, George, Kyle ...... 111-112 Elliott, Kevin ...... 288-289 Fishburn, Jon ...... 137 277 George, Megan ...... 181 Elliott, Korth ...... 268 8 Fisher, Chadwick ...... 169, Fresenius Kidney Care Gerard, Jake ...... 277, 280 Encompass Home Health 171-172, 175, 177-178, Boise ...... 71 Gere, Jacob ...... 124 & Hospice Of Idaho ...... 99 180, 185, 187, 190, 193 Freston, Christina ...36, 46, Gere, Jenna ...... 121 English-Burt, Amy ...... 51 Fisher, Christopher ..59, 61 81 Gerety, Patrick ...... 195

312 Index of Providers / Índice de Proveedores

Gerhart, Monica ...... 149 Gosline, Matthew ...... 228 Haas, Shane ...... 173, 191 Harris, Frances ...... 129 Germain, Ninon ...... 227 Gould, Linda ...... 125-126 Haase, Travis ...... 243 Harris, Honor ...... 228 Gerrish, Sarah ....33-34, 37 Goulding, Lesley ...... 23 Hackenberg, Amber .....187 Harris, Jeffrey ...... 261 Gerrish, Winslow 227-228, Gower, Shannon ...... 54 Hadley, J Kyle ...... 163 Harris, Mark ...... 148 241, 243 Graef, Kylee ...... 169, 171, Hadzic, Emir ...... 295 Harrison, Gregory ...... 117 Gertsch, Kevin ...... 138 173, 175, 177-178, 181, Haghighat, Peyman .....113 Harrison, Keisha ...... 243 Gesswein, Gayle ...... 115 186-187, 190, 193 Haghighi, Arman ...... 265 Harrisons Hope ...... 101 Gesteland, Katherine ...108 Graff, Michael ...... 73-81 Hague, Natalie .....176, 181 Harris-Sartin, Danielle ...60 Getlein Marques, Emily Graham, Austin ...... 47 Hahn, Christine ...... 101 Harrold, Calvin ...... 81 ...... 124 4 Graham, Sarah Jo 155, 166 Hainsworth, Kenneth ...139 Harsch, Tricia ...... 243 Gettelman, Rebecca .....104 Graklanoff, Teresa ...... 181, Hajjar, Michael .....117-118 Hart, Bryan ...... 117 Getz, Jon ...... 209, 211 185 Hakes, Diane ...... 228 Hart, Jill ...... 229, 248, 254 Gibb, Justin ...... 121 1 Grange, Landon ...137-138, Hale, Jennifer ...... 204-205 Hartley, Arlene ...... 77 Gibbons, Scott ...... 262 293 Haley, Amos ...... 140 Hartwig, Laura ...... 84 Gibbons, Scott ...... 60 Grant, Angela ...... 23 Hall, Amanda ...... 116 Harvey, Ryan ...... 51 Gibson, Elizabeth ...... 115 Grant, James ...... 276 Hall, D Eric ...... 37 Harward, Nathan 274, 278, Gibson, Lauren ...... 193 Grant, Scott ..268, 277-278 Hall, Jeffrey ...... 243 283, 286, 289 Gibson, Michael ...... 136 Gratzer, Jessica ...... 124 Hall, Rebekah ...... 243 Haskell, Tyler .....154, 159, Gibson, Samuel ...... 94 Graviet, Scott ...... 196 Hall, Sarah ...... 83 163 Gierhart, Megan ...... 228 Gray, Abby ...... 115 Hall, Stanley ...... 23 Hassinger, Sean ....141-142 Giffen, Sheila ...... 22 2 Gray, Jennifer ...... 73 Hamblin, Robbie ...... 288 Hastings, Jon ...... 273 Gilbertson, Jeffrey ...... 218 Gray, Trever ...... 286, 288 Hamblin, Todd ...... 23 Hasty, Robert ...... 37 Gilbreath, Eric ...... 228 Gray, Tyson .266, 268, 276 Hamilton, Brady ...... 73 Hatfield, Julie ...... 229 Giles, Jonathan ...... 215 Green, Carolyn ....177, 181 Hamilton, Samantha ....154 Hathaway, Evan ...... 276 Gill, Taya ...... 22, 46 6 Green, David ...... 272 Hamlat, Christian ...... 218 Haugen, Cody ...... 157 Gilman, Andrea ...... 228 Green, Johnny ...... 63 Hammargren Freeman, Hauser, Walter ...... 282 Ginkel, Ross ...... 243 Green, Nathan ...... 106 Ashley ...... 254 Hausner, Nancy ...... 229 Gladd, Dana ...... 55 5 Green, Paula ...... 228 Hammer, Carly ...... 33 Havelka, George ...... 218 Glass, Justin ...... 23 Greer, Finnegan ...... 176 Hammer, Jason ...... 286 Hawkins, Katherine .....110 Glenn, Randall ...... 277 Greer, John ...... 216 Hammer, Jim ...... 149, 155, Hawkins, Roma ...... 229 Glover, Michael ...143-144 Gregerson, Gary ...... 134 159 Hawks, Clayton ...... 126 Gnadinger, Christopher .67 Griffin, Justin ...... 262 Hammerle, Christopher Hawks, Rulin ...... 163 Godsill, Hillary ...... 254 Grigg, Lisa ...... 293 ...... 93-94 Haws, Anneliese ...... 277 Goldberg, Marcel ...... 77 Grigg, Robert ...... 294 Hansen, Bonnie ...... 228 Haws, Daniel ...... 277 Golden, Carolyn ...... 243 Griggs, Jeffrey ...... 169 Hansen, David ...... 121 Haycock, Jason ...... 262 Goltry, Brian ...... 200-201 Grooms, Shanda ...... 103 Hansen, Duane ...... 69 Haycock, Jason ...... 60 Gomes, Kristin ...... 63 Grote, Heather ...... 23, 47 Hansen, Karrie ...... 206 Hayden, Sarah ....169, 171, Gomez, Jerry ...... 266, 270, Grow, Marc ...... 166 Hansen, Robert ...... 142 173, 175, 178, 181, 281, 283-284, 286 Gude, Warren ...... 67 Hansen, Tate ...... 111 186-187, 190, 193 Gomez, Jose ...... 169, 171, Gudmundsen, Gretchen Hansen, Timothy ...... 280 Hayes, Cynthia ....129, 131 173, 175, 178, 181, 185, ...... 228 Hardesty, Michael 213-214 Hayes, Joshua ...... 87-88 187, 190, 193 Gupta, Akshay ...... 93-95 Hardin, Daniel ...... 228 Hayhurst, Scott ...... 268 Good Samaritan Society - Guryan, Beth ...... 206 Harding, Cary ...... 62 Hayton, Derek ...... 74 Boise Village ...... 221 Gussner, Christian ...... 148 Hardy, Amy ...... 206 Headley, Rebecca ...... 229 Gooding, Jennifer ....85, 88 Gustafson, Jill ...... 114 Hardy, Ryan ...... 211-212 Healing Arts Day Surgery Goodspeed, Rebecca ...181 Gustavsen, Evan ...... 150 Harf, Leo ...... 137, 139 Llc ...... 53 Goodwin, Thomas ...... 140 Guy, Rebecca ...... 37 Harker, Adam ...... 268, 278 Heart N Home Hospice & Gopon, Tobias ...... 207-208 Guzman, Trevino .132, 135 Harlan Drewel, Elena ..228 Palliative Care Llc ...... 101 Gopp, Aaron ...... 121 Harless, Helen ...... 273 Heaton, Rhoda ...... 68 Gorden, Nicholas ...... 98 H Harrington, Kristina ....228, Heaton, Thea ...... 190 Gordon, Louissa ...... 23 Haas, Cody ...... 228 243 Hedemark, Michael ...... 33 Gorham, Amber ...... 23, 37 Haas, Joan ...... 268, 282 Harris, Eli ...... 146

313 Index of Providers / Índice de Proveedores

Hegg-James, Kim ...... 229, Hill, Julia ...... 100 Horizon Home Health And 248, 254 Hillam, Michael ...... 229 Hospice ...... 99 I Heggland, Erik ...... 144 Hilpert, Stephanie ...... 124 Hornbaker, Ann ...... 47 Idaho Endoscopy Hegstad, Sumiko ...... 195 Hinchman, David ...... 57 Horton, Mary ...... 151, 155, Center_Asc ...... 52 Heidt, Tiffany ...... 233 Hippe, Scott ...... 23 161, 163-164 Idaho Physical Medicine Heikkila, Rick ...... 254 Hirose, Christopher .....141 Hosier, Jennifer ...... 65 And Rehabilitation Pa ...53 Heilman, Michael ....83-85, Hisel, John ...... 268 Hostetler, Michael ...... 58 Idaho State Veterans Home 87-92 Hislop, Donna ...... 229 Hotchkiss, Ian ...... 42 - Boise ...... 221 Hein, Ryan ...... 2622 Hitch, Michelle ...... 268 Housley, Michael ...... 169 Iddings, Amy ...... 230 Heiner, Cody ...... 135 Hitman, Brianna ..155, 159 Houtrouw, Annamarie ...88 Imam, Blake ...... 275, 278 Heiner, Darren ...... 294-296 Hodges, Bryan ...... 131-132 Howard, Jason .....294, 296 Ineck, Yesenia ...... 154 Heiner, Jared ...... 216 Hodson, Stephanie ...... 98 Hoyt, Brenda ...... 230 Ingram, Rory ...... 24 Helfer, Tamara ...... 229 Hoegsberg, Bente ...... 129 Hoyt, Brian ...... 6 4 Inman, Kandiss ...... 129 Helsley, Amanda ...... 243 Hoewing, Bonnie ...... 104 Hoyt, Heather ...... 230 Inroads Inc ...... 244 Helvie Franklin, Elise ..272 Hoewing, Heather ....42, 47 Hsu, Karin ...... 24, 37, 47 Intermountain Medical Henao, Gloria ...... 23, 37 Hofer, Jennifer ...... 50 Huck, Brian ...... 230, 24 1 Imaging - Boise ...... 107 Hendricks, Robert ...... 266, Hoffmann, Jeffrey ...... 103 Hudson, Jennifer ...... 129 Intermountain Medical 268, 270, 282-284, 286 Hofkins, Gabriel ...... 229 Hudson, Kevin ...... 167 Imaging - Eagle ...... 202 Hendricks, Tyler ..266, 276 Hofstetter, Annamarie ...23 Huerd, Steven ...... 215 Intermountain Medical Heninger, Bradley ...... 111 Hofstra, Jennifer ...... 102 Huffaker, Kristina ....77-78 Imaging - Meridian ...... 107 Heninger, Lynae ...... 161 Hogg, Kiersten ...... 90-91 Huffine, Cory ...... 126 Interpath Laboratory ...... 62 Henkle, Sarah ...... 23 Hogg, Nathanael ...... 42 Huffine, Esther ...... 3 7 Ireland, Stephen ...... 119 Henrich, Alicia ...... 187 Hoid, Amber ...... 248 Huffmire, Daniel .282, 286 Irvin, Jeremy ...... 254 Henson, Scott ...... 211 Hoidal, Eric ...... 269 Hughes, Angela ...... 5 0 Irwin, Anna ...... 118-119 Henze Iii, Ronald ...... 59 Hoilien, Michael ...... 75 Hughes, Dustan ...... 135 Isaacson, Ronnie ...... 190 Herauf, Kyle ...... 1555 Hoke, Jami ...... 136 Hughes, Jenifer ...... 76, 7 9 Hernandez, Joel ....295-296 Holbrook, Katherine Hughes, Juliette ...... 135 J Hernandez, Rachel ...... 65 ...... 229-230, 248 Hulbert, Coleen ...... 3 3 Jackson, Cary ...... 79, 81 Herr, Jessica ...... 76 Holbrook, Mark ...... 23 Hulbert, David ...... 3 3 Jackson, Chad ...... 137 Herrera, Cecilia ...... 229 Holder, Katy ...... 167, 181 Hulbert, Ryan .....230, 243, Jackson, Christopher ..275, Herzog, Brooke ...... 243 Holgate, Brian .....151, 161 249, 251, 254 278 Herzog, Geoffrey ...... 275 Holland, Robert ...... 37 Hulquist, Matthew ...... 69 Jackson, Elizabeth ...... 230 Herzog, Hazen ...... 23 Holley, Keith ...... 51 Hulsey, Kevin ...... 157, 16 1 Jackson, Robert ...... 216 Heslop, Jeffrey ...... 106 Holliday, Jennifer ...... 24 Humbert, Ryan ....286, 288 Jackson, Yvette ...... 230 Hess, Chad ...... 268 Hollingshead, Mark .....137 Hunsaker, Nathan ...... 157 Jacobsen, Luke ...... 269 Hess, Julie ...... 275, 278 Hollingsworth, James ..261 Hunt, Sarah ...... 274 Jacobson, Sig-Linda ....108 Hessing, Jeffrey ...... 141 Hollingsworth, James ....59 Hunter, Donna ...... 230 Jakobson, Tyson ..181, 191 Hetherington, Samuel ..165 Hollist, Julianne ...... 37 Huntington, Alexandra Jamison, Craig .....181, 187 Heusinkveld, Kelly .....167, Hollopeter, Sarah ...... 73 ...... 151, 161, 164 Jangula, Michael ..288-289 175, 190 Holmes, Wendi ...... 122 Huntington, Ciara ...... 209 Jankowski, Meghan ...... 94 Heyborne, Ryan ...... 67-71 Holweger, Joshua 199, 201 Huntington, Mary Ann ..33 Janousek, Laresa ...... 115 Heyrend, Joshua .268, 273, Holyoak, Michael ...... 72 Huntington, Thomas ....209 Janowiak, Mary ...... 130 282, 286 Homaechevarria, Alejandro Hurty, Michelle ...... 167 Jardine, Barry ...... 278 Hickey, John ...... 599 ...... 208-209 Hussar, Alexandra ...... 269, Jardine, Suzanne ...... 37 Hickey, Thomas ...... 261 Hood, Chad ...... 59 278 Jares, Shannon ...... 37 Hickey, Thomas ...... 59 Hood, Kersondra ...... 230 Hutchings, Randall ...... 80 Jarrell, John ...... 195 Hicks, Michelle ...... 37 Hooker, Justin ...... 196 Hutt, Nicholas ...... 19 9 Jarvis, Danielle ...... 151 Hicks, Nathan ...... 102 Hooker, Lucas ...... 254 Hyder, Brock ...... 27 4 Javernick-Hodges, Necole Hightower, David ...... 69 Hooker, Mallori ...... 124 Hymas, Douglas ...... 273 ...... 131-132 Hill, Britani ...... 2144 Hooper, Pamela ...... 230 Jencks, Crystal ...... 37 Hill, Courtney ...... 191 Hopstad, Jerret ....149, 155, Jensen, Jared ...... 262 Hill, Graham ...... 278 8 159 Jensen, Johanna ...139, 293

314 Index of Providers / Índice de Proveedores

Jensen, Kaci .266, 270, 286 Jorgensen, Melinda ...... 244 Kemp, Jason ...... 209 Knutson, Christina ...... 130 Jensen, Leonard ...... 33 Jorgenson, Samuel ...... 145 Kemp, Ryan ...... 196 Kocemba, Russell ...... 24 Jensen, Melinda ..266, 271, Josefow, Kathryn ...... 136 Kemp, Travis ...... 141-142 Koga, Steven ...... 43, 105 282-284, 286 Juarez, Dominique ...... 231 Kendall, Eric ...... 69 Kohler, Gretchen ...... 24 Jensen, Peter ...... 293 Judd, Dustin ...... 139 Kenley, Lindsay ...... 231 Kokoulina, Polina ...... 98 Jensen, Philip ...... 93-95 Judson, Julie ...... 255 Kennedy, Michelle ...... 122 Kolnes, Kristen ...... 47 Jensen, William ...... 112 Judy, Elizabeth ...... 24 Kent, David ...... 231 Komori, Allyson ....24, 104 Jeppson, John ...... 52 Jue, Tyler ...... 97 Kent, Dylan ...... 149, 156 Konkel, Eric ...... 175 Jepson, Mark ...... 230 Jungman, Tracy ...... 121 Kent, Gregory ...... 138-139 Konrad, Jill ...... 25 Jerome, Peter ...... 201 Jurgensmeier, Darin .....141 Kern, Lisa ...... 74 Kooyman, Matthew .....280 Jessen, Rachel ...... 230, 244 Justin, Amelia ...... 286, 288 Kerns, Benjamin .167, 182, Kopp, Nicole ...... 255 Jin, Jenny ...... 141 1 Jutzy, Ronald ...... 117 191 Kopperud, Tracey .132-134 John, Jennifer ...... 231, 249 Kesler, Jerri ...... 206 Korell, Khristopher ...... 156 Johns, Brian ...... 135 K Kessler, Konrad ...... 69 Kormylo Orthopedic Inc - Johnsen, Nicole ...... 126 Kaczmarczyk, Katarzyna Keswani, Sundeep ...... 210 Boise ...... 198 Johnson, Alex ...... 56 ...... 201 Keystone Hospice Llc .100 Korn, Robert ...... 209 Johnson, Clark ...... 197 Kading, Kellan .....210-211 Kfoury, Abdallah ...... 38 Kornfield, Lee ...... 25 Johnson, Craig .....231, 249 Kadyan, Vic ...... 207 Khaddour, Leila ...... 114 Kosberg, Paula ...... 159 Johnson, Erika ...... 63 Kaiser, John ...... 132 Khochay, Natalia ...... 205 Koster, Anne ...... 88 Johnson, Frank ...... 38 Kaldor, Sarah ...... 231 Kibiloski, Sarah ...... 159 Kouskov, Oleg .....200-201 Johnson, Gregory ...... 24 Kammer, Jacob ...... 136 Kido, Scott ...... 288 Kowalczyk, Ryan ...... 265 Johnson, James ...... 155 Kamp, Kyle ...... 65 Kienlen, Jennifer ...... 199 Kozisek, Peter ...... 76, 78 Johnson, Jared ...... 141 Kantayya, Vivek ...... 24, 47 Killian, Peter ...... 145 Kracke, Elsa ...... 25 Johnson, Jeffery ..168-169, Kapadia, Carl ...... 106 Killian, Tye ..232, 249, 255 Krafft, Kevin ...... 148 171, 173, 175, 177-178, Karas, Daria ...... 73-81 Kim, Serin ...... 156, 159 Krahn, Janae ...... 38 181, 186-187, 190, 193 Karcher Post-Acute & Kimpton, Tory ...... 232 Kranz, James ...... 261 Johnson, Joann ...... 63 Rehabilitation Center ...221 Kinahan, Caitlin ...... 102 Kranz, James ...... 59 Johnson, Katrina ...... 109 Karedan, Tezo ...... 98 King, Amanda ...... 123-124 Krasovich, Sharon ...... 124 Johnson, Keri .....84, 90-92 Karsten, Benjamin ...... 210 King, Ashley ...... 24 Kraus, Catherine ...... 255 Johnson, Miers ...... 144 Kartel, Douglas ...... 69 King, Kimberly ...... 124 Krause, Alison ...... 232 Johnson, Robby ...... 231 Kashirny, Sergei ...118-119 King, Robin ...... 61 Kravchuk, Nadezhda .....92 Johnson, S ...... 231 Kashubin, Sergey ...... 85 Kinghorn, Kurt ...... 197 Kreisle, William ...... 98 Johnson, Shae ...... 73 Kasper, Megan ....132, 135 Kinghorn, Lyndsy ...... 87 Kreizenbeck, Kara ...... 232 Johnson, Susanne ...... 231, Kasumovic, Sandra ...... 110 King-Menzner, Dawn Kristensen, Ronald .....142, 249, 252, 255 Katseanes, Davis ...... 133 ...... 216-217 144 Johnson, Tina ...... 231, 244 Kaylor, Michael ...... 38 Kipp, Adam ...... 24 Kriz, John ...... 266, 271, Johnson, Tosha ...... 58 Keating, Kathleen 131, 133 Kipsuge, Kimereng ...... 38 282-284, 287 Johnson, Troy ...... 24 Keefe, Tricia ...... 47 Kirk, Amy ...... 115 Kroll, Becky ...... 25 Johnson, Vanessa ...... 231 Keel, Amanda ...... 148 Kirtley-Perez, Amber Kroon, Melissa ...... 25, 47 Johnston, Tracy ...... 24 Keen, Jessica ...... 57 ...... 56-57 Kropf, Mark ...... 38 Jones Jr, James ...... 38 Keenan, Karissa ...... 130 Kittelson, Brian ...... 24, 38 Krumm, Jane ...... 232 Jones, Alvin ...... 154 Keenan, Katie .....231, 249, Klabo, Colleen ...... 244 Krumm, Tiffany ...... 232 Jones, Arthur ...... 146 255 Klassen, Darren ...177, 182 Kuchar, Jobeth ...... 128 Jones, Erin ...... 142 Kees, Linda ...... 66 Klein, Eric ...... 205 Kuehne, John ...... 232, 255 Jones, Robyn ...... 199 Keiley, Michael ...... 52 Klein, Frederick ...... 70 Kuehne, Shawna ..232, 255 Jones, Stewart ...... 197 Kellbach, Valerie 266, 271, Klein, Nicole ...... 101 Kuhn, Tonya ...... 202 Jones, Tami ...... 255 282-284, 286 Klein, Scott ...... 38 Kuiper, Kristen ...... 207 Jones, Wendy ...... 213 Keller, Christopher ...... 116 Klomp, G Robert ...... 129 Kuna Counseling Center Jones, William ...... 24, 167, Keller, Katrina ...... 38 Knibbe, William ...... 204 ...... 241 176, 181 Keller, Kim ...... 286, 288 Knierim, Ann ...... 142 Kuntz, Kara ...... 96-97 Jordan, Anthony ...... 24, 38 Keller, Klint ...... 287 Knight, Brian ...... 232, 249 Kunz, Derek ...... 67-68 Jorgensen, Ashley ...... 255 Kellis, Nathan ...... 102 Knorpp, Daniel ...... 76 Kuo, Helen ...... 216-217

315 Index of Providers / Índice de Proveedores

Kuper, Elisabeth ...... 33 Leddige, Sarah ....150, 153, Linstroth, Lee ...... 106 Magee, Stefanie ...... 173 Kutzner, Kimberly ...... 149 156 Linzmeyer, Kristin ...... 57 Maier, Eric ...... 25 Kuznia, Benjamin 159, 163 Lee, Brenda ...... 167 List, Elizabeth ...... 256 Maier, Erica ...... 207 Lee, Brian ...... 164 Little, Kenneth ...... 117 Maier, Michael ...... 25 L Lee, Jennifer ...... 63 Livingston, Elizabeth ...210 Majithia, Neil ...... 98 Labcorp Boise ...... 62 Lee, Katherine ...... 138 Llenos, Joe ...... 43, 47 Major, Meikel ...... 39, 79 Labernik, Julie ...... 232 Lee, Lisa ...... 249 Lliteras, Katrina ...... 131 Major, Melissa ...... 78 Laboratory Corporation Of Lee, Richard ...... 107-108 Lloyd, Spencer ...... 282 Makki, Ali ...... 25 America Pocatello ...... 62 Lee, Timothy ...... 210 Lobb, Brian ...... 173, 193 Malan, Daniel ...... 275 Lachapelle, Brian ...... 169 Lee, Valerie ...... 124, 126 Lochhead, Richard ...... 117 Malan, John ...... 290-291 Ladimir, Lolita ...... 232 Leet, Leslie ..232, 249, 255 Locke, Rebecca ...... 39 Malan, Na Ree ...... 269 Laible, Katherine .167, 182 Leibler, Maria ...... 151, 161 Lockwood, Robert ....93-95 Malasky, Beth ...... 56 Laitinen, William .....44, 81 Leis, Stanley ...... 196 Loder, Molly ...... 159 Malek, Sekayi ...... 137 Laky, Devin ...... 38 Leman, Jarah ...... 76 Loeb, Ashley ...... 244 Mallea, Michael ...... 116 Lam, Garrett ...... 108 Leonard, Bryce ...... 38 Loehr, Alexander ...... 68 Mancini, Carlie ...... 233 Lamb, Bryan ...... 274 Leonard, Jennifer 121, 126, Loftin, Joni ...... 206 Maness, Tarasue ...... 128 Lamb, Kirsten ...... 25 128 Long, Jessica ...... 39 Mangeac, Olivia .169, 171, Lambertz, Colleen 126-127 Levenson, Darcie ...... 111 Looze, Emily ...... 190 173, 175, 178, 182, 186, Lamers, John ...... 296 Levinger, Marni ...... 255 Looze, Jordan ...... 232 188, 190, 193 Lamers, Stacy ...... 73-75, Levitch, Rachel ...... 38, 109 Lopez, Maryalice ...... 129 Mann, Larissa ...... 55 77-81 Lewis, David ...... 278 Lorentzen, Michael ...... 124 Manning, Thomas 117-118 Lancaster, Paul ...... 55 Lewis, Erika ...... 25, 103 Lossmann, Scott ...... 215 Mannschreck, Molly ....137 Landis, David ...... 109, Lewis, Heather ...... 173 Lougheed, Christopher 156 Manos, Richard ...... 144 111-112 Lewis, Janean ...... 269 Lovelace, Lori ...... 288 Mansfield, Kelly ...... 289 Landry, Jennifer ...... 38 Lewis, Jennifer ...... 113 Loveland, William ...... 39 Manwaring, Ryan ...... 244 Lane, Megan ...... 38, 177 Lewis, Leslie ...... 193 Loveless, James ...... 203 Mar, Shaun ...... 60 Lane, Sarah ...... 177 Lewis, Robert ...... 281 Low, Jeffrey ...... 142 Marion, Sarah ...... 233 Laney, Jeffrey ...... 278, 284 L'heureux, Nancy ...... 83 Lowder, B Kerry .131, 133 Markham, Bonnie ...... 233 Lange, Samantha ...... 47 Liberty Dialysis Caldwell Lowe, Randy ...... 196 Marks, Melinda ...... 61 Langley, Randall .150, 156 ...... 71 Lowry, Benjamin ...... 27 3 Martin, Brian ...... 182 Lans, Joel ...... 94-95 Liberty Dialysis Nampa .71 Lowry, Eric ...... 273 Martin, Cory ...... 182 Lara, Benjamin ...... 232 Liday, Erin ...... 255 Lowry, F ...... 27 3 Martin, David ...... 233 Larkin, Brian ...... 25 Life Care Center Of Boise Lubbers, Ali ...... 149 Martin, Jaime ...... 70 Larkin, William ...... 272 ...... 221 Lucas, Jennifer ...... 2 5 Martin, Kathleen ...... 135 Larson, Carl ...... 278 Life Care Center Of Ludwig, Jason ...... 25 Martin, Pam .150, 156, 159 Larson, Don ...... 276 Treasure Valley ...... 221 Lynam, Rochelle .178, 190 Martin, Richard ...... 212 Larson, Matthew ...... 232 Lillemon, Jennifer ...... 93 Lynch, Chelsea ...... 203 Martin, Susan ...... 233 Larson, Megan ...... 121 Lilly, Alanna ...... 169, 171, Lynch, Joseph ...... 141 Martin, Trever ...... 197 Larson, Peter ...... 78 173, 175, 178, 182, 186, Lyness, Colin ...... 119 Martin-Cowger, Alicia 207 Laskow, Bari ...... 47 188, 190, 193 Lynn, Molly ...... 88 Martinez, Derek ...... 118 Lattin, John ...... 147 Lima, Madeline ...167, 173 Lyons, George ...... 119 Martinez, Jorge ...... 139 Lavarias, Sari ...... 188, 193 Limerick, Jocelyn ....95-96, Lyons, Trek ...... 207-208 Martinez, Mario ...... 126 266, 271, 282-284, 287 Martinsen, Misty ...... 39 Lavergne, Brigitta ...... 81 M Lawler, Christopher .....143 Lin, Jeffrey ...... 200-201 Martin-Thompson, Lawler, Helen ...... 56-57 Lincare - Meridian ...... 67 Macdonald, Richard ...... 70 Michelle ...... 39 Lawler, Monica ...... 73, 78 Lincks, Jack ...... 291 Macha, Matthew ...... 210 Martsenyuk, Anna 146-147 Lawyer, Tracye ...... 144 Lind, Daron ...... 278 Mack, Charisse ...... 176 Marx, Benjamin ...... 50 Layne, Juanita ...... 91 Lindberg, Sarah ...... 53 Mackay, Jenna ...... 197 Marzolf, Susan ...... 131 Layton, Boyd ...... 213-214 Linderman, Derek 200, 202 Maddux, Sarah ...... 176 Mason, Robert ...... 156 Learned, Laura ...... 206 Lindner, William .141, 143 Madison, Michael ...... 25 Masser, Philippe ...... 218 Leavell, Kerry ...... 255 Linn, Brittany ...... 127 Madsen, Justin ....267, 271, Massoth, Nicholas ...... 290 Linn, Erik ...... 80 282-284, 287

316 Index of Providers / Índice de Proveedores

Mather, Kelly ...... 233, 244, Mcmahan, Nancy ...... 233 Middleton, Julia ...... 182 Moore, Steven ...... 152, 249, 251, 256 Mcmartin, Michael ...... 148 Miinch, Keely ...... 126 162-163, 165 Mathews, Joel ...... 213-214 Mcmartin, William .....151, Millennium Surgery Center Moore, Timothy ...... 56-58 Mathews, Katherine .....103 153-154, 161, 163-164 ...... 53 Moores, Desiree ...... 136 Matias, Kimberly ...... 233 Mcmurray, James ...... 151, Miller, Alisha ...... 33 Moorhouse, Aaron ...26, 39 Matsumuro, Gayle ...... 122 157, 159 Miller, Callie ...... 128 Moos, Aaron ...... 131 Matteson, Brian ...... 218 Mcmurray, Kayla ...... 165 Miller, Chelsea ....185, 188 Mooseau, Dixon ...... 261 Matthews, Brittany ...... 25 Mcqueary, Jessica ...... 135 Miller, Gary ...... 118 Mooso, Darin ...... 283 Maughan, Delray ...... 146 Mcrae, Lon ...... 279 Miller, James ...... 152, Morales, Alejandro .....234, Maughan, Kyle ...... 154 Mcsweeney, Kevin .....293, 162-163, 165 244, 249, 251, 256 Mauk, Steven ...... 249 296 Miller, Karen ...... 200-201 Morales, Jessica ...... 26 Mavy, Tim ...... 292 2 Mcvey, Douglas ...... 109 Miller, Katherine ...... 7 4 Moran, Gregory ...... 26 Maxwell, Shane ...... 107 Meadow View Nursing Miller, Lauren ...... 129, 133 Moravek, Adam ...249, 256 Maybach, Delores ...... 89 And Rehabilitation ...... 221 Miller, Mark ...... 138 Morch, Christian ...... 182 Maybach, Jacqueline ...129 Meadows, Teri ...... 204 Miller, Roarke ...... 289 Moreno, Jeffrey ...... 256 Mayo, Billiesue ...... 127 Measham, Christine ...... 65 Miller, Spencer ...... 104 Moreno, Marcos ...... 244 Mccaffrey, Rebecca .....130 Mebane, Mary ...... 26 Miller, Terry ...... 233 Morgan, Clinton ...... 99 Mccallister, Ashley ...... 43 Mecier, Brenda ...... 54 Millett, Tiffany ...... 26, 47 Morgan, Mary ...... 39 Mccauley, Shane ...... 25 Medaris, Bryan ...... 289 Mills, Joanna ...... 233, 249 Morgan, Tracy ...... 39 Mcclain, Penny ...... 91 Medicap Pharmacy ...... 146 Millspaugh, Samantha ...76 Morigeau, Kirsten ....94-95 Mcclaskey, Daniel ...... 25 Medrano, Cynthia ...47, 82, Millward, Anthony ...... 188 Morrell, W ...... 265 Mcclenahan, Melissa ...182 84, 90, 92 Millward, Gary .....195-196 Morrill, Shannon ...... 176 Mccombs, Joseph ...... 291 Meehan, Johnny ...... 233 Millward, Michael ...... 233, Morris, Bradley ..169, 171, Mcconkie Jr, Richard ...43, Meeks, Stephanie ...... 256 249 173, 175, 177, 179, 182, 49 Meguess, Wendy ...... 137 Miltner, Natasha ....39, 103 186, 188, 190, 193 Mcconnell, Michael ...... 61 Meier, Alexandra .....96-97 Miner, Travis ...... 256 Morris, Michael ...... 217 Mccoy, Alaina ...... 110-111 Mello, Bethany ...... 47 Minter, Kimberlee ...... 233 Mortensen Stoddard, Risa Mccreath, Anna ...... 126 Melton, Danielle ..156, 159 Miranda, A Richard ...... 98 ...... 234, 256 Mccullough, Jocelyn .....56 Mendenhall, Mitchell ....80 Misner, Wendy ...... 51 Mortensen, Emily ...... 256 Mccullough, Mark ...... 233, Menen, Rhiana ...... 214 Mistry Wolf, Dinu ...... 195 Mortensen, Wayne ...... 275 256 Meng, Jerry ...... 116 Moak, Haley ...... 167 Mortimer, Margaret ...... 83 Mccusker, Kevin ...... 200 Menzner, Jeffry ...140, 143 Moffett, Katrin ...... 152 Mortin Phelps, Faith ....165 Mcdermott, Brian ...... 151 Meridian Endoscopy Mohr, Caitlin ...... 33 Morton, Laura ...... 83-84 Mcdermott, J David ...... 39 Center - Asc ...... 53 Mondada, Katherine ....182 Moser, Devon ...... 85, 88 Mcdonald, Blake ...... 249 Meridian Meadows Mong, Jacob .138-139, 293 Moshirfar, Majid ...... 137 Mcdonald, Mark ...... 289 Transitional Care ...... 221 Montalbano, Paul .117-118 Moss, Brian ...... 70 Mcdonough, Katherine ..78 Mering, Mark ...... 26 Montamat, Stephen ...... 26 Moss, Eric ...... 188 Mcdowell, Elizabeth ....176 Merrell, Katrina ..169, 171, Montgomery, Jason ...... 26 Moss, J Randall ...... 269 Mcelroy, Kevin ...... 294 173, 175, 178, 182, 186, Montgomery, Mary .....233 Moulton, Travis ...... 43, 79 Mcfarlane, Carolyn ...... 103 188, 190, 193 Montgomery, Phyllis ...256 Mountain Brace Systems Mcgar, Dale ...... 169 Mesaros, Lisa ...... 177 Montgomery, Richard .234 ...... 66 Mcgee, Dennis ...... 145 Meserow, James ...... 133 Montgomery, Veronica Mower, Michael ...... 269 Mcgeorge, Laura ...25, 103 Meshack Hart, Ernest .267, ...... 274 Mower, Stephanie ...... 269 Mcgregor, James ...... 33 271, 282-283, 285, 287 Moon, Heather ...... 234 Mozes, Joshua ...... 62 Mcinerney, Meghan .....199 Meshack-Hart, Samantha Moon, Stacy ...... 274 Mudge, Sandy ...... 26 Mcinnally, Tessie ...... 182 ...... 100 Mooney, Stephanie ..86, 92 Muir, James .157, 162, 164 Mckim, Cynthia ...... 280 Mesher, Andrew ...... 215 Moore, Andrew ...140, 143 Mulder, Gertjan ...... 26 Mckim, Joshua ...... 263 Metzler, Andrea ...... 169 Moore, Cassandre ...... 241 Mulkey, Bradley ...... 182 Mckim, R ...... 59, 611 Meyer, Gregory ...... 233 Moore, Harold ...... 7 4 Multicare Home Health Inc Mckinnis, Chelsea ...... 206 Meyers, Erik ...... 115 Moore, Jeffrey ...... 3 3 ...... 99 Mckinnon, Ryan ...... 139 Michaels, Andrew ....57-58 Moore, Richard ...... 145 Multicare Staffing Services Mckinnon, Tyler ...... 169 Michaud, Kathleen ...... 244 Inc ...... 99

317 Index of Providers / Índice de Proveedores

Munayirji, Aziz ...... 214 Nicola, George ...... 143 Oprins, Nichole ...234, 250 Pascual, Lena ...... 27 Munn, Stacia ...... 26 Niederkruger, Theresa 234, Option Care ...... 100 Patee, Caleb ...... 75 Munting, Babette .....26, 84 250, 256 Orchard, Danielle ...... 27 Patel, Anil ...... 200 Murdock-Bell, Tessa ...234 Nielsen, Alexandra ...... 97 Oriordan, Declan ...... 115 Patel, Gunjan ...... 164 Murphy, Caroline ...... 176 Nielsen, David ...... 27 Orme, Aaron ...... 279 Patel, Jashmin ...... 113 Murphy, Dustin ...... 162 Nielson, Ana ...... 294 Orme, Lindsay ...... 43 Patel, Kavan ...... 94 Murray, Janel ...... 51 Nielson, Ryan ...... 294 Orr, Dusty ...... 235 Paternoster, Lisa ...... 244 Musgrove, Shane 170, 173, Nieraeth, Michael ...... 170 Orthmeyer, Thomas .....235 Patterson, Reid ...... 154 182, 193 Niezwaag, Krista ...... 183 Osenbach, Richard ...... 118 Patterson, Sara ..48, 84, 88, Musteti Oprea, Laura ...234 Niezwaag, Leah ...234, 244 Osipchuk, Alla ...... 63 90 Muthusamy, Nikodym, Deanna ...... 206 Osterkamp, James ...... 272 Paventy, Timothy ...... 272 Purushothaman ...... 58 Nilsson, Kurt ...... 208 Ostler, Erik ...... 139 Payne, Ryan ...... 272 Myhre, Ryan ...... 166 Nixon, Devon ...... 142 Ostolasa, Sis ...... 109-112 Payne, Steven ...... 279-280 Nixon, Kara ...... 206 Oswald, Steven ...... 154 Paytash, Susan ...... 74 N Nixon, Sean ...... 256 Otstot, Todd ...... 183, 194 Payvar, Saeed ...... 58 Nadolski, Nancy ...... 26 Noel, Brenton ...... 173 Otto, Raymond ...... 70 Peachey, Dana ...... 55 Nakamoto, Kyle ..170-171, Nolan, Brian ...... 57 Ours-Bild, Renee ...... 235 Pearson, Brooke ...... 82, 86 173, 175, 177, 179, 182, Nona, Leslie ...... 27 Overocker, Jason .142, 144 Pease, Shaylan ...... 170 186, 188, 190, 193 Noonan, Daniel ...... 55 Owen, Dana ...... 198 Pedersen, Rachael ....82, 86 Napier, Helen ...... 234, 256 Norco Inc ...... 66-67 Owen, James ...... 198 Pedracini, Amber ...... 211 Nasser, Wajeeh ...... 26 Norris, Troy ...... 261 Oyler, Kenyon ...... 280 Peeler, Brittany ...... 170 Norris, Troy ...... 59 Pellant, Angela ...... 39 Nassir, Mark ...... 136 P Nation, Rebekah ...... 244 Norris, Wendi ...... 201 Pelton, Michael ...... 27, 103 National Medical Solutions Nowbar, Sogol ...... 201 Pabalis, Gary ...... 293-294 Pennings, Kelly ...... 39 Inc ...... 66 Nowland, Jonathan ...... 59 Pacific Medical Inc ...... 66 Peppersack, Deo ...... 257 Naugle, Emily ...... 295 Nyarecha, Duke ...234, 244 Page, Jamie ...... 213 Peppley, Anthony 150, 156 Navarro, Anabel ..234, 256 Nyswyn, Sophia ...... 183 Page, Sean ...... 167, 183 Pereda, Carissa ...... 27 Perez, Gerardo ...... 205 Navarro, Jennifer ...... 114 O Page, Theotosca ..235, 250, Neary, Kaitlin ...... 145 257 Perkins, Danae ...... 171, Nease, Arthur ...... 182 O Neill, Ava ...... 269, 279 Page, Travis ...... 4 3 174-175, 179, 183, 186, Nebeker, Danielle ...... 65 O Neill, Nathan ...269, 273, Pahang, Michael ...... 235 188, 191, 194 Necochea, Alejandro .....26 279, 282, 287 Pain Care Boise ...... 52 Perkins, Melissa ..183, 194 Neighbors, Alan ...... 241 Obosky, Catherine ...... 114 Palmer, George ...... 52 Perko, Robert ...... 76 Neilson, Desteni ..234, 256 Obrien, Timothy ...290-291 Palmer, Sarah ...... 199 Perl Ii, John ...... 120 Neilson, Janice ...... 126 Oconnor, Sara ...... 121 Palmer, Todd ....27, 73, 79, Permann, Seth ...... 191 Neisen, Misty ...... 176 O'donnell, Janat ...... 204 81 Perry Iii, Alvin ...... 210 Nelson, Aurelia ...... 27 Ogweno, Beryl ...... 27 Palmquist, Maria ...... 130 Perry, Kenneth ...... 235 Nelson, David ...... 173, 193 Olberding, Elizabeth ....104 Pangarkar, Sandeep .....104 Peruski, Denise ...... 86 Nelson, Matthew ...... 106 Oliver, Rachel 34, 133-134 Panther, Brigitta ...... 235 Peters, Heidi ...... 85, 88 Nelson, Timothy ....27, 103 Oliver, Samantha .153-154, Paolinelli, Kirk ...... 85 Petersen, Angeline ...... 162 Nelson, Wendell ...... 263 156 Papa, Jared ...... 27 Petersen, Samuel .275, 280 Neuhaus, Bailey ...... 55 Olsen, Jessica ...... 56 Parent, Mark ...... 10 6 Peterson, Anne ...... 214 Neumayer, Jennifer ...... 85 Olsen, Nicole ...... 159 Pargman, Karrie ...... 53-54 Peterson, James ..152, 162, Newman, Jennifer ...... 134 Olsen, Scott ...... 164 Parker, Michael ...... 82, 88 164-165 Newton, Aaron ...... 144 Olsen, Shayne ...... 39, 47 Parker, Tasha ...... 5 2 Peterson, John ...... 279 Newton, Carrie ...... 212 Olson Jr, Robert ...... 264 Parkinson, Justin ...... 77 Peterson, Kimberlee ....157 Nichols, Brian ...... 162 Olson, Garrett ...... 152 Parks, Kimberly ...... 24 4 Peterson, Michael ...... 267 Nichols, Deidra ....152, 159 Olson, James ...... 209 Parrillo, Lisa ...... 21 7 Peterson, Terri ...... 207 Nichols, Heather ...... 27 Olson, Marlene ....121, 126 Parsons, Lee ...... 132, 134 Peterson, Timothy ...... 27 Nichols, Judianne ...... 163 Olson, Roger ...... 234 Partin, Michael ...... 173 Pettinger, Jeremy ...... 150 Nichols, Katie ...... 170 Olson, Ryan .269, 279, 287 Partridge, Christopher ..39, Pettit, Ryan ...... 135 Nichols, Roxanne 121, 123 Oneal, Brian .150, 156, 159 48 Pewe, Jeff ...... 261

318 Index of Providers / Índice de Proveedores

Pfost-Banks, Danielle ..235 Powell, Russell ...... 282 Rasmussen, Melissa ....122, Richardson, Rosalia ...... 28 Phillips, Jennifer ..235, 257 Powell, Shelli ...... 143 126, 128 Richins, Lester ...... 279 Phipps, Kate ...... 235 Powers, Benjamin ...... 39 Rausch, Jeremy ...... 261 Richman, Jay ...... 53-54 Piccono, Molly ...... 195 Prairie Medical Llc ...... 67 Ray, Amy ...... 40 Ries, Matthew ...... 166 Pidcock, Wesley ...... 202 Premier Surgical Center Ray, David ...... 160 Rigby, Vince ...... 269 Pieper, Brandon ....279-280 Inc ...... 52 Read, Heidi ...... 82 Riley, Mari ...... 48 Pierce, Brett ...... 162 2 Preus, Eve ...... 130 Redd, Phillip ...... 81 Ripepi, Bartholomew .....28 Pierson, Andrew ...113-114 Price, Christian ...... 60 Redden, Kaleb ...... 28, 79 Ririe, Marnie ...... 63 Pifer, Jami ...... 207 7 Price, Tessa ...... 245 Reed, Andrew ...... 279, 285 Ririe, Robert ...... 265, 269 Piktel, James ...... 235 Price, Whitney ...... 245 Reed, Bonnie ...... 40 Ritari, Stephanie ...... 170 Pilcher, John ...... 122 2 Prier, Elizabeth ....209, 212 Reed, Mark ...... 152, 162, Riverview Rehabilitation Pilling, Jordan ...... 280 Prince, Annie ...... 245 164-165 ...... 221 Pilling, Wade ...... 280 Printz, Carl ...... 236, 250 Reed, Suzanne ...... 55 Rix, Jessica ...... 245 Pitt, Alan ...... 64 4 Prinzing, Benjamin ...... 40 Reese, Camilla .....101-102 Roach, Michael ...... 79 Pittard, Darren ...... 134 Prinzing, Catherine ...... 72 Reese, Jeffery ...... 135 Roan, Peter ...... 106-107 Pluid, Jonathan ...... 279 Prior, Daniel ...... 209 Reeve, Tracey ...... 213-214 Robbins, Jeffrey ...... 40 Pohley, Richey ...... 65-66 Proctor, Erin ...... 204 Reger, Andrew .....200-201 Robert, Alina ...... 106 Poinier, Anne ...... 39, 48 Prodzinski, Kirk ...... 28 Reidhead, Tyler ...... 261 Roberts, Denton ...... 138 Poirier, Mark ...... 116 Proffitt, Frannie ...... 183 Reimers, Jeffrey ...... 191 Robertson, Brad ...... 274 Pollard, Brandon ..157, 159 Progressive Nursing Reiners, Jeanette ...... 86 Robinson, Joseph 170, 172, Pollmann, Robert ...... 183 Services Inc ...... 99 Reinschmidt, Stephen 174, 176, 179, 183, 186, Ponder, Yolanda ...... 250 Provencio, Mai ...... 236 ...... 293-294 188, 191, 194 Pontickio, Steven ...... 27 Pucciarelli, Irene ....28, 103 Reis, Laura ...... 28 Robinson, Lavell ...... 274 Pool, Leslie ...... 131 1 Pugh, Scott .267, 271, 282, Reising, Christopher ....209 Robinson, Lucas ..188, 194 Poole, Colin ...... 143 3 284-285, 287 Remmen, Nels ...... 120 Robinson, Neysa ...... 28, 43 Popadics, Ashley ...... 171, Pulham, Daxton ...... 287 Renak, Mandy ...... 43 Robinson, Rebecca ...... 124 174-175, 179, 183, 186, Pulsipher, Kaleb ..162, 166 Renner, Matthew .131, 133 Robinson, Steven ...... 40 188, 191, 194 Punt, Carolyn ...... 97 Reno, Adam ...... 43 Robison, Jacob ...... 145 Poppler, Louis ...... 195 Pyke, Lauryn ...... 111-112 Reusser, Helene ...... 52 Robison, Jason .....140, 143 Portela, Dustin ...... 64 Pyle, Nicole ...... 214 Reuter, Kimberley ...... 28 Rodgers, Bret ...... 146 Portenier, Samantha ...... 79 Reyes, Adam ...... 54 Rodriguez, Jessica ...... 250, Porter, Bryce ...... 271 Q Reynolds, Adam ...138-139 257 Porter, Robert ...... 176 Quaine, Jennie ...... 257 Reynolds, Allyson ...... 124 Rogers, Beth ...... 147 Porter, Sarah ...... 48 Quattrone, Barbara ...... 149 Reynolds, Catherine ...... 40 Rogers, David ...... 257 Porth, Karen ...... 119 Quinn, Jason ...... 68 Reynolds, Tricia ...... 40 Rogers, Laura ...... 206 Poskanzer, Sheri ...... 62 Qureshi, Ian ...... 99 Rheder, Jan ...... 28, 40 Rogers, Victoria ...... 183 Posluszny, Matthew ...235, Rhine, William ...... 115 Roggia, Jennifer ...... 66 257 R Rhodes, Michael ...... 28 Rogien, Frances ...... 56 Postler, Taylor ....267, 271, Rader, Kendall ...... 70 Ribbens, Terry ...... 28 Rolan, Tamara ...... 52 282, 284-285, 287 Radnovich, Richard .....208 Rice, Charles ...... 236 Rolfo, Stephanie .174, 183, Pothier, Diana ...... 265, 269 Rae, Michael ...... 59 Rice, Jennifer ...... 86 192 Pottenger, Trista .267, 271, Rafla, Hala ...... 111 Rice, Suzanne ...... 129 Romito, Kathleen ...... 28 273, 287 Rafla, Yustina ...... 183 Rich, Eric ...... 201 Ronnau, Kyle ...... 203 Potter, Stephanie ...... 75 Rainey, Kimberly ...... 156 Rich, Kevin ...... 28 Rood, Ashley ...... 50 Poulsen, Sara ...... 65 Raley, Anthony ...... 125 Rich, Michael ...... 102 Roosevelt, Theodore ...... 72 Poulson, William ...... 88 Ramirez-Hernandez, Richard, Nathan ...... 40, Root, Laura ...... 236 Poulter, Luke ...... 48 Ricardo ...... 236, 257 109-113 Roscoe, Janet ...... 28 Povar, Jared ...... 27, 39 Ramos, William ...... 60 Richards, Bronwyn ...... 133 Rose, Ashley ...... 126 Powell, Gavin ...... 64 Ramsey, Rory ...... 204-205 Richards, Candace ...... 153 Rose, Justin ...... 68, 70 Powell, Heather ...... 48 Randall, Mary ...... 122 Richards, Kelson .152, 160 Rosendahl Foot And Shoe Powell, Kathryn ...... 183 Rapp, Delisa ...... 245 Richardson, Bruce ...... 291 Center ...... 198 Powell, Nathan ...... 236 Richardson, Erik ...... 40, 48 Rosendahl, Crystal ...... 236

319 Index of Providers / Índice de Proveedores

Rosenlund, Kevin ...... 262 Sales, Lindsay ...... 203 Schott, Jonathan ...... 34 Shearer, Alison ...... 130 Rosenlund, Kevin ...... 60 Salloum, Ellis ...... 218 Schow, Michael ...... 160 Shearing, Kevin ...... 183 Roser, Louis ...... 74 Sallstrom, Jessica ...... 29, Schrader, Julie ...... 125 Shedd, Lindsay ...... 110 Roser, Steven ...... 140, 143 43-44, 48 Schrader, Scott ...... 183 Sheesley, Peter ...... 30 Rosin, Kirsten ...... 90-91 Salzsieder, Todd ...... 192 Schroeder, Amber ...... 183 Shelly, Cassi ...... 128 Roskelley, Morgan ...... 167 Sampson, Richard ...... 60 Schroeder, Harmony Shepard, Jennifer ...... 115 Ross, Allyson ...... 40 Sanchez, Sierra ...236, 250, ...... 133-134 Shepherd, Brent ...... 136 Ross, Daniel ...... 28-29 257 Schroeder, Joanna ...... 136 Shepherdson, Nikole .....40 Ross, Stuart ...... 132-134 Sand, Lindsey ...... 40 Schulte, Michaela ...... 103 Shepler, Michael ...... 73-81 Rota, Nicole ...... 170 Sands, Charles .....152, 164 Schultheiss, Karl ...... 113 Sherner, Tammie ...... 121 Roth, Erik ...... 236 Sansom, Susan ....125-126, Schwartz, Amanda ...... 174 Sherwood, Angela ...... 245 Rowan, Andrea ...... 157 128 Schwarz, Matthew 145-146 Shevlin, Michael ..142, 144 Rowe, Derrick ...... 167 Saperston, Kara ...... 216 Schwendiman, Mark ...... 64 Shiefer Iii, John ...... 237 Rowley, Peter ...... 165 Sapp, Laurel ...... 245 Schwendiman, Scott ...... 73 Shields, Heidi ...... 82 Roy, Molly ...... 110-111 Sartin, Cory ...... 261 Schwind, Adam ...... 74 Shiozaki, Teisha ...210-211 Royce, Travis ...... 275 Sasso, David ...... 200-201 Scott, Jeffrey ...... 78 Shipp, Adam ...... 264-265 Rozansky, Phillissa ...... 115 Satchwell, Chris ...... 289 Scott, Jonathan ...... 280 Shipp, Michael ...... 274 Rulon, Elizabeth ...... 29 Saul, Sharon ...... 237 Scott, Julie ...... 40 Shoebridge, Nicholas .....30 Ruman, Lori ...... 122 Saur, Sebastian ...... 150 Scott, Lauren ...... 156, 160 Short, Ann ...... 136 Rush, Audrey ...... 29 Savage, Kate ...... 55 Scrivner, Cody ...... 167 Shovlin, Haley ...... 152 Rush, Deborah ...... 245 Sawmiller, Jennifer .29-30, Seabolt, Velma ...... 135 Showalter, Larry ...... 140, Russo, Deborah ...... 236 43-44, 48 Searle, Jakeb ...... 172, 174, 142-143 Rustad, Todd ...... 146 Sawtooth Orthotics & 176, 179, 183, 186, 188, Shrum, Brea ...... 131 Ruszel, Kelsey ...... 65 Prosthetics ...... 66 191, 194 Shuey, Yelena .....170, 172, Ruth, Timothy ...... 29 Sawyer, Timothy ..202-203 Searle, Shane ...... 160 174, 176, 179, 184, 186, Rutherford, Mark ...... 29 Saxton, Kimberly ...... 237 Sears, Esther ...... 113-114 188, 191, 194 Rutschke, Sean ...... 48 Sayer, Jaren ...... 261 Sebastian, Raquel ...... 267, Shuler, Cory ...... 122, 128 Rutte, Megan ...... 200 Scanlan, Kathleen ...... 30 271, 282, 284-285, 287 Shumar, Sabrina ...... 174 Rutten, Karissa ...... 207 Scanlan, Stacey ...... 150 Seiders, Joseph ...... 237 Siegel, Sherri ...... 96-97 Ryan, Andrew ...... 183 Scharmann, Alexander 165 Sekercan, Stacy ..237, 250, Siegersma, Wendy ...... 48 Ryan, Michael ...... 95 Schell, Amy ...... 30 257 Sielaff, Jenna ...... 56 Rye, Jared ...... 124 Schenk, Stephen ...... 291 Sellers, Jenna ...... 53 Sigg, Daniel ...... 120 Ryser, Nicholas ...... 170 Schildhauer, Jena ...... 245 Senderowicz, Laura .....237 Signature Healthcare At Ryser, Ted ...... 65 Schlack, Alysha ...... 85, 92 Senethavilay, Heidi .....237 Home ...... 99 Schlickman, Louis .34, 103 Sericati, Matthew .....93-94 Sikder, Shanaz ...... 71-72 S Schloss, Alexander .....237, Serio Iii, Vincent .....30, 40 Silk, Eric ...... 245 Sachse, Martin ...... 271 250, 257 Severson, Michael ...... 146 Silva, Arnold ...... 116 Sackman, Irvin ...... 29 Schmidt, Joseph ...... 271 Seyb, Stacy ...... 107-108 Sim, David ...... 56-57 Sadiki, Amy ...... 236 Schmidt, Julie ...... 250 Seyler, Michael ...... 276 Simmons, Daniel ...... 119 Saint Alphonsus Home Schmidt, Kimberly ...... 66 Shaber, Joseph ....237, 245, Simms, Michael ...... 274 Health Hospice ...... 99 Schmidt, Trevor ...... 160 250-251, 257 Simonson, Jared ...... 156 Saint Alphonsus Medical Schneider, David ...... 170 Shackelford, James ...... 237 Simpson, Douglas 162, 166 Center - Ontario Inc .....220 Schneider, Kathryn ...... 30 Shafer, Jacqueline ...... 237 Sindt, Cezanne ..30, 73-75, Saint Alphonsus Medical Schneider, Michael ...... 108 Shalz, Jennifer ...... 40 77-78, 80, 82 Center Nampa ...... 220 Schneider, Steven ...... 30 Shanahan, Alexis ...... 30 Sinfield, Courtney ...... 207 Saint Alphonsus Regional Schnell, Sandra ...152, 162, Shaub, Michelle ...... 103 Singer, Nicole ...... 176 Medical Center Inc ...... 220 164 Shaw Mountain Of Singleton, Russell ...... 41 Saint Alphonsus Regional Scholes, William ...... 273 Cascadia ...... 221 Sinus Surgery Center Idaho Rehabilitation Hospital 220 Scholten, Eric ...... 202 Shaw, Alan ...... 50 Pa ...... 53 Salazar, Elisa ...... 236 Schooler Smith, Andrea Shaw, Clayton .....157, 165 Sisterman, Kathryn ...... 30 Salberg, Jonathan .103, 105 ...... 127 Shea, Kevin ...... 208-20 9 Sittig, Melanie ...... 250 Salem, Nizar ...... 103 Schoolfield, Matthew ..215 Shea, Lauren ...... 102 Siudzinski, Kelly ...... 129

320 Index of Providers / Índice de Proveedores

Sjoberg, Christopher Southwest Idaho Surgery Stevens, Julie ...... 135 Swajkoski, Alan ...... 131 ...... 123-124 4 Center Inc ...... 52 Stevens, Michael .270, 27 9 Swan, Lisa ...150, 156, 160 Sjostrand, David ...... 90, 92 Southwick, April ...... 51 Stevens, Robert ...270, 273, Swanson, Eileen Gale ..199 Sjostrom, Rebecca ...... 140, Southwick, Jason ...... 245 282, 288 Swanson, Elizabeth ...... 64 143 Souza, James ...... 200-201 Stevenson, Allan ...... 289 Swanson, Joel ...... 104 Skinner, Dixie .....122-123, Sowers, Thomas ...... 245 Stewart, James ...... 63 Swanson, Thomas ...... 119 125-128 Spackman, Michael ...... 95 Stewart, Tyler ...... 167 Swartz, Joel ...... 120 Slade, Jason ...... 30, 41 Spainhower, J Tod ...... 60 Stich-Hennen, Jessica Sweet, Justine ...... 238 Slappey, Kristen ...... 73 Sparks, Sarah ...... 89 ...... 53-5 4 Swensen, Robert ...... 197 Slavick, Sarah ...... 237 Sparks, Toni ...... 41, 84 Stickler, Susanne ...... 3 4 Swenson, Andrew ...... 141 Slavkovsky, Shasta ...... 117 Spears, Kimberly ...... 238 Stillings, Fred ...... 270 Swerdloff, Jonathan .....114 Smart, Sean ...... 86, 888 Spelich, Mark ...... 141, 143 Stinger, William ...... 133 Smith, Alyson ...... 300 Spencer, Byron ...... 120 Stockett, Jeremy ...... 23 8 T Smith, Ashley .....269, 273, Spencer, Craig ...... 217 Stocking, Cory ...... 238 Tadje, Jared ...... 143 282, 288 Spencer, Jane ...... 119 Stockton, Benjamin ...... 43 Tafoya, Trevor ...... 273 Smith, Carla ...... 140, 143 Spencer, Jeri ...... 87, 89 Stockton, Nancy ...... 206 Talboy, Elise ...... 156 Smith, Christina ...... 237 Spencer, Jessica ..267, 269, Stoker, Brek ...... 292 Talford, Chad .....170, 172, Smith, Craig ...... 2655 276 Stone, Brookney ...... 127 174, 176-177, 179, 184, Smith, Dustin ...... 30 0 Squire, Daniel ...... 191 Story, Brian ...... 93-9 5 186, 189, 191, 194 Smith, Evan ...... 265 5 Squires, Todd ...... 289 Strauss, Rachel ...... 13 7 Tamura, Eric ...... 162 Smith, Jeffrey ...... 184 Squyer, Emily ...... 145 Streeter, Christopher ....23 8 Tanabe, Alex ...... 31 Smith, John ...... 143 3 St Lukes Boise Meridian Strickland, Tosha ...... 55 Tanabe, Kimberly ...... 34 Smith, Kristie ...... 53 3 Ambulance ...... 52 Stritzke, Donald ...... 21 7 Tangen, Robert ...... 238 Smith, Lenore ...... 238, 257 St Lukes Homecare ...... 99 Strohmeyer, Ronald 31, 41, Tarter, Cherese ...... 41 Smith, Matthew ...162, 164 St Lukes Hospice ...... 100 49 Taylor, Amber ...... 212 Smith, Michael ...... 86 St Lukes Nampa Medical Strong, Janet ...... 122, 126 Taylor, Angela ....238, 250, Smith, Preston .30, 49, 184 Center Ltd ...... 220 Stubbs, Leslie ...... 31, 104 258 Smith, Randall ...... 279-280 St Lukes Regional Medical Stucki, Keith ...... 289 Taylor, Benedict ...... 215 Smith, Rusty ...... 238 8 Center ...... 220 Stucki, Laurie ...... 5 5 Taylor, Benjamin ...... 87 Smith, Ryan ...... 119 9 St Lukes Rehab Elks Studebaker, Mandy ...... 184 Taylor, Brandon ..265, 270 Smith, Sara ...... 100 0 Subacute Rehab Unit ...221 Stuesse, David ...... 215 Taylor, Brent ...... 184 Smith, Scott ...... 599 Stackle, Mary ...... 238, 258 Sturkie, Murry ...... 7 0 Taylor, Jacqueline ...... 238, Smith, Shani ...... 104 4 Staller, Sarah ...... 49 Subaitani, Jonathan .....174, 245 Smith, Shauna ...... 207 Stamper, Shannon ...... 65 177, 184-185, 189, Taylor, Jeffrey .....154, 160 Smith, Stephen ...... 202 Stampfli, Devin ...... 272 191-192, 194 Taylor, Joy ...... 41 Smith, Tara ...... 238, 250 Stano, William ...... 197 Suhr, Cheryl ...... 23 8 Taylor, Michael ....216-217 Smith, Tyler ...... 273 3 Starcevich, Elliot ...... 137 Suida, Jennifer ...... 5 0 Taylor, Rebecca ...... 54 Snow, Brian ..102, 104-105 Starcher, Christine ...... 152, Sullivan, Cara ....31, 49, 82 Taylor, Riley ...... 152, 160 Snow, Jynnah .....84, 91-92 162, 164 Summa, Stacy ...... 167 Taylor-Spillett, Bethany Snuffin, Jessica ...... 128 Stebel, Todd ...... 293 Summers, Renee .270, 273, ...... 194 Snyder, Scott ...... 115 Stein, Mari ...... 125 283, 288-289 Tebbs, Jacob ...... 177 Snyderman, David ...... 31 Steinberg, Si ...... 250, 258 Summers, Wade ...... 262 Teed, David ...... 239 Soares, Colin ...... 111 Steinburg, Rick ...... 184 Sunny Ridge ...... 22 1 Tenley, Clifford ...... 31 Sobotta, Allysa ...... 257 Steiner, Greg ...... 279 Sup, Jacob ...44, 72, 74, 80, Tennant, Brenda ...... 239 Sohl, Bryan ...... 130 0 Steinmann, Carl ...... 80 82 Terrell, Stephanie ...34, 41, Solich, Chara ...... 203 Stenshoel, Lindsey ...82, 91 Sur, Mousoomi ...... 31 49 Soni, Margery ...... 87, 89 Stephenson Ii, William ..98 Sutherland, Kathleen ...200 Tezeno-Burris, Phyllis ...31 Soni, Neeraj ...... 700 Stephenson, Glen ...... 274 Sutton, Danielle ...... 14 9 Thacker, Robert ...... 44, 49 Sonntag, P David ...... 217 Stephenson, Mack ...... 238 Svangstu, Deborah ...... 31, Thatcher, Jody ...... 150 Soren, Jaron ...... 2622 Stepp, Lindsay ...... 210-211 122, 126 The Center For Sleep Soren, Jaron ...... 61 1 Sterling, Hugh ...... 75 Svennevik, Eirik ...... 21 0 Apnea & Tmj Pa ...... 67 Southard, Jennifer ...... 73 Stevens, Holly ...... 131 Swainston, Rebecca .....128

321 Index of Providers / Índice de Proveedores

The Center For Sleep Torrez, Javier ...... 239, 241, Waite, Patrick ...... 283 Apnea And Tmj Pa - Dme 245, 258 V Waldmann, Todd ..216-217 ...... 66 6 Torrez, Jessica ...... 83...... 8 Valentine, Dominick .....56 Walizada, Shahla ...... 75 The Orchards Of Cascadia Townsend, Ryan ...... 105 Valerio, Michael ...... 111 Walker, Beau ...... 213 ...... 221 1 Townsend, Spencer ....152, Valle Eger, Gabriel ...... 31 Walker, F ...... 273 Theisen, Regina ...... 83, 89 160 Van, Zandt ...... 204-205 Walker, Jeffrey ...... 214 Theobald, Roger ...... 54-55 Tracy, Ian ...... 153, 156 Vanden Beld, Klaas .31, 41 Walker, Jeremy ...... 277 Thibault, Cheryl ...... 44 Trainer, Marlin ...... 70 Vandendries, Brian ...... 122 Walker, Linda ...... 135 Thomas, Kelly ...87, 89, 91 Tran, Tuan ...... 104 Vander Lugt, Allison ....31, Walker, Marilee ...... 137 Thomas, Rachel ...... 70 Trausch, Kyley ...... 239 123 Walker, Robert .....143-144 Thomas, Richard ...... 64 Treasure Valley Hospice Vanderburg, Derek ...... 174 Walker, Todd ...... 275 Thomas, Robert ...... 160 Llc ...... 101 Vanderford, Christian .157, Wallinga, Melissa ...... 128 Thomason, Aaron ...... 122 Trejo, Chase ...... 270, 279 162 Walner, Staci ...... 44 Thomason, Christopher Tremblay, Cynthia ...... 239 Vandonsel, Mary ...... 207 Walters, Amy ...... 246 ...... 276 6 Trimarco, Theresa ...... 53 Vania, Shane ...... 275 Walton, Michael ...... 239 Thomason, Jeffrey ...... 164 Trimble, Michael ...... 141 Vanlooy, James ...... 116 Wamble-Fisher, Shell .239, Thompson, E Gregory ...31 Trotta, Francois ...... 138 Vansant, Amanda 189, 191 258 Thompson, Erik ...293, 297 Trump, Richard ...170, 184 Vantassell, Sharlynn ....127 Ward, Emma ...... 239 Thompson, John ...... 31 Tryon, Thomas ...... 194 Vanty Jr, Lawrence ...... 32 Ward, Gail ...... 258 Thompson, Lee ...... 58 Tuck, Wavey ...... 239, 246 Vargason, Caroline ...... 137 Ward, Regan ...... 152, 160 Thompson, Marietta ....131 Tucker, Kerri ...... 135 Varner, Tracy ...... 66 Ward, Scott ...... 194 Thompson, Sandra ...... 147 Tuft, Matthew ...... 280 Vaughn, Shannon ...... 51 Ward, Yvette ...... 239, 250, Thompson, Scott ...... 280 Tullis, Michael ...... 218 Vaz, Arvind ...... 239 258 Thompson, Stephanie ...31, Tumanjan, Christine ....110 Veldhuis, Johannes ...... 72 Warrenburg, Erin ...... 114 122, 127-128 Turcotte, Roger .....31, 102, Verner, Reese ...... 210-211 Warren-Sutton, Hamilton Thompson, William 104 Vernon, Monica ....49, 172, ...... 239 ...... 204-205 5 Turner, Ann ...... 239 184, 189, 191 Warwick, Anne ...... 60 Thomson, Sara ...... 130 Turner, Brett ...... 170, 174, Vics Family Pharmacy Inc Warwick, Leslie ...... 262 Thongsri, Roslin ...... 104 184, 194 ...... 147 Washington, Charles .....70 Thoreson, Micah ...... 31 Turner, Gloria ...... 250 Vincent, Kelly .....170, 184 Waters, Christopher .....240 Thornock, Brian ...... 165 Turner, Mark ...... 41 Vinci, Paul ...... 157, 164 Waters, Stanley ...... 140 Thornton, Nathan ...... 115 Turner, Taylor ...... 131 Vine, Daniel ...... 119 Waters, Ty ...... 32 Thorpe, Ryan ...... 64 4 Turpen, Gary ...... 270 Vision Care Center Of Watkins, Scott .....240, 246 Thuernagle, Andrew ....289 Tuthill, Mary ...... 73 Idaho Llc ...... 53 Watkins, Tyler ...... 83, 92 Thurmond, Elizabeth ..122, Tweeten, James ...... 138 Visser, Juliann ...... 184-185 Watsen, Sharene ...... 109 127 Tyndall Vaughan, Kaylene Vloka, Margot ...... 62 Watson, Jacob ...... 295 Thurston, Nicole .239, 245, ...... 239, 246, 250-251, 258 Vore, Abram ...... 292 Watson, Kellie ...... 56 258 Tyson Mcomie, Jaimee 206 Vore, Abram ...... 54 Watson, Kimberly ...... 41 Tiegs, Micki ...... 59 Watts, Jamie 123, 125, 127 U Voye, Sarah ...... 167 Tillotson, Nathan ...... 133 Vulcan, Florentina ...... 41 Watts, Karl ...... 76 Timmel, Kevin ...... 70 Underdahl, Hannah ...... 52 Vuturo, Maggie ....216-217 Weathers, Coire ...... 240 Tingey, Kevin ...... 281 Underkofler, Kari ....31, 49 Weaver, Courtney ...... 92 Titmus, Mary ...... 192 Undesser, Karl ...... 105 W Weaver, Jordan ...... 262 Tobin, Micah ...... 176 Undurraga, Perl ...... 212 Waage, Trent ...... 211 Weaver, Jordan ...... 61 Tolman, Mont ...... 34 Uniat, Brooks ...... 283 Wadhwa, Anant ...... 118 Webb, Nicole ...... 192, 194 Tomal, Justin ...... 105 United Seating And Waggaman, Becky ...... 246 Weber, Colette ....174, 184, Tomey, David ...... 41 Mobility - Meridian ...... 67 Wagner, Edward ...... 275 189 Tomey, Susan ...... 51 Uranga, Rebecca ..133-134 Wagner, Jeffrey ...... 120 Weeks, Teresa ...... 117 Toomey, Jeremy ...... 139 Urban, Mark ...... 70 Wagner, Leslie ...... 270 Weese, Donald ...... 216 Torab Parhiz, Ali ...... 138 Uricchio, Phoebe ...... 90 Wagnon, Jeremy ...... 60 Weese, Jeffrey ...... 32 Torres, James ...... 68 Waite, Bonnie ...... 93-94 Weidner, Tess ...... 63 Torres, Rian ...... 59 Waite, Deborah ...... 206 Weimer, Travis ...... 270

322 Index of Providers / Índice de Proveedores

Weinrobe, Mark ...... 32 Williams, Eric ...... 163 Wood, David ...... 93-95 Zhao, Cong ...... 119 Weires, Patty ...... 240 Williams, Jamie ...... 240 Wood, James ...... 153, 160 Ziebarth, Jessica ...... 148 Weis, Patrick ...... 200-201 Williams, John ...... 32 Wood, Lance ...... 105 Zimmerman, Christian Weishaar, Jamie ...... 162 Williams, Joseph ..216-217 Wood, Sarah 174, 189, 192 ...... 117-118 Weiss, Michael ...... 148 Williams, Keith ...... 240 Woodall, Deborah ...... 241 Zinke, Donald ...... 121 Weiss, Zachary ..32, 49, 82 Williams, Levi .....153, 157 Woodhouse, Cynthia ..154, Zipf, Margaret ...... 241 Weitemier, Kenneth ...... 32 Williams, Malisa 240, 246, 156, 166 Zouros, Alexander ...... 118 Welch, Erin ...... 1688 251, 258 Woodlief, Justin ...... 42 Zucco, Frances ...... 241 Wells, Britton ...... 140, 143 Williams, Mark ...... 208 Woods, Melissa ...... 241 Zuckerman, Dan ...... 98 Wells, Candy ...... 240, Williams, Nathan ...... 280 Woods, Nick 150, 156, 160 Zuckerman, Norman ....113 250-251, 258 Williams, Ryan ...... 32, 49 Woods, Stacie ...... 168 Wells, Christopher ...... 271 Williams, Steven ...... 209 Woolner, Chad ...... 262 # Wells, Gregory ...... 64 Williams, Travis ..113, 149 Woolner, Chad ...... 61 1 Assist Care ...... 101 Wells, Ken ..240, 246, 251, Willis, Mark ...... 41 Wren, Stephen ....185, 189, 101 Mobility ...... 66 258 Willis, Warren ...... 280-281 191, 195 Wellspring Health & Willoughby, Laura ...... 207 Wright, Bryan ...... 153, 160 Rehab Of Cascadia ...... 221 Willoughby, Scott ...... 32 Wright, Clifton ....153, 160 Werdel, John ...... 131, 133 Wills, Alex ...... 240, 246 Wright, Erica ...... 104 Wertzler, Kelsey ...... 41 Wilson, Ashley ...... 153 Wright, Stacey ...... 87 West, April ...... 1844 Wilson, Benjamin ...... 75 Writer, Steven ...... 10 6 West, Mark ...... 292 2 Wilson, Dale ...... 240 Wrobel, Bradley ...... 3 2 West, Timothy .....131, 133 Wilson, Gregg ...... 270 Wu, Liang ...... 10 5 Wever-Pinzon, Omar .....57 Wilson, Gregory ...... 204 Wyatt, Christopher ..68, 71 Weyhrich, Darin ..130, 132 Wilson, Kevin ...... 41, 102 Wyatt, Roger ...... 80 Wheelihan, Christian ..240, Wilson, Kim ...... 168, 174, Wyman, Steven ...... 70 251 177, 185, 194 Wynn, Donraphael ...... 137 Whitaker, James ...... 148 Wilson, Martha ...... 49, 82 Whitaker, Tara ...... 32 Wilson, Matthew ...... 44 Y White, Alex ...... 153, 160 Wilson, Michael ..246, 258 Yamada, Kelvin ...... 120 White, Bernt ...... 281 1 Wilson, Renee ...... 109 Yan, Jie ...... 172, 176, 179, White, Brian ...... 153 3 Wilson, Sara ...... 32, 41 185-186, 189, 191, 195 White, Jacob ...... 240 Wilson, Summer ...... 246 Yanofsky, Alyson ...... 97 White, Judson ...... 262 Wilson, Zechariah ...... 32 Yantes, Andrew ...... 118 White, Judson ...... 61 Wimer, Douglas ...... 32 Yavruian, Rick ...... 241 White, Michael ...... 168 Wimmer, Paige ...... 50 Ybarlucea, Heather ...... 207 White, Rodney ...... 295 Winchester, Daniel ...... 64 Yeakley, Rhett ...... 281 Whitesell, Jackie ...... 119 Winegar, Corbett ...... 144 Yeakley, Rourke ...... 70 Whiteside, James ...... 119 Winkler, Carey .....107-108 Ye-Liew, Louise ...... 34 Whitlow, Ashley 32, 41, 49 Winn, Esther ...... 160 Yorgason, Kyle ...... 198 Wiberg, Ralene ...... 44, 49 Winslow, Michele ...... 125 You, Phyllis ...... 32 Wick, Cathie ...... 246 Winwood, Kaylynn ...... 87 Young, Hanna ...... 241 Wick, Kathryn ...... 240 Witt, Stephanie ...... 240 Young, James ...... 141 Widdison, Scott ...... 271 Witte, John ...... 94 Young, Kristen ...... 82 Widener, Margaret ...... 203 Wold, John ...... 272 Young, Sydney ...... 258 Widmer, Stanton ...... 265 Wolf, James ...... 214 Yuly, Steven ...... 157 Wienand, Lindsay ...... 127 Wolf, Jonathon ...... 144 Wikfors, Bryce ....184, 189 Wolf, Keely ...... 177 Z Wilhelmsen, Jason ...... 70 Wolfe, Gina ...... 241 Zacher, Tyler ...... 154 Wilkes, Stephanie ...... 251 Wolff, Kelley ...... 174, 176 Zamzow, Deana ...... 137 Willes, Jeremy ...... 189 Wolff, William ...... 289 Zeigler, Alice ...... 265 Williams, Alan ...... 165 Womack, Michael ...... 205 Zeimantz, Stephen .32, 127 Williams, Alicia ...... 246 Wonderlich, Thomas .....32 Zerr, Katie ...... 155, 160

323 Index of Pharmacies / Índice de farmacias

Mednow Phcy At St A Alphonsus ...... 301 Albertson's Pharmacy Medsync Pharmacy .....300 ...... 301-302 Mountain Care Pharmacy ...... 300, 307 B Mountain Pharmacy ....302 Bi Mart Pharmacy ...... 303 O C Omnicare Of Boise .....302, Continued Care Ltc Phcy 307 Idaho Llc ...... 300, 307 Option Care ...... 302, 306 Coram Cvs/Splty Infusion P Svcs ...... 301, 306 Costco Pharmacy ...... 301, Pharmerica ...... 302, 307 303-304 Portico Pharmacy ...... 302 Custom Rx ...... 302 R Custom Rx Llc Melba .303 Customedica Pharmacy Red Rock Pharmacy ...302, ...... 301 1 307 Customedica Pharmacy Reddish Pharmacy United North End ...... 300 0 Drug ...... 303 Cvs Pharmacy ...... 300, 304 Ridleys Pharmacy ...... 302 Ridley's Pharmacy ...... 303 F Rite Aid Pharmacy Family Medicine Health ...... 300-303 Center Pharm ...... 302 S Family Medicine Hlth Cntr Phcy ...... 3000 Sav-On Pharmacy 300-304 Fred Meyer Pharmacy St Luke Nampa Med Ctr ...... 300-303 3 Opt Phcy ...... 304 St Lukes Meridian Medical G Ctr ...... 302 Genoa Healthcare Llc .300, St Lukes Reg Med Ctr 307 Phcy O/P ...... 301 Star Pharmacy ...... 303 H T Heartland Ltc Pharmacy ...... 300, 307 Terry Reilly Health Services ...... 303 I Timberline Pharmacy ..303 Id Urologic Institute V Pharmacy ...... 302 Vics Family Pharmacy 304 M Vic's Family Pharmacy Medical Clinic Pharmacy Inc...... 304, 307 ...... 303 W Medicap Pharmacy .....302, 304, 307 Walgreens ...... 300-304 Mednow Pharmacy .....301, Walmart Pharmacy 304 ...... 300-304

324

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at MolinaHealthcare.com/ID-HMOMaterials. You may also call Member Services for updated provider.

Este directorio de farmacias se actualizó en 12/2020 . Para obtener información más reciente o respuestas a sus preguntas, comuníquese con nosotros llamando al Departamento de Servicios para Miembros de Molina Medicare Choice Care HMO al (844) 560-9811, o si es usuario del servicio TTY, marque 711, los 7 días de la semana de 8 a.m. a 8 p.m., hora local, o visite MolinaHealthcare.com/Medicare.

If you have additional questions, please call Si tiene otras preguntas comuníquese con el Member Services, at: (844) 560-9811, TTY: Departamento de Servicios para Miembros al: 711, 7 days a week, 8 a.m. to 8 p.m., local time. (844) 560-9811, TTY al 711, los 7 días de la semana, de 8 a.m. a 8 p.m., hora local.

For more information visit/Para más información visite el sitio web: MolinaHealthcare.com/Medicare