Provider / Pharmacy Directory Directorio de proveedores y farmacias

Provider / Pharmacy Directory Directorio de proveedores y farmacias IDAHO Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce and Twin Falls 2018 Molina Medicare Options Plus HMO SNP If you have additional questions, please call Member Services: (844) 239-4913, TTY 711 7 days a week, 8 a.m. 8 p.m., local time Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (844) 239-4913, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local 7386947MED0918 H5628_18_0008_NM_IDPD H5628_18_0008_NM_IDPD es

Table of Contents / Índice Section 1 / Sección 1 - Introduction / Introducción...ii / vii What is the service area for Molina Medicare Options Plus? / Cuál es el área de servicio para Molina Medicare Options Plus?... v / x How do you find Molina Medicare Options Plus providers in your area? / Cómo encontrar proveedores de Molina Medicare Options Plus en su área?... v / xi Section 2 / Sección 2 - List of Network Providers / Lista de los proveedores de la red...1 Primary Care Providers / Proveedores de atención primaria...1 Specialists / Especialistas...52 Hospitals / Hospitales...198 Skilled Nursing Facilities (SNF) / Centros de enfermería especializada (SNF)...199 Outpatient Mental Health Providers / Proveedores de salud mental ambulatorios...201 Pharmacies / Farmacias...207

Molina Healthcare of Idaho (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 Skilled sign language interpreters Written material in other formats (large print, audio, accessible electronic formats, Braille) Language services to people who speak another language or have limited English skills o Skilled interpreters o Written material translated in your language o Material that is simply written in plain language If you need these services, contact Molina Member Services at (844) 239-4913; TTY/TDD: 711, Monday Friday, 8 a.m. to 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 civil.rights@molinahealthcare.com. 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. 9843375MED0318

English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call Member Services at 1-844-239-4913 (TTY: 711). ATENCIÓN: Si usted habla español, tiene servicios de asistencia lingüística disponibles sin cargo alguno para usted. Llame al Departamento de Servicios para Miembros al 1-844-239-4913 (TTY: 711). Chinese 收件人 : 如果您講韓語, 則免費提供語言協助服務請致電會員服務部, 電話 :1-844- 239-4913 (TTY: 711). Serbo-Croatian PAŽNJA: ako govorite srpsko-hrvatski jezik, dostupne su vam besplatne usluge jezične pomoći. Nazovite usluge za članove na broj telefona 1-844-239-4913 (TTY: 711). Korean 주의 : 한국어를말할때무료로언어지원서비스를이용할수있습니다. 현지시간으로 월요일부터금요일까지, 오전 8시부터오후 8시까지회원서비스에 1-844-239-4913 (TTY: 711). Nepali स वध न : य द तप ई न प ल ब न छ भन, भ ष सहयत स व ह स म तप ईल ई उपल छन l 1-844-239-4913 (TTY: 711) म सद स व ह क ल ग कल गन ह स l Vietnamese LƯU Ý: Nếu quý vị nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ có sẵn cho quý vị miễn phí. Gọi cho Dịch Vụ Thành Viên theo số 1-844-239-4913 (TTY: 711). Arabic انتباه: إذا كنت من متحدثي اللغة العربية فستتوفر لك خدمات المساعدة اللغوية مجان ا. يمكن االتصال بخدمات األعضاء على الرقم 1-844-239-4913 711).(TTY: German ACHTUNG: Für Deutsch sprechende Personen stehen kostenlose Sprachassistenzsysteme zur Verfügung. Rufen Sie hierzu die Mitgliederbetreuung unter der Rufnummer 1-844-239-4913 (TTY: 711) an. H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018

Tagalog PAUNAWA: Kung gumagamit ka ng wikang Tagalog, maaari kang humingi ng mga serbisyo ng tulong sa wika nang libre. Tawagan ang Member Services sa 1-844-239-4913 (TTY: 711). Russian ВНИМАНИЕ! Если вы говорите по-русски, вам будут предоставлены услуги переводчика бесплатно. Позвоните в отделение обслуживания клиентов по тел.: 1-844-239-4913 (телетайп: 711). French ATTENTION : Si vous parlez français, des services d'assistance linguistique sont gratuitement mis à votre disposition. Contactez les services aux membres au 1-844-239-4913 (TTY: 711). Japanese 注 : 日本語をお話しになる場合は無料の言語支援サービスをご利用いただけますメンバーサービス1-844-239-4913 (TTY: 711) までお電話ください Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, în mod gratuit. Apelați serviciile pentru membri la 1-844-239-4913 (TTY: 711). Bantu MENYA NEZA: Nimba ukoresha ururimi rw ikibantu, ubwunganizi bw urwo rurimi uburonswa ku buntu,. Akura abajejwe ivyo bikorwa kuri 1-844-239-4913 (TTY: 711). Farsi اگر به زبان فارسی صحبت میکنيد خدمات کمک زبانی به صورت رايگان در دسترس شما قرار دارند. با خدمات اعضاء از طريق شماره 1-844-239-4913 (711 (TTY: تماس بگيريد. H5628_NSR_18_MA_801_IDOTHMultiLang 2/26/2018

Molina Medicare Options Plus HMO SNP Plan Provider Directory This directory is current as of September 4, 2018. This directory provides a list of Molina Medicare Options Plus' current network providers. This directory is for the State of Idaho in the counties of Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls. To access Molina Medicare Options Plus' online provider directory, you can visit www.molinahealthcare.com/medicare. For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Department at (844) 239-4913, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. Molina Medicare Options Plus HMO SNP is a Health Plan with a Medicare Contract and a contract with the state Medicaid program. Enrollment in Molina Medicare Options Plus depends on contract renewal. This information is available in other formats, such as Braille, large print, and audio. The provider network may change at any time. You will receive notice when necessary. Y0050_18_1080_67_NM_LRProvPharmDir i

Section 1 Introduction This directory provides a list of Molina Medicare Options Plus' network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. Network providers such as healthcare professionals, medical groups, hospitals and other types of providers have been contracted with Molina Medicare Options Plus to provide you with covered services. You may utilize 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) Your provider can be a physician, nurse practitioner, or other health care professional who meets state requirements and is trained to give you basic medical care. Health professionals are eligible to provide services as PCPs in our Plan when they practice in the areas of family medicine, general practice, geriatrics, internal medicine, nurse assistant, nurse practitioner or obstetrics/gynecology. You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. A PCP has a contract with Molina Medicare Options Plus to deliver primary care services to members. Your PCP is responsible for all your routine health care services; therefore it is important for you to call your PCP first with any health concerns. Selecting a PCP is up to you. Your relationship with your PCP is an important one. We strongly recommend that you choose a PCP close to home. Having your PCP nearby makes receiving medical care easier through developing a trusting and open relationship with your PCP. If there is a particular specialist or hospital that you want to use, check first to be sure that your PCP can make referrals to that specialist or uses that hospital. A specialist is a provider who renders health care services for a specific disease or part of the body. There are many kinds of specialists such as oncologists who treat patients for cancer; cardiologists who care for patients with heart conditions; and orthopedists who care for patients with certain bone, joint, or muscle conditions. If you discover any errors in this directory, please call Member Services so that we can correct the issue and assist you with selecting a new PCP. How to change your PCP? You may change your PCP for any reason, at any time. To change your PCP, simply call Member Services at (844) 239-4913, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. ii

When you call, be sure to tell Member Services if you are seeing specialists or getting other covered services that needed your PCP s approval (such as home health services and durable medical equipment). Member Services will help make sure that you can continue with the specialty care and other services you have been getting when you change to a new PCP. They will also check to be sure that the PCP you want to switch to is accepting new patients. Sometimes a doctor, specialist, clinic, or other network provider that you are using might leave the Plan. If this happens, you will have to switch to another provider who is part of the Molina Medicare Options Plus plan. If your PCP leaves Molina Medicare Options Plus, we will let you know and help you switch to another PCP so that you can continue to receive covered services. Member Services will change your membership record to show the name of your new PCP, and will tell you when the change will take effect. They will also send you a new membership card that shows the name and phone number of your new PCP. Getting care from your PCP Your PCP will provide, arrange, and/or coordinate all your routine medical care. You are encouraged to develop a close relationship with your PCP. Your PCP will get to know you as an individual, become acquainted with your medical history, and assist in developing a health care program to fit your lifestyle and medical needs. Your PCP will provide most of your care and will help you arrange or coordinate laboratory tests, x-rays, therapies, specialty care, hospital admissions, and follow-up care. Except for emergency services or as stated elsewhere in the Evidence of Coverage, services and supplies obtained without an advance referral from your PCP will not be covered under your Plan. Getting care from specialists and other network providers Routine medical care will be provided by your PCP. During the course of treatment, your PCP may decide that you need specialized treatment and give you a referral (approval in advance) to see a network specialist. Molina Medicare Options Plus maintains a network of specialty providers to care for its Members. A referral from your PCP is required (unless otherwise allowed i.e. women s health services, etc.) to receive specialty services; however, no prior authorization is required when your PCP refers you to a network provider. The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory. However, some services may require a referral. Each PCP has certain network specialists they use for referrals. The Molina Medicare Options Plus specialists you can use may depend on which PCP you choose. If there are specific specialists you want to use, find out whether your PCP refers patients to these specialists. iii

You can change your PCP at any time if you want to see a network specialist that your current PCP does not refer to. If you want to change your PCP, simply call Member Services. If there are specific hospitals you wish to use, find out whether your PCP uses these hospitals. It is very important to get a referral from your PCP before you see a network specialist or certain other providers (there are a few exceptions, but not limited to the following: physical exams and women s preventive healthcare). If you don t have a referral before you get services from a specialist, you may have to pay for these services yourself. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. If you have any questions about whether we will pay for any medical service or care that you are considering, you have the right to ask us whether we will cover it before you get the service or care. At times, your PCP may request a service that is unavailable or not provided within your network. Your PCP may need to get approval ahead of time from Molina Medicare Options Plus to authorize this type of specialty referral. This process is called prior authorization. If you have questions or concerns about a prior authorization, you may call Member Services. Out-Of-Network Provider Bills If you receive a bill from an out-of-network provider do not pay this bill, please submit the bill to Molina Medicare Options Plus for processing and determination of your liability, if any. Getting care if you have a medical emergency or an urgent need for care A medical emergency is when you believe that your health is in serious danger. A medical emergency includes severe pain, a bad injury, a sudden illness, or a medical condition that is quickly getting much worse. You may get covered emergency medical care whenever you need, anywhere in the United States. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don t need to get approval or a referral first from your doctor or other network provider. Urgent Care is when you need medical help for an unforeseen illness, injury, or condition, but your health is not in serious danger. If you have a pressing, non-emergency medical need while in the service area call your PCP first. If they are not available, look in this Provider Directory for an urgent care center. You generally must use network providers (refer to the Evidence of Coverage). If, while temporarily outside the Plan s service area, you require urgently needed care, then you may get this care from any provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider. iv

Getting care when traveling outside the Plan s service area If you need care when you are outside the service area, your health care coverage is limited. The only services covered when you are outside the service area is care for a medical emergency, including urgently needed care, renal dialysis (kidney), and care that Molina Medicare Options Plus or a network provider has approved in advance. For Molina Medicare Options Plus there is no coverage when traveling outside the country except in limited areas. If you have questions whether a service is covered when you travel, please call Member Services. You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor Molina Medicare Options Plus will be responsible for the costs. What is the service area for Molina Medicare Options Plus? The counties in our service area are listed below. Our service area includes these counties: Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, and Twin Falls. How do you find Molina Medicare Options Plus providers in your area? When you enroll in Molina Medicare Options Plus plan, you must choose a PCP to provide your basic medical care and to coordinate your care. You may find a PCP close to where you live by locating your county, city, zip code, provider type, and providers in alphabetical format. If you have questions about Molina Medicare Options Plus or require assistance in selecting a PCP, please call our Member Service Department at (844) 239-4913, 7 days a week, 8 a.m. to 8 p.m., local time. TTY users should call 711. You can also visit www.molinahealthcare.com/medicare. v

Molina Medicare Options Plus HMO SNP Plan Directorio de proveedores Este directorio se actualizó el 4.o de septiembre del 2018. Este directorio proporciona una lista actualizada de los proveedores dentro de la red de Molina Medicare Options Plus. Este directorio es para el estado de Idaho en los condados de Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, y Twin Falls. Para acceso al directorio de proveedores en línea de Molina Medicare Options Plus visite www.molinahealthcare.com/medicare. Si tiene alguna pregunta acerca de la información contenida en este directorio (impreso o en línea), por favor llame a nuestro Departamento de Servicios para Miembros al (844) 239-4913, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. Molina Medicare Options Plus HMO SNP es un plan de salud con un contrato con Medicare y un contrato con el programa estatal de Medicaid. La inscripción en Molina Medicare Options Plus depende de la renovación del contrato. Esta información está disponible en otros formatos, que incluyen braille, letra grande y audio. La red de proveedores puede cambiar en cualquier momento. Usted recibirá notificación cuando sea necesario. Y0050_18_1080_67_NM_LRProvPharmDir es vi

Sección 1 Introducción Este directorio proporciona una lista de los proveedores dentro de la red de Molina Medicare Options Plus. Para obtener información detallada acerca de su cobertura médica, por favor consulte su "Evidencia de cobertura". Los proveedores de la red tal como profesionales de salud, grupos médicos, hospitales y otros tipos de proveedores de salud que están contratados con Molina Medicare Options Plus para proveerle los servicios que están cubiertos. Usted puede usar este directorio para ayudarle a seleccionar un proveedor de atención primaria, especialista, servicios y apoyo a largo plazo, hospital, centro de enfermería especializada, proveedores de salud mental ambulatorio o farmacia. Cómo seleccionar su proveedor de atención médica primaria (PCP) Su proveedor puede ser un médico, enfermero especializado u otro profesional médico que cumple con requisitos estatales y está capacitado para brindarle atención médica básica. Los profesionales médicos son elegibles para proveer servicios como un PCP en nuestro plan de salud cuando practican las especialidades de medicina de familia, medicina general, geriatría, medicina interna, auxiliar de enfermería, enfermera especializada o tocoginecología. Usted tendrá que elegir uno de nuestros proveedores de la red que aparece en este directorio para ser su Proveedor de Atención Primaria (PCP, por sus siglas en inglés). En general, usted debe recibir servicios médicos de su PCP. Un PCP tiene un contrato con Molina Medicare Options Plus para brindar los servicios de atención médica primaria a los miembros. Todos los proveedores tienen acceso a intérpretes por teléfono. Su PCP será responsable de todos sus servicios médicos rutinarios. Por lo tanto, si tiene alguna inquietud relacionada con la salud, consulte primero a su proveedor. Usted tiene la opción de seleccionar un PCP. Su relación con su PCP es importante. Le recomendamos encarecidamente que elija un PCP cerca de su casa. Tener a su PCP de atención primaria cerca facilita la atención médica por medio del desarrollo de una relación más confiable y abierta. Si hay un especialista u hospital en particular que usted desea utilizar, primero verifique si su PCP puede ordenar una remisión a ese especialista u hospital. Un especialista es un proveedor que presta servicios de atención médica para una enfermedad particular o parte del cuerpo. Existen varios tipos de especialistas, como oncólogos que tratan a pacientes con cáncer; cardiólogos que atienden a pacientes con condiciones del corazón; y ortopedistas que tratan a pacientes con ciertos tipos de condiciones de los huesos, articulaciones y músculos. Llame al Departamento de Servicios para Miembros si usted encuentra algún error en este directorio, y así darnos la oportunidad de corregir el problema y ayudarle a seleccionar un nuevo PCP. vii

Cómo puede cambiar su PCP? Puede cambiar de PCP por cualquier razón y en cualquier momento. Para cambiar su PCP, simplemente llame al Departamento de Servicios para Miembros al (844) 239-4913 los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. Cuando llame, asegúrese de informar al Departamento de Servicios para Miembros si usted está consultando especialistas o si está recibiendo otros servicios cubiertos que necesitan la aprobación de su PCP (como los servicios de atención médica domiciliaria y equipo médico duradero). El Departamento de Servicios para Miembros le puede ayudar a asegurar que usted continúe recibiendo atención especializada y otros servicios que usted ha estado recibiendo cuando cambie a un nuevo PCP. También verificarán que el PCP al que quiere cambiarse está aceptando nuevos pacientes. En ocasiones un médico, especialista, clínica u otro proveedor de la red que usted está utilizando podría dejar de participar en el plan de salud. Si esto ocurre, usted tendrá que cambiarse a otro proveedor que participe en el plan de Molina Medicare Options Plus. Si su PCP abandona Molina Medicare Options Plus, nosotros se lo informaremos y le ayudaremos a cambiar a otro PCP para que usted pueda continuar recibiendo los servicios cubiertos. El Departamento de Servicios para Miembros cambiará su registro de membresía para indicar el nombre de su nuevo PCP y le informará cuándo el cambio entrará en vigor. También le enviarán una nueva tarjeta de membresía que indica el nombre y número de teléfono de su nuevo PCP. Cómo recibir atención médica de su PCP Su PCP proporcionará, ordenará y coordinará toda su atención médica de rutina. Se le recomienda que desarrolle una relación de confianza con su PCP. Su PCP llegará a conocerlo personalmente, se familiarizará con su historia médica y le ayudará a desarrollar un programa de salud que se adapte a su estilo de vida y sus necesidades médicas. Su PCP le brindará la mayor parte de su atención médica y le ayudará a organizar y coordinar: análisis de laboratorio, radiografías, terapias, atención especializada, ingresos al hospital y atención de seguimiento. Exceptuando los servicios de emergencia o como se indique en otra parte de la Evidencia de Cobertura, los servicios y suministros obtenidos sin una remisión por adelantado de su PCP no estarán cubiertos bajo su plan. Cómo obtener atención médica de especialistas y otros proveedores dentro de la red Su PCP le brindará atención médica de rutina. Durante el tratamiento, es posible que su PCP decida que usted necesita un tratamiento especializado y le dé una "remisión" (autorización previa) para consultar con un especialista de la red. Molina Medicare Options Plus mantiene una red de proveedores especializados para atender a sus miembros. Se necesita una remisión de parte de su PCP (a menos que esté permitido - por ejemplo, servicios de salud femenina, etc.) para recibir servicios especializados; sin embargo, no necesita autorización previa cuando su PCP lo remite a un proveedor dentro la red. viii

Los proveedores de la red que aparecen en este directorio han acordado brindarle servicios de atención médica. Puede acudir a cualquiera de nuestros proveedores de la red enumerados en este directorio. Sin embargo, algunos servicios pueden requerir una remisión. Cada PCP tiene ciertos especialistas de la red que utiliza para hacer remisiones. Los especialistas de Molina Medicare Options Plus que usted puede utilizar dependerán del PCP que usted elija. Si hay especialistas específicos que usted quiera utilizar, averigüe si su PCP remite a sus pacientes a dichos especialistas. Usted puede cambiar su PCP en cualquier momento si quiere consultar a un especialista de la red al cual su PCP actual no pueda remitirlo. Si usted quiere cambiar de PCP, solo tiene que llamar al Departamento de Servicios para Miembros. Si usted desea utilizar hospitales específicos, verifique si su PCP trabaja con dichos hospitales. Es muy importante que obtenga una remisión de su PCP antes de visitar a un especialista de la red o ciertos otros proveedores (existen algunas excepciones, pero sin limitarse a las siguientes: exámenes físicos y atención médica preventiva para la mujer). Si no obtiene una remisión antes de recibir servicios de un especialista, es posible que usted mismo tenga que pagar por estos servicios. Si usted ha estado consultando a un proveedor de la red, no se requiere que continúe con el mismo proveedor. En algunos casos, es posible que reciba servicios cubiertos con proveedores fuera de la red. Si usted tiene alguna duda sobre si pagaremos algún servicio o atención médica que está considerando, tiene derecho a preguntar si lo cubriremos antes de recibir tal servicio o atención médica. En ocasiones, su PCP puede solicitar un servicio que no está disponible o que no se proporciona dentro de su red. Es posible que su PCP necesite obtener una aprobación por adelantado de Molina Medicare Options Plus para autorizar este tipo de remisión a una especialidad. Este proceso se denomina "autorización previa". Si usted tiene preguntas o preocupaciones acerca de una autorización previa, puede comunicarse al Departamento de Servicios para Miembros. Facturas si usted usa proveedores fuera de la red Si usted recibe una factura de un proveedor fuera de la red, no pague esta factura. Envíe la factura a Molina Medicare Options Plus para procesamiento y determinación de su responsabilidad, si existe alguna. ix

Cómo obtener atención médica si tiene una emergencia médica o una necesidad de atención urgente Una "emergencia médica" existe cuando usted cree que su salud está en serio peligro. Una emergencia médica incluye un dolor intenso, lesión grave, una enfermedad repentina o una condición médica que empeora rápidamente. Usted puede recibir cobertura para atención médica de emergencia cuando la necesite y en cualquier parte de los Estados Unidos. Llame al 911 para obtener ayuda o acuda a la sala de emergencias, hospital o centro de atención urgente más cercano. No es necesario que primero obtenga una autorización o remisión de su médico u otro proveedor de la red. La "atención médica urgente" es necesaria cuando necesita ayuda médica con una enfermedad, lesión o condición inesperada, pero su salud no está en serio peligro. Si tiene una necesidad médica apremiante pero no de emergencia, mientras que está en el área de servicio, primero llame a su PCP. Si este no está disponible, consulte este Directorio de proveedores para localizar un centro de cuidado urgente. Generalmente debe recurrir a los proveedores de la red (consulte su "Evidencia de cobertura"). Si se encuentra temporalmente fuera del área de servicio del plan y necesita atención médica urgente, puede recibir esta atención de cualquier proveedor. Además, cuando se encuentre fuera del área de servicio, puede obtener tratamiento de diálisis con cualquier proveedor de diálisis calificado. Cómo recibir atención médica cuando viaja fuera del área de servicio del plan Si necesita atención médica cuando está fuera del área de servicio, su cobertura médica está limitada. Los únicos servicios cubiertos cuando se encuentra fuera del área de servicio es la atención para una emergencia médica, incluyendo la atención médica urgente, diálisis renal (riñones) y la atención que Molina Medicare Options Plus o un proveedor de la red haya aprobado por adelantado. Molina Medicare Options Plus no ofrece cobertura al viajar fuera del país, salvo en áreas limitadas. Si tiene preguntas si un servicio está cubierto mientras está de viaje, por favor llame al Departamento de Servicios para Miembros. Usted debe utilizar proveedores de la red, salvo en una emergencia o situación de cuidado urgente o para diálisis renal u otros servicios fuera del área. Si usted recibe atención médica de rutina de proveedores fuera de la red, ni Medicare ni Molina Medicare Options Plus será responsable de los costos. Cuál es el área de servicio de Molina Medicare Options Plus? Los condados en nuestra área de servicio están indicados a continuación. Nuestra área de servicio incluye estos condados: Ada, Bannock, Bingham, Bonner, Bonneville, Canyon, Kootenai, Nez Perce, y Twin Falls. x

Cómo puede encontrar proveedores de Molina Medicare Options Plus en su área? Cuando se inscribe en el plan de Molina Medicare Options Plus, debe elegir un PCP para proporcionar y coordinar su atención médica básica. Usted puede encontrar un PCP cerca de donde vive conforme a su condado, ciudad, código postal, tipo de proveedor y proveedores de salud en orden alfabética. Si tiene preguntas acerca de Molina Medicare Options Plus o si necesita ayuda para elegir un PCP, comuníquese al Departamento de Servicios para Miembros al (844) 239-4913, los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Los usuarios de TTY deben llamar al 711. También puede visitar www.molinahealthcare.com/medicare. xi

Section 2 - List of Network Providers / Sección 2 Lista de los proveedores de la red Primary Care Providers/Médicos de Cuidados Proveedores Total count / Cuenta total: 1081 Ada Boise 83702 Alviso, Marvin Anthony NPI: 1932365533 Health 121 E Fort St (208) 514-2525 Filipino Ashby, Laurie NPI: 1730169178 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Barnes, Daryn PA ~* Medical - Physician Assistant NPI: 1245321942 300 W Myrtle St Ste 300 (208) 472-9082 Baron, Andrew NPI: 1750567731 Terry Reilly Medical And Behavioral Health 300 S 23Rd (208) 344-3512 Bastian, Allison NPI: 1164862058 Health 121 E Fort St (208) 514-2525 Beach, Kelly PA ~* Physician Assistant NPI: 1649668765 300 W Myrtle St Ste 300 (208) 472-9082 Birch, Christine PA ~* Physician Assistant NPI: 1871912634 300 W Myrtle St Ste 300 (208) 472-9082 Briggs, Jessica PA ~* Medical - Physician Assistant NPI: 1053311084 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Carrasco, Alicia Internal NPI: 1124319421 Terry Reilly Medical And Behavioral Health 300 S 23Rd (208) 344-3512 Chasin, Judith NPI: 1427256841 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Cook, Jennifer NPI: 1265680417 Health 121 E Fort St (208) 514-2525 Crawford, Christian PA ~* Physician Assistant NPI: 1427303478 300 W Myrtle St Ste 300 (208) 472-9082 Cyprus, Idalyn NPI: 1245210228 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Deblieck, Timothy NPI: 1114961042 Health 121 E Fort St (208) 514-2525 Dillion-Bialobrzeski, April DO * NPI: 1033329842 300 W Myrtle St Ste 300 (208) 472-9082 Dsouza, Sherwin Internal NPI: 1225061351 St Lukes Clinic - Humphreys Diabetes 1226 W River St (208) 331-1155 Hindi Dsouza, Sherwin Internal NPI: 1225061351 St Lukes Clinic - Idaho Endocrinology 403 S 11Th St Ste 100 (208) 429-0300 Hindi Edwards, Jeffrey NPI: 1578566253 Health 121 E Fort St (208) 514-2525 French Erbele, Tara NPI: 1427081744 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Esplin, Andrea NPI: 1508177684 Health 121 E Fort St (208) 514-2525 1

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Gendler, Julie MD ~ NPI: 1932146388 Health 121 E Fort St (208) 514-2525 Henkle, Sarah MD ~ NPI: 1295146587 Health 121 E Fort St (208) 514-2525 French Holliday, Jennifer NPI: 1538320676 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Kantayya, Vivek NPI: 1437132479 Terry Reilly Medical And Behavioral Health 300 S 23Rd (208) 344-3512 Tamil King, Amanda NP ~* Nurse Practitioner NPI: 1790053338 Health 121 E Fort St (208) 514-2525 King, Ashley NPI: 1235440314 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Kornfield, Lee Internal NPI: 1275527186 St Lukes Clinic - Internal 600 N Robbins Rd Ste 301 (208) 385-3329 Loewenstein, Timothy PA * Medical - Physician Assistant NPI: 1376597377 300 W Myrtle St Ste 300 (208) 472-9082 Mudge, Sandy NPI: 1366704017 Health 121 E Fort St (208) 514-2525 French Munn, Stacia NPI: 1477586162 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Nasser, Wajeeh NPI: 1083694053 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Nichols, Heather NPI: 1144246950 Health 121 E Fort St (208) 514-2525 Papa, Jared PA ~ Physician Assistant NPI: 1518047034 Health 121 E Fort St (208) 514-2525 Pinsky, Maia NPI: 1053722298 Health 121 E Fort St (208) 514-2525 Proffitt, Frannie PA ~* Physician Assistant NPI: 1356694384 300 W Myrtle St Ste 300 (208) 472-9082 Quinn, Heather MD ~ NPI: 1386698744 Health 121 E Fort St (208) 514-2525 Rios, Raul PA ~* Physician Assistant NPI: 1376851725 300 W Myrtle St Ste 300 (208) 472-9082 Ross, Daniel NPI: 1104112853 Health 121 E Fort St (208) 514-2525 Ross, Daniel NPI: 1104112853 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Rulon, Elizabeth NPI: 1558300475 Health 121 E Fort St (208) 514-2525 Stutzman, Kimberly MD ~ NPI: 1144212689 Health 121 E Fort St (208) 514-2525 2

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Tenley, Clifford Internal NPI: 1700835790 St Lukes Clinic - Internal 600 N Robbins Rd Ste 301 (208) 385-3329 Whitaker, Tara NPI: 1134416647 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 Beach, Kelly PA ~* Physician Assistant NPI: 1649668765 6052 W State St Boise, ID 83703 (208) 947-1947 Kolb, Jason PA ~* Physician Assistant NPI: 1992215545 6052 W State St Boise, ID 83703 (208) 947-1947 Turcotte, Roger Internal NPI: 1255574109 St Lukes Clinic - Humphreys Diabetes 1226 W River St (208) 331-1155 Ward, Nathan DO ~* NPI: 1487967089 300 W Myrtle St Ste 300 (208) 472-9082 Portuguese Weinrobe, Mark Internal NPI: 1891740338 St Lukes Clinic - Internal 600 N Robbins Rd Ste 301 (208) 385-3329 Wells, Becky PA ~* Medical - Physician Assistant NPI: 1780617811 300 W Myrtle St Ste 300 (208) 472-9082 Wonderlich, Thomas NPI: 1982016788 Health 121 E Fort St (208) 514-2525 Wu, Liang Internal NPI: 1073776258 St Lukes Clinic - Nephrology 333 N 1St St Ste 140 (208) 381-9026 Chinese You, Phyllis NPI: 1265693394 St Lukes Clinic - Capital City 1520 W State St Ste 100 (208) 947-7700 83703 Barnes, Daryn PA ~* Medical - Physician Assistant NPI: 1245321942 6052 W State St Boise, ID 83703 (208) 947-1947 Belzer, Bruce MD * NPI: 1083666382 6052 W State St Boise, ID 83703 (208) 947-1947 Crawford, Christian PA ~* Physician Assistant NPI: 1427303478 6052 W State St Boise, ID 83703 (208) 947-1947 Epperson, Aaron PA ~* Physician Assistant NPI: 1114056132 6052 W State St Boise, ID 83703 (208) 947-1947 Erbele, Tara NPI: 1427081744 Functional Of Idaho 3858 N Garden Cntr Wy Boise, ID 83703 (208) 385-7711 Hamblin, Derek NPI: 1790713204 6052 W State St Boise, ID 83703 (208) 947-1947 Loewenstein, Timothy PA * Medical - Physician Assistant NPI: 1376597377 6052 W State St Boise, ID 83703 (208) 947-1947 Martinez, Stephen NPI: 1154362804 6052 W State St Boise, ID 83703 (208) 947-1947 Morrill, Scott PA ~* Medical - Physician Assistant NPI: 1033354915 6052 W State St Boise, ID 83703 (208) 947-1947 Proffitt, Frannie PA ~* Physician Assistant NPI: 1356694384 6052 W State St Boise, ID 83703 (208) 947-1947 3

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Ringo, Shelley NPI: 1316143886 6052 W State St Boise, ID 83703 (208) 947-1947 Rios, Raul PA ~* Physician Assistant NPI: 1376851725 6052 W State St Boise, ID 83703 (208) 947-1947 Wells, Becky PA ~* Medical - Physician Assistant NPI: 1780617811 6052 W State St Boise, ID 83703 (208) 947-1947 Wilkinson, Kelly NPI: 1245522036 6052 W State St Boise, ID 83703 (208) 947-1947 83704 Allen, Suzanne NPI: 1346286044 Health 6565 W Emerald St (208) 514-2510 Allen, Suzanne NPI: 1346286044 Health 777 N Raymond St (208) 514-2500 Alviso, Marvin Anthony NPI: 1932365533 Health 6565 W Emerald St (208) 514-2510 Filipino Alviso, Marvin Anthony NPI: 1932365533 Health 777 N Raymond St (208) 514-2500 Filipino Axtell, Ricky NPI: 1548482771 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Bailey, Justin NPI: 1659484509 Health 6565 W Emerald St (208) 514-2510 Bailey, Justin NPI: 1659484509 Health 777 N Raymond St (208) 514-2500 Barinaga, Mary NPI: 1801882881 Health 6565 W Emerald St (208) 514-2510 Barinaga, Mary NPI: 1801882881 Health 777 N Raymond St (208) 514-2500 Bastian, Allison NPI: 1164862058 Health 6565 W Emerald St (208) 514-2510 Bastian, Allison NPI: 1164862058 Health 777 N Raymond St (208) 514-2500 Beach, Ann NPI: 1912968892 Health 777 N Raymond St (208) 514-2500 Blue, Sky Internal NPI: 1659365575 Health 6565 W Emerald St (208) 514-2510, Portuguese Boutkaska, Jude PA ~* Medical - Physician Assistant NPI: 1801948591 Sage Health Care 413 N Allumbaugh St Ste 101 (208) 323-1125 Cadwallader, Kara NPI: 1669414728 Health 777 N Raymond St (208) 514-2500 Carlson, Chelsea NPI: 1396156675 Health 6565 W Emerald St (208) 514-2510 Colson, Kathryn PA ~* Medical - Physician Assistant NPI: 1457363970 The Shoulder Clinic Of Idaho 8854 W Emerald Ste 102 (208) 323-4747 4

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Cook, Jennifer NPI: 1265680417 Health 6565 W Emerald St (208) 514-2510 Cooperrider, Jaclyn NPI: 1518372846 Health 777 N Raymond St (208) 514-2500 Davids, Abby NPI: 1780970491 Health 6565 W Emerald St (208) 514-2510 Deblieck, Timothy NPI: 1114961042 Health 6565 W Emerald St (208) 514-2510 Deblieck, Timothy NPI: 1114961042 Health 777 N Raymond St (208) 514-2500 Doyle, Catherine NPI: 1952712242 Health 777 N Raymond St (208) 514-2500 Edwards, Jeffrey NPI: 1578566253 Health 777 N Raymond St (208) 514-2500 French Epperly, Ted NPI: 1134176548 Health 777 N Raymond St (208) 514-2500 Esplin, Andrea NPI: 1508177684 Health 6565 W Emerald St (208) 514-2510 Esplin, Andrea NPI: 1508177684 Health 777 N Raymond St (208) 514-2500 Franz, Martha NPI: 1700172442 Health 6565 W Emerald St (208) 514-2510 Gendler, Julie MD ~ NPI: 1932146388 Health 777 N Raymond St (208) 514-2500 Glass, Justin NPI: 1194820852 Health 777 N Raymond St (208) 514-2500 Gunderson, Christopher PA ~* Medical - Physician Assistant NPI: 1417066143 Health 777 N Raymond St (208) 514-2500 Hamilton, Brady PA ~ Medical - Physician Assistant NPI: 1245221258 Sage Health Care 413 N Allumbaugh St Ste 101 (208) 323-1125 Henkle, Sarah MD ~ NPI: 1295146587 Health 6565 W Emerald St (208) 514-2510 French Henkle, Sarah MD ~ NPI: 1295146587 Health 777 N Raymond St (208) 514-2500 French Jackson, Derek NPI: 1225299357 Health 777 N Raymond St (208) 514-2500 Johnson, Mark NPI: 1831155365 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Kipp, Adam NPI: 1982968665 Health 777 N Raymond St (208) 514-2500 Kocemba, Russell NPI: 1588629406 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Kroll, Becky NPI: 1457648230 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 5

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Loegering, Michael NP ~* Nurse Practitioner NPI: 1821038704 Sage Health Care 413 N Allumbaugh St Ste 101 (208) 323-1125 Maier, Eric NPI: 1831154707 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Maier, Michael NPI: 1912963828 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Mudge, Sandy NPI: 1366704017 Health 6565 W Emerald St (208) 514-2510 French Mudge, Sandy NPI: 1366704017 Health 777 N Raymond St (208) 514-2500 French Mulder, Gertjan NPI: 1659336691 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Dutch Nelson, Aurelia General Practice NPI: 1376761437 Health 777 N Raymond St (208) 514-2500 Nelson, Aurelia General Practice NPI: 1376761437 St Luke S Clinic Mountain View Medical 3301 N Sawgrass Wy (208) 375-0862 Nichols, Heather NPI: 1144246950 Health 777 N Raymond St (208) 514-2500 Palmer, Todd NPI: 1568595270 Health 777 N Raymond St (208) 514-2500 Papa, Jared PA ~ Physician Assistant NPI: 1518047034 Health 777 N Raymond St (208) 514-2500 Petrie, Jennifer MD ~ NPI: 1891879094 Residency Of Idaho Inc 777 N Raymond St (208) 514-2500 Pinsky, Maia NPI: 1053722298 Health 6565 W Emerald St (208) 514-2510 Pinsky, Maia NPI: 1053722298 Health 777 N Raymond St (208) 514-2500 Quinn, Heather MD ~ NPI: 1386698744 Health 6565 W Emerald St (208) 514-2510 Quinn, Heather MD ~ NPI: 1386698744 Health 777 N Raymond St (208) 514-2500 Rich, Kevin NPI: 1902833031 Health 777 N Raymond St (208) 514-2500 Ross, Daniel NPI: 1104112853 Health 6565 W Emerald St (208) 514-2510 Ross, Daniel NPI: 1104112853 Health 777 N Raymond St (208) 514-2500 Schneider, Kathryn NPI: 1457589640 Health 777 N Raymond St (208) 514-2500 Schneider, Steven NPI: 1720377476 Health 777 N Raymond St (208) 514-2500 6

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Serio Iii, Vincent General Practice NPI: 1750509725 Health 777 N Raymond St (208) 514-2500 Skelly, Katherine PA ~* Physician Assistant NPI: 1972906824 Sage Health Care 413 N Allumbaugh St Ste 101 (208) 323-1125 Stutzman, Kimberly MD ~ NPI: 1144212689 Health 6565 W Emerald St (208) 514-2510 Stutzman, Kimberly MD ~ NPI: 1144212689 Health 777 N Raymond St (208) 514-2500 Turner, Mark NPI: 1962443101 Teen Hope Of Idaho 10020 W Fairview Ave Ste 204 (208) 901-4649 Weller, Katie NP * Nurse Practitioner NPI: 1275584534 6348 Emerald St (208) 377-4400 Wilkinson, Kelly NPI: 1245522036 Health 777 N Raymond St (208) 514-2500 Williams, John NPI: 1235122714 Health 6565 W Emerald St (208) 514-2510 Zeimantz, Stephen NP ~* Nurse Practitioner NPI: 1922001478 Family Care Clinic 8050 W Rifleman St Ste 100 (208) 321-0634 83705 Allmaras, Tanya PA ~ Physician Assistant NPI: 1427334929 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Barrus, Paul DO ~* NPI: 1114926136 Terry Reilly Medical Dental And Behavioral Health 848 S La Cassia St Boise, ID 83705 (208) 344-0086, French Hamblin, Derek NPI: 1790713204 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Hoffman, Christina NP ~* Nurse Practitioner NPI: 1164898201 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Kantayya, Vivek NPI: 1437132479 Terry Reilly Medical Dental And Behavioral Health 848 S La Cassia St Boise, ID 83705 (208) 344-0086 Tamil Leonard, Bryce PA ~* Physician Assistant NPI: 1356743843 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Phail, Paul DO ~* NPI: 1336554674 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Shinkle, Samuel PA ~* Physician Assistant NPI: 1558735514 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 Vania, Amber DO * NPI: 1922311042 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 83706 Ballance, David NPI: 1881654820 Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166 Barnes, Darryl PA ~* Medical - Physician Assistant NPI: 1891733663 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 7

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Beach, Kelly PA ~* Physician Assistant NPI: 1649668765 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Blough, Susan Internal NPI: 1336197870 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 French Brosa, John NPI: 1275559080 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Bryan, Thornton NPI: 1003808924 St Lukes Clinic Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Crosland, Laron NPI: 1134363625 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Erwin, Ann NPI: 1851494223 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Freeman, Leah DO ~* NPI: 1124464615 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Hamblin, Derek NPI: 1790713204 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Hartman, D David MD * NPI: 1588669410 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Hawkes, James Internal NPI: 1184858029 Lyon Medical - Americana Terrace 3550 W Americana Terrace Boise, ID 83706 (208) 947-5390 Johnson, Gregory NPI: 1508969973 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Maloney, Gregory PA ~* Physician Assistant NPI: 1689035404 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Michaud, Mark MD * NPI: 1780621128 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Moon, Erin PA ~ Physician Assistant NPI: 1588826846 Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706 (208) 377-5166 Nelson, Timothy Internal NPI: 1811021884 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Pelton, Michael Internal NPI: 1548219090 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Pucciarelli, Irene DO ~* Internal NPI: 1871559948 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Richardson, Rosalia NPI: 1134150998 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Ross, Daniel NPI: 1104112853 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Rulon, Elizabeth NPI: 1558300475 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Ruth, Timothy NPI: 1588695944 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 8

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Rutherford, Mark NPI: 1972693786 St Lukes Clinic - Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Sackman, Irvin NPI: 1003919473 St Lukes Clinic Idaho Family Physicians 130 E Boise Ave Boise, ID 83706 (208) 345-4066 Stubbs, Leslie Internal NPI: 1588613483 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400, Bosnian Weitemier, Kenneth NPI: 1699717926 St Lukes Clinic - Family 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 Wells, Becky PA ~* Medical - Physician Assistant NPI: 1780617811 1907 S Broadway Ave Ste 101 Boise, ID 83706 (208) 345-1222 Wilson, Sara Internal NPI: 1659638864 St Lukes Clinic - Internal 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 83709 Allmaras, Tanya PA ~ Physician Assistant NPI: 1427334929 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Barnes, Darryl PA ~* Medical - Physician Assistant NPI: 1891733663 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Basaldua, Charalee NPI: 1609036086 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Qi, Huiling Internal NPI: 1730405721 Lyon Medical 6651 W Franklin Rd Boise, ID 83709 (208) 947-5390 Chinese Vania, Cyrus DO * NPI: 1740593862 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Weller, Katie NP * Nurse Practitioner NPI: 1275584534 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Zapp, Lyndsi PA ~* Physician Assistant NPI: 1780054619 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 83712 Balinger, Adam MD ~ Internal NPI: 1588981609 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Boettiger, Taylor MD ~ Internal NPI: 1902036361 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Bollinger, William Internal NPI: 1942258439 St Lukes Clinic - Internal 300 E Jefferson St Ste 300 (208) 381-4100 Box, Lesleigh MD ~ Internal NPI: 1720064785 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Bruce, Jessica NP ~* Nurse Practitioner NPI: 1205029162 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Case, Shanna MD ~ Internal NPI: 1205004215 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Cliften, Peter MD ~ Internal NPI: 1760473771 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Defrang, Caroline MD ~ Internal NPI: 1699724690 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Donovan, Jodie Internal NPI: 1295027688 St Lukes Clinic - Internal 300 E Jefferson St Ste 300 (208) 381-4100 9

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido England, Benjamin MD ~ Internal NPI: 1114916186 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Fernandez Brandt, Melina MD ~ Internal NPI: 1366605180 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015, Portuguese Figueroa, April NP * Nurse Practitioner NPI: 1982952529 St Lukes Childrens - Treasure Valley Pediatrics 100 E Idaho St Ste 401 (208) 345-0715 Gallafent, James Internal NPI: 1518077437 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 French Giffen, J Perry Internal NPI: 1275583643 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Grooms, Shanda MD ~ Internal NPI: 1750330080 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Henao, Gloria Internal NPI: 1306036835 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Johnson, Troy MD ~ Internal NPI: 1740422757 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Komori, Allyson DO ~* Internal NPI: 1679869473 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Lewis, Erika Internal NPI: 1659320570 St Lukes Clinic - Internal 300 E Jefferson St Ste 300 (208) 381-4100 Mccarren, Megan MD ~ Internal NPI: 1841490950 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Mcclaskey, Daniel MD ~ Internal NPI: 1558560060 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Mcgeorge, Laura Internal NPI: 1629029699 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Montamat, Stephen Internal NPI: 1548210958 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Morales, Jessica DO ~ Internal NPI: 1790048221 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Nandy, Mousumi MD ~ Internal NPI: 1508887472 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Necochea, Alejandro MD ~ Internal NPI: 1033273164 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Nona, Leslie Internal NPI: 1497704316 St Lukes Clinic - Internal 300 E Jefferson St Ste 300 (208) 381-4100 Orchard, Danielle MD ~ Internal NPI: 1831489715 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Patel, Niral MD ~ NPI: 1083845945 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Pereda, Carissa Internal NPI: 1538486923 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 10

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Pontickio, Steven Internal NPI: 1497097778 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Rhodes, Michael MD ~ Internal NPI: 1427212729 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Roscoe, Janet NP ~* Nurse Practitioner NPI: 1376573170 St Lukes Clinic - Obstetrics And Gynecology 100 E Idaho St Ste 302 (208) 343-7501 Rulon, Elizabeth NPI: 1558300475 St Lukes Clinic - Cystic Fibrosis 100 E Idaho St Ste 200 (208) 381-7092 Schell, Amy Internal NPI: 1275581753 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Shanahan, Alexis Internal NPI: 1376665471 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Staben, Mary MD ~ Internal NPI: 1770593626 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Tanabe, Alex Internal NPI: 1134513088 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Thomas, Rexy MD ~ Internal NPI: 1164653028 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Thompson, E Gregory Internal NPI: 1497705826 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Turcotte, Roger Internal NPI: 1255574109 St Lukes Clinic - Internal 300 E Jefferson St Ste 201 (208) 381-4100 Watson, Benjamin PA ~* Medical - Physician Assistant NPI: 1013466200 St Lukes Clinic Treasure Valley Llc 190 E Bannock St (208) 381-2222 Wimer, Douglas MD ~ NPI: 1285780916 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 Young, Mark Internal NPI: 1821226093 St Lukes Clinic - Hospitalists 190 E Bannock St (208) 381-5015 83713 Allmaras, Tanya PA ~ Physician Assistant NPI: 1427334929 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Barnes, Darryl PA ~* Medical - Physician Assistant NPI: 1891733663 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Bateman, Wade NPI: 1730131038 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Baxter, Susan Internal NPI: 1417959842 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Sign Language Beach, Kelly PA ~* Physician Assistant NPI: 1649668765 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Birch, Christine PA ~* Physician Assistant NPI: 1871912634 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Bronner, Jason Internal NPI: 1245267541 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Burke, Ryan PA ~* Physician Assistant NPI: 1194132860 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 11

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Crawford, Christian PA ~* Physician Assistant NPI: 1427303478 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Cron, Andrew NPI: 1497707897 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Dillion-Bialobrzeski, April DO * NPI: 1033329842 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Ewings, Maria Internal NPI: 1255422747 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Holbrook, Mark Internal NPI: 1205884616 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Jordan, Anthony NPI: 1144212549 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Kohler, Gretchen Internal NPI: 1982698502 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Loewenstein, Timothy PA * Medical - Physician Assistant NPI: 1376597377 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Maffey, Jenna PA ~* Medical - Physician Assistant NPI: 1467787598 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Moore, Ryan MD * NPI: 1386664654 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Moorhouse, Aaron DO ~* NPI: 1689602914 Pioneer 13150 W Persimmon Ln Boise, ID 83713 (208) 938-3663 Nielsen, David Internal NPI: 1821048364 St Lukes Clinic - Internal 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Chinese Proffitt, Frannie PA ~* Physician Assistant NPI: 1356694384 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Rios, Raul PA ~* Physician Assistant NPI: 1376851725 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 Ross, Daniel NPI: 1104112853 St Lukes Clinic - St Lukes Family Health 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 Wells, Becky PA ~* Medical - Physician Assistant NPI: 1780617811 11197 W Fairview Ave Boise, ID 83713 (208) 378-8011 83716 Moses, Nicole NPI: 1881801322 St Lukes Clinic - St Lukes Family Health 2083 Hospitality Ln Boise, ID 83716 (208) 333-8345 Ribbens, Terry NPI: 1548210552 St Lukes Clinic - St Lukes Family Health 2083 Hospitality Ln Boise, ID 83716 (208) 333-8345 Sur, Mousoomi NPI: 1518968841 St Lukes Clinic - St Lukes Family Health 2083 Hospitality Ln Boise, ID 83716 (208) 333-8345 Bengali, Hindi Eagle 83616 Barnes, Darryl PA ~* Medical - Physician Assistant NPI: 1891733663 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 12

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Burch, Joel PA ~* Medical - Physician Assistant NPI: 1679918536 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Chan, Rylan PA ~* Physician Assistant NPI: 1306874623 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Duff, Robert NP ~* Nurse Practitioner NPI: 1801089255 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 East, Karen Internal NPI: 1255380150 St Lukes Clinic - Internal 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Franklin, Robert DO ~* NPI: 1487753067 St Lukes Clinic - Family 3101 E State St Ste 2107 Eagle, ID 83616 (208) 473-3500 Gerrish, Sarah NPI: 1982832176 St Lukes Clinic - Family 3101 E State St Ste 1100 Eagle, ID 83616 (208) 473-3500 Hamblin, Derek NPI: 1790713204 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Hedemark, Michael Internal NPI: 1992805931 St Lukes Clinic - Internal 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Hulbert, David NPI: 1730313586 St Lukes Clinic - Family 3101 E State St Ste 1100 Eagle, ID 83616 (208) 473-3500 Huntington, Mary Ann Internal NPI: 1801057708 St Lukes Clinic - Internal 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Kaylor, Michael MD * NPI: 1104878610 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Lair, Susanne Internal NPI: 1437198884 St Lukes Clinic - Internal 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Luque, Marion MD * Internal NPI: 1124088331 Winding Creek Medical Arts And Weight Loss 1139 E Winding Creek Dr Eagle, ID 83616 (208) 938-8887 Maffey, Jenna PA ~* Medical - Physician Assistant NPI: 1467787598 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Reed, Daniel MD * NPI: 1699719807 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Relyea, Ramon PA ~* Medical - Physician Assistant NPI: 1972805943 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 Ripepi, Bartholomew DO ~* NPI: 1073873188 St Lukes Clinic - Family 3101 E State St Ste 1100 Eagle, ID 83616 (208) 473-3500 Schlickman, Louis MD * Internal NPI: 1629022116 L Schlickman Md Pllc 1139 E Winding Creek Dr Eagle, ID 83616 (208) 938-8887 Tanabe, Kimberly Internal NPI: 1194773598 St Lukes Clinic - Internal 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Tolman, Mont DO ~* NPI: 1124069828 St Lukes Clinic - Family 3101 E State St Ste 1100 Eagle, ID 83616 (208) 473-3500 Yerger, James NPI: 1265477962 435 S Eagle Rd Eagle, ID 83616 (208) 939-8200 13

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Garden City 83714 House, Angela DO * NPI: 1700828241 5601 W Chinden Blvd Garden City, ID 83714 (208) 809-2865 Macdonald, Frank MD * NPI: 1255602918 5601 W Chinden Blvd Garden City, ID 83714 (208) 809-2865 Kuna 83634 Armijo, Molly NPI: 1093750200 Advanced 943 N Linder Rd Ste 103 Kuna, ID 83634 (208) 922-3355 Bastian, Allison NPI: 1164862058 Health 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-5130 Edwards, Jeffrey NPI: 1578566253 Health 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-5130 French Finnegan, Jordan PA ~* Medical - Physician Assistant NPI: 1396106928 Advanced 943 N Linder Rd Ste 103 Kuna, ID 83634 (208) 922-3355 Foutz, Michael NPI: 1992782361 Advanced 943 N Linder Rd Ste 103 Kuna, ID 83634 (208) 922-3355 Vietnamese Wertzler, Kelsey NPI: 1659782829 Health 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-5130 Meridian 83642 Adams, Brenda NPI: 1205887288 St Lukes Clinic - St Lukes Family Health 3090 Gentry Wy Ste 200 (208) 887-6813 Allen, Suzanne NPI: 1346286044 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Alviso, Marvin Anthony NPI: 1932365533 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Filipino Atup Leavitt, Catherine NPI: 1386698363 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Tagalog Barnes, Darryl PA ~* Medical - Physician Assistant NPI: 1891733663 3115 E Florence St (208) 895-8670 Barnes, Daryn PA ~* Medical - Physician Assistant NPI: 1245321942 1623 S Wells Ave (208) 489-1450 Bastian, Allison NPI: 1164862058 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Battaglia, Marisa MD * NPI: 1093074577 1623 S Wells Ave (208) 489-1450 Battaglia, Sam MD * NPI: 1255383055 1623 S Wells Ave (208) 489-1450 Beach, Ann NPI: 1912968892 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Beach, Kelly PA ~* Physician Assistant NPI: 1649668765 1623 S Wells Ave (208) 489-1450 Beaufort, Bradley DO ~* NPI: 1063851434 St Lukes Clinic - Family 2347 E Gala St Ste 150 (208) 345-3530 Tagalog 14

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Berglund, J Alexander Internal NPI: 1184915183 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Buersmeyer, Patricia Internal NPI: 1104816198 Saltzer Clinics 3277 E Louise Dr Ste 200 (208) 884-2920 Burch, Joel PA ~* Medical - Physician Assistant NPI: 1679918536 1623 S Wells Ave (208) 489-1450 Burch, Joel PA ~* Medical - Physician Assistant NPI: 1679918536 3115 E Florence St (208) 895-8670 Castellano, Patrick PA ~* Medical - Physician Assistant NPI: 1689856809 1623 S Wells Ave (208) 489-1450 Church, Nathan PA ~* Medical - Physician Assistant NPI: 1386635977 1623 S Wells Ave (208) 489-1450 Crawford, Christian PA ~* Physician Assistant NPI: 1427303478 1623 S Wells Ave (208) 489-1450 Crawford, Christian PA ~* Physician Assistant NPI: 1427303478 1648 Nw 1St St (208) 888-9393 Cressey, Yvette DO ~* NPI: 1497759088 Saltzer Clinics 3277 E Louise Dr Ste 200 (208) 884-2920 Crump, William NPI: 1740232529 St Lukes Clinic - Family 3399 E Louise Dr Ste 100 (208) 887-6813 Davies, Danielle NPI: 1871904789 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Davis, Toby DO ~* NPI: 1891987467 St Lukes Clinic - Ada Medical Associates 3399 E Louise Dr Ste 100 (208) 288-2255 Deblieck, Timothy NPI: 1114961042 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Dillion-Bialobrzeski, April DO * NPI: 1033329842 1623 S Wells Ave (208) 489-1450 Dockter, Lisa MD * NPI: 1285689034 3115 E Florence St (208) 895-8670 Downey, Paddy PA ~* Medical - Physician Assistant NPI: 1972905453 1623 S Wells Ave (208) 489-1450 Downey, Paddy PA ~* Medical - Physician Assistant NPI: 1972905453 1648 Nw 1St St (208) 888-9393 Downey, Paddy PA ~* Medical - Physician Assistant NPI: 1972905453 3115 E Florence St (208) 895-8670 Ellefson, Shauna NP ~* Nurse Practitioner NPI: 1588943435 St Lukes Childrens - Treasure Valley Pediatrics 1620 S Celebration Ave (208) 884-1030 Epperly, Ted NPI: 1134176548 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 15

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Frix, Jeremy PA * Physician Assistant NPI: 1164450862 1623 S Wells Ave (208) 489-1450 Hasty, Robert DO ~* Internal NPI: 1407812175 St Lukes Clinic - Internal 520 S Eagle Rd (208) 706-5000 Johnson, Mark DO * NPI: 1376707034 1648 Nw 1St St (208) 888-9393 Locke, Jeremy NP ~ Nurse Practitioner NPI: 1518214493 St Lukes Childrens Hospital - Hospitalists 520 S Eagle Rd (208) 381-2645 Frix, Jeremy PA * Physician Assistant NPI: 1164450862 1648 Nw 1St St (208) 888-9393 Gerrish, Sarah NPI: 1982832176 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Glass, Justin NPI: 1194820852 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Hall, D Eric DO ~* NPI: 1780671347 St Lukes Clinic - Family 3399 E Louise Dr Ste 100 (208) 887-6813 Hamblin, Derek NPI: 1790713204 1130 E Fairview Ave (208) 888-9393 Henao, Gloria Internal NPI: 1306036835 Apogee Medical Idaho Pc 2131 S Bonito Way (208) 489-9500 Hodges, Timothy DO * NPI: 1225027253 1648 Nw 1St St (208) 888-9393 Holland, Robert NPI: 1356348015 St Lukes Clinic - Ada Medical Associates 3399 E Louise Dr Ste 100 (208) 288-2255 Hudon, Tyler MD * NPI: 1295097012 3115 E Florence St (208) 895-8670 Johnson, Frank Internal NPI: 1841249307 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Kerr, Mary NPI: 1144244054 Saltzer Clinics 3277 E Louise Dr Ste 200 (208) 884-2920 King, Amanda NP ~* Nurse Practitioner NPI: 1790053338 Back 2 Life Medical Inc 2016 S Eagle Rd (208) 887-6810 Laky, Devin NPI: 1154732212 St Lukes Clinic - Ada Medical Associates 3399 E Louise Dr Ste 100 (208) 288-2255 Lamb, Sean PA ~* Physician Assistant NPI: 1053763896 1130 E Fairview Ave (208) 888-9393 Leonard, Bryce PA ~* Physician Assistant NPI: 1356743843 St Lukes Clinic - Acute Care Surgery 520 S Eagle Rd Ste 1241 (208) 381-6930 Locke, Rebecca DO ~ NPI: 1265672281 St Lukes Clinic - Family 3399 E Louise Dr Ste 100 (208) 887-6813 Loewenstein, Timothy PA * Medical - Physician Assistant NPI: 1376597377 1623 S Wells Ave (208) 489-1450 Loewenstein, Timothy PA * Medical - Physician Assistant NPI: 1376597377 3115 E Florence St (208) 895-8670 Loveland, William NPI: 1831140854 Summit Family Health 1828 S Millennium Way Ste 300 (208) 895-8775 Japanese 16

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Lyons, Robert MD * NPI: 1699712034 1623 S Wells Ave (208) 489-1450 Michaud, Mark MD * NPI: 1780621128 1623 S Wells Ave (208) 489-1450 Noel, Brenton PA ~* Physician Assistant NPI: 1275961765 1623 S Wells Ave (208) 489-1450 Proffitt, Frannie PA ~* Physician Assistant NPI: 1356694384 3115 E Florence St (208) 895-8670 Maffey, Jenna PA ~* Medical - Physician Assistant NPI: 1467787598 1623 S Wells Ave (208) 489-1450 Maffey, Jenna PA ~* Medical - Physician Assistant NPI: 1467787598 3115 E Florence St (208) 895-8670 Martin-Thompson, Michelle Internal NPI: 1730306705 St Lukes Clinic - Internal 520 S Eagle Rd (208) 706-5000 Martinez, Stephen NPI: 1154362804 1623 S Wells Ave (208) 489-1450 Miltner, Natasha Internal NPI: 1396832770 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Morgan, Tracy NPI: 1346277118 St Lukes Clinic - Family 2347 E Gala St Ste 150 (208) 345-3530 Morrill, Scott PA ~* Medical - Physician Assistant NPI: 1033354915 1623 S Wells Ave (208) 489-1450 Mudge, Sandy NPI: 1366704017 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 French Palmer, Todd NPI: 1568595270 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Pellant, Angela NPI: 1780626358 Summit Family Health 1828 S Millennium Way Ste 300 (208) 895-8775 Poinier, Anne Internal NPI: 1962451138 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Powers, Benjamin Internal NPI: 1841204567 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Proffitt, Frannie PA ~* Physician Assistant NPI: 1356694384 1623 S Wells Ave (208) 489-1450 Quinn, Heather MD ~ NPI: 1386698744 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Reed, Bonnie NPI: 1093155814 St Lukes Clinic - Family 3399 E Louise Dr Ste 100 (208) 887-6813 Relyea, Ramon PA ~* Medical - Physician Assistant NPI: 1972805943 1623 S Wells Ave (208) 489-1450 Relyea, Ramon PA ~* Medical - Physician Assistant NPI: 1972805943 3115 E Florence St (208) 895-8670 17

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Reynolds, Catherine NPI: 1104868884 St Lukes Clinic - Family 2347 E Gala St Ste 150 (208) 345-3530 Rios, Raul PA ~* Physician Assistant NPI: 1376851725 1623 S Wells Ave (208) 489-1450 Roberts, Rick Internal NPI: 1558351551 Saltzer Clinics 3277 E Louise Dr Ste 200 (208) 884-2920 Ross, Allyson NPI: 1306157466 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Ross, Daniel NPI: 1104112853 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Scott, Julie PA ~* Medical - Physician Assistant NPI: 1811001415 Summit Family Health 1828 S Millennium Way Ste 300 (208) 895-8775 Serio Iii, Vincent General Practice NPI: 1750509725 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Shalz, Jennifer Internal NPI: 1245346303 St Lukes Heart Health And Rehab 3525 E Louise Dr Ste 500 (208) 706-7050 Shepherdson, Nikole DO ~* NPI: 1760610950 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Shumard, Erin PA ~* Physician Assistant NPI: 1184134843 3115 E Florence St (208) 895-8670 Slade, Jason Internal NPI: 1750672481 Apogee Medical Idaho Pc 2131 S Bonito Way (208) 489-9500 Stolworthy, Lloyd General Practice NPI: 1831264878 1648 Nw 1St St (208) 888-9393 Stone, Janine NPI: 1306948062 1648 Nw 1St St (208) 888-9393 Stowell, Patrick MD * NPI: 1720022239 1623 S Wells Ave (208) 489-1450 Stutzman, Kimberly MD ~ NPI: 1144212689 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Tomey, David PA * Physician Assistant NPI: 1841233160 Trinity 2985 S Meridian Rd Ste 100 (208) 287-9444 Vickers, Amber PA ~* Physician Assistant NPI: 1114964616 1623 S Wells Ave (208) 489-1450 Vickers, Amber PA ~* Physician Assistant NPI: 1114964616 3115 E Florence St (208) 895-8670 Vincen Brown, Michael PA ~* Physician Assistant NPI: 1003326398 3115 E Florence St (208) 895-8670 Ward, Nathan DO ~* NPI: 1487967089 1623 S Wells Ave (208) 489-1450 Portuguese Ward, Nathan DO ~* NPI: 1487967089 3115 E Florence St (208) 895-8670 Portuguese 18

Primary Care Providers / Médicos de Cuidados Proveedores Ada County continued / Condado seguido Weller, Katie NP * Nurse Practitioner NPI: 1275584534 1623 S Wells Ave (208) 489-1450 Wells, Becky PA ~* Medical - Physician Assistant NPI: 1780617811 1623 S Wells Ave (208) 489-1450 Wertzler, Kelsey NPI: 1659782829 Health 2275 S Eagle Rd Ste 120 (208) 514-2500 Wilson, Ryan PA ~* Physician Assistant NPI: 1174980346 1623 S Wells Ave (208) 489-1450 Wilson, Sara FNP ~* Nurse Practitioner NPI: 1417338104 West Valley Spine 745 S Progress Ave Ste 120 (208) 795-5073 Woodlief, Justin Internal NPI: 1184062911 St Lukes Clinic - Internal 520 S Eagle Rd Ste 3102 (208) 706-5100 Yerger, James NPI: 1265477962 1130 E Fairview Ave (208) 888-9393 Yerger, James NPI: 1265477962 3115 E Florence St (208) 895-8670 83646 Clinger, Mark MD * NPI: 1699769471 1900 W Chinden Blvd Meridian, ID 83646 (208) 809-2860 Cantonese Crownover, Brian NPI: 1295729085 Treasure Valley Family 2428 N Stokesberry Pl Meridian, ID 83646 (208) 895-0050 Develle, Robyn NP ~* Nurse Practitioner NPI: 1215954862 Align Integrated Medical 750 W Ustick Rd Ste 100 Meridian, ID 83646 (208) 639-1397 Kropf, Mark NPI: 1528052636 St Lukes Clinic - St Lukes Family Health 3140 W Milano Dr Ste 150 Meridian, ID 83646 (208) 887-4775 Italian Partridge, Christopher NPI: 1497848766 Treasure Valley Family 2428 N Stokesberry Pl Meridian, ID 83646 (208) 895-0050 Ross, Allyson NPI: 1306157466 St Lukes Clinic - St Lukes Family Health 3140 W Milano Dr Ste 150 Meridian, ID 83646 (208) 887-4775 Schelhaas, Kristyn DO * NPI: 1366453524 1900 W Chinden Blvd Meridian, ID 83646 (208) 809-2860 Thomas, George DO * NPI: 1972540870 1900 W Chinden Blvd Meridian, ID 83646 (208) 809-2860 Wilson, Kevin NPI: 1225080732 St Lukes Clinic - St Lukes Family Health 3140 W Milano Dr Ste 150 Meridian, ID 83646 (208) 887-4775 Adams Council 83612 Blanchard, Jordan NPI: 1356630941 Adams County Health Inc 205 N Berkley St Council, ID 83612 (208) 253-4242 Bannock Chubbuck 83202 Clifford, Kyle NPI: 1841285590 Clifford 4750 Yellowstone Ave Chubbuck, ID 83202 (208) 251-0316 83204 Bokelmann, Jean NPI: 1487649141 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 19

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Carbol, Courtland NPI: 1780610071 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Horrocks, Mark NPI: 1700885258 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Kjos, Melissa NPI: 1164861340 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Morrison, Chelsie NPI: 1710111935 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Ragan, Joseph NPI: 1659324499 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Smith, Dean DO ~* NPI: 1144252099 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Weinhold, Ana NPI: 1932369568 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Downey 83234 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Bokelmann, Jean NPI: 1487649141 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Carbol, Courtland NPI: 1780610071 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Horrocks, Mark NPI: 1700885258 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Kjos, Melissa NPI: 1164861340 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Morrison, Chelsie NPI: 1710111935 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Ragan, Joseph NPI: 1659324499 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Smith, Dean DO ~* NPI: 1144252099 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Weinhold, Ana NPI: 1932369568 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Lava Hot Spring 83246 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Bokelmann, Jean NPI: 1487649141 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 20

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Carbol, Courtland NPI: 1780610071 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Horrocks, Mark NPI: 1700885258 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Kjos, Melissa NPI: 1164861340 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Morrison, Chelsie NPI: 1710111935 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Ragan, Joseph NPI: 1659324499 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Smith, Dean DO ~* NPI: 1144252099 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Weinhold, Ana NPI: 1932369568 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Pocatello 83201 Adams, Rebecca NPI: 1689610842 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Andres, Matthew DO ~* NPI: 1366602963 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Andres, Matthew DO ~* NPI: 1366602963 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Andres, Matthew DO ~* NPI: 1366602963 Idaho Orthopaedic And Sports Clinic 560 Memorial Dr (208) 234-1960 Anghel, Gabriela Internal NPI: 1598196784 Portneuf Medical Practices 500 S 11Th 303 (208) 239-3815 Romanian Bailey, Jordan NPI: 1225124936 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Bailey, Jordan NPI: 1225124936 Specialized Family 151 N 4Th Ave Ste B (208) 269-7147 Barker, Michael MD ~ NPI: 1811250392 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Russian Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Bokelmann, Jean NPI: 1487649141 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Bokelmann, Jean NPI: 1487649141 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Bokelmann, Jean NPI: 1487649141 Southeastern Idaho Public Health 1901 Alvin Ricken Dr (208) 233-9080 Brumfield, Troy DO ~* NPI: 1265541494 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032, Sign Language Burton, Bradley NPI: 1093818239 Mountain View Family 2006 Birdie Thompson Ln (208) 232-1132 21

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Burton, Bradley NPI: 1093818239 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Carbol, Courtland NPI: 1780610071 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Carbol, Courtland NPI: 1780610071 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Christensen, Kelli NPI: 1366443699 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Clark, Sharla DO ~* NPI: 1093078578 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Clark, Sharla DO ~* NPI: 1093078578 Pocatello Womens Health Clinic 777 Hospital Way Ste 300 (208) 239-3453 Clark, Sharla DO ~* NPI: 1093078578 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Clegg, Michelle NP ~* Nurse Practitioner NPI: 1770653917 Physicians Immediate Care 495 Yellowstone Ave (208) 478-7422 Cree, Jonathan NPI: 1144213554 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 French, German Cree, Jonathan NPI: 1144213554 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 French, German Cree, Jonathan NPI: 1144213554 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 French, German Curtis, Larry NPI: 1295804425 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Daniels, David DO ~* NPI: 1972549137 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Driscoll, Mallory PA ~ Physician Assistant NPI: 1972012482 Mountain View Family 2006 Birdie Thompson Ln (208) 232-1132 Fenstermaker, John DO ~* NPI: 1548581390 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Fernandez, Luis NPI: 1841299302 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Fernandez, Luis NPI: 1841299302 Portneuf Medical Practices 500 S 11Th 303 (208) 239-3815 Fowler, Randall NPI: 1154344059 Portneuf Medical Practices 500 S 11Th 500 (208) 239-1040 Gillespie, Robert PA ~* Physician Assistant NPI: 1922026467 Physicians And Surgeons Clinic Of Pocatello 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Hammar, Bryan DO ~* NPI: 1841219987 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Harris, Michael NPI: 1952579021 Bingham Memorial Family 353 N 4Th Ave Ste 102 (208) 478-7900 French Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 22

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Hill, Jennilee NP * Nurse Practitioner NPI: 1386877017 Bingham Memorial Family 353 N 4Th Ave Ste 102 (208) 478-7900 Hill, Jennilee NP * Nurse Practitioner NPI: 1386877017 Physicians And Surgeons Clinic Of Pocatello 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Hoffman, Sandra Internal NPI: 1518039189 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Holmstead, Earl NPI: 1790870400 Mountain View Family 2006 Birdie Thompson Ln (208) 232-1132 Horrocks, Mark NPI: 1700885258 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Horrocks, Mark NPI: 1700885258 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Kimball, David DO ~ NPI: 1730325143 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Kjos, Melissa NPI: 1164861340 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Kjos, Melissa NPI: 1164861340 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Kjos, Melissa NPI: 1164861340 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Maguire, James DO ~* NPI: 1811006091 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Mansfield, Mark NPI: 1134113251 Pcs Endoscopy Suite 110 Vista Dr (208) 234-2300 Mansfield, Mark NPI: 1134113251 Primary Care Specialists 110 Vista Dr (208) 234-2300 Martin, Brady DO ~* NPI: 1477840239 Bingham Memorial Diabetes & Osteoporosis 2302 E Terry St (208) 235-5910 Martin, Brady DO ~* NPI: 1477840239 Bingham Memorial Family 353 N 4Th Ave Ste 102 (208) 478-7900 Martin, Brady DO ~* NPI: 1477840239 Physicians And Surgeons Clinic Of Pocatello 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Martinsen, Misty NP ~* Nurse Practitioner NPI: 1467685511 Specialized Family 151 N 4Th Ave Ste B (208) 269-7147 Maynard, Richard DO ~* NPI: 1952395063 Primary Care Specialists 110 Vista Dr (208) 234-2300 Mickelsen, Brandon DO ~* NPI: 1417987686 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Dutch Mickelsen, Brandon DO ~* NPI: 1417987686 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Dutch Morrison, Chelsie NPI: 1710111935 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Morrison, Chelsie NPI: 1710111935 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Nielsen, Travis DO ~* NPI: 1730340365 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 23

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Nielsen, Travis DO ~* NPI: 1730340365 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Nielson, Tyrell PA * Physician Assistant NPI: 1376858209 West 1133 Call Creek Pl Ste A (208) 232-1000 Olsen, Blaine DO ~* NPI: 1922236454 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Olsen, Blaine DO ~* NPI: 1922236454 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Plomaritis, Demetrios PA ~* Physician Assistant NPI: 1831518992 Teton Spine & Sports Pain 850 E Lander St (208) 234-2345 Price, Jared DO ~* NPI: 1093884363 Portneuf Medical Practices 777 Hospital Wy G1 (208) 239-2670 Ragan, Joseph NPI: 1659324499 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Ragan, Joseph NPI: 1659324499 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Ragan, Joseph NPI: 1659324499 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Redding, Jessica PA * Physician Assistant NPI: 1588909261 Mountain View Family 2006 Birdie Thompson Ln (208) 232-1132 Rick, Daniel PA ~* Medical - Physician Assistant NPI: 1770764136 Primary Care Specialists 110 Vista Dr (208) 234-2300 Rodriguez-Valdivia, Yolanda NPI: 1093701351 Portneuf Medical Practices 500 S 11Th 303 (208) 239-3815 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Shields, Christopher NPI: 1285633065 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Smith, Dean DO ~* NPI: 1144252099 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Smith, Dean DO ~* NPI: 1144252099 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Solbrig, Ronald NPI: 1487794939 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Solbrig, Ronald NPI: 1487794939 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Speakman, William DO ~* NPI: 1821034562 Community Care - Pocatello 1595 Yellowstone Ave (208) 233-0032 Thayne, Andrew NPI: 1669405791 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Thayne, Andrew NPI: 1669405791 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Walker, Kris NPI: 1861500613 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Warnock, Zachary NPI: 1164717419 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 24

Primary Care Providers / Médicos de Cuidados Proveedores Bannock County continued / Condado seguido Warnock, Zachary NPI: 1164717419 Intermountain Medical Clinic 1951 Bench Rd Ste B (208) 238-1000 Weatherly, Joseph DO ~* NPI: 1417392697 1St Choice Family 353 N 4Th Ave Ste 102 (208) 478-7900 Wehrle, Lance DO * Internal NPI: 1184919607 Bingham Memorial Diabetes & Osteoporosis 2302 E Terry St (208) 235-5910 Norwegian Wehrle, Lance DO * Internal NPI: 1184919607 Physicians And Surgeons Clinic Of Pocatello 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Norwegian Weinhold, Ana NPI: 1932369568 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Weinhold, Ana NPI: 1932369568 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 West, Brandon DO ~* NPI: 1750490660 West 1133 Call Creek Pl Ste A (208) 232-1000 Willey, Jay DO ~* NPI: 1922029412 Physicians Immediate Care 495 Yellowstone Ave (208) 478-7422 Woodhouse, William NPI: 1760531859 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Woodhouse, William NPI: 1760531859 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 83202 Clegg, Michelle NP ~* Nurse Practitioner NPI: 1770653917 Physicians Immediate Care 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 Clifford, Kyle NPI: 1841285590 Clifford And Clark Family 4750 Yellowstone Ave Pocatello, ID 83202 (208) 251-0316 Clifford, Kyle NPI: 1841285590 Heritage Physician & Resource Llc 1009 W Quinn Rd Pocatello, ID 83202 (208) 238-0088 Willey, Jay DO ~* NPI: 1922029412 Physicians Immediate Care 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 83209 Alston, Nancy MD ~ NPI: 1578556965 Isu Student Health 990 Cesar Chavez Ave Pocatello, ID 83209 (208) 282-2330 Andres, Matthew DO ~* NPI: 1366602963 Isu Student Health 990 Cesar Chavez Ave Pocatello, ID 83209 (208) 282-2330 Solbrig, Ronald NPI: 1487794939 Isu Student Health 990 Cesar Chavez Ave Pocatello, ID 83209 (208) 282-2330 Benewah Plummer 83851 Gonzalez, Marilou NPI: 1376863712 Benewah Medical 427 N 12Th St Plummer, ID 83851 (208) 686-1931 Bingham Aberdeen 83210 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Bokelmann, Jean NPI: 1487649141 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Carbol, Courtland NPI: 1780610071 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 25

Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido Kimball, David DO ~ NPI: 1730325143 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Kjos, Melissa NPI: 1164861340 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Morrison, Chelsie NPI: 1710111935 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Ragan, Joseph NPI: 1659324499 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Smith, Dean DO ~* NPI: 1144252099 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Weinhold, Ana NPI: 1932369568 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Blackfoot 83221 Anderson, Shane DO * Internal NPI: 1841289659 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Anderson, Shane DO * Internal NPI: 1841289659 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Andres, Matthew DO ~* NPI: 1366602963 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Beckett, Paul DO ~* NPI: 1831115757 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Brown, Bradly PA ~* NPI: 1043598477 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Brown, Bradly PA ~* NPI: 1043598477 Bingham Memorial Specialty Plaza 326 Poplar St (208) 782-2444 Call, Thomas DO ~* NPI: 1699723569 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Clark, Sharla DO ~* NPI: 1093078578 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Clinger, Steven NPI: 1790722841 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Fackrell, Matthew DO ~* NPI: 1215968045 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Garland, Janet NP ~ Nurse Practitioner NPI: 1417957176 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Garland, Janet NP ~ Nurse Practitioner NPI: 1417957176 Bingham Memorial Specialty Clinic - Poplar 235 Poplar St (208) 785-3828 Gillespie, Robert PA ~* Physician Assistant NPI: 1922026467 Idaho Physicians Clinic 98 Poplar St (208) 235-2277 Grimmett, Guss NP ~* Nurse Practitioner NPI: 1881620730 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Harris, Michael NPI: 1952579021 Idaho Physicians Clinic 98 Poplar St (208) 235-2277 French 26

Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido Heatherton, Christopher DO ~* NPI: 1972626786 Bingham Memorial Family 98 Poplar St (208) 782-2980 Hill, Jennilee NP * Nurse Practitioner NPI: 1386877017 Mountain River Medical Associates Dermatology 98 Poplar St (208) 782-2930 Holland, David NP ~ Nurse Practitioner NPI: 1528044955 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Martin, Brady DO ~* NPI: 1477840239 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Martin, Brady DO ~* NPI: 1477840239 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Mckinlay, Kirt NPI: 1902843089 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Moser, Francis DO ~* NPI: 1770541146 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Reid, Jason MD * Internal NPI: 1962727834 Bingham Memorial Hospital 98 Poplar St (208) 785-4100 Rice, Cynthia NP ~* Nurse Practitioner NPI: 1427041763 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Soucie, Gary NPI: 1255386082 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Taylor, Joy NP ~* Nurse Practitioner NPI: 1184850141 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Tew, Kody PA ~* Medical - Physician Assistant NPI: 1760724744 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Turpin, Adrian PA ~* Physician Assistant NPI: 1447697735 Idaho Physicians Clinic 98 Poplar St (208) 235-2277 Ullery, Gary DO * Internal NPI: 1164785382 Bingham Memorial Physicians And Surgeons 98 Poplar St (208) 785-4100 Ullery, Gary DO * Internal NPI: 1164785382 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Wachter, Susan Internal NPI: 1740450014 Blackfoot Medical 1441 Parkway Dr (208) 785-2600 Weatherly, Joseph DO ~* NPI: 1417392697 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Weatherly, Joseph DO ~* NPI: 1417392697 Idaho Physicians Clinic 98 Poplar St (208) 235-2277 Wehrle, Lance DO * Internal NPI: 1184919607 First Choice Urgent Care And Medical Clinic 1350 Pkwy Dr Ste 2 (208) 782-2410 Norwegian Shelley 83274 Beckett, Paul DO ~* NPI: 1831115757 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Clinger, Steven NPI: 1790722841 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Fackrell, Matthew DO ~* NPI: 1215968045 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Grimmett, Guss NP ~* Nurse Practitioner NPI: 1881620730 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 27

Primary Care Providers / Médicos de Cuidados Proveedores Bingham County continued / Condado seguido Mckinlay, Kirt NPI: 1902843089 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Moser, Francis DO ~* NPI: 1770541146 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Soucie, Gary NPI: 1255386082 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Taylor, Joy NP ~* Nurse Practitioner NPI: 1184850141 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Tew, Kody PA ~* Medical - Physician Assistant NPI: 1760724744 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Wachter, Susan Internal NPI: 1740450014 Shelley Family Medical 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Wehrle, Lance DO * Internal NPI: 1184919607 Physicians And Surgeons Clinic Of Shelley 275 W Locust St Shelley, ID 83274 (208) 357-3960 Norwegian Blaine Hailey 83333 Batcha, Frank NPI: 1013961143 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Busby, Tracey NPI: 1124072251 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Drumm, Amy NPI: 1083842272 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Greenberg, Steven NPI: 1407817364 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Hatzenbuehler, John NPI: 1699844365 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Klingler, Amy PA ~* Physician Assistant NPI: 1568429082 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Levin, Donald DO ~* NPI: 1841258621 St Lukes Clinic - Family Practice Associates 21 E Maple Ste A Hailey, ID 83333 (208) 788-3200 Lyons, Julie NPI: 1982620787 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Morse, Lucinda NPI: 1235170713 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Paris, Richard NPI: 1255387874 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Prouty, Jp MD * NPI: 1548689318 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Vandenburgh, Cortney DO ~* NPI: 1003852849 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Wade, Carol NP ~* Nurse Practitioner NPI: 1427085596 St Lukes Clinic - Family Practice Associates 21 E Maple Ste A Hailey, ID 83333 (208) 788-3200 28

Primary Care Providers / Médicos de Cuidados Proveedores Blaine County continued / Condado seguido Woods, Kathryn NPI: 1083653661 St Lukes Clinic - Family 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Ketchum 83340 Busby, Tracey NPI: 1124072251 St Lukes Clinic - Family 100 Hospital Dr Ste 109 Ketchum, ID 83340 (208) 727-8811 Fairman, Dan Internal NPI: 1023059250 St Lukes Clinic - Internal 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Mcclure, Royal Internal NPI: 1093768368 St Lukes Clinic - Internal 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Rosenblum, Joseph DO ~* Internal NPI: 1609861509 St Lukes Clinic Ear Nose Throat 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Bonner Ponderay 83852 Dardine, Jade NPI: 1720493638 Kaniksu Health Services 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101, Hindi Fletcher, Thomas MD ~ NPI: 1780646661 Kaniksu Health Services 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101 Kelterborn, Peter DO ~* Internal NPI: 1972948420 Kaniksu Health Services 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101 Sandpoint 83864 Crane, Charles Internal NPI: 1194762732 Internal Associates Pa 102 S Euclid Ave Ste 202 Sandpoint, ID 83864 (208) 263-4876 Dunn, Scott NPI: 1952308405 Family Health 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Halversen, Zachary NPI: 1902169485 Family Health 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Meulenberg, Daniel NPI: 1043217599 Family Health 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Waters, Jeremy NPI: 1760452049 Family Health 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Waters, Kara DO ~* NPI: 1922078260 Family Health 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Bonneville Ammon 83406 Denagy, Stephen Internal NPI: 1336273085 Pearl Health Clinic 2705 E 17Th St Ammon, ID 83406 (208) 346-7500 Idaho Falls 83401 Baker, Wallace NPI: 1083696967 Baker Family Practice 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 Baker, Wallace NPI: 1083696967 Eastern Idaho Public Health 1250 Hollipark Dr Idaho Falls, ID 83401 (208) 522-0310 Barto, Allison PA ~* Physician Assistant NPI: 1285971465 Eastern Idaho Public Health 1250 Hollipark Dr Idaho Falls, ID 83401 (208) 522-0310 Bunnage, Corbin PA ~* Medical - Physician Assistant NPI: 1447325485 Sterling Physicians 740 S Woodruff Ave Idaho Falls, ID 83401 (208) 542-9111 Christensen, Wade PA ~ Medical - Physician Assistant NPI: 1386626463 Baker Family Practice 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 29

Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido Hansen, Joshua PA ~* Medical - Physician Assistant NPI: 1588948087 Baker Family Practice 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 Klingler, Amy PA ~* Physician Assistant NPI: 1568429082 Eastern Idaho Public Health 1250 Hollipark Dr Idaho Falls, ID 83401 (208) 522-0310 Nielsen, Justin PA ~* Physician Assistant NPI: 1235443193 Sterling Physicians 740 S Woodruff Ave Idaho Falls, ID 83401 (208) 542-9111 Portalski, Nicholas PA ~* Physician Assistant NPI: 1922546027 Sterling Physicians 740 S Woodruff Ave Idaho Falls, ID 83401 (208) 542-9111 German Rasmussen, Austin PA ~* Medical - Physician Assistant NPI: 1124306295 Sterling Physicians 740 S Woodruff Ave Idaho Falls, ID 83401 (208) 542-9111 Tabor, Laura PA ~* Medical - Physician Assistant NPI: 1538121322 Baker Family Practice 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 83402 Adams, Rebecca NPI: 1689610842 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Bates, Melissa PA ~* Physician Assistant NPI: 1962571331 Rosemark Womens Care Specialists 808 Pancheri Dr Idaho Falls, ID 83402 (208) 552-6900 Brumfield, Troy DO ~* NPI: 1265541494 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600, Sign Language Curtis, Larry NPI: 1295804425 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Daniels, David DO ~* NPI: 1972549137 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Hammar, Bryan DO ~* NPI: 1841219987 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Maguire, James DO ~* NPI: 1811006091 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Speakman, William DO ~* NPI: 1821034562 Community Care - Westside 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Stevens, Audra PA ~* Obstetrics & Gynecology NPI: 1487877619 Rosemark Womens Care Specialists 808 Pancheri Dr Idaho Falls, ID 83402 (208) 552-6900 Woodbury, Lori PA ~* Physician Assistant NPI: 1639248008 Rosemark Womens Care Specialists 808 Pancheri Dr Idaho Falls, ID 83402 (208) 552-6900 83404 Adams, Rebecca NPI: 1689610842 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Adams, Rebecca NPI: 1689610842 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Bates, Melissa PA ~* Physician Assistant NPI: 1962571331 Rosemark Womens Care Specialists 3450 Potomac Way (208) 557-2900 Blair, Victoria NP ~* Nurse Practitioner NPI: 1629128483 Blair 2001 S Woodruff Ave Ste 15B (208) 357-4633 30

Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido Brumfield, Troy DO ~* NPI: 1265541494 Community Care - Channing Way 2725 Channing Wy (208) 525-8448, Sign Language Brumfield, Troy DO ~* NPI: 1265541494 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100, Sign Language Curtis, Larry NPI: 1295804425 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Curtis, Larry NPI: 1295804425 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Daniels, David DO ~* NPI: 1972549137 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Daniels, David DO ~* NPI: 1972549137 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Debruyn Kops, Julian MD * NPI: 1922086552 Julian Debruyn Kops Md Pa 2065 E 17Th St Ste C (208) 522-6106 Dixon, Gordon DO ~* NPI: 1578518395 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Dixon, Gordon DO ~* NPI: 1578518395 Mountain View Hospital 2325 Coronado St (208) 785-2453 Dixon, Gordon DO ~* NPI: 1578518395 Mountain View Hospital Advanced Wound Care & Hyperbaric Cent 2377 Coronado St (208) 557-2570 Dragotoiu, Dan Internal NPI: 1346395746 Aaa American Healthcare 1327 E 17Th St (208) 538-3122 Eddie, Derek PA ~ Medical - Physician Assistant NPI: 1346375367 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Eddie, Derek PA ~ Medical - Physician Assistant NPI: 1346375367 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Erikson, Brad DO ~* NPI: 1164477931 Dr Erikson Family Practice 2375 E Sunnyside Rd Ste J (208) 542-7060 Garland, Janet NP ~ Nurse Practitioner NPI: 1417957176 Bingham Memorial Hospital 2001 S Woodruff Ave Ste 3 (208) 535-3636 Gordon, Lindsi PA ~* Physician Assistant NPI: 1689194706 Peter Cannon Md 2001 S Woodruff Ste 4 (208) 524-4511 Gordon, Lindsi PA ~* Physician Assistant NPI: 1689194706 Roger Tall Md 2001 S Woodruff Ste 8 (208) 529-0633 Gregersen, Heidi NP ~* Nurse Practitioner NPI: 1467953125 Monarch Healthcare Pllc 2990 Cortez Ave (208) 535-0440 Hammar, Bryan DO ~* NPI: 1841219987 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Hammar, Bryan DO ~* NPI: 1841219987 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 31

Primary Care Providers / Médicos de Cuidados Proveedores Bonneville County continued / Condado seguido Harris, Michael NPI: 1952579021 Bingham Memorial Family 1740 E 17Th St (208) 535-3615 French Harris, Michael NPI: 1952579021 Bingham Memorial Physicians And Surgeons 3422 S 15Th E (208) 535-3615 French Harris, Michael NPI: 1952579021 Idaho Pain 2375 E Sunnyside Rd Ste F (208) 535-3626 French Hill, David DO ~* NPI: 1689993271 East Falls Llc 3242 S Woodruff Ave (208) 535-4567 Johnson, Teresa NPI: 1285642322 Total 1995 E 17Th St Ste 5 (208) 529-2544 Machen, Shane DO ~* NPI: 1932330370 Machen 3500 Potomac Wy Ste 100 (208) 522-7666 Maguire, James DO ~* NPI: 1811006091 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Maguire, James DO ~* NPI: 1811006091 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Payne, Matthew DO ~ NPI: 1023246550 East Falls Specialty Clinic 3242 S Woodruff Ave (208) 535-4567 Plomaritis, Demetrios PA ~* Physician Assistant NPI: 1831518992 Teton Spine & Sports Pain 2060 Woodruff Ave (208) 523-7246 Rindfleisch, Dallas DO ~* NPI: 1073834974 Rindfleisch Family Practice 3155 Channing Way Ste A (208) 227-0551 Speakman, William DO ~* NPI: 1821034562 Community Care - Channing Way 2725 Channing Wy (208) 525-8448 Speakman, William DO ~* NPI: 1821034562 Mountain View Hospital 2325 Coronado St (208) 785-2453 Speakman, William DO ~* NPI: 1821034562 Mountain View Redicare Llc 2730 Channing Wy (208) 542-7100 Stevens, Audra PA ~* Obstetrics & Gynecology NPI: 1487877619 Rosemark Womens Care Specialists 3450 Potomac Way (208) 557-2900 Weatherly, Joseph DO ~* NPI: 1417392697 Bingham Memorial Family 1740 E 17Th St (208) 535-3615 Weatherly, Joseph DO ~* NPI: 1417392697 Idaho Pain 2375 E Sunnyside Rd Ste F (208) 535-3626 Wehrle, Lance DO * Internal NPI: 1184919607 Idaho Pain 2375 E Sunnyside Rd Ste F (208) 535-3626 Norwegian Woodbury, Lori PA ~* Physician Assistant NPI: 1639248008 Rosemark Womens Care Specialists 3450 Potomac Way (208) 557-2900 Boundary Bonners Ferry 83805 Allmaras, Tanya PA ~ Physician Assistant NPI: 1427334929 Kaniksu Health Services 6615 Comanche St Bonners Ferry, ID 83805 (208) 267-1718 Christensen, Stephen NPI: 1154714343 Kaniksu Health Services 6615 Comanche St Bonners Ferry, ID 83805 (208) 267-1718 Camas Fairfield 83327 Anderson, Basil NPI: 1518282110 Family Health Services 401 W Camas Fairfield, ID 83327 (208) 764-2611 Family Health Services Fairfield ~* Federally Qualified Health (Fqhc) NPI: 1316984529 Family Health Services 401 W Camas Fairfield, ID 83327 (208) 764-2611 32

Primary Care Providers / Médicos de Cuidados Proveedores Camas County continued / Condado seguido Levin, Donald DO ~* NPI: 1841258621 Family Health Services 401 W Camas Fairfield, ID 83327 (208) 764-2611 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 401 W Camas Fairfield, ID 83327 (208) 764-2611 Canyon Caldwell 83605 Abul Husn, Nina NPI: 1538421094 Terry Reilly Medical And Behavioral Health 2005 Arlington (208) 459-1025 Barnum, Steven NP ~* Nurse Practitioner NPI: 1104026178 4815 Cleveland Blvd (208) 455-3545 Barrus, Paul DO ~* NPI: 1114926136 Terry Reilly Medical And Behavioral Health 2005 Arlington (208) 459-1025, French Bitters, J'cinda NPI: 1104089556 West Valley Medical Llc 211 E Logan St Ste 303 And 203 (208) 459-4667 Burch, Joel PA ~* Medical - Physician Assistant NPI: 1679918536 4815 Cleveland Blvd (208) 455-3545 Godina, Raul PA ~* Physician Assistant NPI: 1336499730 4815 Cleveland Blvd (208) 455-3545 Koga, Steven Internal NPI: 1144275512 West Valley Medical Llc 211 E Logan St Ste 303 And 203 (208) 459-4667 Llenos, Joe NPI: 1003073560 West Valley Medical Llc 211 E Logan St Ste 303 And 203 (208) 459-4667 Mayo, Billiesue NP ~ Nurse Practitioner NPI: 1396245742 Caldwell Immediate Care 2523 S 10Th Ave Ste 103 (208) 459-7788 Relyea, Ramon PA ~* Medical - Physician Assistant NPI: 1972805943 4815 Cleveland Blvd (208) 455-3545 Stowell, Patrick MD * NPI: 1720022239 4815 Cleveland Blvd (208) 455-3545 Ward, Nathan DO ~* NPI: 1487967089 4815 Cleveland Blvd (208) 455-3545 Portuguese Wiberg, Ralene NPI: 1912956806 Terry Reilly Medical And Behavioral Health 2005 Arlington (208) 459-1025 Wilson, Sara FNP ~* Nurse Practitioner NPI: 1417338104 West Valley Spine 1906 Fairview Ave Ste 230 (208) 459-4667 Yerger, James NPI: 1265477962 4815 Cleveland Blvd (208) 455-3545 Melba 83641 Acevedo Daniels, Suhrei NPI: 1508824640 Terry Reilly Melba 150 2Nd St Melba, ID 83641 (208) 495-1011 Nampa 83651 Barnes, Daryn PA ~* Medical - Physician Assistant NPI: 1245321942 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Barnum, Steven NP ~* Nurse Practitioner NPI: 1104026178 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Baron, Andrew NPI: 1750567731 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 33

Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido Barrus, Paul DO ~* NPI: 1114926136 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869, French Black, Stuart NPI: 1053351361 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Bowman, Jonathan MD ~ NPI: 1497703169 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Burch, Joel PA ~* Medical - Physician Assistant NPI: 1679918536 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Danowski, Dustin DO ~* NPI: 1821435868 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Grote, Heather PA ~* Physician Assistant NPI: 1477920817 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Kantayya, Vivek NPI: 1437132479 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Tamil Maffey, Jenna PA ~* Medical - Physician Assistant NPI: 1467787598 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Martinez, Stephen NPI: 1154362804 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Partridge, Christopher NPI: 1497848766 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Relyea, Ramon PA ~* Medical - Physician Assistant NPI: 1972805943 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Rios, Raul PA ~* Physician Assistant NPI: 1376851725 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 Staller, Sarah NPI: 1336450402 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 French Sullivan, Cara NPI: 1912347303 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Yerger, James NPI: 1265477962 700 Caldwell Blvd Nampa, ID 83651 (208) 466-6567 83686 Barnes, Daryn PA ~* Medical - Physician Assistant NPI: 1245321942 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Barnhart, Carolyn NP * Nurse Practitioner NPI: 1033190582 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Barnum, Steven NP ~* Nurse Practitioner NPI: 1104026178 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Cressey, Yvette DO ~* NPI: 1497759088 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Crownson, Bayo NPI: 1376589689 St Lukes Clinic - Family 3165 E Greenhurst Rd Nampa, ID 83686 (208) 463-7330 Davidson, Elaine NPI: 1093705022 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 34

Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido Davis, Elizabeth NPI: 1801074232 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Dee, Michael Internal NPI: 1053302182 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Dehaven, Erin PA ~* Physician Assistant NPI: 1518075852 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Freeman, John Internal NPI: 1437279031 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Grote, Heather PA ~* Physician Assistant NPI: 1477920817 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Hansen, Jeffrey NPI: 1932199981 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Hill, Courtney PA ~* Physician Assistant NPI: 1558815670 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Hlavinka, Jon NPI: 1194715136 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Keefe, Tricia DO ~* NPI: 1730123043 St Lukes Clinic - Family 3165 E Greenhurst Rd Nampa, ID 83686 (208) 463-7330 Kerr, Mary NPI: 1144244054 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Kroon, Melissa PA ~* Physician Assistant NPI: 1962892240 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Lewis, Nicholas Internal NPI: 1134372386 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Lundberg, Joshua NPI: 1386938165 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Martin, David NPI: 1306836267 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Mullins, John MD * NPI: 1558307280 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Noel, Brenton PA ~* Physician Assistant NPI: 1275961765 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Page, Randell DO ~* Internal NPI: 1750370771 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Poulter, Luke DO ~* NPI: 1700290947 St Lukes Clinic - Family 3165 E Greenhurst Rd Nampa, ID 83686 (208) 463-7330 Reis, Laura DO * NPI: 1902139066 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Riley, Mari NPI: 1821108317 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Siegersma, Wendy NPI: 1720077753 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Stringam, Stanley MD ~ Internal NPI: 1902896913 Saltzer Clinics 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 French Ward, Nathan DO ~* NPI: 1487967089 1115 12Th Ave Rd Nampa, ID 83686 (208) 498-1080 Portuguese 83687 Ashaye, Jaiyeola NPI: 1952488561 St Lukes Clinic - Family 9850 W St Lukes Dr Ste 329 Nampa, ID 83687 (208) 463-7300 35

Primary Care Providers / Médicos de Cuidados Proveedores Canyon County continued / Condado seguido Baron, Andrew NPI: 1750567731 Terry Reilly Medical And Behavioral Health Pharmacy 223 16Th Ave N Nampa, ID 83687 (208) 466-7654 Buersmeyer, Patricia Internal NPI: 1104816198 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Cressey, Yvette DO ~* NPI: 1497759088 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Davis, Elizabeth NPI: 1801074232 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Graham, Austin NPI: 1548228844 St Lukes Clinic - Family 9850 W St Lukes Dr Ste 329 Nampa, ID 83687 (208) 463-7300 Hansen, Jay NPI: 1710084363 St Lukes Clinic - Family 9850 W St Lukes Dr Ste 329 Nampa, ID 83687 (208) 463-7300 Kerr, Mary NPI: 1144244054 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Kroon, Melissa PA ~* Physician Assistant NPI: 1962892240 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Porter, Sarah NPI: 1427491737 St Lukes Clinic - Family 9850 W St Lukes Dr Ste 329 Nampa, ID 83687 (208) 463-7300 Roberts, Rick Internal NPI: 1558351551 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Stringam, Stanley MD ~ Internal NPI: 1902896913 Saltzer Clinics 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 French Wiberg, Ralene NPI: 1912956806 Lifestages Ob - Gyn Pllc 3908 E Flamingo Ave Ste B Nampa, ID 83687 (208) 442-8035 Cassia Burley 83318 Anderson, Basil NPI: 1518282110 Family Health Services 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Boehmer, Bernard NPI: 1902891484 Br Boehmer Md Pa 1335 S Albion Ave Burley, ID 83318 (208) 878-2271 Bunnage, Corbin PA ~* Medical - Physician Assistant NPI: 1447325485 Sterling Physicians 1404 Pomerelle Ave Ste A1 Burley, ID 83318 (208) 878-8783 Family Health Services Burley ~* Federally Qualified Health (Fqhc) NPI: 1033165550 Family Health Services 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Page, Glen MD ~ NPI: 1578542213 Page 1252 Bennet Ave Ste B Burley, ID 83318 (208) 647-0656 Rasmussen, Austin PA ~* Medical - Physician Assistant NPI: 1124306295 Sterling Physicians 1404 Pomerelle Ave Ste A1 Burley, ID 83318 (208) 878-8783 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 36

Primary Care Providers / Médicos de Cuidados Proveedores Custer Challis 83226 Fortuin, Brian MD * Internal NPI: 1740221191 Challis Area Health 611 Clinic Rd Challis, ID 83226 (208) 879-4351 Elmore Mountain Home 83647 Baldridge, Scott DO ~* NPI: 1295728897 St Lukes Clinic - Family 805 N 6Th E Mountain Home, ID 83647 (208) 587-2450 Brininger, Timothy NPI: 1124008164 St Lukes Clinic - Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Crossley, Dennis NPI: 1558341594 St Lukes Clinic - Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Hijazi, Saad Internal NPI: 1942410212 Desert Sage Health 2280 American Legion Blvd Mountain Home, ID 83647 (208) 587-3988 Hindi, Pakistan, Punjabi, Urdu Hoskin, Joseph PA ~* Physician Assistant NPI: 1871092189 St Lukes Clinic Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Johnson, Stephen DO ~* NPI: 1427041201 St Lukes Clinic - Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Olson, Karl NPI: 1508846353 St Lukes Clinic - Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Greek Smith, Justin NPI: 1851612600 St Lukes Clinic - Trinity Mountain Medical 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Ziola, Krzysztof Internal NPI: 1073692166 Desert Sage Health 2280 American Legion Blvd Mountain Home, ID 83647 (208) 587-3988 Polish, Russian Franklin Preston 83263 Beckstead, David NPI: 1801909122 Franklin County Medical 44 N 100 E Preston, ID 83263 (208) 852-0137 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Bokelmann, Jean NPI: 1487649141 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Carbol, Courtland NPI: 1780610071 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Horrocks, Mark NPI: 1700885258 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Kimball, David DO ~ NPI: 1730325143 Franklin County Medical 44 N 100 E Preston, ID 83263 (208) 852-0137 Kjos, Melissa NPI: 1164861340 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Morrison, Chelsie NPI: 1710111935 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Ragan, Joseph NPI: 1659324499 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 37

Primary Care Providers / Médicos de Cuidados Proveedores Franklin County continued / Condado seguido Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Smith, Dean DO ~* NPI: 1144252099 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Weinhold, Ana NPI: 1932369568 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Gem Emmett 83617 Barrus, Jonathan DO ~* NPI: 1346654589 Black Canyon Medical 426 Hwy 16 Emmett, ID 83617 (208) 365-2735 Mcguffey, Tina NPI: 1306873435 Black Canyon Medical 426 Hwy 16 Emmett, ID 83617 (208) 365-2735 Mcguffey, Tina NPI: 1306873435 Valor Health Family 119 N Wardwell Ave Emmett, ID 83617 (208) 365-6311 Mcguffey, Tina NPI: 1306873435 Valor Health Hospital 1202 E Locust St Emmett, ID 83617 (208) 365-3561 Mumford, Brett DO ~* NPI: 1164463113 Valor Health Family 119 N Wardwell Ave Emmett, ID 83617 (208) 365-6311 Rothwell, Tara PA ~* Physician Assistant NPI: 1912087438 Valor Health Family 119 N Wardwell Ave Emmett, ID 83617 (208) 365-6311 Sebastian, Robin NPI: 1568559029 Valor Health Emmett Medical Clinic And Urgent Care 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Sebastian, Robin NPI: 1568559029 Valor Health Family 119 N Wardwell Ave Emmett, ID 83617 (208) 365-6311 Sebastian, Robin MD * NPI: 1568559029 Valor Health Hospital 1202 E Locust St Emmett, ID 83617 (208) 365-3561 Thomson, James NPI: 1760453781 Valor Health Emmett Medical Clinic And Urgent Care 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Vetter, William NPI: 1992775480 Valor Health Emmett Medical Clinic And Urgent Care 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Idaho Riggins 83549 Hall, David NPI: 1902948516 St Lukes Clinic - Family 214 N Main Riggins, ID 83549 (208) 628-3666 Jefferson Rigby 83442 Adams, Rebecca NPI: 1689610842 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Adams, William DO ~* NPI: 1467403733 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Blakeman, Adam PA ~* Medical - Physician Assistant NPI: 1275071128 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Brumfield, Troy DO ~* NPI: 1265541494 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747, Sign Language Curtis, Larry NPI: 1295804425 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Daniels, David DO ~* NPI: 1972549137 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 38

Primary Care Providers / Médicos de Cuidados Proveedores Jefferson County continued / Condado seguido Hammar, Bryan DO ~* NPI: 1841219987 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Harper, Richard DO ~* NPI: 1477599538 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Maguire, James DO ~* NPI: 1811006091 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Ricks, Deron PA ~* Physician Assistant NPI: 1639156573 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Spaulding, Tiffany DO ~* NPI: 1679704753 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Speakman, William DO ~* NPI: 1821034562 Community Care - Rigby 167 E 1St S Rigby, ID 83442 (208) 745-8747 Tew, Kody PA ~* Medical - Physician Assistant NPI: 1760724744 Upper Valley Family 711 Rigby Lake Dr Ste 115 Rigby, ID 83442 (208) 745-5021 Jerome Jerome 83338 Anderson, Basil NPI: 1518282110 Family Health Services 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Doyle, Catherine NPI: 1952712242 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Ferrara, Peter NPI: 1457799215 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Franz, Martha NPI: 1700172442 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Irwin, James NPI: 1023007465 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Sign Language Johnson, Brian NPI: 1336138783 St Lukes Jerome Medical 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 Kern, Joshua NPI: 1366486003 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Nelson, Dean DO ~* NPI: 1285749101 St Lukes Jerome Medical 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 Riske, Nicole NPI: 1750721148 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Sedano, Yolanda PA ~* Physician Assistant NPI: 1801121298 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Solbrig, Ronald NPI: 1487794939 St Lukes Jerome Medical 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Stringam, Joshua DO ~* NPI: 1164860078 St Lukes Jerome Medical 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 Sugden, Elizabeth NPI: 1356485767 St Lukes Clinic - Jerome 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Wortham, Rex NPI: 1679580492 St Lukes Jerome Medical 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 39

Primary Care Providers / Médicos de Cuidados Proveedores Jerome County continued / Condado seguido Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Kootenai Coeur D Alene 83814 Jarstad, Katie PA ~* Physician Assistant NPI: 1326099672 Coeur D'alene Primary Care Pllc 1025 W Ironwood Dr Ste 3 Coeur D Alene, ID 83814 (208) 667-2600 83815 Neal, Thomas NPI: 1922079235 Northwest Family 315 W Dalton Ave Ste B Coeur D Alene, ID 83815 (208) 209-2066 Nicholson, Douglas DO ~* NPI: 1538233796 Northwest Family 315 W Dalton Ave Ste B Coeur D Alene, ID 83815 (208) 209-2066 Sarkis, Heather PA ~* Physician Assistant NPI: 1023118122 Northwest Family 315 W Dalton Ave Ste B Coeur D Alene, ID 83815 (208) 209-2066 Wester, Daniel NPI: 1407965544 Northwest Family 315 W Dalton Ave Ste B Coeur D Alene, ID 83815 (208) 209-2066 Coeur D'alene 83814 Atkins, David PA ~* Physician Assistant NPI: 1689987794 Dirne Health s Inc 1090 W Park Pl (208) 215-2005 Atkins, David PA ~* Physician Assistant NPI: 1689987794 Heritage Behavioral Health 2025 W Park Pl Ste B (208) 620-5210 Bean, Matthew NPI: 1053675009 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Bertsch, Rebecca DO ~* Internal NPI: 1811205297 Kootenai Clinic Internal 1919 Lincoln Way Ste 110 (208) 625-4515 Brancheau, Shaun DO ~* NPI: 1891019493 Kootenai Clinic Family 1701 Lincoln Way (208) 625-4955 Burns, Brittany NPI: 1730395310 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Burns, Timothy NPI: 1609847615 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Chambers, David NPI: 1700857729 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Chisholm, Donald NPI: 1336119932 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Daugharty, Barbara Internal NPI: 1841397304 Kootenai Clinic Internal 920 W Ironwood Dr Ste 201 (208) 625-4965 Daugharty-Fowler, Susan Internal NPI: 1073648945 Kootenai Clinic Internal 1919 Lincoln Way Ste 110 (208) 625-4515 Dinning, Andrea DO ~* Internal NPI: 1265642607 Kootenai Clinic Internal 1919 Lincoln Way Ste 110 (208) 625-4515 Emry, Geoffrey NPI: 1902891518 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Ficek, Brittany FNP ~* Nurse Practitioner NPI: 1417356213 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Gilles, Ryan NPI: 1053519553 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 40

Primary Care Providers / Médicos de Cuidados Proveedores Kootenai County continued / Condado seguido Mcfarland, Robert NPI: 1699771469 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Mclandress, Richard NPI: 1194723908 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Melchiore, Susan MD ~ Internal NPI: 1588605620 Heritage Family Practice Clinic 1090 W Park Pl (208) 292-0292 Pyrak, Crystal NPI: 1093077760 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Scarola, Chad NPI: 1760592125 Kootenai Clinic Family 1701 Lincoln Way (208) 625-4955 Shupe, Jonathan NPI: 1417241597 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Siemers, Rebecca NPI: 1982832093 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Stabler, Jonathan Internal NPI: 1528486560 Kootenai Clinic Family 1701 Lincoln Way (208) 625-4955 Stabler, Jonathan Internal NPI: 1528486560 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Sturges, John NPI: 1164507166 John A Sturges Md 2710 W Ironwood Dr Ste A (208) 665-5596 Whiting, Michael MD ~ NPI: 1598796708 Heritage Family Practice Clinic 1090 W Park Pl (208) 292-0292 83815 Baker, Drostan NPI: 1467689166 Kootenai Clinic Family 566 W Prairie Ave Coeur D'alene, ID 83815 (208) 625-5155 Linford, D Sean NPI: 1821180134 Kootenai Clinic Family 566 W Prairie Ave Coeur D'alene, ID 83815 (208) 625-5155 Snyders, Brian DO * NPI: 1023129244 Prairie Pllc 1130 W Prairie Ave Coeur D'alene, ID 83815 (208) 209-0288 Hayden 83835 Roquiz, Daniel MD NPI: 1295041986 Family Medical Care Pllc 265 W Prairie Shopping Hayden, ID 83835 (208) 772-7850 Filipino, Tagalog Torquato, John MD ~ NPI: 1417901638 Family Medical Care Pllc 265 W Prairie Shopping Hayden, ID 83835 (208) 772-7850 Post Falls 83854 Benson, Eric Internal NPI: 1639272644 Northwest Internal 750 N Syringa St Ste 100 A (208) 262-2311 Brancheau, Shaun DO ~* NPI: 1891019493 Kootenai Clinic Family 1300 E Mullan Ave Ste 1300 (208) 625-5630 Gibbon, Lawrence NPI: 1053465559 Lawrence Kay Gibbon Md 185 W 4Th Ave Ste B (208) 773-1592 Glenn, David NPI: 1619381852 Kootenai Clinic Family 1300 E Mullan Ave Ste 1300 (208) 625-5630 Kim, Anna Internal NPI: 1588682769 Heritage Health Post Falls 925 E Polston Ave (208) 618-0787 41

Primary Care Providers / Médicos de Cuidados Proveedores Kootenai County continued / Condado seguido Rousseau, Leanne NPI: 1093768707 Heritage Health Post Falls 925 E Polston Ave (208) 618-0787 Stabler, Jonathan Internal NPI: 1528486560 Kootenai Clinic Internal 1300 E Mullan Ave Ste 1600 (208) 625-4965 Stenhouse, Faine NPI: 1912928136 Kootenai Clinic Family 1300 E Mullan Ave Ste 1300 (208) 625-5630 Wright, Vanessa NPI: 1952721011 Heritage Health Post Falls 925 E Polston Ave (208) 618-0787 Rathdrum 83858 Cameron, Julianne DO ~* General Practice NPI: 1306280029 Heritage Health Medical Rathdrum 16760 N Hwy 41 Rathdrum, ID 83858 (208) 292-0292 Latah Moscow 83843 Amiel, Terry NPI: 1194832832 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Amiel, Terry NPI: 1194832832 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Amiel, Terry NPI: 1194832832 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Amiel, Terry NPI: 1194832832 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Baldwin, Ronald MD ~ NPI: 1912118928 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Baldwin, Ronald MD ~ NPI: 1912118928 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Baldwin, Ronald MD ~ NPI: 1912118928 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Baldwin, Ronald MD ~ NPI: 1912118928 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Bentwood, Jennifer NPI: 1942512066 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Bentwood, Jennifer NPI: 1942512066 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Bentwood, Jennifer NPI: 1942512066 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Bentwood, Jennifer NPI: 1942512066 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Elsbury, Nancy Jo NPI: 1891732319 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Knigge, Prudence DO ~* NPI: 1700032323 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Knigge, Prudence DO ~* NPI: 1700032323 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 42

Primary Care Providers / Médicos de Cuidados Proveedores Latah County continued / Condado seguido Knigge, Prudence DO ~* NPI: 1700032323 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Knigge, Prudence DO ~* NPI: 1700032323 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Marciano, Patricia NPI: 1053398578 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Marciano, Patricia NPI: 1053398578 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Marciano, Patricia NPI: 1053398578 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Marciano, Patricia NPI: 1053398578 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Parker, Bryn NPI: 1598058711 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Parker, Bryn NPI: 1598058711 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Parker, Bryn NPI: 1598058711 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Parker, Bryn NPI: 1598058711 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Powers, Julian Kent NPI: 1063703981 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Powers, Julian Kent NPI: 1063703981 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Powers, Julian Kent NPI: 1063703981 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Powers, Julian Kent NPI: 1063703981 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Shearer, Helen NPI: 1104890177 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Stoops, Kyrsten MD ~ NPI: 1417261934 Catalyst Medical Pllc 623 S Main St Moscow, ID 83843 (208) 882-2011 Ting, Robert NPI: 1992778708 Catalyst Medical - Moscow 623 S Main St Moscow, ID 83843 (208) 882-2011 Ting, Robert NPI: 1992778708 Catalyst Medical - Moscow Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Ting, Robert NPI: 1992778708 Catalyst Medical - Moscow U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Ting, Robert NPI: 1992778708 Catalyst Medical - Moscow West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 43

Primary Care Providers / Médicos de Cuidados Proveedores Lincoln Shoshone 83352 Davis, Keith NPI: 1043277635 Shoshone Family Medical 113 S Apple St Shoshone, ID 83352 (208) 886-2224 Madison Rexburg 83440 Adams, Rebecca NPI: 1689610842 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Anderson, Terry PA ~ Physician Assistant NPI: 1528097102 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Brumfield, Troy DO ~* NPI: 1265541494 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770, Sign Language Curtis, Larry NPI: 1295804425 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Daniels, David DO ~* NPI: 1972549137 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Davenport, Melissa PA ~* Medical - Physician Assistant NPI: 1538425822 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Dustin, Kelly DO ~* NPI: 1114957362 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Gillette, Austin NPI: 1083810287 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Hammar, Bryan DO ~* NPI: 1841219987 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Larsen, Brennen PA ~* Physician Assistant NPI: 1740659010 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Maguire, James DO ~* NPI: 1811006091 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Rindlisbacher, Jeremy PA ~* Physician Assistant NPI: 1063851889 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Speakman, William DO ~* NPI: 1821034562 Community Care - Rexburg 72 E Main St Rexburg, ID 83440 (208) 359-1770 Zundel, Brett PA ~ Medical - Physician Assistant NPI: 1730222365 Fall River Medical 21 Winn Dr Rexburg, ID 83440 (208) 881-5222 Minidoka Rupert 83350 Anderson, Basil NPI: 1518282110 Family Health Services 1024 8Th St Rupert, ID 83350 (208) 650-7941 Family Health Services Rupert ~* Federally Qualified Health (Fqhc) NPI: 1093761694 Family Health Services 1024 8Th St Rupert, ID 83350 (208) 650-7941 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 1024 8Th St Rupert, ID 83350 (208) 650-7941 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 1024 8Th St Rupert, ID 83350 (208) 650-7941 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 1024 8Th St Rupert, ID 83350 (208) 650-7941 Nez Perce Lewiston 83501 Eggleston, Melanie Internal NPI: 1932159258 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 44

Primary Care Providers / Médicos de Cuidados Proveedores Nez Perce County continued / Condado seguido Hansen, Mulloy MD ~ NPI: 1538358635 Chas Lewis And Clark Health 338 6Th St Ste 101 Lewiston, ID 83501 (208) 848-8300 French Jefferson, Glenn NPI: 1326121286 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Mahal, Robert NP ~ Nurse Practitioner NPI: 1063745206 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Mallory, Cheryl MD ~ NPI: 1386677722 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Olupona, Damilola DO ~* NPI: 1477864932 Chas Lewis And Clark Health 338 6Th St Ste 101 Lewiston, ID 83501 (208) 848-8300 Petersen, David NPI: 1619050424 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Smith, Jessica PA ~* Physician Assistant NPI: 1760685051 Catalyst Medical - Valley Medical Division 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Oneida Malad City 83252 Hodson, Robert DO ~ NPI: 1265482905 Oneida County Clinic 220 Bannock St Malad City, ID 83252 (208) 766-2600 Jones, Michael DO ~* Obstetrics & Gynecology NPI: 1972696565 Oneida County Hospital Physicians 150 N 200 W Malad City, ID 83252 (208) 766-2231 Pickett, James DO ~* NPI: 1275735045 Oneida County Clinic 220 Bannock St Malad City, ID 83252 (208) 766-2600 German Pickett, James DO ~* NPI: 1275735045 Oneida County Hospital Physicians 150 N 200 W Malad City, ID 83252 (208) 766-2231 German Teeples, David DO ~* NPI: 1003179706 Oneida County Clinic 220 Bannock St Malad City, ID 83252 (208) 766-2600 Teeples, David DO ~* NPI: 1003179706 Oneida County Hospital Physicians 150 N 200 W Malad City, ID 83252 (208) 766-2231 Owyhee Homedale 83628 Barrus, Paul DO ~* NPI: 1114926136 Terry Reilly Medical And Behavioral Health 108 E Idaho Homedale, ID 83628 (208) 337-3189, French Black, Stuart NPI: 1053351361 Terry Reilly Medical And Behavioral Health 108 E Idaho Homedale, ID 83628 (208) 337-3189 Payette Fruitland 83619 Baker, Clinton PA ~* NPI: 1861483562 St Lukes Clinic - Family 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Cabrera, Nani Jane DO ~* NPI: 1730180092 St Lukes Clinic - Family 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 David, Ryan DO ~* NPI: 1699112870 St Lukes Clinic - Family 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Elam, Isaac Internal NPI: 1497998215 St Lukes Clinic - Internal 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8700 Holland, Benjamin NPI: 1508206327 St Lukes Clinic Family 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 45

Primary Care Providers / Médicos de Cuidados Proveedores Payette County continued / Condado seguido Lilyerd, Jana NP ~* Nurse Practitioner NPI: 1710242300 St Lukes Clinic - Family 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Bokelmann, Jean NPI: 1487649141 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Kjos, Melissa NPI: 1164861340 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Smith, Dean DO ~* NPI: 1144252099 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 New Plymouth 83655 Carrell, Kenneth NPI: 1295764900 Valley Family Health Care Inc 300 N Plymouth Ave New Plymouth, ID 83655 (208) 278-3335 Payette 83661 Carroll, Ronald NPI: 1790821122 Healthcare With Heart 823 Ave Payette, ID 83661 (208) 642-3396 Schantz, Shannon NPI: 1215907704 Valley Family Health Care Inc 1441 Ne 10Th Ave Payette, ID 83661 (208) 642-9376 Power American Falls 83211 Bieniasz, Paul PA ~* Medical - Physician Assistant NPI: 1518934181 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Carbol, Courtland NPI: 1780610071 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Christensen, Kelli NPI: 1366443699 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Higbee, Logan PA ~* Physician Assistant NPI: 1992019202 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Horrocks, Mark NPI: 1700885258 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Kimball, David DO ~ NPI: 1730325143 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Mickelsen, Brandon DO ~* NPI: 1417987686 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Dutch Morrison, Chelsie NPI: 1710111935 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Ragan, Joseph NPI: 1659324499 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Schaper, Heather PA ~* Medical - Physician Assistant NPI: 1073840401 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Weinhold, Ana NPI: 1932369568 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Shoshone Kellogg 83837 Haller, Frederick MD ~ Internal NPI: 1396797726 Heritage Health Mountain Health Care 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 Mcdonald, Jara MD ~ NPI: 1962716001 Heritage Health Mountain Health Care 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 Wallace 83873 Miller, Joseph NPI: 1861411126 J Bayard Miller Md 610 Cedar St Wallace, ID 83873 (208) 556-1561 46

Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls Buhl 83316 Anderson, Basil NPI: 1518282110 Family Health Services 725 Fair St Buhl, ID 83316 (208) 543-8271 Family Health Services Buhl ~* Federally Qualified Health (Fqhc) NPI: 1003862525 Family Health Services 725 Fair St Buhl, ID 83316 (208) 543-8271 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 725 Fair St Buhl, ID 83316 (208) 543-8271 Mason, Bryan NPI: 1316268295 St Lukes Clinic Physician 529 Broadway Ave S Buhl, ID 83316 (208) 814-8000 Portuguese Nofziger, Dana General Practice NPI: 1548354707 Dana Leon Nofziger Md 709 Fair St Buhl, ID 83316 (208) 543-8237 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 725 Fair St Buhl, ID 83316 (208) 543-8271 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 725 Fair St Buhl, ID 83316 (208) 543-8271 Kimberly 83341 Anderson, Basil NPI: 1518282110 Family Health Services 132 Main St N Kimberly, ID 83341 (208) 735-3938 Family Health Services Kimberly ~* Federally Qualified Health (Fqhc) NPI: 1538405410 Family Health Services 132 Main St N Kimberly, ID 83341 (208) 735-3938 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 132 Main St N Kimberly, ID 83341 (208) 735-3938 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 132 Main St N Kimberly, ID 83341 (208) 735-3938 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 132 Main St N Kimberly, ID 83341 (208) 735-3938 Twin Falls 83301 Allen, Nathan DO ~* NPI: 1881908366 St Lukes Clinic Physician 2550 Addison Ave E Ste F (208) 814-8000 Anderson, Basil NPI: 1518282110 Family Health Services 325 Martin St (208) 732-7101 Anderson, Basil NPI: 1518282110 Family Health Services 388 Martin St (208) 734-0451 Anderson, Basil NPI: 1518282110 Family Health Services 826 Eastland Dr (208) 732-7101 Baker, John Internal NPI: 1124061262 St Lukes Clinic Internal 775 Pole Line Rd W Ste 312 (208) 814-8600 Bostrom, Lauren PA ~* Physician Assistant NPI: 1740614015 Crosspointe Family Services 1363 Fillmore St (208) 736-7090 Bostrom, Lauren PA ~* Physician Assistant NPI: 1740614015 Crosspointe Family Services 1363 Filmore St (208) 736-7090 Brown, Aaron NPI: 1326128612 St Lukes Clinic Physician 730 N College Rd Ste A (208) 814-7300, Portuguese Burgett, Lisa Internal NPI: 1891731139 St Lukes Clinic Internal 2550 Addison Ave E Ste E (208) 814-7780 Curtis, Mary NPI: 1205870417 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 47

Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido Curtis, Mary NPI: 1205870417 St Lukes Clinic Physician 730 N College Rd Ste A (208) 814-7300 Dimaggio, Lucie Internal NPI: 1336188267 St Lukes Clinic Internal 2550 Addison Ave E Ste E (208) 814-7780 Dirocco, Thomas MD ~ Internal NPI: 1689948572 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Dopp, Matthew Internal NPI: 1255575619 St Lukes Clinic Internal 2550 Addison Ave E Ste E (208) 814-7780 Dopson, Warren MD ~ Internal NPI: 1265472781 Warren F Dopson Md Pc 706 N College Rd Ste A (208) 736-8006 Duff, Thomas DO ~ Internal NPI: 1326302449 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Enders, Timothy DO ~ Internal NPI: 1063632495 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Family Health Services ~* Federally Qualified Health (Fqhc) NPI: 1750566386 Family Health Services 325 Martin St (208) 732-7101 Family Health Services ~* Federally Qualified Health (Fqhc) NPI: 1669449450 Family Health Services 388 Martin St (208) 734-0451 Family Health Services Corporation ~* Federally Qualified Health (Fqhc) NPI: 1124571815 Family Health Services 826 Eastland Dr (208) 732-7101 Ficklin, Daryl DO ~* Internal NPI: 1346213303 St Lukes Clinic Internal 775 Pole Line Rd W Ste 312 (208) 814-8600 Fortuin, Brian Internal NPI: 1740221191 St Lukes Clinic Internal 775 Pole Line Rd W Ste 312 (208) 814-8600 Halverson, Nichole NPI: 1164629887 South Central Public Health District 1020 Washington St N (208) 737-5900 Halverson, Nichole NPI: 1164629887 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 Harris, Vaughn NPI: 1447519160 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 Harris, Vaughn NPI: 1447519160 St Lukes Clinic Physician 775 Pole Line Rd W Ste 105 (208) 814-8000 Harris, Vaughn NPI: 1447519160 St Lukes Quick Care 775 Pole Line Rd W Ste 103 (208) 814-8375 Helms, Jared DO ~* Internal NPI: 1407035371 St Lukes Clinic Internal 2550 Addison Ave E Ste E (208) 814-7780 Hicks, Laurence DO ~* NPI: 1730283250 Falls Centre For Functional 236 Martin St (208) 733-4444, Tagalog Hyatt, Brad DO ~* NPI: 1932420783 St Lukes Clinic Physician 2550 Addison Ave E Ste F (208) 814-8000 Ippolito, Joseph MD * NPI: 1306862792 Joseph W Ippolito Jr Md Pllc 526 Shoup Ave W Ste F (208) 736-7620 48

Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido Johnson, Chad DO ~* NPI: 1871881052 St Lukes Clinic Orthopedics Spine And Plastic Surgery 738 N College Rd Ste A (208) 814-7000 Johnson, Elizabeth NPI: 1891784245 St Lukes Quick Care 775 Pole Line Rd W Ste 103 (208) 814-8375 Johnson, Mayben DO ~* NPI: 1306920202 M Cole Johnson Inc 526 E Shoup Ave W Ste D (208) 733-1112 Johnson, Sara NPI: 1881601698 Sara Johnson Md 496 Shoup Ave W Ste E (208) 733-2885 King, Jonathan DO ~* Internal NPI: 1891114666 St Lukes Clinic Internal 775 Pole Line Rd W Ste 312 (208) 814-8600 Kohtz, Steven NPI: 1093830598 St Lukes Clinic Physician 775 Pole Line Rd W Ste 105 And 111 (208) 814-8000 Laucius, Victorija DO ~* Internal NPI: 1780624122 St Lukes Clinic Internal 2550 Addison Ave E Ste E (208) 814-7780 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 325 Martin St (208) 732-7101 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 388 Martin St (208) 734-0451 Levin, Donald DO ~* NPI: 1841258621 Family Health Services 826 Eastland Dr (208) 732-7101 Manning, Jared Internal NPI: 1326209701 St Lukes Mountain States Tumor Institute 725 Pole Line Rd W (208) 814-1600 Martens, Laurence NPI: 1821024621 St Lukes Clinic Physician 730 N College Rd Ste A (208) 814-7300 Melvin, Ryan DO ~* NPI: 1679519276 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 Miciak, Ronald MD ~ Internal NPI: 1235179052 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Platt, Steven DO ~ Internal NPI: 1073805370 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Portuguese Preucil, Daniel NPI: 1215971593 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 Preucil, Jennifer NPI: 1922042209 St Lukes Clinic Physician 2550 Addison Ave E Ste B (208) 814-8000 Reynolds, Merrick PA ~* Medical - Physician Assistant NPI: 1891097234 M Cole Johnson Inc 526 E Shoup Ave W Ste D (208) 733-1112 Robison, Adam MD ~ Internal NPI: 1811335615 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Romney, Kenneth NPI: 1831272772 Kenneth Romney Family Clinic 526 Shoup Ave W Ste E (208) 736-3362, French Rosenblum, Joseph DO ~* Internal NPI: 1609861509 St Lukes Clinic Cardiology 775 Pole Line Rd W Ste 112 (208) 814-8200 Sandison, Richard NPI: 1649216961 St Lukes Clinic Physician 775 Pole Line Rd W Ste 105 And 111 (208) 814-8000 49

Primary Care Providers / Médicos de Cuidados Proveedores Twin Falls County continued / Condado seguido Satterfield, Trevor NPI: 1619169299 St Lukes Clinic Physician 775 Pole Line Rd W Ste 105 And 111 (208) 814-8000 Skeem, Randall MD ~ Internal NPI: 1699717066 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Smith, Camille DO ~* NPI: 1598846826 Camille Smith Do 526 Shoup Ave W Ste D (208) 733-1112 Spritzer, David NPI: 1245272970 St Lukes Clinic Physician 2550 Addison Ave E Ste F (208) 814-8000 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 325 Martin St (208) 732-7101 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 388 Martin St (208) 734-0451 Stringam, Joshua DO ~* NPI: 1164860078 Family Health Services 826 Eastland Dr (208) 732-7101 Tripp, Jonathan DO ~* NPI: 1558491936 Tripp Inc 1411 Fillmore St Ste 600 (208) 933-4400 Waters, Joseph NPI: 1578503926 St Lukes Clinic Family 550 Polk St Ste B (208) 814-7265 Westberry, James MD ~ Internal NPI: 1548233570 St Lukes Clinic - Hospitalists 801 Pole Line Rd W (208) 814-4100 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 325 Martin St (208) 732-7101 Ziebarth, Dustin DO ~* NPI: 1750644456 Family Health Services 826 Eastland Dr (208) 732-7101 Valley Cascade 83611 Bedell, Mikael NPI: 1871665752 Cascade Medical 402 Lake Cascade Pkwy Cascade, ID 83611 (208) 382-4242 Thurston, Christina PA ~* Medical - Physician Assistant NPI: 1295088490 Cascade Medical 402 Lake Cascade Pkwy Cascade, ID 83611 (208) 382-4242 Mccall 83638 Arndt, Todd NPI: 1265454276 St Lukes Clinic - Internal 209 Forest St Mccall, ID 83638 (208) 634-1776, German, Swahili Burica, David Internal NPI: 1265599096 St Lukes Clinic - Internal 209 Forest St Mccall, ID 83638 (208) 634-1776 Currey, Jonathan NPI: 1912224890 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Curtin, Sarah NPI: 1538258850 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Ferguson, Maureen NPI: 1619263373 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Gray, Jennifer MD ~ NPI: 1700927902 St Lukes Mccall Medical Hospitalists 1000 State St Mccall, ID 83638 (208) 634-2221, Tagalog Gustafson, Caitlin NPI: 1295764405 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Hall, David NPI: 1902948516 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 50

Primary Care Providers / Médicos de Cuidados Proveedores Valley County continued / Condado seguido Kinney, Patrick MD ~ NPI: 1093026155 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Lewis, Jennifer NPI: 1356784201 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Ostermiller, Daniel NPI: 1861533135 St Lukes Clinic - Integrative 203 Hewitt St Mccall, ID 83638 (208) 634-1400 Ostermiller, Daniel NPI: 1861533135 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Welty, Julie NPI: 1487795605 St Lukes Clinic - Payette Lakes 211 Forest St Mccall, ID 83638 (208) 630-2330 Witte, Marcia Internal NPI: 1134271570 St Lukes Clinic - Internal 209 Forest St Mccall, ID 83638 (208) 634-1776 New Meadows 83638 Kinney, Patrick MD ~ NPI: 1093026155 St Lukes Clinic - Meadows Valley 320 Virginia St New Meadows, ID 83638 (208) 347-2146 Washington Weiser 83672 Blanchard, Jordan NPI: 1356630941 Weiser Memorial Hospital Family Medical 360 E Liberty Weiser, ID 83672 (208) 549-4424 Carroll, Ronald NPI: 1790821122 Weiser Memorial Hospital 645 E 5Th St Weiser, ID 83672 (208) 549-0370 Drake, Bryan DO ~* NPI: 1144264011 Weiser Memorial Hospital Family Medical 360 E Liberty Weiser, ID 83672 (208) 549-4424 51

Total count / Cuenta total: 4019 Adaptive Assistance Devices Kootenai Dalton Gardens 83815 Sopers Mobility Aids Llc ~* NPI: 1669440392 7392 N Government Wy Dalton Gardens, ID 83815 (208) 772-6474 Adult Companion Bannock Pocatello 83201 Care Connection Of Idaho Homecare ~ NPI: 1841638509 215 N 9Th St Ste F (208) 240-5535 Kootenai Coeur D'alene 83815 A Compassionate In- Home Care Llc ~ NPI: 1992229942 411 W Haycraft Ave Ste B1 Coeur D'alene, ID 83815 (208) 930-1871 Adult Reconstructive Orthopaedic Surgery Ada Meridian 83642 Armstrong, Jared NPI: 1609040567 3399 E Louise Dr Ste 200 (208) 706-2663 Poole, Colin NPI: 1215948104 3399 E Louise Dr Ste 200 (208) 706-2663 Advanced Practice Midwife Ada Boise 83702 Ainslie, Georgianna CNM ~* NPI: 1073566089 333 N 1St St Ste 240 (208) 338-8900 Rhodes, Kristina CNM ~* NPI: 1417389222 333 N 1St St Ste 260 (208) 345-3136 Underdahl, Hannah CNM ~* NPI: 1073952016 121 E Fort St (208) 514-2525 83704 Underdahl, Hannah CNM ~* NPI: 1073952016 777 N Raymond St (208) 514-2500 Meridian 83642 Parker, Tasha CNM ~* NPI: 1760727002 520 S Eagle Rd Ste 2110 (208) 706-3220 Reusser, Helene CNM ~* NPI: 1265506000 520 S Eagle Rd Ste 2110 (208) 706-3220 Rolan, Tamara CNM ~* NPI: 1467882456 520 S Eagle Rd Ste 2110 (208) 706-3220 Watkins-Brecheen, Kathy CNM ~* NPI: 1659322261 520 S Eagle Rd Ste 2110 (208) 706-3220 Bannock Pocatello 83201 Ackerman, Patty ~* NPI: 1497037758 777 Hospital Way Ste 300 (208) 239-3453 Lamb, Jeanette ~* NPI: 1912952029 777 Hospital Way Ste 300 (208) 239-3453 Muckerman, Julia CNM ~* NPI: 1790917789 777 Hospital Way Ste 300 (208) 239-3453 Bingham Blackfoot 83221 Ackerman, Patty ~* NPI: 1497037758 98 Poplar St (208) 785-4100 Ackerman, Patty ~* NPI: 1497037758 98 Poplar St 3Rd Flr (208) 785-3800 Lamb, Jeanette ~* NPI: 1912952029 98 Poplar St (208) 785-4100 Lamb, Jeanette ~* NPI: 1912952029 98 Poplar St 2Ns Flr (208) 782-3900 Lamb, Jeanette ~* NPI: 1912952029 98 Poplar St 3Rd Flr (208) 785-3800 Bonneville Idaho Falls 83404 Duffey, Heather CNM ~* NPI: 1578839221 3450 Potomac Way (208) 557-2900 52

Advanced Practice Midwife continued/seguido Canyon Nampa 83687 Weis, Jane CNM ~ NPI: 1114271459 16111 N Brinson St Ste 110 Nampa, ID 83687 (208) 468-9400 Kootenai Coeur D'alene 83814 Huss, Breanne CNM ~* NPI: 1538619630 980 Ironwood Dr Ste 306 (208) 625-4970 Williamson, Ronda CNM ~* NPI: 1225007404 980 Ironwood Dr Ste 306 (208) 625-4970 Post Falls 83854 Williamson, Ronda CNM ~* NPI: 1225007404 1300 E Mullan Ave Ste 500 (208) 625-5635 Lincoln Shoshone 83352 Habeck, Michella CNM ~* NPI: 1780847160 113 S Apple St Shoshone, ID 83352 (208) 886-2224 Habeck, Michella CNM ~* NPI: 1780847160 1255 Filer Ave E Ste C Shoshone, ID 83352 (208) 886-2224 Nez Perce Lewiston 83501 Hedrick, Andrea CNM ~* NPI: 1003110321 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Allergy Blaine Hailey 83333 Henry, Richard NPI: 1013904622 408 S Main Hailey, ID 83333 (208) 734-6091 Wickern, Gregory NPI: 1972578672 408 S Main Hailey, ID 83333 (208) 734-6091 Italian Bonner Sandpoint 83864 Wakefield, Kenneth NPI: 1306832688 606 N 3Rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 Bonneville Idaho Falls 83402 Petty, David DO ~* NPI: 1376877795 250 S Skyline Dr Ste 3 Idaho Falls, ID 83402 (208) 529-9292 Japanese Cassia Burley 83318 Henry, Richard NPI: 1013904622 1263 Bennett Ave Ste 3 Burley, ID 83318 (208) 678-1049 Wickern, Gregory NPI: 1972578672 1263 Bennett Ave Ste 3 Burley, ID 83318 (208) 678-1049 Italian Kootenai Coeur D'alene 83814 Henry, Richard NPI: 1013904622 714 W Appleway Ave Ste 200 (208) 665-1552 Wakefield, Kenneth NPI: 1306832688 714 W Appleway Ave Ste 200 (208) 665-1552 Latah Moscow 83843 Wakefield, Kenneth NPI: 1306832688 619 S Washington St Ste 101 Moscow, ID 83843 (208) 883-1037 Madison Rexburg 83440 Wickern, Gregory NPI: 1972578672 393 E 2Nd St N Rexburg, ID 83440 (208) 359-4843 Italian Twin Falls Twin Falls 83301 Henry, Richard NPI: 1013904622 800 Falls Ave Ste 2 (208) 734-6091 Wickern, Gregory NPI: 1972578672 800 Falls Ave Ste 2 (208) 734-6091 Italian 53

Allergy & Immunology Bannock Assisted Living- Behavioral Disturbances Attendant Care Provider Ada Fagerson, April ~* NPI: 1609047919 510 N 2Nd St Ste 201 (208) 385-3440 Pocatello 83201 Parry, David NPI: 1295769594 500 S 11Th Ave Ste 202 (208) 233-0801 Italian Bonneville Idaho Falls 83402 Petty, Wendell NPI: 1457312308 250 S Skyline Dr Ste 3 Idaho Falls, ID 83402 (208) 529-9292 Assisted Living Facility Bonneville Idaho Falls 83401 Lincoln Court ~ 850 Lincoln Dr Idaho Falls, ID 83401 (208) 529-3456 Kootenai Coeur D'alene 83815 Bristol Heights Assisted Living ~ 2220 W Prairie Ave Coeur D'alene, ID 83815 (208) 661-6862 Bonneville Idaho Falls 83401 Lincoln Court ~ 850 Lincoln Dr Idaho Falls, ID 83401 (208) 529-3456 Kootenai Coeur D'alene 83815 Bristol Heights Assisted Living ~ 2220 W Prairie Ave Coeur D'alene, ID 83815 (208) 661-6862 Assisted Living- Mental Illness Kootenai Coeur D'alene 83815 Bristol Heights Assisted Living ~ 2220 W Prairie Ave Coeur D'alene, ID 83815 (208) 661-6862 Boise 83704 Addus Homecare Boise Nampa ~ NPI: 1699198242 545 N Benjamin Ln Ste 125 (208) 342-1222 Canyon Nampa 83651 Addus Homecare Boise Nampa ~ NPI: 1699198242 1605 N Parkcentre Pl Nampa, ID 83651 (208) 467-5700 Twin Falls Twin Falls 83301 Addus Homecare Twin Falls ~ NPI: 1356758171 164 River Vista Pl (208) 733-9100 Audiologist Ada Boise 83702 Bargen, Gabriel ~* NPI: 1194917567 510 N 2Nd St Ste 201 (208) 385-3440 Hoffman, Jenna ~* NPI: 1790006096 510 N 2Nd St Ste 201 (208) 385-3440 Lindberg, Sarah ~* NPI: 1902213945 510 N 2Nd St Ste 201 (208) 385-3440 Pargman, Karrie ~* NPI: 1235416892 510 N 2Nd St Ste 201 (208) 385-3440 Richman, Jay ~* NPI: 1578991196 510 N 2Nd St Ste 201 (208) 385-3440 Portuguese Smith, Kristie ~* NPI: 1740533389 510 N 2Nd St Ste 201 (208) 385-3440 Stich-Hennen, Jessica ~* NPI: 1578840153 510 N 2Nd St Ste 201 (208) 385-3440 Trimarco, Theresa ~* NPI: 1679704639 510 N 2Nd St Ste 201 (208) 385-3440 54

Audiologist continued/seguido 83704 Adams, Shalise ~* NPI: 1477725158 900 N Liberty St Ste 400 (208) 367-3320 Cheshire, Spencer ~* NPI: 1437320082 900 N Liberty St Ste 400 (208) 367-3320 Olsen, Cynthia ~ NPI: 1588732325 1740 N Milwaukee St Ste A (208) 658-0238 Page, Andrea PHD ~* NPI: 1114455334 900 N Liberty St Ste 400 (208) 367-3320 Reyes, Adam ~* NPI: 1669822672 900 N Liberty St Ste 400 (208) 367-3320 Whitcomb, Curtis ~ NPI: 1841290640 1084 North Cole Rd (208) 377-0019 83712 Baerlocher, Deborah ~* NPI: 1821303561 100 E Idaho St Ste 200 (208) 381-9590 Blanchard, Erika ~* NPI: 1487963948 100 E Idaho St Ste 200 (208) 381-9590 Carlson, Hillary ~* NPI: 1508289901 100 E Idaho St Ste 200 (208) 381-9590 Clark, Jessica ~* NPI: 1457606832 100 E Idaho St Ste 200 (208) 381-9590 Pargman, Karrie ~* NPI: 1235416892 100 E Idaho St Ste 200 (208) 381-9590 Richman, Jay ~* NPI: 1578991196 100 E Idaho St Ste 200 (208) 381-9590 Portuguese Stich-Hennen, Jessica ~* NPI: 1578840153 100 E Idaho St Ste 200 (208) 381-9590 Eagle 83616 Clark, Jessica ~* NPI: 1457606832 3101 E State St Ste 2108 Eagle, ID 83616 (208) 489-4975 Clark, Russell ~* NPI: 1538692249 3101 E State St Ste 2108 Eagle, ID 83616 (208) 489-4975 Taylor, Rebecca ~* NPI: 1730116419 3101 E State St Ste 2108 Eagle, ID 83616 (208) 489-4975 Vore, Abram ~* NPI: 1891095097 440 E State St Ste 100 Eagle, ID 83616 (208) 939-9359 Sign Language Meridian 83642 Baerlocher, Deborah ~* NPI: 1821303561 520 S Eagle Rd Ste 1225 (208) 385-3560 Fisher, Maria ~* NPI: 1225307093 520 S Eagle Rd Ste 1225 (208) 385-3560 Gower, Shannon ~* NPI: 1033496617 520 S Eagle Rd Ste 1225 (208) 385-3560 Mecier, Brenda ~* NPI: 1790853539 520 S Eagle Rd Ste 1225 (208) 385-3560 Savage, Kate ~* NPI: 1417337395 520 S Eagle Rd Ste 1225 (208) 385-3560 Whitcomb, Curtis ~ NPI: 1841290640 745 S Progress Ave (208) 888-6102 Bannock Chubbuck 83202 Olenick, Kelley ~ NPI: 1437222668 4155 Yellowstone Ave Chubbuck, ID 83202 (208) 238-0020 Pocatello 83201 Gwinn, Makenzi ~* NPI: 1083069488 777 Hospital Wy 115 (208) 239-1960 83209 Brockett, Jeff ~* NPI: 1013931450 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Cheadle, Nancy ~* NPI: 1588998025 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Holst, Jennifer ~* NPI: 1487689683 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Sanford, Chris ~* NPI: 1699869354 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Smith, Corrie ~ NPI: 1548548589 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 55

Audiologist continued/seguido Whitaker, Mary ~* NPI: 1497782577 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Bingham Blackfoot 83221 Olenick, Kelley ~ NPI: 1437222668 340 W Judicial Ste 5 (208) 785-5551 Olenick, Kelley ~ NPI: 1437222668 720 N Meridian (208) 785-5551 Lamb, James ~* NPI: 1124192729 3345 Merlin Dr Ste 200 (208) 529-1514 Canyon Nampa 83651 Carlson, Hillary ~* NPI: 1508289901 172 2Nd St S Nampa, ID 83651 (208) 489-5950 Diller, Jacob ~* NPI: 1902328495 172 2Nd St S Nampa, ID 83651 (208) 489-5950 83687 Adams, Shalise ~* NPI: 1477725158 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Cheshire, Spencer ~* NPI: 1437320082 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Page, Andrea PHD ~* NPI: 1114455334 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Sanford, Chris ~* NPI: 1699869354 805 Main St Salmon, ID 83467 (208) 282-3495 Whitaker, Mary ~* NPI: 1497782577 805 Main St Salmon, ID 83467 (208) 282-3495 Madison Rexburg 83440 Clayson, Brent ~* NPI: 1265969406 256 N 2Nd St Ste 3 Rexburg, ID 83440 (208) 356-0766 Bonner Sandpoint 83864 Allred, Craig ~* NPI: 1184076465 420 N 2Nd Ave Ste 300 Sandpoint, ID 83864 (208) 265-1991 Bonneville Idaho Falls 83402 Parsons, Kalob ~* NPI: 1013907567 1753 W Broadway St Idaho Falls, ID 83402 (208) 524-4445 83404 Clayson, Brent ~* NPI: 1265969406 3345 Merlin Dr Ste 200 (208) 529-1514 Gladd, Dana ~* NPI: 1437430535 172 2Nd St S Nampa, ID 83651 (208) 489-5950 Lancaster, Paul ~* NPI: 1356449532 172 2Nd St S Nampa, ID 83651 (208) 489-5950 Mann, Larissa ~* NPI: 1508170473 172 2Nd St S Nampa, ID 83651 (208) 489-5950 Stucki, Laurie ~* NPI: 1508173998 172 2Nd St S Nampa, ID 83651 (208) 489-5950 Whitcomb, Curtis ~ NPI: 1841290640 1509 Caldwell Blvd Ste 1114 Nampa, ID 83651 (208) 463-4900 Kootenai Coeur D'alene 83814 Allred, Craig ~* NPI: 1184076465 700 Ironwood Dr Ste 278 (208) 625-5160 Lemhi Salmon 83467 Brockett, Jeff ~* NPI: 1013931450 805 Main St Salmon, ID 83467 (208) 282-3495 Holst, Jennifer ~* NPI: 1487689683 805 Main St Salmon, ID 83467 (208) 282-3495 Minidoka Rupert 83350 Mitchell, Cortney ~* NPI: 1841588969 1218 9Th St Unit 2 Rupert, ID 83350 (208) 312-0957 Pickup, Christine ~* NPI: 1881868032 1218 9Th St Unit 2 Rupert, ID 83350 (208) 312-0957 Twin Falls Twin Falls 83301 Hunsaker, Shane ~* NPI: 1023189446 730 N College Rd Ste B (208) 814-7350 56

Audiologist continued/seguido Jensen, Robert ~* NPI: 1629424171 730 N College Rd Ste B (208) 814-7350 Mitchell, Cortney ~* NPI: 1841588969 730 N College Rd Ste B (208) 814-7350 Audiologist- Hearing Aid Fitter Bannock Chubbuck 83202 Olenick, Kelley ~ NPI: 1437222668 4155 Yellowstone Ave Chubbuck, ID 83202 (208) 238-0020 Bingham Blackfoot 83221 Olenick, Kelley ~ NPI: 1437222668 340 W Judicial Ste 5 (208) 785-5551 Olenick, Kelley ~ NPI: 1437222668 720 N Meridian (208) 785-5551 Cardiovascular Disease Ada Boise 83702 Noonan, Daniel NPI: 1942474853 287 W Jefferson St (208) 322-1680 French Peachey, Dana NP ~* NPI: 1699720383 287 W Jefferson St (208) 322-1680 83704 Sim, David NPI: 1114106952 6014 W Emerald St (208) 376-8666 83712 Bass, Samual MD ~ NPI: 1841234747 300 E Jefferson St Ste 101 (208) 322-1680 Fry, Stefanie NPI: 1881649572 300 E Jefferson St Ste 101 (208) 322-1680 Hinchman, David NPI: 1710914528 300 E Jefferson St Ste 101 (208) 322-1680 Sim, David NPI: 1114106952 190 E Bannock St (208) 381-2222 Meridian 83642 Alharethi, Rami NPI: 1851306369 3525 E Louise Dr Ste 400 (208) 322-1680 Arabic Box, Lyndon NPI: 1174620512 745 S Progress Ave Ste 120 (208) 795-5073 Broberg, Craig NPI: 1508874058 3525 E Louise Dr Ste 400 (208) 322-1680 Chai, Andrew NPI: 1063466423 3525 E Louise Dr Ste 400 (208) 322-1680 Kfoury, Abdallah NPI: 1134132681 3525 E Louise Dr Ste 400 (208) 322-1680 Arabic, French Linzmeyer, Kristin NPI: 1932200524 3525 E Louise Dr Ste 400 (208) 322-1680 Nolan, Brian DO ~* NPI: 1538282678 3525 E Louise Dr Ste 400 (208) 322-1680 Payvar, Saeed NPI: 1134339104 745 S Progress Ave Ste 120 (208) 795-5073 Bannock Pocatello 83201 Gonzalez, David NPI: 1043208218 777 Hospital Wy 101 (208) 234-2001 Grigera, Fernando NPI: 1770579658 777 Hospital Wy 101 (208) 234-2001 Stutts Iii, Baldwin NPI: 1568561025 353 N 4Th Ave Ste 102 (208) 478-7900 Stutts Iii, Baldwin NPI: 1568561025 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Benewah Plummer 83851 Fritz, Ronald DO ~* NPI: 1801842232 427 N 12Th St Plummer, ID 83851 (208) 686-1931 St Maries 83861 Cooke, Dennis NPI: 1285680488 229 S 7Th St St Maries, ID 83861 (208) 245-2591 57

Cardiovascular Disease continued/seguido Fritz, Ronald DO ~* NPI: 1801842232 229 S 7Th St St Maries, ID 83861 (208) 245-2591 Lassetter, John NPI: 1477578300 235 Poplar St (208) 785-3828 Gerlach, Paul NPI: 1215025648 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Gerlach, Paul NPI: 1215025648 2985 Cortez Ave (208) 523-3373 Bingham Blackfoot 83221 Blank, Douglas NPI: 1871598631 1441 Parkway Dr (208) 785-2600 Chambers, John NPI: 1578568242 1441 Parkway Dr (208) 785-2600 Gallant, Ellen NPI: 1083648786 98 Poplar St (208) 785-4100 Gallant, Ellen NPI: 1083648786 235 Poplar St (208) 785-3828 Gerlach, Paul NPI: 1215025648 1441 Parkway Dr (208) 785-2600 Gorman, Patrick NPI: 1295735769 1441 Parkway Dr (208) 785-2600 Lassetter, John NPI: 1477578300 98 Poplar St (208) 785-4100 Latham, Ricky NPI: 1477553139 98 Poplar St (208) 785-4100 Latham, Ricky NPI: 1477553139 235 Poplar St (208) 785-3828 Latham, Ricky NPI: 1477553139 98 Poplar St 3Rd Flr (208) 785-3800 Lightheart, Kenneth NPI: 1740290360 1441 Parkway Dr (208) 785-2600 Stutts Iii, Baldwin NPI: 1568561025 98 Poplar St (208) 235-2277 Shelley 83274 Blank, Douglas NPI: 1871598631 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Chambers, John NPI: 1578568242 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Gorman, Patrick NPI: 1295735769 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Lightheart, Kenneth NPI: 1740290360 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Bonner Sandpoint 83864 Blakeley, Russell NPI: 1063409639 423 N Third Ave Ste 355 Sandpoint, ID 83864 (208) 265-7070 Jenkins, Ronald NPI: 1992751648 423 N Third Ave Ste 355 Sandpoint, ID 83864 (208) 265-7070 Bonneville Idaho Falls 83404 Blank, Douglas NPI: 1871598631 2985 Cortez Ave (208) 523-3373 Chambers, John NPI: 1578568242 2985 Cortez Ave (208) 523-3373 Lightheart, Kenneth NPI: 1740290360 2985 Cortez Ave (208) 523-3373 Stutts Iii, Baldwin NPI: 1568561025 2375 E Sunnyside Rd Ste F (208) 535-3626 Boundary Bonners Ferry 83805 Blakeley, Russell NPI: 1063409639 6640 Kaniksu St Hcr 61 Box 61 A Bonners Ferry, ID 83805 (208) 267-3141 Canyon Caldwell 83605 Bathina, Murali NPI: 1265486625 315 E Elm St Ste 350 (208) 322-1680 Bergset, Jon NPI: 1558475038 315 E Elm St Ste 350 (208) 322-1680 Box, Lyndon NPI: 1174620512 1906 Fairview Ave Ste 230 (208) 459-4667 58

Cardiovascular Disease continued/seguido Field, James NPI: 1255386942 315 E Elm St Ste 350 (208) 322-1680 Payvar, Saeed NPI: 1134339104 1906 Fairview Ave Ste 230 (208) 459-4667 Nampa 83687 Bathina, Murali NPI: 1265486625 215 E Hawaii Ave Nampa, ID 83687 (208) 322-1680 Bergset, Jon NPI: 1558475038 215 E Hawaii Ave Nampa, ID 83687 (208) 322-1680 Box, Lyndon NPI: 1174620512 16459 N Midland Blvd Nampa, ID 83687 (208) 795-5075 Field, James NPI: 1255386942 215 E Hawaii Ave Nampa, ID 83687 (208) 322-1680 Payvar, Saeed NPI: 1134339104 16459 N Midland Blvd Nampa, ID 83687 (208) 795-5075 Caribou Soda Springs 83276 Longmore, Lance DO ~ NPI: 1447266267 366 S 3Rd W Soda Springs, ID 83276 (208) 785-3800 Cassia Burley 83318 Gonzalez, David NPI: 1043208218 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Clearwater Orofino 83544 Bennett, William NPI: 1396791026 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Kavanaugh, Kevin NPI: 1205889433 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Williams, Michael NPI: 1114973898 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Idaho Cottonwood 83522 Orme, Eric NPI: 1780637819 710 Lewiston St Cottonwood, ID 83522 (208) 962-3267 Wallace, Eric DO ~* NPI: 1568658243 701 Lewiston St Cottonwood, ID 83522 (208) 962-3267 Grangeville 83530 Kavanaugh, Kevin NPI: 1205889433 607 W Main St Grangeville, ID 83530 (208) 983-8590 Kootenai Coeur D'alene 83814 Abate, Joseph NPI: 1720034424 1090 W Park Pl (208) 292-0292 Ball, Timothy NPI: 1073622031 700 Ironwood Dr Ste 320 (208) 625-5250 Bennett, William NPI: 1396791026 700 Ironwood Dr Ste 320 (208) 625-5250 Blakeley, Russell NPI: 1063409639 700 Ironwood Dr Ste 320 (208) 625-5250 Byazrova, Eteri NPI: 1790738060 700 Ironwood Dr Ste 320 (208) 625-5250 Russian Byazrova, Eteri NPI: 1790738060 700 Ironwood Dr Ste 350 (208) 625-5232 Russian Chilson, Donald NPI: 1942259478 2003 Kootenai Health Way (208) 625-4000 Chilson, Donald NPI: 1942259478 700 Ironwood Dr Ste 320 (208) 625-5250 Chilson, Donald NPI: 1942259478 700 Ironwood Dr Ste 350 (208) 625-5232 Cooke, Dennis NPI: 1285680488 2003 Kootenai Health Way (208) 625-4000 Cooke, Dennis NPI: 1285680488 700 Ironwood Dr Ste 320 (208) 625-5250 Engles, Donald NPI: 1306163134 700 Ironwood Dr Ste 320 (208) 625-5250 59

Cardiovascular Disease continued/seguido Everett, John NPI: 1336195759 700 Ironwood Dr Ste 350 (208) 625-5230 Fritz, Ronald DO ~* NPI: 1801842232 2003 Kootenai Health Way (208) 625-4000 Fritz, Ronald DO ~* NPI: 1801842232 700 Ironwood Dr Ste 320 (208) 625-5250 Henley, Patrick DO ~* NPI: 1972737096 700 Ironwood Dr Ste 320 (208) 625-5250 Henley, Patrick DO ~* NPI: 1972737096 700 Ironwood Dr Ste 350 (208) 625-5232 Janout, Marek NPI: 1982657227 700 Ironwood Dr Ste 320 (208) 625-5250 Czech Jenkins, Ronald NPI: 1992751648 700 Ironwood Dr Ste 320 (208) 625-5250 Kavanaugh, Kevin NPI: 1205889433 700 Ironwood Dr Ste 320 (208) 625-5250 Lessmeier, Timothy NPI: 1144276825 700 Ironwood Dr Ste 320 (208) 625-5250 Lessmeier, Timothy NPI: 1144276825 700 Ironwood Dr Ste 350 (208) 625-5232 Macinerney, Edward NPI: 1053375105 2003 Kootenai Health Way (208) 625-4000 Macinerney, Edward NPI: 1053375105 700 Ironwood Dr Ste 320 (208) 625-5250 Notestine, Aaron NPI: 1194831057 700 Ironwood Dr Ste 320 (208) 625-5250 Spence, Nathan NPI: 1821231986 700 Ironwood Dr Ste 320 (208) 625-5250 Spyra, Wolfgang NPI: 1225009897 700 Ironwood Dr Ste 320 (208) 625-5250 Taylor, Matthew NPI: 1033123658 700 Ironwood Dr Ste 320 (208) 625-5250 Taylor, Matthew NPI: 1033123658 700 Ironwood Dr Ste 350 (208) 625-5232 Wallace, Eric DO ~* NPI: 1568658243 700 Ironwood Dr Ste 320 (208) 625-5250 Williams, Michael NPI: 1114973898 700 Ironwood Dr Ste 320 (208) 625-5250 Post Falls 83854 Cooke, Dennis NPI: 1285680488 600 N Cecil (208) 262-2800 Fritz, Ronald DO ~* NPI: 1801842232 600 N Cecil (208) 262-2800 Janout, Marek NPI: 1982657227 600 N Cecil (208) 262-2800 Czech Janout, Marek NPI: 1982657227 1300 E Mullan Ave Ste 900 (208) 625-5530 Czech Jenkins, Ronald NPI: 1992751648 600 N Cecil (208) 262-2800 Kavanaugh, Kevin NPI: 1205889433 600 N Cecil (208) 262-2800 Notestine, Aaron NPI: 1194831057 600 N Cecil (208) 262-2800 Notestine, Aaron NPI: 1194831057 1300 E Mullan Ave Ste 900 (208) 625-5530 Orme, Eric NPI: 1780637819 1300 E Mullan Ave Ste 900 (208) 625-5530 Spyra, Wolfgang NPI: 1225009897 600 N Cecil (208) 262-2800 Spyra, Wolfgang NPI: 1225009897 1300 E Mullan Ave Ste 900 (208) 625-5530 Wallace, Eric DO ~* NPI: 1568658243 600 N Cecil (208) 262-2800 Williams, Michael NPI: 1114973898 600 N Cecil (208) 262-2800 60

Cardiovascular Disease continued/seguido Latah Moscow 83843 Chilson, Donald NPI: 1942259478 623 S Main Moscow, ID 83843 (208) 882-1523 Janout, Marek NPI: 1982657227 623 S Main Moscow, ID 83843 (208) 882-1523 Czech Williams, Michael NPI: 1114973898 623 S Main Moscow, ID 83843 (208) 882-1523 Williams, Michael NPI: 1114973898 213 N Main St Moscow, ID 83843 (208) 882-7565 Nez Perce Lewiston 83501 Gould, Lee NPI: 1700983137 415 Sixth St Lewiston, ID 83501 (208) 743-2511 Lessmeier, Timothy NPI: 1144276825 415 Sixth Ave Lewiston, ID 83501 (208) 743-2511 Shoshone Kellogg 83837 Notestine, Aaron NPI: 1194831057 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 Twin Falls Twin Falls 83301 Badger, Troy NPI: 1831335660 775 Pole Line Rd W Ste 112 (208) 814-8200 Crandall, Mark NPI: 1619096278 775 Pole Line Rd W Ste 112 (208) 814-8200 Portuguese Enomoto, Dennis NPI: 1649226127 775 Pole Line Rd W Ste 112 (208) 814-8200 Hymas, Joseph NPI: 1942490578 775 Pole Line Rd W Ste 112 (208) 814-8200 Kemp, David NPI: 1366474918 775 Pole Line Rd W Ste 112 (208) 814-8200 Washington Weiser 83672 Field, James NPI: 1255386942 645 E 5Th St Weiser, ID 83672 (208) 549-0370 Chiropractor Ada Boise 83702 Blampied, Joseph DC ~* NPI: 1114364569 420 W Main St Ste 206 (208) 426-9200 Harris-Sartin, Danielle DC ~* NPI: 1497133201 420 W Main St Ste 206 (208) 426-9200 Sartin, Cory DC ~* NPI: 1275777864 420 W Main St Ste 206 (208) 426-9200 Trapp, James DC ~* NPI: 1194895276 2419 W State St Ste 9 (208) 389-2225 83703 Davis, William DC ~* NPI: 1144398389 2301 N 36Th St Boise, ID 83703 (208) 331-3100 Thompson, L Erik DC ~* NPI: 1114982006 2999 N Lake Harbor Ln Ste 201 Boise, ID 83703 (208) 853-2277 Tiegs, Mick DC ~* NPI: 1497750350 2301 N 36Th St Boise, ID 83703 (208) 331-3100 Torres, Rian DC ~* NPI: 1407900327 2301 N 36Th St Boise, ID 83703 (208) 331-3100 83704 Beyer, Floyd DC ~* NPI: 1083796783 7149 W Emerald St (208) 955-6606 Bingham, James DC ~* NPI: 1508947979 1701 N Regal Dr (208) 377-9500 Edvalson, Noah DC ~* NPI: 1275767519 3271 N Milwaukee St (208) 629-5374 Fisher, Christopher DC ~* NPI: 1225175771 7149 W Emerald St (208) 955-6606 Franklin, Jesse DC ~* NPI: 1134376064 7149 W Emerald St (208) 955-6606 61

Chiropractor continued/seguido Hollingsworth, James DC ~* NPI: 1982792735 10451 Garverdale Ct Ste 203 (208) 375-4415 Hood, Chad DC ~* NPI: 1356431431 3211 Milwaukee St (208) 375-2225 Ricks, Jamie DC ~* NPI: 1053379610 3211 Milwaukee St (208) 375-2225 Smith, Scott DC ~* NPI: 1598101370 3211 Milwaukee St (208) 375-2225 Struble, Collin DC ~* NPI: 1588027379 1675 N Maple Grove Rd (208) 376-4940 83705 Hickey, John DC ~* NPI: 1194222901 376 Latah St Boise, ID 83705 (208) 338-9111 Jones, Kjersten DC ~* NPI: 1063782456 2300 S Orchard St Boise, ID 83705 (208) 383-3703 Mccullough, Judit DC ~* NPI: 1568523884 410 S Orchard St Ste 152 Boise, ID 83705 (208) 340-2555 Hungarian 83706 Coulter, Scott DC ~* NPI: 1386704708 4619 W Emerald St Ste 102 Boise, ID 83706 (208) 367-1497 Cramer, Theresa DC ~* NPI: 1528127453 4619 W Emerald St Ste 102 Boise, ID 83706 (208) 367-1497 Kranz, James DC ~* NPI: 1972614485 910 N Curtis Rd Boise, ID 83706 (208) 377-3777 Mccullough, Michael DC ~ NPI: 1053415166 1149 W Boise Ave Boise, ID 83706 (208) 343-2771 Rae, Donald DC ~* NPI: 1629173760 1149 W Boise Ave Boise, ID 83706 (208) 343-2771 Rae, Michael DC ~ NPI: 1194057802 1149 W Boise Ave Boise, ID 83706 (208) 345-3630 83709 Crum, Eric DC ~* NPI: 1346259520 1390 S Maple Grove Rd Ste 200 Boise, ID 83709 (208) 672-0100 Ferch, Gregory DC ~ NPI: 1699835124 6624 Overland Rd Boise, ID 83709 (208) 376-3802 Mooseau, Dixon DC ~* NPI: 1558809558 1390 S Maple Grove Rd Ste 200 Boise, ID 83709 (208) 672-0100 Rausch, Jeremy DC ~* NPI: 1679648679 1390 S Maple Grove Rd Ste 200 Boise, ID 83709 (208) 672-0100 83713 Gray, Jon DC ~* NPI: 1558377168 13238 W Persimmon Ln Ste 102 Boise, ID 83713 (208) 854-0600 Henze Iii, Ronald DC ~* NPI: 1932508272 13999 W Wainwright Dr Ste 201 Boise, ID 83713 (208) 939-0775 83716 Ricks, Jamie DC ~* NPI: 1053379610 2031 E Hospitality Ln Ste 150 Boise, ID 83716 (208) 336-2225 Eagle 83616 Cramer, Todd DC ~* NPI: 1760551956 1580 E State St Ste 104 Eagle, ID 83616 (208) 939-3737 Garden City 83714 Spainhower, J Tod DC ~* NPI: 1881642312 9217 W State St Garden City, ID 83714 (208) 853-7221 Meridian 83642 Anderson, Amanda DC ~* NPI: 1083735633 845 E Fairview Ave Ste 115 (208) 893-5401 Bechtel, Joshawa DC ~* NPI: 1376980615 2016 S Eagle Rd (208) 887-6810 Braman, Selena DC ~* NPI: 1346768843 1220 N Meridian Rd (208) 884-5000 Cook, Christian DC ~* NPI: 1881090603 2016 S Eagle Rd (208) 887-6810 Griffin, Justin DC ~* NPI: 1245201524 2016 S Eagle Rd (208) 887-6810 Harris-Sartin, Danielle DC ~* NPI: 1497133201 3715 E Overland Rd Ste 105 (208) 888-0055 62

Chiropractor continued/seguido Haycock, Jason DC ~* NPI: 1841271517 3175 S Meridian Rd Ste 100 (208) 855-2688 Jensen, Jared DC ~* NPI: 1922262336 2985 S Meridian Rd Ste 140 (208) 901-4888 Price, Christian DC ~* NPI: 1427399989 1220 N Meridian Rd (208) 884-5000 Sampson, Richard DC ~* NPI: 1174517858 1504 N Main St (208) 888-2267 Sirucek, Maria DC ~* NPI: 1104055383 3080 E Gentry Wy Ste 110 (208) 345-7262 Strickland, Roy DC ~* NPI: 1205059334 1220 N Meridian Rd (208) 884-5000 Wagnon, Jeremy DC ~* NPI: 1679879050 1220 N Meridian Rd (208) 884-5000 83646 Gibbons, Scott DC ~* NPI: 1992830699 3120 W Belltower Dr Ste 150 Meridian, ID 83646 (208) 846-8898 White, Judson DC ~* NPI: 1467998807 1520 E Heritage Park St Ste 150 Meridian, ID 83646 (208) 895-2600 Bannock Pocatello 83201 Grisaffi, Addison DC ~* NPI: 1407392178 151 N 4Th Ave Ste A (208) 637-2225 Williams, Jeffrey DC ~* NPI: 1659678456 151 N 4Th Ave Ste A (208) 637-2225 83202 Evans, Nathan DC ~* NPI: 1861436727 2010 Flandro Dr Pocatello, ID 83202 (208) 238-0600 Russian Benewah Plummer 83851 Kain, Ryan DC ~ NPI: 1629166988 427 N 12Th St Plummer, ID 83851 (208) 686-1931 Bingham Blackfoot 83221 Ellis, Valden DC ~* NPI: 1689627978 512 W Judicial St (208) 782-9793 Shelley 83274 Keck, Jordan DC ~* NPI: 1871950998 528 N State St Shelley, ID 83274 (208) 357-0333 Williams, Brennan DC ~* NPI: 1811228521 528 N State St Shelley, ID 83274 (208) 357-0333 Blaine Hailey 83333 Rutherford, Dean DC ~* NPI: 1508937095 513 N Main St Hailey, ID 83333 (208) 788-3211 Bonner Ponderay 83852 Webster, Ryan DC ~* NPI: 1740247881 400 Schweitzer Plaza Dr Ste 4 Ponderay, ID 83852 (208) 265-9400 Priest River 83856 Thomas, Christopher DC ~* NPI: 1902943889 6509 Hwy 2 Ste 103 Priest River, ID 83856 (208) 448-4726 Sandpoint 83864 Greenway, Geoffrey DC ~* NPI: 1487793626 123 S 3Rd Ave Ste 6 Sandpoint, ID 83864 (208) 255-1108 Kiriaka, Bradley DC ~* NPI: 1154367506 101 N 4Th Ave Sandpoint, ID 83864 (208) 448-4726 Bonneville Idaho Falls 83401 Olaveson, Gary DC ~ NPI: 1336163476 645 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-9886 Thornton, Jared DC ~* NPI: 1780110098 870 S Woodruff Ave Idaho Falls, ID 83401 (208) 529-2044 Webb, Chad DC ~* NPI: 1275969206 645 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-9886 Williams, Kerry DC ~* NPI: 1447557483 870 S Woodruff Ave Idaho Falls, ID 83401 (208) 529-2044 83404 Bench, Thomas DC ~* NPI: 1558692988 1410 E 17Th St (208) 552-9600 63

Chiropractor continued/seguido Cannon, Timothy DC ~* NPI: 1952722290 3360 S 15Th E (208) 522-8300 Gardner, James DC ~* NPI: 1821036856 1220 E 17Th St (208) 529-1919 Murdoch, Thomas DC ~* NPI: 1790923639 2060 E 25Th St (208) 522-4274 Nelson, Aaron DC ~* NPI: 1013076355 3360 S 15Th E (208) 522-8300 Van Sickle, Jason DC ~* NPI: 1386981900 1410 E 17Th St (208) 552-9600 83406 Heaton, Bob DC ~* NPI: 1083688030 1320 S Ammon Rd Idaho Falls, ID 83406 (208) 529-2084 Thompson, Travis DC ~* NPI: 1922463322 1320 S Ammon Rd Idaho Falls, ID 83406 (208) 529-2084 Canyon Caldwell 83605 Fisher, Christopher DC ~* NPI: 1225175771 2523 S 10Th Ave Ste 102 (208) 649-4321 Franklin, Jesse DC ~* NPI: 1134376064 2523 S 10Th Ave Ste 102 (208) 649-4321 King, Robin DC ~* NPI: 1578630091 1523 Fairview Ave (208) 455-9591 Mckim, Joshua DC ~* NPI: 1538345525 2523 S 10Th Ave Ste 102 (208) 649-4321 Soren, Jaron DC ~ NPI: 1124350020 309 E Logan St (208) 455-0678 Nampa 83651 Belnap, Cameron DC ~* NPI: 1215903315 723 16Th Ave S Nampa, ID 83651 (208) 466-0546 Donaldson, Martin DC ~* NPI: 1679632566 1203 10Th St S Nampa, ID 83651 (208) 467-6567 Harrison, Todd DC ~* NPI: 1841662160 1118 12Th Ave So Nampa, ID 83651 (208) 965-8784 83686 Beyer, Floyd DC ~* NPI: 1083796783 2023 12Th Ave Nampa, ID 83686 (208) 467-5756 Fisher, Christopher DC ~* NPI: 1225175771 2023 12Th Ave Nampa, ID 83686 (208) 467-5756 Franklin, Jesse DC ~* NPI: 1134376064 2023 12Th Ave Nampa, ID 83686 (208) 467-5756 83687 Lewis, Kasey DC ~ NPI: 1033230958 16017 Idaho Blvd Nampa, ID 83687 (208) 461-4430 Mcconnell, Michael DC ~* NPI: 1710986518 16730 N Marketplace Blvd Nampa, ID 83687 (208) 466-4600 Cassia Burley 83318 Hansen, Lynn DC ~* NPI: 1255318739 1210 Oakley Ave Burley, ID 83318 (208) 878-2273 Franklin Preston 83263 Fellows, Douglas DC ~* NPI: 1215326475 8 S State St Preston, ID 83263 (208) 852-2240 Welker, Jason DC ~* NPI: 1760566699 1514 S 800 W Ste 100 Preston, ID 83263 (208) 852-2875 Jerome Jerome 83338 Johnson, Laura DC ~* NPI: 1649357351 600 N Lincoln Ave Jerome, ID 83338 (208) 324-3730 Kootenai Coeur D Alene 83814 Evenson, Andrew DC ~* NPI: 1669417424 916 Ironwood Dr Ste 1 Coeur D Alene, ID 83814 (208) 769-4800 Priebe, Jeffrey DC ~* NPI: 1851539845 850 W Ironwood Dr Ste 302 Coeur D Alene, ID 83814 (208) 664-5225 Priebe, Randall DC ~* NPI: 1427003532 850 W Ironwood Dr Ste 302 Coeur D Alene, ID 83814 (208) 664-5225 64

Chiropractor continued/seguido 83815 Fichter Jr, Wayne DC ~* NPI: 1558356634 3913 N Schreiber Way Coeur D Alene, ID 83815 (208) 966-4425 Coeur D'alene 83814 Jacobson, Melissa DC ~* NPI: 1801117841 1917 N Lakewood Dr (208) 664-8194 83815 Swayze, Charles DC ~* NPI: 1558362483 402 W Canfield Ave Ste 3 Coeur D'alene, ID 83815 (208) 762-9000 Hayden 83835 Jacobson, Melissa DC ~* NPI: 1801117841 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Marsh, Kevin DC ~* NPI: 1922144773 8235 N Cornerstone Dr Hayden, ID 83835 (208) 762-0222 Priebe, Jeffrey DC ~* NPI: 1851539845 8109 N Wayne Dr Hayden, ID 83835 (208) 664-5225 Priebe, Randall DC ~* NPI: 1427003532 8109 N Wayne Dr Hayden, ID 83835 (208) 664-5225 Tessendorf, Thomas DC ~* NPI: 1780685255 1401 W Biztown Loop Hayden, ID 83835 (208) 762-3660 Post Falls 83854 Jacobson, Melissa DC ~* NPI: 1801117841 1101 E Polston Ave Ste A (208) 773-8111 Jacobson, Melissa DC ~* NPI: 1801117841 1593 E Polston Ave (208) 664-8194 Madison Rexburg 83440 Egbert, Brad DC ~* NPI: 1134279565 1134 Bond Ave Rexburg, ID 83440 (208) 356-8818 Miller, Jarem DC ~* NPI: 1912371790 105 W Main St Rexburg, ID 83440 (208) 356-6772 Smith, Alan DC ~* NPI: 1013067081 45 E Main St Rexburg, ID 83440 (208) 359-2313 Williams, Kerry DC ~* NPI: 1447557483 1134 Bond Ave Rexburg, ID 83440 (208) 356-8818 Williams, Kerry DC ~* NPI: 1447557483 72 S 1St E Rexburg, ID 83440 (208) 356-4900 Minidoka Rupert 83350 Dubois, Jason DC ~* NPI: 1043457252 1218 9Th St Rupert, ID 83350 (208) 436-4100 Nez Perce Lewiston 83501 Burrow, Joan DC ~* NPI: 1336193762 427 Park Ave Lewiston, ID 83501 (208) 798-8228 Ruddell, Brian DC ~* NPI: 1770648388 1117 16Th Ave Lewiston, ID 83501 (208) 743-8401 Ruddell, Kevin DC ~* NPI: 1013072669 1117 16Th Ave Lewiston, ID 83501 (208) 743-8401 Twin Falls Twin Falls 83301 Adepoju, Jillian DC ~* NPI: 1669787636 788 Eastland Dr Ste B (208) 734-3030 Egbert, Brad DC ~* NPI: 1134279565 479 Polk St (208) 736-0343 Egbert, Paul DC ~ NPI: 1780649863 479 Polk St (208) 736-0343 Hymas, Jared DC ~* NPI: 1386984557 1625 Addison Ave E (208) 735-2442 Luckock, James DC ~* NPI: 1932251899 105 Filer Ave (208) 733-0522 Chore Provider Bannock Pocatello 83201 Care Connection Of Idaho Homecare ~ NPI: 1841638509 215 N 9Th St Ste F (208) 240-5535 Kootenai Coeur D'alene 83815 A Compassionate In- Home Care Llc ~ NPI: 1992229942 411 W Haycraft Ave Ste B1 Coeur D'alene, ID 83815 (208) 930-1871 65

Clinical - Psychologist Bannock Pocatello 83201 Health West Isu Clinic - Fqhc ~ NPI: 1912261413 465 Memorial Dr (208) 234-4700 Clinical Cardiac Electrophysiology Ada Boise 83702 Daccarett, Marcos NPI: 1023144300 287 W Jefferson St (208) 322-1680 Marks, Melinda NPI: 1669409785 287 W Jefferson St (208) 322-1680 Mozes, Joshua MD ~ NPI: 1679733414 287 W Jefferson St (208) 322-1680 83704 Seale, Walter NPI: 1720033459 900 N Liberty Ste 302 (208) 322-1686 83706 Seale, Walter NPI: 1720033459 1055 N Curtis Rd Boise, ID 83706 (208) 322-1686 Meridian 83642 Seale, Walter NPI: 1720033459 3025 W Cherry Ln Ste 205 (208) 888-4600 Undesser, Karl NPI: 1013961242 745 S Progress Ave Ste 120 (208) 795-5073 Bonneville Idaho Falls 83404 Perez-Verdia, Alejandro NPI: 1124236393 3242 S Woodruff Ave (208) 535-4567 Perez-Verdia, Alejandro NPI: 1124236393 3200 Channing Way Ste A205 (208) 535-4580 Canyon Caldwell 83605 Seale, Walter NPI: 1720033459 1717 W Arlington Ave (208) 459-4641 Seale, Walter NPI: 1720033459 1906 Fairview Ave Ste 200 (208) 367-6450 Undesser, Karl NPI: 1013961242 1906 Fairview Ave Ste 230 (208) 459-4667 Nampa 83687 Undesser, Karl NPI: 1013961242 16459 N Midland Blvd Nampa, ID 83687 (208) 795-5075 Kootenai Coeur D'alene 83814 Byazrova, Eteri NPI: 1790738060 700 Ironwood Dr Ste 320 (208) 625-5250 Russian Byazrova, Eteri NPI: 1790738060 700 Ironwood Dr Ste 350 (208) 625-5232 Russian Chilson, Donald NPI: 1942259478 2003 Kootenai Health Way (208) 625-4000 Chilson, Donald NPI: 1942259478 700 Ironwood Dr Ste 320 (208) 625-5250 Chilson, Donald NPI: 1942259478 700 Ironwood Dr Ste 350 (208) 625-5232 Lessmeier, Timothy NPI: 1144276825 700 Ironwood Dr Ste 320 (208) 625-5250 Lessmeier, Timothy NPI: 1144276825 700 Ironwood Dr Ste 350 (208) 625-5232 Murphy Cook, Michele NPI: 1700048451 700 Ironwood Dr Ste 320 (208) 625-5250 Murphy Cook, Michele NPI: 1700048451 700 Ironwood Dr Ste 350 (208) 625-5232 Taylor, Matthew NPI: 1033123658 700 Ironwood Dr Ste 320 (208) 625-5250 Taylor, Matthew NPI: 1033123658 700 Ironwood Dr Ste 350 (208) 625-5232 Latah Moscow 83843 Chilson, Donald NPI: 1942259478 623 S Main Moscow, ID 83843 (208) 882-1523 66

Clinical Cardiac Electrophysiology continued/seguido Murphy Cook, Michele NPI: 1700048451 623 S Main Moscow, ID 83843 (208) 882-1523 Nez Perce Lewiston 83501 Lessmeier, Timothy NPI: 1144276825 415 Sixth Ave Lewiston, ID 83501 (208) 743-2511 Payette Fruitland 83619 Seale, Walter NPI: 1720033459 910 Nw 16Th St Fruitland, ID 83619 (208) 452-6851 Colon & Rectal Surgery Ada Boise 83702 Olson, James NPI: 1912992249 333 N 1St St Ste 130 (208) 424-0280 83712 Kantarian, J Chris NPI: 1699774042 100 E Warm Springs Ave Ste B (208) 381-6930 Lee, Jennifer NPI: 1598927642 125 E Idaho St Ste 303 (208) 381-9350 Community Based Residential Treatment- Mntl Retardation Dd Bonneville Idaho Falls 83401 Innovative Health Care Concepts Inc ~ 790 S Holmes Idaho Falls, ID 83401 (208) 529-8526 Twin Falls Twin Falls 83301 Innovative Health Care Concepts Inc ~ 304 2Nd Ave E (208) 994-9479 Community Health Workers Bannock Pocatello 83201 Care Connection Of Idaho Homecare ~ NPI: 1841638509 215 N 9Th St Ste F (208) 240-5535 Customized Equipment Ada Boise 83702 Norco Inc ~* NPI: 1902960396 400 Main St (208) 344-0299 83709 Mountain Brace Systems ~* NPI: 1821436718 248 S Cole Rd Boise, ID 83709 (208) 350-3092 Meridian 83642 Amramp ~* NPI: 1720327265 3023 E Copper Pint Dr Ste 201 (208) 409-4514 83646 Norco Inc ~* NPI: 1821158692 2882 N Ealgle Rd Meridian, ID 83646 (208) 898-0202 Bannock Chubbuck 83202 Norco Inc ~* NPI: 1659432375 4639 Yellowstone Hwy Chubbuck, ID 83202 (208) 478-9100 Bingham Blackfoot 83221 Norco Inc ~* NPI: 1174890628 1350 Parkway Dr 26 (208) 782-0456 Bonneville Idaho Falls 83404 Norco Inc ~* NPI: 1558425165 3908 Washington Pkwy (208) 552-3113 Canyon Caldwell 83605 Norco Inc ~* NPI: 1932263597 1906 Fairview Ave Ste 100 (208) 402-0100 Nampa 83687 Norco Inc ~* NPI: 1932269735 150 Shannon Dr Nampa, ID 83687 (208) 467-3070 Cassia Burley 83318 Norco Inc ~* NPI: 1104986983 198 N Overland Burley, ID 83318 (208) 678-8558 67

Customized Equipment continued/seguido Elmore Mountain Home 83647 Norco Inc ~* NPI: 1326109059 1405 American Legion Blvd Mountain Home, ID 83647 (208) 587-1177 Idaho Grangeville 83530 Norco Inc ~* NPI: 1619031234 329 W Main Grangeville, ID 83530 (208) 983-0390 Jerome Jerome 83338 R & R Pharmacy ~* NPI: 1952645285 133 West Avenue A Jerome, ID 83338 (208) 324-3784 Latah Moscow 83843 Norco Inc ~* NPI: 1225192859 223 W 3Rd St Moscow, ID 83843 (208) 882-3571 Madison Rexburg 83440 Norco Inc ~* NPI: 1487921839 146 N 2Nd E Rexburg, ID 83440 (208) 356-7913 Nez Perce Lewiston 83501 Norco Inc ~* NPI: 1073674792 863 Main St Lewiston, ID 83501 (208) 743-8384 Twin Falls Twin Falls 83301 Norco Inc ~* NPI: 1487715199 330 N Haven Dr (208) 734-9330 Dentist Benewah Plummer 83851 Dryden, Bryan DDS ~* NPI: 1487768545 427 N 12Th St Plummer, ID 83851 (208) 686-1931 Wilkens, Taylor DDS ~* NPI: 1548507593 427 N 12Th St Plummer, ID 83851 (208) 686-1931 Bonner Ponderay 83852 Macik, Jason D NPI: 1114378999 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101 Boundary Bonners Ferry 83805 Weaver, Adam DDS ~* NPI: 1669787974 6615 Comanche St Bonners Ferry, ID 83805 (208) 267-1718 Kootenai Coeur D Alene 83814 Clark, Hatta DDS ~* NPI: 1972891240 1090 W Park Pl Ste B Coeur D Alene, ID 83814 (208) 292-0697 Mickelson, Chace DMD ~ NPI: 1184035115 1090 W Park Pl Ste B Coeur D Alene, ID 83814 (208) 292-0697 Coeur D'alene 83814 Clark, Hatta DDS ~* NPI: 1972891240 1090 W Park Pl (208) 215-2005 Mickelson, Chace DMD ~ NPI: 1184035115 1090 W Park Pl (208) 215-2005 Rader, Justin DDS ~ NPI: 1548576879 1090 W Park Pl (208) 215-2005 Dermatology Ada Boise 83703 Bender, Matthew NPI: 1881633162 6052 W State St Boise, ID 83703 (208) 947-1947 83704 Stewart, James NPI: 1104870567 7733 W Emerald (208) 939-4599 Stewart, James NPI: 1104870567 7733 W Emerald St (208) 939-4599 83706 Ririe, Marnie NPI: 1134170855 1070 N Curtis Rd Ste 150 Boise, ID 83706 (208) 258-2078 83713 Deblieck, Jennifer NPI: 1861421240 13176 W Persimmon Ln Boise, ID 83713 (208) 939-5030 Harris, Ryan NPI: 1952628745 6051 N Eagle Rd Boise, ID 83713 (208) 519-4333 Russian 68

Dermatology continued/seguido Portela, Dustin NPI: 1588002547 6051 N Eagle Rd Boise, ID 83713 (208) 519-4333 Eagle 83616 Guerrero, Gabriel DO ~* NPI: 1184080210 323 E Riverside Dr Ste 234 Eagle, ID 83616 (208) 391-7210 Meridian 83642 Burr, Randall NPI: 1740217603 1618 S Millennium Wy Ste 100 (208) 884-3376 Japanese Pitt, Alan NPI: 1659301950 1618 S Millennium Wy Ste 100 (208) 884-3376 Schwendiman, Mark DO ~* NPI: 1417184409 1618 S Millennium Wy Ste 100 (208) 884-3376 Wells, Gregory NPI: 1871609370 1618 S Millennium Wy Ste 100 (208) 884-3376 Portuguese Winchester, Daniel NPI: 1740628023 1618 S Millennium Wy Ste 100 (208) 884-3376 83646 Thomas, Richard DO ~* NPI: 1265795660 1576 W Deer Crest St Ste 100 Meridian, ID 83646 (208) 898-7467 Bannock Pocatello 83201 Wray, Adam DO ~* NPI: 1902952930 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 83202 Stoddard, Earl NPI: 1760400238 147 W Chubbuck Rd Pocatello, ID 83202 (208) 238-7546 Japanese Bingham Blackfoot 83221 Wray, Adam DO ~* NPI: 1902952930 98 Poplar St (208) 782-2930 Blaine Ketchum 83340 Karassik, Steven NPI: 1891748117 191 W 5Th St Ketchum, ID 83340 (208) 725-2171 Reeck, Matthew NPI: 1124022801 191 W 5Th St Ketchum, ID 83340 (208) 725-2171 Bonneville Idaho Falls 83402 Marshall, Daniel DO ~* NPI: 1861583486 927 S Utah Ave Idaho Falls, ID 83402 (208) 881-5241 Mandarin 83404 Hinkson, Mark DO ~ NPI: 1538257431 3425 Merlin Dr Ste 200 (208) 528-6653 Wray, Adam DO ~* NPI: 1902952930 3760 Washington Pkwy (208) 535-3637 Canyon Nampa 83651 Harris, Ryan NPI: 1952628745 318 2Nd St S Nampa, ID 83651 (208) 467-3006 Russian Powell, Gavin NPI: 1215933940 318 2Nd St S Nampa, ID 83651 (208) 467-3006 83687 Owsley, Ryan NPI: 1659361681 16111 N Brinson St Ste 100 Nampa, ID 83687 (208) 467-7546 Elmore Mountain Home 83647 Thomas, Richard DO ~* NPI: 1265795660 840 N 4Th E Ste 100 Mountain Home, ID 83647 (208) 587-1852 Kootenai Coeur D'alene 83814 Ogram, Alicia NPI: 1275792525 980 Ironwood Dr Ste 01 (208) 625-4333 Madison Rexburg 83440 Marshall, Daniel DO ~* NPI: 1861583486 1049 Summers Dr Rexburg, ID 83440 (208) 359-4841 Mandarin 69

Dermatology continued/seguido Marshall, Daniel DO ~* NPI: 1861583486 393 E 2Nd N Rexburg, ID 83440 (208) 359-4841 Mandarin Payette Fruitland 83619 Andersen, Brock NPI: 1558349852 1118 Nw 16Th St Ste A Fruitland, ID 83619 (208) 452-5999 Portuguese Teton Driggs 83422 Marshall, Daniel DO ~* NPI: 1861583486 180 S Main St Ste B2 Driggs, ID 83422 (208) 359-4841 Mandarin Twin Falls Twin Falls 83301 Olmstead, Alan NPI: 1306936794 844 Washington St N Ste 100 (208) 734-6800 Scholes, Christopher NPI: 1760491542 526 Shoup Ave W Ste A (208) 734-5555 Valley Cascade 83611 Stewart, James NPI: 1104870567 271 Duffers Ln Cascade, ID 83611 (208) 939-4599 Stewart, James NPI: 1104870567 271 N Duffers Ln Cascade, ID 83611 (208) 939-4599 Mccall 83638 Owsley, Ryan NPI: 1659361681 211 Forest St Mccall, ID 83638 (208) 467-7546 Durable Medical Equipment & Medical Supplies Ada Boise 83702 Norco Inc ~* NPI: 1902960396 400 Main St (208) 344-0299 Sawtooth Orthotics & Prosthetics ~* NPI: 1487663514 780 S 14Th St (208) 344-9981 83704 Ascend Medical, Llc ~* NPI: 1750772869 8405 W Emerald St (208) 321-1800 Cpapnow ~* NPI: 1518066414 6128 W Fairview Ave Ste 1A (208) 287-1733 National Medical Solutions Inc ~* NPI: 1235571746 8601 W Emerald St Ste 100 (208) 377-1881 83709 Mountain Brace Systems ~* NPI: 1821436718 248 S Cole Rd Boise, ID 83709 (208) 350-3092 83713 Apria Healthcare Llc ~* NPI: 1437485703 11880 W President Dr Ste E Boise, ID 83713 (208) 322-2372 Meridian 83642 Amramp ~* NPI: 1720327265 3023 E Copper Pint Dr Ste 201 (208) 409-4514 83646 Norco Inc ~* NPI: 1821158692 2882 N Ealgle Rd Meridian, ID 83646 (208) 898-0202 Bannock Chubbuck 83202 Apria Healthcare Llc ~* NPI: 1891704300 227 Bluegill Ln Chubbuck, ID 83202 (208) 237-7940 Norco Inc ~* NPI: 1659432375 4639 Yellowstone Hwy Chubbuck, ID 83202 (208) 478-9100 Pocatello 83201 Shaver Pharmacy & Compounding ~* NPI: 1043372048 235 S 4Th Ave (208) 232-7750 Bingham Blackfoot 83221 Norco Inc ~* NPI: 1174890628 1350 Parkway Dr 26 (208) 782-0456 70

Durable Medical Equipment & Medical Supplies continued/seguido Bonneville Idaho Falls 83404 Alpine Home Medical Equipment Llc ~* NPI: 1194154930 2425 Channing Way (208) 535-8627 Apria Healthcare Llc ~* NPI: 1720192834 2222 Teton Plz (208) 523-0300 Norco Inc ~* NPI: 1558425165 3908 Washington Pkwy (208) 552-3113 Canyon Caldwell 83605 Norco Inc ~* NPI: 1932263597 1906 Fairview Ave Ste 100 (208) 402-0100 Nampa 83687 Norco Inc ~* NPI: 1932269735 150 Shannon Dr Nampa, ID 83687 (208) 467-3070 Cassia Burley 83318 Norco Inc ~* NPI: 1104986983 198 N Overland Burley, ID 83318 (208) 678-8558 Elmore Mountain Home 83647 Norco Inc ~* NPI: 1326109059 1405 American Legion Blvd Mountain Home, ID 83647 (208) 587-1177 Idaho Grangeville 83530 Norco Inc ~* NPI: 1619031234 329 W Main Grangeville, ID 83530 (208) 983-0390 Jerome Jerome 83338 R & R Pharmacy ~* NPI: 1952645285 133 West Avenue A Jerome, ID 83338 (208) 324-3784 Kootenai Coeur D'alene 83814 Bellevue Healthcare Ii Inc North Idaho ~* NPI: 1154618510 115 E Harrison Ave (208) 676-1768 83815 Apria Healthcare Llc ~* NPI: 1578586756 2944 N Government Wy Coeur D'alene, ID 83815 (208) 667-1195 Dalton Gardens 83815 Sopers Mobility Aids Llc ~* NPI: 1669440392 7392 N Government Wy Dalton Gardens, ID 83815 (208) 772-6474 Latah Moscow 83843 Norco Inc ~* NPI: 1225192859 223 W 3Rd St Moscow, ID 83843 (208) 882-3571 Lemhi Salmon 83467 Apria Healthcare Llc ~* NPI: 1700995883 818 Main St Stes H And I Salmon, ID 83467 (208) 756-4794 Madison Rexburg 83440 Norco Inc ~* NPI: 1487921839 146 N 2Nd E Rexburg, ID 83440 (208) 356-7913 Nez Perce Lewiston 83501 Norco Inc ~* NPI: 1073674792 863 Main St Lewiston, ID 83501 (208) 743-8384 Twin Falls Twin Falls 83301 Coyote Prosthetics & Orthotics - Twin Falls ~* NPI: 1245239060 542 Addison Ave W (208) 736-7330 Home Iv Service & Medical Supply ~* NPI: 1033203146 526 Shoup Ave W Ste K (208) 735-8700 Norco Inc ~* NPI: 1487715199 330 N Haven Dr (208) 734-9330 Emergency Response System Companies Kootenai Coeur D'alene 83814 Comfort Keepers Inc ~ NPI: 1144626185 820 E Best Ave (208) 765-9511 71

Endocrinology- Diabetes & Metabolism Ada Boise 83704 Foote, Julie NPI: 1104836303 900 N Liberty St Ste 201 (208) 367-6740 Foote, Julie NPI: 1104836303 900 N Liberty Ste 201 (208) 367-6740 Ada Boise 83702 Wick, John MD ~ NPI: 1982657375 703 S Americana Blvd Ste 120 (208) 706-2663 83704 Kaylor, Michael NPI: 1104878610 413 N Allumbaugh St Ste 101 (208) 323-1125 Lawler, Monica NPI: 1932441979 3301 N Sawgrass Wy (208) 375-0862 83706 Wilson, Martha NPI: 1417268574 1055 N Curtis Rd S6 Boise, ID 83706 (208) 459-7415 83709 Potter, Stephanie NPI: 1609892413 6651 W Franklin Rd Boise, ID 83709 (208) 947-5390 Sterling, Hugh NPI: 1538198098 6000 W Overland Rd Boise, ID 83709 (208) 323-7588 83712 Kozisek, Peter NPI: 1659319085 300 E Jefferson St Ste 101 (208) 322-1680 Kozisek, Peter NPI: 1659319085 190 E Bannock St (208) 381-1615 Thongsri, Roslon NPI: 1053751321 190 E Bannock St (208) 381-5015 83713 Radnovich, Richard DO ~* NPI: 1407944655 4850 N Rosepoint Way Ste 100 Boise, ID 83713 (208) 577-5904 Garden City 83714 Baillie, Jon-Eric MD ~ NPI: 1134139991 5593 N Glenwood St Garden City, ID 83714 (208) 322-5354 Meridian 83642 Allen, Daniel DO ~* NPI: 1720017247 2131 S Bonito Way (208) 489-9500 Allen, Daniel DO ~* NPI: 1720017247 3080 E Gentry Way Ste 100 (208) 286-8670 Kozisek, Peter NPI: 1659319085 520 S Eagle Rd Ste 2104 (208) 706-0201 Lawler, Monica NPI: 1932441979 3399 E Louise Dr Ste 100 (208) 887-6813 Thongsri, Roslon NPI: 1053751321 520 S Eagle Rd (208) 381-5015 83646 Smith, Jacob NPI: 1265812796 1900 W Chinden Blvd Meridian, ID 83646 (208) 809-2860 Bannock Pocatello 83201 Barker, Michael MD ~ NPI: 1811250392 777 Hospital Way (469) 401-2386 Russian Dixon, Gordon DO ~* NPI: 1578518395 1595 Yellowstone Ave (208) 233-0032 Fenstermaker, John DO ~* NPI: 1548581390 777 Hospital Wy (208) 239-1417 Francisco, Patricia NP ~* NPI: 1598890014 465 Memorial Dr (208) 234-4700 Johnson, Kolby NPI: 1326335134 465 Memorial Dr (208) 234-4700 Maynard, Richard DO ~* NPI: 1952395063 110 Vista Dr (208) 234-2300 Mickelsen, Brandon DO ~* NPI: 1417987686 465 Memorial Dr (208) 234-4700 Dutch Mills, Lavonne NPI: 1023036647 465 Memorial Dr (208) 234-4700 72

continued/seguido Mills, Lavonne NPI: 1023036647 1951 Bench Rd (208) 233-1167 Price, Jared DO ~* NPI: 1093884363 465 Memorial Dr (208) 234-4700 Ryan, Victoria PA ~* NPI: 1003980210 1951 Bench Rd Ste B (208) 238-1000 Thomas, Scott NPI: 1144237975 1595 Yellowstone Ave (208) 233-0032 Weinhold, Ana NPI: 1932369568 777 Hospital Wy (208) 239-1417 83202 Knouf, Gerald NPI: 1609989359 190 W Burnside Ave Ste C Pocatello, ID 83202 (208) 238-0400 83204 Kam, Jared NPI: 1508194580 1595 Bannock Hwy Pocatello, ID 83204 (208) 478-2449 Mills, Lavonne NPI: 1023036647 3307 N Stephanie Rd Pocatello, ID 83204 (208) 233-1167 Bingham Blackfoot 83221 Carrigan, Brian NPI: 1457300279 98 Poplar St (208) 782-2980 Dixon, Gordon DO ~* NPI: 1578518395 1441 Parkway Dr (208) 785-2600 Kam, Jared NPI: 1508194580 98 Poplar St (208) 785-4100 Kam, Jared NPI: 1508194580 1350 Pkwy Dr Ste 2 (208) 782-2410 Fort Hall 83203 Corum, Bernadette MD ~ NPI: 1477727956 Mission Road Fort Hall, ID 83203 (208) 238-5493 Vook, James MD ~ NPI: 1962416701 Mission Road Fort Hall, ID 83203 (208) 238-5493 Shelley 83274 Dixon, Gordon DO ~* NPI: 1578518395 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Kam, Jared NPI: 1508194580 275 W Locust St Shelley, ID 83274 (208) 357-3960 Bonneville Idaho Falls 83401 Baker, Wallace NPI: 1083696967 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 Baker, Wallace NPI: 1083696967 1250 Hollipark Dr Idaho Falls, ID 83401 (208) 522-0310 83402 Dixon, Gordon DO ~* NPI: 1578518395 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Thomas, Scott NPI: 1144237975 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 83404 Kam, Jared NPI: 1508194580 2375 E Sunnyside Rd Ste F (208) 535-3626 Roisum, Tony NPI: 1770688426 3360 Washington Pkwy Ste 1 (208) 524-3416 Simpson, Isac DO ~* NPI: 1386939734 2325 Coronado St (208) 785-2453 Simpson, Isac DO ~* NPI: 1386939734 2377 Coronado St (208) 557-2570 Thomas, Scott NPI: 1144237975 2725 Channing Wy (208) 525-8448 Thomas, Scott NPI: 1144237975 2730 Channing Wy (208) 542-7100 Camas Fairfield 83327 Canty, Cathy NPI: 1013974658 401 W Camas Fairfield, ID 83327 (208) 764-2611 Detemple, Matthew DO ~* NPI: 1467419150 401 W Camas Fairfield, ID 83327 (208) 764-2611 Duersch, Matthew NPI: 1902941750 401 W Camas Fairfield, ID 83327 (208) 764-2611 German 73

continued/seguido Long, Erik NPI: 1609834621 401 W Camas Fairfield, ID 83327 (208) 764-2611 Canyon Caldwell 83605 Augustus, Richard NPI: 1699717793 1717 Arlington Ave (208) 459-4641 Augustus, Richard NPI: 1699717793 1906 Fairview Ave Ste 230 (208) 459-4641 Llenos, Joe NPI: 1003073560 211 E Logan St Ste 303 And 203 (208) 459-4667 Major, Meikel NPI: 1730317975 1717 Arlington Ave (208) 459-4641 Major, Meikel NPI: 1730317975 1906 Fairview Ave Ste 230 (208) 459-4641 Mattis, Richard NPI: 1821040247 3110 Cleveland Blvd Bldg A Ste A7 (877) 522-1275 Moulton, Travis DO ~ NPI: 1760744403 1906 Fairview Ave Ste 230 (208) 459-4641 Page, Travis DO ~* NPI: 1396760385 2523 S 10Th Ave Ste 103 (208) 459-7788 Stanton, Kristopher NPI: 1063671147 3110 Cleveland Blvd Bldg A Ste A7 (877) 522-1275 Nampa 83651 Wilson, Martha NPI: 1417268574 207 1St St S Nampa, ID 83651 (208) 466-7869 83686 Pogue Sr, Bryan MD ~ NPI: 1740286723 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 83687 Richardson, Erik DO ~* NPI: 1942307640 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Cassia Burley 83318 Canty, Cathy NPI: 1013974658 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Detemple, Matthew DO ~* NPI: 1467419150 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Duersch, Matthew NPI: 1902941750 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 German Long, Erik NPI: 1609834621 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Custer Challis 83226 Paris, Richard NPI: 1255387874 611 Clinic Rd Challis, ID 83226 (208) 879-4351 Elmore Mountain Home 83647 Swanson, Todd NPI: 1871556514 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Franklin Preston 83263 Curtis, Jacob DO ~* NPI: 1770684003 44 N 100 E Preston, ID 83263 (208) 852-2900 Fremont Saint Anthony 83445 Ellsworth, Ronald NPI: 1245556141 30 W Main St Saint Anthony, ID 83445 (208) 624-2244 Wilde, Trevor DO ~* NPI: 1538422019 20 N 3Rd E Saint Anthony, ID 83445 (208) 356-4900 Jefferson Rigby 83442 Thomas, Scott NPI: 1144237975 167 E 1St S Rigby, ID 83442 (208) 745-8747 Jerome Jerome 83338 Canty, Cathy NPI: 1013974658 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Detemple, Matthew DO ~* NPI: 1467419150 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Duersch, Matthew NPI: 1902941750 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 German 74

continued/seguido Long, Erik NPI: 1609834621 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Pierson, Richard MD ~ NPI: 1811283211 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301 Romney, Kenneth NPI: 1831272772 709 N Lincoln Ave Jerome, ID 83338 (208) 324-4301, French Kootenai Coeur D Alene 83814 Schmitt, Don MD ~ NPI: 1871580209 1110 Ironwood Dr Coeur D Alene, ID 83814 (208) 666-2559 Coeur D'alene 83814 Herold, Heidi NPI: 1043322217 1090 W Park Pl (208) 292-0292 Lorion, S Jessy MD ~ NPI: 1619990017 1404 E Sherman Ave (208) 666-0909 Meza, Michael NPI: 1134124506 1090 W Park Pl (208) 215-2005 Smith, Gayle DO ~* NPI: 1598779746 1090 W Park Pl (208) 292-0292 Rathdrum 83858 Morse, Jeremy NPI: 1578509212 15622 N Highway 41 Rathdrum, ID 83858 (208) 687-4878 Smith, Gayle DO ~* NPI: 1598779746 15622 N Highway 41 Rathdrum, ID 83858 (208) 687-4878 Yovichin, Mark NPI: 1225147200 15622 N Highway 41 Rathdrum, ID 83858 (208) 687-4878 Latah Moscow 83843 Niska, Lois DO ~ NPI: 1922004878 803 S Main St Ste 120 Moscow, ID 83843 (208) 848-8300 Madison Rexburg 83440 Dixon, Gordon DO ~* NPI: 1578518395 72 E Main St Rexburg, ID 83440 (208) 359-1770 Thomas, Scott NPI: 1144237975 72 E Main St Rexburg, ID 83440 (208) 359-1770 Wilde, Trevor DO ~* NPI: 1538422019 72 S 1St E Rexburg, ID 83440 (208) 356-4900 Minidoka Rupert 83350 Canty, Cathy NPI: 1013974658 1024 8Th St Rupert, ID 83350 (208) 650-7941 Detemple, Matthew DO ~* NPI: 1467419150 1024 8Th St Rupert, ID 83350 (208) 650-7941 Duersch, Matthew NPI: 1902941750 1024 8Th St Rupert, ID 83350 (208) 650-7941 German Long, Erik NPI: 1609834621 1024 8Th St Rupert, ID 83350 (208) 650-7941 Oneida Malad City 83252 Kimball, David DO ~ NPI: 1730325143 150 N 200 W Malad City, ID 83252 (208) 766-2231 Payette Payette 83661 Thomas, Geoffrey DO ~ NPI: 1194901785 1441 Ne 10Th Ave Payette, ID 83661 (208) 642-9376 Shoshone Smelterville 83868 Lakko, Robert DO ~* NPI: 1174756340 85 E Commerce Dr Smelterville, ID 83868 (208) 784-4612 Panos, Craig NPI: 1104855188 85 E Commerce Dr Smelterville, ID 83868 (208) 784-4612 Reed, Scott MD ~ NPI: 1326090754 85 E Commerce Dr Smelterville, ID 83868 (208) 784-4612 Teton Driggs 83422 Thomas, Scott NPI: 1144237975 852 Valley Centre Dr Driggs, ID 83422 (208) 354-4757 Twin Falls Buhl 83316 Canty, Cathy NPI: 1013974658 725 Fair St Buhl, ID 83316 (208) 543-8271 75

continued/seguido Detemple, Matthew DO ~* NPI: 1467419150 725 Fair St Buhl, ID 83316 (208) 543-8271 Duersch, Matthew NPI: 1902941750 725 Fair St Buhl, ID 83316 (208) 543-8271 German Long, Erik NPI: 1609834621 725 Fair St Buhl, ID 83316 (208) 543-8271 Kimberly 83341 Canty, Cathy NPI: 1013974658 132 Main St N Kimberly, ID 83341 (208) 735-3938 Detemple, Matthew DO ~* NPI: 1467419150 132 Main St N Kimberly, ID 83341 (208) 735-3938 Duersch, Matthew NPI: 1902941750 132 Main St N Kimberly, ID 83341 (208) 735-3938 German Long, Erik NPI: 1609834621 132 Main St N Kimberly, ID 83341 (208) 735-3938 Twin Falls 83301 Canty, Cathy NPI: 1013974658 325 Martin St (208) 732-7101 Canty, Cathy NPI: 1013974658 388 Martin St (208) 734-0451 Canty, Cathy NPI: 1013974658 826 Eastland Dr (208) 732-7101 Detemple, Matthew DO ~* NPI: 1467419150 325 Martin St (208) 732-7101 Detemple, Matthew DO ~* NPI: 1467419150 388 Martin St (208) 734-0451 Detemple, Matthew DO ~* NPI: 1467419150 826 Eastland Dr (208) 732-7101 Duersch, Matthew NPI: 1902941750 325 Martin St (208) 732-7101 German Duersch, Matthew NPI: 1902941750 388 Martin St (208) 734-0451 German Franz, Martha NPI: 1700172442 775 Pole Line Rd W Ste 103 (208) 814-8375 Long, Erik NPI: 1609834621 325 Martin St (208) 732-7101 Long, Erik NPI: 1609834621 388 Martin St (208) 734-0451 Long, Erik NPI: 1609834621 826 Eastland Dr (208) 732-7101 Ziebarth, Dustin DO ~* NPI: 1750644456 388 Martin St (208) 734-0451 Valley Cascade 83611 Ellsworth, Ronald NPI: 1245556141 402 Lake Cascade Pkwy Cascade, ID 83611 (208) 382-4242 Mccall 83638 Kremer, John NPI: 1407829435 1000 State St Mccall, ID 83638 (208) 634-2221 Washington Weiser 83672 Brauer, David NPI: 1295718096 400 E 7Th St Weiser, ID 83672 (208) 414-8440 Federally Qualified Health (Fqhc) Ada Boise 83702 Terry Reilly Health Services Boise Clinic ~ NPI: 1588678361 300 S 23Rd (208) 344-3512 83705 Terry Reilly Health Services Boise 848 La Cassia ~ NPI: 1891143491 848 La Cassia Boise, ID 83705 (208) 344-0086 76

Federally Qualified Health (Fqhc) continued/seguido Adams Council 83612 Adams County Health Inc ~ NPI: 1710915897 205 N Berkley St Council, ID 83612 (208) 253-4242 Bannock Chubbuck 83204 Health West Chubbuck Clinic - Fqhc ~ NPI: 1629499751 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Downey 83234 Health West Downey Clinic - Fqhc ~ NPI: 1588666945 79 N Main St Downey, ID 83234 (208) 897-5600 Lava Hot Spring 83246 Health West Lava Clinic - Fqhc ~ NPI: 1427057926 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Pocatello 83201 Health West Isu Clinic - Fqhc ~ NPI: 1912261413 465 Memorial Dr (208) 234-4700 Health West Pocatello Clinic - Fqhc ~ NPI: 1154320752 1000 N 8Th Ave (208) 232-6260 Bingham Aberdeen 83210 Health West Aberdeen Clinic - Fqhc ~ NPI: 1295734796 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Canyon Caldwell 83605 Terry Reilly Health Services Caldwell Clinic - Fqhc ~ NPI: 1043230501 2005 Arlington (208) 459-1025 Melba 83641 Terry Reilly Health Clinics Melba Dental - Fqhc ~ NPI: 1578574521 150 2Nd St Melba, ID 83641 (208) 495-1011 Middleton 83644 Terry Reilly Health Services - Fqhc ~ NPI: 1962788315 201 S Paradise Ave Middleton, ID 83644 (208) 585-0048 Nampa 83651 Terry Reilly Health Services - Fqhc ~ NPI: 1134527708 207 1St St S Nampa, ID 83651 (208) 466-7869 83687 Terry Reilly Health Services - Fqhc ~ NPI: 1457309122 223 16Th Ave N Nampa, ID 83687 (208) 467-7654 Elmore Glenns Ferry 83623 Desert Sage Health _Fqhc ~ NPI: 1518097047 486 W First Ave Glenns Ferry, ID 83623 (208) 366-7416 Glenns Ferry Health Inc_Fqhc ~ NPI: 1376673137 486 W First Ave Glenns Ferry, ID 83623 (208) 366-7416 Franklin Preston 83263 Health West Preston Clinic - Fqhc ~ NPI: 1033595541 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Fremont Saint Anthony 83445 Upper Valley Community Health Services Inc_ Fqhc ~ NPI: 1972792489 20 N 3Rd E Saint Anthony, ID 83445 (208) 356-4900 Kootenai Coeur D Alene 83814 Heritage Health Dental ~ NPI: 1447305610 1090 W Park Pl Ste B Coeur D Alene, ID 83814 (208) 292-0697 Coeur D'alene 83814 Dirne Health ~ NPI: 1255756730 2201 Ironwood Pl Ste 100 (208) 769-2222 Dirne Health s Inc ~ NPI: 1174860894 2025 W Park Pl Ste B (208) 620-5210 Dirne Health s Inc ~ NPI: 1235503426 2205 Ironwood Pl Ste A And B (208) 664-8347 Dirne Health s_ Fqhc ~ NPI: 1285686477 1090 W Park Pl (208) 292-0292 ~ Accepting new patients/aceptando a nuevos pacientes 77

Federally Qualified Health (Fqhc) continued/seguido 83815 Dirne Health ~ NPI: 1952775140 1765 W Golf Course Rd Coeur D'alene, ID 83815 (208) 292-0292 Heritage Health Homeless Program - Fqhc ~ NPI: 1689068413 109 E Harrison Coeur D'alene, ID 83815 (208) 292-0281 Rathdrum 83858 Dirne Rathdrum Clinic_ Fqhc ~ NPI: 1760736334 16760 N Hwy 41 Rathdrum, ID 83858 (208) 292-0292 Heritage Health - Fqhc ~ NPI: 1689039448 14775 N Kimo Ct Ste B Rathdrum, ID 83858 (208) 687-5627 Madison Rexburg 83440 Upper Valley Community Health Services Inc_ Fqhc ~ NPI: 1124403258 72 S 1St E Rexburg, ID 83440 (208) 356-4900 Owyhee Grand View 83624 Valley Health _ Fqhc ~ NPI: 1972633949 350 Main St Grand View, ID 83624 (208) 834-2929 Homedale 83628 Terry Reilly Health Services Homedale Clinic - Fqhc ~ NPI: 1386757235 108 E Idaho Homedale, ID 83628 (208) 337-3189 Marsing 83639 Terry Reilly Health Services Marsing Clinic - Fqhc ~ NPI: 1861406571 201 Main St Marsing, ID 83639 (208) 896-4159 Payette New Plymouth 83655 Valley Family Health Care Inc_Fqhc ~ NPI: 1467482455 300 N Plymouth Ave New Plymouth, ID 83655 (208) 278-3335 Payette 83661 Valley Family Health Care Inc_Fqhc ~ NPI: 1407886484 1441 Ne 10Th Ave Payette, ID 83661 (208) 642-9376 Power American Falls 83211 Health West American Falls Clinic - Fqhc ~ NPI: 1629077235 823 Reed St American Falls, ID 83211 (208) 226-2822 Shoshone Kellogg 83837 Dirne Health _ Fqhc ~ NPI: 1487076048 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 Wallace 83873 Dirne Health _ Fqhc ~ NPI: 1568910156 622 College Ave Ste 2 Wallace, ID 83873 (208) 245-4636 General Practice Ada Meridian 83642 Spackman, Michael NPI: 1386887032 360 E Montvue Dr Ste 100 (208) 855-2900 Canyon Caldwell 83605 Spackman, Michael NPI: 1386887032 1906 Fairview Ave Ste 420 (208) 459-9177 Nampa 83687 Spackman, Michael NPI: 1386887032 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Gynecologic Oncology Ada Boise 83712 Cooper, Amy NPI: 1306880398 100 E Idaho St (208) 381-2711 78

Gynecologic Oncology continued/seguido Perez, Gerardo NPI: 1730103995 100 E Idaho St (208) 381-2711 Hematology & Oncology Ada Boise 83712 Alluri, Krishna NPI: 1992908347 100 E Idaho St (208) 381-2711 Hindi, Telugu Kreisle, William NPI: 1821010455 100 E Idaho St (208) 381-2711 Petersen, Finn MD ~ NPI: 1225164114 100 E Idaho St (208) 381-2711 Zuckerman, Dan NPI: 1023093507 100 E Idaho St (208) 381-2711 Meridian 83642 Bridges, Benjamin NPI: 1477694420 520 S Eagle Rd (208) 706-5651 Hodson, Stephanie NPI: 1265478374 2855 E Magic View Dr (208) 672-1000 Bannock Pocatello 83201 Francisco, Michael NPI: 1871558239 777 Hospital Wy (208) 239-1417 Ririe, David NPI: 1952307605 777 Hospital Wy (208) 239-1417 Benewah Saint Maries 83861 Aks, Carolyn NPI: 1518905678 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Samuels, Brian NPI: 1396776027 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Bingham Blackfoot 83221 Francisco, Michael NPI: 1871558239 1441 Parkway (208) 234-2001 Ririe, David NPI: 1952307605 1441 Parkway (208) 234-2001 Bonner Sandpoint 83864 Allen, Jeffrey NPI: 1104040104 520 N Thrid Ave Sandpoint, ID 83864 (208) 265-7111 Bonneville Idaho Falls 83404 Adams, Nathan NPI: 1891857512 1957 E 17Th St (208) 523-1100 Dickson, Dane NPI: 1669497194 1957 E 17Th St (208) 523-1100 Shull, Christian NPI: 1396899134 1957 E 17Th St (208) 523-1100 Canyon Nampa 83686 Fiorentino, Larry NPI: 1528086402 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Kootenai Coeur D'alene 83814 Allen, Jeffrey NPI: 1104040104 700 Ironwood Dr Ste 130 (208) 625-4700 Blanchet, Paulette NPI: 1568450997 700 Ironwood Dr Ste 130 (208) 625-4700 Kim, Kevin NPI: 1689768848 700 Ironwood Dr Ste 130 (208) 625-4700 Merrill Jr, Clinton NPI: 1992707285 700 Ironwood Dr Ste 130 (208) 625-4700 Mulvey, Kevin NPI: 1215015490 700 Ironwood Dr Ste 130 (208) 625-4700 Post Falls 83854 Aks, Carolyn NPI: 1518905678 1641 E Polston Ave Ste 102 (509) 462-2273 Mulvey, Kevin NPI: 1215015490 1400 E Mullan Ave (208) 625-4900 79

Hematology & Oncology continued/seguido Reeves, William NPI: 1568466290 1400 E Mullan Ave (208) 625-4900 Samuels, Brian NPI: 1396776027 1641 E Polston Ave Ste 102 (509) 462-2273 Samuels, Brian NPI: 1396776027 1641 E Polston Ave (208) 618-5212 Madison Rexburg 83440 Adams, Nathan NPI: 1891857512 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Dickson, Dane NPI: 1669497194 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Shull, Christian NPI: 1396899134 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Oneida Malad City 83252 Francisco, Michael NPI: 1871558239 150 N 200 W Malad City, ID 83252 (208) 766-2231 Payette Fruitland 83619 Fiorentino, Larry NPI: 1528086402 1118 Nw 16Th St Ste D Fruitland, ID 83619 (208) 452-7677 Twin Falls Twin Falls 83301 Bertram, Juergen NPI: 1326093022 725 Pole Line Rd W (208) 814-1600 Biss, Roger NPI: 1952385726 725 Pole Line Rd W (208) 814-1600 Siebel, John NPI: 1780741306 725 Pole Line Rd W (208) 814-1600, French, Russian Hematology - Internal Bonner Sandpoint 83864 Allen, Jeffrey NPI: 1104040104 520 N Thrid Ave Sandpoint, ID 83864 (208) 265-7111 Kootenai Coeur D'alene 83814 Allen, Jeffrey NPI: 1104040104 700 Ironwood Dr Ste 130 (208) 625-4700 Kim, Kevin NPI: 1689768848 700 Ironwood Dr Ste 130 (208) 625-4700 Mulvey, Kevin NPI: 1215015490 700 Ironwood Dr Ste 130 (208) 625-4700 Post Falls 83854 Mulvey, Kevin NPI: 1215015490 1400 E Mullan Ave (208) 625-4900 Home/ Environment Modification Kootenai Dalton Gardens 83815 Sopers Mobility Aids Llc ~* NPI: 1669440392 7392 N Government Wy Dalton Gardens, ID 83815 (208) 772-6474 Homemaker Services Ada Boise 83704 Addus Homecare Boise Nampa ~ NPI: 1699198242 545 N Benjamin Ln Ste 125 (208) 342-1222 Bannock Pocatello 83201 Care Connection Of Idaho Homecare ~ NPI: 1841638509 215 N 9Th St Ste F (208) 240-5535 Canyon Nampa 83651 Addus Homecare Boise Nampa ~ NPI: 1699198242 1605 N Parkcentre Pl Nampa, ID 83651 (208) 467-5700 Kootenai Coeur D'alene 83814 Comfort Keepers Inc ~ NPI: 1144626185 820 E Best Ave (208) 765-9511 80

Homemaker Services continued/seguido 83815 A Compassionate In- Home Care Llc ~ NPI: 1992229942 411 W Haycraft Ave Ste B1 Coeur D'alene, ID 83815 (208) 930-1871 Twin Falls Twin Falls 83301 Addus Homecare Twin Falls ~ NPI: 1356758171 164 River Vista Pl (208) 733-9100 Hospice And Palliative - Bonneville Idaho Falls 83401 Baker, Wallace NPI: 1083696967 1880 John Adams Pkwy Idaho Falls, ID 83401 (208) 524-6633 Baker, Wallace NPI: 1083696967 1250 Hollipark Dr Idaho Falls, ID 83401 (208) 522-0310 Canyon Caldwell 83605 Llenos, Joe NPI: 1003073560 211 E Logan St Ste 303 And 203 (208) 459-4667 Kootenai Coeur D'alene 83814 Ancker, Robert NPI: 1639121098 2003 Kootenai Health Way (208) 625-4798 Hospice And Palliative - Internal Ada Boise 83712 Erekson, Zachary NPI: 1942529912 190 E Bannock St (208) 381-1615 German Erekson, Zachary NPI: 1942529912 1000 E Park Blvd Ste 120 (208) 381-4100 German Hill, Julia NPI: 1396781563 190 E Bannock St (208) 381-1615 In Home Supportive Care Ada Boise 83704 1 - & - 1 - Aaa Fiscal Intermediary Inc ~ NPI: 1639567852 8150 W Emerald St Ste 160 (208) 466-3196 Addus Homecare Boise Nampa ~ NPI: 1699198242 545 N Benjamin Ln Ste 125 (208) 342-1222 Bannock Pocatello 83201 Care Connection Of Idaho Homecare ~ NPI: 1841638509 215 N 9Th St Ste F (208) 240-5535 Benewah St Maries 83861 Ipic ~ NPI: 1194046367 820 Elm St St Maries, ID 83861 (208) 245-4576 Canyon Nampa 83651 1 - & - 1 - Aaa Fiscal Intermediary Inc ~ NPI: 1639567852 324 Caldwell Blvd Ste B Nampa, ID 83651 (208) 466-3196 Addus Homecare Boise Nampa ~ NPI: 1699198242 1605 N Parkcentre Pl Nampa, ID 83651 (208) 467-5700 Home Sweet Home ~ 1426 Lonestar Rd Nampa, ID 83651 (208) 463-8777 Kootenai Coeur D'alene 83814 Comfort Keepers Inc ~ NPI: 1144626185 820 E Best Ave (208) 765-9511 83815 A Compassionate In- Home Care Llc ~ NPI: 1992229942 411 W Haycraft Ave Ste B1 Coeur D'alene, ID 83815 (208) 930-1871 81

In Home Supportive Care continued/seguido Shoshone Kellogg 83837 Access Care At Home ~ NPI: 1972942977 120 W Cameron Ave Ste 10 Kellogg, ID 83837 (209) 783-0100 Twin Falls Twin Falls 83301 Addus Homecare Twin Falls ~ NPI: 1356758171 164 River Vista Pl (208) 733-9100 Independent Living Assistance/Adult Companion Kootenai Coeur D'alene 83815 A Compassionate In- Home Care Llc ~ NPI: 1992229942 411 W Haycraft Ave Ste B1 Coeur D'alene, ID 83815 (208) 930-1871 Infectious Disease Ada Boise 83704 Coffman, Thomas NPI: 1245224823 6565 W Emerald St (208) 514-2510 Klein, Nicole NPI: 1811924616 6565 W Emerald St (208) 514-2510 83712 Coffman, Thomas NPI: 1245224823 125 E Idaho St Ste 100 (208) 338-0148 Dau, Birgitt NPI: 1225167588 125 E Idaho St Ste 100 (208) 338-0148 Klein, Nicole NPI: 1811924616 125 E Idaho St Ste 100 (208) 338-0148 Wyatt, Casi DO ~* NPI: 1083716153 125 E Idaho St Ste 100 (208) 338-0148 Bannock Chubbuck 83204 Buitrago, Martha NPI: 1356349492 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Downey 83234 Buitrago, Martha NPI: 1356349492 79 N Main St Downey, ID 83234 (208) 897-5600 Lava Hot Spring 83246 Buitrago, Martha NPI: 1356349492 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Pocatello 83201 Buitrago, Martha NPI: 1356349492 465 Memorial Dr (208) 234-4700 Buitrago, Martha NPI: 1356349492 1000 N 8Th Ave (208) 232-6260 Bingham Aberdeen 83210 Buitrago, Martha NPI: 1356349492 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Franklin Preston 83263 Buitrago, Martha NPI: 1356349492 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Kootenai Coeur D'alene 83814 Cook, Sean DO ~* NPI: 1083811475 2120 W Ironwood Dr (208) 625-6944 Cook, Sean DO ~* NPI: 1083811475 2003 Kootenai Health Way (208) 625-4000 Power American Falls 83211 Buitrago, Martha NPI: 1356349492 823 Reed St American Falls, ID 83211 (208) 226-2822 82

Internal Ada Boise 83702 Brown, Karl MD ~ NPI: 1649497702 950 W Bannock St Ste 1100 (888) 562-5442 83704 Foote, Julie NPI: 1104836303 900 N Liberty St Ste 201 (208) 367-6740 Foote, Julie NPI: 1104836303 900 N Liberty Ste 201 (208) 367-6740 83706 Garber, Gabriel NPI: 1588632830 3550 W Americana Terrace Boise, ID 83706 (208) 947-5390 Pintar, Thomas NPI: 1952343352 5610 W Gage St Ste A Boise, ID 83706 (208) 501-8955 83709 Garber, Gabriel NPI: 1588632830 6651 W Franklin Rd Boise, ID 83709 (208) 947-5390 Lyon, Julie NPI: 1285685891 6651 W Franklin Rd Boise, ID 83709 (208) 947-5390 83712 Bates Jr, Rodney DO ~ NPI: 1700822491 190 E Bannock St (208) 381-2222 Blough, Susan NPI: 1336197870 1000 E Park Blvd Ste 120 (208) 381-4100 French Blue, Sky NPI: 1659365575 125 E Idaho St Ste 100 (208) 338-0148, Portuguese Bollinger, William NPI: 1942258439 1000 E Park Blvd Ste 120 (208) 381-4100 Demars, Damon DO ~* NPI: 1063826758 190 E Bannock St (208) 381-5015 Donovan, Jodie NPI: 1295027688 1000 E Park Blvd Ste 120 (208) 381-4100 Fedor, David DO ~ NPI: 1568571461 190 E Bannock St (208) 381-5015 Feuerborn, Ethan DO ~ NPI: 1629418280 190 E Bannock St (208) 381-5015 Friel, Meaghen MD ~ NPI: 1407274210 190 E Bannock St (208) 381-2645 Gallafent, James NPI: 1518077437 1000 E Park Blvd Ste 120 (208) 381-4100 French Lewis, Erika NPI: 1659320570 1000 E Park Blvd Ste 120 (208) 381-4100 Madison, Michael DO ~* NPI: 1508286790 190 E Bannock St (208) 381-5015 Mcgeorge, Laura NPI: 1629029699 1000 E Park Blvd Ste 120 (208) 381-4100 Mckay, Sean MD ~ NPI: 1417918004 190 E Bannock St (208) 323-3767 Miltner, Natasha NPI: 1396832770 1000 E Park Blvd Ste 120 (208) 381-4100 Nelson, Timothy NPI: 1811021884 1000 E Park Blvd Ste 120 (208) 381-4100 Pangarkar, Sandeep DO ~* NPI: 1033106745 190 E Bannock St (208) 381-2222 Pelton, Michael NPI: 1548219090 1000 E Park Blvd Ste 120 (208) 381-4100 Pucciarelli, Irene DO ~* NPI: 1871559948 1000 E Park Blvd Ste 120 (208) 381-4100 Schell, Amy NPI: 1275581753 1000 E Park Blvd Ste 120 (208) 381-4100 Schulte, Michaela NPI: 1821201179 190 E Bannock St (208) 381-5015 German Shoebridge, Nicholas DO ~* NPI: 1760809958 190 E Bannock St (208) 381-2645 Slade, Jason NPI: 1750672481 190 E Bannock St (208) 381-2222 Stubbs, Leslie NPI: 1588613483 1000 E Park Blvd Ste 120 (208) 381-4100, Bosnian Tran, Tuan NPI: 1194716613 190 E Bannock St (208) 381-5015 Vietnamese 83

Internal continued/seguido Turcotte, Roger NPI: 1255574109 1000 E Park Blvd Ste 120 (208) 381-4100 Meridian 83642 Afshar, Kia NPI: 1043356637 3525 E Louise Dr Ste 400 (208) 322-1680 Davidson, Robert NPI: 1144275694 3525 E Louise Dr Ste 100 (208) 846-8335 Fall, Michael DO ~* NPI: 1851548648 2347 E Gala St (208) 323-3767 Gibb, Nathan DO ~ NPI: 1720499601 520 S Eagle Rd (208) 381-5015 Gupte, Manjusha MD ~ NPI: 1851387500 520 S Eagle Rd (208) 381-5015 Olsen, Shayne DO ~* NPI: 1841320900 520 S Eagle Rd (208) 706-5651 Palfreyman, Eric NPI: 1356504690 3277 E Louise Dr Ste 350 (208) 887-9500 Portuguese Schulte, Michaela NPI: 1821201179 520 S Eagle Rd (208) 381-5015 German Spencer, Miller NPI: 1720342777 3525 E Louise Dr Ste 400 (208) 322-1680 Bannock Chubbuck 83204 Buitrago, Martha NPI: 1356349492 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Downey 83234 Buitrago, Martha NPI: 1356349492 79 N Main St Downey, ID 83234 (208) 897-5600 Lava Hot Spring 83246 Buitrago, Martha NPI: 1356349492 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 Pocatello 83201 Antonelli, Lisa NPI: 1639169618 777 Hospital Wy 101 (208) 234-2001 Buitrago, Martha NPI: 1356349492 465 Memorial Dr (208) 234-4700 Buitrago, Martha NPI: 1356349492 1000 N 8Th Ave (208) 232-6260 Call, Benjamin NPI: 1346236213 777 Hospital Wy 101 (208) 234-2001 Capricchione, Angelo NPI: 1669559050 2302 E Terry St (208) 235-5910 Capricchione, Angelo NPI: 1669559050 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Delarosa, Jacob NPI: 1083759880 777 Hospital Wy G11 (208) 239-2065 Felt, Richard NPI: 1124023361 353 N 4Th Ave Ste 102 (208) 478-7900 Felt, Richard NPI: 1124023361 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Francisco, Michael NPI: 1871558239 777 Hospital Wy (208) 239-1417 Garber, Gabriel NPI: 1588632830 777 Hospital Wy (208) 239-1417 Gonzalez, David NPI: 1043208218 777 Hospital Wy 101 (208) 234-2001 Hoffman, Sandra NPI: 1518039189 777 Hospital Wy (208) 239-1417 Liljenquist, John NPI: 1619977600 444 Hospital Wy Bldg B Ste 600 (208) 523-1122 Longmore, Ryan DO ~* NPI: 1285884213 777 Hospital Wy 101 (208) 234-2001 Russian Siktel, Hira NPI: 1477790962 444 Hospital Way Ste 607 (208) 904-4780 Hindi Stutts Iii, Baldwin NPI: 1568561025 353 N 4Th Ave Ste 102 (208) 478-7900 84

Internal continued/seguido Stutts Iii, Baldwin NPI: 1568561025 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Bingham Aberdeen 83210 Buitrago, Martha NPI: 1356349492 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Blackfoot 83221 Antonelli, Lisa NPI: 1639169618 1441 Parkway (208) 234-2001 Benny, Leslie DO ~ NPI: 1780002717 98 Poplar St (208) 785-4100 Capricchione, Angelo NPI: 1669559050 1350 Pkwy Dr Ste 2 (208) 782-2410 Felt, Richard NPI: 1124023361 98 Poplar St (208) 785-4100 Francisco, Michael NPI: 1871558239 1441 Parkway (208) 234-2001 Longmore, Ryan DO ~* NPI: 1285884213 235 Poplar St (208) 785-3828 Russian Longmore, Ryan DO ~* NPI: 1285884213 98 Poplar St 3Rd Flr (208) 785-3800 Russian Longmore, Ryan DO ~* NPI: 1285884213 98 Poplar St (208) 235-2277 Russian Longmore, Ryan DO ~* NPI: 1285884213 1441 Parkway (208) 234-2001 Russian Lupton, Mark DO ~ NPI: 1134579576 98 Poplar St (208) 785-4100 Redd, Hans MD ~ NPI: 1558348649 98 Poplar St (208) 785-4100 Shrader, David NPI: 1275615494 98 Poplar St (208) 235-2277 Siktel, Hira NPI: 1477790962 235 Poplar St (208) 785-3828 Hindi Siktel, Hira NPI: 1477790962 98 Poplar St (208) 235-2277 Hindi Stutts Iii, Baldwin NPI: 1568561025 98 Poplar St (208) 235-2277 Shelley 83274 Capricchione, Angelo NPI: 1669559050 275 W Locust St Shelley, ID 83274 (208) 357-3960 Shrader, David NPI: 1275615494 275 W Locust St Shelley, ID 83274 (208) 357-3960 Bonneville Idaho Falls 83404 Capricchione, Angelo NPI: 1669559050 2375 E Sunnyside Rd Ste F (208) 535-3626 Felt, Richard NPI: 1124023361 2001 S Woodruff Ave Ste 3 (208) 535-3636 Felt, Richard NPI: 1124023361 2375 E Sunnyside Rd Ste F (208) 535-3626 Liljenquist, John NPI: 1619977600 3910 Washington Pkwy (208) 522-2996 Shrader, David NPI: 1275615494 2375 E Sunnyside Rd Ste F (208) 535-3626 Siktel, Hira NPI: 1477790962 2381 E Sunnyside Rd (208) 904-4780 Hindi Stutts Iii, Baldwin NPI: 1568561025 2375 E Sunnyside Rd Ste F (208) 535-3626 Wachter, Susan NPI: 1740450014 2985 Cortez Ave (208) 523-3373 Canyon Caldwell 83605 Davidson, Robert NPI: 1144275694 4620 Enterprise Way Ste 101 (208) 846-8335 Holmes, Nathan MD ~ NPI: 1396151148 1717 Arlington Ave (208) 459-4641 Holmes, Nathan MD ~ NPI: 1396151148 1906 Fairview Ave Ste 230 (208) 459-4641 85

Internal continued/seguido Palfreyman, Eric NPI: 1356504690 1818 S 10Th Ave Ste 120 (208) 887-9500 Portuguese Nampa 83686 Freeman, John NPI: 1437279031 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Sadaj, John NPI: 1407846140 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 83687 Olsen, Shayne DO ~* NPI: 1841320900 9850 W St Lukes Dr Ste 207 Nampa, ID 83687 (208) 505-2712 Cassia Burley 83318 Antonelli, Lisa NPI: 1639169618 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Call, Benjamin NPI: 1346236213 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Gonzalez, David NPI: 1043208218 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Longmore, Ryan DO ~* NPI: 1285884213 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Russian Elmore Mountain Home 83647 Lanske, George NPI: 1053353755 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Russian Franklin Preston 83263 Buitrago, Martha NPI: 1356349492 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Kootenai Coeur D'alene 83814 Benz, Nicolle DO ~* NPI: 1356322580 2003 Kootenai Health Way (208) 625-6900 Cook, Sean DO ~* NPI: 1083811475 2120 W Ironwood Dr (208) 625-6944 Cook, Sean DO ~* NPI: 1083811475 2003 Kootenai Health Way (208) 625-4000 Greene, Brandon DO ~* NPI: 1770913428 2003 Kootenai Health Way (208) 625-6900 Rehil-Crest, Anthony MD ~ NPI: 1114152980 1090 W Park Pl (208) 292-0292 Hayden 83835 Ngo, Thuy-Trang NPI: 1831327444 8836 N Hess Ste C Hayden, ID 83835 (208) 762-7760 Post Falls 83854 Daugharty, Barbara NPI: 1841397304 1300 E Mullan Ave Ste 1600 (208) 625-4965 Nez Perce Lewiston 83501 Dykstra, Timothy DO ~* NPI: 1376592758 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Oneida Malad City 83252 Francisco, Michael NPI: 1871558239 150 N 200 W Malad City, ID 83252 (208) 766-2231 Payette Fruitland 83619 Christenson, Mark NPI: 1699883447 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8700 Power American Falls 83211 Buitrago, Martha NPI: 1356349492 823 Reed St American Falls, ID 83211 (208) 226-2822 Interventional Cardiology Ada Boise 83712 Costello, Frederick MD ~ NPI: 1285851337 300 E Jefferson St Ste 101 (208) 322-1680 Danish Coyle, David NPI: 1023210515 300 E Jefferson St Ste 101 (208) 322-1680 Duerr, Robert NPI: 1588611263 300 E Jefferson St Ste 101 (208) 322-1680 86

Interventional Cardiology continued/seguido Eiriksson, Charles NPI: 1932153137 300 E Jefferson St Ste 101 (208) 322-1680 Robert, Alina NPI: 1609042258 300 E Jefferson St Ste 101 (208) 322-1680 Romanian Writer, Steven NPI: 1811942543 190 E Bannock St (208) 381-2222 Meridian 83642 Costello, Frederick MD ~ NPI: 1285851337 3525 E Louise Dr Ste 400 (208) 322-1680 Danish Coyle, David NPI: 1023210515 3525 E Louise Dr Ste 400 (208) 322-1680 Green, Nathan NPI: 1568540714 3525 E Louise Dr Ste 400 (208) 322-1680 Benewah St Maries 83861 Cooke, Dennis NPI: 1285680488 229 S 7Th St St Maries, ID 83861 (208) 245-2591 Bonner Sandpoint 83864 Jenkins, Ronald NPI: 1992751648 423 N Third Ave Ste 355 Sandpoint, ID 83864 (208) 265-7070 Clearwater Orofino 83544 Bennett, William NPI: 1396791026 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Kavanaugh, Kevin NPI: 1205889433 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Idaho Cottonwood 83522 Wallace, Eric DO ~* NPI: 1568658243 701 Lewiston St Cottonwood, ID 83522 (208) 962-3267 Grangeville 83530 Kavanaugh, Kevin NPI: 1205889433 607 W Main St Grangeville, ID 83530 (208) 983-8590 Kootenai Coeur D'alene 83814 Ball, Timothy NPI: 1073622031 700 Ironwood Dr Ste 320 (208) 625-5250 Bennett, William NPI: 1396791026 700 Ironwood Dr Ste 320 (208) 625-5250 Cooke, Dennis NPI: 1285680488 2003 Kootenai Health Way (208) 625-4000 Cooke, Dennis NPI: 1285680488 700 Ironwood Dr Ste 320 (208) 625-5250 Engles, Donald NPI: 1306163134 700 Ironwood Dr Ste 320 (208) 625-5250 Jenkins, Ronald NPI: 1992751648 700 Ironwood Dr Ste 320 (208) 625-5250 Kavanaugh, Kevin NPI: 1205889433 700 Ironwood Dr Ste 320 (208) 625-5250 Spence, Nathan NPI: 1821231986 700 Ironwood Dr Ste 320 (208) 625-5250 Wallace, Eric DO ~* NPI: 1568658243 700 Ironwood Dr Ste 320 (208) 625-5250 Post Falls 83854 Cooke, Dennis NPI: 1285680488 600 N Cecil (208) 262-2800 Jenkins, Ronald NPI: 1992751648 600 N Cecil (208) 262-2800 Kavanaugh, Kevin NPI: 1205889433 600 N Cecil (208) 262-2800 Wallace, Eric DO ~* NPI: 1568658243 600 N Cecil (208) 262-2800 Interventional Pain Ada Boise 83702 Maxwell, Shane DO ~* NPI: 1508825456 600 N Robbins Rd Ste 300 (208) 489-4016 87

Interventional Pain continued/seguido Meridian 83642 Maxwell, Shane DO ~* NPI: 1508825456 3551 E Overland Rd (208) 884-1333 Zarse, Karl MD ~ NPI: 1982633889 1859 S Topaz Way Ste 106 (208) 672-4640 Maternal & Fetal Ada Boise 83702 Balderston, Keith NPI: 1871525337 333 N 1St St Ste 150 (208) 381-3088 Blea, Clarence NPI: 1558312199 333 N 1St St Ste 150 (208) 381-3088 Bobrowski, Renee MD ~ NPI: 1669416954 333 N 1St St Ste 150 (208) 381-3088 Cooper, Kylie NPI: 1043509730 333 N 1St St Ste 150 (208) 381-3088 Day, Leah NPI: 1184627549 333 N 1St St Ste 150 (208) 381-3088 Jacobson, Sig-Linda NPI: 1033291323 333 N 1St St Ste 150 (208) 381-3088 Koszalka, Michael NPI: 1134171952 333 N 1St St Ste 150 (208) 381-3088 Lee, Richard NPI: 1588692933 333 N 1St St Ste 150 (208) 381-3088 Seyb, Stacy NPI: 1497706469 333 N 1St St Ste 150 (208) 381-3088 Winkler, Carey NPI: 1669434395 333 N 1St St Ste 150 (208) 381-3088 Meridian 83642 Blea, Clarence NPI: 1558312199 3525 E Louise Dr Ste 220 (208) 706-4636 Koszalka, Michael NPI: 1134171952 3525 E Louise Dr Ste 220 (208) 706-4636 Lee, Richard NPI: 1588692933 3525 E Louise Dr Ste 220 (208) 706-4636 Seyb, Stacy NPI: 1497706469 3525 E Louise Dr Ste 220 (208) 706-4636 Bannock Pocatello 83201 Draper, Michael NPI: 1992769368 777 Hospital Way Ste 300 (208) 239-3453 Kootenai Coeur D'alene 83814 Pates, Jason NPI: 1376742346 980 Ironwood Dr Ste 306 (208) 625-4970 Medical - Physician Assistant Ada Boise 83702 Andreasen, Kacey PA ~* NPI: 1215160510 600 N Robbins Rd Ste 100 (208) 706-2663 Cline, Paige PA ~* NPI: 1437203965 703 S Americana Blvd Ste 130 (208) 706-7500 Culbertson, Eric PA ~* NPI: 1134358104 633 N 4Th St (208) 342-9800 Daley, Jason PA ~* NPI: 1558664458 1109 W Myrtle St Ste 200 (208) 706-2663 Daley, Jason PA ~* NPI: 1558664458 600 N Robbins Rd Ste 100 (208) 706-2663 Daley, Jason PA ~* NPI: 1558664458 703 S Americana Blvd Ste 120 (208) 706-2663 Davis, Tish PA ~* NPI: 1548201007 425 W Bannock St (208) 343-1702 Johnson, Katrina PA ~* NPI: 1891927513 1109 W Myrtle St Ste 200 (208) 706-2663 Landis, David PA ~* NPI: 1104044247 703 S Americana Blvd Ste 130 (208) 706-7500 Mart, Michael PA ~* NPI: 1598861379 414 N 1St St (208) 381-2667 Trainor, Sadie PA ~* NPI: 1952653081 115 Main St Ste 101 (208) 381-3915 88

Medical - Physician Assistant continued/seguido Watsen, Sharene PA ~* NPI: 1265464036 403 S 11Th St Ste 100 (208) 429-0300 Wilson, Renee PA ~* NPI: 1215019534 425 W Bannock St (208) 343-6458 83703 Callagy, Karen PA ~* NPI: 1699894477 3858 N Garden Cntr Wy Boise, ID 83703 (208) 385-7711 Warren, Amber PA ~ NPI: 1427289891 3858 N Garden Cntr Wy Boise, ID 83703 (208) 385-7711 83704 Combe, Courtney PA ~* NPI: 1053740290 6550 Emerald St Ste 108 (208) 344-2228 Delic, Zana PA ~* NPI: 1528313749 8100 Emerald St Ste 150 (208) 908-6399 Flaker, Jeffrey PA ~* NPI: 1295780062 6140 W Curtisian Ave Ste 400 (208) 327-5600 Mcvey, Douglas PA ~* NPI: 1841318276 6933 W Emerald St Ste A (208) 321-0634 83705 Blanchette, Anne PA ~ NPI: 1851473961 4971 W Overland Rd Boise, ID 83705 (208) 472-5050 83712 Cooper, Stacy PA ~* NPI: 1518157544 100 E Idaho St Ste 400 (208) 345-5250 Cusack, Sorcha PA ~* NPI: 1396071056 300 E Jefferson St Ste 300 (208) 381-4100 Cusack, Sorcha PA ~* NPI: 1396071056 1000 E Park Blvd Ste 120 (208) 381-4100 Mccoy, Alaina PA ~* NPI: 1710231238 100 E Idaho St Ste 400 (208) 345-5250 Shedd, Lindsay PA ~* NPI: 1982888103 100 E Idaho St Ste 301 (208) 381-9250 Tumanjan, Christine PA ~* NPI: 1447510201 100 E Idaho St (208) 381-2711 83713 Wampold, Sarah PA ~* NPI: 1427353721 12080 W Mcmillan Rd Boise, ID 83713 (208) 375-4955 83716 Roy, Molly PA ~* NPI: 1760414023 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Eagle 83616 Hawkins, Katherine PA ~* NPI: 1801131800 3101 E State St Ste 2120 Eagle, ID 83616 (208) 473-3275 Meridian 83642 Andreasen, Kacey PA ~* NPI: 1215160510 3399 E Louise Dr Ste 200 (208) 706-2663 Church, Nathan PA ~* NPI: 1386635977 3080 E Gentry Way Ste 210 (208) 384-9022 Cline, Paige PA ~* NPI: 1437203965 520 S Eagle Rd Ste 2213 (208) 706-5447 Combe, Courtney PA ~* NPI: 1053740290 3017 S Meridian Rd (208) 888-6123 Cooper, Stacy PA ~* NPI: 1518157544 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Daley, Jason PA ~* NPI: 1558664458 520 S Eagle Rd Ste 2209 (208) 706-2663 Davis, Tish PA ~* NPI: 1548201007 2235 Gala St (208) 887-3724 Flaker, Jeffrey PA ~* NPI: 1295780062 3875 E Overland Rd (208) 327-5600 George, Kyle PA ~* NPI: 1225220643 3277 E Louise Dr Ste 350 (208) 887-9500 Hansen, Tate PA ~* NPI: 1982944617 520 S Eagle Rd Ste 1241 (208) 288-2255 Hansen, Tate PA ~* NPI: 1982944617 3399 E Louise Dr Ste 100 (208) 706-8085 Heninger, Bradley PA ~* NPI: 1205103389 520 S Eagle Rd Ste 3213 (208) 706-2663 Landis, David PA ~* NPI: 1104044247 520 S Eagle Rd Ste 2213 (208) 706-5447 Levenson, Darcie PA ~* NPI: 1912058512 3399 E Louise Dr Ste 100 (208) 288-2255 89

Medical - Physician Assistant continued/seguido Levitch, Rachel PA ~* NPI: 1740515287 2275 S Eagle Rd Ste 120 (208) 514-2500 Mart, Michael PA ~* NPI: 1598861379 520 S Eagle Rd Ste 2213 (208) 706-5447 Mccoy, Alaina PA ~* NPI: 1710231238 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Mcgill, Jennifer PA ~* NPI: 1881730752 3277 E Louise Dr Ste 350 (208) 887-9500 Short, William PA ~ NPI: 1780928580 3017 S Meridian Rd (208) 888-6123 Soares, Colin PA ~* NPI: 1588757850 3399 E Louise Dr Ste 400 (208) 364-3000 Steinburg, Rick PA ~* NPI: 1548265218 3085 E Magic View Dr Ste 140 (208) 433-9300 Valerio, Michael PA ~* NPI: 1437148434 520 S Eagle Rd Ste 3102 (208) 706-5100 Hepworth, Tyler PA ~ NPI: 1447541487 1950 E Clark St Ste 110 (208) 232-7246 Jaramillo, Rachelle PA ~* NPI: 1962654673 475 Yellowstone Ave Ste E (208) 232-0021 Jaramillo, Rachelle PA ~* NPI: 1962654673 495 Yellowstone Ave (208) 478-7422 Johnson, Shad PA ~ NPI: 1114028354 777 Hospital Wy (208) 239-1417 Richardson, Weldon PA ~* NPI: 1629351614 1950 E Clark St Ste 110 (208) 232-7246 Rick, Daniel PA ~* NPI: 1770764136 1595 Yellowstone Ave (208) 233-0032 Rizor, Helena PA ~* NPI: 1073513065 1448 E St Ste E (208) 234-1300 Shaw, Trent PA ~* NPI: 1366488926 1595 Yellowstone Ave (208) 233-0032 Morch, Christian PA ~* NPI: 1881801405 3080 E Gentry Way Ste 210 (208) 384-9022 Swedish Pyke, Lauryn PA ~* NPI: 1407257025 520 S Eagle Rd (208) 706-5651 Rafla, Hala PA ~* NPI: 1265698492 520 S Eagle Rd Ste 2213 (208) 706-5447 Arabic Roy, Molly PA ~* NPI: 1760414023 2347 E Gala St (208) 323-3767 Wilson, Renee PA ~* NPI: 1215019534 2235 Gala St (208) 887-3724 Bannock Chubbuck 83204 Bieniasz, Paul PA ~* NPI: 1518934181 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Pocatello 83201 Dixon, Annie PA ~* NPI: 1205085529 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Manning, Nicole PA ~* NPI: 1265441547 475 Yellowstone Ave Ste E (208) 232-0021 Manning, Nicole PA ~* NPI: 1265441547 495 Yellowstone Ave (208) 478-7422 Miller, Brian PA ~* NPI: 1861483455 1595 Yellowstone Ave (208) 233-0032 Ray, Debra Ruth PA ~* NPI: 1730149865 777 Hospital Wy 202 (208) 239-2640 Zundel, Brett PA ~ NPI: 1730222365 444 Hospital Wy Bldg B Ste 600 (208) 523-1122 83202 Jaramillo, Rachelle PA ~* NPI: 1962654673 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 Manning, Nicole PA ~* NPI: 1265441547 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 90

Medical - Physician Assistant continued/seguido Bingham Blackfoot 83221 Hepworth, Tyler PA ~ NPI: 1447541487 1425 Parkway Dr (208) 785-7246 Richardson, Weldon PA ~* NPI: 1629351614 1425 Parkway Dr (208) 785-7246 Ulrich, William PA ~* NPI: 1942537923 625 W Pacific Ste 3 (208) 782-0500 Portuguese Bonner Priest River 83856 Jabbour, Albert PA ~* NPI: 1013131119 6509 Hwy 2 Ste 101 Priest River, ID 83856 (208) 448-2321 Sandpoint 83864 Fiola, Amanda PA ~ NPI: 1861484701 520 N Third Ave Sandpoint, ID 83864 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 1210 Washington Ave Sandpoint, ID 83864 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 102 S Euclid Sandpoint, ID 83864 (208) 625-6100 Bonneville Idaho Falls 83401 Ulrich, William PA ~* NPI: 1942537923 1660 John Adams Pkwy Idaho Falls, ID 83401 (208) 523-8844 Portuguese 83402 Blaine, James PA ~* NPI: 1801963459 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 French, Cameron PA ~* NPI: 1841289469 927 S Utah Ave Idaho Falls, ID 83402 (208) 881-5241 Miller, Brian PA ~* NPI: 1861483455 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Rick, Daniel PA ~* NPI: 1770764136 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Shaw, Trent PA ~* NPI: 1366488926 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 83404 Anderson, Kade PA ~* NPI: 1699043315 2325 Coronado St (208) 785-2453 Anderson, Kade PA ~* NPI: 1699043315 1970 E 17Th St Ste 20 (208) 523-5319 Bartschi, Jed PA ~ NPI: 1083793699 1957 E 17Th St (208) 523-1100 Blaine, James PA ~* NPI: 1801963459 2725 Channing Wy (208) 525-8448 Blaine, James PA ~* NPI: 1801963459 2730 Channing Wy (208) 542-7100 Gambles, Dallin PA ~ NPI: 1760533400 1957 E 17Th St (208) 523-1100 Gardner, Lee PA ~* NPI: 1063589612 3300 Washington Pkwy (208) 522-6662 Hepworth, Tyler PA ~ NPI: 1447541487 3385 Potomac Way (208) 535-4343 Ivie, Evan PA ~* NPI: 1558765891 2725 Channing Wy (208) 525-8448 Ivie, Evan PA ~* NPI: 1558765891 2730 Channing Wy (208) 542-7100 Ivie, Evan PA ~* NPI: 1558765891 2225 Teton Plaza Ste B (208) 524-2222 Kantack, Craig PA ~* NPI: 1699052357 2375 Sunnyside Rd Ste A (208) 535-4343 Miller, Brian PA ~* NPI: 1861483455 2725 Channing Wy (208) 525-8448 Miller, Brian PA ~* NPI: 1861483455 2730 Channing Wy (208) 542-7100 Powell, Tara PA ~ NPI: 1093103699 2730 Channing Wy (208) 542-7100 Richardson, Weldon PA ~* NPI: 1629351614 3385 Potomac Way (208) 535-4343 Rick, Daniel PA ~* NPI: 1770764136 2725 Channing Wy (208) 525-8448 91

Medical - Physician Assistant continued/seguido Rick, Daniel PA ~* NPI: 1770764136 2730 Channing Wy (208) 542-7100 Shaw, Trent PA ~* NPI: 1366488926 2725 Channing Wy (208) 525-8448 Shaw, Trent PA ~* NPI: 1366488926 2730 Channing Wy (208) 542-7100 Ulrich, William PA ~* NPI: 1942537923 2088 E 25Th St Idaho Falls, ID 83406 (208) 528-7655 Portuguese Camas Fairfield 83327 Balls, Jesse PA ~ NPI: 1487026191 401 W Camas Fairfield, ID 83327 (208) 764-2611 Combe, Courtney PA ~* NPI: 1053740290 2609 S 10Th Ave Ste 102 (208) 454-2766 Culbertson, Eric PA ~* NPI: 1134358104 1825 S Kimball Ave (208) 455-3535 George, Kyle PA ~* NPI: 1225220643 1818 S 10Th Ave Ste 120 (208) 887-9500 Combe, Courtney PA ~* NPI: 1053740290 1031 W Sanetta St Nampa, ID 83651 (208) 466-7443 Short, William PA ~ NPI: 1780928580 1031 W Sanetta St Nampa, ID 83651 (208) 466-7443 Steinburg, Rick PA ~* NPI: 1548265218 1001 Caldwell Blvd Nampa, ID 83651 (208) 318-0146 Ulrich, William PA ~* NPI: 1942537923 2990 Cortez Ave (208) 535-0440 Portuguese Waters, Cristy PA ~* NPI: 1760753081 2680 Channing Way (208) 523-7667 Westergard, Rebecca PA ~* NPI: 1477700573 2065 E 17Th St Ste D (208) 522-0747 Zundel, Brett PA ~ NPI: 1730222365 3910 Washington Pkwy (208) 522-2996 83406 Anderson, Kade PA ~* NPI: 1699043315 1675 Curlew Dr Idaho Falls, ID 83406 (208) 523-5319 Bregante, Nicolas PA ~* NPI: 1538485180 401 W Camas Fairfield, ID 83327 (208) 764-2611 Freeman, Cameron PA ~ NPI: 1174860878 401 W Camas Fairfield, ID 83327 (208) 764-2611 Judd, Ellen PA ~* NPI: 1972560480 401 W Camas Fairfield, ID 83327 (208) 764-2611 Thorne, Todd PA ~* NPI: 1194198929 401 W Camas Fairfield, ID 83327 (208) 764-2611 Canyon Caldwell 83605 Combe, Courtney PA ~* NPI: 1053740290 524 Cleveland Blvd Ste 180 (208) 454-2996 Mcgill, Jennifer PA ~* NPI: 1881730752 1818 S 10Th Ave Ste 120 (208) 887-9500 Pittard, Jonathan PA ~* NPI: 1376876599 2523 S 10Th Ave Ste 103 (208) 459-7788 Greenleaf 83626 Combe, Courtney PA ~* NPI: 1053740290 20535 Academy Rd Greenleaf, ID 83626 (208) 466-7443 Nampa 83651 Barcelo-Yost, Julia PA ~* NPI: 1225287535 207 1St St S Nampa, ID 83651 (208) 466-7869 Combe, Courtney PA ~* NPI: 1053740290 1019 W Sanetta St Nampa, ID 83651 (208) 466-4541 83686 Combe, Courtney PA ~* NPI: 1053740290 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Hall, Christine PA ~ NPI: 1366494650 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000, Italian Pyke, Lauryn PA ~* NPI: 1407257025 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 83687 Beechinor, Shawna PA ~* NPI: 1518291491 16111 N Brinson St Ste 100 Nampa, ID 83687 (208) 467-7546 Franco, Janine PA ~* NPI: 1578524559 3908 E Flamingo Ave Ste B Nampa, ID 83687 (208) 442-8035 92

Medical - Physician Assistant continued/seguido Landis, David PA ~* NPI: 1104044247 9850 W St Lukes Dr Ste 207 Nampa, ID 83687 (208) 505-2712 Nutting, Rachel PA ~* NPI: 1437403441 16459 N Midland Blvd Nampa, ID 83687 (208) 795-5075 Cassia Burley 83318 Balls, Jesse PA ~ NPI: 1487026191 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Bregante, Nicolas PA ~* NPI: 1538485180 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Freeman, Cameron PA ~ NPI: 1174860878 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Judd, Ellen PA ~* NPI: 1972560480 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Thorne, Todd PA ~* NPI: 1194198929 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Elmore Glenns Ferry 83623 Casto, Ashley PA ~* NPI: 1922435544 486 W First Ave Glenns Ferry, ID 83623 (208) 366-7416 Hollenback, Kyle PA ~* NPI: 1932574381 486 W First Ave Glenns Ferry, ID 83623 (208) 366-7416 Mountain Home 83647 Hollenback, Kyle PA ~* NPI: 1932574381 2280 American Legion Blvd Mountain Home, ID 83647 (208) 587-3988 Landis, David PA ~* NPI: 1104044247 840 N 4Th E Mountain Home, ID 83647 (208) 587-1852 Franklin Preston 83263 Fenwick, Sterling PA ~* NPI: 1063828291 44 N 100 E Preston, ID 83263 (208) 852-2900 Fremont Ashton 83420 Hansen, Joshua PA ~* NPI: 1588948087 23 S 8Th Ashton, ID 83420 (208) 652-3396 Gem Emmett 83617 Shuey, David PA ~* NPI: 1730276445 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Jefferson Rigby 83442 Blaine, James PA ~* NPI: 1801963459 167 E 1St S Rigby, ID 83442 (208) 745-8747 Miller, Brian PA ~* NPI: 1861483455 167 E 1St S Rigby, ID 83442 (208) 745-8747 Richins, Stephen PA ~* NPI: 1104861368 711 Rigby Lake Dr Ste 114 Rigby, ID 83442 (208) 234-1300 Rick, Daniel PA ~* NPI: 1770764136 167 E 1St S Rigby, ID 83442 (208) 745-8747 Rizor, Helena PA ~* NPI: 1073513065 711 Rigby Lake Dr Ste 114 Rigby, ID 83442 (208) 234-1300 Shaw, Trent PA ~* NPI: 1366488926 167 E 1St S Rigby, ID 83442 (208) 745-8747 Ulrich, William PA ~* NPI: 1942537923 426 Farnsworth Wy Ste 3 Rigby, ID 83442 (208) 535-0440 Portuguese Jerome Jerome 83338 Balls, Jesse PA ~ NPI: 1487026191 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Bregante, Nicolas PA ~* NPI: 1538485180 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Freeman, Cameron PA ~ NPI: 1174860878 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Judd, Ellen PA ~* NPI: 1972560480 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 93

Medical - Physician Assistant continued/seguido Thorne, Todd PA ~* NPI: 1194198929 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Kootenai Coeur D'alene 83814 Burns-Price, Melissa PA ~* NPI: 1174961288 1090 W Park Pl (208) 215-2005 Combe, Courtney PA ~* NPI: 1053740290 1038 Northwest Blvd (208) 676-9395 Comstock, Calista PA ~* NPI: 1720240401 700 W Ironwood Dr Ste 375 (208) 625-6100 Cree, Joanne PA ~* NPI: 1902850449 2120 W Ironwood Dr (208) 625-6944 Fiola, Amanda PA ~ NPI: 1861484701 700 W Ironwood Dr Ste 375 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 2100 Ironwood Ct Ste A (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 2003 Kootenai Health Way (208) 625-4000 Foley, Gretchen PA ~* NPI: 1437553187 700 Ironwood Dr Ste 320 (208) 625-5250 Gadmer, Jack PA ~* NPI: 1467743799 2003 Kootenai Health Way (208) 625-4000 Petersen, Henry PA ~* NPI: 1891123543 2003 Kootenai Health Way (208) 625-4000 Petersen, Henry PA ~* NPI: 1891123543 700 Ironwood Dr Ste 320 (208) 625-5250 Reese, Cody PA ~* NPI: 1235521279 2003 Kootenai Health Way (208) 625-4000 Sandon, Kira PA ~* NPI: 1104100676 2003 Kootenai Health Way (208) 625-4000 Sharp, Stuart PA ~* NPI: 1841248929 2003 Kootenai Health Way (208) 625-4000 Smith, Brandon PA ~ NPI: 1558611822 1090 W Park Pl (208) 292-0292 St John, Elizabeth PA ~* NPI: 1841748530 700 Ironwood Dr Ste 341 (208) 625-5200 St John, Elizabeth PA ~* NPI: 1841748530 2003 Kootenai Health Way (208) 625-4000 Strowd, Megan PA ~* NPI: 1821192568 700 Ironwood Dr Ste 158 (208) 625-5100 Strowd, Megan PA ~* NPI: 1821192568 2003 Kootenai Health Way (208) 625-4000 Thorpe, Tyson PA ~* NPI: 1699170688 2025 W Park Pl Ste B (208) 620-5210 Tullar, David PA ~ NPI: 1942221288 700 Ironwood Dr Ste 158 (208) 625-5100 Van Valin, Nathaniel PA ~ NPI: 1386821759 2003 Kootenai Health Way (208) 625-4000 Wheatley, Alison PA ~* NPI: 1932503596 1090 W Park Pl (208) 292-0292 Wheatley, Nathan PA ~* NPI: 1407307259 1090 W Park Pl (208) 292-0292 Hayden 83835 Fiola, Amanda PA ~ NPI: 1861484701 7600 N Mineral Dr Ste 850 Hayden, ID 83835 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 855 N Wayne Dr Hayden, ID 83835 (208) 625-6100 Post Falls 83854 Fiola, Amanda PA ~ NPI: 1861484701 600 N Cecil (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 1300 E Mullan Ave Ste 1600 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 920 N Highway 41 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 1300 E Mullan Ave Ste 1200 (208) 625-6100 94

Medical - Physician Assistant continued/seguido Fiola, Amanda PA ~ NPI: 1861484701 3372 N Jenalan Ave (208) 625-6100 Foley, Gretchen PA ~* NPI: 1437553187 600 N Cecil (208) 262-2800 Latah Moscow 83843 Fiola, Amanda PA ~ NPI: 1861484701 212 Rodeo Dr Ste 110 Moscow, ID 83843 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 723 S Main St Moscow, ID 83843 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 700 S Main Moscow, ID 83843 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 619 S Washington Ste 201 Moscow, ID 83843 (208) 625-6100 Lincoln Shoshone 83352 Roberts, Stephanie PA ~* NPI: 1144393257 113 S Apple St Shoshone, ID 83352 (208) 886-2224 Madison Rexburg 83440 Bartschi, Jed PA ~ NPI: 1083793699 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Blaine, James PA ~* NPI: 1801963459 72 E Main St Rexburg, ID 83440 (208) 359-1770 French, Cameron PA ~* NPI: 1841289469 1049 Summers Dr Rexburg, ID 83440 (208) 359-4841 Gambles, Dallin PA ~ NPI: 1760533400 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Hepworth, Tyler PA ~ NPI: 1447541487 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Kantack, Craig PA ~* NPI: 1699052357 360 E Main St Rexburg, ID 83440 (208) 656-0055 Miller, Brian PA ~* NPI: 1861483455 72 E Main St Rexburg, ID 83440 (208) 359-1770 Richardson, Weldon PA ~* NPI: 1629351614 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Rick, Daniel PA ~* NPI: 1770764136 72 E Main St Rexburg, ID 83440 (208) 359-1770 Shaw, Trent PA ~* NPI: 1366488926 72 E Main St Rexburg, ID 83440 (208) 359-1770 Waters, Cristy PA ~* NPI: 1760753081 32 Madison Professional Pl Rexburg, ID 83440 (208) 523-7667 Minidoka Rupert 83350 Balls, Jesse PA ~ NPI: 1487026191 1024 8Th St Rupert, ID 83350 (208) 650-7941 Bregante, Nicolas PA ~* NPI: 1538485180 1024 8Th St Rupert, ID 83350 (208) 650-7941 Freeman, Cameron PA ~ NPI: 1174860878 1024 8Th St Rupert, ID 83350 (208) 650-7941 Judd, Ellen PA ~* NPI: 1972560480 1024 8Th St Rupert, ID 83350 (208) 650-7941 Thorne, Todd PA ~* NPI: 1194198929 1024 8Th St Rupert, ID 83350 (208) 650-7941 Owyhee Grand View 83624 Hollenback, Kyle PA ~* NPI: 1932574381 350 Main St Grand View, ID 83624 (208) 834-2929 Payette Fruitland 83619 Hackett, Sean PA ~* NPI: 1881685642 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Hansen, Tate PA ~* NPI: 1982944617 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Johansen, Brett PA ~* NPI: 1982074696 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Steinburg, Rick PA ~* NPI: 1548265218 1300 Nw 16Th St Fruitland, ID 83619 (208) 452-2323 95

Medical - Physician Assistant continued/seguido Shoshone Kellogg 83837 Fiola, Amanda PA ~ NPI: 1861484701 25 Jacobs Gulch Kellogg, ID 83837 (208) 625-6100 Fiola, Amanda PA ~ NPI: 1861484701 740 Mckinley Ave Kellogg, ID 83837 (208) 625-6100 Smelterville 83868 Fiola, Amanda PA ~ NPI: 1861484701 858 Commerce Dr Ste 100 Smelterville, ID 83868 (208) 625-6100 Teton Driggs 83422 French, Cameron PA ~* NPI: 1841289469 180 S Main St Ste B2 Driggs, ID 83422 (208) 359-4841 Twin Falls Buhl 83316 Balls, Jesse PA ~ NPI: 1487026191 725 Fair St Buhl, ID 83316 (208) 543-8271 Bregante, Nicolas PA ~* NPI: 1538485180 725 Fair St Buhl, ID 83316 (208) 543-8271 Freeman, Cameron PA ~ NPI: 1174860878 725 Fair St Buhl, ID 83316 (208) 543-8271 Judd, Ellen PA ~* NPI: 1972560480 725 Fair St Buhl, ID 83316 (208) 543-8271 Thorne, Todd PA ~* NPI: 1194198929 725 Fair St Buhl, ID 83316 (208) 543-8271 Kimberly 83341 Balls, Jesse PA ~ NPI: 1487026191 132 Main St N Kimberly, ID 83341 (208) 735-3938 Bregante, Nicolas PA ~* NPI: 1538485180 132 Main St N Kimberly, ID 83341 (208) 735-3938 Freeman, Cameron PA ~ NPI: 1174860878 132 Main St N Kimberly, ID 83341 (208) 735-3938 Judd, Ellen PA ~* NPI: 1972560480 132 Main St N Kimberly, ID 83341 (208) 735-3938 Thorne, Todd PA ~* NPI: 1194198929 132 Main St N Kimberly, ID 83341 (208) 735-3938 Twin Falls 83301 Balls, Jesse PA ~ NPI: 1487026191 325 Martin St (208) 732-7101 Balls, Jesse PA ~ NPI: 1487026191 388 Martin St (208) 734-0451 Balls, Jesse PA ~ NPI: 1487026191 826 Eastland Dr (208) 732-7101 Bregante, Nicolas PA ~* NPI: 1538485180 325 Martin St (208) 732-7101 Bregante, Nicolas PA ~* NPI: 1538485180 388 Martin St (208) 734-0451 Bregante, Nicolas PA ~* NPI: 1538485180 826 Eastland Dr (208) 732-7101 Brose, Kari PA ~* NPI: 1356308282 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Cook, Gail PA ~* NPI: 1447217955 2550 Addison Ave E Ste A (208) 814-8000 Cook, Gail PA ~* NPI: 1447217955 775 Pole Line Rd W Ste 105 And 111 (208) 814-8000 Cook, Gail PA ~* NPI: 1447217955 775 Pole Line Rd W Ste 103 (208) 814-8375 Freeman, Cameron PA ~ NPI: 1174860878 325 Martin St (208) 732-7101 Freeman, Cameron PA ~ NPI: 1174860878 388 Martin St (208) 734-0451 Freeman, Cameron PA ~ NPI: 1174860878 826 Eastland Dr (208) 732-7101 Judd, Ellen PA ~* NPI: 1972560480 325 Martin St (208) 732-7101 Judd, Ellen PA ~* NPI: 1972560480 388 Martin St (208) 734-0451 Judd, Ellen PA ~* NPI: 1972560480 826 Eastland Dr (208) 732-7101 96

Medical - Physician Assistant continued/seguido Steinburg, Rick PA ~* NPI: 1548265218 260 Falls Ave Ste B (208) 732-0700 Thorne, Todd PA ~* NPI: 1194198929 325 Martin St (208) 732-7101 Thorne, Todd PA ~* NPI: 1194198929 388 Martin St (208) 734-0451 Thorne, Todd PA ~* NPI: 1194198929 826 Eastland Dr (208) 732-7101 Urrutia, Johnny PA ~* NPI: 1831290097 176 Falls Ave (208) 733-3181 Urrutia, Johnny PA ~* NPI: 1831290097 228 Shoup Ave W (208) 734-6760 Wucinich, Michael PA ~* NPI: 1407223274 775 Pole Line Rd W Ste 302 (208) 814-8725 Valley Cascade 83611 Levitch, Rachel PA ~* NPI: 1740515287 402 Lake Cascade Pkwy Cascade, ID 83611 (208) 382-4242 Mccall 83638 Beechinor, Shawna PA ~* NPI: 1518291491 211 Forest St Mccall, ID 83638 (208) 467-7546 Mcchrystal, Richard PA ~* NPI: 1659464923 211 Forest St Mccall, ID 83638 (208) 630-2330, German Medical Oncology Ada Boise 83712 Arteta-Bulos, Rafael NPI: 1457323404 100 E Idaho St (208) 381-2711 Zuckerman, Norman NPI: 1568484053 100 E Idaho St (208) 381-2711 Meridian 83642 Bucur, Silvana NPI: 1326140039 520 S Eagle Rd (208) 706-5651 Romanian Williams, Travis DO ~* NPI: 1043461817 520 S Eagle Rd (208) 706-5651, Portuguese Benewah Saint Maries 83861 Bartels, David DO ~ NPI: 1245492768 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Canyon Nampa 83686 Swerdloff, Jonathan NPI: 1588696538 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Kootenai Coeur D'alene 83814 Hayes, Teresa NPI: 1376567487 700 Ironwood Dr Ste 130 (208) 625-4700 Latah Moscow 83843 Chester, Kawal MD ~ NPI: 1619963600 803 S Main St Ste 210 Moscow, ID 83843 (209) 228-1000 Payette Fruitland 83619 Arteta-Bulos, Rafael NPI: 1457323404 1118 Nw 16Th St Ste D Fruitland, ID 83619 (208) 452-7677 Swerdloff, Jonathan NPI: 1588696538 1118 Nw 16Th St Ste D Fruitland, ID 83619 (208) 452-7677 Twin Falls Twin Falls 83301 Padavanija, Phatama NPI: 1679527717 725 Pole Line Rd W (208) 814-1600 97

Mohs-Micrographic Surgery Twin Falls Twin Falls 83301 Reed, Kurtis NPI: 1245484096 714 N College Rd Ste B (208) 814-7180 Nephrology - Internal Ada Boise 83706 Pintar, Thomas NPI: 1952343352 5610 W Gage St Ste A Boise, ID 83706 (208) 501-8955 Neurological Surgery Ada Boise 83702 Frizzell, R Tyler NPI: 1114977600 222 N 2Nd St Ste 307 (208) 344-1000 Jutzy, Ronald NPI: 1427070929 222 N 2Nd St Ste 307 (208) 344-1000 83704 Hajjar, Michael NPI: 1154343309 6140 W Curtisian Ave Ste 400 (208) 327-5600 Johans, Timothy NPI: 1730101148 6140 W Curtisian Ave Ste 400 (208) 327-5600 Lochhead, Richard NPI: 1578743522 6140 W Curtisian Ave Ste 400 (208) 327-5600 Manning, Thomas NPI: 1861501637 6140 W Curtisian Ave Ste 400 (208) 327-5600 Montalbano, Paul NPI: 1699793661 6140 W Curtisian Ave Ste 400 (208) 327-5600 83712 Cherny, W Bruce NPI: 1275575839 100 E Idaho St Ste 200 (208) 381-7360 Duckworth, Edward NPI: 1003038043 190 E Bannock St 10Th Floor (208) 381-5500 Harrison, Gregory NPI: 1104825892 190 E Bannock St 10Th Floor (208) 381-5500 Little, Kenneth NPI: 1023039468 190 E Bannock St 10Th Floor (208) 381-5500 Osenbach, Richard NPI: 1396836789 190 E Bannock St 10Th Floor (208) 381-5500 Meridian 83642 Hajjar, Michael NPI: 1154343309 3875 E Overland Rd (208) 327-5600 Johans, Timothy NPI: 1730101148 3875 E Overland Rd (208) 327-5600 Manning, Thomas NPI: 1861501637 3875 E Overland Rd (208) 327-5600 Montalbano, Paul NPI: 1699793661 3875 E Overland Rd (208) 327-5600 Bannock Pocatello 83201 Bailey, Gregory NPI: 1457351926 777 Hospital Wy (208) 239-1417 German Bailey, Gregory NPI: 1457351926 777 Hospital Wy 201 (208) 239-2620 German Bailey, Gregory NPI: 1457351926 777 Hospital Wy G15 (208) 239-2722 German Huneycutt, W Scott NPI: 1003800699 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Bingham Blackfoot 83221 Cook, James PA ~* NPI: 1497838478 98 Poplar St (208) 785-4100 Cook, James PA ~* NPI: 1497838478 98 Poplar St 3Rd Flr (208) 785-3800 98

Neurological Surgery continued/seguido Greenwald, Brent NPI: 1134155666 98 Poplar St 3Rd Flr (208) 785-3800 Huneycutt, W Scott NPI: 1003800699 98 Poplar St (208) 235-2277 Marano, Stephen NPI: 1558457572 98 Poplar St (208) 785-4100 Marano, Stephen NPI: 1558457572 98 Poplar St 3Rd Flr (208) 785-3800 Bonneville Boise 83404 Greenwald, Brent NPI: 1134155666 3155 Channing Way Ste B Boise, ID 83404 (208) 535-4800 Idaho Falls 83404 Allen, Clark MD ~ NPI: 1780679126 2375 E Sunnyside Rd Ste F (208) 535-3626 Cach, Robert NPI: 1962592022 3360 S 15Th E (208) 542-1050 Cook, James PA ~* NPI: 1497838478 1975 Martha Ave Ste A (208) 535-3633 Greenwald, Brent NPI: 1134155666 3155 Channing Wy Ste B (208) 535-4800 Marano, Stephen NPI: 1558457572 1975 Martha Ave Ste A (208) 535-3633 Kootenai Coeur D'alene 83814 Ganz, William MD ~ NPI: 1497788160 2003 Kootenai Health Way (208) 625-4000 Huynh, Katie DO ~* NPI: 1720390412 700 Ironwood Dr Ste 258 (208) 625-6799 Huynh, Katie DO ~* NPI: 1720390412 2003 Kootenai Health Way (208) 625-4000 Mcdonald, Jeffrey NPI: 1558472910 700 Ironwood Dr Ste 258 (208) 625-6799 Mcdonald, Jeffrey NPI: 1558472910 2003 Kootenai Health Way (208) 625-4000 Twin Falls Twin Falls 83301 Hajjar, Michael NPI: 1154343309 706 N College Rd Ste A (208) 327-5600 Hajjar, Michael NPI: 1154343309 738 N College Rd Ste C (208) 367-5600 Neurology - Psychiatry & Neurology Bingham Blackfoot 83221 Garland, Erich NPI: 1689664724 98 Poplar St (208) 785-4100 Neurology With Special Qualifications In Child Neurology Ada Boise 83712 Arrington, Daniel NPI: 1396065165 100 E Idaho St Ste 200 (208) 381-5180 Condie, John NPI: 1417104548 100 E Idaho St Ste 200 (208) 381-5180 German Foy, Lindsey NPI: 1083817795 100 E Idaho St Ste 200 (208) 381-5180 83716 Yamada, Kelvin NPI: 1710905435 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Meridian 83642 Yamada, Kelvin NPI: 1710905435 2347 E Gala St (208) 323-3767 Bonneville Idaho Falls 83401 Castellanos, Peter MD ~ NPI: 1811991474 756 Oxford Dr Idaho Falls, ID 83401 (208) 529-4300 Nurse Practitioner Ada Boise 83702 Anderson, Caitlin NP ~* NPI: 1275031940 333 N 1St St Ste 280 (208) 345-6545 99

Nurse Practitioner continued/seguido Bauer, Marcy NP ~ NPI: 1407281033 600 N Robbins Rd Ste 302 (208) 706-5930 Boyer, Shannon NP ~* NPI: 1770744609 600 N Robbins Rd (208) 489-4444 Gere, Jenna NP ~* NPI: 1730608688 417 S 6Th St (208) 577-4460 Jungman, Tracy NP ~* NPI: 1841728342 417 S 6Th St (208) 577-4460 Larson, Megan NP ~* NPI: 1861935660 287 W Jefferson St (208) 322-1680 Leonard, Jennifer NP ~* NPI: 1649538463 425 W Bannock St (208) 343-6458 Oconnor, Sara NP ~* NPI: 1639519853 287 W Jefferson St (208) 322-1680 Olson, Marlene NP ~* NPI: 1215957733 600 N Robbins Rd Ste 100 (208) 706-2663 Rasmussen, Melissa NP ~* NPI: 1083131783 425 W Bannock St (208) 343-6458 Ruman, Lori NP ~* NPI: 1326097270 333 N 1St St Ste 240 (208) 338-8900 Shuler, Cory NP ~* NPI: 1295177541 425 W Bannock St (208) 343-6458 Thomason, Aaron NP ~* NPI: 1730311564 333 N 1St St Ste 280 (208) 345-6545 83703 Strong, Janet NP ~* NPI: 1255418539 5985 W State St Boise, ID 83703 (208) 853-0071 83704 Harmony, Russell NP ~* NPI: 1194065730 6140 W Curtisian Ave Ste 400 (208) 672-4640 Heidt, Tiffany NP ~* NPI: 1689683518 900 N Liberty St Ste 201 (208) 367-6740 Heidt, Tiffany NP ~* NPI: 1689683518 900 N Liberty Ste 201 (208) 367-6740 Mildes, Emily NP ~ NPI: 1023263464 8211 Ustick Rd (855) 255-1750 Svangstu, Deborah NP ~* NPI: 1639282585 6140 W Curtisian Ave Ste 400 (208) 327-5600 83706 Sjoberg, Christopher NP ~* NPI: 1235122284 5610 W Gage St Ste A Boise, ID 83706 (208) 501-8955 Portuguese 83709 Adams, Candice NP ~* NPI: 1992237648 12400 W Overland Rd Ste 100 Boise, ID 83709 (208) 322-1199 Hearl, Brett NP ~ NPI: 1609301563 12400 W Overland Rd Ste 100 Boise, ID 83709 (208) 322-1199 Lamb, Kirsten NP ~ NPI: 1932602687 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Vander Lugt, Allison NP ~* NPI: 1134660061 12400 W Overland Rd Ste 100 Boise, ID 83709 (208) 322-1199 Zeimantz, Stephen NP ~* NPI: 1922001478 10112 W Overland Rd Boise, ID 83709 (208) 780-3900 83712 Allen, Marni NP ~* NPI: 1154353118 100 E Idaho St (208) 381-2711 Bruce, Jessica NP ~* NPI: 1205029162 1000 E Park Blvd Ste 120 (208) 381-4100 Cardwell, Kimbra NP ~* NPI: 1619187861 100 E Idaho St (208) 381-2711 Clifford, Kathleen NP ~* NPI: 1750303491 100 E Idaho St (208) 381-2711 Doherty, Barbara NP ~* NPI: 1467508697 100 E Idaho St Ste 316 (208) 381-7310 Doherty, Barbara NP ~* NPI: 1467508697 100 E Idaho St Ste 200 (208) 381-6196 Elder, Becky NP ~* NPI: 1417938473 100 E Idaho St Ste 400 (208) 345-5250 Erlandson, Linda NP ~* NPI: 1184699480 100 E Idaho St (208) 381-2711 100

Nurse Practitioner continued/seguido Frazier, Malia NP ~* NPI: 1891005716 100 E Idaho St Ste 300 (208) 381-7370 Garner, Kara NP ~* NPI: 1780924126 100 E Idaho St (208) 381-2711 Gere, Jacob NP ~* NPI: 1528587268 100 E Idaho St Ste 300 (208) 381-7370 Hilpert, Stephanie NP ~* NPI: 1760584346 100 E Idaho St (208) 381-2711 Hooker, Mallori NP ~* NPI: 1831237742 100 E Idaho St (208) 381-2711 Krasovich, Sharon NP ~* NPI: 1437598059 300 E Jefferson St Ste 101 (208) 322-1680 Lee, Valerie NP ~* NPI: 1316975899 190 E Bannock St (208) 381-1615 Lorentzen, Michael NP ~* NPI: 1033638150 190 E Bannock St 10Th Floor (208) 381-5500 Reynolds, Allyson NP ~* NPI: 1093033102 100 E Idaho St Ste 300 (208) 381-7370 Rodriguez, Johary NP ~* NPI: 1770954398 190 E Bannock St (208) 381-1615 Stein, Mari NP ~* NPI: 1255870309 100 E Idaho St (208) 381-2711 Walters, Mary NP ~ NPI: 1477042802 100 E Idaho St Ste 200 (208) 381-5111 Winslow, Michele NP ~* NPI: 1699956508 100 E Idaho St (208) 381-2711 83716 Brunk, Danielle NP ~* NPI: 1922363720 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Gould, Linda NP ~* NPI: 1457499261 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Hofer, Jennifer NP ~* NPI: 1215396478 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Eagle 83616 Dawson, Jill NP ~* NPI: 1801908140 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Evans, Melanie NP ~* NPI: 1295778736 3101 E State St Eagle, ID 83616 (208) 473-3100 Terrell, Stephanie NP ~* NPI: 1336127190 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Kuna 83634 Sansom, Susan NP ~* NPI: 1538611397 943 N Linder Rd Ste 103 Kuna, ID 83634 (208) 922-3355 Meridian 83642 Adams, Candice NP ~* NPI: 1992237648 124 E Pine Ave (208) 887-5422 Balcerak, Theresa NP ~* NPI: 1043258619 3080 E Gentry Way Ste 210 (208) 384-9022 Bostrom, Meghann NP ~* NPI: 1174839666 3525 E Louise Dr Ste 400 (208) 322-1680 Boydston, Dorene NP ~* NPI: 1073524989 520 S Eagle Rd (208) 706-5651 Brunk, Danielle NP ~* NPI: 1922363720 2347 E Gala St (208) 323-3767 Dawson, Jill NP ~* NPI: 1801908140 3520 E Louise Dr (208) 888-0909 Develle, Robyn NP ~* NPI: 1215954862 3277 E Louise Dr Ste 410 (208) 489-5800 Elder, Becky NP ~* NPI: 1417938473 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Evans, Melanie NP ~* NPI: 1295778736 3080 E Gentry Way Ste 210 (208) 384-9022 Gould, Linda NP ~* NPI: 1457499261 2347 E Gala St (208) 323-3767 Harmony, Russell NP ~* NPI: 1194065730 1859 S Topaz Way Ste 106 (208) 672-4640 101

Nurse Practitioner continued/seguido Harmony, Russell NP ~* NPI: 1194065730 3875 E Overland Rd (208) 672-4640 Hella, Matthew NP ~* NPI: 1851736524 3080 E Gentry Way Ste 210 (208) 384-9022 Hofer, Jennifer NP ~* NPI: 1215396478 2347 E Gala St (208) 323-3767 Huffine, Cory NP ~* NPI: 1700879459 520 S Eagle Rd Ste 1222 (208) 947-2266 Lambertz, Colleen NP ~* NPI: 1447366737 520 S Eagle Rd (208) 706-5651 Lee, Valerie NP ~* NPI: 1316975899 520 S Eagle Rd Ste 2104 (208) 381-1615 Leonard, Jennifer NP ~* NPI: 1649538463 2235 Gala St (208) 887-3724 Martinez, Mario NP ~* NPI: 1891904132 3080 E Gentry Way Ste 210 (208) 384-9022 Mccreath, Anna NP ~* NPI: 1679528368 3525 E Louise Dr Ste 400 (208) 322-1680 Mildes, Emily NP ~ NPI: 1023263464 1351 W Pines Ave (855) 255-1750 Neilson, Janice NP ~* NPI: 1447289681 1618 S Millennium Wy Ste 100 (208) 884-3376 Olson, Marlene NP ~* NPI: 1215957733 520 S Eagle Rd Ste 2209 (208) 706-2663 Parajuli, Alma NP ~ NPI: 1831568872 3080 E Gentry Way Ste 100 (208) 286-8670 Rasmussen, Melissa NP ~* NPI: 1083131783 2235 E Gala St (208) 887-3724 Rasmussen, Melissa NP ~* NPI: 1083131783 2235 Gala St (208) 887-3724 Svangstu, Deborah NP ~* NPI: 1639282585 3875 E Overland Rd (208) 327-5600 Terrell, Stephanie NP ~* NPI: 1336127190 3520 E Louise Dr (208) 888-0909 Bannock Pocatello 83201 Belnap, Amy NP ~* NPI: 1699202044 1352 E St Ste A (208) 233-2025 Champlin, Colleen NP ~* NPI: 1912042755 777 Hospital Wy 201 (208) 239-2620 Davenport, Hyrum NP ~* NPI: 1255567210 1352 E St Ste A (208) 233-2025 Gunning, Janelise NP ~* NPI: 1275602633 777 Hospital Way Ste 300 (208) 239-3453 Rice, Cynthia NP ~* NPI: 1427041763 1553 E St (208) 233-9355 Benewah Saint Maries 83861 Beierle, Noelle NP ~* NPI: 1003355298 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Bingham Blackfoot 83221 Davenport, Hyrum NP ~* NPI: 1255567210 1441 Parkway Dr (208) 785-2600 Finnerty, Christina NP ~* NPI: 1558430918 1443 Parkway Dr Ste C (208) 523-7667 Shelley 83274 Davenport, Hyrum NP ~* NPI: 1255567210 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Blaine Hailey 83333 Hobbs, Caroline NP ~* NPI: 1619015385 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Hobbs, Caroline NP ~* NPI: 1619015385 21 E Maple Ste A Hailey, ID 83333 (208) 788-3200 Ketchum 83340 Doedyns, Carolyn NP ~* NPI: 1851328504 191 W 5Th St Ketchum, ID 83340 (208) 727-8940 102

Nurse Practitioner continued/seguido Hobbs, Caroline NP ~* NPI: 1619015385 191 W 5Th St Ketchum, ID 83340 (208) 725-2171 Bonner Ponderay 83852 Bass, Erin NP ~* NPI: 1063872604 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101 Sandpoint 83864 Bowman, Taffie NP ~* NPI: 1821238825 423 N Third Ave Ste 355 Sandpoint, ID 83864 (208) 265-7070 Fiorentino, Christine NP ~* NPI: 1033531892 520 N Thrid Ave Sandpoint, ID 83864 (208) 265-7111 Bonneville Idaho Falls 83404 Finnerty, Christina NP ~* NPI: 1558430918 2680 Channing Way (208) 523-7667 Leonardson, Stephanie NP ~* NPI: 1194128025 2985 Cortez Ave (208) 523-3373 Parsons, Michael NP ~* NPI: 1316288665 3200 Channing Way Ste A205 (208) 535-4580 Parsons, Michael NP ~* NPI: 1316288665 3242 S Woodruff Ave (208) 535-4567 Stanley, Malissa NP ~* NPI: 1326273863 1957 E 17Th St (208) 523-1100 Taylor, Christy NP ~* NPI: 1386167492 3385 Potomac Way (208) 535-4343 Thompson, Terry NP ~* NPI: 1205121498 3242 S Woodruff Ave (208) 535-4567 83406 Hill, Deborah NP ~* NPI: 1821016015 3412 S 25Th E Idaho Falls, ID 83406 (208) 497-0680 Camas Fairfield 83327 Allred, Debra NP ~* NPI: 1285691865 401 W Camas Fairfield, ID 83327 (208) 764-2611 Carroll, Robbie NP ~* NPI: 1417349515 401 W Camas Fairfield, ID 83327 (208) 764-2611 Canyon Caldwell 83605 Hoewing, Bonnie NP ~* NPI: 1063879633 1717 Arlington Ave (208) 459-4641 Hoewing, Bonnie NP ~* NPI: 1063879633 1906 Fairview Ave Ste 230 (208) 459-4641 Larsen, Dorian NP ~* NPI: 1356489041 3110 Cleveland Blvd Bldg A Ste A7 (877) 522-1275 Mildes, Emily NP ~ NPI: 1023263464 210 Cleveland Blvd (855) 255-1750 Parajuli, Alma NP ~ NPI: 1831568872 1717 Arlington Ave (208) 459-4641 Parajuli, Alma NP ~ NPI: 1831568872 1906 Fairview Ave Ste 230 (208) 459-4641 Vantassell, Sharlynn NP ~* NPI: 1366991846 2609 S 10Th Ave Ste 102 (208) 454-2766 Middleton 83644 Mcconkie Jr, Richard NP ~* NPI: 1457792277 381 Middleton Rd Ste B Middleton, ID 83644 (208) 585-6311 Schooler-Smith, Andrea NP ~ NPI: 1629161625 201 S Paradise Ave Middleton, ID 83644 (208) 585-0048 Nampa 83651 Johnson, Keri NP ~* NPI: 1902256019 207 1St St S Nampa, ID 83651 (208) 466-7869 Mildes, Emily NP ~ NPI: 1023263464 1127 Caldwell Blvd Nampa, ID 83651 (855) 255-1750 83686 Dawson, Jill NP ~* NPI: 1801908140 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Eshelman, Charlotte NP ~* NPI: 1366432395 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Lambertz, Colleen NP ~* NPI: 1447366737 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 103

Nurse Practitioner continued/seguido Linn, Brittany NP ~* NPI: 1871755942 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Mildes, Emily NP ~ NPI: 1023263464 2105 12Th Ave Rd Nampa, ID 83686 (855) 255-1750 Terrell, Stephanie NP ~* NPI: 1336127190 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Underkofler, Kari NP ~* NPI: 1841456191 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Zeimantz, Stephen NP ~* NPI: 1922001478 3165 E Greenhurst Rd Nampa, ID 83686 (208) 463-7330 83687 Evans, Melanie NP ~* NPI: 1295778736 9850 W St Lukes Dr Nampa, ID 83687 (208) 505-2050 Johnson, Keri NP ~* NPI: 1902256019 223 16Th Ave N Nampa, ID 83687 (208) 466-7654 Navarro, Jennifer CNM ~* NPI: 1821485012 16111 N Brinson St Ste 110 Nampa, ID 83687 (208) 468-9400 Sansom, Susan NP ~* NPI: 1538611397 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Underkofler, Kari NP ~* NPI: 1841456191 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Wilder 83676 Bean, Karen NP ~* NPI: 1326132432 124 5Th St Ste A Wilder, ID 83676 (208) 482-7430 Swainston, Rebecca NP ~* NPI: 1508201757 124 5Th St Ste A Wilder, ID 83676 (208) 482-7430 Cassia Burley 83318 Allred, Debra NP ~* NPI: 1285691865 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Carroll, Robbie NP ~* NPI: 1417349515 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Gem Emmett 83617 Mildes, Emily NP ~ NPI: 1023263464 501 W Idaho Blvd Emmett, ID 83617 (855) 255-1750 Mildes, Emily NP ~ NPI: 1023263464 714 N Butte Ave Emmett, ID 83617 (855) 255-1750 Jerome Jerome 83338 Allred, Debra NP ~* NPI: 1285691865 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Carroll, Robbie NP ~* NPI: 1417349515 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Hurst, Cindy NP ~* NPI: 1265887319 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Renaldi, Janet NP ~* NPI: 1831481233 132 5Th Ave W Ste 1 Jerome, ID 83338 (208) 814-9800 Kootenai Coeur D Alene 83815 Mildes, Emily NP ~ NPI: 1023263464 1820 N Legends Pkwy Coeur D Alene, ID 83815 (855) 255-1750 Coeur D'alene 83814 Asper, Annette FNP ~* NPI: 1669779955 2003 Kootenai Health Way (208) 625-4000 Bailey, Chad NP ~* NPI: 1487756227 2003 Kootenai Health Way (208) 625-4000 Bowman, Taffie NP ~* NPI: 1821238825 700 Ironwood Dr Ste 320 (208) 625-5250 Brinkmann, Bart FNP ~* NPI: 1730569492 700 Ironwood Dr Ste 320 (208) 625-5250 Bruning, Johanna NP ~* NPI: 1407820632 700 Ironwood Dr Ste 130 (208) 625-4700 Danish, Jamie FNP ~* NPI: 1164786794 2003 Kootenai Health Way (208) 625-4000 104

Nurse Practitioner continued/seguido Fiorentino, Christine NP ~* NPI: 1033531892 700 Ironwood Dr Ste 130 (208) 625-4700 Gallegos, Samantha NP ~* NPI: 1942437546 700 Ironwood Dr Ste 320 (208) 625-5250 Gregg, Meghan NP ~* NPI: 1114438033 700 Ironwood Dr Ste 341 (208) 625-5200 Heidenreich, Tanya FNP ~* NPI: 1689689085 2199 Ironwood Dr (208) 625-4888 Helvik, Alissa NP ~* NPI: 1740603109 2003 Kootenai Health Way (208) 625-4000 Hildebrandt, Susan FNP ~ NPI: 1205138948 1919 Lincoln Way Ste 416 (208) 625-4601 Hildebrandt, Susan FNP ~ NPI: 1205138948 1919 Lincoln Way Ste 415 (208) 625-4595 Kastens, Valerie NP ~* NPI: 1104878867 920 W Ironwood Dr Ste 201 (208) 625-4965 Kautzman, Lori NP ~* NPI: 1275639577 2003 Kootenai Hlth Way (208) 666-2900 Keibler, Constance NP ~ NPI: 1265489892 700 Ironwood Dr Ste 350 (208) 625-5230 Skurupey, Brooke FNP ~* NPI: 1710396601 1919 Lincoln Way Ste 315 (208) 625-6000 Spencer, Breanna NP ~* NPI: 1932413838 2003 Kootenai Health Way (208) 625-4000 Szymanski, Mary FNP ~* NPI: 1992758585 2003 Kootenai Health Way (208) 625-6900 Szymanski, Mary FNP ~* NPI: 1992758585 2003 Kootenai Health Way Ste 310 (208) 625-4470 Thompson, Amy FNP ~* NPI: 1891826806 2003 Kootenai Health Way (208) 625-4000 Trenkle, Susan NP ~* NPI: 1922218437 1919 Lincoln Way Ste 211 (208) 625-5500 Wilson, Connie FNP ~* NPI: 1619341260 1919 Lincoln Way Ste 315 (208) 625-6000 Zierer, Janet NP ~* NPI: 1760431290 2003 Kootenai Health Way (208) 625-6900 Zierer, Janet NP ~* NPI: 1760431290 2003 Kootenai Health Way Ste 310 (208) 625-4470 Post Falls 83854 Beierle, Noelle NP ~* NPI: 1003355298 1641 E Polston Ave Ste 102 (509) 462-2273 Wigle, Michael NP ~* NPI: 1003245044 925 E Polston Ave (208) 618-0787 Lincoln Shoshone 83352 Sandy, Janet NP ~* NPI: 1770653990 1255 Filer Ave E Ste C Shoshone, ID 83352 (208) 886-2224 Madison Rexburg 83440 Finnerty, Christina NP ~* NPI: 1558430918 155 W Main St Ste 7 Rexburg, ID 83440 (208) 523-7667 Finnerty, Christina NP ~* NPI: 1558430918 32 Madison Professional Pl Rexburg, ID 83440 (208) 523-7667 Stanley, Malissa NP ~* NPI: 1326273863 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Minidoka Rupert 83350 Allred, Debra NP ~* NPI: 1285691865 1024 8Th St Rupert, ID 83350 (208) 650-7941 Carroll, Robbie NP ~* NPI: 1417349515 1024 8Th St Rupert, ID 83350 (208) 650-7941 Nez Perce Lewiston 83501 Capdeboscq, Linda NP ~* NPI: 1588833750 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Carpenter, Stephanie NP ~* NPI: 1629329537 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Dewitt, Linda NP ~ NPI: 1356422562 2517 17Th St Ste B Lewiston, ID 83501 (208) 298-2135 105

Nurse Practitioner continued/seguido Ellis, Carol NP ~* NPI: 1194919647 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Fast, Eric NP ~* NPI: 1376918383 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Ringering, Anita NP ~ NPI: 1023496908 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Taylor, Julie NP ~* NPI: 1114221546 338 6Th St Ste 101 Lewiston, ID 83501 (208) 848-8300 Oneida Malad City 83252 Felter, Jennifer NP ~* NPI: 1134417843 220 Bannock St Malad City, ID 83252 (208) 766-2600 Felter, Jennifer NP ~* NPI: 1134417843 150 N 200 W Malad City, ID 83252 (208) 766-2231 Owyhee Homedale 83628 Schooler-Smith, Andrea NP ~ NPI: 1629161625 108 E Idaho Homedale, ID 83628 (208) 337-3189 Payette Fruitland 83619 Erlandson, Linda NP ~* NPI: 1184699480 1118 Nw 16Th St Ste D Fruitland, ID 83619 (208) 452-7677 Twin Falls Buhl 83316 Allred, Debra NP ~* NPI: 1285691865 725 Fair St Buhl, ID 83316 (208) 543-8271 Carroll, Robbie NP ~* NPI: 1417349515 725 Fair St Buhl, ID 83316 (208) 543-8271 Kimberly 83341 Allred, Debra NP ~* NPI: 1285691865 132 Main St N Kimberly, ID 83341 (208) 735-3938 Carroll, Robbie NP ~* NPI: 1417349515 132 Main St N Kimberly, ID 83341 (208) 735-3938 Twin Falls 83301 Allred, Debra NP ~* NPI: 1285691865 325 Martin St (208) 732-7101 Allred, Debra NP ~* NPI: 1285691865 388 Martin St (208) 734-0451 Allred, Debra NP ~* NPI: 1285691865 826 Eastland Dr (208) 732-7101 Arrington, Howard NP ~* NPI: 1063576619 1122 Eastland Dr N Ste 2 (208) 734-9531 Billings, Patricia NP ~* NPI: 1235173493 2550 Addison Ave E Ste G (208) 814-7750 Bingham, Jerri NP ~ NPI: 1063834224 801 Pole Line Rd W (208) 814-4100 Carroll, Robbie NP ~* NPI: 1417349515 325 Martin St (208) 732-7101 Carroll, Robbie NP ~* NPI: 1417349515 388 Martin St (208) 734-0451 Carroll, Robbie NP ~* NPI: 1417349515 826 Eastland Dr (208) 732-7101 Doedyns, Carolyn NP ~* NPI: 1851328504 725 Pole Line Rd W (208) 814-1600 Goulding, Lesley FNP ~* NPI: 1043730302 775 Pole Line Rd Ste 302 (208) 814-8740 Hawker, Anna NP ~* NPI: 1730189036 738 N College Rd Ste A (208) 814-7000 Hurst, Cindy NP ~* NPI: 1265887319 714 N College Rd Ste A (208) 814-7150 Jorgensen, Jennifer NP ~* NPI: 1225446180 2550 Addison Ave E Ste A (208) 814-8000 Kohring, Heather NP ~* NPI: 1285742452 775 Pole Line Rd W Ste 203 (208) 814-8300 Renaldi, Janet NP ~* NPI: 1831481233 746 N College Rd Ste A (208) 814-9800 Renaldi, Janet NP ~* NPI: 1831481233 730 N College Rd Ste A (208) 814-7300 106

Nurse Practitioner continued/seguido Smith, Maria NP ~* NPI: 1871914168 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Spearing, Casie NP ~* NPI: 1780115048 775 Pole Line Rd W Ste 112 (208) 814-8200 Spevak, Hailey NP ~ NPI: 1851826580 801 Pole Line Rd W (208) 814-4100 Nursing Care Bonner Clark Fork 83811 Aspen Personal Care Service Llc ~ NPI: 1962887000 310 E 4Th St Clark Fork, ID 83811 (208) 266-1550 Bonneville Idaho Falls 83401 Innovative Health Care Concepts Inc ~ 790 S Holmes Idaho Falls, ID 83401 (208) 529-8526 Twin Falls Twin Falls 83301 Innovative Health Care Concepts Inc ~ 304 2Nd Ave E (208) 994-9479 Obstetrics Ada Boise 83702 Curry, Mark DO ~* NPI: 1720022437 121 E Fort St (208) 514-2525 83712 Curry, Mark DO ~* NPI: 1720022437 190 E Bannock St (208) 381-2267 Meridian 83642 Curry, Mark DO ~* NPI: 1720022437 520 S Eagle Rd (208) 706-5000 Obstetrics & Gynecology Ada Boise 83702 Anstine, Suzanne NPI: 1790770246 121 E Fort St (208) 514-2525 Davis, Robert NPI: 1366470833 333 N 1St St Ste 150 (208) 381-3088 Fealko, Monika NPI: 1801891569 333 N 1St St Ste 240 (208) 338-8900 German Hayes, Cynthia NPI: 1386697399 121 E Fort St (208) 514-2525 Hudson, Jennifer DO ~* NPI: 1265627319 333 N 1St St Ste 240 (208) 338-8900 King, Aileen MD ~ NPI: 1689623043 333 N 1St St Ste 240 (208) 338-8900 Lovelace, Glen NPI: 1720023930 333 N 1St St Ste 260 (208) 345-3136 Marzolf, Susan NPI: 1568447019 121 E Fort St (208) 514-2525, French Maybach, Jacqueline NPI: 1568411460 333 N 1St St Ste 240 (208) 338-8900 Rice, Suzanne NPI: 1780633164 333 N 1St St Ste 240 (208) 338-8900 Siudzinski, Kelly NPI: 1417906405 333 N 1St St Ste 240 (208) 338-8900 Thompson, Marietta NPI: 1447287644 121 E Fort St (208) 514-2525 Weyhrich, Darin NPI: 1801860846 121 E Fort St (208) 514-2525 83712 Anstine, Suzanne NPI: 1790770246 190 E Bannock St (208) 381-2267 Archibald, R Burke NPI: 1831147248 100 E Idaho St Ste 400 (208) 345-5250 107

Obstetrics & Gynecology continued/seguido Bradley, Jenni NPI: 1265557656 100 E Idaho St Ste 400 (208) 345-5250 French Carlson, Dirk NPI: 1508850140 100 E Idaho St Ste 302 (208) 343-7501 Lliteras, Katrina NPI: 1295964716 100 E Idaho St Ste 302 (208) 343-7501 Lowder, B Kerry NPI: 1124043989 100 E Idaho St Ste 400 (208) 345-5250 Japanese Thompson, Marietta NPI: 1447287644 190 E Bannock St (208) 381-2267 Turner, Taylor NPI: 1700176567 100 E Idaho St (208) 381-2711 Kopperud, Tracey DO ~* NPI: 1437194388 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Oliver, Rachel NPI: 1043449366 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Chasan, Heidi NPI: 1417987710 100 E Idaho St Ste 400 (208) 345-5250 Feighner, Anne NPI: 1295001170 100 E Idaho St Ste 400 (208) 345-5250 Hayes, Cynthia NPI: 1386697399 190 E Bannock St (208) 381-2267 Hodges, Bryan NPI: 1801815964 100 E Idaho St Ste 400 (208) 345-5250 Javernick-Hodges, Necole NPI: 1790700557 100 E Idaho St Ste 400 (208) 345-5250 Keating, Kathleen DO ~* NPI: 1154583094 100 E Idaho St Ste 400 (208) 345-5250 Marzolf, Susan NPI: 1568447019 190 E Bannock St (208) 381-2267, French Pool, Leslie NPI: 1255325882 100 E Idaho St Ste 302 (208) 343-7501 Renner, Matthew NPI: 1174787097 100 E Idaho St Ste 400 (208) 345-5250 Shrum, Brea NPI: 1821161548 100 E Idaho St Ste 302 (208) 343-7501 Stevens, Holly NPI: 1538301619 100 E Idaho St Ste 302 (208) 343-7501 Swajkoski, Alan NPI: 1194719732 100 E Idaho St Ste 302 (208) 343-7501 Wallman, Meghan NPI: 1053607879 100 E Idaho St Ste 302 (208) 343-7501 Werdel, John NPI: 1457389926 100 E Idaho St Ste 400 (208) 345-5250 West, Timothy NPI: 1396796207 100 E Idaho St Ste 400 (208) 345-5250 Weyhrich, Darin NPI: 1801860846 190 E Bannock St (208) 381-2267 Eagle 83616 Agrusa, Phillip NPI: 1407826167 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Armstrong, Scott NPI: 1205806965 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Parsons, Lee NPI: 1831169598 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Pittard, Darren NPI: 1164644159 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Schroeder, Harmony NPI: 1104898550 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Uranga, Rebecca NPI: 1558482026 3101 E State St Ste 2100 Eagle, ID 83616 (208) 938-2220 Meridian 83642 Agrusa, Phillip NPI: 1407826167 3520 E Louise Dr (208) 888-0909 108

Obstetrics & Gynecology continued/seguido Archibald, R Burke NPI: 1831147248 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Armstrong, Scott NPI: 1205806965 3520 E Louise Dr (208) 888-0909 Bradley, Jenni NPI: 1265557656 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 French Chasan, Heidi NPI: 1417987710 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Dimichele-Manes, Andrea NPI: 1689774788 3277 E Louise Dr Ste 200 (208) 884-2920 Feighner, Anne NPI: 1295001170 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Hodges, Bryan NPI: 1801815964 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Javernick-Hodges, Necole NPI: 1790700557 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Kaiser, John NPI: 1841280898 3277 E Louise Dr Ste 200 (208) 884-2920 Kasper, Megan NPI: 1285757104 3277 E Louise Dr Ste 200 (208) 884-2920 Katseanes, Davis NPI: 1366753089 520 S Eagle Rd Ste 2110 (208) 706-3220 Keating, Kathleen DO ~* NPI: 1154583094 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Kopperud, Tracey DO ~* NPI: 1437194388 3520 E Louise Dr (208) 888-0909 Lowder, B Kerry NPI: 1124043989 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Japanese Oliver, Rachel NPI: 1043449366 3520 E Louise Dr (208) 888-0909 Parsons, Lee NPI: 1831169598 3520 E Louise Dr (208) 888-0909 Pittard, Darren NPI: 1164644159 3520 E Louise Dr (208) 888-0909 Renner, Matthew NPI: 1174787097 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Schroeder, Harmony NPI: 1104898550 3520 E Louise Dr (208) 888-0909 Uranga, Rebecca NPI: 1558482026 3520 E Louise Dr (208) 888-0909 Werdel, John NPI: 1457389926 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 West, Timothy NPI: 1396796207 520 S Eagle Rd Ste 3209 And 3219 (208) 345-5250 Bannock Pocatello 83201 Carlson, Joel DO ~* NPI: 1144200916 777 Hospital Way Ste 300 (208) 239-3453 Cox, Kim NPI: 1801848221 465 Memorial Dr (208) 234-4700 Cox, Kim NPI: 1801848221 777 Hospital Way Ste 300 (208) 239-3453 Jones, Michael DO ~* NPI: 1972696565 777 Hospital Way Ste 300 (208) 239-3453 Ladwig, Martin NPI: 1538236229 777 Hospital Way Ste 300 (208) 239-3453 Pugmire, Heather NPI: 1225292220 2302 E Terry St (208) 235-5910 Weaver, Heidi NPI: 1639462906 353 N 4Th Ave Ste 102 (208) 478-7900 Weaver, Heidi NPI: 1639462906 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 109

Obstetrics & Gynecology continued/seguido Bingham Blackfoot 83221 Carlson, Joel DO ~* NPI: 1144200916 98 Poplar St (208) 785-4100 Carlson, Joel DO ~* NPI: 1144200916 98 Poplar St 2Ns Flr (208) 782-3900 Carlson, Joel DO ~* NPI: 1144200916 98 Poplar St 3Rd Flr (208) 785-3800 Larson, Steven DO ~* NPI: 1609824143 98 Poplar St (208) 785-4100 Pugmire, Heather NPI: 1225292220 98 Poplar St (208) 785-4100 Weaver, Heidi NPI: 1639462906 98 Poplar St (208) 785-4100 Fort Hall 83203 Lackey, John OB/GYN ~ NPI: 1063456648 Mission Road Fort Hall, ID 83203 (208) 238-5493 Shelley 83274 Pugmire, Heather NPI: 1225292220 275 W Locust St Shelley, ID 83274 (208) 357-3960 Blaine Ketchum 83340 Moos, Aaron NPI: 1255657011 100 Hospital Dr Ste 200 Ketchum, ID 83340 (208) 727-8600 Robbins, Rhonda NPI: 1962465997 100 Hospital Dr Ste 200 Ketchum, ID 83340 (208) 727-8600 Bonneville Idaho Falls 83402 Erickson, Ty MD ~ NPI: 1083783823 808 Pancheri Dr Idaho Falls, ID 83402 (208) 552-6900 Nelson, Barbara NPI: 1023187879 808 Pancheri Dr Idaho Falls, ID 83402 (208) 552-6900 83404 Adams, Steven DO ~* NPI: 1174847198 1550 Elk Creek Dr (208) 529-5942 Asay, Kayla NPI: 1346536232 1550 Elk Creek Dr (208) 529-5942 Denson, Pamela NPI: 1487854055 2001 S Woodruff Ave Ste 10 (208) 523-2060 Denson, William NPI: 1790943132 2001 S Woodruff Ave Ste 10 (208) 523-2060 Gundersen, Jason NPI: 1841501731 3450 Potomac Way (208) 557-2900 Norwegian Isbell, Richard NPI: 1750490546 2065 E 17Th St Ste D (208) 522-0747 Leavitt, Glenn DO ~* NPI: 1386644318 1550 Elk Creek Dr (208) 529-5942 Pugmire, Heather NPI: 1225292220 2375 E Sunnyside Rd Ste F (208) 535-3626 Robison, Matthew DO ~* NPI: 1194757393 3450 Potomac Way (208) 557-2900 Robison, Steven NPI: 1710056577 3450 Potomac Way (208) 557-2900 Weaver, Heidi NPI: 1639462906 2375 E Sunnyside Rd Ste F (208) 535-3626 Canyon Caldwell 83605 Fu, Jessica NPI: 1710185111 315 Elm St Ste 310 (208) 454-2035 Howerton, Randall NPI: 1891787933 3110 Cleveland Blvd Bldg A Ste A7 (877) 522-1275 Hunter, Jeffrey MD ~ NPI: 1295975423 315 Elm St Ste 310 (208) 454-2035 Robinson, Michael NPI: 1275533184 315 Elm St Ste 310 (208) 454-2035 Nampa 83686 Agrusa, Phillip NPI: 1407826167 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 110

Obstetrics & Gynecology continued/seguido Armstrong, Scott NPI: 1205806965 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Kopperud, Tracey DO ~* NPI: 1437194388 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Oliver, Rachel NPI: 1043449366 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Parsons, Lee NPI: 1831169598 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Pittard, Darren NPI: 1164644159 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Schroeder, Harmony NPI: 1104898550 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 Uranga, Rebecca NPI: 1558482026 9850 W St Lukes Dr Ste 221 Nampa, ID 83686 (208) 455-1784 83687 Dimichele-Manes, Andrea NPI: 1689774788 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Gregerson, Gary NPI: 1801834866 16111 N Brinson St Ste 110 Nampa, ID 83687 (208) 468-9400 Hughes, Dustan NPI: 1770513228 3908 E Flamingo Ave Ste B Nampa, ID 83687 (208) 442-8035 Hughes, Juliette NPI: 1154344190 3908 E Flamingo Ave Ste B Nampa, ID 83687 (208) 442-8035 Elmore Mountain Home 83647 Charme, Michael NPI: 1770510166 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Franklin Preston 83263 Cox, Kim NPI: 1801848221 44 N 100 E Preston, ID 83263 (208) 852-0137 Jerome Jerome 83338 Robbins, Rhonda NPI: 1962465997 115 W 5Th Ave Jerome, ID 83338 (208) 814-9840 Kootenai Coeur D'alene 83814 Hill, Regan NPI: 1679616957 980 Ironwood Dr Ste 306 (208) 625-4970 Mccrummen, Brenna NPI: 1437305802 980 Ironwood Dr Ste 306 (208) 625-4970 Meltzer, Julie NPI: 1609029826 980 Ironwood Dr Ste 306 (208) 625-4970 Richardson, Carissa NPI: 1972827582 2003 Kootenai Health Way (208) 625-4000 Woods, Steven NPI: 1588620751 980 Ironwood Dr Ste 306 (208) 625-4970 Post Falls 83854 Duke, Adam NPI: 1710140165 750 N Syringa St Ste 101 B (208) 262-2482 Hill, Regan NPI: 1679616957 1300 E Mullan Ave Ste 500 (208) 625-5635 Mccrummen, Brenna NPI: 1437305802 1300 E Mullan Ave Ste 500 (208) 625-5635 Meltzer, Julie NPI: 1609029826 1300 E Mullan Ave Ste 500 (208) 625-5635 Woods, Steven NPI: 1588620751 1300 E Mullan Ave Ste 500 (208) 625-5635 Nez Perce Lewiston 83501 Bigsby, Geneen DO ~* NPI: 1710081450 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Urquhart, Sean NPI: 1013090836 2315 8Th St Lewiston, ID 83501 (208) 746-1383 111

Obstetrics & Gynecology continued/seguido Watson, Alex NPI: 1780659920 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Oneida Malad City 83252 Jones, Michael DO ~* NPI: 1972696565 220 Bannock St Malad City, ID 83252 (208) 766-2600 Twin Falls Twin Falls 83301 Allen, David NPI: 1225045693 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Coleman, Darren NPI: 1568479301 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Crandall, Earl NPI: 1710994173 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Dutch Fall, Laura NPI: 1518924026 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Mills, Pamela NPI: 1750794913 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Packham, Matthew NPI: 1578502589 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Smith, Donald NPI: 1982611356 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Italian Stevens, Paul DO ~* NPI: 1376809202 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Occupational Therapist Ada Boise 83705 Craig, Amanda OT ~* NPI: 1710393004 4696 W Overland Rd Ste 232 Boise, ID 83705 (208) 908-6116 83713 Walker, Marilee OT ~* NPI: 1104281500 13075 W Persimmon Ln Ste 120 Boise, ID 83713 (208) 376-3591 Eagle 83616 Isaacs, Heidi OT ~* NPI: 1427465640 77 N Fisher Park Wy Eagle, ID 83616 (208) 972-0918 Bannock Pocatello 83201 Leatham, Daniel OT ~* NPI: 1831626639 1110 Call Creek Dr Ste 7 (208) 233-4660 Pierce, Aaron OT ~* NPI: 1659663359 1110 Call Creek Dr Ste 7 (208) 233-4660 83202 Peterson, Barbara OT ~* NPI: 1265490080 1033 W Quinn Rd Pocatello, ID 83202 (208) 233-4800 Peterson, Barbara OT ~* NPI: 1265490080 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Schmidt, Mary OT ~* NPI: 1417960899 2010 Flandro Dr Pocatello, ID 83202 (208) 238-3270 83209 Hong, Lisa OT ~* NPI: 1295135028 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Bonneville Idaho Falls 83404 Church, Court OT ~* NPI: 1588987812 3715 Woodking Dr (208) 529-2255 Coombs Butikofer, Rebecca OT ~* NPI: 1578083820 3715 Woodking Dr (208) 529-2255 Evans, Trisha OT ~* NPI: 1831549401 3715 Woodking Dr (208) 529-2255 Fisher, Katie OT ~* NPI: 1275932428 3715 Woodking Dr (208) 529-2255 Hansen, Marisa OT ~* NPI: 1659640464 3715 Woodking Dr (208) 529-2255 Hong, Lisa OT ~* NPI: 1295135028 3715 Woodking Dr (208) 529-2255 Jones Boyle, Heidi OT ~ NPI: 1013392802 3715 Woodking Dr (208) 529-2255 Seargent, Janice OT ~* NPI: 1447343462 1820 E 17Th St Ste 120 (208) 529-3358 112

Occupational Therapist continued/seguido Cassia Burley 83318 Schmidt, Mary OT ~* NPI: 1417960899 1650 Overland Ave 4 Burley, ID 83318 (208) 233-4660 Toupin, Megan OT ~* NPI: 1699068056 1650 Overland Ave 4 Burley, ID 83318 (208) 233-4660 Custer Challis 83226 Strand, Cherie OT ~* NPI: 1417935123 510 Hwy 93 N Challis, ID 83226 (208) 221-8233 Gem Emmett 83617 Pierson, Stacie OT ~* NPI: 1164953758 912 S Washington St Emmett, ID 83617 (208) 365-4400 Jerome Jerome 83338 Randall, Brent OT ~* NPI: 1497913123 113 E Ave F Jerome, ID 83338 (208) 324-2443 Kootenai Coeur D'alene 83814 Douglas, Mary OT ~* NPI: 1891842274 920 Ironwood Dr Ste 207 (208) 664-0575 Taft, Virginia OT ~ NPI: 1295718948 1052 W Mill Ave (208) 664-2901 Payette Fruitland 83619 Isaacs, Heidi OT ~* NPI: 1427465640 1255 N Allen Ave Fruitland, ID 83619 (208) 972-0918 Power American Falls 83211 Corbet, Heather OT ~* NPI: 1891022620 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Corbet, Heather OT ~* NPI: 1891022620 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Gaudet, Sarah OT ~* NPI: 1851737159 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Gaudet, Sarah OT ~* NPI: 1851737159 73 Fort Hall Ave Ste B American Falls, ID 83211 (208) 233-4660 Leatham, Daniel OT ~* NPI: 1831626639 420 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Pierce, Aaron OT ~* NPI: 1659663359 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Toupin, Megan OT ~* NPI: 1699068056 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Werth, Amanda OT ~* NPI: 1720424104 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Werth, Amanda OT ~* NPI: 1720424104 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Werth, Amanda OT ~* NPI: 1720424104 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Twin Falls Twin Falls 83301 Randall, Brent OT ~* NPI: 1497913123 1411 Fall Ave E Ste 1203 (208) 733-2661 Ophthalmology Ada Boise 83702 Boerner, Mark NPI: 1003819459 111 W Main St Ste 200 (208) 344-3220 Brooks, Daniel NPI: 1225238561 222 N 2Nd St Ste 215 (208) 381-6910 Lee, Katherine NPI: 1386738839 222 N 2Nd St Ste 215 (208) 381-6910 83705 Carey, Brain NPI: 1942377502 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Choe, Joyce NPI: 1467437509 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Ford, Robert MD ~ NPI: 1295842524 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Ford, Robert NPI: 1598959108 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 113

Ophthalmology continued/seguido Gano, David MD ~ NPI: 1891862769 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Gruzensky, William MD ~ NPI: 1992812234 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Guzek, James MD ~ NPI: 1104878859 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Johns, Gordon MD ~ NPI: 1053358077 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Leng, Jason OD ~* NPI: 1730396326 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Seery, Loren NPI: 1407069123 2822 South Vista Avenue Boise, ID 83705 (208) 385-7576 Seery, Loren MD ~ NPI: 1407069123 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Sugiyama, Ronald MD ~ NPI: 1376650267 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 83706 Barrett, Ryan NPI: 1982994844 360 E Mallard Dr Ste 110 Boise, ID 83706 (208) 336-8700 Fishburn, Jon NPI: 1639123490 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Harf, Leo NPI: 1417041849 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Hollingshead, Mark NPI: 1689670911 360 E Mallard Dr Ste 110 Boise, ID 83706 (208) 336-8700 Mannschreck, Molly NPI: 1912091455 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Mong, Jacob DO ~* NPI: 1346535481 5680 W Gage St Boise, ID 83706 (208) 377-3937 Moshirfar, Majid NPI: 1700976313 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Farsi, Persian Reynolds, Adam NPI: 1417916586 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Trotta, Francois NPI: 1891731014 128 E Mallard Dr Boise, ID 83706 (208) 323-8660 French, Italian Tweeten, James NPI: 1396791513 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 83713 Earl, James NPI: 1720248305 13923 W Wainwright Dr Ste 301 Boise, ID 83713 (208) 938-5624 Roberts, Denton NPI: 1699742395 13923 W Wainwright Dr Ste 301 Boise, ID 83713 (208) 938-5624 Eagle 83616 Reynolds, Adam NPI: 1417916586 323 E Riverside Dr Ste 122 Eagle, ID 83616 (208) 938-4749 Meridian 83642 Brooks, Daniel NPI: 1225238561 520 S Eagle Rd Ste 2203 (208) 381-6910 Fethke, Kathryn NPI: 1578657094 3090 Gentry Wy Ste 120 (208) 888-0005 Kent, Gregory NPI: 1891868006 2620 S Eagle Rd (208) 342-5151 Miller, Mark NPI: 1881629327 3045 E St Lukes St Ste 100 (208) 288-2020 Mong, Jacob DO ~* NPI: 1346535481 3025 W Cherry Ln Ste 207 (208) 898-1614 Simpson, Scott NPI: 1083656334 3715 E Overland Rd Ste 250 (208) 855-5950 Bannock Pocatello 83201 Anderson, Bradley NPI: 1952664260 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Cannon, Richard MD ~ NPI: 1992842264 1157 Call Pl (208) 232-2008 Fornarotto, John NPI: 1598750838 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 114

Ophthalmology continued/seguido Fornarotto, John NPI: 1598750838 246 N 18Th Ave (208) 234-4100 Cannon, Richard MD ~ NPI: 1992842264 2025 E 17Th St (208) 524-2025 Martinez, Jorge NPI: 1922076082 1615 12Th Ave Rd Ste B Nampa, ID 83686 (208) 498-1700 Halverson, Jason NPI: 1619921236 1252 Bennett Ave Ste A Burley, ID 83318 (208) 678-0573 Gardner, Bradley MD ~ NPI: 1255408217 1157 Call Pl (208) 232-2008 Jones, Robert NPI: 1912015330 1951 Bench Road Ste C (208) 238-3377 Romriell, Eric DO ~ NPI: 1922072586 1157 Call Pl (208) 232-2008 Bingham Blackfoot 83221 Anderson, Bradley NPI: 1952664260 98 Poplar St (208) 785-4100 Fornarotto, John NPI: 1598750838 98 Poplar St (208) 235-2277 Bonneville Idaho Falls 83404 Affleck, Aaron NPI: 1861507857 2900 Valencia Dr (208) 523-6868 Gardner, Bradley MD ~ NPI: 1255408217 2025 E 17Th St (208) 524-2025 Romriell, Eric DO ~ NPI: 1922072586 2025 E 17Th St (208) 524-2025 Canyon Caldwell 83605 Kent, Gregory NPI: 1891868006 1602 Arlington Ave (208) 459-0717 Nampa 83686 Hainsworth, Kenneth NPI: 1942290929 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Jensen, Johanna NPI: 1770552846 1615 12Th Ave Rd Ste A Nampa, ID 83686 (208) 467-3271 Jensen, Johanna NPI: 1770552846 1615 12Th Avenue Road Suite A Nampa, ID 83686 (208) 467-3271 Mckinnon, Ryan NPI: 1821087859 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000, Japanese 83687 Harf, Leo NPI: 1417041849 4400 E Flamingo Rd Ste 300 Nampa, ID 83687 (208) 466-2222 Reynolds, Adam NPI: 1417916586 4400 E Flamingo Rd Ste 300 Nampa, ID 83687 (208) 466-2222 Cassia Burley 83318 Allan, Evan NPI: 1285951145 1320A Bennett Ave Burley, ID 83318 (208) 678-2173 Russian Allan, Scott NPI: 1639159056 1320A Bennett Ave Burley, ID 83318 (208) 678-2173 D'angelo, Monica NPI: 1912135831 1252 Bennett Ave Ste A Burley, ID 83318 (208) 678-0573 Taylor, Michael NPI: 1851338925 1252 Bennett Ave Ste A Burley, ID 83318 (208) 678-0573 Welch, Nathan NPI: 1801059605 1320A Bennett Ave Burley, ID 83318 (208) 678-2173, Portuguese Kootenai Coeur D'alene 83814 Blizzard, Sonya NPI: 1558629535 2003 Kootenai Health Way (208) 625-4000 Blizzard, Sonya NPI: 1558629535 1814 Lincoln Way (208) 667-2531 Buckland, G Tad NPI: 1942402904 2003 Kootenai Health Way (208) 625-4000 Buckland, G Tad NPI: 1942402904 1814 Lincoln Way (208) 667-2531 Dance, David NPI: 1003064577 1814 Lincoln Way (208) 667-2531 115

Ophthalmology continued/seguido Duke, Sara NPI: 1306089065 2003 Kootenai Health Way (208) 625-4000 Duke, Sara NPI: 1306089065 1814 Lincoln Way (208) 667-2531 Latah Moscow 83843 Richards, Shawn NPI: 1598929796 2500 West A Street Suite 202 Moscow, ID 83843 (208) 882-4662 Twin Falls Twin Falls 83301 Allan, Evan NPI: 1285951145 1502 Locust St N Ste 100 (208) 933-2540 Russian Halverson, Jason NPI: 1619921236 261 Canyon Crest Dr (208) 678-0573 Halverson, Jason NPI: 1619921236 1502 Locust St N Ste 100 (208) 933-2540 Elizabeth-Smith, Whitney NPI: 1568724565 1814 Lincoln Way (208) 667-2531 Granier, Alison NPI: 1669709143 1814 Lincoln Way (208) 667-2531 Kontos, Mark MD ~ NPI: 1114938990 2175 N Main St Ste A (208) 664-9888 Skale, David NPI: 1568636462 2175 N Main St Ste A (208) 664-9888 Stormogipson, D Justin NPI: 1336285345 2003 Kootenai Health Way (208) 625-4000 Stormogipson, D Justin NPI: 1336285345 1814 Lincoln Way (208) 667-2531 Madison Rexburg 83440 Cannon, Richard MD ~ NPI: 1992842264 491 First American Cir Rexburg, ID 83440 (208) 359-1130 Gardner, Bradley MD ~ NPI: 1255408217 491 First American Cir Rexburg, ID 83440 (208) 359-1130 Romriell, Eric DO ~ NPI: 1922072586 491 First American Cir Rexburg, ID 83440 (208) 359-1130 Nez Perce Lewiston 83501 Richards, Shawn NPI: 1598929796 1630 23Rd Avenue Suite 201A Lewiston, ID 83501 (208) 746-5100 Seery, Loren NPI: 1407069123 3330 4Th Street Lewiston, ID 83501 (208) 746-2025 Allan, Evan NPI: 1285951145 526 Shoup Ave W Ste H (208) 733-2400 Russian Allan, Scott NPI: 1639159056 1502 Locust St N Ste 100 (208) 933-2540 Allan, Scott NPI: 1639159056 526 Shoup Ave W Ste H (208) 733-2400 Coombs, James NPI: 1760425169 1502 Locust St N Ste 100 (208) 933-2540 Portuguese Coombs, James NPI: 1760425169 1415 Park View Dr (208) 734-8934 Portuguese D'angelo, Monica NPI: 1912135831 261 Canyon Crest Dr (208) 678-0573 Klingler, Kyle NPI: 1861727323 1502 Locust St N Ste 100 (208) 933-2540 Portuguese Klingler, Kyle NPI: 1861727323 1415 Park View Dr (208) 734-8934 Portuguese Taylor, Michael NPI: 1851338925 261 Canyon Crest Dr (208) 678-0573 Taylor, Michael NPI: 1851338925 1502 Locust St N Ste 100 (208) 933-2540 Welch, Nathan NPI: 1801059605 1502 Locust St N Ste 100 (208) 933-2540, Portuguese Welch, Nathan NPI: 1801059605 526 Shoup Ave W Ste H (208) 733-2400, Portuguese 116

Ophthalmology continued/seguido Welch, Robert NPI: 1841260858 1502 Locust St N Ste 100 (208) 933-2540 Japanese Welch, Robert NPI: 1841260858 526 Shoup Ave W Ste H (208) 733-2400 Japanese Valley Mccall 83638 Aaberg, Thomas NPI: 1750491783 211 Forest St Mccall, ID 83638 (208) 630-2330 Optometrist Ada Boise 83702 Bodily, Gregory OD ~ NPI: 1013008614 610 Americana Blvd (208) 344-2020 Carter, Lee OD ~ NPI: 1891789368 251 E Front St Ste 110 (208) 342-2706 Fronk, Jason OD ~ NPI: 1063503662 610 Americana Blvd (208) 344-2020 83704 Boespflug, Daniel OD ~ NPI: 1962441303 3293 N Milwaukee St (208) 322-2020 Cates, Gerald OD ~* NPI: 1770615205 291 North Milwaukee Street Suite A-3 (208) 378-7019 Cleverly, Chad OD ~ NPI: 1386660959 3293 N Milwaukee St (208) 322-2020 Denison, Justin OD ~ NPI: 1396183935 3293 N Milwaukee St (208) 322-2020 Dixon, Jaimen OD ~* NPI: 1861841033 291 North Milwaukee Street Suite A3 (208) 378-7019 Fackrell, Wendell OD ~ NPI: 1750678298 421 N Cole Rd Ste 102 (208) 658-1068 Faure, William OD ~ NPI: 1154400133 10552 Garverdale Ct Ste 906 (208) 322-1771 Hansen, Scott OD ~ NPI: 1992832935 291 N Milwaukee St Ste A3 (208) 378-7020 Hansen, Scott OD ~* NPI: 1992832935 291 North Milwaukee Street Suite A3 (208) 378-7020 Hartwell, Jay OD ~ NPI: 1528126562 291 N Milwaukee St Ste A3 (208) 378-7020 Kofoed, Lavar OD ~* NPI: 1023231420 291 North Milwaukee Street Suite A3 (208) 297-7019 Mcsweeney, Kevin OD ~ NPI: 1841397940 291 N Milwaukee St Ste A3 (208) 378-7020 Mcsweeney, Kevin OD ~* NPI: 1841397940 291 North Milwaukee Street (208) 378-7020 Reynolds, Terrence OD ~ NPI: 1386628162 6700 W Emerald (208) 336-7100 Thompson, Erik OD ~ NPI: 1891082186 291 N Milwaukee St Ste A3 (208) 378-7020 Thompson, Erik OD ~* NPI: 1891082186 291 North Milwaukee Street Suite A-3 (208) 378-7020 83705 Archibald, Alexander OD ~ NPI: 1336205632 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Arvidson, Brian OD ~ NPI: 1508050337 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Bronner, Aaron OD ~ NPI: 1275730723 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Burk, Ricky OD ~ NPI: 1245255686 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Calnan Holt, Kimberly OD ~ NPI: 1790881514 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Everett, Mark OD ~ NPI: 1225060296 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Flint, Bruce OD ~ NPI: 1154438471 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 117

Optometrist continued/seguido Gibbs, Robert OD ~ NPI: 1972610210 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 James, Donald OD ~ NPI: 1972610236 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Johnson, Brian OD ~ NPI: 1487761748 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Mamiya, Reid OD ~ NPI: 1407963770 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Maraman, Mark OD ~ NPI: 1457559072 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Ramey, Jennifer OD ~ NPI: 1497134399 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Schrempp, Daniel OD ~ NPI: 1396070470 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 83706 Besecker, Jason OD ~ NPI: 1114278447 360 E Mallard Dr Ste 110 Boise, ID 83706 (208) 336-8700 Bigelow, Paul OD ~ NPI: 1811993512 230 W Mallard Dr Ste A Boise, ID 83706 (208) 342-4841 Carter, Lee OD ~ NPI: 1891789368 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Davis, Steven OD ~ NPI: 1871522235 1175 W Boise Ave Boise, ID 83706 (208) 384-9194 Ewing, Vanessa OD ~ NPI: 1780874453 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Hatfield, Dylan OD ~ NPI: 1972813855 360 E Mallard Dr Ste 110 Boise, ID 83706 (208) 336-8700 Hopstad, Luke OD ~ NPI: 1598742561 999 N Curtis Rd Ste 205 Boise, ID 83706 (208) 373-1200 Huber, Ryan OD ~ NPI: 1558657783 230 W Mallard Dr Ste A Boise, ID 83706 (208) 342-4841 Muto, John OD ~* NPI: 1912091174 1175 W Boise Ave Boise, ID 83706 (208) 384-9194 Muto, Matthew OD ~ NPI: 1659721314 1175 W Boise Ave Boise, ID 83706 (208) 384-9194 Pabalis, Gary OD ~ NPI: 1396740262 5680 W Gage St Boise, ID 83706 (208) 377-3937 Reinschmidt, Stephen OD ~ NPI: 1205161387 5680 W Gage St Boise, ID 83706 (208) 377-3937 83709 Boespflug, Daniel OD ~* NPI: 1962441303 3293 North Milwaukee Street Boise, ID 83709 (208) 322-2020 Denison, Justin OD ~* NPI: 1396183935 3293 North Milwaukee Street Boise, ID 83709 (208) 322-2020 83713 Dixon, Jaimen OD ~ NPI: 1861841033 13075 W Persimmon Ln Ste 110 Boise, ID 83713 (208) 938-9900 Mcneel, Brian OD ~ NPI: 1821094152 4270 N Eagle Rd Boise, ID 83713 (208) 938-2010 Stebel, Holly OD ~ NPI: 1982654612 13075 W Persimmon Ln Ste 110 Boise, ID 83713 (208) 938-9900 Stebel, Todd OD ~ NPI: 1144263963 13075 W Persimmon Ln Ste 110 Boise, ID 83713 (208) 938-9900 Stebel, Todd OD ~* NPI: 1144263963 13075 W Persimmon Lane Suite 110 Boise, ID 83713 (208) 938-9900 Eagle 83616 Bender, Gideon OD ~ NPI: 1386166312 355 South Eagle Road Eagle, ID 83616 (208) 938-2015 Graviet, Jeffrey OD ~ NPI: 1831148105 440 E State St Ste 140 Eagle, ID 83616 (208) 939-7000 Hall, Zackary OD ~ NPI: 1588759229 440 E State St Ste 140 Eagle, ID 83616 (208) 939-7000 Moss, Craig OD ~* NPI: 1295115087 355 South Eagle Road Eagle, ID 83616 (208) 938-2015 Schwers, Jeffrey OD ~ NPI: 1730272279 440 E State St Ste 140 Eagle, ID 83616 (208) 939-7000 118

Optometrist continued/seguido Sorenson, Shawn OD ~* NPI: 1518922368 355 South Eagle Road Eagle, ID 83616 (208) 938-2015 Warner, Aaron OD ~* NPI: 1750346524 355 South Eagle Road Eagle, ID 83616 (208) 938-2015 Kuna 83634 Grigg, Lisa OD ~* NPI: 1851313704 762 East Wythe Creek Court Suite 102 Kuna, ID 83634 (208) 922-3060 Grigg, Robert OD ~* NPI: 1780698522 762 East Wythe Creek Court Suite 102 Kuna, ID 83634 (208) 922-3060 Mullins, Oliver OD ~* NPI: 1306121462 762 East Wythe Creek Court Suite 102 Kuna, ID 83634 (208) 922-3060 Meridian 83642 Dayton, Drew OD ~ NPI: 1740231737 2620 S Eagle Rd (208) 342-5151 French Nielson, Ana OD ~* NPI: 1972547503 1715 South Wells Avenue (208) 898-0304 Nielson, Ryan OD ~* NPI: 1538103148 1715 South Wells Avenue (208) 898-0304 Pabalis, Gary OD ~ NPI: 1396740262 3025 W Cherry Ln Ste 207 (208) 898-1614 Rammell, Dorian OD ~ NPI: 1245496744 2620 S Eagle Rd (208) 342-5151 Reinschmidt, Stephen OD ~ NPI: 1205161387 3025 W Cherry Ln Ste 207 (208) 898-1614 Simmons, Deric OD ~ NPI: 1801886841 3090 Gentry Wy Ste 120 (208) 888-0005 Williams, Bret OD ~ NPI: 1528003589 3045 E St Lukes St Ste 100 (208) 288-2020 83646 Mcelroy, Kevin OD ~* NPI: 1528154242 50 East Carmel Drive Meridian, ID 83646 (208) 888-5252 Mcelroy, Kevin OD ~ NPI: 1528154242 50 E Carmel Dr Meridian, ID 83646 (208) 888-5252 Bannock Pocatello 83201 Christensen, Wallace OD ~ NPI: 1760435143 1246 Yellowstone Ave Ste A4 (208) 237-7666 Chinese Davis, James OD ~ NPI: 1326115395 1157 Call Pl (208) 232-2008 Johnson, Ryan OD ~ NPI: 1184653404 246 N 18Th Ave (208) 234-4100 Richardson, Norman OD ~ NPI: 1346251063 475 Yellowstone Ave Ste G (208) 233-1551 Richardson, Norman OD ~* NPI: 1346251063 475 Yellowstone Avenue Suite G (208) 233-1551 Wynn, Shane OD ~ NPI: 1427125491 1157 Call Pl (208) 232-2008 83202 Baird, Michael OD ~* NPI: 1457524555 4240 Yellowstone Avenue Pocatello, ID 83202 (208) 238-2020 Bingham Blackfoot 83221 Carlson, Jerry OD ~ NPI: 1982651287 1213 Parkway Drive (208) 782-3422 Hurley, Jason OD ~ NPI: 1801859889 1213 Parkway Drive (208) 782-3422 Shelley 83274 Kohler, Nathan OD ~* NPI: 1386842425 524 North State Street Shelley, ID 83274 (208) 357-5733 Kohler, Nathan OD ~ NPI: 1386842425 524 N State St Shelley, ID 83274 (208) 357-5733 Sparks, Kristan OD ~* NPI: 1174723332 524 North State Street Shelley, ID 83274 (208) 357-5733 Sparks, Kristan OD ~ NPI: 1174723332 524 N State St Shelley, ID 83274 (208) 357-5733 Bonner Priest River 83856 Harrell, Nathaneal OD ~* NPI: 1437470457 6132 Highway 2 Priest River, ID 83856 (208) 448-0144 119

Optometrist continued/seguido Prins, Amber OD ~* NPI: 1659801181 6132 Highway 2 Priest River, ID 83856 (208) 448-0144 Sandpoint 83864 Harrell, Nathaneal OD ~* NPI: 1437470457 514 Oak Street Unit A Sandpoint, ID 83864 (208) 265-7965 Henker, Don OD ~* NPI: 1225386659 1333 Superior Street Sandpoint, ID 83864 (208) 265-4140 Henker, Whitney OD ~* NPI: 1952667875 1333 Superior Street Sandpoint, ID 83864 (208) 265-4140 Prins, Amber OD ~* NPI: 1659801181 514 Oak Street Unit A Sandpoint, ID 83864 (208) 265-7965 French Bonneville Idaho Falls 83401 Clark, Melanie OD ~ NPI: 1689015075 1480 E Lincoln Rd Idaho Falls, ID 83401 (208) 525-8686 Clark, Melanie OD ~* NPI: 1689015075 1480 East Lincoln Road Idaho Falls, ID 83401 (208) 525-8686 Hyatt, Scott OD ~ NPI: 1194174441 1480 E Lincoln Rd Idaho Falls, ID 83401 (208) 525-8686 Hyatt, Scott OD ~* NPI: 1194174441 1480 East Lincoln Road Idaho Falls, ID 83401 (208) 525-8686 King, Kenneth OD ~* NPI: 1174524722 501 South Woodrufff Avenue Idaho Falls, ID 83401 (208) 522-6271 Kohler, Nathan OD ~* NPI: 1386842425 320 S Woodruff Avenue Idaho Falls, ID 83401 (208) 524-4552 Kohler, Nathan OD ~ NPI: 1386842425 320 S Woodruff Ave Idaho Falls, ID 83401 (208) 524-4552 Lattimore, Gary OD ~* NPI: 1902863293 501 South Woodruff Avenue Idaho Falls, ID 83401 (208) 522-6271 Porter, Lisa OD ~ NPI: 1215962915 1480 E Lincoln Rd Idaho Falls, ID 83401 (208) 525-8686 Porter, Lisa OD ~* NPI: 1215962915 1480 East Lincoln Road Idaho Falls, ID 83401 (208) 525-8686 Sparks, Kristan OD ~* NPI: 1174723332 320 South Woodruff Avenue Idaho Falls, ID 83401 (208) 524-4552 83402 Smith, Golden OD ~* NPI: 1154432938 500 South Utah Avenue Idaho Falls, ID 83402 (208) 528-8643 83404 Davis, James OD ~ NPI: 1326115395 2025 E 17Th St (208) 524-2025 Ivie, Jared OD ~ NPI: 1285862599 2540 Channing Wy (208) 529-2700 Jackson, Kreyton OD ~ NPI: 1982915203 2990 S 25Th E (208) 535-2604 Nave, Jerry OD ~ NPI: 1245340314 2550 S 25Th E (208) 552-7323 Nave, Jerry OD ~* NPI: 1245340314 2550 South 25Th East (208) 552-7323 Oswald, Zachary OD ~ NPI: 1275810079 2990 S 25Th E (208) 535-2604 Oswald, Zachary OD ~ NPI: 1275810079 2540 Channing Wy (208) 529-2700 Oswald, Zachary OD ~* NPI: 1275810079 2990 South 25Th East (208) 535-2604 Wynn, Shane OD ~ NPI: 1427125491 2025 E 17Th St (208) 524-2025 83406 Cook, David OD ~ NPI: 1912074741 1340 S Ammon Rd Idaho Falls, ID 83406 (208) 523-3141 Denney, Mark OD ~ NPI: 1962569681 1340 S Ammon Rd Idaho Falls, ID 83406 (208) 523-3141 Boundary Bonners Ferry 83805 Harrell, Nathaneal OD ~* NPI: 1437470457 6348 Main Street Bonners Ferry, ID 83805 (208) 267-1087 Prins, Amber OD ~* NPI: 1659801181 6348 Main Street Bonners Ferry, ID 83805 (208) 267-1087 120

Optometrist continued/seguido Canyon Caldwell 83605 Adams, Doug OD ~* NPI: 1144750886 1906 Fairview Ave Ste 100 (208) 459-2020 Mandarin, Adams, Doug OD ~* NPI: 1144750886 420 E Elm St (208) 459-2020 Mandarin, Adams, Douglas OD ~ NPI: 1144750886 1906 Fairview Ave (208) 459-2020 Bewley, James OD ~ NPI: 1639257017 1906 Fairview Ave (208) 459-2020 Bewley, James OD ~ NPI: 1639257017 420 E Elm St (208) 459-2020 Bewley, James OD ~* NPI: 1639257017 1906 Fairview Avenue Ste 100 (208) 459-2020 Mandarin, Bewley, James OD ~* NPI: 1639257017 420 East Elm Street (208) 459-2020 Mandarin, Black, William OD ~ NPI: 1063591162 1906 Fairview Ave (208) 459-2020 Black, William OD ~ NPI: 1063591162 420 E Elm St (208) 459-2020 Black, William OD ~* NPI: 1063591162 1906 Fairview Ave Ste 100 (208) 459-2020 Mandarin, Dayton, Drew OD ~ NPI: 1740231737 1602 Arlington Ave (208) 459-0717 French Farris, Stephen OD ~ NPI: 1619072287 1906 Fairview Ave (208) 459-2020 Farris, Stephen OD ~* NPI: 1619072287 1906 Fairview Ave Ste 100 (208) 459-2020 Mandarin, Farris, Stephen OD ~* NPI: 1619072287 420 E Elm St (208) 459-2020 Mandarin, Galvan-Shubin, Candice OD ~ NPI: 1063675247 1906 Fairview Ave (208) 459-2020 Heiner, Darren OD ~ NPI: 1780935007 1906 Fairview Ave (208) 459-2020 Mandarin Heiner, Darren OD ~ NPI: 1780935007 420 E Elm St (208) 459-2020 Mandarin Heiner, Darren OD ~* NPI: 1780935007 1906 Fairview Ave Ste 100 (208) 459-2020 Mandarin, Heiner, Darren OD ~* NPI: 1780935007 420 E Elm St (208) 459-2020 Mandarin, Hernandez, Joel OD ~ NPI: 1952831695 1906 Fairview Ave (208) 459-2020 Highsmith, Brittany OD ~ NPI: 1831486687 1702 S Kimball Ave (208) 459-2641 Mills, Micah OD ~ NPI: 1548468580 1702 S Kimball Ave (208) 459-2641 Rammell, Dorian OD ~ NPI: 1245496744 1602 Arlington Ave (208) 459-0717 Stebel, Holly OD ~ NPI: 1982654612 1906 Fairview Ave (208) 459-2020 Stebel, Holly OD ~ NPI: 1982654612 420 E Elm St (208) 459-2020 Stebel, Holly OD ~* NPI: 1982654612 420 E Elm St (208) 459-2020 Mandarin, Middleton 83644 Adams, Doug OD ~* NPI: 1144750886 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, Bewley, James OD ~ NPI: 1639257017 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Bewley, James OD ~* NPI: 1639257017 381 South Middleton Road Middleton, ID 83644 (208) 459-2020 Mandarin, Black, William OD ~ NPI: 1063591162 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Black, William OD ~* NPI: 1063591162 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, 121

Optometrist continued/seguido Dayton, Drew OD ~* NPI: 1740231737 622 East Main Street Middleton, ID 83644 (208) 585-9500 French Farris, Stephen OD ~ NPI: 1619072287 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Farris, Stephen OD ~* NPI: 1619072287 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, Galvan-Shubin, Candice OD ~ NPI: 1063675247 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Heiner, Darren OD ~ NPI: 1780935007 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin Heiner, Darren OD ~* NPI: 1780935007 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, Hernandez, Joel OD ~* NPI: 1952831695 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, Stebel, Holly OD ~ NPI: 1982654612 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Stebel, Holly OD ~* NPI: 1982654612 381 S Middleton Rd Middleton, ID 83644 (208) 459-2020 Mandarin, Nampa 83651 Hadzic, Emir OD ~* NPI: 1407371891 1017 12Th Avenue South Nampa, ID 83651 (208) 466-5600 Bosnian, Hagberg, Landon OD ~ NPI: 1699087437 310 2Nd St S Nampa, ID 83651 (208) 467-1361 Hughes, Jonathan OD ~ NPI: 1518242668 310 2Nd St S Nampa, ID 83651 (208) 467-1361 Mcgourty, Brian OD ~ NPI: 1811091309 310 2Nd St S Nampa, ID 83651 (208) 467-1361 Naugle, Emily OD ~ NPI: 1639331069 901 12Th Ave S Nampa, ID 83651 (208) 466-9251 Sparhawk, Justin OD ~* NPI: 1669552048 1017 12Th Avenue South Nampa, ID 83651 (208) 466-5600 Bosnian, Tiller, Daniel OD ~ NPI: 1154314268 901 12Th Ave S Nampa, ID 83651 (208) 466-9251 Watson, Jacob OD ~ NPI: 1851676910 901 12Th Ave S Nampa, ID 83651 (208) 466-9251 White, Rodney OD ~ NPI: 1487647509 901 12Th Ave S Nampa, ID 83651 (208) 466-9251 83686 Dean, James OD ~ NPI: 1033121538 343 W Iowa Ave Nampa, ID 83686 (208) 467-0001 Dean, Kevin OD ~ NPI: 1962516385 343 W Iowa Ave Nampa, ID 83686 (208) 466-7000 Sparhawk, Justin OD ~ NPI: 1669552048 1615 12Th Ave Rd Ste A Nampa, ID 83686 (208) 467-3271 83687 Adams, Douglas OD ~ NPI: 1144750886 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Bewley, James OD ~ NPI: 1639257017 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Bewley, James OD ~ NPI: 1639257017 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Bewley, James OD ~* NPI: 1639257017 1213 Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Mandarin, Black, William OD ~ NPI: 1063591162 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Black, William OD ~ NPI: 1063591162 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Farris, Stephen OD ~ NPI: 1619072287 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Farris, Stephen OD ~ NPI: 1619072287 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 122

Optometrist continued/seguido Farris, Stephen OD ~* NPI: 1619072287 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Mandarin, Galvan-Shubin, Candice OD ~ NPI: 1063675247 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Galvan-Shubin, Candice OD ~ NPI: 1063675247 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Hansen, Scott OD ~ NPI: 1992832935 16448 Midland Blvd Nampa, ID 83687 (208) 467-7020 Heiner, Darren OD ~ NPI: 1780935007 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Mandarin Heiner, Darren OD ~ NPI: 1780935007 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Mandarin Heiner, Darren OD ~* NPI: 1780935007 1213 Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Mandarin, Hernandez, Joel OD ~ NPI: 1952831695 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Kofoed, Lavar OD ~* NPI: 1023231420 16448 Midland Boulevard Nampa, ID 83687 (208) 467-7020 Mcsweeney, Kevin OD ~ NPI: 1841397940 16448 Midland Blvd Nampa, ID 83687 (208) 467-7020 Stebel, Holly OD ~ NPI: 1982654612 1213 N Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Stebel, Holly OD ~ NPI: 1982654612 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Stebel, Holly OD ~* NPI: 1982654612 1213 Jacob Alcott Way Nampa, ID 83687 (208) 459-2020 Mandarin, Stebel, Holly OD ~* NPI: 1982654612 4424 E Flamingo Ave Ste 100 Nampa, ID 83687 (208) 459-2020 Mandarin, Thompson, Erik OD ~ NPI: 1891082186 16448 Midland Blvd Nampa, ID 83687 (208) 467-7020 Thompson, Erik OD ~* NPI: 1891082186 16448 Midland Boulevard Nampa, ID 83687 (208) 297-7019 Gem Emmett 83617 Warner, Trenton OD ~ NPI: 1184823049 1108 S Washington Ave Emmett, ID 83617 (208) 365-2020 Kootenai Coeur D Alene 83814 Greene, Raymond OD ~* NPI: 1689669798 850 Ironwood Drive Suite 104 Coeur D Alene, ID 83814 (208) 765-2020 Coeur D'alene 83814 Calderwood, John OD ~ NPI: 1285624601 1814 Lincoln Way (208) 667-2531 Fagan, Lance OD ~ NPI: 1891775151 1801 N Third St (208) 667-1591 Garn, Daniel OD ~ NPI: 1952314387 2141 N Merrit Creek Loop (208) 765-2200 Heaton, Alisha OD ~ NPI: 1659605848 2175 N Main St Ste A (208) 664-9888 Johnson, Robert OD ~ NPI: 1265484604 1801 N Third St (208) 667-1591, Italian Hayden 83835 Breazeal, Larry OD ~ NPI: 1619049228 8220 N Cornerstone Dr Ste A Hayden, ID 83835 (208) 772-5539 Lindauer, Robin OD ~ NPI: 1740262765 550 W Honeysuckle Ave Hayden, ID 83835 (208) 209-4078 Lindauer, Robin OD ~* NPI: 1740262765 550 West Honeysuckle Avenue Hayden, ID 83835 (208) 209-4078 Sorensen, Robert OD ~* NPI: 1356335897 8445 North Government Way Po Box 8 Hayden, ID 83835 (208) 772-3208 Portuguese, Sorensen, Robert A OD ~ NPI: 1356335897 8445 N Government Wy Hayden, ID 83835 (208) 772-3208 123

Optometrist continued/seguido Stoenner, Debra DO ~ NPI: 1699870527 8445 N Government Wy Hayden, ID 83835 (208) 772-3208 Stoenner, Debra OD ~* NPI: 1699870527 8445 North Government Way Po Box 8 Hayden, ID 83835 (208) 772-3208 Portuguese, Stott, Kyle OD ~ NPI: 1528418977 8445 N Government Wy Hayden, ID 83835 (208) 772-3208 Portuguese Stott, Kyle OD ~* NPI: 1528418977 8445 North Government Way Po Box 8 Hayden, ID 83835 (208) 772-3208 Portuguese, Tran, Jeannie OD ~ NPI: 1790138329 8220 N Cornerstone Dr Ste A Hayden, ID 83835 (208) 772-5539 Post Falls 83854 Fagan, Lance OD ~ NPI: 1891775151 1101 E Polston Ave (208) 773-2020 Jangula, Jesse OD ~ NPI: 1942534235 185 W 4Th Ave Ste A (208) 773-7434 Johnson, Robert OD ~ NPI: 1265484604 1101 E Polston Ave (208) 773-2020, Italian Rathdrum 83858 Miller, Brian OD ~ NPI: 1710978473 15630 N Hwy 41 Rathdrum, ID 83858 (208) 687-0370 Miller, Brian OD ~* NPI: 1710978473 15630 N Highway 41 Rathdrum, ID 83858 (208) 687-0370 Latah Moscow 83843 Polito, Julia OD ~* NPI: 1306947874 1844 West Pullman Road Moscow, ID 83843 (208) 883-1800 Wilson, Nathan OD ~* NPI: 1164523643 1844 West Pullman Road Moscow, ID 83843 (208) 883-1800 Zollman, Stacie OD ~ NPI: 1124373410 1844 W Pullman Rd Moscow, ID 83843 (208) 883-1800 Zollman, Stacie OD ~* NPI: 1124373410 1844 West Pullman Road Moscow, ID 83843 (208) 883-1800 Lincoln Shoshone 83352 Kent, Matthew OD ~ NPI: 1487648952 520 N Greenwood St Shoshone, ID 83352 (208) 537-2020 Madison Rexburg 83440 Archibald, Kent OD ~ NPI: 1851336721 76 Professional Plaza Rexburg, ID 83440 (208) 356-4585 Bowman, Kreed OD ~ NPI: 1093168767 76 Professional Plaza Rexburg, ID 83440 (208) 356-4585 Portuguese Davis, James OD ~ NPI: 1326115395 491 First American Cir Rexburg, ID 83440 (208) 359-1130 Merrell, Marshall OD ~ NPI: 1992894232 3363 Merlin Dr Rexburg, ID 83440 (208) 523-0330 Merrell, Marshall OD ~ NPI: 1992894232 345 N 2Nd E Rexburg, ID 83440 (208) 359-2020 Wynn, Shane OD ~ NPI: 1427125491 491 First American Cir Rexburg, ID 83440 (208) 359-1130 Nez Perce Lewiston 83501 Bell, Isaac OD ~ NPI: 1396995239 210 Thain Rd Lewiston, ID 83501 (208) 746-2644 Bell, Isaac OD ~* NPI: 1396995239 210 Thain Road Lewiston, ID 83501 (208) 746-2644 Polito, Julia OD ~* NPI: 1306947874 739 Bryden Avenue Suite A Lewiston, ID 83501 (208) 743-5830 Wilson, Nathan OD ~* NPI: 1164523643 739 Bryden Avenue Suite A Lewiston, ID 83501 (208) 743-5830 Zollman, Stacie OD ~ NPI: 1124373410 739 Bryden Ave Ste A Lewiston, ID 83501 (208) 743-5830 Zollman, Stacie OD ~* NPI: 1124373410 739 Bryden Avenue Suite A Lewiston, ID 83501 (208) 743-5830 Teton Driggs 83422 Lattimore, Gary OD ~* NPI: 1902863293 1300 North Arrowhead Plaza Way Driggs, ID 83422 (208) 354-8304 124

Optometrist continued/seguido Twin Falls Twin Falls 83301 Fish, Brandon OD ~ NPI: 1003015363 731 N College Rd (208) 734-3937 Norwegian Fish, Brandon OD ~* NPI: 1003015363 731 North College Road (208) 734-3937 Hartwell, Jay OD ~ NPI: 1528126562 1605 A Blue Lakes Blvd N (208) 297-7019 Hatch, Rustin OD ~ NPI: 1265402911 1067 Eastland Dr (208) 733-1944, Portuguese Hatch, Rustin OD ~* NPI: 1265402911 1067 Eastland Drive (208) 733-1944 German, Portuguese, Merrell, Matt OD ~ NPI: 1124079041 526 Shoup Ave W Ste H (208) 733-2400 Nielsen, Brandon OD ~* NPI: 1033559026 568 Falls Avenue (208) 293-8580 Ruprecht, Jennifer OD ~ NPI: 1942376058 1952 Addison Ave E (208) 735-4080 Thompson, Erik OD ~ NPI: 1891082186 1605 A Blue Lakes Blvd N (208) 297-7019 Walker, Gary OD ~ NPI: 1033243647 1067 Eastland Dr (208) 733-1944 German Walker, Gary OD ~* NPI: 1033243647 1067 Eastland Drive (208) 733-1944 Walker, Jared OD ~ NPI: 1558490698 1067 Eastland Dr (208) 733-1944 German Walker, Jared OD ~* NPI: 1558490698 1067 Eastland Drive (208) 733-1944 German, Portuguese, Valley Mccall 83638 Rowe, Justin OD ~ NPI: 1598954638 204 Lenora St Mccall, ID 83638 (208) 634-4161 Japanese Orthopaedic Hand Surgery Ada Boise 83702 Care, Steven NPI: 1780694174 600 N Robbins Rd Ste 100 (208) 706-2663 Judd, Dustin NPI: 1013113323 600 N Robbins Rd Ste 100 (208) 706-2663, Tagalog Murdock, Louis NPI: 1184635088 600 N Robbins Rd Ste 100 (208) 706-2663 Toomey, Jeremy NPI: 1043474810 600 N Robbins Rd Ste 100 (208) 706-2663 Meridian 83642 Care, Steven NPI: 1780694174 3277 E Louise Dr Ste 200 (208) 706-2663 Judd, Dustin NPI: 1013113323 3277 E Louise Dr Ste 200 (208) 706-2663, Tagalog Lindley, Kenneth NPI: 1659532547 3277 E Louise Dr Ste 200 (208) 706-2663 Murdock, Louis NPI: 1184635088 3277 E Louise Dr Ste 200 (208) 706-2663 Toomey, Jeremy NPI: 1043474810 3277 E Louise Dr Ste 200 (208) 706-2663 Bannock Pocatello 83201 Stucki, Jeffrey DO ~* NPI: 1083857536 560 Memorial Dr Ste B (208) 235-4263 Stucki, Jeffrey DO ~* NPI: 1083857536 560 Memorial Drive Ste B (208) 252-7206 Blaine Ketchum 83340 Alexander, Charlotte NPI: 1811933963 100 Hospital Dr Ste 100 Ketchum, ID 83340 (208) 727-0005 125

Orthopaedic Hand Surgery continued/seguido Canyon Nampa 83686 Lindley, Kenneth NPI: 1659532547 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Murdock, Louis NPI: 1184635088 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 83687 Lindley, Kenneth NPI: 1659532547 9850 W St Lukes Dr Nampa, ID 83687 (208) 706-2663 Idaho Cottonwood 83522 Boyea, Steven NPI: 1588659866 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Latah Moscow 83843 Boyea, Steven NPI: 1588659866 2500 West A St Moscow, ID 83843 (208) 743-3523 Nez Perce Lewiston 83501 Boyea, Steven NPI: 1588659866 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Orthopaedic Surgery Ada Boise 83702 Chen, Qing-Min NPI: 1801038450 600 N Robbins Rd Ste 100 (208) 706-2663 Curtin, Michael NPI: 1447206065 1109 W Myrtle St Ste 200 (208) 706-2663 Kristensen, Ronald NPI: 1215948807 703 S Americana Blvd Ste 120 (208) 706-2663 Menzner, Jeffry NPI: 1487607198 600 N Robbins Rd Ste 100 (208) 706-2663 Menzner, Jeffry NPI: 1487607198 703 S Americana Blvd Ste 120 (208) 706-2663 Moore, Andrew NPI: 1780662999 600 N Robbins Rd Ste 100 (208) 706-2663 Robison, Jason NPI: 1801010541 600 N Robbins Rd Ste 401 (208) 706-2663 Robison, Jason NPI: 1801010541 600 N Robbins Rd Ste 100 (208) 706-2663 Showalter, Larry NPI: 1942211818 600 N Robbins Rd Ste 100 (208) 706-2663 Showalter, Larry NPI: 1942211818 703 S Americana Blvd Ste 120 (208) 706-2663 Smith, Carla NPI: 1336145721 600 N Robbins Rd Ste 100 (208) 706-2663 Smith, Carla NPI: 1336145721 703 S Americana Blvd Ste 120 (208) 706-2663 Waters, Stanley NPI: 1821046335 1673 W Shoreline Dr Ste 100 (208) 322-0485 Webb, Darby NPI: 1043226715 703 S Americana Blvd Ste 120 (208) 706-2663 Wells, Britton NPI: 1245210400 600 N Robbins Rd Ste 100 (208) 706-2663 Wells, Britton NPI: 1245210400 703 S Americana Blvd Ste 120 (208) 706-2663 83704 Chopp, Thomas NPI: 1720081060 8854 W Emerald Ste 102 (208) 323-4747 Goodwin, Thomas NPI: 1649208851 8854 W Emerald Ste 102 (208) 323-4747 Lynch, Joseph NPI: 1205944303 8854 W Emerald Ste 102 (208) 323-4747 83712 Showalter, Larry NPI: 1942211818 100 E Idaho St Ste 200 (208) 381-7122 126

Orthopaedic Surgery continued/seguido Meridian 83642 Chen, Qing-Min NPI: 1801038450 3399 E Louise Dr Ste 200 (208) 706-2663 Glover, Michael NPI: 1013235423 360 E Montvue Dr Ste 100 (208) 855-2900 Johnson, Jared NPI: 1891982559 520 S Eagle Rd Ste 3213 (208) 706-2663 Kristensen, Ronald NPI: 1215948807 520 S Eagle Rd Ste 3213 (208) 706-2663 Lawler, Christopher NPI: 1801801576 520 S Eagle Rd Ste 3213 (208) 706-2663 Manos, Richard NPI: 1356451249 360 E Montvue Dr Ste 100 (208) 855-2900 Menzner, Jeffry NPI: 1487607198 520 S Eagle Rd Ste 3213 (208) 706-2663 Moore, Andrew NPI: 1780662999 520 S Eagle Rd Ste 2209 (208) 706-2663 Neary, Kaitlin NPI: 1053609073 3399 E Louise Dr Ste 200 (208) 706-2663 Robison, Jason NPI: 1801010541 520 S Eagle Rd Ste 2209 (208) 706-2663 Showalter, Larry NPI: 1942211818 3399 E Louise Dr Ste 200 (208) 706-2663 Smith, Carla NPI: 1336145721 3399 E Louise Dr Ste 200 (208) 706-2663 Tadje, Jared NPI: 1821006289 520 S Eagle Rd (208) 706-5000 Cantonese Walker, Robert NPI: 1306856471 520 S Eagle Rd Ste 3213 (208) 706-2663 Webb, Darby NPI: 1043226715 520 S Eagle Rd Ste 3213 (208) 706-2663 Wells, Britton NPI: 1245210400 3399 E Louise Dr Ste 200 (208) 706-2663 Bannock Pocatello 83201 Allen, Benjamin NPI: 1750692752 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Altenburg, Aaron NPI: 1215145883 2240 E St (208) 233-2100 Coker, Steven NPI: 1942294624 560 Memorial Dr (208) 234-1960 Coker, Steven NPI: 1942294624 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Johnson, Robert DO ~* NPI: 1497069868 950 Hospital Way Ste A (208) 235-2277 Johnson, Robert DO ~* NPI: 1497069868 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Miller, Ryan DO ~* NPI: 1073877213 444 Hospital Wy Ste 710 (208) 235-4263 Newhouse, Kenneth NPI: 1265425789 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Richardson, Nathan NPI: 1790847978 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 83209 Coker, Steven NPI: 1942294624 921 S 8Th Ave Stop 8173 Pocatello, ID 83209 (208) 282-3408 Bear Lake Montpelier 83254 Nelson, Keith MD ~ NPI: 1245229954 165 S 5Th Montpelier, ID 83254 (208) 847-4421 Bingham Blackfoot 83221 Allen, Benjamin NPI: 1750692752 98 Poplar St (208) 785-4100 Coker, Steven NPI: 1942294624 98 Poplar St (208) 785-4100 127

Orthopaedic Surgery continued/seguido Fields, Gail DO ~* NPI: 1245236322 98 Poplar St (208) 785-2220 Johnson, Robert DO ~* NPI: 1497069868 98 Poplar St (208) 235-2277 Newhouse, Kenneth NPI: 1265425789 98 Poplar St (208) 235-2277 Pearson, Nicholas DO ~* NPI: 1205121357 98 Poplar St (208) 782-2980 Peterson, David DO ~* NPI: 1225234511 98 Poplar St (208) 785-2220 Selznick, Hugh NPI: 1053378836 98 Poplar St (208) 235-2277 Blaine Hailey 83333 Shapiro, Glen NPI: 1336283779 513 N Main St Hailey, ID 83333 (877) 754-6330 Ketchum 83340 Kinsler, Alison NPI: 1841488012 100 Hospital Dr Ste 105 Ketchum, ID 83340 (208) 726-5027 Kopplin, Matthew NPI: 1598850984 100 Hospital Dr Ste 105 Ketchum, ID 83340 (208) 726-5027 Bonneville Idaho Falls 83404 Garner, Benjamin DO ~* NPI: 1497913008 3200 Channing Way Ste A205 (208) 535-4580 Johnson, Robert DO ~* NPI: 1497069868 2375 E Sunnyside Rd Ste F (208) 535-3626 Newhouse, Kenneth NPI: 1265425789 2375 E Sunnyside Rd Ste F (208) 535-3626 Peterson, David DO ~* NPI: 1225234511 2375 E Sunnyside Rd Ste F (208) 535-3626 Redd, Brigham MD ~ NPI: 1144208059 3405 Merlin Dr (208) 522-3355 Russian West, Gregory NPI: 1912015074 2325 Coronado St (208) 785-2453 Canyon Caldwell 83605 Glover, Michael NPI: 1013235423 1906 Fairview Ave Ste 420 (208) 459-9177 Manos, Richard NPI: 1356451249 1906 Fairview Ave Ste 420 (208) 459-9177 Nampa 83686 Johnson, Jared NPI: 1891982559 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Kristensen, Ronald NPI: 1215948807 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Walker, Robert NPI: 1306856471 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Webb, Darby NPI: 1043226715 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 83687 Botimer, Gary MD ~ NPI: 1124018114 9850 W St Lukes Dr Ste 215 Nampa, ID 83687 (208) 706-2663 Glover, Michael NPI: 1013235423 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Johnson, Jared NPI: 1891982559 9850 W St Lukes Dr Nampa, ID 83687 (208) 706-2663 Lawyer, Tracye NPI: 1003170325 9850 W St Lukes Dr Ste 215 Nampa, ID 83687 (208) 706-2663 Manos, Richard NPI: 1356451249 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Franklin Preston 83263 Hicken, Gregory MD ~ NPI: 1225027931 44 N 1St E Preston, ID 83263 (208) 852-3662 128

Orthopaedic Surgery continued/seguido Gem Emmett 83617 Hines, Jerod NPI: 1760726897 1024 E Locust St Emmett, ID 83617 (208) 365-2338 Idaho Cottonwood 83522 Beardsley, Bryan NPI: 1104856087 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Hansen, Regan NPI: 1528053790 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Kootenai Coeur D'alene 83814 Brown, Scott DO ~* NPI: 1063635027 2003 Kootenai Health Way (208) 625-4000 Dunteman, Roger MD ~ NPI: 1740390137 2003 Kootenai Health Way (208) 625-4000 Keese, Gregory MD ~ NPI: 1316137862 2003 Kootenai Health Way (208) 625-4000 King, Jonathan MD ~ NPI: 1326034430 2003 Kootenai Health Way (208) 625-4000 Linthicum, Jonathan NPI: 1235345745 2121 Ironwood Dr (208) 625-4680 Linthicum, Jonathan NPI: 1235345745 1110 W Park Place Ste 202 (208) 625-6111 Mcinnis, Douglas MD ~ NPI: 1326151150 2003 Kootenai Health Way (208) 625-4000 Quinn, Connonr NPI: 1922203215 2121 Ironwood Dr (208) 625-4680 Quinn, Connonr NPI: 1922203215 1110 W Park Place Ste 202 (208) 625-6111 Sims, William MD ~ NPI: 1720191554 2003 Kootenai Health Way (208) 625-4000 Post Falls 83854 Bowen, Joseph NPI: 1003029034 1296 E Polston Ave Ste C (208) 625-6700 Linthicum, Jonathan NPI: 1235345745 1296 E Polston Ave Ste C (208) 625-6700 Quinn, Connonr NPI: 1922203215 1296 E Polston Ave Ste C (208) 625-6700 Latah Moscow 83843 Beardsley, Bryan NPI: 1104856087 2500 West A St Moscow, ID 83843 (208) 743-3523 Hansen, Regan NPI: 1528053790 2500 West A St Moscow, ID 83843 (208) 743-3523 Madison Rexburg 83440 Cleverley, Zackery PA ~* NPI: 1518476092 360 E Main St Rexburg, ID 83440 (208) 356-9550 Larson, Michael NPI: 1518960087 360 E Main St Rexburg, ID 83440 (208) 356-9550 Lee, Kevin NPI: 1518960079 360 E Main St Rexburg, ID 83440 (208) 356-9550 Torngren, Travis NPI: 1508086844 360 E Main St Rexburg, ID 83440 (208) 356-9550 Nez Perce Lewiston 83501 Beardsley, Bryan NPI: 1104856087 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Hansen, Regan NPI: 1528053790 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Oneida Malad City 83252 Bitner, Matthew NPI: 1467563866 150 N 200 W Malad City, ID 83252 (208) 766-2231 Twin Falls Twin Falls 83301 Dazley, Justin NPI: 1851531289 738 N College Rd Ste A (208) 814-7000 Johnson, Blake NPI: 1619913381 738 N College Rd Ste A (208) 814-7000 129

Orthopaedic Surgery continued/seguido May, William NPI: 1720016231 738 N College Rd Ste A (208) 814-7000 Mckee, R Tyler DO ~* NPI: 1306899646 738 N College Rd Ste A (208) 814-7000 Retmier, James NPI: 1609802339 738 N College Rd Ste A (208) 814-7000 Wright, Mark NPI: 1295778223 738 N College Rd Ste A (208) 814-7000 Valley Mccall 83638 Irvine, Gregory NPI: 1467454181 211 Forest St Mccall, ID 83638 (208) 630-2470 Washington Weiser 83672 Peterson, Randolph NPI: 1669461364 645 E 5Th St Weiser, ID 83672 (208) 549-0370 Orthopaedic Surgery Of The Spine Ada Boise 83702 King, Howard NPI: 1023029840 600 N Robbins Rd Ste 100 (208) 706-2663 Meridian 83642 Bradley, William NPI: 1245273382 360 E Montvue Dr Ste 100 (208) 855-2900 Jorgenson, Samuel NPI: 1962447169 360 E Montvue Dr Ste 100 (208) 855-2900 Bannock Pocatello 83201 Hansen, Stephen NPI: 1164491460 950 Hospital Wy Ste A (208) 478-4522, French Bingham Blackfoot 83221 Hansen, Stephen NPI: 1164491460 98 Poplar St (208) 785-4100, French Canyon Caldwell 83605 Bradley, William NPI: 1245273382 1906 Fairview Ave Ste 420 (208) 459-9177 Jorgenson, Samuel NPI: 1962447169 1906 Fairview Ave Ste 420 (208) 459-9177 Nampa 83687 Bradley, William NPI: 1245273382 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Jorgenson, Samuel NPI: 1962447169 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Idaho Cottonwood 83522 Dietrich, Gregory NPI: 1306831698 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Twin Falls Twin Falls 83301 Christensen, David NPI: 1922041961 1411 Falls Ave E Ste 1301 (208) 732-0067 Khmer, Laotian, Thai Otolaryngology Ada Boise 83703 Tubach, Martin NPI: 1982656591 6052 W State St Boise, ID 83703 (208) 947-1947 83704 Affleck, Brian NPI: 1386633824 900 N Liberty St Ste 400 (208) 367-3320 Jones, Arthur NPI: 1659354223 900 N Liberty St Ste 400 (208) 367-3320 Killian, Peter NPI: 1821048091 900 N Liberty St Ste 400 (208) 367-3320 Rustad, Todd NPI: 1306829973 900 N Liberty St Ste 400 (208) 367-3320 130

Otolaryngology continued/seguido Schwarz, Matthew NPI: 1992788434 900 N Liberty St Ste 400 (208) 367-3320 Van De Graaff, Ryan MD ~ NPI: 1619067436 900 N Liberty St Ste 400 (208) 367-3320 German 83712 Chaffin, Phillip NPI: 1134355225 100 E Idaho St Ste 200 (208) 381-9590 Robison, Jacob NPI: 1255596771 100 E Idaho St Ste 200 (208) 381-9590 Van De Graaff, Ryan MD ~ NPI: 1619067436 100 E Idaho St Ste 200 (208) 381-9590 German Meridian 83642 Affleck, Brian NPI: 1386633824 3277 E Louise Dr Ste 200 (208) 884-2920 Boyajian, John NPI: 1942205604 3085 E Magic View Dr Ste 140 (208) 433-9300 Bannock Pocatello 83201 Donaldson, David NPI: 1114914512 333 N 18Th Ave Ste B3 (208) 232-2146 Mcgee, Kraig NPI: 1821083544 333 N 18Th Ave Ste B3 (208) 232-2146 Bingham Blackfoot 83221 Donaldson, David NPI: 1114914512 98 Poplar St (208) 785-4100 Mcgee, Kraig NPI: 1821083544 98 Poplar St (208) 235-2277 Bonner Sandpoint 83864 Mccormick, Chad NPI: 1538165139 420 N 2Nd Ave Ste 300 Sandpoint, ID 83864 (208) 265-1991 Smith, Ian NPI: 1942347364 420 N 2Nd Ave Ste 300 Sandpoint, ID 83864 (208) 265-1991 Bonneville Idaho Falls 83404 Hanks, Kevin DO ~* NPI: 1215943295 1582 Elk Creek Dr (208) 542-5414 Canyon Nampa 83651 Boyajian, John NPI: 1942205604 1001 Caldwell Blvd Nampa, ID 83651 (208) 318-0146 83686 Affleck, Brian NPI: 1386633824 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Krammer Jr, Darrell NPI: 1326038571 1615 12Th Ave Rd C Ste C Nampa, ID 83686 (208) 467-2129 83687 Affleck, Brian NPI: 1386633824 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Affleck, Brian NPI: 1386633824 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Jones, Arthur NPI: 1659354223 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Rustad, Todd NPI: 1306829973 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Schwarz, Matthew NPI: 1992788434 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Van De Graaff, Ryan MD ~ NPI: 1619067436 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 German Gem Emmett 83617 Plummer, Patrick NPI: 1508848474 1202 E Locust St Emmett, ID 83617 (208) 365-3561 Kootenai Coeur D'alene 83814 Detar, Thomas MD ~ NPI: 1548265028 2003 Kootenai Health Way (208) 625-4000 131

Otolaryngology continued/seguido Gilbert, M Erik NPI: 1972508463 2003 Kootenai Health Way (208) 625-4000 Mccormick, Chad NPI: 1538165139 700 Ironwood Dr Ste 278 (208) 625-5160 Smith, Ian NPI: 1942347364 700 Ironwood Dr Ste 278 (208) 625-5160 Post Falls 83854 Beaton, Thomas NPI: 1285719708 750 N Syringa St Ste 203 (208) 209-6170 Tacia, Brandy DO ~* NPI: 1467667550 750 N Syringa St Ste 203A (208) 262-2717 Nez Perce Lewiston 83501 Burry, Jeffrey DO ~* NPI: 1275698367 330 Warner Dr Lewiston, ID 83501 (208) 746-0193 Pierce, Sennett DO ~* NPI: 1073824744 330 Warner Dr Lewiston, ID 83501 (208) 746-0193 Tieu, Coral NPI: 1649525585 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Payette Fruitland 83619 Boyajian, John NPI: 1942205604 1210 Nw 16Th St Fruitland, ID 83619 (208) 433-9300 Twin Falls Twin Falls 83301 Boyajian, John NPI: 1942205604 260 Falls Ave Ste B (208) 732-0700 Otolaryngology/ Facial Plastic Surgery Ada Boise 83704 Garner, Eric NPI: 1225011893 900 N Liberty St Ste 400 (208) 367-3320 83713 Rodgers, Bret NPI: 1396763272 6077 N Eagle Rd Boise, ID 83713 (208) 939-9000 Blaine Ketchum 83340 Mayes, Russell DO ~* NPI: 1316162704 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Bonneville Idaho Falls 83404 Capener, Mark NPI: 1750489100 2065 E 17Th St Ste B (208) 524-7244 Canyon Nampa 83687 Garner, Eric NPI: 1225011893 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Madison Rexburg 83440 Mcmaster, Jay DO ~* NPI: 1972537892 256 N 2Nd E Rexburg, ID 83440 (208) 656-9646 Portuguese Peterson, Barry DO ~* NPI: 1447456272 256 N 2Nd E Rexburg, ID 83440 (208) 656-9646 Twin Falls Twin Falls 83301 Mayes, Russell DO ~* NPI: 1316162704 730 N College Rd Ste B (208) 814-7350 Peterson, Kylan DO ~* NPI: 1750542452 730 N College Rd Ste B (208) 814-7350 Oxygen Equipment & Supplies Ada Boise 83702 Norco Inc ~* NPI: 1902960396 400 Main St (208) 344-0299 83704 Cpapnow ~* NPI: 1518066414 6128 W Fairview Ave Ste 1A (208) 287-1733 83713 Apria Healthcare Llc ~* NPI: 1437485703 11880 W President Dr Ste E Boise, ID 83713 (208) 322-2372 132

Oxygen Equipment & Supplies continued/seguido Meridian 83642 Medicap Pharmacy ~* NPI: 1760597793 2790 W Cherry Ln Ste 100 (208) 805-1070 83646 Norco Inc ~* NPI: 1821158692 2882 N Ealgle Rd Meridian, ID 83646 (208) 898-0202 Bannock Chubbuck 83202 Apria Healthcare Llc ~* NPI: 1891704300 227 Bluegill Ln Chubbuck, ID 83202 (208) 237-7940 Norco Inc ~* NPI: 1659432375 4639 Yellowstone Hwy Chubbuck, ID 83202 (208) 478-9100 Pocatello 83201 Shaver Pharmacy & Compounding ~* NPI: 1043372048 235 S 4Th Ave (208) 232-7750 83204 Maag Prescription Llc ~* NPI: 1669512257 333 W St Pocatello, ID 83204 (208) 233-2063 Bingham Blackfoot 83221 Norco Inc ~* NPI: 1174890628 1350 Parkway Dr 26 (208) 782-0456 Bonneville Idaho Falls 83404 Apria Healthcare Llc ~* NPI: 1720192834 2222 Teton Plz (208) 523-0300 Norco Inc ~* NPI: 1558425165 3908 Washington Pkwy (208) 552-3113 Canyon Caldwell 83605 Norco Inc ~* NPI: 1932263597 1906 Fairview Ave Ste 100 (208) 402-0100 Nampa 83687 Norco Inc ~* NPI: 1932269735 150 Shannon Dr Nampa, ID 83687 (208) 467-3070 Cassia Burley 83318 Norco Inc ~* NPI: 1104986983 198 N Overland Burley, ID 83318 (208) 678-8558 Elmore Mountain Home 83647 Norco Inc ~* NPI: 1326109059 1405 American Legion Blvd Mountain Home, ID 83647 (208) 587-1177 Idaho Grangeville 83530 Norco Inc ~* NPI: 1619031234 329 W Main Grangeville, ID 83530 (208) 983-0390 Kootenai Coeur D'alene 83815 Apria Healthcare Llc ~* NPI: 1578586756 2944 N Government Wy Coeur D'alene, ID 83815 (208) 667-1195 Latah Moscow 83843 Norco Inc ~* NPI: 1225192859 223 W 3Rd St Moscow, ID 83843 (208) 882-3571 Lemhi Salmon 83467 Apria Healthcare Llc ~* NPI: 1700995883 818 Main St Stes H And I Salmon, ID 83467 (208) 756-4794 Madison Rexburg 83440 Norco Inc ~* NPI: 1487921839 146 N 2Nd E Rexburg, ID 83440 (208) 356-7913 Nez Perce Lewiston 83501 Norco Inc ~* NPI: 1073674792 863 Main St Lewiston, ID 83501 (208) 743-8384 Twin Falls Twin Falls 83301 Norco Inc ~* NPI: 1487715199 330 N Haven Dr (208) 734-9330 Snake River Medical Services Inc ~* NPI: 1124193040 452 Cheney Dr W Ste 170 (208) 735-2252 133

Pain - Anesthesiology Ada Boise 83702 Binegar, William NPI: 1457393811 301 W Myrtle St (208) 342-8200 Thompson, Sandra NPI: 1326085713 633 N 4Th St (208) 342-9800 Benewah Saint Maries 83861 Ispirescu, Jeffrey NPI: 1952345241 229 S 7Th Ave Saint Maries, ID 83861 (208) 965-8128 Bonner Sandpoint 83864 Ispirescu, Jeffrey NPI: 1952345241 1327 Superior St Ste 101 Sandpoint, ID 83864 (208) 263-9757 Bonneville Idaho Falls 83404 Poston, Jason NPI: 1457527772 3385 Potomac Way (208) 535-4343 Canyon Caldwell 83605 Thompson, Sandra NPI: 1326085713 1825 S Kimball Ave (208) 455-3535 Kootenai Coeur D'alene 83814 Ispirescu, Jeffrey NPI: 1952345241 1686 W Riverstone Dr Ste 1 (208) 765-4807 Magnuson, Scott NPI: 1174593404 1686 W Riverstone Dr Ste 1 (208) 765-4807 Pain - Physical & Rehabilitation Ada Boise 83702 Mallari, Clinton NPI: 1154345585 115 W Main St Ste 102 (208) 342-4700 83704 Marsh, Daniel NPI: 1356377535 8950 W Emerald St Ste 168 (208) 947-7246 Meridian 83642 Rogers, Beth NPI: 1427151539 360 E Montvue Dr Ste 100 (208) 855-2900 Bannock Pocatello 83201 Hill, Kevin NPI: 1780769075 777 Hospital Wy G15 (208) 239-2722 Canyon Caldwell 83605 Marsh, Daniel NPI: 1356377535 409 E Elm St (208) 947-7246 Nampa 83687 Rogers, Beth NPI: 1427151539 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Gem Emmett 83617 Mallari, Clinton NPI: 1154345585 1202 E Locust St Emmett, ID 83617 (208) 342-4700 Parenteral & Enteral Nutrition Supplies Ada Boise 83702 Norco Inc ~* NPI: 1902960396 400 Main St (208) 344-0299 83713 Apria Healthcare Llc ~* NPI: 1437485703 11880 W President Dr Ste E Boise, ID 83713 (208) 322-2372 Meridian 83646 Norco Inc ~* NPI: 1821158692 2882 N Ealgle Rd Meridian, ID 83646 (208) 898-0202 Bannock Chubbuck 83202 Apria Healthcare Llc ~* NPI: 1891704300 227 Bluegill Ln Chubbuck, ID 83202 (208) 237-7940 Norco Inc ~* NPI: 1659432375 4639 Yellowstone Hwy Chubbuck, ID 83202 (208) 478-9100 134

Parenteral & Enteral Nutrition Supplies continued/seguido Pocatello 83201 Shaver Pharmacy & Compounding ~* NPI: 1043372048 235 S 4Th Ave (208) 232-7750 Bingham Blackfoot 83221 Norco Inc ~* NPI: 1174890628 1350 Parkway Dr 26 (208) 782-0456 Bonneville Idaho Falls 83404 Apria Healthcare Llc ~* NPI: 1720192834 2222 Teton Plz (208) 523-0300 Norco Inc ~* NPI: 1558425165 3908 Washington Pkwy (208) 552-3113 Canyon Caldwell 83605 Norco Inc ~* NPI: 1932263597 1906 Fairview Ave Ste 100 (208) 402-0100 Nampa 83687 Norco Inc ~* NPI: 1932269735 150 Shannon Dr Nampa, ID 83687 (208) 467-3070 Cassia Burley 83318 Norco Inc ~* NPI: 1104986983 198 N Overland Burley, ID 83318 (208) 678-8558 Elmore Mountain Home 83647 Norco Inc ~* NPI: 1326109059 1405 American Legion Blvd Mountain Home, ID 83647 (208) 587-1177 Idaho Grangeville 83530 Norco Inc ~* NPI: 1619031234 329 W Main Grangeville, ID 83530 (208) 983-0390 Jerome Jerome 83338 R & R Pharmacy ~* NPI: 1952645285 133 West Avenue A Jerome, ID 83338 (208) 324-3784 Kootenai Coeur D'alene 83815 Apria Healthcare Llc ~* NPI: 1578586756 2944 N Government Wy Coeur D'alene, ID 83815 (208) 667-1195 Latah Moscow 83843 Norco Inc ~* NPI: 1225192859 223 W 3Rd St Moscow, ID 83843 (208) 882-3571 Lemhi Salmon 83467 Apria Healthcare Llc ~* NPI: 1700995883 818 Main St Stes H And I Salmon, ID 83467 (208) 756-4794 Madison Rexburg 83440 Norco Inc ~* NPI: 1487921839 146 N 2Nd E Rexburg, ID 83440 (208) 356-7913 Nez Perce Lewiston 83501 Norco Inc ~* NPI: 1073674792 863 Main St Lewiston, ID 83501 (208) 743-8384 Twin Falls Twin Falls 83301 Norco Inc ~* NPI: 1487715199 330 N Haven Dr (208) 734-9330 Pediatric Rehabilitation Bonneville Idaho Falls 83404 Gooch, Judith NPI: 1437268588 3101 Valencia Dr (208) 522-7246 Gooch, Judith NPI: 1437268588 2375 Sunnyside Rd Ste J (208) 535-4343 Madison Rexburg 83440 Gooch, Judith NPI: 1437268588 360 E Main St Rexburg, ID 83440 (208) 656-0055 135

Pediatrics Canyon Nampa 83686 Freeman, John NPI: 1437279031 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Personal Care Services Ada Boise 83704 Addus Homecare Boise Nampa ~ NPI: 1699198242 545 N Benjamin Ln Ste 125 (208) 342-1222 Canyon Nampa 83651 Addus Homecare Boise Nampa ~ NPI: 1699198242 1605 N Parkcentre Pl Nampa, ID 83651 (208) 467-5700 Kootenai Coeur D'alene 83814 Comfort Keepers Inc ~ NPI: 1144626185 820 E Best Ave (208) 765-9511 Twin Falls Twin Falls 83301 Addus Homecare Twin Falls ~ NPI: 1356758171 164 River Vista Pl (208) 733-9100 Physical & Rehabilitation Ada Boise 83702 Friedman, Robert NPI: 1457337446 600 N Robbins Rd Ste 300 (208) 489-4016 Friedman, Robert NPI: 1457337446 600 N Robbins Rd Entrance 1 Floor 2 (208) 381-9375 Greenwald, Nancy NPI: 1831175819 600 N Robbins Rd Ste 300 (208) 489-4016 Gussner, Christian NPI: 1063498954 600 N Robbins Rd Ste 300 (208) 489-4016 Harris, Mark NPI: 1790825842 600 N Robbins Rd Ste 300 (208) 489-4016 Mildenstein, Kurt NPI: 1619238276 600 N Robbins Rd Ste 300 (208) 489-4016 Moore, Monte NPI: 1023094901 600 N Robbins Rd Ste 300 (208) 489-4016 Quattrone, Barbara NPI: 1093791972 600 N Robbins Rd Ste 300 (208) 489-4016 Sant, Michael NPI: 1861478752 600 N Robbins Rd Ste 300 (208) 489-4016 Weiss, Michael NPI: 1174574271 703 S Americana Blvd Ste 130 (208) 706-7500 Albanian 83704 Whitaker, James DO ~* NPI: 1750692562 9510 W Fairview Ave (208) 322-5922 83712 Friedman, Robert NPI: 1457337446 100 E Idaho St Ste 200 (208) 381-7122 Kuna 83634 Whitaker, James DO ~* NPI: 1750692562 1619 N Linder Rd Kuna, ID 83634 (208) 322-5922 Meridian 83642 Friedman, Robert NPI: 1457337446 3551 E Overland Rd (208) 884-1333 Greenwald, Nancy NPI: 1831175819 3551 E Overland Rd (208) 884-1333 Gussner, Christian NPI: 1063498954 3551 E Overland Rd (208) 884-1333 Harris, Mark NPI: 1790825842 3551 E Overland Rd (208) 884-1333 Keel, Amanda NPI: 1063491231 520 S Eagle Rd Ste 1243 (208) 333-2225 Mildenstein, Kurt NPI: 1619238276 3551 E Overland Rd (208) 884-1333 Moore, Monte NPI: 1023094901 3551 E Overland Rd (208) 884-1333 Quattrone, Barbara NPI: 1093791972 3551 E Overland Rd (208) 884-1333 136

Physical & Rehabilitation continued/seguido Sant, Michael NPI: 1861478752 3551 E Overland Rd (208) 884-1333 Bannock Pocatello 83201 Simon, David NPI: 1518908581 777 Hospital Wy (208) 239-1417 Bingham Blackfoot 83221 Bilstrom, David NPI: 1972599132 326 Poplar St (208) 782-2980 Bonneville Idaho Falls 83404 Balbierz, Janet NPI: 1437113339 3614 Washington Pkwy (208) 535-4343 Gooch, Judith NPI: 1437268588 3101 Valencia Dr (208) 522-7246 Gooch, Judith NPI: 1437268588 2375 Sunnyside Rd Ste J (208) 535-4343 Hedin, Tyler NPI: 1497012637 3101 Valencia Dr (208) 522-7246 Hedin, Tyler NPI: 1497012637 2375 Sunnyside Rd Ste J (208) 535-4343 Simon, David NPI: 1518908581 2375 Sunnyside Rd Ste A (208) 535-4343 Franklin Preston 83263 Novich-Welter, Lorraine NPI: 1497741383 44 N 100 E Preston, ID 83263 (208) 852-0137 Novich-Welter, Lorraine NPI: 1497741383 44 N 1St E Preston, ID 83263 (435) 554-1949 Kootenai Coeur D'alene 83814 Cooper, Natalie NPI: 1104138247 2120 W Ironwood Dr (208) 625-6944 Cooper, Natalie NPI: 1104138247 2003 Kootenai Health Way (208) 625-4000 Post Falls 83854 Buckalew, Neilly NPI: 1811214786 3372 E Jenalan Ave (818) 999-3260 Ferrell, Timmy NPI: 1467563460 3372 E Jenalan Ave (818) 999-3260 Madison Rexburg 83440 Balbierz, Janet NPI: 1437113339 360 E Main St Rexburg, ID 83440 (208) 656-0055 Gooch, Judith NPI: 1437268588 360 E Main St Rexburg, ID 83440 (208) 656-0055 Hedin, Tyler NPI: 1497012637 360 E Main St Rexburg, ID 83440 (208) 656-0055 Vlach, Sarah MD ~ NPI: 1326002221 360 E Main St Rexburg, ID 83440 (208) 656-0055 Twin Falls Twin Falls 83301 Jensen, David DO ~* NPI: 1407808983 714 N College Rd Ste A (208) 814-7150 Myers, Jonathan NPI: 1346436367 738 N College Rd Ste C (208) 814-7100 Ziebarth, Jessica DO ~* NPI: 1467747618 738 N College Rd Ste C (208) 814-7100 Physical Therapist Ada Boise 83702 Aberg, Jason PT ~* NPI: 1982611836 1673 W Shoreline Dr Ste 230 (208) 343-4700 Ackerman, Jerrod PT ~* NPI: 1487067005 1520 W State St Ste 210 (208) 336-8433 Anderson, David PT ~* NPI: 1265870117 1673 W Shoreline Dr Ste 230 (208) 343-4700 Barbero, Paige PT ~* NPI: 1063847259 1520 W State St Ste 210 (208) 336-8433 Barnes, Nicole PT ~* NPI: 1871769307 1520 W State St Ste 210 (208) 336-8433 137

Physical Therapist continued/seguido Barnes, Robert PT ~* NPI: 1912974650 1520 W State St Ste 210 (208) 336-8433 Bastian, Bret PT ~* NPI: 1760798375 1673 W Shoreline Dr Ste 230 (208) 343-4700 Brunelle, Tommy Jo PT ~* NPI: 1730356510 1673 W Shoreline Dr Ste 230 (208) 343-4700 Comley, Tayler PT ~* NPI: 1649714163 1520 W State St Ste 210 (208) 336-8433 Crawford, Jacob PT ~* NPI: 1346764701 1673 W Shoreline Dr Ste 230 (208) 343-4700 Crowe, Christopher PT ~* NPI: 1750871422 1673 W Shoreline Dr Ste 230 (208) 343-4700 Devitt, Michael PT ~* NPI: 1851455794 1150 W State St Ste 301 (208) 367-1528 Duke, Catherine PT ~* NPI: 1114363199 1520 W State St Ste 210 (208) 336-8433 Dunn, Julie PT ~* NPI: 1861840662 1520 W State St Ste 210 (208) 336-8433 Dupont, Corey PT ~* NPI: 1639334279 1520 W State St Ste 210 (208) 336-8433 English, Mindy PT ~* NPI: 1093156689 1520 W State St Ste 210 (208) 336-8433 Fisher, Naomi PT ~* NPI: 1669962767 1520 W State St Ste 210 (208) 336-8433 Fox, Christopher ~* NPI: 1033527767 1673 W Shoreline Dr Ste 230 (208) 343-4700 Gerhart, Monica PT ~* NPI: 1326140468 1150 W State St Ste 301 (208) 367-1528 Green, Kari PT ~* NPI: 1356858609 1520 W State St Ste 210 (208) 336-8433 Hammer, James PT ~* NPI: 1245494269 1673 W Shoreline Dr Ste 230 (208) 343-4700 Hopstad, Jerret PT ~* NPI: 1083620553 1673 W Shoreline Dr Ste 230 (208) 343-4700 Kent, Dylan PT ~* NPI: 1376919548 1673 W Shoreline Dr Ste 230 (208) 343-4700 Kutzner, Kimberly PT ~* NPI: 1407123102 2302 N Bogus Basin Rd Ste C (208) 344-0737 Lubbers, Ali PT ~* NPI: 1972911196 2302 N Bogus Basin Rd Ste C (208) 344-0737 Martin, Pamela PT ~* NPI: 1154380293 1673 W Shoreline Dr Ste 230 (208) 343-4700 Mcgrath, Shannon PT ~* NPI: 1609375187 1520 W State St Ste 210 (208) 336-8433 Moss, Mark PT ~* NPI: 1891050068 1520 W State St Ste 210 (208) 336-8433 Portuguese Oneal, Brian PT ~* NPI: 1093970675 1673 W Shoreline Dr Ste 230 (208) 343-4700 Reid, Collin PT ~* NPI: 1124477716 1520 W State St Ste 210 (208) 336-8433 Scanlan, Stacey PT ~* NPI: 1689756603 2302 N Bogus Basin Rd Ste C (208) 344-0737 Swan, Lisa PT ~* NPI: 1275603086 1673 W Shoreline Dr Ste 230 (208) 343-4700 Thatcher, Jody PT ~* NPI: 1881759645 2302 N Bogus Basin Rd Ste C (208) 344-0737 Wagner, Lynsey PT ~* NPI: 1477895498 1520 W State St Ste 210 (208) 336-8433 Wegley, Roger PT ~* NPI: 1306829254 1520 W State St Ste 210 (208) 336-8433 Weiderman, Brian PT ~* NPI: 1831419332 1520 W State St Ste 210 (208) 336-8433 Whitworth, Kala PT ~* NPI: 1619283975 1520 W State St Ste 210 (208) 336-8433 138

Physical Therapist continued/seguido Woods, Nicholaus PT ~* NPI: 1790792646 1673 W Shoreline Dr Ste 230 (208) 343-4700 83703 Kolesar, Lisa PT ~* NPI: 1376500124 5909 W State St Boise, ID 83703 (208) 343-7700 Kosberg, Paula PT ~* NPI: 1770878779 5909 W State St Boise, ID 83703 (208) 343-7700 Langley, Randall PT ~* NPI: 1598852139 5470 W State St Boise, ID 83703 (208) 344-2525 Lowe, Heather PT ~* NPI: 1861711764 5909 W State St Boise, ID 83703 (208) 343-7700 Peppley, Anthony PT ~* NPI: 1144335860 5470 W State St Boise, ID 83703 (208) 344-2525 Thompson, Julia PT ~ NPI: 1467513895 5909 W State St Boise, ID 83703 (208) 343-7700 Tormey, Rebecca PT ~* NPI: 1417224460 5909 W State St Boise, ID 83703 (208) 343-7700 Tracy, Ian PT ~* NPI: 1134643885 5470 W State St Boise, ID 83703 (208) 344-2525 Troxler, Josette PT ~* NPI: 1295063113 5909 W State St Boise, ID 83703 (208) 343-7700 Winn, Esther PT ~* NPI: 1649778978 5909 W State St Boise, ID 83703 (208) 343-7700 83704 Allred, Jason PT ~* NPI: 1417998162 554 N Steelhead Wy Ste 162 (208) 323-9747 Anttonen, Heidi PT ~* NPI: 1538136163 554 N Steelhead Wy Ste 162 (208) 323-9747 Baker, Carmen PT ~* NPI: 1235208463 8660 W Emerald St Ste 112 (208) 321-7831 Birnbaum, Susan PT ~* NPI: 1245590686 554 N Steelhead Wy Ste 162 (208) 323-9747 Hansen, Christopher PT ~* NPI: 1346533478 8950 W Emerald St Ste 150 (208) 376-7313 Holgate, Brian PT ~* NPI: 1629312269 554 N Steelhead Wy Ste 162 (208) 323-9747 Horton, Mary PT ~* NPI: 1154773604 554 N Steelhead Wy Ste 162 (208) 323-9747 Huntington, Alexandra ~* NPI: 1609235415 554 N Steelhead Wy Ste 162 (208) 323-9747 Mcdermott, Brian PT ~* NPI: 1649506502 7550 W Emerald St Ste 101 (208) 375-0666 Miller, James PT ~* NPI: 1942460845 554 N Steelhead Wy Ste 162 (208) 323-9747 Moffett, Katrin PT ~* NPI: 1568892081 8660 W Emerald St Ste 112 (208) 321-7831 Ray, David PT ~* NPI: 1386685493 8854 W Emerald St Ste 280 (208) 377-5005 Schnell, Sandra PT ~* NPI: 1194870527 554 N Steelhead Wy Ste 162 (208) 323-9747 Starcher, Christine ~* NPI: 1740459130 554 N Steelhead Wy Ste 162 (208) 323-9747 Wilson, Ashley PT ~* NPI: 1750715157 8854 W Emerald St Ste 280 (208) 377-5005 83705 Basse, Andrea PT ~* NPI: 1356756290 5255 Overland Rd Boise, ID 83705 (208) 338-9486 Chow, Bridget PT ~* NPI: 1063418796 5255 Overland Rd Boise, ID 83705 (208) 338-9486 Dover, Twila PT ~* NPI: 1538165170 5255 Overland Rd Boise, ID 83705 (208) 338-9486 Mcmartin, William ~* NPI: 1568904274 5255 Overland Rd Boise, ID 83705 (208) 338-9486 Richards, Candace PT ~* NPI: 1356534218 5255 Overland Rd Boise, ID 83705 (208) 338-9486 83706 Ackerman, Jerrod PT ~* NPI: 1487067005 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 139

Physical Therapist continued/seguido Axtell, April PT ~* NPI: 1841606167 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Fisher, Naomi PT ~* NPI: 1669962767 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Wagner, Lynsey PT ~* NPI: 1477895498 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Cope, Adam PT ~* NPI: 1811081896 10790 W Overland Rd Boise, ID 83709 (208) 322-8709 Barnes, Nicole PT ~* NPI: 1871769307 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Booth, Matthew PT ~* NPI: 1265416291 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Brinkman, Kenna PT ~* NPI: 1922452614 1961 S Broadway Boise, ID 83706 (208) 422-9826 Comley, Tayler PT ~* NPI: 1649714163 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Duke, Catherine PT ~* NPI: 1114363199 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Dunn, Julie PT ~* NPI: 1861840662 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Dupont, Corey PT ~* NPI: 1639334279 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 English, Mindy PT ~* NPI: 1093156689 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Langley, Randall PT ~* NPI: 1598852139 1175 E Parkcenter Blvd Ste 104 Boise, ID 83706 (208) 344-2525 Maleki, Samir PT ~* NPI: 1184004764 1961 S Broadway Boise, ID 83706 (208) 422-9826 Mcgrath, Shannon PT ~* NPI: 1609375187 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Moss, Mark PT ~* NPI: 1891050068 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Portuguese Peppley, Anthony PT ~* NPI: 1144335860 1175 E Parkcenter Blvd Ste 104 Boise, ID 83706 (208) 344-2525 Reid, Collin PT ~* NPI: 1124477716 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Tracy, Ian PT ~* NPI: 1134643885 1175 E Parkcenter Blvd Ste 104 Boise, ID 83706 (208) 344-2525 Wegley, Roger PT ~* NPI: 1306829254 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 Weiderman, Brian PT ~* NPI: 1831419332 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 White, Brian PT ~* NPI: 1477657468 1907 S Broadway Ave Ste 203 Boise, ID 83706 (208) 422-9826 Whitworth, Kala PT ~* NPI: 1619283975 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 433-9211 83709 Barney, Alexander PT ~* NPI: 1386193035 10790 W Overland Rd Boise, ID 83709 (208) 322-8709 Box, Jeffrey PT ~* NPI: 1104928258 1435 S Maple Grove Rd Boise, ID 83709 (208) 322-6200 Colby, Michael PT ~ NPI: 1407140940 10790 W Overland Rd Boise, ID 83709 (208) 322-8709 Herauf, Kyle PT ~* NPI: 1609208156 1435 S Maple Grove Rd Boise, ID 83709 (208) 322-6200 Jones, Alvin PT ~* NPI: 1437187663 9362 W Overland Rd Boise, ID 83709 (208) 672-8144 Kuznia, Benjamin PT ~* NPI: 1144518937 10790 W Overland Rd Boise, ID 83709 (208) 322-8709 83712 Mason, Robert PT ~* NPI: 1114308046 1075 E Park Blvd (208) 381-5970 Sternke, Alice PT ~ NPI: 1104879261 1785 Danmore Dr (208) 343-1173 83713 Cope, Adam PT ~* NPI: 1811081896 5520 N Eagle Rd Ste 102 Boise, ID 83713 (208) 938-5255 Graham, Sarah PT ~* NPI: 1386758464 5418 N Eagle Rd Ste 170 Boise, ID 83713 (208) 501-8264 140

Physical Therapist continued/seguido Kuznia, Benjamin PT ~* NPI: 1144518937 5520 N Eagle Rd Ste 102 Boise, ID 83713 (208) 938-5255 Candau, Matthew PT ~* NPI: 1457746067 450 W State St Ste 270 Eagle, ID 83616 (925) 856-7007 Graham, Sarah PT ~* NPI: 1386758464 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Langley, Randall PT ~* NPI: 1598852139 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Maughan, Kyle PT ~* NPI: 1689088726 4776 N Five Mile Rd Ste 101 Boise, ID 83713 (208) 658-9500 Oliver, Samantha PT ~* NPI: 1821439019 5418 N Eagle Rd Ste 170 Boise, ID 83713 (208) 501-8264 Collins, Gina PT ~* NPI: 1871678037 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Comley, Tayler PT ~* NPI: 1649714163 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 Green, Kari PT ~* NPI: 1356858609 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 Hammer, James PT ~* NPI: 1245494269 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Lougheed, Christopher PT ~* NPI: 1760627038 77 N Fisher Park Wy Eagle, ID 83616 (208) 972-0918 Martin, Pamela PT ~* NPI: 1154380293 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Zacher, Tyler PT ~* NPI: 1437564895 5520 N Eagle Rd Ste 102 Boise, ID 83713 (208) 938-5255 Crawford, Jacob PT ~* NPI: 1346764701 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Herauf, Kyle PT ~* NPI: 1609208156 875 E Plaza Dr Eagle, ID 83616 (208) 939-0886 Mason, Robert PT ~* NPI: 1114308046 875 E Plaza Dr Eagle, ID 83616 (208) 939-0886 Zerr, Katie PT ~ NPI: 1285076398 5418 N Eagle Rd Ste 170 Boise, ID 83713 (208) 501-8264 Eagle 83616 Aberg, Jason PT ~* NPI: 1982611836 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Anderson, David PT ~* NPI: 1265870117 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Bastian, Bret PT ~* NPI: 1760798375 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Crowe, Christopher PT ~* NPI: 1750871422 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Dunn, Julie PT ~* NPI: 1861840662 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 Fox, Christopher ~* NPI: 1033527767 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Foxton, Emily PT ~* NPI: 1538684915 77 N Fisher Park Wy Eagle, ID 83616 (208) 972-0918 Hopstad, Jerret PT ~* NPI: 1083620553 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Horton, Mary PT ~* NPI: 1154773604 868 E Riverside Dr Ste 170 Eagle, ID 83616 (208) 514-0670 Kent, Dylan PT ~* NPI: 1376919548 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Korell, Khristopher PT ~* NPI: 1336433184 1159 E Iron Eagle Dr Ste 170D Eagle, ID 83616 (208) 209-3242 Moss, Mark PT ~* NPI: 1891050068 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 Portuguese Oneal, Brian PT ~* NPI: 1093970675 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Peppley, Anthony PT ~* NPI: 1144335860 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Reid, Collin PT ~* NPI: 1124477716 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 141

Physical Therapist continued/seguido Scott, Lauren PT ~* NPI: 1437266723 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Shatto, Benjamin RPT ~* NPI: 1609960947 1396 E Iron Eagle Dr Ste 100 Eagle, ID 83616 (208) 870-3350 Simonson, Jared PT ~* NPI: 1194001297 77 N Fisher Park Wy Eagle, ID 83616 (208) 972-0918 Swan, Lisa PT ~* NPI: 1275603086 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Thomason, Jeffrey PT ~* NPI: 1538253752 875 E Plaza Dr Eagle, ID 83616 (208) 939-0886 Tracy, Ian PT ~* NPI: 1134643885 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Weiderman, Brian PT ~* NPI: 1831419332 12 N Fisher Park Wy Ste 100 Eagle, ID 83616 (208) 939-0140 Woods, Nicholaus PT ~* NPI: 1790792646 645 E State St Ste 101 Eagle, ID 83616 (208) 939-9594 Yuly, Steven PT ~* NPI: 1679669436 457 S Fitness Pl Ste 100 Eagle, ID 83616 (208) 939-3332 Garden City 83714 Vanderford, Christian PT ~* NPI: 1770747404 210 E 37Th St Ste 1 Garden City, ID 83714 (208) 255-8364 Kuna 83634 Bailey, Greg PT ~* NPI: 1215220587 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Box, Jeffrey PT ~* NPI: 1104928258 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-9828 Boynton, Andrew NPI: 1356841050 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Danielson, Galen PT ~* NPI: 1225123599 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Haugen, Cody PT ~* NPI: 1750759205 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-9828 Hulsey, Kevin PT ~* NPI: 1114012788 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Hunsaker, Nathan PT ~* NPI: 1871687970 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Muir, James PT ~* NPI: 1558794552 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Peterson, Kimberlee PT ~* NPI: 1992807036 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-9828 Rowan, Andrea PT ~* NPI: 1669823464 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Shaw, Clayton PT ~* NPI: 1245586270 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 Vanderford, Christian PT ~* NPI: 1770747404 943 N Linder Rd Ste 104 Kuna, ID 83634 (208) 922-1719 White, Brian PT ~* NPI: 1477657468 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634 (208) 922-9828 Meridian 83642 Aberg, Jason PT ~* NPI: 1982611836 1618 S Millennium Wy Ste 210 (208) 884-4647 Ackerman, Jerrod PT ~* NPI: 1487067005 3645 E Overland Rd (208) 888-7765 Adams, Robert PT ~* NPI: 1881775633 2316 S Eagle Rd (208) 286-2707 Anderson, David PT ~* NPI: 1265870117 1618 S Millennium Wy Ste 210 (208) 884-4647 Barbero, Paige PT ~* NPI: 1063847259 3645 E Overland Rd (208) 888-7765 Barnes, Nicole PT ~* NPI: 1871769307 3645 E Overland Rd (208) 888-7765 Barnes, Robert PT ~* NPI: 1912974650 3645 E Overland Rd (208) 888-7765 Bastian, Bret PT ~* NPI: 1760798375 1618 S Millennium Wy Ste 210 (208) 884-4647 142

Physical Therapist continued/seguido Booth, Matthew PT ~* NPI: 1265416291 3645 E Overland Rd (208) 888-7765 Box, Jeffrey PT ~* NPI: 1104928258 1450 E Fairview Ave Ste 201 (208) 887-6757 Comley, Tayler PT ~* NPI: 1649714163 3645 E Overland Rd (208) 888-7765 Cope, Adam PT ~* NPI: 1811081896 3551 E Overland Rd (208) 888-3900 Crawford, Jacob PT ~* NPI: 1346764701 1618 S Millennium Wy Ste 210 (208) 884-4647 Crothers, Alan PT ~* NPI: 1497976401 1618 S Millennium Wy Ste 210 (208) 884-4647 Duke, Catherine PT ~* NPI: 1114363199 3645 E Overland Rd (208) 888-7765 Dunn, Julie PT ~* NPI: 1861840662 3645 E Overland Rd (208) 888-7765 Dupont, Corey PT ~* NPI: 1639334279 3645 E Overland Rd (208) 888-7765 English, Mindy PT ~* NPI: 1093156689 3645 E Overland Rd (208) 888-7765 Fisher, Naomi PT ~* NPI: 1669962767 3645 E Overland Rd (208) 888-7765 Folger, Kristen PT ~* NPI: 1780052720 2316 S Eagle Rd (208) 286-2707 Fox, Christopher ~* NPI: 1033527767 1618 S Millennium Wy Ste 210 (208) 884-4647 Green, Kari PT ~* NPI: 1356858609 3645 E Overland Rd (208) 888-7765 Hammer, James PT ~* NPI: 1245494269 1618 S Millennium Wy Ste 210 (208) 884-4647 Henderson, Heather PT ~* NPI: 1396070538 1626 S Wells Ave Ste 105 (208) 789-0200 Hopstad, Jerret PT ~* NPI: 1083620553 1618 S Millennium Wy Ste 210 (208) 884-4647 Kibiloski, Sarah PT ~* NPI: 1750833927 1618 S Millennium Wy Ste 210 (208) 884-4647 Kolesar, Lisa PT ~* NPI: 1376500124 2690 S Eagle Rd Ste 100 (208) 898-1468 Kolesar, Lisa PT ~* NPI: 1376500124 3919 E Overland Rd (208) 898-1468 Kosberg, Paula PT ~* NPI: 1770878779 2690 S Eagle Rd Ste 100 (208) 898-1468 Kuznia, Benjamin PT ~* NPI: 1144518937 3551 E Overland Rd (208) 888-3900 Loder Hodge, Molly PT ~* NPI: 1588915797 360 E Montvue Dr Ste 100 (208) 855-2900 Lowe, Heather PT ~* NPI: 1861711764 2690 S Eagle Rd Ste 100 (208) 898-1468 Lowe, Heather PT ~* NPI: 1861711764 3919 E Overland Rd (208) 898-1468 Martin, Pamela PT ~* NPI: 1154380293 1618 S Millennium Wy Ste 210 (208) 884-4647 Moss, Mark PT ~* NPI: 1891050068 3645 E Overland Rd (208) 888-7765 Portuguese Myhre, Ryan PT ~* NPI: 1851494637 1450 E Fairview Ave Ste 201 (208) 887-6757 Olsen, Nicole PT ~* NPI: 1740439470 1618 S Millennium Wy Ste 210 (208) 884-4647 Oneal, Brian PT ~* NPI: 1093970675 1618 S Millennium Wy Ste 210 (208) 884-4647 Ray, David PT ~* NPI: 1386685493 3090 Gentry Way Ste 250 (208) 888-0044 Reid, Collin PT ~* NPI: 1124477716 3645 E Overland Rd (208) 888-7765 143

Physical Therapist continued/seguido Riddle, Charles PT ~* NPI: 1366536609 1626 S Wells Ave Ste 105 (208) 789-0200 Schow, Michael PT ~* NPI: 1154424752 1450 E Fairview Ave Ste 201 (208) 887-6757 Danish Scott, Lauren PT ~* NPI: 1437266723 1618 S Millennium Wy Ste 210 (208) 884-4647 Swan, Lisa PT ~* NPI: 1275603086 1618 S Millennium Wy Ste 210 (208) 884-4647 Taylor, Jeffrey PT ~* NPI: 1346501962 2316 S Eagle Rd (208) 286-2707 Thompson, Julia PT ~ NPI: 1467513895 2690 S Eagle Rd Ste 100 (208) 898-1468 Tormey, Rebecca PT ~* NPI: 1417224460 2690 S Eagle Rd Ste 100 (208) 898-1468 Tormey, Rebecca PT ~* NPI: 1417224460 3919 E Overland Rd (208) 898-1468 Troxler, Josette PT ~* NPI: 1295063113 2690 S Eagle Rd Ste 100 (208) 898-1468 Troxler, Josette PT ~* NPI: 1295063113 3919 E Overland Rd (208) 898-1468 Vogler, Amica PT ~ NPI: 1124424213 2690 S Eagle Rd Ste 100 (208) 898-1468 Wagner, Lynsey PT ~* NPI: 1477895498 3645 E Overland Rd (208) 888-7765 Wegley, Roger PT ~* NPI: 1306829254 3645 E Overland Rd (208) 888-7765 Weiderman, Brian PT ~* NPI: 1831419332 3645 E Overland Rd (208) 888-7765 Whitworth, Kala PT ~* NPI: 1619283975 3645 E Overland Rd (208) 888-7765 Winn, Esther PT ~* NPI: 1649778978 3919 E Overland Rd (208) 898-1468 Woods, Nicholaus PT ~* NPI: 1790792646 1618 S Millennium Wy Ste 210 (208) 884-4647 83646 Allred, Jason PT ~* NPI: 1417998162 1588 W Cayuse Creek Dr Ste 200 Meridian, ID 83646 (208) 515-7575 Anttonen, Heidi PT ~* NPI: 1538136163 1588 W Cayuse Creek Dr Ste 200 Meridian, ID 83646 (208) 515-7575 Anttonen, Heidi PT ~* NPI: 1538136163 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Birnbaum, Susan PT ~* NPI: 1245590686 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Cope, Adam PT ~* NPI: 1811081896 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Danielson, Galen PT ~* NPI: 1225123599 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Danielson, Galen PT ~* NPI: 1225123599 1560 S Carol St Meridian, ID 83646 (208) 287-9420 Holgate, Brian PT ~* NPI: 1629312269 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Horton, Mary PT ~* NPI: 1154773604 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Hulsey, Kevin PT ~* NPI: 1114012788 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Hulsey, Kevin PT ~* NPI: 1114012788 1560 S Carol St Meridian, ID 83646 (208) 287-9420 Huntington, Alexandra ~* NPI: 1609235415 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Leibler, Maria PT ~* NPI: 1881051860 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Miller, James PT ~* NPI: 1942460845 1588 W Cayuse Creek Dr Ste 200 Meridian, ID 83646 (208) 515-7575 Miller, James PT ~* NPI: 1942460845 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Miller, James PT ~* NPI: 1942460845 3140 W Milano Dr Ste 100 Meridian, ID 83646 (208) 895-0022 144

Physical Therapist continued/seguido Muir, James PT ~* NPI: 1558794552 1560 S Carol St Meridian, ID 83646 (208) 287-9420 Weishaar, Jamie PT ~* NPI: 1871632646 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Flicker, Timothy PT ~* NPI: 1215088059 4922 Yellowstone Ave Ste J Chubbuck, ID 83202 (208) 237-1882 Harris, William PT ~* NPI: 1366989659 2240 E St Ste D (208) 478-1488 Peterson, James PT ~* NPI: 1669432076 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Pierce, Brett PT ~* NPI: 1740614569 1532 W Cayuse Creek Dr Meridian, ID 83646 (208) 996-6612 Bulgarian Ray, David PT ~* NPI: 1386685493 3140 W Milano Dr Ste 100 Meridian, ID 83646 (208) 895-0022 Schnell, Sandra PT ~* NPI: 1194870527 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Smith, Matthew PT ~* NPI: 1851495030 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Starcher, Christine ~* NPI: 1740459130 50 E James Ct Ste A Meridian, ID 83646 (208) 895-0715 Vanderford, Christian PT ~* NPI: 1770747404 745 S Progress Ave Meridian, ID 83646 (208) 895-0309 Star 83669 Nichols, Brian PT ~* NPI: 1679679088 9652 W State St Star, ID 83669 (208) 286-0766 Nichols, Judianne PT ~* NPI: 1184794810 9652 W State St Star, ID 83669 (208) 286-0766 Williams, Eric PT ~* NPI: 1437540168 64 S Star Rd Star, ID 83669 (208) 488-4250 Adams Council 83612 Cole, Jean PT ~* NPI: 1871768119 205 N Berkley St Council, ID 83612 (208) 253-4242 Bannock Chubbuck 83202 Cavner, Brandi PT ~ NPI: 1972624781 265 E Chubbuck Rd Ste A Chubbuck, ID 83202 (208) 417-0011 Ellis, Sadie PT ~* NPI: 1326285560 265 E Chubbuck Rd Ste A Chubbuck, ID 83202 (208) 417-0011 Higbee, Shawn PT ~* NPI: 1467707919 265 E Chubbuck Rd Ste A Chubbuck, ID 83202 (208) 417-0011 Mckee, Jared PT ~* NPI: 1649401407 265 E Chubbuck Rd Ste A Chubbuck, ID 83202 (208) 417-0011 Pocatello 83201 Anderson, Jordan PT ~* NPI: 1932510690 2240 E St (208) 478-6780 Arroyo, Bryan PT ~* NPI: 1457802191 560 Memorial Dr Ste C (208) 232-4267 Bates, John PT ~* NPI: 1881806404 560 Memorial Dr Ste C (208) 232-4267 Beckstead, Robert PT ~* NPI: 1649769134 675 Yellowstone Ave Ste 1 (208) 478-1488 Harris, William PT ~* NPI: 1366989659 2240 E St (208) 478-1488 Harris, William PT ~* NPI: 1366989659 495 Yellowstone Ave Ste B (208) 478-1488 Marshall, Robert PT ~* NPI: 1376688648 333 N 18Th Ave Ste D2 (208) 232-6490 Marshall, Robert PT ~* NPI: 1376688648 2240 E St (208) 478-6780 Rasmussen, Corey PT ~* NPI: 1578665329 2240 E St (208) 478-1488 Rasmussen, Corey PT ~* NPI: 1578665329 2240 E St Ste D (208) 478-1488 Rasmussen, Corey PT ~* NPI: 1578665329 495 Yellowstone Ave Ste B (208) 478-1488 Schwarze, Kimberly PT ~ NPI: 1972566354 1951 E Bench Rd Ste E (208) 237-2080 145

Physical Therapist continued/seguido Sidwell, Randy PT ~* NPI: 1962547257 333 N 18Th Ave Ste D2 (208) 232-6490 Vaughn-Powell, Joni PT ~* NPI: 1962465344 1951 E Bench Rd Ste E (208) 237-2080 83202 Goode, Andrew PT ~* NPI: 1447698113 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Klitgaard, Steven PT ~* NPI: 1336528009 1800 Flandro Dr Ste 110 Pocatello, ID 83202 (208) 233-2248 Klitgaard, Steven PT ~* NPI: 1336528009 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Lemon, Richard PT ~* NPI: 1487646733 1033 W Quinn Rd Pocatello, ID 83202 (208) 233-4800 Mcdonald, Bart PT ~* NPI: 1043332901 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Merrill, Melissa PT ~* NPI: 1912225335 1800 Flandro Dr Ste 110 Pocatello, ID 83202 (208) 233-2248 Dutch Merrill, Melissa PT ~* NPI: 1912225335 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Dutch Mooney, Jessica PT ~* NPI: 1588030290 1033 W Quinn Rd Pocatello, ID 83202 (208) 233-4800 Peterson, Emilie PT ~* NPI: 1588065882 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Schultz, Robyn PT ~* NPI: 1265603641 1033 W Quinn Rd Pocatello, ID 83202 (208) 233-4800 Schultz, Robyn PT ~* NPI: 1265603641 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 Tovey, Candice PT ~* NPI: 1194130856 1800 Flandro Dr Ste 190 Pocatello, ID 83202 (208) 233-2248 83209 Creelman, James PT ~* NPI: 1881805109 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Dye, Deanna PT ~* NPI: 1891848347 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Foley, Michael PT ~* NPI: 1881921476 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Ralphs, James PT ~* NPI: 1427009398 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Danish Sampson, Sharon PT ~* NPI: 1043499890 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Seiger, Cindy PT ~* NPI: 1548467509 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Urfer, Alexander PT ~* NPI: 1609084136 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 German Vail, Kaitlin PT ~* NPI: 1063937134 1400 Terry Dr Bldg 63 Pocatello, ID 83209 (208) 282-2590 Benewah Saint Maries 83861 Thome, Amanda PT ~* NPI: 1215237201 229 S 7Th Ave Saint Maries, ID 83861 (208) 965-8128 Bingham Blackfoot 83221 Barnes, Trevor PT ~* NPI: 1720340060 1250 W Bridge St Ste F (208) 785-8018 Parmer, Keegan PT ~ NPI: 1871029660 1250 W Bridge St Ste F (208) 785-8018 Blaine Hailey 83333 Hogan, Mary PT ~* NPI: 1376602136 21 E Maple Ste D Hailey, ID 83333 (208) 481-0275 Mazik, Kimberly PT ~* NPI: 1801884499 1014 Business Park Dr Hailey, ID 83333 (208) 788-6312 Mcdermott, Brian PT ~* NPI: 1649506502 1014 Business Park Dr Hailey, ID 83333 (208) 788-6312 Ketchum 83340 Coyne, Colleen PT ~ NPI: 1780779280 245 Raven Rd Ketchum, ID 83340 (208) 726-7246 Droege, Karoline PT ~* NPI: 1730271511 245 Raven Rd Ketchum, ID 83340 (208) 726-7246 German 146

Physical Therapist continued/seguido Sela, Kyle PT ~* NPI: 1811163579 245 Raven Rd Ketchum, ID 83340 (208) 726-7246 Boise Garden Valley 83622 Maughan, Kyle PT ~* NPI: 1689088726 856 Banks Lowman Rd Garden Valley, ID 83622 (208) 462-3533 Patterson, Reid PT ~* NPI: 1750319745 856 Banks Lowman Rd Garden Valley, ID 83622 (208) 462-3533 Horseshoe Bend 83629 Patterson, Reid PT ~* NPI: 1750319745 400 Idaho Hwy 55 Ste A Horseshoe Bend, ID 83629 (208) 658-9500 Bonner Sandpoint 83864 Benner-Erickson, Shawna PT ~* NPI: 1699802553 1005 Highway 2 W Sandpoint, ID 83864 (208) 263-1632 Jones, Jennifer PT ~* NPI: 1710206776 1301 N Division Ave Sandpoint, ID 83864 (208) 265-0610 Price, Julie PT ~* NPI: 1285641316 1905 W Pine St Sandpoint, ID 83864 (208) 263-7998 Smith, Amy PT ~* NPI: 1487906624 1905 W Pine St Sandpoint, ID 83864 (208) 263-7998 Thome, Amanda PT ~* NPI: 1215237201 1327 Superior St Ste 101 Sandpoint, ID 83864 (208) 263-9757 Bonneville Idaho Falls 83401 Adams, Kendall ~* NPI: 1821598178 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 Bailey, Greg PT ~* NPI: 1215220587 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 Danielson, Galen PT ~* NPI: 1225123599 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 Dimond, Trevor PT ~* NPI: 1396136743 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 Portuguese Hunsaker, Nathan PT ~* NPI: 1871687970 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 Muir, James PT ~* NPI: 1558794552 720 S Woodruff Ave Idaho Falls, ID 83401 (208) 552-5025 83404 Anderson, Michael PT ~* NPI: 1932325974 3715 Woodking Dr (208) 529-2255 Bailey, Greg PT ~* NPI: 1215220587 3155 Channing Way Ste D (208) 552-2700 Cuthbertson, Michael PT ~* NPI: 1134575772 2640 Channing Wy (208) 552-2248 Danielson, Galen PT ~* NPI: 1225123599 3155 Channing Way Ste D (208) 552-2700 Ellis, Jay PT ~* NPI: 1811924012 3100 S Woodruff Ave (208) 523-8879 Gibson, Barrett PT ~* NPI: 1134481138 1775 E 17Th St Ste D (208) 243-9999 Goode, Andrew PT ~* NPI: 1447698113 3345 Potomac Way (208) 417-0090 Hulsey, Kevin PT ~* NPI: 1114012788 3155 Channing Way Ste D (208) 552-2700 Hunsaker, Nathan PT ~* NPI: 1871687970 3155 Channing Way Ste D (208) 552-2700 Jones, Jeremy PT ~* NPI: 1013953462 2640 Channing Wy (208) 552-2248 Kennedy, Brent PT ~* NPI: 1295855112 3715 Woodking Dr (208) 529-2255 King, Tristan PT ~* NPI: 1245619576 3360 S 15Th E (208) 522-8300 Russian Klitgaard, Steven PT ~* NPI: 1336528009 3345 Potomac Way (208) 417-0090 Kress, Devan PT ~ NPI: 1639277684 3715 Woodking Dr (208) 529-2255 Larson, Tyler PT ~* NPI: 1346626652 3155 Channing Way Ste D (208) 552-2700 Lasco-Sanders, Kari PT ~* NPI: 1760621080 3155 Channing Way Ste D (208) 552-2700 147

Physical Therapist continued/seguido Liddle, Stephanie PT ~* NPI: 1942489794 3125 Valencia Drive (208) 529-3332 Loertscher, Jed PT ~* NPI: 1417383654 3155 Channing Way Ste D (208) 552-2700 Mcdonald, Bart PT ~* NPI: 1043332901 3345 Potomac Way (208) 417-0090 Merrill, Melissa PT ~* NPI: 1912225335 3345 Potomac Way (208) 417-0090 Dutch Roberts, Jacob PT ~ NPI: 1790989945 1510 Elk Creek Dr (208) 522-7627 Schmitt, Dustin PT ~* NPI: 1184772311 3360 S 15Th E (208) 522-8300 Scott, Kade PT ~* NPI: 1437545480 3715 Woodking Dr (208) 529-2255 Spackman, Emily PT ~* NPI: 1699216002 3715 Woodking Dr (208) 529-2255 Bailey, Greg PT ~* NPI: 1215220587 120 E Pine St (208) 454-5142 Birnbaum, Susan PT ~* NPI: 1245590686 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Box, Jeffrey PT ~* NPI: 1104928258 4623 Enterprise Wy (208) 455-4231 Fox, Breann PT ~* NPI: 1184059941 2112 Cleveland Blvd (208) 459-5873 Moore, Steven PT ~* NPI: 1417914755 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Muir, James PT ~* NPI: 1558794552 120 E Pine St (208) 454-5142 Okeef, Daniel PT ~ NPI: 1346611803 120 E Pine St (208) 454-5142 Okeef, Daniel PT ~ NPI: 1346611803 2112 Cleveland Blvd (208) 459-5873 Muir, James PT ~* NPI: 1558794552 3155 Channing Way Ste D (208) 552-2700 Pahis, Casondra PT ~* NPI: 1306226337 3125 Valencia Drive (208) 529-3332 Peterson, Emilie PT ~* NPI: 1588065882 3345 Potomac Way (208) 417-0090 Roberts, Eric PT ~ NPI: 1255375291 3715 Woodking Dr (208) 529-2255 Tovey, Candice PT ~* NPI: 1194130856 3345 Potomac Way (208) 417-0090 Treat, Scott PT ~* NPI: 1689196784 3360 S 15Th E (208) 522-8300 Weber, Renee PT ~* NPI: 1356717748 3125 Valencia Drive (208) 529-3332 Canyon Caldwell 83605 Anttonen, Heidi PT ~* NPI: 1538136163 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Hadley, J Kyle PT ~* NPI: 1881077600 4623 Enterprise Wy (208) 455-4231 Horton, Mary PT ~* NPI: 1154773604 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Kuznia, Benjamin PT ~* NPI: 1144518937 120 E Pine St (208) 454-5142 Miller, James PT ~* NPI: 1942460845 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Olsen, Scott PT ~* NPI: 1003905332 1818 S 10Th Ave Ste 100A (208) 453-9111 Scharmann, Alex PT ~* NPI: 1164805123 1906 Fairview Ave Ste 410 (208) 454-9839 Schnell, Sandra PT ~* NPI: 1194870527 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Smith, Matthew PT ~* NPI: 1851495030 120 E Pine St (208) 454-5142 148

Physical Therapist continued/seguido Starcher, Christine ~* NPI: 1740459130 3110 E Cleveland Blvd Bldg A Ste 5 (208) 453-8785 Thomason, Jeffrey PT ~* NPI: 1538253752 4623 Enterprise Wy (208) 455-4231 Vinci, Paul PT ~* NPI: 1306169602 2112 Cleveland Blvd (208) 459-5873 White, Brian PT ~* NPI: 1477657468 4623 Enterprise Wy (208) 455-4231 Middleton 83644 Bressan, Matthew PT ~* NPI: 1285010199 533 S Middleton Rd Ste 100 Middleton, ID 83644 (208) 585-6566 Lee, Brian PT ~* NPI: 1043365323 18 E Main St Ste 1 Middleton, ID 83644 (208) 585-0051 Nampa 83651 Ackerman, Jerrod PT ~* NPI: 1487067005 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Anttonen, Heidi PT ~* NPI: 1538136163 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Barbero, Paige PT ~* NPI: 1063847259 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Barnes, Nicole PT ~* NPI: 1871769307 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Birnbaum, Susan PT ~* NPI: 1245590686 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Comley, Tayler PT ~* NPI: 1649714163 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Duke, Catherine PT ~* NPI: 1114363199 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Dunn, Julie PT ~* NPI: 1861840662 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Dupont, Corey PT ~* NPI: 1639334279 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 English, Mindy PT ~* NPI: 1093156689 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Horton, Mary PT ~* NPI: 1154773604 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Huntington, Alexandra ~* NPI: 1609235415 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Miller, James PT ~* NPI: 1942460845 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Moss, Mark PT ~* NPI: 1891050068 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Portuguese Reed, Mark PT ~* NPI: 1871553388 1015 12Th Ave S Ste 105 Nampa, ID 83651 (208) 467-4357 Wagner, Lynsey PT ~* NPI: 1477895498 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Wegley, Roger PT ~* NPI: 1306829254 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Weiderman, Brian PT ~* NPI: 1831419332 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 Whitworth, Kala PT ~* NPI: 1619283975 2635 Caldwell Blvd Ste B Nampa, ID 83651 (208) 442-0577 83686 Cope, Adam PT ~* NPI: 1811081896 337 W Iowa St Nampa, ID 83686 (208) 467-7889 Hulsey, Kevin PT ~* NPI: 1114012788 337 W Iowa St Nampa, ID 83686 (208) 467-7889 Kuznia, Benjamin PT ~* NPI: 1144518937 337 W Iowa St Nampa, ID 83686 (208) 467-7889 Mcmurray, Kayla PT ~* NPI: 1164912242 3151 E Greenhurst Rd Nampa, ID 83686 (208) 465-9418 Morton Phelps, Faith PT ~ NPI: 1407025158 2005 12Th Ave Rd Nampa, ID 83686 (208) 463-0022 Scharmann, Alex PT ~* NPI: 1164805123 3151 E Greenhurst Rd Nampa, ID 83686 (208) 465-9418 Shaw, Clayton PT ~* NPI: 1245586270 337 W Iowa St Nampa, ID 83686 (208) 467-7889 149

Physical Therapist continued/seguido Thornock, Brian PT ~* NPI: 1265820203 337 W Iowa St Nampa, ID 83686 (208) 467-7889 Weatherston, Sean PT ~* NPI: 1073596136 130 S Midland Blvd Nampa, ID 83686 (208) 461-5057, French Weatherston, Sean PT ~* NPI: 1073596136 3151 E Greenhurst Rd Nampa, ID 83686 (208) 465-9418, French Williams, Alan PT ~* NPI: 1346395712 2005 12Th Ave Rd Nampa, ID 83686 (208) 463-0022 Williams, Alan PT ~* NPI: 1346395712 2005 12Th Ave Rd Nampa, ID 83686 (208) 463-0022 83687 Hadley, J Kyle PT ~* NPI: 1881077600 5251 E Exchange Wy Nampa, ID 83687 (208) 466-9642 Myhre, Ryan PT ~* NPI: 1851494637 5251 E Exchange Wy Nampa, ID 83687 (208) 466-9642 White, Brian PT ~* NPI: 1477657468 5251 E Exchange Wy Nampa, ID 83687 (208) 466-9642 Parma 83660 Grow, Marc PT ~* NPI: 1497939938 206 N 3Rd St Parma, ID 83660 (208) 722-7350 Cassia Burley 83318 Barker, Jonathan PT ~* NPI: 1619262425 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Billings, David PT ~* NPI: 1215233952 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Brown, Joel PT ~* NPI: 1679911267 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Christensen, Cory PT ~* NPI: 1417389909 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 King, Daniel PT ~* NPI: 1518305770 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Portuguese Searle, Shane PT ~ NPI: 1316379662 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Toronto, Scott PT ~* NPI: 1922344696 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Wood, James PT ~* NPI: 1114364015 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Wright, Bryan PT ~* NPI: 1265525315 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Wright, Clifton PT ~* NPI: 1275872590 1945 Hiland Ave Burley, ID 83318 (208) 647-0224 Young, Raulan PT ~* NPI: 1700954161 2311 Parke Ave Ste A Burley, ID 83318 (208) 677-2489 Elmore Mountain Home 83647 Adams, Christopher PT ~* NPI: 1851726038 230 E 5Th N Mountain Home, ID 83647 (208) 587-8944 Mcdermott, Brian PT ~* NPI: 1649506502 1005 W 6Th S Mountain Home, ID 83647 (208) 587-1777 Sessions, Scott PT ~* NPI: 1225044019 230 E 5Th N Mountain Home, ID 83647 (208) 587-8944 Franklin Preston 83263 Acevedo, Charles PT ~* NPI: 1134239254 10 S 100 W Ste A Preston, ID 83263 (208) 852-1990 Waechtler, Tifani PT ~* NPI: 1144313610 10 S 100 W Ste A Preston, ID 83263 (208) 852-1990 Fremont Ashton 83420 Walters, Cristine PT ~* NPI: 1164493474 700 N 2Nd St Ashton, ID 83420 (208) 652-9979 Gem Emmett 83617 Box, Jeffrey PT ~* NPI: 1104928258 912 S Washington St Emmett, ID 83617 (208) 365-4400 Bressan, Matthew PT ~* NPI: 1285010199 809 S Washington St Emmett, ID 83617 (208) 365-5341 150

Physical Therapist continued/seguido Harrington, Ryan PT ~* NPI: 1154798304 809 S Washington St Emmett, ID 83617 (208) 365-5341 Mcdermott, Brian PT ~* NPI: 1649506502 809 S Washington Ave Emmett, ID 83617 (208) 365-5341 Murri, David PT ~* NPI: 1497797054 912 S Washington St Emmett, ID 83617 (208) 365-4400 White, Brian PT ~* NPI: 1477657468 912 S Washington St Emmett, ID 83617 (208) 365-4400 Gooding Gooding 83330 Bradley, Logan PT ~* NPI: 1336661321 423 Idaho St Ste A Gooding, ID 83330 (208) 934-9011 Hayden, Jessica PT ~* NPI: 1497108732 423 Idaho St Ste A Gooding, ID 83330 (208) 934-9011 Hutchinson, David PT ~* NPI: 1548226020 423 Idaho St Ste A Gooding, ID 83330 (208) 934-9011 Jefferson Rigby 83442 Johnson, Carl PT ~* NPI: 1912063652 151 E Main St Rigby, ID 83442 (208) 745-8332 Mobley, Tracy PT ~* NPI: 1154489151 151 E Main St Rigby, ID 83442 (208) 745-8332 Jerome Jerome 83338 Barker, Jonathan PT ~* NPI: 1619262425 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Billings, David PT ~* NPI: 1215233952 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Christensen, Cory PT ~* NPI: 1417389909 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 King, Daniel PT ~* NPI: 1518305770 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Portuguese Mayes, Daryl PT ~* NPI: 1033262183 1976 S Lincoln Ave Ste 6A Jerome, ID 83338 (208) 644-1433 Searle, Shane PT ~ NPI: 1316379662 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Toronto, Scott PT ~* NPI: 1922344696 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Wood, James PT ~* NPI: 1114364015 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Wright, Bryan PT ~* NPI: 1265525315 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Wright, Clifton PT ~* NPI: 1275872590 111 Pioneer Ct Jerome, ID 83338 (208) 944-9277 Kootenai Coeur D Alene 83814 Andres, Jeremy PT ~* NPI: 1912951559 1401 N Lincoln Way Coeur D Alene, ID 83814 (208) 676-1424 Baird, Dirk PT ~* NPI: 1225149123 1088 W Prairie Ave Coeur D Alene, ID 83814 (208) 772-6609 Bauer, Tina PT ~* NPI: 1841224136 1401 N Lincoln Way Coeur D Alene, ID 83814 (208) 676-1424 Brunner, Jesse PT ~* NPI: 1225538309 1321 N Northwood Ct Ste B Coeur D Alene, ID 83814 (208) 665-7055 Lamphier, Tom PT ~* NPI: 1417154964 1401 N Lincoln Way Coeur D Alene, ID 83814 (208) 676-1424 Olsen, Jerald PT ~* NPI: 1215369764 1088 W Prairie Ave Coeur D Alene, ID 83814 (208) 772-6609 Sipe, Sean PT ~* NPI: 1194768325 1321 N Northwood Ct Ste B Coeur D Alene, ID 83814 (208) 665-7055 Smith, Diana PT ~* NPI: 1720199631 1088 W Prairie Ave Coeur D Alene, ID 83814 (208) 772-6609 Waldo, Chad PT ~* NPI: 1972772952 1401 N Lincoln Way Coeur D Alene, ID 83814 (208) 676-1424 Coeur D'alene 83814 Anderson, Skyler ~* NPI: 1316447741 1875 N Lakewood Ste 101 (208) 667-6264 Tagalog Andrews, David PT ~* NPI: 1356361406 1917 N Lakewood Dr (208) 664-8194 151

Physical Therapist continued/seguido Baird, Dirk PT ~* NPI: 1225149123 1875 N Lakewood Ste 101 (208) 667-6264 Bartoo, Gary PT ~* NPI: 1407823271 1917 N Lakewood Dr (208) 664-8194 Bengtson, Mark PT ~* NPI: 1881778413 3322 Grand Mill Ln (208) 665-2000 Borg, Adam PT ~* NPI: 1093977589 1917 N Lakewood Dr (208) 664-8194 Bresnahan, Jeffrey PT ~* NPI: 1023105327 1917 N Lakewood Dr (208) 664-8194 Cook, Todd PT ~* NPI: 1134297195 1917 N Lakewood Dr (208) 664-8194 Dye, Jeremy PT ~* NPI: 1053534461 1917 N Lakewood Dr (208) 664-8194 Hall, Leola PT ~* NPI: 1316008220 2170 Ironwood Dr Ste B (208) 667-1988 Hankes, Matthew PT ~* NPI: 1073783932 1917 N Lakewood Dr (208) 664-8194 Holmes, Katharine PT ~ NPI: 1457435091 2170 Ironwood Dr Ste B (208) 667-1988 Johnson, Wendy PT ~* NPI: 1932415254 2170 Ironwood Dr Ste B (208) 667-1988 Kane, Justin PT ~* NPI: 1114957073 1917 N Lakewood Dr (208) 664-8194 Kuran, Ivanka PT ~* NPI: 1871654673 1917 N Lakewood Dr (208) 664-8194 Lucas, Matthew PT ~* NPI: 1821022120 1917 N Lakewood Dr (208) 664-8194 Mitchell, Brenda PT ~* NPI: 1679853501 1875 N Lakewood Ste 101 (208) 667-6264 Morris, Neil PT ~* NPI: 1578947164 301 N 3Rd St (208) 772-8557 Morrison, Stephanie PT ~* NPI: 1902242191 1917 N Lakewood Dr (208) 664-8194 Olsen, Jerald PT ~* NPI: 1215369764 1875 N Lakewood Ste 101 (208) 667-6264 Parks, Zachary PT ~* NPI: 1619309333 1917 N Lakewood Dr (208) 664-8194 Saurette, Kristoff PT ~* NPI: 1275769218 1917 N Lakewood Dr (208) 664-8194 Smith, Diana PT ~* NPI: 1720199631 1875 N Lakewood Ste 101 (208) 667-6264 Steininger, Laura PT ~* NPI: 1033421896 2170 Ironwood Dr Ste B (208) 667-1988 Sweetapple, Jean PT ~* NPI: 1922268325 301 N 3Rd St (208) 772-8557 Sweetapple, Jean PT ~* NPI: 1922268325 2170 Ironwood Dr Ste B (208) 667-1988 Wren, Stefanie PT ~ NPI: 1477920338 3322 Grand Mill (208) 665-2000 83815 Anderson, Skyler ~* NPI: 1316447741 1088 N Lakewood Dr Ste 101 Coeur D'alene, ID 83815 (208) 772-6609 Tagalog Baird, Dirk PT ~* NPI: 1225149123 1088 N Lakewood Dr Ste 101 Coeur D'alene, ID 83815 (208) 772-6609 Bishop, Ryan PT ~* NPI: 1861649741 852 W Kathleen Ave Coeur D'alene, ID 83815 (208) 666-6665 Hepner, Caitlin PT ~* NPI: 1225576283 370 E Kathleen Ave Ste 500 Coeur D'alene, ID 83815 (208) 292-1372 Mitchell, Brenda PT ~* NPI: 1679853501 1088 N Lakewood Dr Ste 101 Coeur D'alene, ID 83815 (208) 772-6609 Olsen, Jerald PT ~* NPI: 1215369764 1088 N Lakewood Dr Ste 101 Coeur D'alene, ID 83815 (208) 772-6609 Randklev, Scott PT ~* NPI: 1568756716 370 E Kathleen Ave Ste 500 Coeur D'alene, ID 83815 (208) 292-1372 152

Physical Therapist continued/seguido Smith, Diana PT ~* NPI: 1720199631 1088 N Lakewood Dr Ste 101 Coeur D'alene, ID 83815 (208) 772-6609 Verhaeghe, Eric PT ~* NPI: 1275623621 370 E Kathleen Ave Ste 500 Coeur D'alene, ID 83815 (208) 292-1372 Hayden 83835 Andres, Jeremy PT ~* NPI: 1912951559 870 W Hayden Ave Hayden, ID 83835 (208) 772-6991 Andrews, David PT ~* NPI: 1356361406 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Bartoo, Gary PT ~* NPI: 1407823271 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Bauer, Tina PT ~* NPI: 1841224136 870 W Hayden Ave Hayden, ID 83835 (208) 772-6991 Blackwelder, Tyler PT ~* NPI: 1346421021 8382 N Wayne Dr Hayden, ID 83835 (208) 758-0484 Borg, Adam PT ~* NPI: 1093977589 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Bresnahan, Jeffrey PT ~* NPI: 1023105327 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Cook, Todd PT ~* NPI: 1134297195 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Dye, Jeremy PT ~* NPI: 1053534461 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Hall, Leola PT ~* NPI: 1316008220 8238 N Government Way Hayden, ID 83835 (208) 762-2100 Hankes, Matthew PT ~* NPI: 1073783932 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Holmes, Katharine PT ~ NPI: 1457435091 8238 N Government Way Hayden, ID 83835 (208) 762-2100 Kane, Justin PT ~* NPI: 1114957073 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Kuran, Ivanka PT ~* NPI: 1871654673 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Lamphier, Tom PT ~* NPI: 1417154964 870 W Hayden Ave Hayden, ID 83835 (208) 772-6991 Lucas, Matthew PT ~* NPI: 1821022120 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Mcgill, Troy PT ~* NPI: 1083636088 95 W Centa Dr Hayden, ID 83835 (208) 773-2888 Morrison, Stephanie PT ~* NPI: 1902242191 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Parks, Zachary PT ~* NPI: 1619309333 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Saurette, Kristoff PT ~* NPI: 1275769218 1172 W Hayden Ave Hayden, ID 83835 (208) 762-3332 Sgroi, Kevin PT ~* NPI: 1770678484 8475 N Government Wy Ste 102 Hayden, ID 83835 (208) 772-9774 Steininger, Laura PT ~* NPI: 1033421896 8238 N Government Way Hayden, ID 83835 (208) 762-2100 Waldo, Chad PT ~* NPI: 1972772952 870 W Hayden Ave Hayden, ID 83835 (208) 772-6991 Post Falls 83854 Andrews, David PT ~* NPI: 1356361406 1101 E Polston Ave Ste A (208) 773-8111 Andrews, David PT ~* NPI: 1356361406 1593 E Polston Ave (208) 664-8194 Bartoo, Gary PT ~* NPI: 1407823271 1101 E Polston Ave Ste A (208) 773-8111 Bartoo, Gary PT ~* NPI: 1407823271 1593 E Polston Ave (208) 664-8194 Bengtson, Mark PT ~* NPI: 1881778413 1590 E Polston Ave Ste B (208) 777-4242 Borg, Adam PT ~* NPI: 1093977589 1101 E Polston Ave Ste A (208) 773-8111 Borg, Adam PT ~* NPI: 1093977589 1551 E Mullan Ave Ste 102 (208) 773-8111 Borg, Adam PT ~* NPI: 1093977589 1593 E Polston Ave (208) 664-8194 153

Physical Therapist continued/seguido Bresnahan, Jeffrey PT ~* NPI: 1023105327 1101 E Polston Ave Ste A (208) 773-8111 Bresnahan, Jeffrey PT ~* NPI: 1023105327 1551 E Mullan Ave Ste 102 (208) 773-8111 Bresnahan, Jeffrey PT ~* NPI: 1023105327 1593 E Polston Ave (208) 664-8194 Brouwer, Jesse PT ~* NPI: 1003290693 104 W 9Th Ave (208) 777-9740 Cook, Todd PT ~* NPI: 1134297195 1101 E Polston Ave Ste A (208) 773-8111 Cook, Todd PT ~* NPI: 1134297195 1593 E Polston Ave (208) 664-8194 Dye, Jeremy PT ~* NPI: 1053534461 1101 E Polston Ave Ste A (208) 773-8111 Dye, Jeremy PT ~* NPI: 1053534461 1551 E Mullan Ave Ste 102 (208) 773-8111 Dye, Jeremy PT ~* NPI: 1053534461 1593 E Polston Ave (208) 664-8194 Fletcher, Christine PT ~* NPI: 1578786679 104 W 9Th Ave (208) 777-9740 Gotti, Michael PT ~* NPI: 1649466236 1590 E Polston Ave Ste B (208) 777-4242 Hankes, Matthew PT ~* NPI: 1073783932 1101 E Polston Ave Ste A (208) 773-8111 Hankes, Matthew PT ~* NPI: 1073783932 1593 E Polston Ave (208) 664-8194 Hepner, Caitlin PT ~* NPI: 1225576283 1132 E Polston Ave (208) 777-7800 Hillman, David PT ~ NPI: 1205916848 1132 E Polston Ave (208) 777-7800 Johnson, Brett PT ~ NPI: 1578586178 1132 E Polston Ave (208) 777-7800 Kane, Justin PT ~* NPI: 1114957073 1101 E Polston Ave Ste A (208) 773-8111 Kane, Justin PT ~* NPI: 1114957073 1593 E Polston Ave (208) 664-8194 Kuran, Ivanka PT ~* NPI: 1871654673 1551 E Mullan Ave Ste 102 (208) 773-8111 Kuran, Ivanka PT ~* NPI: 1871654673 1593 E Polston Ave (208) 664-8194 Lucas, Matthew PT ~* NPI: 1821022120 1101 E Polston Ave Ste A (208) 773-8111 Lucas, Matthew PT ~* NPI: 1821022120 1593 E Polston Ave (208) 664-8194 Mcgill, Troy PT ~* NPI: 1083636088 927 E Polston Ave Ste 201 (208) 773-2888 Moehring, Shawn PT ~* NPI: 1619102621 927 E Polston Ave Ste 201 (208) 773-2888 Morris, Neil PT ~* NPI: 1578947164 104 W 9Th Ave (208) 777-9740 Morrison, Stephanie PT ~* NPI: 1902242191 1101 E Polston Ave Ste A (208) 773-8111 Morrison, Stephanie PT ~* NPI: 1902242191 1593 E Polston Ave (208) 664-8194 Nagle, Lee PT ~* NPI: 1912925231 104 W 9Th Ave (208) 777-9740 Parks, Zachary PT ~* NPI: 1619309333 1101 E Polston Ave Ste A (208) 773-8111 Parks, Zachary PT ~* NPI: 1619309333 1593 E Polston Ave (208) 664-8194 Randklev, Scott PT ~* NPI: 1568756716 1132 E Polston Ave (208) 777-7800 Saurette, Kristoff PT ~* NPI: 1275769218 1551 E Mullan Ave Ste 102 (208) 773-8111 Saurette, Kristoff PT ~* NPI: 1275769218 1593 E Polston Ave (208) 664-8194 Sharples-Faucher, Brad PT ~* NPI: 1851321749 104 W 9Th Ave (208) 777-9740 154

Physical Therapist continued/seguido Thoreson, Nathaniel PT ~* NPI: 1790865228 1132 E Polston Ave (208) 777-7800 Verhaeghe, Eric PT ~* NPI: 1275623621 1132 E Polston Ave (208) 777-7800 Wardell, Benjamin PT ~* NPI: 1497104459 1132 E Polston Ave (208) 777-7800 Webb, Derrick PT ~ NPI: 1114378957 1590 E Polston Ave Ste B (208) 777-4242 Rathdrum 83858 Bailey, Michael PT ~* NPI: 1770650541 16768 N Hwy 41 Rathdrum, ID 83858 (208) 687-9195 Danser, Christine PT ~* NPI: 1396766473 14775 N Kimo Ct Ste A Rathdrum, ID 83858 (208) 687-9240 Garrett, Chris PT ~* NPI: 1598790396 14775 N Kimo Ct Ste A Rathdrum, ID 83858 (208) 687-9240 Lemhi Salmon 83467 Blackadar Oldham, Kathryn PT ~* NPI: 1437573342 802 Shoup St Salmon, ID 83467 (208) 756-2005 Bryant, Nancy PT ~* NPI: 1720085046 802 Shoup St Salmon, ID 83467 (208) 756-2005 Thayn, Zhohnann PT ~* NPI: 1962666164 802 Shoup St Salmon, ID 83467 (208) 756-2005 Nez Perce Lewiston 83501 Hardie, Meredith PT ~* NPI: 1104251438 1037 21St St Lewiston, ID 83501 (208) 743-1795 Strehle, Johanna PT ~* NPI: 1528101961 1037 21St St Lewiston, ID 83501 (208) 743-1795 Owyhee Homedale 83628 Bailey, Greg PT ~* NPI: 1215220587 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Danielson, Galen PT ~* NPI: 1225123599 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Hartley, Nicholas PT ~* NPI: 1699166843 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Hulsey, Kevin PT ~* NPI: 1114012788 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Hunsaker, Nathan PT ~* NPI: 1871687970 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Olsen, Scott PT ~* NPI: 1003905332 134 E Idaho Ave Homedale, ID 83628 (208) 337-3254 Payette Fruitland 83619 Foxton, Emily PT ~* NPI: 1538684915 1255 N Allen Ave Fruitland, ID 83619 (208) 972-0918 Hamann, Craig PT ~* NPI: 1942248596 215 N Whitley Dr Ste 1 Fruitland, ID 83619 (208) 452-6366 Hartley, Nicholas PT ~* NPI: 1699166843 441 S Whitleydr Ste 2-3 Fruitland, ID 83619 (208) 452-7197 Heaton, Janeil PT ~* NPI: 1245205665 215 N Whitley Dr Ste 1 Fruitland, ID 83619 (208) 452-6366 Lougheed, Christopher PT ~* NPI: 1760627038 1255 N Allen Ave Fruitland, ID 83619 (208) 972-0918 Simonson, Jared PT ~* NPI: 1194001297 1255 N Allen Ave Fruitland, ID 83619 (208) 972-0918 Stephens, Cody PT ~* NPI: 1174598593 215 N Whitley Dr Ste 1 Fruitland, ID 83619 (208) 452-6366 Williams, Eric PT ~* NPI: 1437540168 441 S Whitleydr Ste 2-3 Fruitland, ID 83619 (208) 452-7197 Power American Falls 83211 Devoe, Cara PT ~* NPI: 1578859054 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Devoe, Cara PT ~* NPI: 1578859054 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Devoe, Cara PT ~* NPI: 1578859054 20 Hillcrest Ave Ste B American Falls, ID 83211 (208) 233-4660 155

Physical Therapist continued/seguido Helbert, Tania PT ~* NPI: 1407398027 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Stringfield, Sari PT ~* NPI: 1265789051 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Stringfield, Sari PT ~* NPI: 1265789051 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Stringfield, Sari PT ~* NPI: 1265789051 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Teton Driggs 83422 Mayer, Andrew PT ~* NPI: 1265961841 285 E Little Ave Driggs, ID 83422 (208) 354-1999 Sadauckas, Kelly PT ~ NPI: 1992006761 285 E Little Ave Driggs, ID 83422 (208) 354-1999 Streubel, Daniel PT ~* NPI: 1063542504 285 E Little Ave Driggs, ID 83422 (208) 354-1999 Twin Falls Buhl 83316 Gillette, Dennis PT ~* NPI: 1861556037 1015 Main St Buhl, ID 83316 (208) 543-8887 Peerboom, Mandy PT ~* NPI: 1629581624 1015 Main St Buhl, ID 83316 (208) 543-8887 Phillips, Seth PT ~* NPI: 1548323561 1015 Main St Buhl, ID 83316 (208) 543-8887 Kimberly 83341 Barker, Jonathan PT ~* NPI: 1619262425 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Billings, David PT ~* NPI: 1215233952 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Christensen, Cory PT ~* NPI: 1417389909 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Gubler, Jason PT ~* NPI: 1225486608 931 St E Kimberly, ID 83341 (208) 423-9999 King, Daniel PT ~* NPI: 1518305770 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Portuguese Richards, Kelson PT ~* NPI: 1588010821 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Searle, Shane PT ~ NPI: 1316379662 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Toronto, Scott PT ~* NPI: 1922344696 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Wood, James PT ~* NPI: 1114364015 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Wright, Bryan PT ~* NPI: 1265525315 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Wright, Clifton PT ~* NPI: 1275872590 931 St E Suites 3 And 4 Kimberly, ID 83341 (208) 423-9999 Twin Falls 83301 Anderson, Kade PT ~ NPI: 1942748934 1444 Falls Ave E (208) 736-2574 Ashenbrener, Samantha PT ~* NPI: 1679953962 754 N College Rd Ste D (208) 734-5313 Barker, Jonathan PT ~* NPI: 1619262425 1411 Falls Ave E 415 (208) 969-9945 Barker, Jonathan PT ~* NPI: 1619262425 1444 Falls Ave E (208) 736-2574 Billings, David PT ~* NPI: 1215233952 1411 Falls Ave E 415 (208) 969-9945 Billings, David PT ~* NPI: 1215233952 1444 Falls Ave E (208) 736-2574 Birchell, Ryan PT ~* NPI: 1992233555 754 N College Rd Ste D (208) 734-5313 Bradley, Logan PT ~* NPI: 1336661321 1053 Eastland Dr (208) 736-9011 156

Physical Therapist continued/seguido Brown, Joel PT ~* NPI: 1679911267 1444 Falls Ave E (208) 736-2574 Brown, Joel PT ~* NPI: 1679911267 452 Cheney Dr W Ste 190 (208) 329-7667 Carter, Matthew PT ~* NPI: 1578005195 1053 Eastland Dr (208) 736-9011 Christensen, Cory PT ~* NPI: 1417389909 1411 Falls Ave E 415 (208) 969-9945 Christensen, Cory PT ~* NPI: 1417389909 1444 Falls Ave E (208) 736-2574 Ellis, Julie PT ~* NPI: 1205999281 754 N College Rd Ste D (208) 734-5313 Ervin, Tracy PT ~* NPI: 1376623363 754 N College Rd Ste D (208) 734-5313 Gillette, Dennis PT ~* NPI: 1861556037 754 N College Rd Ste D (208) 734-5313 Gubler, Jason PT ~* NPI: 1225486608 1444 Falls Ave E (208) 736-2574 Gubler, Jason PT ~* NPI: 1225486608 452 Cheney Dr W Ste 190 (208) 329-7667 Hayden, Jessica PT ~* NPI: 1497108732 1053 Eastland Dr (208) 736-9011 Hutchinson, David PT ~* NPI: 1548226020 1053 Eastland Dr (208) 736-9011 Ketterling, Lindsey PT ~* NPI: 1376926642 754 N College Rd Ste D (208) 734-5313 King, Daniel PT ~* NPI: 1518305770 1444 Falls Ave E (208) 736-2574 Portuguese King, Daniel PT ~* NPI: 1518305770 452 Cheney Dr W Ste 190 (208) 329-7667 Portuguese Little, Dave PT ~* NPI: 1174642961 754 N College Rd Ste D (208) 734-5313 Mix, M Andrew PT ~* NPI: 1346205937 276 Eastland Dr N (208) 735-8563 Polish Peerboom, Mandy PT ~* NPI: 1629581624 754 N College Rd Ste D (208) 734-5313 Phillips, Seth PT ~* NPI: 1548323561 754 N College Rd Ste D (208) 734-5313 Richards, Kelson PT ~* NPI: 1588010821 1444 Falls Ave E (208) 736-2574 Schwerman, Julie PT ~* NPI: 1851350938 1373 Fillmore St (208) 320-3746 Searle, Cade PT ~* NPI: 1053802694 754 N College Rd Ste D (208) 734-5313 Searle, Shane PT ~ NPI: 1316379662 1411 Falls Ave E 415 (208) 969-9945 Searle, Shane PT ~ NPI: 1316379662 1444 Falls Ave E (208) 736-2574 Squires, Adam PT ~* NPI: 1023461126 1053 Eastland Dr (208) 736-9011 Taylor, Mark PT ~* NPI: 1134374796 276 Eastland Dr N (208) 735-8563 Toronto, Scott PT ~* NPI: 1922344696 1411 Falls Ave E 415 (208) 969-9945 Toronto, Scott PT ~* NPI: 1922344696 1444 Falls Ave E (208) 736-2574 Ward, Regan PT ~* NPI: 1114374741 1444 Falls Ave E (208) 736-2574 White, Alex PT ~* NPI: 1417483280 1444 Falls Ave E (208) 736-2574 Williams, Eric PT ~* NPI: 1437540168 1411 Falls Ave E 415 (208) 969-9945 Wood, James PT ~* NPI: 1114364015 1411 Falls Ave E 415 (208) 969-9945 Wood, James PT ~* NPI: 1114364015 1444 Falls Ave E (208) 736-2574 Wright, Bryan PT ~* NPI: 1265525315 1411 Falls Ave E 415 (208) 969-9945 157

Physical Therapist continued/seguido Wright, Bryan PT ~* NPI: 1265525315 1444 Falls Ave E (208) 736-2574 Wright, Clifton PT ~* NPI: 1275872590 1411 Falls Ave E 415 (208) 969-9945 Wright, Clifton PT ~* NPI: 1275872590 1444 Falls Ave E (208) 736-2574 Valley Cascade 83611 Farmer, Katherine PT ~* NPI: 1437221231 402 Lake Cascade Pkwy Cascade, ID 83611 (208) 382-4242 Physician Assistant Ada Boise 83702 Ambrosier, Amy PA ~* NPI: 1073898821 1520 W State St Ste 100 (208) 947-7700 Anneke, Kathleen PA ~* NPI: 1083837942 333 N 1St St Ste 240 (208) 338-8900 Bishop-Herre, Melinda PA ~* NPI: 1598082489 1226 W River St (208) 429-0300 Casebolt, Alex PA ~* NPI: 1346283363 703 S Americana Blvd Ste 130 (208) 706-7500 Chen, Erin PA ~* NPI: 1770913071 600 N Robbins Rd Ste 100 (208) 706-2663 Friel, Fred PA ~* NPI: 1730131178 301 W Myrtle St (208) 342-8200 Holder, Katy PA ~* NPI: 1427143346 222 N 2Nd St Ste 115 (208) 639-4900 Hudson, Kevin PA ~* NPI: 1922088905 1520 W State St Ste 100 (208) 947-7700 Hurty, Michelle PA ~* NPI: 1588616122 600 N Robbins Rd Ste 302 (208) 706-5930 Israelsen, Julie PA ~* NPI: 1275866139 703 S Americana Blvd Ste 120 (208) 706-2663 Cantonese Jakobson, Tyson PA ~* NPI: 1861737371 600 N Robbins Rd Ste 100 (208) 706-2663 Kerns, Benjamin PA ~* NPI: 1659388783 703 S Americana Blvd Ste 120 (208) 706-2663 Laible, Katherine PA ~* NPI: 1083739049 600 N Robbins Rd Ste 100 (208) 706-2663 Laible, Katherine PA ~* NPI: 1083739049 703 S Americana Blvd Ste 120 (208) 706-2663 Lima, Madeline PA ~* NPI: 1508245010 1520 W State St Ste 100 (208) 947-7700 French Njoroge, Zacharia PA ~ NPI: 1174035638 633 N 4Th St (208) 342-9800 Page, Sean PA ~* NPI: 1073840278 600 N Robbins Rd Ste 100 (208) 706-2663 Page, Sean PA ~* NPI: 1073840278 703 S Americana Blvd Ste 120 (208) 706-2663 Roskelley, Morgan PA ~* NPI: 1376914838 600 N Robbins Rd Ste 100 (208) 706-2663 Rowe, Derrick PA ~* NPI: 1851624340 510 N 2Nd St Ste 103 (208) 381-4700 Scrivner, Cody PA ~ NPI: 1134671894 600 N Robbins Rd Ste 302 (208) 706-5930 Stewart, Tyler PA ~* NPI: 1538476239 333 N 1St St Ste 280 (208) 345-6545 Sweeten, H Neil PA ~* NPI: 1366555971 222 N 2Nd St Ste 307 (208) 344-1000 Voye, Sarah PA ~* NPI: 1750686044 1520 W State St Ste 100 (208) 947-7700 Waselchuk, Amy PA ~* NPI: 1033129465 600 N Robbins Rd Ste 100 (208) 706-2663 White, Michael PA ~* NPI: 1780673707 1226 W River St (208) 429-0300 White, Michael PA ~* NPI: 1780673707 403 S 11Th St Ste 100 (208) 429-0300 158

Physician Assistant continued/seguido 83703 Bradberry, Cali PA ~* NPI: 1831473198 5985 W State St Boise, ID 83703 (208) 853-0071 Carver, Erin PA ~* NPI: 1902877624 5985 W State St Boise, ID 83703 (208) 853-0071 Johnson, Jeffery PA ~* NPI: 1609887801 5985 W State St Boise, ID 83703 (208) 853-0071 83704 Douthit, Thomas PA ~* NPI: 1023008414 900 N Liberty St Ste 400 (208) 367-3320 Galloway, Meghan PA ~* NPI: 1679726434 6140 W Curtisian Ave Ste 400 (208) 327-5600 Housley, Michael PA ~* NPI: 1043665789 7733 W Emerald (208) 939-4599 Housley, Michael PA ~* NPI: 1043665789 7733 W Emerald St (208) 939-4599 Mckinnon, Tyler PA ~* NPI: 1790131480 7733 W Emerald (208) 939-4599 Mckinnon, Tyler PA ~* NPI: 1790131480 7733 W Emerald St (208) 939-4599 Rota, Nicole PA ~* NPI: 1265685762 7272 W Potomac Dr (208) 884-2922 Schneider, David PA ~* NPI: 1033634936 6140 W Curtisian Ave Ste 400 (208) 327-5600 Vincent, Kelly PA ~* NPI: 1194190637 8854 W Emerald Ste 102 (208) 323-4747 Wood, Chelsea PA ~* NPI: 1639567118 7733 W Emerald (208) 939-4599 Wood, Chelsea PA ~* NPI: 1639567118 7733 W Emerald St (208) 939-4599 83705 Wolf, Holly PA ~ NPI: 1124370333 1906 S Vista Ave Boise, ID 83705 (208) 433-1114 83706 Carver, Erin PA ~* NPI: 1902877624 1055 N Curtis Rd S6 Boise, ID 83706 (208) 459-7415 Lewis, Heather PA ~* NPI: 1639402134 1000 N Curtis Rd Ste 202 Boise, ID 83706 (208) 377-3435 Lima, Madeline PA ~* NPI: 1508245010 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6500 French Mebane, Mary PA ~* NPI: 1154374536 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Wolff, Kelley PA ~* NPI: 1609963081 701 E Parkcenter Blvd Boise, ID 83706 (208) 381-6400 Wood, Sarah PA ~* NPI: 1407131733 4477 W Emerald St Ste C100 Boise, ID 83706 (208) 454-8389 83709 Dalton, Stephanie PA ~ NPI: 1801978135 6651 W Franklin Rd Boise, ID 83709 (208) 947-5390 Nelson, Thao PA ~ NPI: 1093084931 8971 W Overland Rd Boise, ID 83709 (208) 378-4288 Vietnamese 83712 Appel, Jennifer PA ~ NPI: 1588918924 190 E Bannock St (208) 381-5015 Bowman, Dustin PA ~* NPI: 1386680239 100 E Idaho St (208) 381-2711 Derkacs, Derek PA ~* NPI: 1720157720 100 E Idaho St (208) 381-2733 Florence, Branden PA ~* NPI: 1730564923 190 E Bannock St (208) 381-2222 Gorham, Amber PA ~ NPI: 1881718880 190 E Bannock St (208) 381-5015 Greer, Finnegan PA ~* NPI: 1588031272 190 E Bannock St (208) 381-5015 Hague, Natalie PA ~* NPI: 1013388180 100 E Warm Springs Ave Ste B (208) 381-6930 Mack, Charisse PA ~* NPI: 1801973615 190 E Bannock St 10Th Floor (208) 381-5500 Maddux, Sarah PA ~* NPI: 1518155662 190 E Bannock St 10Th Floor (208) 381-5500 159

Physician Assistant continued/seguido Mcdowell, Elizabeth PA ~* NPI: 1770640062 190 E Bannock St 10Th Floor (208) 381-5500 Mebane, Mary PA ~* NPI: 1154374536 1000 E Park Blvd Ste 120 (208) 381-4100 Morrill, Shannon PA ~* NPI: 1225236383 100 E Idaho St Ste 200 (208) 381-5180 Neisen, Misty PA ~* NPI: 1023409265 125 E Idaho St Ste 303 (208) 381-9350 Porter, Robert PA ~ NPI: 1861565988 190 E Bannock St (208) 381-5015 Schrader, Scott PA ~* NPI: 1740223148 190 E Bannock St (208) 381-2222 Shearing, Kevin PA ~* NPI: 1376941914 190 E Bannock St (208) 381-2094 Singer, Nicole PA ~* NPI: 1902870041 100 E Idaho St Ste 302 (208) 343-7501 Smith, Preston PA ~* NPI: 1992794929 100 E Idaho St Ste 200 (208) 381-7011 Thompson, John PA ~* NPI: 1942483490 190 E Bannock St (208) 381-5015 Wolff, Kelley PA ~* NPI: 1609963081 1000 E Park Blvd Ste 120 (208) 381-4100 83713 Brown, Heidi PA ~* NPI: 1851520316 3062 N Five Mile Rd Boise, ID 83713 (208) 376-4999 Mesaros, Lisa PA ~* NPI: 1033397450 4840 N Cloverdale Rd Boise, ID 83713 (208) 706-8000 Ostermiller, Mariya PA ~* NPI: 1407047202 6051 N Eagle Rd Boise, ID 83713 (208) 519-4333 83716 Baisley, Kalyn PA ~* NPI: 1295163160 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Green, Carolyn PA ~* NPI: 1972876738 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Klassen, Darren PA ~* NPI: 1861779829 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Eagle 83616 Hammer, Carly PA ~* NPI: 1588840409 3101 E State St Ste 1100 Eagle, ID 83616 (208) 473-3500 Schrader, Scott PA ~* NPI: 1740223148 3101 E State St Eagle, ID 83616 (208) 473-3100 Kuna 83634 Crawford, Andrew PA ~* NPI: 1588987309 943 N Linder Rd Ste 103 Kuna, ID 83634 (208) 922-3355 Meridian 83642 Allen, Laura PA ~* NPI: 1740476969 1618 S Millennium Wy Ste 100 (208) 884-3376 Allen, Nicolas PA ~* NPI: 1205910551 2855 E Magic View Dr (208) 639-4900 Appel, Jennifer PA ~ NPI: 1588918924 520 S Eagle Rd (208) 381-5015 Arhets, Alexander PA ~* NPI: 1013956853 1618 S Millennium Wy Ste 100 (208) 884-3376 Assmus, Katherine PA ~* NPI: 1063789311 3525 E Louise Dr Ste 400 (208) 322-1680 Bishop-Herre, Melinda PA ~* NPI: 1598082489 520 S Eagle Rd Ste 1234 (208) 429-0300 Bradley, Benjamin PA ~* NPI: 1548546435 3399 E Louise Dr Ste 100 (208) 887-6813, Portuguese Casebolt, Alex PA ~* NPI: 1346283363 520 S Eagle Rd Ste 2213 (208) 706-5447 Chen, Erin PA ~* NPI: 1770913071 3399 E Louise Dr Ste 200 (208) 706-2663 Collins, Brandie PA ~* NPI: 1124077151 520 S Eagle Rd Ste 3102 (208) 706-5100 Davis, Heather PA ~* NPI: 1184667164 3277 E Louise Dr Ste 410 (208) 489-5800 160

Physician Assistant continued/seguido Frelly, Stephen PA ~* NPI: 1114966959 1618 S Millennium Wy Ste 100 (208) 884-3376 Friedt, Brian PA ~* NPI: 1568499713 1618 S Millennium Wy Ste 100 (208) 884-3376 Galloway, Meghan PA ~* NPI: 1679726434 3875 E Overland Rd (208) 327-5600 Graklanoff, Teresa PA ~* NPI: 1265461479 1618 S Millennium Wy Ste 100 (208) 884-3376 Green, Carolyn PA ~* NPI: 1972876738 2347 E Gala St (208) 323-3767 Hague, Natalie PA ~* NPI: 1013388180 520 S Eagle Rd Ste 1241 (208) 381-6930 Holder, Katy PA ~* NPI: 1427143346 2855 E Magic View Dr (208) 639-4900 Hutt, Nicholas PA ~* NPI: 1487944716 520 S Eagle Rd Ste 2213 (208) 706-5447 Hutt, Nicholas PA ~* NPI: 1487944716 520 S Eagle Rd Ste 1243 (208) 333-2225 Israelsen, Julie PA ~* NPI: 1275866139 520 S Eagle Rd Ste 3213 (208) 706-2663 Cantonese Jakobson, Tyson PA ~* NPI: 1861737371 3277 E Louise Dr Ste 200 (208) 706-2663 Jenkins, Janeen PA ~* NPI: 1851469050 520 S Eagle Rd Ste 3211 (208) 706-5930 Jones, William PA ~* NPI: 1770835597 3277 E Louise Dr Ste 100 (208) 706-7010 Jongleux, Alicia PA ~* NPI: 1831603950 360 E Montvue Dr Ste 100 (208) 855-2900 Kerns, Benjamin PA ~* NPI: 1659388783 520 S Eagle Rd Ste 3213 (208) 706-2663 Klassen, Darren PA ~* NPI: 1861779829 2347 E Gala St (208) 323-3767 Laible, Katherine PA ~* NPI: 1083739049 520 S Eagle Rd Ste 2209 (208) 706-2663 Lavarias, Sari PA ~* NPI: 1033454426 360 E Montvue Dr Ste 100 (208) 855-2900 Martin, Cory PA ~ NPI: 1629201249 3277 E Louise Dr Ste 100 (208) 706-7010 Mcclenahan, Melissa PA ~* NPI: 1053695676 2855 E Magic View Dr (208) 639-4900 Mcdermott, J David PA ~* NPI: 1689627069 520 S Eagle Rd Ste 3102 (208) 706-5100 Middleton, Julia PA ~* NPI: 1215113741 520 S Eagle Rd Ste 1222 (208) 947-2266 Mulkey, Bradley PA ~* NPI: 1487691176 3525 E Louise Dr Ste 400 (208) 322-1680 Nyswyn, Sophia PA ~* NPI: 1720356363 520 S Eagle Rd Ste 3112 (208) 706-5800 Tamil Page, Sean PA ~* NPI: 1073840278 3399 E Louise Dr Ste 200 (208) 706-2663 Porter, Robert PA ~ NPI: 1861565988 520 S Eagle Rd (208) 381-5015 Powell, Kathryn PA ~* NPI: 1851728133 3277 E Louise Dr Ste 410 (208) 489-5800 Rafla, Yustina PA ~* NPI: 1790224905 520 S Eagle Rd Ste 1243 (208) 333-2225 Robinson, Joseph PA ~ NPI: 1710315577 3581 E Overland Rd (208) 402-4467 German Robinson, Lucas PA ~* NPI: 1225587025 360 E Montvue Dr Ste 100 (208) 855-2900 Rogers, Victoria PA ~* NPI: 1922106194 3080 E Gentry Way Ste 210 (208) 384-9022 Ryan, Andrew PA ~* NPI: 1336318914 3080 E Gentry Way Ste 210 (208) 384-9022 Ryan, Andrew PA ~* NPI: 1336318914 520 S Eagle Rd (208) 706-5000 161

Physician Assistant continued/seguido Schneider, David PA ~* NPI: 1033634936 3875 E Overland Rd (208) 327-5600 Shearing, Kevin PA ~* NPI: 1376941914 3277 E Louise Dr Ste 100 (208) 706-7010 Smith, Jeffrey PA ~* NPI: 1013905793 3399 E Louise Dr Ste 200 (208) 706-2663 Smith, Preston PA ~* NPI: 1992794929 520 S Eagle Rd Ste 2203 (208) 381-7011 Studebaker, Mandy PA ~* NPI: 1740517820 3277 E Louise Dr Ste 410 (208) 489-5800 Taylor, Brent PA ~* NPI: 1780032649 2347 E Gala St (208) 323-3767 Vansant, Amanda PA ~* NPI: 1295071496 3017 S Meridian Rd (208) 888-6123 Visser, Juliann PA ~* NPI: 1922309848 1618 S Millennium Wy Ste 100 (208) 884-3376 Waselchuk, Amy PA ~* NPI: 1033129465 3277 E Louise Dr Ste 200 (208) 706-2663 Wren, Stephen PA ~* NPI: 1376090985 360 E Montvue Dr Ste 100 (208) 855-2900 83646 Miller, Chelsea PA ~* NPI: 1043659196 1576 W Deer Crest St Ste 100 Meridian, ID 83646 (208) 898-7467 Bannock Pocatello 83201 Allen, Travis PA ~* NPI: 1548594062 1950 E Clark St Ste 110 (208) 232-7246 Berrett, Anthony PA ~* NPI: 1841747540 1595 Yellowstone Ave (208) 233-0032 Borgholthaus, Lana PA ~* NPI: 1255315974 495 Yellowstone Ave (208) 478-7422 Brabec, Jaclyn PA ~* NPI: 1710343686 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Coughenour, Tiffany PA ~* NPI: 1205959756 444 Hospital Wy Bldg B Ste 600 (208) 523-1122 Flamm, T Andrew PA ~* NPI: 1750662326 1595 Yellowstone Ave (208) 233-0032 Gillespie, Robert PA ~* NPI: 1922026467 353 N 4Th Ave Ste 102 (208) 478-7900 Hale, Nicholas PA ~* NPI: 1841487840 495 Yellowstone Ave (208) 478-7422 Hansen, Lisa PA ~* NPI: 1730372756 444 Hospital Wy (208) 239-1650 Hanson, Stephanie PA ~* NPI: 1467602920 777 Hospital Wy (208) 239-1417 Hatch, Angela PA ~* NPI: 1376946012 777 Hospital Wy 101 (208) 234-2001 Hill, Courtney PA ~* NPI: 1902066137 465 Memorial Dr (208) 234-4700 Hill, Courtney PA ~* NPI: 1902066137 777 Hospital Wy (208) 239-1417 Judd, Jocelyn PA ~* NPI: 1952730608 110 Vista Dr (208) 234-2300 Katter, Renee PA ~* NPI: 1053502955 353 N 4Th St Ste 110 (208) 233-7832 Katter, Renee PA ~* NPI: 1053502955 444 Hospital Way Ste 477 (208) 233-7832 Lambson, Justus PA ~* NPI: 1922262542 1595 Yellowstone Ave (208) 233-0032 Czech Lange, Samantha PA ~* NPI: 1346792033 1595 Yellowstone Ave (208) 233-0032 Malm, Roger PA ~* NPI: 1730190935 560 Memorial Dr Ste B (208) 235-4263 Martin, David PA ~* NPI: 1215929690 1951 Bench Rd Ste B (208) 238-1000 162

Physician Assistant continued/seguido Mcgee, Julia PA ~* NPI: 1326347972 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Mckinlay, Matthew PA ~* NPI: 1851385538 2240 E St (208) 233-2100 Miller, Natalie PA ~* NPI: 1891191474 777 Hospital Wy (208) 239-1417 Mirly, Alan PA ~* NPI: 1891780524 333 N 18Th Ave Ste B3 (208) 232-2146 Mitton, Tanner PA ~ NPI: 1144601865 950 Hospital Way Ste A (208) 233-8344 Nelson, Matthew PA ~* NPI: 1649221912 1950 E Clark St Ste 110 (208) 232-7246 Redding, Jessica PA ~* NPI: 1588909261 333 N 18Th Ave Ste B3 (208) 232-2146 Robinson, Jennifer PA ~* NPI: 1689714826 777 Hospital Wy (208) 239-1417 Schroeder, Amber PA ~* NPI: 1922458538 777 Hospital Wy 201 (208) 239-2620 Simmons, Steven PA ~* NPI: 1740212190 2240 E St (208) 233-2100 Smetanka, Rachel PA ~* NPI: 1336579168 777 Hospital Wy 201 (208) 239-2620 Turpin, Adrian PA ~* NPI: 1447697735 285 Vista Dr (208) 239-8023 Walaliyadda, Ranmali PA ~* NPI: 1801976923 1448 E St Ste E (208) 234-1300 Whiting, Joel PA ~* NPI: 1346259298 1595 Yellowstone Ave (208) 233-0032 Willardson, Jed PA ~* NPI: 1578716072 1950 E Clark St Ste 110 (208) 232-7246 Williams, Ryan PA ~* NPI: 1770818361 1950 E Clark St Ste 110 (208) 232-7246 Williams, Ryan PA ~* NPI: 1770818361 1595 Yellowstone Ave (208) 522-7246 Wylie, Bryce PA ~ NPI: 1811043862 1595 Yellowstone Ave (208) 233-0032 Youngstrom, Karma PA ~* NPI: 1093186280 1595 Yellowstone Ave (208) 233-0032 83202 Allen, John PA ~* NPI: 1003168899 265 E Chubbuck Rd Pocatello, ID 83202 (208) 237-1711 Borgholthaus, Lana PA ~* NPI: 1255315974 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 Burnside, Leslie PA ~* NPI: 1760451454 147 W Chubbuck Rd Pocatello, ID 83202 (208) 238-7546 Hale, Nicholas PA ~* NPI: 1841487840 134 W Chubbuck Rd Ste B Pocatello, ID 83202 (208) 237-7911 Mcculloch, Ryan PA ~* NPI: 1720195530 147 W Chubbuck Rd Pocatello, ID 83202 (208) 238-7546 Benewah Plummer 83851 Larsen, Tucker PA ~* NPI: 1245671379 427 N 12Th St Plummer, ID 83851 (208) 686-1931 Saint Maries 83861 Niculaescu, Alina PA ~* NPI: 1093039257 229 S 7Th Ave Saint Maries, ID 83861 (208) 965-8128 Bingham Blackfoot 83221 Allen, Travis PA ~* NPI: 1548594062 1425 Parkway Dr (208) 785-7246 Brabec, Jaclyn PA ~* NPI: 1710343686 98 Poplar St (208) 782-2930 Crandall, Alan PA ~* NPI: 1770002974 98 Poplar St (208) 785-4100 Crandall, Alan PA ~* NPI: 1770002974 1350 Pkwy Dr Ste 2 (208) 782-2410 Gillespie, Robert PA ~* NPI: 1922026467 1350 Pkwy Dr Ste 2 (208) 782-2410 163

Physician Assistant continued/seguido Grimmett, Heather PA ~* NPI: 1073792586 1441 Parkway Dr (208) 785-2600 Hatch, Angela PA ~* NPI: 1376946012 1441 Parkway (208) 234-2001 Mcgee, Julia PA ~* NPI: 1326347972 98 Poplar St (208) 782-2930 Miller, Natalie PA ~* NPI: 1891191474 1441 Parkway (208) 234-2001 Nelson, Matthew PA ~* NPI: 1649221912 1425 Parkway Dr (208) 785-7246 Newby, Rebecca PA ~* NPI: 1457685265 625 W Pacific Ste 3 (208) 782-0500 Perkes, Charlynn PA ~* NPI: 1558545624 1441 Parkway Dr (208) 785-2600 Valora, Peter PA ~ NPI: 1184097370 625 W Pacific Ste 3 (208) 782-0500 Willardson, Jed PA ~* NPI: 1578716072 1425 Parkway Dr (208) 785-7246 Williams, Ryan PA ~* NPI: 1770818361 1425 Parkway Dr (208) 785-7246 Fort Hall 83203 Trainor, Todd PA ~ NPI: 1275636102 Mission Road Fort Hall, ID 83203 (208) 238-5493 Shelley 83274 Grimmett, Heather PA ~* NPI: 1073792586 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Perkes, Charlynn PA ~* NPI: 1558545624 210 S Emerson Ave Shelley, ID 83274 (208) 357-7404 Blaine Hailey 83333 Karassik, Emily PA ~* NPI: 1003867664 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Wohlwend, Tiffany PA ~* NPI: 1275558413 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 788-3434 Ketchum 83340 Hague, Natalie PA ~* NPI: 1013388180 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8800 Shearing, Kevin PA ~* NPI: 1376941914 100 Hospital Dr Ketchum, ID 83340 (800) 672-7210 Zelaya, Jill PA ~* NPI: 1790030518 100 Hospital Dr Ste 105 Ketchum, ID 83340 (208) 726-5027 Bonner Ponderay 83852 Simm, Kendell PA ~* NPI: 1811936545 30410 Hwy 200 Ponderay, ID 83852 (208) 263-7101 Sandpoint 83864 Niculaescu, Alina PA ~* NPI: 1093039257 1327 Superior St Ste 101 Sandpoint, ID 83864 (208) 263-9757 Bonneville Idaho Falls 83402 Batt, David PA ~* NPI: 1518212265 927 S Utah Ave Idaho Falls, ID 83402 (208) 881-5241 Berrett, Anthony PA ~* NPI: 1841747540 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Flamm, T Andrew PA ~* NPI: 1750662326 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Lambson, Justus PA ~* NPI: 1922262542 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Czech Lange, Samantha PA ~* NPI: 1346792033 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Whiting, Joel PA ~* NPI: 1346259298 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Wylie, Bryce PA ~ NPI: 1811043862 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 Youngstrom, Karma PA ~* NPI: 1093186280 765 S Utah Ave Idaho Falls, ID 83402 (208) 525-2600 83404 Allen, Travis PA ~* NPI: 1548594062 3385 Potomac Way (208) 535-4343 164

Physician Assistant continued/seguido Belnap, Kylee PA ~* NPI: 1083090450 1957 E 17Th St (208) 523-1100 Flamm, T Andrew PA ~* NPI: 1750662326 2730 Channing Wy (208) 542-7100 Lange, Samantha PA ~* NPI: 1346792033 2725 Channing Wy (208) 525-8448 Snarr, Klynda PA ~* NPI: 1518369487 2375 Sunnyside Rd Ste A (208) 535-4343 Berrett, Anthony PA ~* NPI: 1841747540 2725 Channing Wy (208) 525-8448 Berrett, Anthony PA ~* NPI: 1841747540 2730 Channing Wy (208) 542-7100 Brabec, Jaclyn PA ~* NPI: 1710343686 1740 E 17Th St (208) 535-3615 Brabec, Jaclyn PA ~* NPI: 1710343686 3760 Washington Pkwy (208) 535-3637 Coon, Chad PA ~ NPI: 1740646363 3405 Merlin Dr (208) 522-3355 Coughenour, Tiffany PA ~* NPI: 1205959756 3910 Washington Pkwy (208) 523-1122 Flamm, T Andrew PA ~* NPI: 1750662326 2725 Channing Wy (208) 525-8448 Gillespie, Robert PA ~* NPI: 1922026467 2375 E Sunnyside Rd Ste F (208) 535-3626 Hatch, Angela PA ~* NPI: 1376946012 2730 Channing Wy (208) 542-7100 Hesse, Philip PA ~* NPI: 1811975386 2325 Coronado St (208) 785-2453 Hesse, Philip PA ~* NPI: 1811975386 2377 Coronado St (208) 557-2570 Killpack, Joshua PA ~ NPI: 1164777181 2330 Desoto St (208) 552-4909 Lambson, Justus PA ~* NPI: 1922262542 2725 Channing Wy (208) 525-8448 Czech Lambson, Justus PA ~* NPI: 1922262542 2730 Channing Wy (208) 542-7100 Czech Lange, Samantha PA ~* NPI: 1346792033 2730 Channing Wy (208) 542-7100 Leavitt, Brent PA ~* NPI: 1740650548 1550 Elk Creek Dr (208) 529-5942 Nealis, Monica PA ~* NPI: 1073676805 1550 Elk Creek Dr (208) 529-5942 Nelson, Matthew PA ~* NPI: 1649221912 3385 Potomac Way (208) 535-4343 Newby, Rebecca PA ~* NPI: 1457685265 1550 Elk Creek Dr (208) 529-5942 Plomaritis, Demetrios PA ~* NPI: 1831518992 1740 E 17Th St (208) 535-3615 Sander, Stephanie PA ~* NPI: 1609035807 1957 E 17Th St (208) 523-1100 Whiting, Joel PA ~* NPI: 1346259298 2725 Channing Wy (208) 525-8448 Whiting, Joel PA ~* NPI: 1346259298 2730 Channing Wy (208) 542-7100 Willardson, Jed PA ~* NPI: 1578716072 3385 Potomac Way (208) 535-4343 Williams, Ryan PA ~* NPI: 1770818361 3385 Potomac Way (208) 535-4343 Williams, Ryan PA ~* NPI: 1770818361 2375 E Sunnyside Rd Ste J (208) 522-7246 Willis, Robert PA ~ NPI: 1235331802 3425 Merlin Dr Ste 200 (208) 528-6653 Wylie, Bryce PA ~ NPI: 1811043862 2725 Channing Wy (208) 525-8448 Wylie, Bryce PA ~ NPI: 1811043862 2730 Channing Wy (208) 542-7100 165

Physician Assistant continued/seguido Youngstrom, Karma PA ~* NPI: 1093186280 2725 Channing Wy (208) 525-8448 Youngstrom, Karma PA ~* NPI: 1093186280 2730 Channing Wy (208) 542-7100 83406 Hemming, Kathy PA ~* NPI: 1700817442 1675 Curlew Dr Idaho Falls, ID 83406 (208) 523-5319 Piquet, Kolt PA ~* NPI: 1780194613 1675 Curlew Dr Idaho Falls, ID 83406 (208) 523-5319 Camas Fairfield 83327 Hodges, Ryan PA ~* NPI: 1033413240 401 W Camas Fairfield, ID 83327 (208) 764-2611 Keller, Jared PA ~ NPI: 1861822439 401 W Camas Fairfield, ID 83327 (208) 764-2611 Knopp, Kalen PA ~* NPI: 1184094344 401 W Camas Fairfield, ID 83327 (208) 764-2611 Mcallister, Taylor PA ~* NPI: 1477902161 401 W Camas Fairfield, ID 83327 (208) 764-2611 Nelson, Matthew PA ~* NPI: 1437584752 401 W Camas Fairfield, ID 83327 (208) 764-2611 Richins, Adam PA ~* NPI: 1023381860 401 W Camas Fairfield, ID 83327 (208) 764-2611 Rodemack, Dean PA ~* NPI: 1548543424 401 W Camas Fairfield, ID 83327 (208) 764-2611 Tanner, Brandon PA ~* NPI: 1750667762 401 W Camas Fairfield, ID 83327 (208) 764-2611 Dutch Canyon Caldwell 83605 Brown, Heidi PA ~* NPI: 1851520316 2609 S 10Th Ave Ste 102 (208) 454-2766 Crawford, Andrew PA ~* NPI: 1588987309 2005 Arlington (208) 459-1025 Hackenberg, Amber PA ~* NPI: 1326357070 1906 Fairview Ave Ste 230 (208) 459-4667 Hoewing, Heather PA ~* NPI: 1013148725 1717 Arlington Ave (208) 459-4641 Hoewing, Heather PA ~* NPI: 1013148725 1906 Fairview Ave Ste 230 (208) 459-4641 Jongleux, Alicia PA ~* NPI: 1831603950 1906 Fairview Ave Ste 420 (208) 459-9177 Lavarias, Sari PA ~* NPI: 1033454426 1906 Fairview Ave Ste 420 (208) 459-9177 Njoroge, Zacharia PA ~ NPI: 1174035638 1825 S Kimball Ave (208) 455-3535 Robinson, Joseph PA ~ NPI: 1710315577 4519 Enterprise Wy (208) 402-4467 German Robinson, Lucas PA ~* NPI: 1225587025 1906 Fairview Ave Ste 420 (208) 459-9177 Salzsieder, Todd PA ~* NPI: 1962875724 2609 S 10Th Ave Ste 102 (208) 454-2766 Vansant, Amanda PA ~* NPI: 1295071496 524 Cleveland Blvd Ste 180 (208) 454-2996 Willes, Jeremy PA ~* NPI: 1356314843 2523 S 10Th Ave Ste 103 (208) 459-7788 Wood, Sarah PA ~* NPI: 1407131733 314 Badiola (208) 454-8389 Wren, Stephen PA ~* NPI: 1376090985 1906 Fairview Ave Ste 420 (208) 459-9177 Middleton 83644 Christensen, Kristin PA ~* NPI: 1558351569 381 Middleton Rd Ste B Middleton, ID 83644 (208) 585-6311 Hackenberg, Amber PA ~* NPI: 1326357070 381 Middleton Rd Ste B Middleton, ID 83644 (208) 585-6311 166

Physician Assistant continued/seguido Nampa 83651 Camacho, Lucy PA ~* NPI: 1508250754 207 1St St S Nampa, ID 83651 (208) 466-7869 Heaton, Thea PA ~* NPI: 1811998628 318 2Nd St S Nampa, ID 83651 (208) 467-3006 Millward, Anthony PA ~* NPI: 1609889252 207 1St St S Nampa, ID 83651 (208) 466-7869 Permann, Seth PA ~* NPI: 1508855974 318 2Nd St S Nampa, ID 83651 (208) 467-3006 Vansant, Amanda PA ~* NPI: 1295071496 1031 W Sanetta St Nampa, ID 83651 (208) 466-7443 83686 Brown, Heidi PA ~* NPI: 1851520316 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Casebolt, Alex PA ~* NPI: 1346283363 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Gardiner, Shannon PA ~* NPI: 1689701260 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Gill, Taya PA ~* NPI: 1790058618 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Hart, Trenton PA ~* NPI: 1114231693 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Heywood, Nicole PA ~* NPI: 1831564954 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Israelsen, Julie PA ~* NPI: 1275866139 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Cantonese Jakobson, Tyson PA ~* NPI: 1861737371 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Kerns, Benjamin PA ~* NPI: 1659388783 215 E Hawaii Ave Nampa, ID 83686 (208) 706-2663 Lobb, Brian PA ~* NPI: 1336488378 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Rogers, Victoria PA ~* NPI: 1922106194 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Salzsieder, Todd PA ~* NPI: 1962875724 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Smedshammer, Margo PA ~* NPI: 1932110939 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Smith, Preston PA ~* NPI: 1992794929 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Vansant, Amanda PA ~* NPI: 1295071496 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Wood, Sarah PA ~* NPI: 1407131733 824 S Diamond St Nampa, ID 83686 (208) 454-2766 83687 Casebolt, Alex PA ~* NPI: 1346283363 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Douthit, Thomas PA ~* NPI: 1023008414 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Gardiner, Shannon PA ~* NPI: 1689701260 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 367-3320 Hart, Trenton PA ~* NPI: 1114231693 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Lavarias, Sari PA ~* NPI: 1033454426 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Lewis, Leslie PA ~* NPI: 1952799009 9850 W St Lukes Dr Ste 215 Nampa, ID 83687 (208) 706-2663 Robinson, Lucas PA ~* NPI: 1225587025 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Rogers, Victoria PA ~* NPI: 1922106194 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Smedshammer, Margo PA ~* NPI: 1932110939 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 Smith, Preston PA ~* NPI: 1992794929 9850 W St Lukes Dr Ste 129 Nampa, ID 83687 (208) 288-4930 167

Physician Assistant continued/seguido Wilkey, Thad PA ~* NPI: 1174513188 16111 N Brinson St Ste 100 Nampa, ID 83687 (208) 467-7546 Wren, Stephen PA ~* NPI: 1376090985 4424 E Flamingo Ave Ste 230 Nampa, ID 83687 (208) 855-2900 Parma 83660 Kingery, Kristine PA ~* NPI: 1679517155 307 Grove St Parma, ID 83660 (208) 722-5147 Cassia Burley 83318 Hatch, Angela PA ~* NPI: 1376946012 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Hodges, Ryan PA ~* NPI: 1033413240 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Keller, Jared PA ~ NPI: 1861822439 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Knopp, Kalen PA ~* NPI: 1184094344 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Mcallister, Taylor PA ~* NPI: 1477902161 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Nelson, Matthew PA ~* NPI: 1437584752 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Richins, Adam PA ~* NPI: 1023381860 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Rodemack, Dean PA ~* NPI: 1548543424 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Tanner, Brandon PA ~* NPI: 1750667762 1309 Bennett Ave Burley, ID 83318 (208) 678-0101 Dutch Elmore Glenns Ferry 83623 Merrell, Mark PA ~* NPI: 1922342377 486 W First Ave Glenns Ferry, ID 83623 (208) 366-7416, Portuguese Mountain Home 83647 Brown, Heidi PA ~* NPI: 1851520316 1993 E 8Th St N Mountain Home, ID 83647 (208) 587-7626 Merrell, Mark PA ~* NPI: 1922342377 2280 American Legion Blvd Mountain Home, ID 83647 (208) 587-3988, Portuguese Miller, Chelsea PA ~* NPI: 1043659196 840 N 4Th E Ste 100 Mountain Home, ID 83647 (208) 587-1852 Roberts, Whitney PA ~ NPI: 1265852909 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Fremont Ashton 83420 Peters, Roxanne PA ~* NPI: 1558593731 23 S 8Th St Ashton, ID 83420 (208) 652-3396 Saint Anthony 83445 Brower, Andrew PA ~* NPI: 1760766976 20 N 3Rd E Saint Anthony, ID 83445 (208) 356-4900 Gem Emmett 83617 Brown, Heidi PA ~* NPI: 1851520316 315 S Johns Ave Emmett, ID 83617 (208) 996-8169 Miller, Chelsea PA ~* NPI: 1043659196 1202 E Locust St Emmett, ID 83617 (208) 898-7467 Petrie, Joseph PA ~* NPI: 1851721401 829B S Washington Ave Emmett, ID 83617 (208) 963-1190 Reid, Desiree PA ~* NPI: 1427558154 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Sires, Caleb PA ~ NPI: 1811361124 207 E 12Th St Emmett, ID 83617 (208) 365-1065 Smith, Cherish PA ~* NPI: 1134199631 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Sternes, Roy PA ~* NPI: 1437166550 1102 E Locust St Emmett, ID 83617 (208) 365-6004 168

Physician Assistant continued/seguido Gooding Gooding 83330 Inouye, Aaron PA ~ NPI: 1811360670 267 N Canyon Dr Gooding, ID 83330 (208) 934-8401 Idaho Cottonwood 83522 James, Gretchen PA ~* NPI: 1235183773 701 Lewiston St Cottonwood, ID 83522 (208) 962-3267 Klemens, Candice PA ~* NPI: 1073040515 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Morton, Rychael PA ~* NPI: 1750839023 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Obray, Gregory PA ~* NPI: 1083770192 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Paulson, Bret PA ~* NPI: 1497837447 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Thueson, Kaden PA ~* NPI: 1679941553 701 Lewiston St Cottonwood, ID 83522 (208) 743-3523 Jefferson Rigby 83442 Berrett, Anthony PA ~* NPI: 1841747540 167 E 1St S Rigby, ID 83442 (208) 745-8747 Flamm, T Andrew PA ~* NPI: 1750662326 167 E 1St S Rigby, ID 83442 (208) 745-8747 Lambson, Justus PA ~* NPI: 1922262542 167 E 1St S Rigby, ID 83442 (208) 745-8747 Czech Lange, Samantha PA ~* NPI: 1346792033 167 E 1St S Rigby, ID 83442 (208) 745-8747 Walaliyadda, Ranmali PA ~* NPI: 1801976923 711 Rigby Lake Dr Ste 114 Rigby, ID 83442 (208) 234-1300 Whiting, Joel PA ~* NPI: 1346259298 167 E 1St S Rigby, ID 83442 (208) 745-8747 Wylie, Bryce PA ~ NPI: 1811043862 167 E 1St S Rigby, ID 83442 (208) 745-8747 Youngstrom, Karma PA ~* NPI: 1093186280 167 E 1St S Rigby, ID 83442 (208) 745-8747 Jerome Jerome 83338 Hodges, Ryan PA ~* NPI: 1033413240 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Keller, Jared PA ~ NPI: 1861822439 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Knopp, Kalen PA ~* NPI: 1184094344 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Mcallister, Taylor PA ~* NPI: 1477902161 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Nelson, Matthew PA ~* NPI: 1437584752 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Richins, Adam PA ~* NPI: 1023381860 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Rodemack, Dean PA ~* NPI: 1548543424 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Tanner, Brandon PA ~* NPI: 1750667762 114 Pioneer Ct Jerome, ID 83338 (208) 324-3471 Dutch Kootenai Coeur D'alene 83814 Byrne, Thomas PA ~* NPI: 1164581849 1090 W Park Pl (208) 292-0292 Cohen, Jeffrey PA ~* NPI: 1598702532 700 Ironwood Dr Ste 320 (208) 625-5250 Doty, Timothy PA ~* NPI: 1265793756 1919 Lincoln Way Ste 416 (208) 625-4601 Doty, Timothy PA ~* NPI: 1265793756 1919 Lincoln Way Ste 415 (208) 625-4595 Dutkiewicz, James PA ~* NPI: 1114992179 2121 Ironwood Dr (208) 625-4680 Ellsworth, Amy PA ~* NPI: 1487908786 1919 Lincoln Way Ste 110 (208) 625-4515 169

Physician Assistant continued/seguido Fremouw, David PA ~* NPI: 1528437746 2003 Kootenai Health Way (208) 625-4000 Kazmierski, Brian PA ~* NPI: 1346293313 2003 Kootenai Health Way (208) 625-4000 Rosenthal, Seth PA ~* NPI: 1457781874 2003 Kootenai Health Way (208) 625-4000 Kazmierski, Brian PA ~* NPI: 1346293313 750 N Syringa St Ste 205 (208) 262-0945 Garcia, James PA ~* NPI: 1376878447 2003 Kootenai Health Way (208) 625-4000 Kohler, Kurt PA ~* NPI: 1013981562 2003 Kootenai Health Way (208) 625-4000 Schmidt, Magen PA ~ NPI: 1497738827 2003 Kootenai Health Way (208) 625-4000 Mohr, Michael PA ~* NPI: 1376694737 600 N Cecil (208) 262-2800 Hartzell, Sarah PA ~* NPI: 1407049356 1090 W Park Pl (208) 292-0292 Konyu, Jason PA ~* NPI: 1265479877 2003 Kootenai Health Way (208) 625-4000 Starley, Savannah PA ~ NPI: 1295159291 700 Ironwood Dr Ste 320 (208) 625-5250 Rosenthal, Seth PA ~* NPI: 1457781874 1296 E Polston Ave Ste C (208) 625-6700 Hays, Melodie PA ~* NPI: 1275608739 2003 Kootenai Health Way (208) 625-4000 Lien, Jeffrey PA ~ NPI: 1285708354 2003 Kootenai Health Way (208) 625-4000 Wilson, Ryan PA ~ NPI: 1417109695 2003 Kootenai Health Way (208) 625-4000 Smith, Ryan PA ~* NPI: 1053633297 1551 E Mullan Ave Ste 100 (208) 457-4211 Headley, Travis PA ~ NPI: 1659484483 2003 Kootenai Health Way (208) 625-4000 James, Gretchen PA ~* NPI: 1235183773 700 Ironwood Dr Ste 350 (208) 625-5230 James, Gretchen PA ~* NPI: 1235183773 700 Ironwood Dr Ste 320 (208) 625-5250 Jones, Sarah PA ~* NPI: 1003169947 700 Ironwood Dr Ste 275W (208) 625-4780 Lo-Tomblin, Jin PA ~* NPI: 1356315808 2003 Kootenai Health Way (208) 625-4000 Mcmahon, James PA ~* NPI: 1992899066 1919 Lincoln Way Ste 416 (208) 625-4601 Mcmahon, James PA ~* NPI: 1992899066 1919 Lincoln Way Ste 415 (208) 625-4595 Mikles, Erika PA ~ NPI: 1447204995 1090 W Park Pl (208) 292-0292 Mohr, Michael PA ~* NPI: 1376694737 700 Ironwood Dr Ste 320 (208) 625-5250 83815 Hartzell, Sarah PA ~* NPI: 1407049356 1765 W Golf Course Rd Coeur D'alene, ID 83815 (208) 292-0292 Post Falls 83854 Blume, Mitchell PA ~* NPI: 1710334248 750 N Syringa St Ste 205 (208) 262-0945 Dutkiewicz, James PA ~* NPI: 1114992179 185 W 4Th Ave Ste B (208) 773-1592 James, Gretchen PA ~* NPI: 1235183773 1300 E Mullan Ave Ste 900 (208) 625-5530 Starley, Savannah PA ~ NPI: 1295159291 600 N Cecil (208) 262-2800 Whitmore, Megan PA ~* NPI: 1144309683 1440 E Mullan Ave (208) 625-4900 Latah Moscow 83843 Fischer, Steven PA ~* NPI: 1811961881 623 S Main St Moscow, ID 83843 (208) 882-2011 Fischer, Steven PA ~* NPI: 1811961881 Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 170

Physician Assistant continued/seguido Fischer, Steven PA ~* NPI: 1811961881 U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Fischer, Steven PA ~* NPI: 1811961881 West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Goodrich, Wendy PA ~* NPI: 1255400388 623 S Main St Moscow, ID 83843 (208) 882-2011 Goodrich, Wendy PA ~* NPI: 1255400388 Quickcare 2500 West A St Moscow, ID 83843 (208) 882-0540 Goodrich, Wendy PA ~* NPI: 1255400388 U Of I Student Health Clinic 831 Ash St Moscow, ID 83843 (208) 885-6693 Goodrich, Wendy PA ~* NPI: 1255400388 West Side Clinic 2500 W A St Moscow, ID 83843 (208) 882-2011 Klemens, Candice PA ~* NPI: 1073040515 2500 West A St Moscow, ID 83843 (208) 743-3523 Lassen, Matthew PA ~ NPI: 1932599214 803 S Main St Ste 120 Moscow, ID 83843 (208) 848-8300 Morton, Rychael PA ~* NPI: 1750839023 2500 West A St Moscow, ID 83843 (208) 743-3523 Obray, Gregory PA ~* NPI: 1083770192 2500 West A St Moscow, ID 83843 (208) 743-3523 Paulson, Bret PA ~* NPI: 1497837447 2500 West A St Moscow, ID 83843 (208) 743-3523 Thueson, Kaden PA ~* NPI: 1679941553 2500 West A St Moscow, ID 83843 (208) 743-3523 Lincoln Shoshone 83352 Sedano, Yolanda PA ~* NPI: 1801121298 113 S Apple St Shoshone, ID 83352 (208) 886-2224 Singleton, Russell PA ~* NPI: 1588913214 113 S Apple St Shoshone, ID 83352 (208) 886-2224 Madison Rexburg 83440 Allen, Travis PA ~* NPI: 1548594062 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Batt, David PA ~* NPI: 1518212265 1049 Summers Dr Rexburg, ID 83440 (208) 359-4841 Belnap, Kylee PA ~* NPI: 1083090450 380 Walker Dr Rexburg, ID 83440 (208) 356-9559 Berrett, Anthony PA ~* NPI: 1841747540 72 E Main St Rexburg, ID 83440 (208) 359-1770 Flamm, T Andrew PA ~* NPI: 1750662326 72 E Main St Rexburg, ID 83440 (208) 359-1770 Lambson, Justus PA ~* NPI: 1922262542 72 E Main St Rexburg, ID 83440 (208) 359-1770 Czech Lange, Samantha PA ~* NPI: 1346792033 72 E Main St Rexburg, ID 83440 (208) 359-1770 Nelson, Matthew PA ~* NPI: 1649221912 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Snarr, Klynda PA ~* NPI: 1518369487 360 E Main St Rexburg, ID 83440 (208) 656-0055 Weber, Dan PA ~* NPI: 1962438812 256 N 2Nd E Rexburg, ID 83440 (208) 656-9646 Whiting, Joel PA ~* NPI: 1346259298 72 E Main St Rexburg, ID 83440 (208) 359-1770 Willardson, Jed PA ~* NPI: 1578716072 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Williams, Ryan PA ~* NPI: 1770818361 380 Walker Dr Ste 100 Rexburg, ID 83440 (208) 356-9559 Willmore, Jennifer PA ~* NPI: 1003992140 32 Madison Professional Pl Rexburg, ID 83440 (208) 523-7667 Wylie, Bryce PA ~ NPI: 1811043862 72 E Main St Rexburg, ID 83440 (208) 359-1770 Youngstrom, Karma PA ~* NPI: 1093186280 72 E Main St Rexburg, ID 83440 (208) 359-1770 171

Physician Assistant continued/seguido Minidoka Rupert 83350 Hodges, Ryan PA ~* NPI: 1033413240 1024 8Th St Rupert, ID 83350 (208) 650-7941 Keller, Jared PA ~ NPI: 1861822439 1024 8Th St Rupert, ID 83350 (208) 650-7941 Knopp, Kalen PA ~* NPI: 1184094344 1024 8Th St Rupert, ID 83350 (208) 650-7941 Mcallister, Taylor PA ~* NPI: 1477902161 1024 8Th St Rupert, ID 83350 (208) 650-7941 Nelson, Matthew PA ~* NPI: 1437584752 1024 8Th St Rupert, ID 83350 (208) 650-7941 Richins, Adam PA ~* NPI: 1023381860 1024 8Th St Rupert, ID 83350 (208) 650-7941 Rodemack, Dean PA ~* NPI: 1548543424 1024 8Th St Rupert, ID 83350 (208) 650-7941 Tanner, Brandon PA ~* NPI: 1750667762 1024 8Th St Rupert, ID 83350 (208) 650-7941 Dutch Nez Perce Lewiston 83501 Barnes, Danielle PA ~* NPI: 1356747042 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Grinage, Jennifer PA ~* NPI: 1396151395 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Klemens, Candice PA ~* NPI: 1073040515 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Morton, Rychael PA ~* NPI: 1750839023 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Obray, Gregory PA ~* NPI: 1083770192 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Paulson, Bret PA ~* NPI: 1497837447 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Schug, Andrew PA ~* NPI: 1780679068 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Thueson, Kaden PA ~* NPI: 1679941553 320 Warner Dr Lewiston, ID 83501 (208) 743-3523 Oneida Malad City 83252 Bingham, Mel PA ~* NPI: 1134257876 220 Bannock St Malad City, ID 83252 (208) 766-2600 German Bingham, Mel PA ~* NPI: 1134257876 150 N 200 W Malad City, ID 83252 (208) 766-2231 German Clark, Rick PA ~* NPI: 1033190533 220 Bannock St Malad City, ID 83252 (208) 766-2600 Clark, Rick PA ~* NPI: 1033190533 150 N 200 W Malad City, ID 83252 (208) 766-2231 Payette Fruitland 83619 Fitzsimonds, Taunya PA ~* NPI: 1275582215 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Hoyt, Nicole PA ~* NPI: 1578733234 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Miller, Chelsea PA ~* NPI: 1043659196 1118 Nw 16Th St Ste A Fruitland, ID 83619 (208) 452-5999 Perkins, Jock PA ~* NPI: 1306248778 1118 Nw 16Th St Ste A Fruitland, ID 83619 (208) 452-5999 Petrie, Breeann PA ~* NPI: 1235430059 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Sweet, Christina PA ~* NPI: 1497172555 1118 Nw 16Th St Ste A Fruitland, ID 83619 (208) 452-5999 Vansant, Amanda PA ~* NPI: 1295071496 1611 N Whitley Dr Ste 7 Fruitland, ID 83619 (208) 291-1020 Shoshone Kellogg 83837 Gibbs, Scott PA ~ NPI: 1912959321 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 Grattic, Taryn PA ~* NPI: 1093073926 740 Mckinley Ave Kellogg, ID 83837 (208) 783-1267 172

Physician Assistant continued/seguido Teton Driggs 83422 Batt, David PA ~* NPI: 1518212265 180 S Main St Ste B2 Driggs, ID 83422 (208) 359-4841 Twin Falls Buhl 83316 Hodges, Ryan PA ~* NPI: 1033413240 725 Fair St Buhl, ID 83316 (208) 543-8271 Keller, Jared PA ~ NPI: 1861822439 725 Fair St Buhl, ID 83316 (208) 543-8271 Knopp, Kalen PA ~* NPI: 1184094344 725 Fair St Buhl, ID 83316 (208) 543-8271 Mcallister, Taylor PA ~* NPI: 1477902161 725 Fair St Buhl, ID 83316 (208) 543-8271 Nelson, Matthew PA ~* NPI: 1437584752 725 Fair St Buhl, ID 83316 (208) 543-8271 Richins, Adam PA ~* NPI: 1023381860 725 Fair St Buhl, ID 83316 (208) 543-8271 Rodemack, Dean PA ~* NPI: 1548543424 725 Fair St Buhl, ID 83316 (208) 543-8271 Tanner, Brandon PA ~* NPI: 1750667762 725 Fair St Buhl, ID 83316 (208) 543-8271 Dutch Kimberly 83341 Hodges, Ryan PA ~* NPI: 1033413240 132 Main St N Kimberly, ID 83341 (208) 735-3938 Keller, Jared PA ~ NPI: 1861822439 132 Main St N Kimberly, ID 83341 (208) 735-3938 Knopp, Kalen PA ~* NPI: 1184094344 132 Main St N Kimberly, ID 83341 (208) 735-3938 Mcallister, Taylor PA ~* NPI: 1477902161 132 Main St N Kimberly, ID 83341 (208) 735-3938 Nelson, Matthew PA ~* NPI: 1437584752 132 Main St N Kimberly, ID 83341 (208) 735-3938 Richins, Adam PA ~* NPI: 1023381860 132 Main St N Kimberly, ID 83341 (208) 735-3938 Rodemack, Dean PA ~* NPI: 1548543424 132 Main St N Kimberly, ID 83341 (208) 735-3938 Tanner, Brandon PA ~* NPI: 1750667762 132 Main St N Kimberly, ID 83341 (208) 735-3938 Dutch Twin Falls 83301 Attebury, Benjamin PA ~* NPI: 1437345923 176 Falls Ave (208) 733-3181 Bostrom, Lauren PA ~* NPI: 1740614015 1411 Fillmore St Ste 600 (208) 933-4400 Bowman, Devin PA ~* NPI: 1508113366 775 Pole Line Rd W Ste 101 (208) 814-8100 Brown, Ashley PA ~* NPI: 1942638846 2550 Addison Ave E Ste B (208) 814-8000 Brown, Ashley PA ~* NPI: 1942638846 775 Pole Line Rd W Ste 105 And 111 (208) 814-8000 Brown, Ashley PA ~* NPI: 1942638846 775 Pole Line Rd W Ste 103 (208) 814-8375 Brown, Mindy PA ~* NPI: 1083704498 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Clark, Cameron PA ~* NPI: 1407049422 775 Pole Line Rd W Ste 312 (208) 814-8600 Clark, Cameron PA ~* NPI: 1407049422 775 Pole Line Rd W Ste 103 (208) 814-8375 Coppin, Erin PA ~* NPI: 1922066042 2550 Addison Ave E Ste B (208) 814-8000 173

Physician Assistant continued/seguido Dalley, Jeremy PA ~* NPI: 1306273552 1411 Fillmore St Ste 600 (208) 933-4400, Tagalog Hodges, Ryan PA ~* NPI: 1033413240 388 Martin St (208) 734-0451 Keller, Jared PA ~ NPI: 1861822439 826 Eastland Dr (208) 732-7101 Mcallister, Taylor PA ~* NPI: 1477902161 325 Martin St (208) 732-7101 Etcheto, John PA ~* NPI: 1073547113 176 Falls Ave (208) 733-3181 Etcheto, John PA ~* NPI: 1073547113 228 Shoup Ave W (208) 734-6760 Fredline, Braton PA ~* NPI: 1740733401 228 Shoup Ave W (208) 734-6760 Italian Fredline, Braton PA ~* NPI: 1740733401 414 Shoup Ave W Ste B (208) 814-9100 Italian Gilbert, Katelyn PA ~* NPI: 1912451428 228 Shoup Ave W (208) 734-6760 Gilbert, Katelyn PA ~* NPI: 1912451428 414 Shoup Ave W Ste B (208) 814-9100 Hodges, Ryan PA ~* NPI: 1033413240 325 Martin St (208) 732-7101 Hodges, Ryan PA ~* NPI: 1033413240 826 Eastland Dr (208) 732-7101 Hubsmith, Lindsay PA ~* NPI: 1750474300 526 Shoup Ave W Ste E (208) 736-3362 Hurd, Chad PA ~* NPI: 1700278553 738 N College Rd Ste A (208) 814-7000 Jacobs, William PA ~* NPI: 1679580377 775 Pole Line Rd W Ste 101 (208) 814-8100 Jolley, Jaclyn PA ~* NPI: 1184144305 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Keller, Jared PA ~ NPI: 1861822439 325 Martin St (208) 732-7101 Keller, Jared PA ~ NPI: 1861822439 388 Martin St (208) 734-0451 Knopp, Kalen PA ~* NPI: 1184094344 325 Martin St (208) 732-7101 Knopp, Kalen PA ~* NPI: 1184094344 388 Martin St (208) 734-0451 Knopp, Kalen PA ~* NPI: 1184094344 826 Eastland Dr (208) 732-7101 Krupski, Laurel PA ~* NPI: 1164617791 844 Washington St N Ste 100 (208) 734-6800 Larsen, Jacob PA ~* NPI: 1558730291 2550 Addison Ave E Ste B (208) 814-8000 Larsen, Jacob PA ~* NPI: 1558730291 775 Pole Line Rd W Ste 105 (208) 814-8000 Larsen, Jacob PA ~* NPI: 1558730291 775 Pole Line Rd W Ste 103 (208) 814-8375 Mcallister, Taylor PA ~* NPI: 1477902161 388 Martin St (208) 734-0451 Mcallister, Taylor PA ~* NPI: 1477902161 826 Eastland Dr (208) 732-7101 Nelson, Matthew PA ~* NPI: 1437584752 325 Martin St (208) 732-7101 Nelson, Matthew PA ~* NPI: 1437584752 388 Martin St (208) 734-0451 Nelson, Matthew PA ~* NPI: 1437584752 826 Eastland Dr (208) 732-7101 Nope, Heather PA ~* NPI: 1053702837 550 Polk St Ste A (208) 737-0572 Perius, Nicholas PA ~* NPI: 1154363000 775 Pole Line Rd W Ste 103 (208) 814-8375 174

Physician Assistant continued/seguido Richins, Adam PA ~* NPI: 1023381860 325 Martin St (208) 732-7101 Richins, Adam PA ~* NPI: 1023381860 388 Martin St (208) 734-0451 Richins, Adam PA ~* NPI: 1023381860 826 Eastland Dr (208) 732-7101 Robinson, Mitch PA ~* NPI: 1245581487 738 N College Rd Ste A (208) 814-7000 Rodemack, Dean PA ~* NPI: 1548543424 325 Martin St (208) 732-7101 Rodemack, Dean PA ~* NPI: 1548543424 388 Martin St (208) 734-0451 Rodemack, Dean PA ~* NPI: 1548543424 794 Eastland Dr (208) 732-7446 Rodemack, Dean PA ~* NPI: 1548543424 826 Eastland Dr (208) 732-7101 Saxey, Benjamin PA ~* NPI: 1225482201 414 Shoup Ave W Ste B (208) 814-9100 Scanlan, Christina PA ~* NPI: 1487906814 414 Shoup Ave W Ste B (208) 814-9100 Schrader, Scott PA ~* NPI: 1740223148 775 Pole Line Rd W Ste 103 (208) 814-8375 Singleton, Russell PA ~* NPI: 1588913214 1411 Fillmore St Ste 600 (208) 933-4400 Smith, Preston PA ~* NPI: 1992794929 2550 Addison Ave E Ste A (208) 381-7011 Stevenson, Phillip PA ~* NPI: 1871744425 738 N College Rd Ste A (208) 814-7000 Tanner, Brandon PA ~* NPI: 1750667762 325 Martin St (208) 732-7101 Dutch Tanner, Brandon PA ~* NPI: 1750667762 388 Martin St (208) 734-0451 Dutch Tanner, Brandon PA ~* NPI: 1750667762 826 Eastland Dr (208) 732-7101 Dutch Thueson, Sharon PA ~* NPI: 1477568103 801 Pole Line Rd W Ste 3880 And 3810 (208) 814-8500 Viehweg, Jessica PA ~* NPI: 1750783064 738 N College Rd Ste A (208) 814-7000 Wortham, Lori PA ~ NPI: 1558378372 801 Pole Line Rd W (208) 814-4100 Valley Cascade 83611 Housley, Michael PA ~* NPI: 1043665789 271 N Duffers Ln Cascade, ID 83611 (208) 939-4599 Mckinnon, Tyler PA ~* NPI: 1790131480 271 N Duffers Ln Cascade, ID 83611 (208) 939-4599 Wood, Chelsea PA ~* NPI: 1639567118 271 Duffers Ln Cascade, ID 83611 (208) 939-4599 Wood, Chelsea PA ~* NPI: 1639567118 271 N Duffers Ln Cascade, ID 83611 (208) 939-4599 Mccall 83638 Kinney, Anna PA ~* NPI: 1841527264 211 Forest St Mccall, ID 83638 (208) 630-2330 Wilkey, Thad PA ~* NPI: 1174513188 211 Forest St Mccall, ID 83638 (208) 467-7546 Washington Weiser 83672 Ankarberg, Ryan PA ~* NPI: 1639366099 400 E 7Th St Weiser, ID 83672 (208) 414-8440 Ishida, Victor PA ~* NPI: 1194894113 400 E 7Th St Weiser, ID 83672 (208) 414-8440 Plastic And Reconstructive Surgery Kootenai Coeur D'alene 83814 Kuhlman-Wood, Kate NPI: 1629268255 2003 Kootenai Health Way (208) 625-4000 Mandel, Benjamin NPI: 1306900097 980 Ironwood Dr Ste 01 (208) 625-4333 175

Plastic And Reconstructive Surgery continued/seguido Mullen, Patrick NPI: 1629069885 2121 Ironwood Dr (208) 625-4680 Nez Perce Lewiston 83501 Ozeran, Steven MD ~ NPI: 1316911571 1630 23Rd Ave Ste 901 Lewiston, ID 83501 (208) 746-4479 Plastic Surgery Bannock Pocatello 83201 Maloff, Stephen NPI: 1316059280 285 Vista Dr (208) 239-8023 Bingham Blackfoot 83221 Maloff, Stephen NPI: 1316059280 98 Poplar St (208) 235-2277 Bonneville Idaho Falls 83404 Bruggeman, Brian NPI: 1356344626 3242 S Woodruff Ave (208) 535-4567 Twin Falls Twin Falls 83301 Smith, Dell MD ~ NPI: 1770589814 1880 Fillmore Ave N (208) 735-8386 Wayment, Tyler NPI: 1669423539 738 N College Rd Ste A (208) 814-7000 Podiatrist Ada Boise 83702 Millward, Gary DPM ~* NPI: 1063462075 703 S Americana Blvd Ste 120 (208) 706-2663 Stano, William DPM ~* NPI: 1063426948 220 W Jefferson St (208) 343-8907 83706 Lowe, Randy DPM ~* NPI: 1801071550 230 W Mallard Dr Ste C Boise, ID 83706 (208) 387-0900 Meridian 83642 Blackmer, David DPM ~* NPI: 1396847125 3080 Gentry Way Ste 201 (208) 319-0497 Graviet, Scott DPM ~* NPI: 1578514618 3399 E Louise Dr Ste 200 (208) 706-2663 Lowe, Randy DPM ~* NPI: 1801071550 1828 Millenium Way Ste 200 (208) 387-0900 Millward, Gary DPM ~* NPI: 1063462075 3399 E Louise Dr Ste 200 (208) 706-2663 Blaine Hailey 83333 Blackmer, David DPM ~* NPI: 1396847125 315 S River St Hailey, ID 83333 (208) 788-1880 Bonneville Idaho Falls 83404 Black, Timothy DPM ~* NPI: 1578753091 1628 Elkcreek Dr (208) 528-8700 Black, Timothy DPM ~* NPI: 1578753091 2325 Coronado St (208) 785-2453 Black, Timothy DPM ~* NPI: 1578753091 2377 Coronado St (208) 557-2570 Cooper, Jerry DPM ~* NPI: 1942299151 2565 Channing Way (208) 523-2928 Cooper, Jerry DPM ~* NPI: 1942299151 2610 Channing Way (208) 523-2928 Canyon Nampa 83686 Burk, Phillip DPM ~* NPI: 1699763540 203 12Th Ave Rd Nampa, ID 83686 (208) 466-3338, Portuguese 83687 Graviet, Scott DPM ~* NPI: 1578514618 9850 W St Lukes Dr Nampa, ID 83687 (208) 706-2663 Cassia Burley 83318 Blackmer, David DPM ~* NPI: 1396847125 521 E Main St Burley, ID 83318 (208) 678-1515 Elmore Mountain Home 83647 Stano, William DPM ~* NPI: 1063426948 840 N 4Th E Mountain Home, ID 83647 (208) 343-8907 176

Podiatrist continued/seguido Franklin Preston 83263 Heninger, Spencer DPM ~ NPI: 1790781292 44 N 1St E Preston, ID 83263 (208) 852-3662 Gem Emmett 83617 Burk, Phillip DPM ~* NPI: 1699763540 1202 E Locust St Emmett, ID 83617 (208) 466-3338, Portuguese Stano, William DPM ~* NPI: 1063426948 1202 E Locust St Emmett, ID 83617 (208) 343-8907 Gooding Gooding 83330 Tomlinson, Timothy DPM ~* NPI: 1518018969 267 N Canyon Dr Gooding, ID 83330 (208) 934-8401 Kootenai Coeur D'alene 83814 Averett, Ryan DPM ~ NPI: 1629065610 2003 Kootenai Health Way (208) 625-4000 Butler, Christopher DPM ~ NPI: 1659590677 2003 Kootenai Health Way (208) 625-4000 Nez Perce Lewiston 83501 Washington, Neil DPM ~* NPI: 1679700108 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Twin Falls Twin Falls 83301 Blackmer, David DPM ~* NPI: 1396847125 191 Addison Ave (208) 733-3881 Podiatrist - Foot & Ankle Surgery Ada Boise 83702 Clark, Clinton DPM ~* NPI: 1710924345 703 S Americana Blvd Ste 120 (208) 706-2663 Kinghorn, Kurt DPM ~* NPI: 1396023446 222 N 2Nd St Ste 301 (208) 344-3324 83704 Devries, Jason DPM ~* NPI: 1952592404 727 E Riverpark Ln Ste 100 (208) 319-0497 Meridian 83642 Clark, Clinton DPM ~* NPI: 1710924345 3399 E Louise Dr Ste 200 (208) 706-2663 Kinghorn, Kurt DPM ~* NPI: 1396023446 1828 S Millenium Way Ste 200 (208) 884-0313 Bannock Pocatello 83201 Bray, S Jeffrey DPM ~* NPI: 1386721637 2240 E St (208) 233-2100 Howard, Kert DPM ~ NPI: 1245216647 444 Hospital Wy Bldg B Ste 600 (208) 523-1122 Matthews, Adam DPM ~* NPI: 1134411408 444 Hospital Wy Bldg B Ste 600 (208) 523-1122 Robinson, Dan DPM ~* NPI: 1013139898 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Bingham Blackfoot 83221 Robinson, Dan DPM ~* NPI: 1013139898 98 Poplar St (208) 235-2277 Blaine Hailey 83333 Devries, Jason DPM ~* NPI: 1952592404 315 S River St Hailey, ID 83333 (208) 788-1880 Bonneville Idaho Falls 83404 Allred, Aaron DPM ~* NPI: 1689929515 1540 Elk Creek Dr (208) 529-8393 Howard, Karson DPM ~* NPI: 1992093561 3910 Washington Pkwy (208) 523-1122 Howard, Kert DPM ~ NPI: 1245216647 3910 Washington Pkwy (208) 523-1122 Kovac, Kylin DPM ~ NPI: 1417261744 1540 Elk Creek Dr (208) 529-8393 177

Podiatrist - Foot & Ankle Surgery continued/seguido Matthews, Adam DPM ~* NPI: 1134411408 3910 Washington Pkwy (208) 523-1122 Peterson, John DPM ~* NPI: 1780985234 2116 E 25Th W (208) 346-7443 Robinson, Dan DPM ~* NPI: 1013139898 2375 E Sunnyside Rd Ste F (208) 535-3626 Canyon Nampa 83686 Fowler, Troy DPM ~* NPI: 1235575044 203 12Th Ave Rd Nampa, ID 83686 (208) 466-3338 Finnish Johnson, Clark DPM ~* NPI: 1518225929 203 12Th Ave Rd Nampa, ID 83686 (208) 466-3338 Martin, Trever DPM ~* NPI: 1316236797 203 12Th Ave Rd Nampa, ID 83686 (208) 466-3338, Portuguese Cassia Burley 83318 Devries, Jason DPM ~* NPI: 1952592404 521 E Main St Burley, ID 83318 (208) 678-1515 Wettstein, Daniel DPM ~* NPI: 1174756316 1263 Bennett Ave Burley, ID 83318 (208) 731-6321 Elmore Mountain Home 83647 Kinghorn, Kurt DPM ~* NPI: 1396023446 840 N 4Th E Ste 100 Mountain Home, ID 83647 (208) 344-3324 Martin, Trever DPM ~* NPI: 1316236797 890 N 6Th E Mountain Home, ID 83647 (208) 466-3338, Portuguese Gem Emmett 83617 Martin, Trever DPM ~* NPI: 1316236797 1024 E Locust St Emmett, ID 83617 (208) 365-2338, Portuguese Kootenai Coeur D'alene 83814 Nunez, Orlando DPM ~* NPI: 1821274259 101 Ironwood Dr Ste 131 (208) 666-0605 Thompson, Bryan DPM ~* NPI: 1558361717 2003 Kootenai Health Way (208) 625-4000 Post Falls 83854 Thompson, Bryan DPM ~* NPI: 1558361717 1590 E Polston Ave Ste A (208) 777-9794 Madison Rexburg 83440 Allred, Aaron DPM ~* NPI: 1689929515 393 E 2Nd N Rexburg, ID 83440 (208) 529-8393 Kovac, Kylin DPM ~ NPI: 1417261744 393 E 2Nd N Rexburg, ID 83440 (208) 529-8393 Payette Fruitland 83619 Martin, Trever DPM ~* NPI: 1316236797 1210 Nw 16Th St Fruitland, ID 83619 (208) 466-3338, Portuguese Twin Falls Twin Falls 83301 Devries, Jason DPM ~* NPI: 1952592404 191 Addison Ave (208) 733-3881 Roberts, Caleb DPM ~* NPI: 1699062638 496 B Shoup Ave W (208) 734-7676 Wettstein, Daniel DPM ~* NPI: 1174756316 176 Falls Ave Ste 200 (208) 731-6321 Wraalstad, Randal DPM ~* NPI: 1255334066 714 N College Rd Ste A (208) 814-7150 Washington Weiser 83672 Johnson, Clark DPM ~* NPI: 1518225929 360 E Liberty Weiser, ID 83672 (208) 466-3338 Martin, Trever DPM ~* NPI: 1316236797 360 E Liberty Weiser, ID 83672 (208) 466-3338, Portuguese 178

Pulmonary Disease Ada Boise 83704 Rasmus, Mark NPI: 1528106309 7272 W Potomac Dr (208) 884-2922 83712 Jerome, Peter MD ~ NPI: 1396740668 190 E Bannock St (208) 323-3767 Miller, Karen NPI: 1629117619 100 E Idaho St Ste 200 (208) 381-7092 O'mara, Thomas MD ~ NPI: 1588649412 190 E Bannock St (208) 323-3767 83716 Akhtar, Saadia NPI: 1790823904 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Bergquist, William NPI: 1730227927 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Blake, Lloyd MD ~ NPI: 1487730735 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 German Dittrich, William NPI: 1154469328 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Fonseca, David NPI: 1205034238 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Goltry, Brian NPI: 1578591210 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Kouskov, Oleg NPI: 1053521203 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Russian Lin, Jeffrey NPI: 1891704169 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Linderman, Derek NPI: 1093815821 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Miller, Karen NPI: 1629117619 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Reger, Andrew DO ~* NPI: 1477874360 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Sasso, David NPI: 1467590661 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Souza, James NPI: 1659419448 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Toolson, Ryan DO ~* NPI: 1841583622 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Weis, Patrick NPI: 1174602536 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Wyler, David DO ~ NPI: 1558578260 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 German Meridian 83642 Akhtar, Saadia NPI: 1790823904 2347 E Gala St (208) 323-3767 Bergquist, William NPI: 1730227927 2347 E Gala St (208) 323-3767 Blake, Lloyd MD ~ NPI: 1487730735 2347 E Gala St (208) 323-3767 German Dittrich, William NPI: 1154469328 2347 E Gala St (208) 323-3767 Divietro, Matthew DO ~* NPI: 1427265867 2347 E Gala St (208) 323-3767 Fonseca, David NPI: 1205034238 2347 E Gala St (208) 323-3767 Goltry, Brian NPI: 1578591210 2347 E Gala St (208) 323-3767 Kouskov, Oleg NPI: 1053521203 2347 E Gala St (208) 323-3767 Russian Lin, Jeffrey NPI: 1891704169 2347 E Gala St (208) 323-3767 Linderman, Derek NPI: 1093815821 2347 E Gala St (208) 323-3767 Miller, Karen NPI: 1629117619 2347 E Gala St (208) 323-3767 Norris, Wendi NPI: 1104964204 2347 E Gala St (208) 323-3767 Nowbar, Sogol NPI: 1265570360 2347 E Gala St (208) 323-3767 179

Pulmonary Disease continued/seguido Reger, Andrew DO ~* NPI: 1477874360 2347 E Gala St (208) 323-3767 Rich, Eric NPI: 1487776530 2347 E Gala St (208) 323-3767 Sasso, David NPI: 1467590661 2347 E Gala St (208) 323-3767 Souza, James NPI: 1659419448 2347 E Gala St (208) 323-3767 Toolson, Ryan DO ~* NPI: 1841583622 2347 E Gala St (208) 323-3767 Weis, Patrick NPI: 1174602536 2347 E Gala St (208) 323-3767 Wyler, David DO ~ NPI: 1558578260 2347 E Gala St (208) 323-3767 German Bannock Pocatello 83201 Felt, Richard NPI: 1124023361 353 N 4Th Ave Ste 102 (208) 478-7900 Felt, Richard NPI: 1124023361 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Krawtz, Steven NPI: 1972563310 777 Hospital Wy 202 (208) 239-2640 Bingham Blackfoot 83221 Felt, Richard NPI: 1124023361 98 Poplar St (208) 785-4100 Shrader, David NPI: 1275615494 98 Poplar St (208) 235-2277 Shelley 83274 Shrader, David NPI: 1275615494 275 W Locust St Shelley, ID 83274 (208) 357-3960 Bonneville Idaho Falls 83404 Felt, Richard NPI: 1124023361 2001 S Woodruff Ave Ste 3 (208) 535-3636 Felt, Richard NPI: 1124023361 2375 E Sunnyside Rd Ste F (208) 535-3626 Salem, Allen MD ~ NPI: 1992797088 2330 Desoto St (208) 552-4909 Shrader, David NPI: 1275615494 2375 E Sunnyside Rd Ste F (208) 535-3626 Canyon Nampa 83686 Freeman, John NPI: 1437279031 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Rasmus, Mark NPI: 1528106309 210 W Georgia Ave Ste 120 Nampa, ID 83686 (208) 884-2922 Sadaj, John NPI: 1407846140 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Kootenai Coeur D'alene 83814 Chang, Kevin NPI: 1578609830 700 W Ironwood Dr Ste 378 (208) 765-1252 Hoopman, Todd NPI: 1275663361 700 W Ironwood Dr Ste 378 (208) 765-1252 Scoggins, Robert MD ~ NPI: 1083728430 700 W Ironwood Dr Ste 378 (208) 765-1252 York, David NPI: 1538205927 700 W Ironwood Dr Ste 378 (208) 765-1252 Zinggeler Berg, Jeannette NPI: 1336433192 700 W Ironwood Dr Ste 378 (208) 765-1252 Oneida Malad City 83252 Rasmus, Mark NPI: 1528106309 220 Bannock St Malad City, ID 83252 (208) 766-2231 Twin Falls Twin Falls 83301 Ball, Gregory DO ~* NPI: 1407985278 1020 Washington St N (208) 737-5900 Ball, Gregory DO ~* NPI: 1407985278 775 Pole Line Rd W Ste 315 (208) 814-8750 180

Radiation Oncology Ada Boise 83712 Dorn, Ronald MD ~ NPI: 1780790279 100 E Idaho St (208) 381-2711 Kuhn, Tonya MD ~ NPI: 1700992088 100 E Idaho St (208) 381-2711 Sawyer, Timothy MD ~ NPI: 1548206584 100 E Idaho St (208) 381-2711 Smith, Stephen MD ~ NPI: 1184660409 100 E Idaho St (208) 381-2711 Meridian 83642 Bolender, Sarah MD ~ NPI: 1811003395 520 S Eagle Rd (208) 706-5651 Kuhn, Tonya MD ~ NPI: 1700992088 520 S Eagle Rd (208) 706-5651 Bannock Pocatello 83201 Callaghan, Michael MD ~ NPI: 1316978539 777 Hospital Wy (208) 239-1750 Mcallister, Calvin MD ~ NPI: 1952404097 777 Hospital Wy (208) 239-1750 Todd, Steven MD ~ NPI: 1972604510 777 Hospital Wy (208) 239-1750 Benewah Saint Maries 83861 Kelly, Karie-Lynn MD ~ NPI: 1417027640 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Lamm, Frank MD ~ NPI: 1417949033 229 S 7Th St Saint Maries, ID 83861 (509) 462-2273 Bonneville Idaho Falls 83404 Callaghan, Michael MD ~ NPI: 1316978539 1550 Hoopes Ave (208) 542-7220 Mcallister, Calvin MD ~ NPI: 1952404097 1550 Hoopes Ave (208) 542-7220 Todd, Steven MD ~ NPI: 1972604510 1550 Hoopes Ave (208) 542-7220 Canyon Nampa 83686 Dorn, Ronald MD ~ NPI: 1780790279 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Sawyer, Timothy MD ~ NPI: 1548206584 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Kootenai Coeur D'alene 83814 Fairbanks, Robert MD ~ NPI: 1821084781 700 W Ironwood Dr Ste 130 (509) 228-1000 Griffith, Jon MD ~ NPI: 1356333959 700 W Ironwood Dr Ste 130 (509) 228-1000 Laing, Susan MD ~ NPI: 1164414785 700 W Ironwood Dr Ste 130 (509) 228-1000 Lamoreaux, Wayne MD ~ NPI: 1831188036 700 W Ironwood Dr Ste 130 (509) 228-1000 Schomberg, Paula NPI: 1245218536 700 W Ironwood Dr Ste 130 (509) 228-1000 Thatcher, Stephen MD ~ NPI: 1851628077 700 W Ironwood Dr Ste 130 (509) 228-1000 Van Heuvelen, Gary NPI: 1629060256 700 W Ironwood Dr Ste 130 (509) 228-1000 Wagner, Aaron MD ~ NPI: 1831424365 700 W Ironwood Dr Ste 130 (509) 228-1000 Post Falls 83854 Fairbanks, Robert MD ~ NPI: 1821084781 1440 E Mullan Ave (509) 228-1000 Griffith, Jon MD ~ NPI: 1356333959 1440 E Mullan Ave (509) 228-1000 Kelly, Karie-Lynn MD ~ NPI: 1417027640 1641 E Polston Ave Ste 102 (509) 462-2273 Laing, Susan MD ~ NPI: 1164414785 1440 E Mullan Ave (509) 228-1000 181

Radiation Oncology continued/seguido Lamm, Frank MD ~ NPI: 1417949033 1641 E Polston Ave Ste 102 (509) 462-2273 Lamoreaux, Wayne MD ~ NPI: 1831188036 1440 E Mullan Ave (509) 228-1000 Mihalick, Trent MD ~ NPI: 1942306063 1641 E Polston Ave Ste 102 (509) 462-2273 Thatcher, Stephen MD ~ NPI: 1851628077 1440 E Mullan Ave (509) 228-1000 Van Heuvelen, Gary NPI: 1629060256 1440 E Mullan Ave (509) 228-1000 Wagner, Aaron MD ~ NPI: 1831424365 1440 E Mullan Ave (509) 228-1000 Payette Fruitland 83619 Bolender, Sarah MD ~ NPI: 1811003395 1118 Nw 16Th St Ste D Fruitland, ID 83619 (208) 452-7677 Twin Falls Twin Falls 83301 Allan, Eric MD ~ NPI: 1902163918 725 Pole Line Rd W (208) 814-1600 83303 Hymas, Richard MD ~ NPI: 1700149713 725 Pole Line Rd W Twin Falls, ID 83303 (208) 814-0361 Respite Care Ada Boise 83704 Addus Homecare Boise Nampa ~ NPI: 1699198242 545 N Benjamin Ln Ste 125 (208) 342-1222 Bonneville Idaho Falls 83401 Lincoln Court ~ 850 Lincoln Dr Idaho Falls, ID 83401 (208) 529-3456 Canyon Nampa 83651 Addus Homecare Boise Nampa ~ NPI: 1699198242 1605 N Parkcentre Pl Nampa, ID 83651 (208) 467-5700 Kootenai Coeur D'alene 83815 Bristol Heights Assisted Living ~ 2220 W Prairie Ave Coeur D'alene, ID 83815 (208) 661-6862 Twin Falls Twin Falls 83301 Addus Homecare Twin Falls ~ NPI: 1356758171 164 River Vista Pl (208) 733-9100 Rheumatology Ada Boise 83702 Dingman, Achini NPI: 1174594758 600 N Robbins Rd Ste 302 (208) 706-5930 Loveless, James NPI: 1396851341 600 N Robbins Rd Ste 302 (208) 706-5930 Solich, Chara NPI: 1134158892 600 N Robbins Rd Ste 302 (208) 706-5930 Eagle 83616 Solich, Chara NPI: 1134158892 3101 E State St Ste 2107 Eagle, ID 83616 (208) 706-5930 Meridian 83642 Ader, John DO ~* NPI: 1992789564 3277 E Louise Dr Ste 200 (208) 884-2920 Dingman, Achini NPI: 1174594758 520 S Eagle Rd Ste 3211 (208) 706-5930 Knibbe, W Patrick NPI: 1457363673 520 S Eagle Rd Ste 3211 (208) 706-5930 Lagwinski, Mikael NPI: 1679540363 3277 E Louise Dr Ste 350 (208) 887-9500 Danish, Polish Meier, Svetlana NPI: 1609054659 3277 E Louise Dr Ste 350 (208) 887-9500 182

Rheumatology continued/seguido Palfreyman, Eric NPI: 1356504690 3277 E Louise Dr Ste 350 (208) 887-9500 Portuguese Wilson, Gregory DO ~* NPI: 1669406799 520 S Eagle Rd Ste 3211 (208) 706-5930 Bannock Pocatello 83201 Walaliyadda, Ananda NPI: 1497747703 1448 E St Ste E (208) 234-1300 Blaine Hailey 83333 Knibbe, W Patrick NPI: 1457363673 1450 Aviation Dr Ste 100 Hailey, ID 83333 (208) 706-5930 Canyon Caldwell 83605 Lagwinski, Mikael NPI: 1679540363 1818 S 10Th Ave Ste 120 (208) 887-9500 Danish, Polish Meier, Svetlana NPI: 1609054659 1818 S 10Th Ave Ste 120 (208) 887-9500 Palfreyman, Eric NPI: 1356504690 1818 S 10Th Ave Ste 120 (208) 887-9500 Portuguese Nampa 83686 Ader, John DO ~* NPI: 1992789564 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 Jefferson Rigby 83442 Walaliyadda, Ananda NPI: 1497747703 711 Rigby Lake Dr Ste 114 Rigby, ID 83442 (208) 234-1300 Kootenai Coeur D'alene 83814 Coan, Michael DO ~* NPI: 1386955904 700 Ironwood Dr Ste 275W (208) 625-4780 Dinning, Dustin DO ~* NPI: 1578774022 700 Ironwood Dr Ste 275W (208) 625-4780 Twin Falls Twin Falls 83301 Reddy, Akavaram NPI: 1407816986 775 Pole Line Rd W Ste 115 (208) 814-8150 Rural Health Clinic Bingham Blackfoot 83221 Blackfoot Medical ~ NPI: 1467816579 1441 Parkway Dr (208) 785-2600 First Choice Urgent Care And Medical Clinic ~ NPI: 1922243088 98 Poplar St (208) 785-4100 Gem Emmett 83617 Valor Health Hospital ~* NPI: 1821091083 1102 E Locust St Emmett, ID 83617 (208) 365-6004 Oneida Malad City 83252 Oneida County Clinic - Rhc ~* NPI: 1710041785 220 Bannock St Malad City, ID 83252 (208) 766-2600 Sleep - Internal Ada Boise 83702 Troyer, Brett NPI: 1841385523 403 S 11Th St Ste 210 (208) 895-0411 83704 Rasmus, Mark NPI: 1528106309 7272 W Potomac Dr (208) 884-2922 83716 Thompson, William NPI: 1770594186 2051 E Summersweet Dr Boise, ID 83716 (208) 323-3767 Meridian 83642 Thompson, William NPI: 1770594186 2347 E Gala St (208) 323-3767 Canyon Nampa 83686 Rasmus, Mark NPI: 1528106309 210 W Georgia Ave Ste 120 Nampa, ID 83686 (208) 884-2922 183

Sleep - Internal continued/seguido Oneida Malad City 83252 Rasmus, Mark NPI: 1528106309 220 Bannock St Malad City, ID 83252 (208) 766-2231 Sleep - Psychiatry & Neurology Kootenai Coeur D'alene 83814 Hagen, Chad NPI: 1962627265 2100 Ironwood Ct (208) 625-6877 Specialist Ada Boise 83704 Rasmus, Mark NPI: 1528106309 7272 W Potomac Dr (208) 884-2922 Bonneville Idaho Falls 83404 Hinckley, Daniel NPI: 1821106089 2065 E 17Th St Ste A (208) 522-1764 Canyon Nampa 83686 Rasmus, Mark NPI: 1528106309 210 W Georgia Ave Ste 120 Nampa, ID 83686 (208) 884-2922 Oneida Malad City 83252 Rasmus, Mark NPI: 1528106309 220 Bannock St Malad City, ID 83252 (208) 766-2231 Speech-Language Pathologist Ada Boise 83713 Chatterton, Rian ~* NPI: 1861609885 13075 W Persimmon Ln Ste 120 Boise, ID 83713 (208) 376-3591 Clarke, Leslie ~* NPI: 1093181257 13075 W Persimmon Ln Ste 120 Boise, ID 83713 (208) 376-3591 Kesler, Jerri ~* NPI: 1124450861 13075 W Persimmon Ln Ste 120 Boise, ID 83713 (208) 376-3591 Tyson-Mcomie, Jaimee ~* NPI: 1114316817 13075 W Persimmon Ln Ste 120 Boise, ID 83713 (208) 376-3591 Meridian 83642 Guryan, Beth ~* NPI: 1700944766 1311 E Central Dr (208) 373-1723 Hansen, Karrie ~* NPI: 1851612873 1311 E Central Dr (208) 373-1723 Hardy, Amy ~* NPI: 1386869642 1311 E Central Dr (208) 373-1723 Loftin, Joni ~* NPI: 1700953296 1311 E Central Dr (208) 373-1723 Smith, Shauna ~* NPI: 1386715696 1311 E Central Dr (208) 373-1723 Vandonsel, Mary ~* NPI: 1700083896 1311 E Central Dr (208) 373-1723 Bannock Pocatello 83201 Griffiths, Ashley ~ NPI: 1992195903 1110 Call Creek Dr Ste 7 (208) 233-4660 Jemmett, Mckenzie ~* NPI: 1194109223 560 Memorial Dr Ste C (208) 232-4267 Sign Language Morgan, Wendy ~* NPI: 1205035482 650 Memorial Dr Bldg 68 (208) 282-3495 Parrish, Linda ~* NPI: 1316398373 1110 Call Creek Dr Ste 7 (208) 233-4660 Taylor, Amanda ~* NPI: 1063957967 1110 Call Creek Dr Ste 7 (208) 233-4660 Williams, Marcia ~* NPI: 1447567144 1110 Call Creek Dr Ste 7 (208) 233-4660 Zaremba, Cheryl ~* NPI: 1053519751 1110 Call Creek Dr Ste 7 (208) 233-4660 83204 Hale, Krista ~* NPI: 1578871505 7677 W Portneuf Rd Pocatello, ID 83204 (208) 604-6260 184

Speech-Language Pathologist continued/seguido Lance, Michelle ~* NPI: 1417261645 7677 W Portneuf Rd Pocatello, ID 83204 (208) 604-6260 83209 Ament, Robin ~* NPI: 1447385182 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Miller, Karissa ~* NPI: 1740436302 650 Memorial Dr Bldg 68 Pocatello, ID 83209 (208) 282-3495 Bonneville Idaho Falls 83404 Adamski, Margaret ~* NPI: 1003979790 3715 Woodking Dr (208) 529-2255 Bullock, Kristan ~* NPI: 1689082521 3715 Woodking Dr (208) 529-2255 Durtschi Padron, Brenda ~* NPI: 1730589532 3715 Woodking Dr (208) 529-2255 Fisher, Amy ~* NPI: 1851454045 3715 Woodking Dr (208) 529-2255 Fullmer, Lorenza ~* NPI: 1669880670 3715 Woodking Dr (208) 529-2255 Garner, Melissa ~* NPI: 1760848113 3715 Woodking Dr (208) 529-2255 Hulet, Vicki ~* NPI: 1255440939 3715 Woodking Dr (208) 529-2255 Stephens, Samantha ~* NPI: 1730597725 3715 Woodking Dr (208) 529-2255 Stowell, Kimberly ~* NPI: 1811007784 3715 Woodking Dr (208) 529-2255 Wood Kerr, Karlee ~ NPI: 1811339575 3715 Woodking Dr (208) 529-2255 Caribou Soda Springs 83276 Williams, Marcia ~* NPI: 1447567144 316 W 2Nd S Soda Springs, ID 83276 (208) 233-4660 Cassia Burley 83318 Suthers, Lindsay ~* NPI: 1083922397 1650 Overland Ave 4 Burley, ID 83318 (208) 233-4660 Williams, Marcia ~* NPI: 1447567144 1650 Overland Ave 4 Burley, ID 83318 (208) 233-4660 Zaremba, Cheryl ~* NPI: 1053519751 1650 Overland Ave 4 Burley, ID 83318 (208) 233-4660 Jerome Jerome 83338 Beaulieu, Lauren ~* NPI: 1730347741 113 E Ave F Jerome, ID 83338 (208) 324-2443 Harris, Nancy ~ NPI: 1255599585 113 E Ave F Jerome, ID 83338 (208) 324-2443 Pound, Stacey ~* NPI: 1316271513 113 E Ave F Jerome, ID 83338 (208) 324-2443 Robinson, Robert SLP ~* NPI: 1639433352 113 E Ave F Jerome, ID 83338 (208) 324-2443 Thurman, Jackie ~* NPI: 1073037073 113 E Ave F Jerome, ID 83338 (208) 324-2443 Kootenai Coeur D'alene 83815 Layden, Kenton ~* NPI: 1003088907 500 W Aqua Ave Coeur D'alene, ID 83815 (855) 633-3627 Webb, Lori ~* NPI: 1508951542 500 W Aqua Ave Coeur D'alene, ID 83815 (855) 633-3627 Power American Falls 83211 Barlow, Jessica ~* NPI: 1871842856 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Barlow, Jessica ~* NPI: 1871842856 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Furniss, Michele ~* NPI: 1750438131 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Furniss, Michele ~* NPI: 1750438131 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Glock, Kellie ~* NPI: 1659780559 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 185

Speech-Language Pathologist continued/seguido Glock, Kellie ~* NPI: 1659780559 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Jones, Gunda ~* NPI: 1952631459 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Pierce, Ashley ~* NPI: 1477840825 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Tingey, Amanda ~* NPI: 1659609816 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Glock, Kellie ~* NPI: 1659780559 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Jones, Gunda ~* NPI: 1952631459 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Pierce, Becky ~* NPI: 1447309224 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Williams, Marcia ~* NPI: 1447567144 73 Fort Hall Ave Ste B American Falls, ID 83211 (208) 233-4660 Glock, Kellie ~* NPI: 1659780559 20 Hillcrest Ave Ste B American Falls, ID 83211 (208) 233-4660 Jones, Jacob ~* NPI: 1780939777 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Pierce, Becky ~* NPI: 1447309224 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Zaremba, Cheryl ~* NPI: 1053519751 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Hall, Chalyse ~* NPI: 1073865812 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Jones, Jacob ~* NPI: 1780939777 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Suthers, Lindsay ~* NPI: 1083922397 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Zaremba, Cheryl ~* NPI: 1053519751 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Hall, Chalyse ~* NPI: 1073865812 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Hall, Chalyse ~* NPI: 1073865812 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Hall, Chalyse ~* NPI: 1073865812 20 Hillcrest Ave Ste B American Falls, ID 83211 (208) 233-4660 Honstetter, Tara ~* NPI: 1134438351 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Honstetter, Tara ~* NPI: 1134438351 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Jones, Jacob ~* NPI: 1780939777 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Jones, Jacob ~* NPI: 1780939777 20 Hillcrest Ave Ste B American Falls, ID 83211 (208) 233-4660 Lee, Wendy ~* NPI: 1881745065 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Lee, Wendy ~* NPI: 1881745065 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Pierce, Ashley ~* NPI: 1477840825 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Tanner, William ~* NPI: 1659707529 20 Hillcrest Ave Ste 4B American Falls, ID 83211 (208) 233-4660 Tanner, William ~* NPI: 1659707529 20 Hillcrest Ave Ste B American Falls, ID 83211 (208) 233-4660 Taylor, Amanda ~* NPI: 1063957967 20 Hillcrest Ave American Falls, ID 83211 (208) 233-4660 Tingey, Amanda ~* NPI: 1659609816 20 Hillcrest Ave 4 American Falls, ID 83211 (208) 233-4660 Twin Falls Twin Falls 83301 Harris, Nancy ~ NPI: 1255599585 1411 Fall Ave E Ste 1203 (208) 733-2661 Pound, Stacey ~* NPI: 1316271513 1411 Fall Ave E Ste 1203 (208) 733-2661 Thurman, Jackie ~* NPI: 1073037073 1411 Fall Ave E Ste 1203 (208) 733-2661 186

Sports - Ada Boise 83702 Gopon, Tobias NPI: 1508152257 1109 W Myrtle St Ste 200 (208) 706-2663 German Gopon, Tobias NPI: 1508152257 703 S Americana Blvd Ste 120 (208) 706-2663 German Homaechevarria, Alejandro NPI: 1518978337 1109 W Myrtle St Ste 200 (208) 706-2663 Lyons, Trek NPI: 1043210248 1109 W Myrtle St Ste 200 (208) 706-2663 Lyons, Trek NPI: 1043210248 703 S Americana Blvd Ste 120 (208) 706-2663 Nilsson, Kurt NPI: 1477581122 1109 W Myrtle St Ste 200 (208) 706-2663 Meridian 83642 Gopon, Tobias NPI: 1508152257 520 S Eagle Rd Ste 3213 (208) 706-2663 German Homaechevarria, Alejandro NPI: 1518978337 520 S Eagle Rd Ste 2209 (208) 706-2663 Nilsson, Kurt NPI: 1477581122 520 S Eagle Rd Ste 3213 (208) 706-2663 Bannock Pocatello 83201 Joseph, Anthony NPI: 1922092741 2240 E St (208) 233-2100 Joseph, Anthony NPI: 1922092741 110 Vista Dr (208) 234-2300 Joseph, Anthony NPI: 1922092741 333 N 18Th Ave Ste D1 (208) 233-2100 Joseph, Anthony NPI: 1922092741 110 Vista Dr (208) 234-2300 Bingham Blackfoot 83221 Christensen, James DO ~* NPI: 1295094217 98 Poplar St (208) 785-4100 Christensen, James DO ~* NPI: 1295094217 1350 Pkwy Dr Ste 2 (208) 782-2410 Bonneville Idaho Falls 83404 Christensen, James DO ~* NPI: 1295094217 1740 E 17Th St (208) 535-3615 Canyon Nampa 83686 Zerr, Ryan DO ~* NPI: 1093988578 215 E Hawaii Ave Nampa, ID 83686 (208) 463-3000 83687 Gopon, Tobias NPI: 1508152257 9850 W St Lukes Dr Nampa, ID 83687 (208) 706-2663 German Sports - Internal Bannock Pocatello 83201 Hoffman, Sandra NPI: 1518039189 777 Hospital Wy (208) 239-1417 Sports - Physical & Rehabilitation Ada Boise 83713 Radnovich, Richard DO ~* NPI: 1407944655 4850 N Rosepoint Way Ste 100 Boise, ID 83713 (208) 577-5904 Bannock Pocatello 83201 Newhouse, Kenneth NPI: 1265425789 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 83204 Kam, Jared NPI: 1508194580 1595 Bannock Hwy Pocatello, ID 83204 (208) 478-2449 187

Sports - Physical & Rehabilitation continued/seguido Bingham Blackfoot 83221 Kam, Jared NPI: 1508194580 98 Poplar St (208) 785-4100 Kam, Jared NPI: 1508194580 1350 Pkwy Dr Ste 2 (208) 782-2410 Newhouse, Kenneth NPI: 1265425789 98 Poplar St (208) 235-2277 Shelley 83274 Kam, Jared NPI: 1508194580 275 W Locust St Shelley, ID 83274 (208) 357-3960 Bonneville Idaho Falls 83404 Kam, Jared NPI: 1508194580 2375 E Sunnyside Rd Ste F (208) 535-3626 Newhouse, Kenneth NPI: 1265425789 2375 E Sunnyside Rd Ste F (208) 535-3626 Surgery Ada Boise 83702 Beckmann, James NPI: 1164657854 1109 W Myrtle St Ste 200 (208) 706-2663 Campbell, Annie PA ~* NPI: 1154414902 115 Main St Ste 101 (208) 381-3915 Kemp, Jason NPI: 1023128097 222 N 2Nd St Ste 201 (208) 381-6390 Korn, Robert NPI: 1700862786 115 Main St Ste 101 (208) 381-3915 Livingston, Elizabeth NPI: 1083690069 115 Main St Ste 101 (208) 381-3915 Szentes, Mark NPI: 1689664237 222 N 2Nd St Ste 311 (208) 343-0907 Valentine, Jim NPI: 1205939592 115 Main St Ste 101 (208) 381-3915 83704 Getz, Jon NPI: 1174575138 8854 W Emerald St Ste 140 (208) 321-4790 83712 Ali, Cyrus NPI: 1831374610 100 E Warm Springs Ave Ste B (208) 381-6930 Arthur, Caroline NPI: 1669636809 100 E Warm Springs Ave Ste B (208) 381-6930 Barton, Joshua NPI: 1265401947 100 E Idaho St Ste 301 (208) 381-9250 Bowman, Kendra NPI: 1811029507 100 E Idaho St Ste 300 (208) 381-7370 Kading, Kellan NPI: 1447517735 100 E Warm Springs Ave Ste B (208) 381-6930 Karsten, Benjamin NPI: 1124227137 125 E Idaho St Ste 303 (208) 381-9350 Kemp, Jason NPI: 1023128097 125 E Idaho St Ste 202 (208) 381-7215 Keswani, Sundeep NPI: 1578748646 100 E Idaho St Ste 300 (208) 381-7370 Lee, Timothy NPI: 1841457306 100 E Idaho St Ste 300 (208) 381-7370 Svennevik, Eirik NPI: 1003049776 100 E Warm Springs Ave Ste B (208) 381-6930 Verner, Reese NPI: 1427085281 100 E Warm Springs Ave Ste B (208) 381-6930 Meridian 83642 Ali, Cyrus NPI: 1831374610 520 S Eagle Rd Ste 1241 (208) 381-6930 Arthur, Caroline NPI: 1669636809 520 S Eagle Rd Ste 1241 (208) 381-6930 Ballantyne, Richard DO ~* NPI: 1174745582 3399 E Louise Dr Ste 400 (208) 364-3000 Barresi, Roberto NPI: 1740231620 3399 E Louise Dr Ste 400 (208) 364-3000 188

Surgery continued/seguido Beckmann, James NPI: 1164657854 520 S Eagle Rd Ste 3213 (208) 706-2663 Elder, James NPI: 1609926740 520 S Eagle Rd Ste 1241 (208) 381-6930 Getz, Jon NPI: 1174575138 3399 E Louise Dr Ste 400 (208) 364-3000 Henson, Scott NPI: 1023060258 3399 E Louise Dr Ste 400 (208) 364-3000 Kading, Kellan NPI: 1447517735 520 S Eagle Rd Ste 1241 (208) 381-6930 Verner, Reese NPI: 1427085281 520 S Eagle Rd Ste 1241 (208) 381-6930 Bannock Pocatello 83201 Birkenhagen, Walter NPI: 1407849060 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Caulfield, Hannah NPI: 1093003808 777 Hospital Wy 201 (208) 239-2620 Coray, Robert NPI: 1104938182 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Japanese Fouse, Tammy DO ~* NPI: 1053627216 353 N 4Th Ave (208) 239-8022 Fouse, Tammy DO ~* NPI: 1053627216 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Fritz, Katie NPI: 1700096708 777 Hospital Wy 201 (208) 239-2620 Judy, Claine DO ~* NPI: 1356336440 2240 E St Ste A (208) 233-8344 Mcroberts, Drew NPI: 1992799894 777 Hospital Wy 201 (208) 239-2620 Schneider, Doran DO ~* NPI: 1831160712 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Schroeder, Amber PA ~* NPI: 1922458538 777 Hospital Wy 201 (208) 239-2620 Bingham Blackfoot 83221 Baird, Eric NPI: 1376565473 98 Poplar St (208) 785-4100 Birkenhagen, Walter NPI: 1407849060 98 Poplar St (208) 235-2277 Fouse, Tammy DO ~* NPI: 1053627216 326 Poplar St (208) 782-2980 Blaine Ketchum 83340 Campanale, Ralph NPI: 1972566727 180 W 1St St Ste 301 Ketchum, ID 83340 (208) 726-3707 Mayberry, John MD ~ NPI: 1528074077 100 Hospital Dr Ste 109 Ketchum, ID 83340 (208) 726-1765 Mcclusky, David NPI: 1902005598 100 Hospital Dr Ste 109 Ketchum, ID 83340 (208) 726-1765 Mcclusky, David NPI: 1407896855 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8800 Bonneville Idaho Falls 83404 Birkenhagen, Walter NPI: 1407849060 2375 E Sunnyside Rd Ste F (208) 535-3626 Coray, Robert NPI: 1104938182 2375 E Sunnyside Rd Ste F (208) 535-3626 Japanese Fouse, Tammy DO ~* NPI: 1053627216 3760 Washington Pkwy (208) 535-3637 Fouse, Tammy DO ~* NPI: 1053627216 2375 E Sunnyside Rd Ste F (208) 535-3626 Lemon, Michael DO ~* NPI: 1558529222 3242 S Woodruff Ave (208) 535-4567 Lemon, Michael DO ~* NPI: 1558529222 3200 Channing Way Ste A205 (208) 535-4580 Obyrne, Brian NPI: 1801896717 2860 Channing Wy Ste 117 (208) 523-2470 189

Surgery continued/seguido Olaveson, Tait DO ~ NPI: 1356518831 3242 S Woodruff Ave (208) 535-4567 Olaveson, Tait DO ~ NPI: 1356518831 3200 Channing Way Ste A205 (208) 535-4580 Schneider, Doran DO ~* NPI: 1831160712 2375 E Sunnyside Rd Ste F (208) 535-3626 Summers, Joshua DO ~ NPI: 1477848851 3242 S Woodruff Ave (208) 535-4567 Canyon Nampa 83687 Ballantyne, Richard DO ~* NPI: 1174745582 215 E Hawaii Ave Nampa, ID 83687 (208) 364-3000 Beckmann, James NPI: 1164657854 9850 W St Lukes Dr Nampa, ID 83687 (208) 706-2663 Clearwater Orofino 83544 Ward, Christopher NPI: 1598964215 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Elmore Mountain Home 83647 Galvan, Karen NPI: 1669635710 465 Mckenna Dr Mountain Home, ID 83647 (208) 587-9703 Gem Emmett 83617 Bastian, Zachary NPI: 1447412929 1024 E Locust St Emmett, ID 83617 (208) 365-2338 Gooding Gooding 83330 Hayes, Nicolas DO ~* NPI: 1518164334 267 N Canyon Dr Gooding, ID 83330 (208) 934-8401 Kootenai Coeur D'alene 83814 Anderson, Lucas NPI: 1073603692 2003 Kootenai Health Way (208) 625-4000 Detar, Edward NPI: 1194706465 700 Ironwood Dr Ste 341 (208) 625-5200 Holman, Robert NPI: 1952333197 1919 Lincoln Way Ste 315 (208) 625-6000 Holman, Robert NPI: 1952333197 700 Ironwood Dr Ste 341 (208) 625-5200 Ihnken, Kai NPI: 1497863773 2003 Kootenai Health Way (208) 625-4000 Jackson, Heidi NPI: 1942481452 700 Ironwood Dr Ste 341 (208) 625-5200 Jackson, Heidi NPI: 1942481452 2003 Kootenai Health Way (208) 625-4000 Johnson, Kevin MD ~ NPI: 1679685598 2003 Kootenai Health Way (208) 625-4000 Kladar, Philip NPI: 1619905999 700 Ironwood Dr Ste 350 (208) 625-5222 Mandel, Benjamin NPI: 1306900097 980 Ironwood Dr Ste 01 (208) 625-4333 May, Michael NPI: 1083684203 700 Ironwood Dr Ste 341 (208) 625-5200 Pennings, John NPI: 1073569737 2003 Kootenai Health Way (208) 625-4000 Quinn, Timothy NPI: 1881619849 700 Ironwood Dr Ste 341 (208) 625-5200 Reeves, Justin NPI: 1720245905 2003 Kootenai Health Way (208) 625-4000 Richardson, Cory NPI: 1295050342 2003 Kootenai Health Way (208) 625-4000 Sarkis, Antoine MD ~ NPI: 1235182213 2003 Kootenai Health Way (208) 625-4000 Lebonese Stackow, John MD ~ NPI: 1922095397 2003 Kootenai Health Way (208) 625-4000 Stafford, Douglas NPI: 1598767196 2109 N Main St (208) 676-0104 Torgenson, Marcus NPI: 1194907592 700 Ironwood Dr Ste 341 (208) 625-5200 190

Surgery continued/seguido Ward, Christopher NPI: 1598964215 700 Ironwood Dr Ste 350 (208) 625-5222 Ward, Christopher NPI: 1598964215 2003 Kootenai Health Way (208) 625-4000 Post Falls 83854 Pennings, John NPI: 1073569737 750 N Syringa St Ste 205 (208) 262-0945 Richardson, Cory NPI: 1295050342 750 N Syringa St Ste 205 (208) 262-0945 Sarkis, Antoine MD ~ NPI: 1235182213 750 N Syringa St Ste 103 (208) 415-0151 Lebonese Stackow, John MD ~ NPI: 1922095397 750 N Syringa St Ste 103 (208) 415-0151 Madison Rexburg 83440 Christensen, Brian NPI: 1811022056 20 Madison Professional Park Rexburg, ID 83440 (208) 656-9008 Coray, Robert NPI: 1104938182 393 E 2Nd N Rexburg, ID 83440 (208) 356-9086 Japanese Hansen, Dwayne NPI: 1376581546 381 E 4Th N St Rexburg, ID 83440 (208) 656-8442 Cantonese Nez Perce Lewiston 83501 Bell, Adam DO ~ NPI: 1942463799 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Hoffman, Brian NPI: 1548244718 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Payette Fruitland 83619 Babij, Roman NPI: 1205813847 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Tesnohlidek, D Anthony NPI: 1437240009 1210 Nw 16Th St Fruitland, ID 83619 (208) 452-8600 Shoshone Smelterville 83868 Sarkis, Antoine MD ~ NPI: 1235182213 85 E Commerce Dr Smelterville, ID 83868 (208) 784-4612 Lebonese Twin Falls Twin Falls 83301 Blair, Ronald DO ~* NPI: 1114947389 775 Pole Line Rd W Ste 212 (208) 814-8400 Dunlavy, Paul DO ~* NPI: 1598028797 775 Pole Line Rd W Ste 212 (208) 814-8400 Green, Jonah NPI: 1013079524 775 Pole Line Rd W Ste 214 (208) 814-8425 Hayes, Nicolas DO ~* NPI: 1518164334 775 Pole Line Rd W Ste 212 (208) 814-8400 Lamb, Jarom NPI: 1306006101 775 Pole Line Rd W Ste 212 (208) 814-8400 Mcclusky, David NPI: 1407896855 775 Pole Line Rd W Ste 214 (208) 814-8425 Mccomas, Bruce NPI: 1235167198 775 Pole Line Rd W Ste 212 (208) 814-8400 Mckain, Mark NPI: 1801907324 775 Pole Line Rd W Ste 212 (208) 814-8400 Mckain, Mark NPI: 1801907324 801 Pole Line Rd W (208) 814-8800 Workman, Donald NPI: 1215013453 496 Shoup Ave Ste D (208) 734-1614 83303 Shuss, John NPI: 1700820222 775 Pole Line Rd W Ste 216 Twin Falls, ID 83303 (208) 814-8450 Valley Mccall 83638 Ocmand, Amy NPI: 1821202557 209 Forest St Mccall, ID 83638 (208) 634-1776 191

Surgery Of The Hand - Surgery Bannock Pocatello 83201 Esplin, Vermon NPI: 1457345316 560 Memorial Dr Ste B (208) 235-4263 Surgical - Physician Assistant Ada Boise 83702 Brown, Megan PA ~* NPI: 1124377338 333 N 1St St Ste 280 (208) 345-6545 Burnett, Scott PA ~* NPI: 1295787240 333 N 1St St Ste 280 (208) 345-6545 Griggs, Jeffrey PA ~* NPI: 1861575797 600 N Robbins Rd Ste 100 (208) 706-2663 Griggs, Jeffrey PA ~* NPI: 1861575797 703 S Americana Blvd Ste 120 (208) 706-2663 Hayes, Stephanie PA ~* NPI: 1427503721 333 N 1St St Ste 280 (208) 345-6545 Walker, Beau PA ~* NPI: 1558508085 333 N 1St St Ste 280 (208) 345-6545 83704 Nielson, David PA ~* NPI: 1124393939 6140 W Curtisian Ave Ste 400 (208) 327-5600 Nieraeth, Michael PA ~* NPI: 1487904280 8854 W Emerald Ste 102 (208) 323-4747 83712 Granvall, Brian PA ~* NPI: 1205809852 190 E Bannock St (208) 381-2094 Herzog, Hazen PA ~* NPI: 1932433190 125 E Idaho St Ste 202 (208) 381-7215 Jones, Wendy PA ~* NPI: 1902188147 100 E Warm Springs Ave Ste B (208) 381-6930 Mathews, Joel PA ~* NPI: 1679090617 100 E Warm Springs Ave Ste B (208) 381-6930 Meridian 83642 Davis, Lauren PA ~* NPI: 1245789536 3399 E Louise Dr Ste 400 (208) 364-3000 Granvall, Brian PA ~* NPI: 1205809852 3277 E Louise Dr Ste 100 (208) 706-7010 Griggs, Jeffrey PA ~* NPI: 1861575797 520 S Eagle Rd Ste 3213 (208) 706-2663 Jones, Wendy PA ~* NPI: 1902188147 520 S Eagle Rd Ste 1241 (208) 381-6930 Mathews, Joel PA ~* NPI: 1679090617 520 S Eagle Rd Ste 1241 (208) 381-6930 Peterson, Anne PA ~* NPI: 1447688312 3399 E Louise Dr Ste 400 (208) 364-3000 German Pyle, Nicole PA ~* NPI: 1821009788 3399 E Louise Dr Ste 200 (208) 706-2663 Bannock Pocatello 83201 Belnap, Dale PA ~* NPI: 1962832923 560 Memorial Dr Ste B (208) 235-4263 Belnap, Dale PA ~* NPI: 1962832923 560 Memorial Drive Ste B (208) 252-7206 Mcdonald, David PA ~* NPI: 1710280144 777 Hospital Wy (208) 239-1417 Mckay, Lance PA ~* NPI: 1720379597 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Nelson, Steven PA ~* NPI: 1659689362 950 Hospital Wy Ste A (208) 478-4522 Pool, Justin PA ~* NPI: 1952402257 2240 E St (208) 233-2100 Bulgarian Porter, Ryan PA ~* NPI: 1669556213 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Wilson, Jared PA ~* NPI: 1275748089 777 Hospital Wy 201 (208) 239-2620 192

Surgical - Physician Assistant continued/seguido Bingham Blackfoot 83221 Porter, Ryan PA ~* NPI: 1669556213 1350 Pkwy Dr Ste 2 (208) 782-2410 Porter, Ryan PA ~* NPI: 1669556213 98 Poplar St (208) 235-2277 Shelley 83274 Porter, Ryan PA ~* NPI: 1669556213 275 W Locust St Shelley, ID 83274 (208) 357-3960 Bonneville Boise 83404 Hensley, Nicholas PA ~* NPI: 1831647197 3155 Channing Way Ste B Boise, ID 83404 (208) 535-4800 Idaho Falls 83404 Hensley, Nicholas PA ~* NPI: 1831647197 3155 Channing Wy Ste B (208) 535-4800 Porter, Ryan PA ~* NPI: 1669556213 2375 E Sunnyside Rd Ste F (208) 535-3626 Canyon Nampa 83687 Peterson, Anne PA ~* NPI: 1447688312 215 E Hawaii Ave Nampa, ID 83687 (208) 364-3000 German Kootenai Coeur D'alene 83814 Bowcut, Kami PA ~* NPI: 1487168118 700 Ironwood Dr Ste 341 (208) 625-5200 Havercroft, Kyle PA ~ NPI: 1700063344 2003 Kootenai Health Way (208) 625-4000 Mitchell, Jeffrey PA ~* NPI: 1851790901 700 Ironwood Dr Ste 341 (208) 625-5200 Steinbacher, John PA ~* NPI: 1083082572 2003 Kootenai Health Way (208) 625-4000 Wagstaff, Tyler PA ~* NPI: 1205266053 700 Ironwood Dr Ste 350 (208) 625-5222 Wegler, Jennifer PA ~* NPI: 1326237413 1110 W Park Place Ste 202 (208) 625-6111 Post Falls 83854 Steinbacher, John PA ~* NPI: 1083082572 1296 E Polston Ave Ste C (208) 625-6700 Wegler, Jennifer PA ~* NPI: 1326237413 1296 E Polston Ave Ste C (208) 625-6700 Twin Falls Twin Falls 83301 Frampton, Joseph PA ~* NPI: 1558694570 1411 Falls Ave E Ste 1301 (208) 732-0067 Tureman, Brian PA ~* NPI: 1790724680 738 N College Rd Ste A (208) 814-7000 Valley Mccall 83638 Stahlberg, Bill PA ~* NPI: 1992743215 200 Forest St Mccall, ID 83638 (208) 630-2470 Washington Weiser 83672 Peterson, Jamie PA ~* NPI: 1487078911 360 E Liberty Weiser, ID 83672 (208) 549-4424 Chinese Surgical Oncology Ada Meridian 83642 Menen, Rhiana NPI: 1427205160 3399 E Louise Dr Ste 400 (208) 364-3000 Thoracic Surgery (Cardiothoracic Vascular Surgery) Ada Boise 83702 Forbes, Andrew NPI: 1346292679 333 N 1St St Ste 280 (208) 345-6545 Huerd, Steven NPI: 1891747275 333 N 1St St Ste 280 (208) 345-6545 Schoolfield, Matthew NPI: 1275758377 333 N 1St St Ste 280 (208) 345-6545 Stuesse, David NPI: 1427155290 333 N 1St St Ste 280 (208) 345-6545 193

Thoracic Surgery (Cardiothoracic Vascular Surgery) continued/seguido Bannock Pocatello 83201 Vasquez, Julio Cesar NPI: 1497824007 444 Hospital Wy (208) 239-1650 Vasquez, Julio Cesar NPI: 1497824007 777 Hospital Wy G1 (208) 239-2670 Vasquez, Julio Cesar NPI: 1497824007 777 Hospital Wy G11 (208) 239-2065 Bonneville Idaho Falls 83404 Needham, Charles NPI: 1063435899 3242 S Woodruff Ave (208) 535-4567 Needham, Charles NPI: 1063435899 3200 Channing Way Ste A205 (208) 535-4580 Setser, Edward NPI: 1013977297 3200 Channing Way Ste A205 (208) 535-4580 Trauma Surgery Ada Boise 83712 Casos, Steven NPI: 1609849959 100 E Warm Springs Ave Ste B (208) 381-6930 Meridian 83642 Casos, Steven NPI: 1609849959 520 S Eagle Rd Ste 1241 (208) 381-6930 Giles, Jonathan NPI: 1457382723 3399 E Louise Dr Ste 400 (208) 364-3000 Canyon Nampa 83687 Giles, Jonathan NPI: 1457382723 215 E Hawaii Ave Nampa, ID 83687 (208) 364-3000 Undersea And Hyperbaric - Emergency Bannock Pocatello 83201 Gregson, Michael NPI: 1659370443 465 Memorial Dr (208) 234-4700 Urology Ada Boise 83702 Auge, Brian NPI: 1477523900 510 N 2Nd St Ste 103 (208) 381-4700 Fairfax, Cynthia NPI: 1417906330 222 N 2Nd St Ste 115 (208) 639-4900 King-Menzner, Dawn NPI: 1568413763 222 N 2Nd St Ste 115 (208) 639-4900 Kuo, Helen NPI: 1346407921 222 N 2Nd St Ste 115 (208) 639-4900, Mandarin Taggart, Kara NPI: 1124055355 510 N 2Nd St Ste 103 (208) 381-4700 Vuturo, Maggie NPI: 1003086588 510 N 2Nd St Ste 103 (208) 381-4700 Waldmann, Todd NPI: 1104877299 222 N 2Nd St Ste 115 (208) 639-4900 Weese, Donald NPI: 1154323392 510 N 2Nd St Ste 103 (208) 381-4700 83712 Brassell, Stephen NPI: 1538108311 100 E Idaho St (208) 381-2733 Saperston, Kara NPI: 1396931010 100 E Idaho St Ste 200 (208) 381-6196 German Eagle 83616 Taylor, Michael NPI: 1689828162 3101 E State St Ste 2107 Eagle, ID 83616 (208) 381-4700 194

Urology continued/seguido Weese, Donald NPI: 1154323392 3101 E State St Ste 2107 Eagle, ID 83616 (208) 381-4700 Meridian 83642 Fairfax, Cynthia NPI: 1417906330 2855 E Magic View Dr (208) 639-4900 Fredriksson, William NPI: 1841280872 2855 E Magic View Dr (208) 639-4900 Greer, John NPI: 1356393227 2855 E Magic View Dr (208) 639-4900 Heiner, Jared NPI: 1710097068 2855 E Magic View Dr (208) 639-4900 Jackson, Robert NPI: 1184740045 520 S Eagle Rd Ste 3112 (208) 706-5800 King-Menzner, Dawn NPI: 1568413763 2855 E Magic View Dr (208) 639-4900 Klein, Eric NPI: 1023013109 2855 E Magic View Dr (208) 639-4900 Kuo, Helen NPI: 1346407921 2855 E Magic View Dr (208) 639-4900, Mandarin Parrillo, Lisa NPI: 1659663482 2855 E Magic View Dr (208) 639-4900 Spencer, Craig NPI: 1033186606 520 S Eagle Rd Ste 3112 (208) 706-5800 Taylor, Michael NPI: 1689828162 520 S Eagle Rd Ste 3112 (208) 706-5800 Vuturo, Maggie NPI: 1003086588 520 S Eagle Rd Ste 3112 (208) 706-5800 Waldmann, Todd NPI: 1104877299 2855 E Magic View Dr (208) 639-4900 Williams, Joseph NPI: 1194777060 2855 E Magic View Dr (208) 639-4900 Bannock Pocatello 83201 Bohus, Robert NPI: 1275573552 777 Hospital Wy 215 (208) 239-2724 Jones, Peter NPI: 1164518908 777 Hospital Wy 215 (208) 239-2724 Orien, Jason NPI: 1750648002 777 Hospital Wy 215 (208) 239-2724 Sisul, David NPI: 1306000690 353 N 4Th Ave Ste 102 (208) 478-7900 Sisul, David NPI: 1306000690 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 Sule, Joseph NPI: 1437130515 353 N 4Th Ave Ste 102 (208) 478-7900 Sule, Joseph NPI: 1437130515 1151 Hospital Way Bldg D Ste 100 (208) 239-8010 83204 Sisul, David NPI: 1306000690 1595 Bannock Hwy Pocatello, ID 83204 (208) 478-2449 Sule, Joseph NPI: 1437130515 1595 Bannock Hwy Pocatello, ID 83204 (208) 478-2449 Bingham Blackfoot 83221 Jones, Peter NPI: 1164518908 1441 Parkway (208) 234-2001 Sule, Joseph NPI: 1437130515 98 Poplar St (208) 235-2277 Blaine Ketchum 83340 Bates, Cory NPI: 1629256573 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Greenhalgh, Jason NPI: 1952478703 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 German 195

Urology continued/seguido Taggart, Kara NPI: 1124055355 100 Hospital Dr Ste 201 Ketchum, ID 83340 (208) 727-8888 Bonner Sandpoint 83864 Flores, David NPI: 1972892669 420 2Nd Ave Sandpoint, ID 83864 (208) 667-0621 Bonneville Idaho Falls 83404 Blatter, Richard DO ~ NPI: 1154682565 2001 S Woodruff Ste 4 (208) 524-4511 Cannon, Peter MD ~ NPI: 1326032939 2325 Coronado St (208) 785-2453 Sisul, David NPI: 1306000690 2375 E Sunnyside Rd Ste F (208) 535-3626 Sule, Joseph NPI: 1437130515 2375 E Sunnyside Rd Ste F (208) 535-3626 Tall, Roger NPI: 1972604494 2001 S Woodruff Ste 8 (208) 557-2700 Taylor, Timothy NPI: 1033121322 2330 Coronado St (208) 552-1234 Canyon Caldwell 83605 Morris, Michael NPI: 1295750289 1906 Fairview Ave Ste 350 (208) 454-9181 Stritzke, Donald NPI: 1457331019 1906 Fairview Ave Ste 350 (208) 454-9181 Uhlman, Eric NPI: 1396823738 1906 Fairview Ave Ste 350 (208) 454-9181 Zausmer, Glenn DO ~* NPI: 1891767745 1906 Fairview Ave Ste 350 (208) 454-9181 Nampa 83686 Fredriksson, William NPI: 1841280872 6915 E Hunt Ave Nampa, ID 83686 (208) 639-4900 Klein, Eric NPI: 1023013109 6915 E Hunt Ave Nampa, ID 83686 (208) 639-4900 Morris, Michael NPI: 1295750289 215 E Hawaii Ave Nampa, ID 83686 (208) 463-7380 Cassia Burley 83318 Jones, Peter NPI: 1164518908 1501 Hiland Ave Burley, ID 83318 (208) 678-2106 Elmore Mountain Home 83647 Taylor, Michael NPI: 1689828162 840 N 4Th E Mountain Home, ID 83647 (208) 587-1852 Gem Emmett 83617 Stritzke, Donald NPI: 1457331019 1202 E Locust St Emmett, ID 83617 (208) 454-9181 Kootenai Coeur D'alene 83814 Clark, Randil NPI: 1205961182 2003 Kootenai Health Way (208) 625-4000 Clark, Randil NPI: 1205961182 980 Ironwood Dr Ste 104 (208) 667-0621 Ellison, Edward NPI: 1346375235 2003 Kootenai Health Way (208) 625-4000 Ellison, Edward NPI: 1346375235 980 Ironwood Dr Ste 104 (208) 667-0621 Flores, David NPI: 1972892669 2003 Kootenai Health Way (208) 625-4000 Flores, David NPI: 1972892669 980 Ironwood Dr Ste 104 (208) 667-0621 Mclaughlin, Matthew DO ~* NPI: 1215071469 2003 Kootenai Health Way (208) 625-4000 Mclaughlin, Matthew DO ~* NPI: 1215071469 980 Ironwood Dr Ste 104 (208) 667-0621 Peterson, Chad NPI: 1629284732 2003 Kootenai Health Way (208) 625-4000 196

Urology continued/seguido Peterson, Chad NPI: 1629284732 980 Ironwood Dr Ste 104 (208) 667-0621 Nez Perce Lewiston 83501 Tieu, Thomas NPI: 1396008892 2315 8Th St Lewiston, ID 83501 (208) 746-1383 Payette Fruitland 83619 Uhlman, Eric NPI: 1396823738 1210 Nw 16Th St Fruitland, ID 83619 (208) 454-9181 Zausmer, Glenn DO ~* NPI: 1891767745 1210 Nw 16Th St Fruitland, ID 83619 (208) 454-9181 Twin Falls Twin Falls 83301 Bates, Cory NPI: 1629256573 775 Pole Line Rd W Ste 301 (208) 814-8700 Greenhalgh, Jason NPI: 1952478703 775 Pole Line Rd W Ste 301 (208) 814-8700 German Hadley, David NPI: 1225223043 775 Pole Line Rd W Ste 301 (208) 814-8700 Vascular Neurology Bingham Blackfoot 83221 Garland, Erich NPI: 1689664724 98 Poplar St (208) 785-4100 Canyon Nampa 83687 Burrell, Christian MD ~ NPI: 1033476817 9850 W St Lukes Dr Nampa, ID 83687 (208) 505-2050 Fanale, Christopher MD ~ NPI: 1598776452 9850 W St Lukes Dr Nampa, ID 83687 (208) 505-2050 Vascular Surgery Ada Boise 83702 Curry, Thomas NPI: 1811974652 333 N 1St St Ste 280 (208) 345-6545 Gilbertson, Jeffrey NPI: 1790738516 333 N 1St St Ste 280 (208) 345-6545 Hamlat, Christian NPI: 1629188933 333 N 1St St Ste 280 (208) 345-6545 Kreishman, Peter NPI: 1528097797 333 N 1St St Ste 280 (208) 345-6545 Masser, Philippe NPI: 1104878446 333 N 1St St Ste 280 (208) 345-6545, French Matteson, Brian NPI: 1609828003 333 N 1St St Ste 280 (208) 345-6545 Meridian 83642 Tullis, Michael NPI: 1598717985 3277 E Louise Dr Ste 150 (208) 706-8346 Clearwater Orofino 83544 Ward, Christopher NPI: 1598964215 1055 Riverside Ave Orofino, ID 83544 (208) 476-5777 Kootenai Coeur D'alene 83814 Kladar, Philip NPI: 1619905999 700 Ironwood Dr Ste 350 (208) 625-5222 Ward, Christopher NPI: 1598964215 700 Ironwood Dr Ste 350 (208) 625-5222 Ward, Christopher NPI: 1598964215 2003 Kootenai Health Way (208) 625-4000 Twin Falls Twin Falls 83301 Johnson, David NPI: 1922035104 775 Pole Line Rd W Ste 213 (208) 814-8475 Jones, Wilmer NPI: 1487666319 775 Pole Line Rd W Ste 213 (208) 814-8475 197

Hospitals / Hospitales Total count / Cuenta total: 14 Ada Boise 83712 St Lukes Nampa Medical Ltd * St Lukes Nampa Medical Ltd 190 E Bannock St (208) 706-7481 St Lukes Regional Medical * St Lukes Regional Medical 190 E Bannock St (208) 381-2222 Bannock Pocatello 83201 Portneuf Medical * Portneuf Medical 777 Hospital Wy (208) 239-1000 Blaine Ketchum 83340 St Lukes Medical Wood River Ltd * St Lukes Wood River Medical Ltd 100 Hospital Dr Ketchum, ID 83340 (208) 727-8800 Bonneville Idaho Falls 83404 Mountain View Hospital Llc - Idaho * Mountain View Hospital 2325 Coronado St (208) 785-2453 Elmore Mountain Home 83647 St Lukes Elmore Medical * St Lukes Elmore Medical 895 N 6Th E Mountain Home, ID 83647 (208) 587-8401 Gem Emmett 83617 Valor Health Hospital * Valor Health Hospital 1202 E Locust St Emmett, ID 83617 (208) 365-3561 Kootenai Coeur D'alene 83814 Kootenai Health * Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Post Falls 83854 Northern Idaho Advanced Care Hospital Inc * Northern Idaho Advanced Care Hospital Inc 600 N Cecil Rd (208) 262-2800 Rehabilitation Hospital Of The Northwest Llc * Rehabilitation Hospital Of The Northwest Llc 3372 E Jenalan Ave (208) 262-8700 Nez Perce Lewiston 83501 St Joseph Regional Medical * St Joseph Regional Medical 415 6Th St Lewiston, ID 83501 (208) 743-2511 Twin Falls Twin Falls 83301 St Lukes Magic Valley Regional Medical Ltd * St Lukes Magic Valley Regional Medical 801 Pole Line Rd W (208) 814-0361 Valley Mccall 83638 St Lukes Mccall Ltd * St Lukes Mccall Ltd 1000 State St Mccall, ID 83638 (208) 634-2221 Washington Weiser 83672 Weiser Memorial Hospital Weiser Memorial Hospital 645 E Fifth St Weiser, ID 83672 (208) 549-0370 * Accepts Medicaid/Acepta Medicaid 198

Skilled Nursing Facilities / Servicios de Enfermeras Capacitadas Total count / Cuenta total: 39 Ada Boise 83702 St Lukes Rehab Elks Subacute Rehab Unit * 600 N Robbins Rd (208) 489-4552 83703 Good Samaritan Society Boise Village * 3115 Sycamore Dr Boise, ID 83703 (208) 343-7726 83704 Apex * 8211 Ustick Rd (208) 375-3700 Life Care Of Treasure Valley * 502 N Kimball Pl (208) 377-1900 83705 Avamere Transitional Care And Rehabilitation Boise * 1001 S Hilton Boise, ID 83705 (208) 345-4464 83706 Life Care Of Boise * 808 N Curtis Rd Boise, ID 83706 (208) 376-5273 Meridian 83642 Meridian Genesis Healthcare * 1351 W Pine Ave (208) 888-7049 Bannock Pocatello 83201 Gateway Transitional Care * 527 Memorial Dr (208) 478-3333, Italian, Portuguese Monte Vista Hills Healthcare * 1071 Renee Ave (208) 233-1411 83202 Quinn Meadows Rehabilitation And Care * 1033 West Quinn Rd Pocatello, ID 83202 (208) 221-0481 83205 Bell Mountain Village And Care * 2520 5Th Ave Pocatello, ID 83205 (208) 539-0751 Bonner Sandpoint 83864 Life Care Of Sandpoint 1125 N Division St Sandpoint, ID 83864 (208) 265-9299 Bonneville Idaho Falls 83401 Good Samaritan Society Idaho Falls Village * 840 E Elva St Idaho Falls, ID 83401 (208) 523-4795 83404 Teton Post Acute Care And Rehabilitation * 3111 Channing Wy (360) 892-6628 83406 Life Care Of Idaho Falls * 2725 E 17Th St Idaho Falls, ID 83406 (253) 952-2184 Canyon Nampa 83651 Karcher Post-Acute & Rehabilitation * 1127 Caldwell Blvd Nampa, ID 83651 (360) 816-8283 Meadow View Nursing And Rehabilitation * 46 N Midland Blvd Nampa, ID 83651 (208) 466-7803 83686 Sunny Ridge * 2609 Sunnybrook Dr Nampa, ID 83686 (208) 467-7298 Elmore Mountain Home 83647 St Lukes Elmore Long Term Care * 895 N 6Th E Mountain Home, ID 83647 (208) 580-2670 Gem Emmett 83617 Cherry Ridge 501 W Idaho Blvd Emmett, ID 83617 (208) 365-3597 Rivers Edge Rehabilitation & Living * 714 N Butte Ave Emmett, ID 83617 (208) 365-4425 Gooding Gooding 83330 Bennett Hills * 1220 Montana St Gooding, ID 83330 (208) 934-5601 Kootenai Coeur D Alene 83814 Ivy Court * 2200 Ironwood Pl Coeur D Alene, ID 83814 (208) 667-6486 Lacrosse Health And Rehabilitation * 210 W Lacrosse Ave Coeur D Alene, ID 83814 (208) 664-2185 * Accepts Medicaid/Acepta Medicaid 199

Skilled Nursing Facilities / Servicios de Enfermeras Capacitadas Kootenai County continued / Condado seguido Coeur D'alene 83814 Lifecare Of Coeur D Alene * 500 W Aqua Ave (208) 762-1122 Post Falls 83854 Aaging Better In Home Care Llc * 601 E Seltice Way Ste 101 (208) 777-0308 Life Care Of Post Falls * 460 N Garden Plaza Ct (208) 777-0318 Latah Moscow 83843 Good Samaritan Society Moscow Village 640 N Eisenhower St Moscow, ID 83843 (208) 882-6560 Lemhi Salmon 83467 Discovery Care * 600 Shanafelt St Salmon, ID 83467 (208) 756-8391 Madison Rexburg 83440 Madison Carriage Cove Short Stay * 410 W 1St N Rexburg, ID 83440 (208) 359-7676 Rexburg Care And Rehabilitation * 660 S 2Nd St W Rexburg, ID 83440 (208) 356-0220 Nez Perce Lewiston 83501 Life Care Of Lewiston * 325 Warner Dr Lewiston, ID 83501 (208) 798-8500 Prestige Care And Rehabilitation The Orchards * 1014 Burrell Ave Lewiston, ID 83501 (208) 743-4558 Royal Plaza Health And Rehabilitation * 2870 Juniper Dr Lewiston, ID 83501 (208) 746-2855 Oneida Malad City 83252 Oneida County Hospital Long Term Care * 150 N 200 W Malad City, ID 83252 (208) 766-2231 Owyhee Homedale 83628 Owyhee Health & Rehabilitation * 108 E Owyhee Ave Homedale, ID 83628 (208) 337-3168 Payette Payette 83661 Payette * 1019 3Rd Avenue S Payette, ID 83661 (208) 642-4455 Twin Falls Twin Falls 83301 Bridgeview Estates * 1828 Bridgeview Blvd (208) 736-3933 Twin Falls * 674 Eastland Dr (208) 734-4264 * Accepts Medicaid/Acepta Medicaid 200

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Total count / Cuenta total: 104 Ada Boise 83702 Montgomery, Richard Psychiatry NPI: 1275567638 North End Psychiatry 1423 W Franklin St (208) 345-2212 Musteti Oprea, Laura Psychiatry NPI: 1922292143 St Lukes Clinic - Psychiatric Wellness 703 S Americana Blvd Ste 150 (208) 706-6375 Romanian Shackelford, James Psychiatry NPI: 1639217359 Terry Reilly Medical And Behavioral Health 300 S 23Rd (208) 344-3512 Shackelford, James Psychiatry NPI: 1639217359 Terry Reilly Medical And Behavioral Health 300 S 23Rd (208) 344-3512 83704 Abbasi, Kafia Psychiatry NPI: 1215114897 Kafia Abbasi Md Chtd 413 N Allumbaugh St Ste 101 (208) 323-1125 Hindi, Pakistan Ashaye, Olurotimi Psychiatry NPI: 1649208315 Ratus Pllc 303 N Allumbaugh St (208) 288-2280 Bostick, Marc Psychiatry NPI: 1073545703 Marc Bostick Md Chartered 413 N Allumbaugh St Ste 101 (208) 323-1125 Desai, Abhilash Psychiatry NPI: 1366519084 Idaho Memory And Aging 413 N Allumbaugh St Ste 101 (208) 323-1125 Gilbreath, Eric Psychiatry NPI: 1548290711 Eric Gilbreath Md 413 N Allumbaugh St Ste 101 (208) 323-1125 Martin, Susan PSYD ~* Psychologist NPI: 1992868020 Health 6565 W Emerald St (208) 514-2510 Martin, Susan PSYD ~* Psychologist NPI: 1992868020 Health 777 N Raymond St (208) 514-2500 Negron, Roberto Psychiatry NPI: 1932139961 Roberto A Negron Md Pc 413 N Allumbaugh St Ste 101 (208) 323-1125 Novak, Charles Psychiatry NPI: 1770511743 Charles Novak Md 413 N Allumbaugh St Ste 101 (208) 323-1125 Piktel, James Psychiatry NPI: 1487883021 Sage Health Care 413 N Allumbaugh St Ste 101 (208) 323-1125 French, Polish Pullen, Samuel DO ~* Psychiatry NPI: 1689874968 St Lukes Childrens For Neurobehavioral 413 N Allumbaugh Ste 102 (208) 381-5970 Rice, Charles ~* Psychologist NPI: 1336176171 Living Hope Clinic 3308 N Cole Rd Ste A (208) 378-1122 Shackelford, James Psychiatry NPI: 1639217359 Health 777 N Raymond St (208) 514-2500 Shackelford, James Psychiatry NPI: 1639217359 Health 777 N Raymond St (208) 514-2500 83705 Bushi, Stephen Psychiatry NPI: 1356336648 Stephen Bushi Md 1902 W Judith Lane Ste 110 Boise, ID 83705 (208) 658-0800 201

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Ada County continued / Condado seguido Bushi, Stephen Psychiatry NPI: 1356336648 Stephen T Bushi 1902 W Judith Ln Ste 110 Boise, ID 83705 (208) 658-0800 83706 Bates, John Psychiatry NPI: 1720170228 Human Supports Of Idaho 4477 W Emerald St Ste C100 Boise, ID 83706 (208) 454-8389 83709 Millward, Michael Psychiatry NPI: 1437164381 Lifepath Counseling And Wellness 10112 W Overland Rd Boise, ID 83709 (208) 780-3900 Wills, Alex Psychiatry NPI: 1649597055 Alliance Family Services 6003 W Overland Rd Ste 101 Boise, ID 83709 (208) 922-6538 83712 Bostick, Marc Psychiatry NPI: 1073545703 St Lukes Boise Medical 190 E Bannock St (208) 381-2222 Fox, Nicole MD ~ Psychiatry NPI: 1902162407 St Lukes Clinic - Psychiatric Hospitalist 190 E Bannock St (208) 381-2081 Gudmundsen, Gretchen PHD ~* Psychologist NPI: 1821232562 St Lukes Childrens - Neuro And Behavioral Psychology 100 E Idaho St Ste 200 (208) 381-5000 Negron, Roberto Psychiatry NPI: 1932139961 St Lukes Clinic - Psychiatric Hospitalist 190 E Bannock St (208) 381-2081 Novak, Charles Psychiatry NPI: 1770511743 St Lukes Clinic - Psychiatric Hospitalist 190 E Bannock St (208) 381-2081 Piktel, James Psychiatry NPI: 1487883021 St Lukes Boise Medical 190 E Bannock St (208) 381-2222 French, Polish Pitcher, Matthew DO ~ Psychiatry NPI: 1346520434 St Lukes Clinic - Psychiatric Hospitalist 190 E Bannock St (208) 381-2081 Smith, Rusty PHD ~* Psychologist NPI: 1235323320 Warm Springs Counseling 740 Warm Springs Ave (208) 343-7797 Thurston, Nicole Psychiatry NPI: 1679782460 St Lukes Mountain States Tumor Institute 100 E Idaho St (208) 381-2711 Weathers, Coire Psychiatry NPI: 1437319662 St Lukes Clinic - Psychiatric Hospitalist 190 E Bannock St (208) 381-2081 Meridian 83642 Ashaye, Olurotimi Psychiatry NPI: 1649208315 Ratus Pllc 2365 E Gala St Ste 2 (208) 288-2280 Thurston, Nicole Psychiatry NPI: 1679782460 St Lukes Mountain States Tumor Institute 520 S Eagle Rd (208) 706-5651 Bannock Chubbuck 83204 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck, ID 83204 (208) 238-3368 Downey 83234 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Downey Clinic 79 N Main St Downey, ID 83234 (208) 897-5600 Lava Hot Spring 83246 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Lava Clinic 85 S 5Th W Lava Hot Spring, ID 83246 (208) 776-5202 202

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Bannock County continued / Condado seguido Pocatello 83201 Erwin, Kathleen Psychiatry NPI: 1457499113 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Fife, David DO ~ Psychiatry NPI: 1659569697 Mvh Pmhs Llc 475 Yellowstone Ave Ste E (208) 232-0021 Fife, David DO ~ Psychiatry NPI: 1659569697 Physicians Mental Health Services 475 Yellowstone Ave Ste E (208) 232-0021 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Isu Clinic 465 Memorial Dr (208) 234-4700 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Pocatello Clinic 1000 N 8Th Ave (208) 232-6260 Ravsten, Deric DO ~* Psychiatry NPI: 1154431542 Portneuf Medical Practices 777 Hospital Wy (208) 239-1417 Italian Bingham Aberdeen 83210 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Aberdeen Clinic 330 N Main St Aberdeen, ID 83210 (208) 397-4126 Blackfoot 83221 Brown, Richard DO ~* Psychiatry NPI: 1033558895 Bingham Memorial Family 98 Poplar St (208) 782-2980 Blaine Hailey 83333 Choby, Susanne Psychiatry NPI: 1033310719 St Lukes Clinic - Mental Health Services 1450 Aviation Dr Ste 202 Hailey, ID 83333 (208) 727-8970 Wills, Alex Psychiatry NPI: 1649597055 Alliance Family Services 141 Citation Wy Ste 5 Hailey, ID 83333 (208) 578-2222 Boise Idaho City 83631 Bates, John Psychiatry NPI: 1720170228 Lifeways 100 ville Rd Idaho City, ID 83631 (208) 454-2766 Bonner Sandpoint 83864 Rust, Robert MD ~ Addiction - Psychiatry & Neurology NPI: 1437214202 Robert E Rust Md 1301 N Division Sandpoint, ID 83864 (208) 263-1345 Bonneville Ammon 83406 Mulser, Rosa PSYD ~* Psychologist NPI: 1295167518 Pearl Health Clinic 2705 E 17Th St Ammon, ID 83406 (208) 346-7500 Sanchez-Jaquez, Cristina MD ~ Psychiatry NPI: 1447448659 Pearl Health Clinic 2705 E 17Th St Ammon, ID 83406 (208) 346-7500 Idaho Falls 83401 Joshua D Smith And Associates Inc ~ Community/Behavioral Health NPI: 1144351461 Joshua D Smith And Associates Inc 540 3Rd St Idaho Falls, ID 83401 (208) 524-5607 83404 Bunnell, Susan Psychiatry NPI: 1346216975 Idaho Behavioral Health Services 2280 E 25Th St (208) 227-2100 Faraday, Darla PHD ~* Clinical Neuropsychologist NPI: 1659522365 Innovative Health Care 111 E 16Th St (208) 523-1130 Patterson, Lavonna PHD ~* Psychologist NPI: 1588682652 Innovative Health Care 115 E 16Th St (208) 523-6727 203

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Canyon Caldwell 83605 Banta, Lawrence Psychiatry NPI: 1568440295 West Valley Medical Llc 1906 Fairview Ave Ste 230 (208) 459-4667 Bates, John Psychiatry NPI: 1720170228 Human Supports Of Idaho 314 Badiola (208) 454-8389 Bates, John Psychiatry NPI: 1720170228 Lifeways 2609 S 10Th Ave Ste 102 (208) 454-2766 Kaplan-Rood, Joy LPC ~ Community/Behavioral Health NPI: 1164834123 Life Counseling Inc 1710 N Illinois Ave (208) 465-5433 Kaplan-Rood, Joy LPC ~ Community/Behavioral Health NPI: 1164834123 Life Counseling Inc 2281 7Th Ave N (208) 465-5433 Kaplan-Rood, Joy LPC ~ Community/Behavioral Health NPI: 1164834123 Life Counseling Inc 3311 S 10Th Ave (208) 465-5433 Millward, Michael Psychiatry NPI: 1437164381 Terry Reilly Medical And Behavioral Health 2005 Arlington (208) 459-1025 Pathways Of Idaho Llc ~* Community/Behavioral Health NPI: 1326466988 Pioneer Health Resources 1305 S Kimball (208) 459-1038 Steinberg, Si Psychiatry NPI: 1881755718 Lifeways 2609 S 10Th Ave Ste 102 (208) 454-2766 83607 Kaplan-Rood, Joy LPC ~ Community/Behavioral Health NPI: 1164834123 Life Counseling Inc 6123 Graye Ln Caldwell, ID 83607 (208) 465-5433 Nampa 83651 Pathways Of Idaho Llc ~* Community/Behavioral Health NPI: 1326466988 Pioneer Health Resources 204 10Th Ave S Nampa, ID 83651 (208) 466-2229 Shackelford, James Psychiatry NPI: 1639217359 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 Shackelford, James Psychiatry NPI: 1639217359 Terry Reilly Medical And Behavioral Health 207 1St St S Nampa, ID 83651 (208) 466-7869 83686 Bates, John Psychiatry NPI: 1720170228 Lifeways 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Kaplan-Rood, Joy LPC ~ Community/Behavioral Health NPI: 1164834123 Life Counseling 112 12Th Ave Rd Nampa, ID 83686 (208) 465-5433 Steinberg, Si Psychiatry NPI: 1881755718 Lifeways 824 S Diamond St Nampa, ID 83686 (208) 454-2766 Thurston, Nicole Psychiatry NPI: 1679782460 St Lukes Mountain States Tumor Institute 308 E Hawaii Ave Nampa, ID 83686 (208) 467-6700 Franklin Preston 83263 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West Preston Clinic 655 S 4Th E Ste 600 Preston, ID 83263 (208) 852-3200 Kootenai Coeur D Alene 83814 Carlberg, Nicole DO ~* Psychiatry NPI: 1730196056 Resilience Psychiatric 1110 W Park Pl Ste 110 Coeur D Alene, ID 83814 (208) 292-2188 Coeur D'alene 83814 Alexander, Coralyn Psychiatry NPI: 1194713487 Kootenai Clinic Psychiatry 2199 Ironwood Dr (208) 625-4888 204

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Kootenai County continued / Condado seguido Crook, Albert DO ~* Psychiatry NPI: 1811985146 Kootenai Health 2003 Kootenai Health Way (208) 625-4000 Forsyth, William Psychiatry NPI: 1467440669 Kootenai Clinic Psychiatry 2003 Kootenai Health Way (208) 625-4870 Garrett, Justin DO ~* Psychiatry NPI: 1093940074 Kootenai Clinic Psychiatry 2003 Kootenai Health Way (208) 625-4870 Heidenreich, Eric MD ~ Psychiatry NPI: 1548209935 Kootenai Clinic Psychiatry 2199 Ironwood Dr (208) 625-4888 Kirby, James Psychiatry NPI: 1558477471 Kootenai Clinic Psychiatry 2003 Kootenai Health Way (208) 625-4870 Miller, William Psychiatry NPI: 1477629996 Kootenai Clinic Family Coeur D Alene Residency 1919 Lincoln Way Ste 315 (208) 625-6000 Miller, William Psychiatry NPI: 1477629996 Kootenai Clinic Psychiatry 2199 Ironwood Dr (208) 625-4888 Penagaluri, Jaya MD ~ Psychiatry NPI: 1124258645 Kootenai Clinic Psychiatry 2003 Kootenai Health Way (208) 625-4870 Wait, David Psychiatry NPI: 1245306760 Heritage Behavioral Health 2025 W Park Pl Ste B (208) 620-5210 Payette Fruitland 83619 Steinberg, Si Psychiatry NPI: 1881755718 Lifeways 1611 N Whitley Dr Ste 7 Fruitland, ID 83619 (208) 291-1020 Payette 83661 Pathways Of Idaho Llc ~* Community/Behavioral Health NPI: 1326466988 Pioneer Health Resources 540 S 16Th St Ste 118 Payette, ID 83661 (208) 642-5079 Power American Falls 83211 Mcarthur, Lyn PHD ~* Psychologist NPI: 1952615619 Health West American Falls Clinic 823 Reed St American Falls, ID 83211 (208) 226-2822 Twin Falls Twin Falls 83301 Bradshaw, Bascom DO ~* Psychiatry NPI: 1518064583 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 Brownell, Philip PSYD ~* Psychologist NPI: 1316306509 Family Health Services 826 Eastland Dr (208) 732-7101 Edlund, Mark Psychiatry NPI: 1699850966 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 Lance, Michael Psychiatry NPI: 1073655304 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 Morairty, Zachary Psychiatry NPI: 1154526549 St Lukes Clinic Behavioral Health Services 414 Shoup Ave W Ste B (208) 814-9100 Murphy, Mark DO ~* Psychiatry NPI: 1033554464 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 Murphy, Mark DO ~* Psychiatry NPI: 1033554464 St Lukes Clinic Behavioral Health Services 414 Shoup Ave W Ste B (208) 814-9100 Pullen, Samuel DO ~* Psychiatry NPI: 1689874968 St Lukes Clinic Behavioral Health Services 414 Shoup Ave W Ste B (208) 814-9100 205

Outpatient Mental Health Providers / Proveedores de Salud Mental para Pacientes Externos Twin Falls County continued / Condado seguido Siddiqui, Mohammad Psychiatry NPI: 1255580403 St Lukes Clinic Behavioral Health Services 2550 Addison Ave E Ste F (208) 814-9100 Siddiqui, Mohammad Psychiatry NPI: 1255580403 St Lukes Clinic Behavioral Health Services 414 Shoup Ave W Ste B (208) 814-9100 Sullivan Ii, William Psychiatry NPI: 1154483477 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 Wills, Alex Psychiatry NPI: 1649597055 Alliance Family Services 550 Polk St Ste A (208) 737-0572 Valley Mccall 83638 Bushi, Stephen Psychiatry NPI: 1356336648 St Lukes Clinic - Behavioral Clinic Mccall 301 Deinhard Ln Mccall, ID 83638 (208) 630-2450 Bushi, Stephen Psychiatry NPI: 1356336648 St Lukes Mccall Medical Hospitalists 1000 State St Mccall, ID 83638 (208) 634-2221 Washington Weiser 83672 Bates, John Psychiatry NPI: 1720170228 Lifeways 645 E 5Th St Weiser, ID 83672 (208) 291-1020 Yavruian, Rick DO ~ Addiction - Psychiatry & Neurology NPI: 1831131085 St Lukes Canyon View Behavioral Health Services 228 Shoup Ave W (208) 734-6760 206

Idaho Supplemental Vendor Contact Information Vision Contact Information Benefit Questions: (844) 416-2724, TTY: (877) 627-2456 List of Providers: (844) 239-4913, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 5 p.m., local time Transportation Contact Information Benefit Questions: (877) 776-7285, TTY: (844) 292-2690 List of Providers: (844) 239-4913, TTY/TDD: 711 Hours of Operation: Routine Reservations: Monday - Friday, 8 a.m. to 8 p.m., local time Urgent/Same Day Appts, Facility discharges, and Ride Assist: 24 hours a day, 7 days a week Fitness Contact Information Benefit Questions: (888) 369-2746, TTY/TDD: 711 List of Providers: (844) 239-4913, TTY/TDD: 711 Hours of Operation: Monday - Friday (Excluding Federal Holdiays) 5 a.m. to 6 p.m. PST Over-The-Counter (OTC) Contact Information Benefit Questions: (866) 420-4010, TTY: 711 List of Providers: (844) 239-4913, TTY/TDD: 711 Hours of Operation: Monday - Friday, 8 a.m. to 8 p.m. EST Updated: 10032017

Molina Medicare Options Plus HMO SNP 2018 Pharmacy Directory This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Plus Member Services, at (844) 239-4913 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.molinahealthcare.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.molinahealthcare.com/medicare. You may also call Member Services for updated provider. xii

Introduction This booklet provides a list of Molina Medicare Options Plus' network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Molina Medicare Options Plus' formulary. When this pharmacy directory refers to we, us, or our, it means Molina Healthcare. When it refers to plan or our plan, it means Molina Medicare Options Plus. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Molina Medicare Options Plus only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 09/2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can get prescription drugs shipped to your home through our network mail order delivery program which is called CVS Caremark Mail Service Pharmacy Program. For more information, please contact us or see the mail order section of this pharmacy directory. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us. All pharmacies listed in this directory are available in our Network. To locate a type of pharmacy within our network, please follow this organizational format: Retail Pharmacies, including Chain Pharmacies Mail Order Pharmacies Home Infusion Pharmacies Long-Term Care Pharmacies Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies The pharmacies listed in this directory are in alphabetical order by: county, city, zip code and name. The pharmacy network may change at any time. You will receive notice when necessary. xiii

Molina Medicare Options Plus HMO SNP Directorio de farmacias 2018 Este directorio de farmacias se actualizó en 09/2018. Para obtener información más reciente o si tiene otras preguntas, comuníquese con nosotros al Departamento de Servicios para Miembros de Molina Medicare Options Plus al (844) 239-4913 o, para los usuarios del servicio TTY al 711, los 7 días de la semana de 8:00 a. m. a 8:00 p. m., hora local, o visite www.molinahealthcare.com/medicare. Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.molinahealthcare.com/medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales. xiv

Introducción Este cuadernillo proporciona una lista de las farmacias dentro de la red de Molina Medicare Options Plus. Para obtener una descripción completa de su cobertura de medicamentos recetados, incluso cómo surtir sus recetas médicas, por favor consulte la "Evidencia de cobertura" y el Formulario de Molina Medicare Options Plus. Cuando este directorio de farmacias se refiere a "nosotros" o "nuestro", significa Molina Healthcare. Cuando se refiere al plan o nuestro plan, esto significa Molina Medicare Options Plus. Llamamos a las farmacias en esta lista "farmacias de la red" porque hemos establecido acuerdos con ellos para proporcionar medicamentos recetados a los miembros de nuestro plan de salud. En la mayoría de los casos, sus medicamentos recetados están cubiertos bajo Molina Medicare Options Plus solamente si se surten en una farmacia de la red o por medio de nuestro servicio de farmacia por correo. Después de ir a una farmacia, no se requiere que continúe usando la misma farmacia para surtir sus medicamentos recetados. Puede cambiarse a cualquier otra farmacia dentro de nuestra red. Surtiremos recetas médicas en farmacias fuera de la red bajo ciertas circunstancias conforme se describen en la Evidencia de cobertura. Es posible que no todas las farmacias de la red estén incluidas en este directorio. Es posible que se hayan añadido o eliminado algunas farmacias de la lista después de la impresión de este directorio. Esto significa que las farmacias enumeradas aquí podrían ya no estar participando en nuestra red o que podrían existir nuevas farmacias en nuestra red que no están enumeradas. Esta lista está actualizada a partir de 09/2018. Para obtener una lista más actualizada, por favor comuníquese con nosotros. Nuestra información de contacto aparece en la portada y contraportada. Usted puede recibir medicamentos recetados directamente en su casa por medio de nuestro programa de entrega por correo de la red, llamado Programa de Servicio de Farmacia por Correo de CVS Caremark. Para obtener más información, llámenos o consulte la sección de servicio de farmacia por correo de este directorio de farmacias. Si tiene preguntas acerca de lo antedicho, por favor vea la portada y la contraportada de este directorio donde encontrará información sobre cómo comunicarse con nosotros. Todas las farmacias enumeradas en este directorio están disponibles en nuestra red. Para localizar un tipo de farmacia en particular dentro de nuestra red, por favor siga el siguiente formato de organización: Farmacias de venta al público, incluyendo las farmacias de cadena comercial Farmacias de servicio por correo Farmacias de infusión en el hogar Farmacias de atención médica a largo plazo Farmacias del Programa de Servicio de Salud Indígena / Tribal / Salud de Indígena Urbano (I/T/U) xv

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

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Ada Boise 83702 CUSTOMEDICA PHARMACY NORTH END 1915 W STATE ST (208) 515-2211 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83704 FAMILY MEDICINE HLTH CNTR PHCY 6565 W EMERALD ST (208) 514-2512 TTY 711 HEARTLAND LTC PHARMACY 8455 W EMERALD ST (208) 323-0067 TTY 711 MOUNTAIN CARE PHARMACY 286 N MAPLE GROVE RD (208) 287-4667 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83705 MEDSYNC PHARMACY 801 S VISTA AVE Boise, ID 83705 (208) 364-7777 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83706 LADD FAMILY PHARMACY 1109 SOUTH BROADWAY AVE Boise, ID 83706 (208) 947-0877 TTY 711 MEDNOW PHCY AT ST ALPHONSUS 999 N CURTIS RD STE 102 Boise, ID 83706 (208) 367-4847 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83709 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83712 ST LUKES REG MED CTR PHCY O/P 190 E BANNOCK ST (208) 381-4353 TTY 711 83713 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 83714 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Eagle 83616 CUSTOMEDICA PHARMACY 149 W STATE ST #101 Eagle, ID 83616 (208) 939-8008 TTY 711 MEDNOW PHARMACY 323 E RIVERSIDE DR STE 120 Eagle, ID 83616 (208) 938-2136 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Kuna 83634 CUSTOM RX 173 W 4TH ST Kuna, ID 83634 (208) 922-4400 TTY 711 RIDLEYS PHARMACY 1403 N MERIDIAN RD Kuna, ID 83634 (208) 922-9566 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Meridian 83642 ID UROLOGIC INSTITUTE PHARMACY 2855 E MAGIC VIEW DR (208) 639-4900 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. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento 207

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias MEDICAP LTC PHARMACY 800 S INDUSTRY WAY STE 330 (208) 287-3733 TTY 711 MEDICAP PHARMACY 2790 W CHERRY LN STE 100 (208) 288-1496 TTY 711 OMNICARE OF BOISE of OMNICARE (888) 872-3030 TRS Relay 711 OPTION CARE of OPTION CARE (866) 827-8203 TRS Relay 711 PHARMERICA of PHARMERICA (866) 209-2178 TRS Relay 711 PORTICO PHARMACY 3355 E LOUISE DR (208) 288-4341 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 ST LUKES MERIDIAN MEDICAL CTR 520 S EAGLE RD STE 1000 (208) 706-5255 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83646 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Star 83669 STAR PHARMACY 9732 W STATE ST Star, ID 83669 (208) 286-0906 TTY 711 Bannock Chubbuck 83202 CROSS PHARMACY 4990 VALENTY RD Chubbuck, ID 83202 (208) 403-0084 TTY 711 SNAKE RIVER PHARMACY 4750 YELLOWSTONE AVE Chubbuck, ID 83202 (208) 240-3733 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Pocatello 83201 ED SNELLS' PHARMACY 1015 E YOUNG ST (208) 232-0049 TTY 711 RIDLEY'S PHARMACY #7156 1000 POCATELLO CREEK RD (208) 233-4051 TTY 711 SHAVER PHCY AND COMPOUNDING CT 235 S 4TH AVE (208) 233-3341 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83204 MAAG PRESCRIPTION CENTER LLC 333 W CENTER ST Pocatello, ID 83204 (208) 233-2063 TTY 711 RIDLEY'S PHARMACY 911 N MAIN ST Pocatello, ID 83204 (208) 478-8510 TTY 711 SNAKE RIVER LTC PHARMACY 1465 BANNOCK HWY Pocatello, ID 83204 (208) 233-2444 TTY 711 83209 BENGAL PHARMACY 990 SOUTH 8TH AVE Pocatello, ID 83209 (208) 282-3407 TTY 711 Bingham Aberdeen 83210 WALLACE DRUG 44 S MAIN ST Aberdeen, ID 83210 (208) 397-4540 TTY 711 Blackfoot 83221 BINGHAM MEMORIAL HOSPITAL 98 POPLAR ST (208) 785-3866 TTY 711 MEDICAL PLAZA PHARMACY 98 POPLAR ST (208) 782-2990 TTY 711 PHARMACY SHOP 69 N PINE ST (208) 785-3510 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. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento 208

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias PHARMACY SHOP EXPRESS 1441 PARKWAY DR (208) 684-7011 TTY 711 RIDLEY'S PHARMACY 1295 PARKWAY BLVD (208) 785-1311 TTY 711 STATE HOSPITAL SOUTH PHARMACY 700 E ALICE ST (208) 785-1200 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Shelley 83274 BROULIMS PHARMACY 570 S STATE ST Shelley, ID 83274 (208) 357-0473 TTY 711 Bonner Ponderay 83852 YOKES PHARMACY 212 BONNER MALL WAY Ponderay, ID 83852 (208) 265-8066 TTY 711 Priest River 83856 WHITE CROSS PHARMACY 5453 HIGHWAY 2 Priest River, ID 83856 (208) 448-1633 TTY 711 Sandpoint 83864 MEDICINE MAN SANDPOINT 624 LARCH Sandpoint, ID 83864 (208) 597-7466 TTY 711 SANDPOINT DRUG INC 604 N 5TH AVE Sandpoint, ID 83864 (208) 263-1408 TTY 711 WHITE CROSS PHARMACY SANDPOINT 1319 HWY 2 STE A Sandpoint, ID 83864 (208) 263-9080 TTY 711 Canyon Caldwell 83605 MEDICAL CLINIC PHARMACY 315 E ELM ST # 150 (208) 459-1503 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Middleton 83644 RIDLEY'S PHARMACY 430 E MAIN ST Middleton, ID 83644 (208) 585-2900 TTY 711 Nampa 83651 TERRY REILLY HEALTH SERVICES 207 1ST ST SOUTH Nampa, ID 83651 (208) 318-1376 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83686 MOUNTAIN PHARMACY 222 W IOWA AVE SUITE 225 Nampa, ID 83686 (208) 406-1742 TTY 711 REDDISH PHARMACY UNITED DRUG 215 E HAWAII AVE Nampa, ID 83686 (208) 466-7823 TTY 711 VICS FAMILY PHARMACY 1603 12TH AVE RD STE A Nampa, ID 83686 (208) 465-7000 TTY 711 VIC'S FAMILY PHARMACY INC. 118 S MIDLAND BLVD Nampa, ID 83686 (208) 442-1000 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83687 CVS PHARMACY of CVS (800) 746-7287 TRS Relay 711 MEDNOW PHARMACY 4400 E FLAMINGO AVE Nampa, ID 83687 (208) 288-4660 TTY 711 Parma 83660 MEDICAP PHARMACY 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 diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento 209

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias Kootenai Athol 83801 MEDICINE MAN ATHOL PHARMACY 30585 N ROBERTS RD Athol, ID 83801 (208) 683-1309 TTY 711 Coeur D Alene 83814 INTERLAKE PHARMACY 700 W IRONWOOD DR STE 100 Coeur D Alene, ID 83814 (208) 664-6664 TTY 711 KOOTENAI CLINICS CANCER SVCS P 700 W IRONWOOD DR Coeur D Alene, ID 83814 (208) 625-5672 TTY 711 MEDICINE MAN PHARMACY 1114 W IRONWOOD DR Coeur D Alene, ID 83814 (208) 666-2502 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 83815 MEDICINE MAN NORTH PHARMACY 305 W KATHLEEN AVE Coeur D Alene, ID 83815 (208) 765-2268 TTY 711 Coeurdalene 83814 NORTH IDAHO UROLOGY 980 W IRONWOOD DR STE 104 Coeurdalene, ID 83814 (208) 667-0621 TTY 711 Hayden 83835 MEDICINE MAN HAYDEN PHARMACY 240 W HAYDEN AVE Hayden, ID 83835 (208) 772-3311 TTY 711 MEDICINE MAN PRAIRIE PHARMACY 8093 N CORNERSTONE DR Hayden, ID 83835 (208) 762-9355 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 Post Falls 83854 MEDICINE MAN SOUTHWEST PHARMACY 805 E POLSTON AVE (208) 777-7732 TTY 711 MEDICINE MAN WEST PHARMACY 802 E MEDICAL CT POST FALLS ID (208) 773-3566 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 711 WELL LIFE POST FALLS PHARMACY 565 N VEST ST (208) 773-2499 TTY 711 YOKES PHARMACY 1501 E SELTICE WAY (208) 773-3383 TTY 711 Rathdrum 83858 MEDICINE MAN RATHDRUM 15837 N WESTWOOD DR Rathdrum, ID 83858 (208) 687-5717 TTY 711 RATHDRUM DRUG 16438 N HWY 41 Rathdrum, ID 83858 (208) 687-0731 TTY 711 Spirit Lake 83869 WHITE CROSS PHCY SPIRIT LAKE 31964 N 5TH AVE Spirit Lake, ID 83869 (208) 623-8485 TTY 711 Nez Perce Lapwai 83540 NIMIIPUU HEALTH 111 BEVER GRADE Lapwai, ID 83540 (208) 843-2271 TTY 711 Lewiston 83501 CHAS LEWIS & CLARK PHARMACY 338 6TH ST Lewiston, ID 83501 (208) 848-8290 TTY 711 HELLS CANYON PHARMACY 523 THAIN RD Lewiston, ID 83501 (208) 743-5515 TTY 711 ISVH L PHARMACY 821 21ST AVE Lewiston, ID 83501 (208) 799-3422 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. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento 210

Retail Pharmacies, including Chain Pharmacies / Farmacias al por menor, incluyendo las cadenas de farmacias OWL SOUTHWAY PHARMACY 720 16TH AVE Lewiston, ID 83501 (208) 743-5528 TTY 711 RITE AID PHARMACY of RITE AID (800) 748-3243 TRS Relay 711 ROSAUERS PHARMACY 332 THAIN RD Lewiston, ID 83501 (208) 743-6511 TTY 711 THE OWL DRUG CPS 720 16TH AVE STE 2 Lewiston, ID 83501 (208) 746-6755 TTY 711 WALGREENS of WALGREENS (877) 250-5823 TRS Relay 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. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento 211

Mail Order Pharmacy / Farmacia con servicia por correo You can get prescription drugs shipped to your home through our network mail order delivery program which is called CVS Caremark Mail Service Pharmacy Program. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program ReadyFill at Mail Program (RFM). Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us 10 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by calling (888) 665-1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Typically, you should expect to receive your prescription within 10 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at (888) 665-1328; TTY users should call 711. We are available 7 days a week, 8 a.m. to 8 p.m., local time. Usted puede obtener medicamentos recetados enviados directamente a su casa a través de nuestro programa de entrega por correo de la red, llamado CVS Caremark Mail Service Pharmacy Program. Para obtener renovaciones por correo de sus medicamentos recetados, usted tiene la opción de inscribirse al programa de renovaciones automáticas, ReadyFill at Mail Program (RFM). Bajo este programa, empezaremos el proceso para su siguiente surtido automático cuando nuestros registros muestren que su medicamento está a punto de agotarse. Nos comunicaremos con usted antes de enviar cada surtido para asegurar que usted necesita más medicamento. Usted puede cancelar las renovaciones programadas si usted tienen suficiente medicamento o si su medicamento ha cambiado. Si usted decide no usar el programa de surtido automático, por favor llámenos 10 días antes de que crea que se le terminará su medicamento, para confirmar que su próxima orden se le envíe a tiempo. Para excluirse del programa de renovación automática, por favor llámenos al (888) 665-1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Normalmente, usted puede anticipar recibir sus medicamentos recetados dentro de 10 días a partir de la fecha en que la farmacia de servicio por correo reciba la orden. Si usted no recibe sus medicamentos recetados dentro de este plazo, llámenos al (888) 665-1328; los usuarios de TTY deben llamar al 711. Estamos disponibles los 7 días de la semana, de 8:00 a. m. a 8:00 p. m., hora local. Caremark Mail Order Service 1-800-378-5697 TTY: 1-866-236-1069 All pharmacies offer extended day supply unless otherwise noted/todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. 212

Home Infusion Pharmacies / Servicios de Farmacias de Infusión en Casa Please refer to the list of Molina Medicare Options Plus Network pharmacies below to find a home infusion pharmacy provider in your area. For more information, contact Member Services, as listed above. / Por favor vea la lista de las Farmacias dentro de la Red de Trabajo de Molina Medicare Options Plus 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 que arriba aparece. Ada Meridian 83642 OPTION CARE (L) 800 S INDUSTRY WAY STE 240 (208) 884-0669 All pharmacies offer extended day supply unless otherwise noted/todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento L - Limited Access: Pharmacies may not be available to all members / Acceso limitado: es posible que las farmacias no estén disponibles para todos los miembros 213

Long-Term Care Pharmacies / Farmacias para Cuidados a Largo Plazo Residents of a long-term care facility may access their prescription drugs covered under Molina Medicare Options Plus through the facility s long-term care pharmacy or another network long-term care pharmacy. For more information, contact Member Services, as listed above. / Los residentes de una institución de cuidados a largo plazo, pueden tener acceso a sus medicamentos prescritos cubiertos bajo Molina Medicare Options Plus a través de las farmacias de cuidados a largo plazo o de otras redes de farmacias de de cuidados a largo plazo. Para más información, comuníquese con el departamento de Servicios para Miembros al número que arriba aparece. Ada Boise 83704 HEARTLAND LTC PHARMACY (L) 8455 W EMERALD ST (208) 323-0067 MOUNTAIN CARE PHARMACY (L) 286 N MAPLE GROVE RD (208) 287-4667 Meridian 83642 MEDICAP LTC PHARMACY (L) 800 S INDUSTRY WAY STE 330 (208) 287-3733 MEDICAP PHARMACY (L) 2790 W CHERRY LN STE 100 (208) 288-1496 OMNICARE OF BOISE (L) 320 E CORPORATE DR STE 320 (208) 895-8399 PHARMERICA (L) 2054 S SILVERSTONE WAY (208) 887-1951 Bannock Chubbuck 83202 CROSS PHARMACY (L) 4990 VALENTY RD Chubbuck, ID 83202 (208) 403-0084 Pocatello 83201 IDAHO STATE VETERANS HOME (L) 1957 ALVIN RICKEN DR (208) 236-6340 83204 SNAKE RIVER LTC PHARMACY (L) 1465 BANNOCK HWY Pocatello, ID 83204 (208) 233-2444 Bingham Blackfoot 83221 BINGHAM MEMORIAL HOSPITAL (L) 98 POPLAR ST (208) 785-3866 STATE HOSPITAL SOUTH PHARMACY (L) 700 E ALICE ST (208) 785-1200 Canyon Nampa 83686 VIC'S FAMILY PHARMACY INC. (L) 118 S MIDLAND BLVD Nampa, ID 83686 (208) 442-1000 Parma 83660 MEDICAP PHARMACY (L) 410 EAST GROVE AVENUE Parma, ID 83660 (208) 722-5269 Kootenai Coeur D Alene 83814 INTERLAKE PHARMACY (L) 700 W IRONWOOD DR STE 100 Coeur D Alene, ID 83814 (208) 664-6664 Nez Perce Lewiston 83501 ISVH L PHARMACY (L) 821 21ST AVE Lewiston, ID 83501 (208) 799-3422 THE OWL DRUG CPS (L) 720 16TH AVE STE 2 Lewiston, ID 83501 (208) 746-6755 All pharmacies offer extended day supply unless otherwise noted/todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento L - Limited Access: Pharmacies may not be available to all members / Acceso limitado: es posible que las farmacias no estén disponibles para todos los miembros 214

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies /Programa de Farmacias I/T/U para Servicios de Salud de Indios/Tribus/ Indios Urbanos Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Molina Medicare Options Plus pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). Please refer to the list of Molina Medicare Options Plus Network Pharmacies below to find an I/T/U pharmacy in your area. For more information, contact Member Services, as listed above. / Solo Nativos Americanos y Nativos de Alaska tienen acceso a los Programas de Farmacias I/T/U para Servicios de Salud de Indios/Tribus/ Indios Urbanos a través de la red de trabajo de farmacias de Molina Medicare Options Plus. Otras personas que no sean Nativos Americanos y Nativos de Alaska tendrán acceso a esas farmacias solo bajo circunstancias limitadas (Ej., emergencias). Por favor revise la lista de abajo con las farmacias que están dentro de la cadena de trabajo de Molina Medicare Options Plus, para encontrar una farmacia I/T/U dentro de su área. Para más información, comuníquese con el departamento de Servicios para Miembros al número que arriba aparece. Bingham Fort Hall 83203 FORT HALL INDIAN HEALTH CTR PHCY (L) ROUTE 6 MISSION ROAD Fort Hall, ID 83203 (208) 238-5429 Nez Perce Lapwai 83540 NIMIIPUU HEALTH (L) 111 BEVER GRADE Lapwai, ID 83540 (208) 843-2271 All pharmacies offer extended day supply unless otherwise noted/todas las farmacias ofrecen un suministro diurno extendido, a menos que se indique lo contrario. Ө - Do not offer Extended Day Supply of Medication / No se ofrece un suministro diurno extendido del medicamento L - Limited Access: Pharmacies may not be available to all members / Acceso limitado: es posible que las farmacias no estén disponibles para todos los miembros 215

Index of Providers / Índice de Proveedores 1 - & - 1 - Aaa Fiscal Intermediary Inc 81 A Compassionate In-Home Care Llc 52, 65, 81, 82 Aaberg, Thomas MD 117 Aaging Better In Home Care Llc 200 Abate, Joseph MD 59 Abbasi, Kafia MD 201 Aberg, Jason PT 137, 141, 142 Abul Husn, Nina MD 33 Access Care At Home 82 Acevedo Daniels, Suhrei MD 33 Acevedo, Charles PT 150 Ackerman, Jerrod PT 137, 139, 142, 149 Ackerman, Patty 52 Adams County Health Inc 77 Adams, Brenda MD 14 Adams, Candice NP 100, 101 Adams, Christopher PT 150 Adams, Doug OD 121 Adams, Douglas OD 121, 122 Adams, Kendall 147 Adams, Nathan MD 79, 80 Adams, Rebecca MD 21, 30, 38, 44 Adams, Robert PT 142 Adams, Shalise 55, 56 Adams, Steven DO 110 Adams, William DO 38 Adamski, Margaret 185 Addus Homecare Boise Nampa 54, 80, 81, 136, 182 Addus Homecare Twin Falls 54, 81, 82, 136, 182 Adepoju, Jillian DC 65 Ader, John DO 182, 183 Affleck, Aaron MD 115 Affleck, Brian MD 130, 131 Afshar, Kia MD 84 Agrusa, Phillip MD 108, 110 Ainslie, Georgianna CNM 52 Akhtar, Saadia MD 179 Aks, Carolyn MD 79 Alexander, Charlotte MD 125 Alexander, Coralyn MD 204 Alharethi, Rami MD 57 Ali, Cyrus MD 188 Allan, Eric MD 182 Allan, Evan MD 115, 116 Allan, Scott MD 115, 116 Allen, Benjamin MD 127 Allen, Clark MD 99 Allen, Daniel DO 72 Allen, David MD 112 Allen, Jeffrey MD 79, 80 Allen, John PA 163 Allen, Laura PA 160 Allen, Marni NP 100 Allen, Nathan DO 47 Allen, Nicolas PA 160 Allen, Suzanne MD 4, 14 Allen, Travis PA 162, 163, 164, 171 Allmaras, Tanya PA 7, 9, 11, 32 Allred, Aaron DPM 177, 178 Allred, Craig 56 Allred, Debra NP 103, 104, 105, 106 Allred, Jason PT 139, 144 Alluri, Krishna MD 79 Alpine Home Medical Equipment Llc 71 Alston, Nancy MD 25 Altenburg, Aaron MD 127 Alviso, Marvin Anthony MD 1, 4, 14 Ambrosier, Amy PA 158 Ament, Robin 185 Amiel, Terry MD 42 Amramp 67, 70 Ancker, Robert MD 81 Andersen, Brock MD 70 Anderson, Amanda DC 62 Anderson, Basil MD 32, 36, 39, 44, 47 Anderson, Bradley MD 114, 115 Anderson, Caitlin NP 99 Anderson, David PT 137, 141, 142 Anderson, Jordan PT 145 Anderson, Kade PA 91, 92 Anderson, Kade PT 156 Anderson, Lucas MD 190 Anderson, Michael PT 147 Anderson, Shane DO 26 Anderson, Skyler 151, 152 Anderson, Terry PA 44 Andreasen, Kacey PA 88, 89 Andres, Jeremy PT 151, 153 Andres, Matthew DO 21, 25, 26 Andrews, David PT 151, 153 Anghel, Gabriela MD 21 Ankarberg, Ryan PA 175 Anneke, Kathleen PA 158 Anstine, Suzanne MD 107 Antonelli, Lisa MD 84, 85, 86 Anttonen, Heidi PT 139, 144, 148, 149 Apex 199 Appel, Jennifer PA 159, 160 Apria Healthcare Llc 70, 132, 134 Apria Healthcare Llc 70, 133, 134 Apria Healthcare Llc 71, 133, 135 Apria Healthcare Llc 71, 133, 135 Apria Healthcare Llc 71, 133, 135 Archibald, Alexander OD 117 Archibald, Kent OD 124 Archibald, R Burke MD 107, 109 Arhets, Alexander PA 160 Armijo, Molly MD 14 Armstrong, Jared MD 52 Armstrong, Scott MD 108, 109, 111 Arndt, Todd MD 50 Arrington, Daniel MD 99 Arrington, Howard NP 106 Arroyo, Bryan PT 145 Arteta-Bulos, Rafael MD 97 Arthur, Caroline MD 188 Arvidson, Brian OD 117 Asay, Kayla MD 110 Ascend Medical, Llc 70 Ashaye, Jaiyeola MD 35 Ashaye, Olurotimi MD 201, 202 Ashby, Laurie MD 1 Ashenbrener, Samantha PT 156 Aspen Personal Care Service Llc 107 Asper, Annette FNP 104 Assmus, Katherine PA 160 Atkins, David PA 40 Attebury, Benjamin PA 173 Atup Leavitt, Catherine MD 14 Auge, Brian MD 194 Augustus, Richard MD 74 Avamere Transitional Care And Rehabilitation Boise 199 Averett, Ryan DPM 177 Axtell, April PT 140 Axtell, Ricky MD 4 Babij, Roman MD 191 216

Index of Providers / Índice de Proveedores continued Badger, Troy MD 61 Baerlocher, Deborah 55 Bailey, Chad NP 104 Bailey, Greg PT 142, 147, 148, 155 Bailey, Gregory MD 98 Bailey, Jordan MD 21 Bailey, Justin MD 4 Bailey, Michael PT 155 Baillie, Jon-Eric MD 72 Baird, Dirk PT 151, 152 Baird, Eric MD 189 Baird, Michael OD 119 Baisley, Kalyn PA 160 Baker, Carmen PT 139 Baker, Clinton PA 45 Baker, Drostan MD 41 Baker, John MD 47 Baker, Wallace MD 29, 73, 81 Balbierz, Janet MD 137 Balcerak, Theresa NP 101 Balderston, Keith MD 88 Baldridge, Scott DO 37 Baldwin, Ronald MD 42 Balinger, Adam MD 9 Ball, Gregory DO 180 Ball, Timothy MD 59, 87 Ballance, David MD 7 Ballantyne, Richard DO 188, 190 Balls, Jesse PA 92, 93, 95, 96 Banta, Lawrence MD 204 Barbero, Paige PT 137, 142, 149 Barcelo-Yost, Julia PA 92 Bargen, Gabriel 54 Barinaga, Mary MD 4 Barker, Jonathan PT 150, 151, 156 Barker, Michael MD 21, 72 Barlow, Jessica 185 Barnes, Danielle PA 172 Barnes, Darryl PA 7, 9, 11, 12, 14 Barnes, Daryn PA 1, 3, 14, 33, 34 Barnes, Nicole PT 137, 140, 142, 149 Barnes, Robert PT 138, 142 Barnes, Trevor PT 146 Barney, Alexander PT 140 Barnhart, Carolyn NP 34 Barnum, Steven NP 33, 34 Baron, Andrew MD 1, 33, 36 Barresi, Roberto MD 188 Barrett, Ryan MD 114 Barrus, Jonathan DO 38 Barrus, Paul DO 7, 33, 34, 45 Bartels, David DO 97 Barto, Allison PA 29 Barton, Joshua MD 188 Bartoo, Gary PT 152, 153 Bartschi, Jed PA 91, 95 Basaldua, Charalee MD 9 Bass, Erin NP 103 Bass, Samual MD 57 Basse, Andrea PT 139 Bastian, Allison MD 1, 4, 14 Bastian, Bret PT 138, 141, 142 Bastian, Zachary MD 190 Batcha, Frank MD 28 Bateman, Wade MD 11 Bates Jr, Rodney DO 83 Bates, Cory MD 195, 197 Bates, John MD 202, 203, 204, 206 Bates, John PT 145 Bates, Melissa PA 30 Bathina, Murali MD 58, 59 Batt, David PA 164, 171, 173 Battaglia, Marisa MD 14 Battaglia, Sam MD 14 Bauer, Marcy NP 100 Bauer, Tina PT 151, 153 Baxter, Susan MD 11 Beach, Ann MD 4, 14 Beach, Kelly PA 1, 3, 8, 11, 14 Bean, Karen NP 104 Bean, Matthew MD 40 Beardsley, Bryan MD 129 Beaton, Thomas MD 132 Beaufort, Bradley DO 14 Beaulieu, Lauren 185 Bechtel, Joshawa DC 62 Beckett, Paul DO 26, 27 Beckmann, James MD 188, 189, 190 Beckstead, David MD 37 Beckstead, Robert PT 145 Bedell, Mikael MD 50 Beechinor, Shawna PA 92, 97 Beierle, Noelle NP 102, 105 Bell Mountain Village And Care 199 Bell, Adam DO 191 Bell, Isaac OD 124 Bell, Isaac OD 124 Bellevue Healthcare Ii Inc North Idaho 71 Belnap, Amy NP 102 Belnap, Cameron DC 64 Belnap, Dale PA 192 Belnap, Kylee PA 165, 171 Belzer, Bruce MD 3 Bench, Thomas DC 63 Bender, Gideon OD 118 Bender, Matthew MD 68 Bengtson, Mark PT 152, 153 Benner-Erickson, Shawna PT 147 Bennett Hills 199 Bennett, William MD 59, 87 Benny, Leslie DO 85 Benson, Eric MD 41 Bentwood, Jennifer MD 42 Benz, Nicolle DO 86 Berglund, J Alexander MD 15 Bergquist, William MD 179 Bergset, Jon MD 58, 59 Berrett, Anthony PA 162, 164, 165, 169, 171 Bertram, Juergen MD 80 Bertsch, Rebecca DO 40 Besecker, Jason OD 118 Bewley, James OD 121, 122 Bewley, James OD 121, 122 Beyer, Floyd DC 61, 64 Bieniasz, Paul PA 20, 21, 25, 37, 46, 90 Bigelow, Paul OD 118 Bigsby, Geneen DO 111 Billings, David PT 150, 151, 156 Billings, Patricia NP 106 Bilstrom, David MD 137 Binegar, William MD 134 Bingham, James DC 61 Bingham, Jerri NP 106 Bingham, Mel PA 172 Birch, Christine PA 1, 11 Birchell, Ryan PT 156 Birkenhagen, Walter MD 189 Birnbaum, Susan PT 139, 144, 148, 149 Bishop, Ryan PT 152 Bishop-Herre, Melinda PA 158, 160 Biss, Roger MD 80 Bitner, Matthew MD 129 Bitters, J'cinda MD 33 Black, Stuart MD 34, 45 Black, Timothy DPM 176 Black, William OD 121 Black, William OD 121, 122 Blackadar Oldham, Kathryn PT 155 Blackfoot Medical 183 217

Index of Providers / Índice de Proveedores continued Blackmer, David DPM 176, 177 Blackwelder, Tyler PT 153 Blaine, James PA 91, 93, 95 Blair, Ronald DO 191 Blair, Victoria NP 30 Blake, Lloyd MD 179 Blakeley, Russell MD 58, 59 Blakeman, Adam PA 38 Blampied, Joseph DC 61 Blanchard, Erika 55 Blanchard, Jordan MD 19, 51 Blanchet, Paulette MD 79 Blanchette, Anne PA 89 Blank, Douglas MD 58 Blatter, Richard DO 196 Blea, Clarence MD 88 Blizzard, Sonya MD 115 Blough, Susan MD 8, 83 Blue, Sky MD 4, 83 Blume, Mitchell PA 170 Bobrowski, Renee MD 88 Bodily, Gregory OD 117 Boehmer, Bernard MD 36 Boerner, Mark MD 113 Boespflug, Daniel OD 118 Boespflug, Daniel OD 117 Boettiger, Taylor MD 9 Bohus, Robert MD 195 Bokelmann, Jean MD 19, 20, 21, 25, 37, 46 Bolender, Sarah MD 181, 182 Bollinger, William MD 9, 83 Booth, Matthew PT 140, 143 Borg, Adam PT 152, 153 Borgholthaus, Lana PA 162, 163 Bostick, Marc MD 201, 202 Bostrom, Lauren PA 47, 173 Bostrom, Meghann NP 101 Botimer, Gary MD 128 Boutkaska, Jude PA 4 Bowcut, Kami PA 193 Bowen, Joseph MD 129 Bowman, Devin PA 173 Bowman, Dustin PA 159 Bowman, Jonathan MD 34 Bowman, Kendra MD 188 Bowman, Kreed OD 124 Bowman, Taffie NP 103, 104 Box, Jeffrey PT 140, 142, 143, 148, 150 Box, Lesleigh MD 9 Box, Lyndon MD 57, 58, 59 Boyajian, John MD 131, 132 Boydston, Dorene NP 101 Boyea, Steven MD 126 Boyer, Shannon NP 100 Boynton, Andrew MD 142 Brabec, Jaclyn PA 162, 163, 165 Bradberry, Cali PA 159 Bradley, Benjamin PA 160 Bradley, Jenni MD 108, 109 Bradley, Logan PT 151, 156 Bradley, William MD 130 Bradshaw, Bascom DO 205 Braman, Selena DC 62 Brancheau, Shaun DO 40, 41 Brassell, Stephen MD 194 Brauer, David MD 76 Bray, S Jeffrey DPM 177 Breazeal, Larry OD 123 Bregante, Nicolas PA 92, 93, 95, 96 Bresnahan, Jeffrey PT 152, 153, 154 Bressan, Matthew PT 149, 150 Bridges, Benjamin MD 79 Bridgeview Estates 200 Briggs, Jessica PA 1 Brininger, Timothy MD 37 Brinkman, Kenna PT 140 Brinkmann, Bart FNP 104 Bristol Heights Assisted Living 54, 182 Broberg, Craig MD 57 Brockett, Jeff 55, 56 Bronner, Aaron OD 117 Bronner, Jason MD 11 Brooks, Daniel MD 113, 114 Brosa, John MD 8 Brose, Kari PA 96 Brouwer, Jesse PT 154 Brower, Andrew PA 168 Brown, Aaron MD 47 Brown, Ashley PA 173 Brown, Bradly PA 26 Brown, Heidi PA 160, 166, 167, 168 Brown, Joel PT 150, 157 Brown, Karl MD 83 Brown, Megan PA 192 Brown, Mindy PA 173 Brown, Richard DO 203 Brown, Scott DO 129 Brownell, Philip PSYD 205 Bruce, Jessica NP 9, 100 Bruggeman, Brian MD 176 Brumfield, Troy DO 21, 30, 31, 38, 44 Brunelle, Tommy Jo PT 138 Bruning, Johanna NP 104 Brunk, Danielle NP 101 Brunner, Jesse PT 151 Bryan, Thornton MD 8 Bryant, Nancy PT 155 Buckalew, Neilly MD 137 Buckland, G Tad MD 115 Bucur, Silvana MD 97 Buersmeyer, Patricia MD 15, 36 Buitrago, Martha MD 82, 84, 85, 86 Bullock, Kristan 185 Bunnage, Corbin PA 29, 36 Bunnell, Susan MD 203 Burch, Joel PA 13, 15, 33, 34 Burgett, Lisa MD 47 Burica, David MD 50 Burk, Phillip DPM 176, 177 Burk, Ricky OD 117 Burke, Ryan PA 11 Burnett, Scott PA 192 Burns, Brittany MD 40 Burns, Timothy MD 40 Burns-Price, Melissa PA 94 Burnside, Leslie PA 163 Burr, Randall MD 69 Burrell, Christian MD 197 Burrow, Joan DC 65 Burry, Jeffrey DO 132 Burton, Bradley MD 21, 22 Busby, Tracey MD 28, 29 Bushi, Stephen MD 201, 202, 206 Butler, Christopher DPM 177 Byazrova, Eteri MD 59, 66 Byrne, Thomas PA 169 Cabrera, Nani Jane DO 45 Cach, Robert MD 99 Cadwallader, Kara MD 4 Calderwood, John OD 123 Call, Benjamin MD 84, 86 Call, Thomas DO 26 Callaghan, Michael MD 181 Callagy, Karen PA 89 Calnan Holt, Kimberly OD 117 Camacho, Lucy PA 167 Cameron, Julianne DO 42 Campanale, Ralph MD 189 Campbell, Annie PA 188 Candau, Matthew PT 141 Cannon, Peter MD 196 Cannon, Richard MD 114, 115, 116 Cannon, Timothy DC 64 218

Index of Providers / Índice de Proveedores continued Canty, Cathy MD 73, 74, 75, 76 Capdeboscq, Linda NP 105 Capener, Mark MD 132 Capricchione, Angelo MD 84, 85 Carbol, Courtland MD 20, 21, 22, 25, 37, 46 Cardwell, Kimbra NP 100 Care Connection Of Idaho Homecare 52, 65, 67, 80, 81 Care, Steven MD 125 Carey, Brain MD 113 Carlberg, Nicole DO 204 Carlson, Chelsea MD 4 Carlson, Dirk MD 108 Carlson, Hillary 55, 56 Carlson, Jerry OD 119 Carlson, Joel DO 109, 110 Carpenter, Stephanie NP 105 Carrasco, Alicia MD 1 Carrell, Kenneth MD 46 Carrigan, Brian MD 73 Carroll, Robbie NP 103, 104, 105, 106 Carroll, Ronald MD 46, 51 Carter, Lee OD 117, 118 Carter, Matthew PT 157 Carver, Erin PA 159 Case, Shanna MD 9 Casebolt, Alex PA 158, 160, 167 Casos, Steven MD 194 Castellano, Patrick PA 15 Castellanos, Peter MD 99 Casto, Ashley PA 93 Cates, Gerald OD 117 Caulfield, Hannah MD 189 Cavner, Brandi PT 145 Chaffin, Phillip MD 131 Chai, Andrew MD 57 Chambers, David MD 40 Chambers, John MD 58 Champlin, Colleen NP 102 Chan, Rylan PA 13 Chang, Kevin MD 180 Charme, Michael MD 111 Chasan, Heidi MD 108, 109 Chasin, Judith MD 1 Chatterton, Rian 184 Cheadle, Nancy 55 Chen, Erin PA 158, 160 Chen, Qing-Min MD 126, 127 Cherny, W Bruce MD 98 Cherry Ridge 199 Cheshire, Spencer 55, 56 Chester, Kawal MD 97 Chilson, Donald MD 59, 61, 66 Chisholm, Donald MD 40 Choby, Susanne MD 203 Choe, Joyce MD 113 Chopp, Thomas MD 126 Chow, Bridget PT 139 Christensen, Brian MD 191 Christensen, Cory PT 150, 151, 156, 157 Christensen, David MD 130 Christensen, James DO 187 Christensen, Kelli MD 22, 46 Christensen, Kristin PA 166 Christensen, Stephen MD 32 Christensen, Wade PA 29 Christensen, Wallace OD 119 Christenson, Mark MD 86 Church, Court OT 112 Church, Nathan PA 15, 89 Clark, Cameron PA 173 Clark, Clinton DPM 177 Clark, Hatta DDS 68 Clark, Jessica 55 Clark, Melanie OD 120 Clark, Melanie OD 120 Clark, Randil MD 196 Clark, Rick PA 172 Clark, Russell 55 Clark, Sharla DO 22, 26 Clarke, Leslie 184 Clayson, Brent 56 Clegg, Michelle NP 22, 25 Cleverley, Zackery PA 129 Cleverly, Chad OD 117 Clifford, Kathleen NP 100 Clifford, Kyle MD 19, 25 Cliften, Peter MD 9 Cline, Paige PA 88, 89 Clinger, Mark MD 19 Clinger, Steven MD 26, 27 Coan, Michael DO 183 Coffman, Thomas MD 82 Cohen, Jeffrey PA 169 Coker, Steven MD 127 Colby, Michael PT 140 Cole, Jean PT 145 Coleman, Darren MD 112 Collins, Brandie PA 160 Collins, Gina PT 141 Colson, Kathryn PA 4 Combe, Courtney PA 89, 92, 94 Comfort Keepers Inc 71, 80, 81, 136 Comley, Tayler PT 138, 140, 141, 143, 149 Comstock, Calista PA 94 Condie, John MD 99 Cook, Christian DC 62 Cook, David OD 120 Cook, Gail PA 96 Cook, James PA 98, 99 Cook, Jennifer MD 1, 5 Cook, Sean DO 82, 86 Cook, Todd PT 152, 153, 154 Cooke, Dennis MD 57, 59, 60, 87 Coombs Butikofer, Rebecca OT 112 Coombs, James MD 116 Coon, Chad PA 165 Cooper, Amy MD 78 Cooper, Jerry DPM 176 Cooper, Kylie MD 88 Cooper, Natalie MD 137 Cooper, Stacy PA 89 Cooperrider, Jaclyn MD 5 Cope, Adam PT 140, 143, 144, 149 Coppin, Erin PA 173 Coray, Robert MD 189, 191 Corbet, Heather OT 113 Corum, Bernadette MD 73 Costello, Frederick MD 86, 87 Coughenour, Tiffany PA 162, 165 Coulter, Scott DC 62 Cox, Kim MD 109, 111 Coyle, David MD 86, 87 Coyne, Colleen PT 146 Coyote Prosthetics & Orthotics - Twin Falls 71 Cpapnow 70, 132 Craig, Amanda OT 112 Cramer, Theresa DC 62 Cramer, Todd DC 62 Crandall, Alan PA 163 Crandall, Earl MD 112 Crandall, Mark MD 61 Crane, Charles MD 29 Crawford, Andrew PA 160, 166 Crawford, Christian PA 1, 3, 12, 15 Crawford, Jacob PT 138, 141, 143 Cree, Joanne PA 94 Cree, Jonathan MD 22 Creelman, James PT 146 219

Index of Providers / Índice de Proveedores continued Cressey, Yvette DO 15, 34, 36 Cron, Andrew MD 12 Crook, Albert DO 205 Crosland, Laron MD 8 Crossley, Dennis MD 37 Crothers, Alan PT 143 Crowe, Christopher PT 138, 141 Crownover, Brian MD 19 Crownson, Bayo MD 34 Crum, Eric DC 62 Crump, William MD 15 Culbertson, Eric PA 88, 92 Currey, Jonathan MD 50 Curry, Mark DO 107 Curry, Thomas MD 197 Curtin, Michael MD 126 Curtin, Sarah MD 50 Curtis, Jacob DO 74 Curtis, Larry MD 22, 30, 31, 38, 44 Curtis, Mary MD 47, 48 Cusack, Sorcha PA 89 Cuthbertson, Michael PT 147 Cyprus, Idalyn MD 1 D'angelo, Monica MD 115, 116 Daccarett, Marcos MD 66 Daley, Jason PA 88, 89 Dalley, Jeremy PA 174 Dalton, Stephanie PA 159 Dance, David MD 115 Daniels, David DO 22, 30, 31, 38, 44 Danielson, Galen PT 142, 144, 147, 155 Danish, Jamie FNP 104 Danowski, Dustin DO 34 Danser, Christine PT 155 Dardine, Jade MD 29 Dau, Birgitt MD 82 Daugharty, Barbara MD 40, 86 Daugharty-Fowler, Susan MD 40 Davenport, Hyrum NP 102 Davenport, Melissa PA 22, 30, 31, 38, 44 David, Ryan DO 45 Davids, Abby MD 5 Davidson, Elaine MD 34 Davidson, Robert MD 84, 85 Davies, Danielle MD 15 Davis, Elizabeth MD 35, 36 Davis, Heather PA 160 Davis, James OD 119, 120, 124 Davis, Keith MD 44 Davis, Lauren PA 192 Davis, Robert MD 107 Davis, Steven OD 118 Davis, Tish PA 88, 89 Davis, Toby DO 15 Davis, William DC 61 Dawson, Jill NP 101, 103 Day, Leah MD 88 Dayton, Drew OD 122 Dayton, Drew OD 119, 121 Dazley, Justin MD 129 Dean, James OD 122 Dean, Kevin OD 122 Deblieck, Jennifer MD 68 Deblieck, Timothy MD 1, 5, 15 Debruyn Kops, Julian MD 31 Dee, Michael MD 35 Defrang, Caroline MD 9 Dehaven, Erin PA 35 Delarosa, Jacob MD 84 Delic, Zana PA 89 Demars, Damon DO 83 Denagy, Stephen MD 29 Denison, Justin OD 118 Denison, Justin OD 117 Denney, Mark OD 120 Denson, Pamela MD 110 Denson, William MD 110 Derkacs, Derek PA 159 Desai, Abhilash MD 201 Desert Sage Health _Fqhc 77 Detar, Edward MD 190 Detar, Thomas MD 131 Detemple, Matthew DO 73, 74, 75, 76 Develle, Robyn NP 19, 101 Devitt, Michael PT 138 Devoe, Cara PT 155 Devries, Jason DPM 177, 178 Dewitt, Linda NP 105 Dickson, Dane MD 79, 80 Dietrich, Gregory MD 130 Diller, Jacob 56 Dillion-Bialobrzeski, April DO 1, 12, 15 Dimaggio, Lucie MD 48 Dimichele-Manes, Andrea MD 109, 111 Dimond, Trevor PT 147 Dingman, Achini MD 182 Dinning, Andrea DO 40 Dinning, Dustin DO 183 Dirne Health 77 Dirne Health 78 Dirne Health _Fqhc 78 Dirne Health _Fqhc 78 Dirne Health s Inc 77 Dirne Health s Inc 77 Dirne Health s_fqhc 77 Dirne Rathdrum Clinic_Fqhc 78 Dirocco, Thomas MD 48 Discovery Care 200 Dittrich, William MD 179 Divietro, Matthew DO 179 Dixon, Annie PA 90 Dixon, Gordon DO 31, 72, 73, 75 Dixon, Jaimen OD 117 Dixon, Jaimen OD 118 Dockter, Lisa MD 15 Doedyns, Carolyn NP 102, 106 Doherty, Barbara NP 100 Donaldson, David MD 131 Donaldson, Martin DC 64 Donovan, Jodie MD 9, 83 Dopp, Matthew MD 48 Dopson, Warren MD 48 Dorn, Ronald MD 181 Doty, Timothy PA 169 Douglas, Mary OT 113 Douthit, Thomas PA 159, 167 Dover, Twila PT 139 Downey, Paddy PA 15 Doyle, Catherine MD 5, 39 Dragotoiu, Dan MD 31 Drake, Bryan DO 51 Draper, Michael MD 88 Driscoll, Mallory PA 22 Droege, Karoline PT 146 Drumm, Amy MD 28 Dryden, Bryan DDS 68 Dsouza, Sherwin MD 1 Dubois, Jason DC 65 Duckworth, Edward MD 98 Duerr, Robert MD 86 Duersch, Matthew MD 73, 74, 75, 76 Duff, Robert NP 13 Duff, Thomas DO 48 Duffey, Heather CNM 52 Duke, Adam MD 111 220

Index of Providers / Índice de Proveedores continued Duke, Catherine PT 138, 140, 143, 149 Duke, Sara MD 116 Dunlavy, Paul DO 191 Dunn, Julie PT 138, 140, 141, 143, 149 Dunn, Scott MD 29 Dunteman, Roger MD 129 Dupont, Corey PT 138, 140, 143, 149 Durtschi Padron, Brenda 185 Dustin, Kelly DO 44 Dutkiewicz, James PA 169, 170 Dye, Deanna PT 146 Dye, Jeremy PT 152, 153, 154 Dykstra, Timothy DO 86 Earl, James MD 114 East, Karen MD 13 Eddie, Derek PA 31 Edlund, Mark MD 205 Edvalson, Noah DC 61 Edwards, Jeffrey MD 1, 5, 14 Egbert, Brad DC 65 Egbert, Paul DC 65 Eggleston, Melanie MD 44 Eiriksson, Charles MD 87 Elam, Isaac MD 45 Elder, Becky NP 100, 101 Elder, James MD 189 Elizabeth-Smith, Whitney MD 116 Ellefson, Shauna NP 15 Ellis, Carol NP 106 Ellis, Jay PT 147 Ellis, Julie PT 157 Ellis, Sadie PT 145 Ellis, Valden DC 63 Ellison, Edward MD 196 Ellsworth, Amy PA 169 Ellsworth, Ronald MD 74, 76 Elsbury, Nancy Jo MD 42 Emry, Geoffrey MD 40 Enders, Timothy DO 48 England, Benjamin MD 10 Engles, Donald MD 59, 87 English, Mindy PT 138, 140, 143, 149 Enomoto, Dennis MD 61 Epperly, Ted MD 5, 15 Epperson, Aaron PA 3 Erbele, Tara MD 1, 3 Erekson, Zachary MD 81 Erickson, Ty MD 110 Erikson, Brad DO 31 Erlandson, Linda NP 100, 106 Ervin, Tracy PT 157 Erwin, Ann MD 8 Erwin, Kathleen MD 203 Eshelman, Charlotte NP 103 Esplin, Andrea MD 1, 5 Esplin, Vermon MD 192 Etcheto, John PA 174 Evans, Melanie NP 101, 104 Evans, Nathan DC 63 Evans, Trisha OT 112 Evenson, Andrew DC 64 Everett, John MD 60 Everett, Mark OD 117 Ewing, Vanessa OD 118 Ewings, Maria MD 12 Fackrell, Matthew DO 26, 27 Fackrell, Wendell OD 117 Fagan, Lance OD 123, 124 Fagerson, April 54 Fairbanks, Robert MD 181 Fairfax, Cynthia MD 194, 195 Fairman, Dan MD 29 Fall, Laura MD 112 Fall, Michael DO 84 Family Health Services 48 Family Health Services 48 Family Health Services Buhl 47 Family Health Services Burley 36 Family Health Services Corporation 48 Family Health Services Fairfield 32 Family Health Services Kimberly 47 Family Health Services Rupert 44 Fanale, Christopher MD 197 Faraday, Darla PHD 203 Farmer, Katherine PT 158 Farris, Stephen OD 121, 122, 123 Farris, Stephen OD 121, 122 Fast, Eric NP 106 Faure, William OD 117 Fealko, Monika MD 107 Fedor, David DO 83 Feighner, Anne MD 108, 109 Fellows, Douglas DC 64 Felt, Richard MD 84, 85, 180 Felter, Jennifer NP 106 Fenstermaker, John DO 22, 72 Fenwick, Sterling PA 93 Ferch, Gregory DC 62 Ferguson, Maureen MD 50 Fernandez Brandt, Melina MD 10 Fernandez, Luis MD 22 Ferrara, Peter MD 39 Ferrell, Timmy MD 137 Fethke, Kathryn MD 114 Feuerborn, Ethan DO 83 Ficek, Brittany FNP 40 Fichter Jr, Wayne DC 65 Ficklin, Daryl DO 48 Field, James MD 59, 61 Fields, Gail DO 128 Fife, David DO 203 Figueroa, April NP 10 Finnegan, Jordan PA 14 Finnerty, Christina NP 102, 103, 105 Fiola, Amanda PA 91, 94, 95, 96 Fiorentino, Christine NP 103, 105 Fiorentino, Larry MD 79, 80 First Choice Urgent Care And Medical Clinic 183 Fischer, Steven PA 170, 171 Fish, Brandon OD 125 Fish, Brandon OD 125 Fishburn, Jon MD 114 Fisher, Amy 185 Fisher, Christopher DC 61, 64 Fisher, Katie OT 112 Fisher, Maria 55 Fisher, Naomi PT 138, 140, 143 Fitzsimonds, Taunya PA 172 Flaker, Jeffrey PA 89 Flamm, T Andrew PA 162, 164, 165, 169, 171 Fletcher, Christine PT 154 Fletcher, Thomas MD 29 Flicker, Timothy PT 145 Flint, Bruce OD 117 Florence, Branden PA 159 Flores, David MD 196 Foley, Gretchen PA 94, 95 Foley, Michael PT 146 Folger, Kristen PT 143 Fonseca, David MD 179 Foote, Julie MD 72, 83 Forbes, Andrew MD 193 Ford, Robert MD 113 Ford, Robert MD 113 Fornarotto, John MD 114, 115 Forsyth, William MD 205 Fortuin, Brian MD 37, 48 Fouse, Tammy DO 189 221

Index of Providers / Índice de Proveedores continued Foutz, Michael MD 14 Fowler, Randall MD 22 Fowler, Troy DPM 178 Fox, Breann PT 148 Fox, Christopher 138, 141, 143 Fox, Nicole MD 202 Foxton, Emily PT 141, 155 Foy, Lindsey MD 99 Frampton, Joseph PA 193 Francisco, Michael MD 79, 80, 84, 85, 86 Francisco, Patricia NP 72 Franco, Janine PA 92 Franklin, Jesse DC 61, 64 Franklin, Robert DO 13 Franz, Martha MD 5, 39, 76 Frazier, Malia NP 101 Fredline, Braton PA 174 Fredriksson, William MD 195, 196 Freeman, Cameron PA 92, 93, 95, 96 Freeman, John MD 35, 86, 136, 180 Freeman, Leah DO 8 Frelly, Stephen PA 161 Fremouw, David PA 170 French, Cameron PA 91, 95, 96 Friedman, Robert MD 136 Friedt, Brian PA 161 Friel, Fred PA 158 Friel, Meaghen MD 83 Fritz, Katie MD 189 Fritz, Ronald DO 57, 58, 60 Frix, Jeremy PA 16 Frizzell, R Tyler MD 98 Fronk, Jason OD 117 Fry, Stefanie MD 57 Fu, Jessica MD 110 Fullmer, Lorenza 185 Furniss, Michele 185 Gadmer, Jack PA 94 Gallafent, James MD 10, 83 Gallant, Ellen MD 58 Gallegos, Samantha NP 105 Galloway, Meghan PA 159, 161 Galvan, Karen MD 190 Galvan-Shubin, Candice OD 121, 122, 123 Gambles, Dallin PA 91, 95 Gano, David MD 114 Ganz, William MD 99 Garber, Gabriel MD 83, 84 Garcia, James PA 170 Gardiner, Shannon PA 167 Gardner, Bradley MD 115, 116 Gardner, James DC 64 Gardner, Lee PA 91 Garland, Erich MD 99, 197 Garland, Janet NP 26, 31 Garn, Daniel OD 123 Garner, Benjamin DO 128 Garner, Eric MD 132 Garner, Kara NP 101 Garner, Melissa 185 Garrett, Chris PT 155 Garrett, Justin DO 205 Gateway Transitional Care 199 Gaudet, Sarah OT 113 Gendler, Julie MD 2, 5 George, Kyle PA 89, 92 Gere, Jacob NP 101 Gere, Jenna NP 100 Gerhart, Monica PT 138 Gerlach, Paul MD 58 Gerrish, Sarah MD 13, 16 Getz, Jon MD 188, 189 Gibb, Nathan DO 84 Gibbon, Lawrence MD 41 Gibbons, Scott DC 63 Gibbs, Robert OD 118 Gibbs, Scott PA 172 Gibson, Barrett PT 147 Giffen, J Perry MD 10 Gilbert, Katelyn PA 174 Gilbert, M Erik MD 132 Gilbertson, Jeffrey MD 197 Gilbreath, Eric MD 201 Giles, Jonathan MD 194 Gill, Taya PA 167 Gilles, Ryan MD 40 Gillespie, Robert PA 22, 26, 162, 163, 165 Gillette, Austin MD 44 Gillette, Dennis PT 156, 157 Gladd, Dana 56 Glass, Justin MD 5, 16 Glenn, David MD 41 Glenns Ferry Health Inc_Fqhc 77 Glock, Kellie 185, 186 Glover, Michael MD 127, 128 Godina, Raul PA 33 Goltry, Brian MD 179 Gonzalez, David MD 57, 59, 84, 86 Gonzalez, Marilou MD 25 Gooch, Judith MD 135, 137 Good Samaritan Society Boise Village 199 Good Samaritan Society Idaho Falls Village 199 Good Samaritan Society Moscow Village 200 Goode, Andrew PT 146, 147 Goodrich, Wendy PA 171 Goodwin, Thomas MD 126 Gopon, Tobias MD 187 Gordon, Lindsi PA 31 Gorham, Amber PA 159 Gorman, Patrick MD 58 Gotti, Michael PT 154 Gould, Lee MD 61 Gould, Linda NP 101 Goulding, Lesley FNP 106 Gower, Shannon 55 Graham, Austin MD 36 Graham, Sarah PT 140, 141 Graklanoff, Teresa PA 161 Granier, Alison MD 116 Granvall, Brian PA 192 Grattic, Taryn PA 172 Graviet, Jeffrey OD 118 Graviet, Scott DPM 176 Gray, Jennifer MD 50 Gray, Jon DC 62 Green, Carolyn PA 160, 161 Green, Jonah MD 191 Green, Kari PT 138, 141, 143 Green, Nathan MD 87 Greenberg, Steven MD 28 Greene, Brandon DO 86 Greene, Raymond OD 123 Greenhalgh, Jason MD 195, 197 Greenwald, Brent MD 99 Greenwald, Nancy MD 136 Greenway, Geoffrey DC 63 Greer, Finnegan PA 159 Greer, John MD 195 Gregersen, Heidi NP 31 Gregerson, Gary MD 111 Gregg, Meghan NP 105 Gregson, Michael MD 194 Griffin, Justin DC 62 Griffith, Jon MD 181 Griffiths, Ashley 184 Grigera, Fernando MD 57 Grigg, Lisa OD 119 Grigg, Robert OD 119 Griggs, Jeffrey PA 192 Grimmett, Guss NP 26, 27 Grimmett, Heather PA 164 222

Index of Providers / Índice de Proveedores continued Grinage, Jennifer PA 172 Grisaffi, Addison DC 63 Grooms, Shanda MD 10 Grote, Heather PA 34, 35 Grow, Marc PT 150 Gruzensky, William MD 114 Gubler, Jason PT 156, 157 Gudmundsen, Gretchen PHD 202 Guerrero, Gabriel DO 69 Gundersen, Jason MD 110 Gunderson, Christopher PA 5 Gunning, Janelise NP 102 Gupte, Manjusha MD 84 Guryan, Beth 184 Gussner, Christian MD 136 Gustafson, Caitlin MD 50 Guzek, James MD 114 Gwinn, Makenzi 55 Habeck, Michella CNM 53 Hackenberg, Amber PA 166 Hackett, Sean PA 95 Hadley, David MD 197 Hadley, J Kyle PT 148, 150 Hadzic, Emir OD 122 Hagberg, Landon OD 122 Hagen, Chad MD 184 Hague, Natalie PA 159, 161, 164 Hainsworth, Kenneth MD 115 Hajjar, Michael MD 98, 99 Hale, Krista 184 Hale, Nicholas PA 162, 163 Hall, Chalyse 186 Hall, Christine PA 92 Hall, D Eric DO 16 Hall, David MD 38, 50 Hall, Leola PT 152, 153 Hall, Zackary OD 118 Haller, Frederick MD 46 Halversen, Zachary MD 29 Halverson, Jason MD 115, 116 Halverson, Nichole MD 48 Hamann, Craig PT 155 Hamblin, Derek MD 3, 7, 8, 13, 16 Hamilton, Brady PA 5 Hamlat, Christian MD 197 Hammar, Bryan DO 22, 30, 31, 39, 44 Hammer, Carly PA 160 Hammer, James PT 138, 141, 143 Hankes, Matthew PT 152, 153, 154 Hanks, Kevin DO 131 Hansen, Christopher PT 139 Hansen, Dwayne MD 191 Hansen, Jay MD 36 Hansen, Jeffrey MD 35 Hansen, Joshua PA 30, 93 Hansen, Karrie 184 Hansen, Lisa PA 162 Hansen, Lynn DC 64 Hansen, Marisa OT 112 Hansen, Mulloy MD 45 Hansen, Regan MD 129 Hansen, Scott OD 117 Hansen, Scott OD 117, 123 Hansen, Stephen MD 130 Hansen, Tate PA 89, 95 Hanson, Stephanie PA 162 Hardie, Meredith PT 155 Hardy, Amy 184 Harf, Leo MD 114, 115 Harmony, Russell NP 100, 101, 102 Harper, Richard DO 39 Harrell, Nathaneal OD 119, 120 Harrington, Ryan PT 151 Harris, Mark MD 136 Harris, Michael MD 22, 26, 32 Harris, Nancy 185, 186 Harris, Ryan MD 68, 69 Harris, Vaughn MD 48 Harris, William PT 145 Harris-Sartin, Danielle DC 61, 62 Harrison, Gregory MD 98 Harrison, Todd DC 64 Hart, Trenton PA 167 Hartley, Nicholas PT 155 Hartman, D David MD 8 Hartwell, Jay OD 117, 125 Hartzell, Sarah PA 170 Hasty, Robert DO 16 Hatch, Angela PA 162, 164, 165, 168 Hatch, Rustin OD 125 Hatch, Rustin OD 125 Hatfield, Dylan OD 118 Hatzenbuehler, John MD 28 Haugen, Cody PT 142 Havercroft, Kyle PA 193 Hawker, Anna NP 106 Hawkes, James MD 8 Hawkins, Katherine PA 89 Haycock, Jason DC 63 Hayden, Jessica PT 151, 157 Hayes, Cynthia MD 107, 108 Hayes, Nicolas DO 190, 191 Hayes, Stephanie PA 192 Hayes, Teresa MD 97 Hays, Melodie PA 170 Headley, Travis PA 170 Health West Aberdeen Clinic - Fqhc 77 Health West American Falls Clinic - Fqhc 78 Health West Chubbuck Clinic - Fqhc 77 Health West Downey Clinic - Fqhc 77 Health West Isu Clinic - Fqhc 66, 77 Health West Lava Clinic - Fqhc 77 Health West Pocatello Clinic - Fqhc 77 Health West Preston Clinic - Fqhc 77 Hearl, Brett NP 100 Heatherton, Christopher DO 27 Heaton, Alisha OD 123 Heaton, Bob DC 64 Heaton, Janeil PT 155 Heaton, Thea PA 167 Hedemark, Michael MD 13 Hedin, Tyler MD 137 Hedrick, Andrea CNM 53 Heidenreich, Eric MD 205 Heidenreich, Tanya FNP 105 Heidt, Tiffany NP 100 Heiner, Darren OD 121, 122, 123 Heiner, Darren OD 121, 122, 123 Heiner, Jared MD 195 Helbert, Tania PT 156 Hella, Matthew NP 102 Helms, Jared DO 48 Helvik, Alissa NP 105 Hemming, Kathy PA 166 Henao, Gloria MD 10, 16 Henderson, Heather PT 143 Heninger, Bradley PA 89 Heninger, Spencer DPM 177 Henker, Don OD 120 Henker, Whitney OD 120 Henkle, Sarah MD 2, 5 Henley, Patrick DO 60 Henry, Richard MD 53 Hensley, Nicholas PA 193 Henson, Scott MD 189 223

Index of Providers / Índice de Proveedores continued Henze Iii, Ronald DC 62 Hepner, Caitlin PT 152, 154 Hepworth, Tyler PA 90, 91, 95 Herauf, Kyle PT 140, 141 Heritage Health - Fqhc 78 Heritage Health Dental 77 Heritage Health Homeless Program - Fqhc 78 Hernandez, Joel OD 122 Hernandez, Joel OD 121, 123 Herold, Heidi MD 75 Herzog, Hazen PA 192 Hesse, Philip PA 165 Heywood, Nicole PA 167 Hicken, Gregory MD 128 Hickey, John DC 62 Hicks, Laurence DO 48 Higbee, Logan PA 20, 21, 22, 25, 37, 46 Higbee, Shawn PT 145 Highsmith, Brittany OD 121 Hijazi, Saad MD 37 Hildebrandt, Susan FNP 105 Hill, Courtney PA 162 Hill, Courtney PA 35 Hill, David DO 32 Hill, Deborah NP 103 Hill, Jennilee NP 23, 27 Hill, Julia MD 81 Hill, Kevin MD 134 Hill, Regan MD 111 Hillman, David PT 154 Hilpert, Stephanie NP 101 Hinchman, David MD 57 Hinckley, Daniel MD 184 Hines, Jerod MD 129 Hinkson, Mark DO 69 Hlavinka, Jon MD 35 Hobbs, Caroline NP 102, 103 Hodges, Bryan MD 108, 109 Hodges, Ryan PA 166, 168, 169, 172, 173, 174 Hodges, Timothy DO 16 Hodson, Robert DO 45 Hodson, Stephanie MD 79 Hoewing, Bonnie NP 103 Hoewing, Heather PA 166 Hofer, Jennifer NP 101, 102 Hoffman, Brian MD 191 Hoffman, Christina NP 7 Hoffman, Jenna 54 Hoffman, Sandra MD 23, 84, 187 Hogan, Mary PT 146 Holbrook, Mark MD 12 Holder, Katy PA 158, 161 Holgate, Brian PT 139, 144 Holland, Benjamin MD 45 Holland, David NP 27 Holland, Robert MD 16 Hollenback, Kyle PA 93, 95 Holliday, Jennifer MD 2 Hollingshead, Mark MD 114 Hollingsworth, James DC 62 Holman, Robert MD 190 Holmes, Katharine PT 152, 153 Holmes, Nathan MD 85 Holmstead, Earl MD 23 Holst, Jennifer 55, 56 Homaechevarria, Alejandro MD 187 Home Iv Service & Medical Supply 71 Home Sweet Home 81 Hong, Lisa OT 112 Honstetter, Tara 186 Hood, Chad DC 62 Hooker, Mallori NP 101 Hoopman, Todd MD 180 Hopstad, Jerret PT 138, 141, 143 Hopstad, Luke OD 118 Horrocks, Mark MD 20, 21, 23, 37, 46 Horton, Mary PT 139, 141, 144, 148, 149 Hoskin, Joseph PA 37 House, Angela DO 14 Housley, Michael PA 159, 175 Howard, Karson DPM 177 Howard, Kert DPM 177 Howerton, Randall MD 110 Hoyt, Nicole PA 172 Huber, Ryan OD 118 Hubsmith, Lindsay PA 174 Hudon, Tyler MD 16 Hudson, Jennifer DO 107 Hudson, Kevin PA 158 Huerd, Steven MD 193 Huffine, Cory NP 102 Hughes, Dustan MD 111 Hughes, Jonathan OD 122 Hughes, Juliette MD 111 Hulbert, David MD 13 Hulet, Vicki 185 Hulsey, Kevin PT 142, 144, 147, 149, 155 Huneycutt, W Scott MD 98, 99 Hunsaker, Nathan PT 142, 147, 155 Hunsaker, Shane 56 Hunter, Jeffrey MD 110 Huntington, Alexandra 139, 144, 149 Huntington, Mary Ann MD 13 Hurd, Chad PA 174 Hurley, Jason OD 119 Hurst, Cindy NP 104, 106 Hurty, Michelle PA 158 Huss, Breanne CNM 53 Hutchinson, David PT 151, 157 Hutt, Nicholas PA 161 Huynh, Katie DO 99 Hyatt, Brad DO 48 Hyatt, Scott OD 120 Hyatt, Scott OD 120 Hymas, Jared DC 65 Hymas, Joseph MD 61 Hymas, Richard MD 182 Ihnken, Kai MD 190 Innovative Health Care Concepts Inc 67, 107 Inouye, Aaron PA 169 Ipic 81 Ippolito, Joseph MD 48 Irvine, Gregory MD 130 Irwin, James MD 39 Isaacs, Heidi OT 112, 113 Isbell, Richard MD 110 Ishida, Victor PA 175 Ispirescu, Jeffrey MD 134 Israelsen, Julie PA 158, 161, 167 Ivie, Evan PA 91 Ivie, Jared OD 120 Ivy Court 199 Jabbour, Albert PA 91 Jackson, Derek MD 5 Jackson, Heidi MD 190 Jackson, Kreyton OD 120 Jackson, Robert MD 195 Jacobs, William PA 174 Jacobson, Melissa DC 65 Jacobson, Sig-Linda MD 88 Jakobson, Tyson PA 158, 161, 167 James, Donald OD 118 James, Gretchen PA 169, 170 Jangula, Jesse OD 124 Janout, Marek MD 60, 61 Jaramillo, Rachelle PA 90 Jarstad, Katie PA 40 224

Index of Providers / Índice de Proveedores continued Javernick-Hodges, Necole MD 108, 109 Jefferson, Glenn MD 45 Jemmett, Mckenzie 184 Jenkins, Janeen PA 161 Jenkins, Ronald MD 58, 60, 87 Jensen, David DO 137 Jensen, Jared DC 63 Jensen, Johanna MD 115 Jensen, Johanna MD 115 Jensen, Robert 57 Jerome, Peter MD 179 Johans, Timothy MD 98 Johansen, Brett PA 95 Johns, Gordon MD 114 Johnson, Blake MD 129 Johnson, Brett PT 154 Johnson, Brian MD 39 Johnson, Brian OD 118 Johnson, Carl PT 151 Johnson, Chad DO 49 Johnson, Clark DPM 178 Johnson, David MD 197 Johnson, Elizabeth MD 49 Johnson, Frank MD 16 Johnson, Gregory MD 8 Johnson, Jared MD 127, 128 Johnson, Jeffery PA 159 Johnson, Katrina PA 88 Johnson, Keri NP 103, 104 Johnson, Kevin MD 190 Johnson, Kolby MD 72 Johnson, Laura DC 64 Johnson, Mark DO 16 Johnson, Mark MD 5 Johnson, Mayben DO 49 Johnson, Robert DO 127, 128 Johnson, Robert OD 123, 124 Johnson, Ryan OD 119 Johnson, Sara MD 49 Johnson, Shad PA 90 Johnson, Stephen DO 37 Johnson, Teresa MD 32 Johnson, Troy MD 10 Johnson, Wendy PT 152 Jolley, Jaclyn PA 174 Jones Boyle, Heidi OT 112 Jones, Alvin PT 140 Jones, Arthur MD 130, 131 Jones, Gunda 186 Jones, Jacob 186 Jones, Jennifer PT 147 Jones, Jeremy PT 147 Jones, Kjersten DC 62 Jones, Michael DO 45, 109, 112 Jones, Peter MD 195, 196 Jones, Robert MD 115 Jones, Sarah PA 170 Jones, Wendy PA 192 Jones, William PA 161 Jones, Wilmer MD 197 Jongleux, Alicia PA 161, 166 Jordan, Anthony MD 12 Jorgensen, Jennifer NP 106 Jorgenson, Samuel MD 130 Joseph, Anthony MD 187 Joshua D Smith And Associates Inc 203 Judd, Dustin MD 125 Judd, Ellen PA 92, 93, 95, 96 Judd, Jocelyn PA 162 Judy, Claine DO 189 Jungman, Tracy NP 100 Jutzy, Ronald MD 98 Kading, Kellan MD 188, 189 Kain, Ryan DC 63 Kaiser, John MD 109 Kam, Jared MD 73, 187, 188 Kane, Justin PT 152, 153, 154 Kantack, Craig PA 91, 95 Kantarian, J Chris MD 67 Kantayya, Vivek MD 2, 7, 34 Kaplan-Rood, Joy LPC 204 Karassik, Emily PA 164 Karassik, Steven MD 69 Karcher Post-Acute & Rehabilitation 199 Karsten, Benjamin MD 188 Kasper, Megan MD 109 Kastens, Valerie NP 105 Katseanes, Davis MD 109 Katter, Renee PA 162 Kautzman, Lori NP 105 Kavanaugh, Kevin MD 59, 60, 87 Kaylor, Michael MD 13, 72 Kazmierski, Brian PA 170 Keating, Kathleen DO 108, 109 Keck, Jordan DC 63 Keefe, Tricia DO 35 Keel, Amanda MD 136 Keese, Gregory MD 129 Keibler, Constance NP 105 Keller, Jared PA 166, 168, 169, 172, 173, 174 Kelly, Karie-Lynn MD 181 Kelterborn, Peter DO 29 Kemp, David MD 61 Kemp, Jason MD 188 Kennedy, Brent PT 147 Kent, Dylan PT 138, 141 Kent, Gregory MD 114, 115 Kent, Matthew OD 124 Kern, Joshua MD 39 Kerns, Benjamin PA 158, 161, 167 Kerr, Mary MD 16, 35, 36 Kesler, Jerri 184 Keswani, Sundeep MD 188 Ketterling, Lindsey PT 157 Kfoury, Abdallah MD 57 Kibiloski, Sarah PT 143 Killian, Peter MD 130 Killpack, Joshua PA 165 Kim, Anna MD 41 Kim, Kevin MD 79, 80 Kimball, David DO 23, 26, 37, 46, 75 King, Aileen MD 107 King, Amanda NP 2, 16 King, Ashley MD 2 King, Daniel PT 150, 151, 156, 157 King, Howard MD 130 King, Jonathan DO 49 King, Jonathan MD 129 King, Kenneth OD 120 King, Robin DC 64 King, Tristan PT 147 King-Menzner, Dawn MD 194, 195 Kingery, Kristine PA 168 Kinghorn, Kurt DPM 177, 178 Kinney, Anna PA 175 Kinney, Patrick MD 51 Kinsler, Alison MD 128 Kipp, Adam MD 5 Kirby, James MD 205 Kiriaka, Bradley DC 63 Kjos, Melissa MD 20, 21, 23, 26, 37, 46 Kladar, Philip MD 190, 197 Klassen, Darren PA 160, 161 Klein, Eric MD 195, 196 Klein, Nicole MD 82 Klemens, Candice PA 169, 171, 172 Klingler, Amy PA 28, 30 Klingler, Kyle MD 116 Klitgaard, Steven PT 146, 147 Knibbe, W Patrick MD 182, 183 Knigge, Prudence DO 42, 43 Knopp, Kalen PA 166, 168, 169, 172, 173, 174 225

Index of Providers / Índice de Proveedores continued Knouf, Gerald MD 73 Kocemba, Russell MD 5 Kofoed, Lavar OD 117, 123 Koga, Steven MD 33 Kohler, Gretchen MD 12 Kohler, Kurt PA 170 Kohler, Nathan OD 119, 120 Kohler, Nathan OD 119, 120 Kohring, Heather NP 106 Kohtz, Steven MD 49 Kolb, Jason PA 3 Kolesar, Lisa PT 139, 143 Komori, Allyson DO 10 Kontos, Mark MD 116 Konyu, Jason PA 170 Kootenai Health 198 Kopperud, Tracey DO 108, 109, 111 Kopplin, Matthew MD 128 Korell, Khristopher PT 141 Korn, Robert MD 188 Kornfield, Lee MD 2 Kosberg, Paula PT 139, 143 Koszalka, Michael MD 88 Kouskov, Oleg MD 179 Kovac, Kylin DPM 177, 178 Kozisek, Peter MD 72 Krammer Jr, Darrell MD 131 Kranz, James DC 62 Krasovich, Sharon NP 101 Krawtz, Steven MD 180 Kreishman, Peter MD 197 Kreisle, William MD 79 Kremer, John MD 76 Kress, Devan PT 147 Kristensen, Ronald MD 126, 127, 128 Kroll, Becky MD 5 Kroon, Melissa PA 35, 36 Kropf, Mark MD 19 Krupski, Laurel PA 174 Kuhlman-Wood, Kate MD 175 Kuhn, Tonya MD 181 Kuo, Helen MD 194, 195 Kuran, Ivanka PT 152, 153, 154 Kutzner, Kimberly PT 138 Kuznia, Benjamin PT 140, 141, 143, 148, 149 Lackey, John OB/GYN 110 Lacrosse Health And Rehabilitation 199 Ladwig, Martin MD 109 Lagwinski, Mikael MD 182, 183 Laible, Katherine PA 158, 161 Laing, Susan MD 181 Lair, Susanne MD 13 Lakko, Robert DO 75 Laky, Devin MD 16 Lamb, James 56 Lamb, Jarom MD 191 Lamb, Jeanette 52 Lamb, Kirsten NP 100 Lamb, Sean PA 16 Lambertz, Colleen NP 102, 103 Lambson, Justus PA 162, 164, 165, 169, 171 Lamm, Frank MD 181, 182 Lamoreaux, Wayne MD 181, 182 Lamphier, Tom PT 151, 153 Lancaster, Paul 56 Lance, Michael MD 205 Lance, Michelle 185 Landis, David PA 88, 89, 93 Lange, Samantha PA 162, 164, 165, 169, 171 Langley, Randall PT 139, 140, 141 Lanske, George MD 86 Larsen, Brennen PA 44 Larsen, Dorian NP 103 Larsen, Jacob PA 174 Larsen, Tucker PA 163 Larson, Megan NP 100 Larson, Michael MD 129 Larson, Steven DO 110 Larson, Tyler PT 147 Lasco-Sanders, Kari PT 147 Lassen, Matthew PA 171 Lassetter, John MD 58 Latham, Ricky MD 58 Lattimore, Gary OD 120, 124 Laucius, Victorija DO 49 Lavarias, Sari PA 161, 166, 167 Lawler, Christopher MD 127 Lawler, Monica MD 72 Lawyer, Tracye MD 128 Layden, Kenton 185 Leatham, Daniel OT 112, 113 Leavitt, Brent PA 165 Leavitt, Glenn DO 110 Lee, Brian PT 149 Lee, Jennifer MD 67 Lee, Katherine MD 113 Lee, Kevin MD 129 Lee, Richard MD 88 Lee, Timothy MD 188 Lee, Valerie NP 101, 102 Lee, Wendy 186 Leibler, Maria PT 144 Lemon, Michael DO 189 Lemon, Richard PT 146 Leng, Jason OD 114 Leonard, Bryce PA 7, 16 Leonard, Jennifer NP 100, 102 Leonardson, Stephanie NP 103 Lessmeier, Timothy MD 60, 61, 66, 67 Levenson, Darcie PA 89 Levin, Donald DO 28, 33, 36, 39, 44, 47, 49 Levitch, Rachel PA 90, 97 Lewis, Erika MD 10, 83 Lewis, Heather PA 159 Lewis, Jennifer MD 51 Lewis, Kasey DC 64 Lewis, Leslie PA 167 Lewis, Nicholas MD 35 Liddle, Stephanie PT 148 Lien, Jeffrey PA 170 Life Care Of Boise 199 Life Care Of Idaho Falls 199 Life Care Of Lewiston 200 Life Care Of Post Falls 200 Life Care Of Sandpoint 199 Life Care Of Treasure Valley 199 Lifecare Of Coeur D Alene 200 Lightheart, Kenneth MD 58 Liljenquist, John MD 84, 85 Lilyerd, Jana NP 46 Lima, Madeline PA 158, 159 Lin, Jeffrey MD 179 Lincoln Court 54, 182 Lindauer, Robin OD 123 Lindauer, Robin OD 123 Lindberg, Sarah 54 Linderman, Derek MD 179 Lindley, Kenneth MD 125, 126 Linford, D Sean MD 41 Linn, Brittany NP 104 Linthicum, Jonathan MD 129 Linzmeyer, Kristin MD 57 Little, Dave PT 157 226

Index of Providers / Índice de Proveedores continued Little, Kenneth MD 98 Livingston, Elizabeth MD 188 Llenos, Joe MD 33, 74, 81 Lliteras, Katrina MD 108 Lo-Tomblin, Jin PA 170 Lobb, Brian PA 167 Lochhead, Richard MD 98 Locke, Jeremy NP 16 Locke, Rebecca DO 16 Loder Hodge, Molly PT 143 Loegering, Michael NP 6 Loertscher, Jed PT 148 Loewenstein, Timothy PA 2, 3, 12, 16 Loftin, Joni 184 Long, Erik MD 74, 75, 76 Longmore, Lance DO 59 Longmore, Ryan DO 84, 85, 86 Lorentzen, Michael NP 101 Lorion, S Jessy MD 75 Lougheed, Christopher PT 141, 155 Lovelace, Glen MD 107 Loveland, William MD 16 Loveless, James MD 182 Lowder, B Kerry MD 108, 109 Lowe, Heather PT 139, 143 Lowe, Randy DPM 176 Lubbers, Ali PT 138 Lucas, Matthew PT 152, 153, 154 Luckock, James DC 65 Lundberg, Joshua MD 35 Lupton, Mark DO 85 Luque, Marion MD 13 Lynch, Joseph MD 126 Lyon, Julie MD 83 Lyons, Julie MD 28 Lyons, Robert MD 17 Lyons, Trek MD 187 Maag Prescription Llc 133 Macdonald, Frank MD 14 Machen, Shane DO 32 Macik, Jason DMD 68 Macinerney, Edward MD 60 Mack, Charisse PA 159 Maddux, Sarah PA 159 Madison Carriage Cove Short Stay 200 Madison, Michael DO 83 Maffey, Jenna PA 12, 13, 17, 34 Magnuson, Scott MD 134 Maguire, James DO 23, 30, 32, 39, 44 Mahal, Robert NP 45 Maier, Eric MD 6 Maier, Michael MD 6 Major, Meikel MD 74 Maleki, Samir PT 140 Mallari, Clinton MD 134 Mallory, Cheryl MD 45 Malm, Roger PA 162 Maloff, Stephen MD 176 Maloney, Gregory PA 8 Mamiya, Reid OD 118 Mandel, Benjamin MD 175, 190 Mann, Larissa 56 Manning, Jared MD 49 Manning, Nicole PA 90 Manning, Thomas MD 98 Mannschreck, Molly MD 114 Manos, Richard MD 127, 128 Mansfield, Mark MD 23 Maraman, Mark OD 118 Marano, Stephen MD 99 Marciano, Patricia MD 43 Marks, Melinda MD 66 Marsh, Daniel MD 134 Marsh, Kevin DC 65 Marshall, Daniel DO 69, 70 Marshall, Robert PT 145 Mart, Michael PA 88, 90 Martens, Laurence MD 49 Martin, Brady DO 23, 27 Martin, Cory PA 161 Martin, David MD 35 Martin, David PA 162 Martin, Pamela PT 138, 141, 143 Martin, Susan PSYD 201 Martin, Trever DPM 178 Martin-Thompson, Michelle MD 17 Martinez, Jorge MD 115 Martinez, Mario NP 102 Martinez, Stephen MD 3, 17, 34 Martinsen, Misty NP 23 Marzolf, Susan MD 107, 108 Mason, Bryan MD 47 Mason, Robert PT 140, 141 Masser, Philippe MD 197 Mathews, Joel PA 192 Matteson, Brian MD 197 Matthews, Adam DPM 177, 178 Mattis, Richard MD 74 Maughan, Kyle PT 141, 147 Maxwell, Shane DO 87, 88 May, Michael MD 190 May, William MD 130 Maybach, Jacqueline MD 107 Mayberry, John MD 189 Mayer, Andrew PT 156 Mayes, Daryl PT 151 Mayes, Russell DO 132 Maynard, Richard DO 23, 72 Mayo, Billiesue NP 33 Mazik, Kimberly PT 146 Mcallister, Calvin MD 181 Mcallister, Taylor PA 166, 168, 169, 172, 173, 174 Mcarthur, Lyn PHD 202, 203, 204, 205 Mccarren, Megan MD 10 Mcchrystal, Richard PA 97 Mcclaskey, Daniel MD 10 Mcclenahan, Melissa PA 161 Mcclure, Royal MD 29 Mcclusky, David MD 189 Mcclusky, David MD 189, 191 Mccomas, Bruce MD 191 Mcconkie Jr, Richard NP 103 Mcconnell, Michael DC 64 Mccormick, Chad MD 131, 132 Mccoy, Alaina PA 89, 90 Mccreath, Anna NP 102 Mccrummen, Brenna MD 111 Mcculloch, Ryan PA 163 Mccullough, Judit DC 62 Mccullough, Michael DC 62 Mcdermott, Brian PT 139, 146, 150, 151 Mcdermott, J David PA 161 Mcdonald, Bart PT 146, 148 Mcdonald, David PA 192 Mcdonald, Jara MD 46 Mcdonald, Jeffrey MD 99 Mcdowell, Elizabeth PA 160 Mcelroy, Kevin OD 119 Mcelroy, Kevin OD 119 Mcfarland, Robert MD 41 Mcgee, Julia PA 163, 164 Mcgee, Kraig MD 131 Mcgeorge, Laura MD 10, 83 Mcgill, Jennifer PA 90, 92 Mcgill, Troy PT 153, 154 Mcgourty, Brian OD 122 Mcgrath, Shannon PT 138, 140 Mcguffey, Tina MD 38 227

Index of Providers / Índice de Proveedores continued Mcinnis, Douglas MD 129 Mckain, Mark MD 191 Mckay, Lance PA 192 Mckay, Sean MD 83 Mckee, Jared PT 145 Mckee, R Tyler DO 130 Mckim, Joshua DC 64 Mckinlay, Kirt MD 27, 28 Mckinlay, Matthew PA 163 Mckinnon, Ryan MD 115 Mckinnon, Tyler PA 159, 175 Mclandress, Richard MD 41 Mclaughlin, Matthew DO 196 Mcmahon, James PA 170 Mcmartin, William 139 Mcmaster, Jay DO 132 Mcmurray, Kayla PT 149 Mcneel, Brian OD 118 Mcroberts, Drew MD 189 Mcsweeney, Kevin OD 117 Mcsweeney, Kevin OD 117, 123 Mcvey, Douglas PA 89 Meadow View Nursing And Rehabilitation 199 Mebane, Mary PA 159, 160 Mecier, Brenda 55 Medicap Pharmacy 133 Meier, Svetlana MD 182, 183 Melchiore, Susan MD 41 Meltzer, Julie MD 111 Melvin, Ryan DO 49 Menen, Rhiana MD 193 Menzner, Jeffry MD 126, 127 Meridian Genesis Healthcare 199 Merrell, Mark PA 168 Merrell, Marshall OD 124 Merrell, Matt OD 125 Merrill Jr, Clinton MD 79 Merrill, Melissa PT 146, 148 Mesaros, Lisa PA 160 Meulenberg, Daniel MD 29 Meza, Michael MD 75 Michaud, Mark MD 8, 17 Miciak, Ronald MD 49 Mickelsen, Brandon DO 23, 46, 72 Mickelson, Chace DMD 68 Middleton, Julia PA 161 Mihalick, Trent MD 182 Mikles, Erika PA 170 Mildenstein, Kurt MD 136 Mildes, Emily NP 100, 102, 103, 104 Miller, Brian OD 124 Miller, Brian OD 124 Miller, Brian PA 90, 91, 93, 95 Miller, Chelsea PA 162, 168, 172 Miller, James PT 139, 144, 148, 149 Miller, Jarem DC 65 Miller, Joseph MD 46 Miller, Karen MD 179 Miller, Karissa 185 Miller, Mark MD 114 Miller, Natalie PA 163, 164 Miller, Ryan DO 127 Miller, William MD 205 Mills, Lavonne MD 72, 73 Mills, Micah OD 121 Mills, Pamela MD 112 Millward, Anthony PA 167 Millward, Gary DPM 176 Millward, Michael MD 202, 204 Miltner, Natasha MD 17, 83 Mirly, Alan PA 163 Mitchell, Brenda PT 152 Mitchell, Cortney 56, 57 Mitchell, Jeffrey PA 193 Mitton, Tanner PA 163 Mix, M Andrew PT 157 Mobley, Tracy PT 151 Moehring, Shawn PT 154 Moffett, Katrin PT 139 Mohr, Michael PA 170 Mong, Jacob DO 114 Montalbano, Paul MD 98 Montamat, Stephen MD 10 Monte Vista Hills Healthcare 199 Montgomery, Richard MD 201 Moon, Erin PA 8 Mooney, Jessica PT 146 Moore, Andrew MD 126, 127 Moore, Monte MD 136 Moore, Ryan MD 12 Moore, Steven PT 148 Moorhouse, Aaron DO 12 Moos, Aaron MD 110 Mooseau, Dixon DC 62 Morairty, Zachary MD 205 Morales, Jessica DO 10 Morch, Christian PA 90 Morgan, Tracy MD 17 Morgan, Wendy 184 Morrill, Scott PA 3, 17 Morrill, Shannon PA 160 Morris, Michael MD 196 Morris, Neil PT 152, 154 Morrison, Chelsie MD 20, 21, 23, 26, 37, 46 Morrison, Stephanie PT 152, 153, 154 Morse, Jeremy MD 75 Morse, Lucinda MD 28 Morton Phelps, Faith PT 149 Morton, Rychael PA 169, 171, 172 Moser, Francis DO 27, 28 Moses, Nicole MD 12 Moshirfar, Majid MD 114 Moss, Craig OD 118 Moss, Mark PT 138, 140, 141, 143, 149 Moulton, Travis DO 74 Mountain Brace Systems 67, 70 Mountain View Hospital Llc - Idaho 198 Mozes, Joshua MD 66 Muckerman, Julia CNM 52 Mudge, Sandy MD 2, 6, 17 Muir, James PT 142, 145, 147, 148 Mulder, Gertjan MD 6 Mulkey, Bradley PA 161 Mullen, Patrick MD 176 Mullins, John MD 35 Mullins, Oliver OD 119 Mulser, Rosa PSYD 203 Mulvey, Kevin MD 79, 80 Mumford, Brett DO 38 Munn, Stacia MD 2 Murdoch, Thomas DC 64 Murdock, Louis MD 125, 126 Murphy Cook, Michele MD 66, 67 Murphy, Mark DO 205 Murri, David PT 151 Musteti Oprea, Laura MD 201 Muto, John OD 118 Muto, Matthew OD 118 Myers, Jonathan MD 137 Myhre, Ryan PT 143, 150 Nagle, Lee PT 154 Nandy, Mousumi MD 10 Nasser, Wajeeh MD 2 National Medical Solutions Inc 70 Naugle, Emily OD 122 Navarro, Jennifer CNM 104 Nave, Jerry OD 120 Nave, Jerry OD 120 Neal, Thomas MD 40 228

Index of Providers / Índice de Proveedores continued Nealis, Monica PA 165 Neary, Kaitlin MD 127 Necochea, Alejandro MD 10 Needham, Charles MD 194 Negron, Roberto MD 201, 202 Neilson, Janice NP 102 Neisen, Misty PA 160 Nelson, Aaron DC 64 Nelson, Aurelia MD 6 Nelson, Barbara MD 110 Nelson, Dean DO 39 Nelson, Keith MD 127 Nelson, Matthew PA 166, 168, 169, 172, 173, 174 Nelson, Matthew PA 163, 164, 165, 171 Nelson, Steven PA 192 Nelson, Thao PA 159 Nelson, Timothy MD 8, 83 Newby, Rebecca PA 164, 165 Newhouse, Kenneth MD 127, 128, 187, 188 Ngo, Thuy-Trang MD 86 Nichols, Brian PT 145 Nichols, Heather MD 2, 6 Nichols, Judianne PT 145 Nicholson, Douglas DO 40 Niculaescu, Alina PA 163, 164 Nielsen, Brandon OD 125 Nielsen, David MD 12 Nielsen, Justin PA 30 Nielsen, Travis DO 23, 24 Nielson, Ana OD 119 Nielson, David PA 192 Nielson, Ryan OD 119 Nielson, Tyrell PA 24 Nieraeth, Michael PA 192 Nilsson, Kurt MD 187 Niska, Lois DO 75 Njoroge, Zacharia PA 158, 166 Noel, Brenton PA 17, 35 Nofziger, Dana MD 47 Nolan, Brian DO 57 Nona, Leslie MD 10 Noonan, Daniel MD 57 Nope, Heather PA 174 Norco Inc 68, 71, 133, 135 Norco Inc 68, 71, 133, 135 Norco Inc 67, 71, 133, 135 Norco Inc 68, 71, 133, 135 Norco Inc 68, 71, 133, 135 Norco Inc 67, 70, 133, 134 Norco Inc 68, 71, 133, 135 Norco Inc 67, 71, 133, 135 Norco Inc 68, 71, 133, 135 Norco Inc 67, 70, 133, 134 Norco Inc 67, 71, 133, 135 Norco Inc 67, 71, 133, 135 Norco Inc 67, 70, 132, 134 Norco Inc 67, 70, 133, 135 Norris, Wendi MD 179 Northern Idaho Advanced Care Hospital Inc 198 Notestine, Aaron MD 60, 61 Novak, Charles MD 201, 202 Novich-Welter, Lorraine MD 137 Nowbar, Sogol MD 179 Nunez, Orlando DPM 178 Nutting, Rachel PA 93 Nyswyn, Sophia PA 161 O'mara, Thomas MD 179 Obray, Gregory PA 169, 171, 172 Obyrne, Brian MD 189 Ocmand, Amy MD 191 Oconnor, Sara NP 100 Ogram, Alicia MD 69 Okeef, Daniel PT 148 Olaveson, Gary DC 63 Olaveson, Tait DO 190 Olenick, Kelley 55, 56, 57 Oliver, Rachel MD 108, 109, 111 Oliver, Samantha PT 141 Olmstead, Alan MD 70 Olsen, Blaine DO 24 Olsen, Cynthia 55 Olsen, Jerald PT 151, 152 Olsen, Nicole PT 143 Olsen, Scott PT 148, 155 Olsen, Shayne DO 84, 86 Olson, James MD 67 Olson, Karl MD 37 Olson, Marlene NP 100, 102 Olupona, Damilola DO 45 Oneal, Brian PT 138, 141, 143 Oneida County Clinic - Rhc 183 Oneida County Hospital Long Term Care 200 Orchard, Danielle MD 10 Orien, Jason MD 195 Orme, Eric MD 59, 60 Osenbach, Richard MD 98 Ostermiller, Daniel MD 51 Ostermiller, Mariya PA 160 Oswald, Zachary OD 120 Oswald, Zachary OD 120 Owsley, Ryan MD 69, 70 Owyhee Health & Rehabilitation 200 Ozeran, Steven MD 176 Pabalis, Gary OD 118, 119 Packham, Matthew MD 112 Padavanija, Phatama MD 97 Page, Andrea PHD 55, 56 Page, Glen MD 36 Page, Randell DO 35 Page, Sean PA 158, 161 Page, Travis DO 74 Pahis, Casondra PT 148 Palfreyman, Eric MD 84, 86, 183 Palmer, Todd MD 6, 17 Pangarkar, Sandeep DO 83 Panos, Craig MD 75 Papa, Jared PA 2, 6 Parajuli, Alma NP 102, 103 Pargman, Karrie 54, 55 Paris, Richard MD 28, 74 Parker, Bryn MD 43 Parker, Tasha CNM 52 Parks, Zachary PT 152, 153, 154 Parmer, Keegan PT 146 Parrillo, Lisa MD 195 Parrish, Linda 184 Parry, David MD 54 Parsons, Kalob 56 Parsons, Lee MD 108, 109, 111 Parsons, Michael NP 103 Partridge, Christopher MD 19, 34 Patel, Niral MD 10 Pates, Jason MD 88 Pathways Of Idaho Llc 204, 205 Patterson, Lavonna PHD 203 Patterson, Reid PT 147 Paulson, Bret PA 169, 171, 172 Payette 200 Payne, Matthew DO 32 Payvar, Saeed MD 57, 59 229

Index of Providers / Índice de Proveedores continued Peachey, Dana NP 57 Pearson, Nicholas DO 128 Peerboom, Mandy PT 156, 157 Pellant, Angela MD 17 Pelton, Michael MD 8, 83 Penagaluri, Jaya MD 205 Pennings, John MD 190, 191 Peppley, Anthony PT 139, 140, 141 Pereda, Carissa MD 10 Perez, Gerardo MD 79 Perez-Verdia, Alejandro MD 66 Perius, Nicholas PA 174 Perkes, Charlynn PA 164 Perkins, Jock PA 172 Permann, Seth PA 167 Peters, Roxanne PA 168 Petersen, David MD 45 Petersen, Finn MD 79 Petersen, Henry PA 94 Peterson, Anne PA 192, 193 Peterson, Barbara OT 112 Peterson, Barry DO 132 Peterson, Chad MD 196, 197 Peterson, David DO 128 Peterson, Emilie PT 146, 148 Peterson, James PT 145 Peterson, Jamie PA 193 Peterson, John DPM 178 Peterson, Kimberlee PT 142 Peterson, Kylan DO 132 Peterson, Randolph MD 130 Petrie, Breeann PA 172 Petrie, Jennifer MD 6 Petrie, Joseph PA 168 Petty, David DO 53 Petty, Wendell MD 54 Phail, Paul DO 7 Phillips, Seth PT 156, 157 Pickett, James DO 45 Pickup, Christine 56 Pierce, Aaron OT 112, 113 Pierce, Ashley 186 Pierce, Becky 186 Pierce, Brett PT 145 Pierce, Sennett DO 132 Pierson, Richard MD 75 Pierson, Stacie OT 113 Piktel, James MD 201, 202 Pinsky, Maia MD 2, 6 Pintar, Thomas MD 83, 98 Piquet, Kolt PA 166 Pitcher, Matthew DO 202 Pitt, Alan MD 69 Pittard, Darren MD 108, 109, 111 Pittard, Jonathan PA 92 Platt, Steven DO 49 Plomaritis, Demetrios PA 24, 32, 165 Plummer, Patrick MD 131 Pogue Sr, Bryan MD 74 Poinier, Anne MD 17 Polito, Julia OD 124 Pontickio, Steven MD 11 Pool, Justin PA 192 Pool, Leslie MD 108 Poole, Colin MD 52 Portalski, Nicholas PA 30 Portela, Dustin MD 69 Porter, Lisa OD 120 Porter, Lisa OD 120 Porter, Robert PA 160, 161 Porter, Ryan PA 192, 193 Porter, Sarah MD 36 Portneuf Medical 198 Poston, Jason MD 134 Potter, Stephanie MD 72 Poulter, Luke DO 35 Pound, Stacey 185, 186 Powell, Gavin MD 69 Powell, Kathryn PA 161 Powell, Tara PA 91 Powers, Benjamin MD 17 Powers, Julian Kent MD 43 Prestige Care And Rehabilitation The Orchards 200 Preucil, Daniel MD 49 Preucil, Jennifer MD 49 Price, Christian DC 63 Price, Jared DO 24, 73 Price, Julie PT 147 Priebe, Jeffrey DC 64, 65 Priebe, Randall DC 64, 65 Prins, Amber OD 120 Proffitt, Frannie PA 2, 3, 12, 17 Prouty, Jp MD 28 Pucciarelli, Irene DO 8, 83 Pugmire, Heather MD 109, 110 Pullen, Samuel DO 201, 205 Pyke, Lauryn PA 90, 92 Pyle, Nicole PA 192 Pyrak, Crystal MD 41 Qi, Huiling MD 9 Quattrone, Barbara MD 136 Quinn Meadows Rehabilitation And Care 199 Quinn, Connonr MD 129 Quinn, Heather MD 2, 6, 17 Quinn, Timothy MD 190 R & R Pharmacy 68, 71, 135 Rader, Justin DDS 68 Radnovich, Richard DO 72, 187 Rae, Donald DC 62 Rae, Michael DC 62 Rafla, Hala PA 90 Rafla, Yustina PA 161 Ragan, Joseph MD 20, 21, 24, 26, 37, 46 Ralphs, James PT 146 Ramey, Jennifer OD 118 Rammell, Dorian OD 119, 121 Randall, Brent OT 113 Randklev, Scott PT 152, 154 Rasmus, Mark MD 179, 180, 183, 184 Rasmussen, Austin PA 30, 36 Rasmussen, Corey PT 145 Rasmussen, Melissa NP 100, 102 Rausch, Jeremy DC 62 Ravsten, Deric DO 203 Ray, David PT 139, 143, 145 Ray, Debra Ruth PA 90 Redd, Brigham MD 128 Redd, Hans MD 85 Redding, Jessica PA 24, 163 Reddy, Akavaram MD 183 Reeck, Matthew MD 69 Reed, Bonnie MD 17 Reed, Daniel MD 13 Reed, Kurtis MD 98 Reed, Mark PT 149 Reed, Scott MD 75 Reese, Cody PA 94 Reeves, Justin MD 190 Reeves, William MD 80 Reger, Andrew DO 179, 180 Rehabilitation Hospital Of The Northwest Llc 198 Rehil-Crest, Anthony MD 86 Reid, Collin PT 138, 140, 141, 143 Reid, Desiree PA 168 Reid, Jason MD 27 Reinschmidt, Stephen OD 118, 119 Reis, Laura DO 35 Relyea, Ramon PA 13, 17, 33, 34 230

Index of Providers / Índice de Proveedores continued Renaldi, Janet NP 104, 106 Renner, Matthew MD 108, 109 Retmier, James MD 130 Reusser, Helene CNM 52 Rexburg Care And Rehabilitation 200 Reyes, Adam 55 Reynolds, Adam MD 114, 115 Reynolds, Allyson NP 101 Reynolds, Catherine MD 18 Reynolds, Merrick PA 49 Reynolds, Terrence OD 117 Rhodes, Kristina CNM 52 Rhodes, Michael MD 11 Ribbens, Terry MD 12 Rice, Charles 201 Rice, Cynthia NP 27, 102 Rice, Suzanne MD 107 Rich, Eric MD 180 Rich, Kevin MD 6 Richards, Candace PT 139 Richards, Kelson PT 156, 157 Richards, Shawn MD 116 Richardson, Carissa MD 111 Richardson, Cory MD 190, 191 Richardson, Erik DO 74 Richardson, Nathan MD 127 Richardson, Norman OD 119 Richardson, Norman OD 119 Richardson, Rosalia MD 8 Richardson, Weldon PA 90, 91, 95 Richins, Adam PA 166, 168, 169, 172, 173, 175 Richins, Stephen PA 93 Richman, Jay 54, 55 Rick, Daniel PA 24, 90, 91, 92, 93, 95 Ricks, Deron PA 39 Ricks, Jamie DC 62 Riddle, Charles PT 144 Riley, Mari MD 35 Rindfleisch, Dallas DO 32 Rindlisbacher, Jeremy PA 44 Ringering, Anita NP 106 Ringo, Shelley MD 4 Rios, Raul PA 2, 4, 12, 18, 34 Ripepi, Bartholomew DO 13 Ririe, David MD 79 Ririe, Marnie MD 68 Riske, Nicole MD 39 Rivers Edge Rehabilitation & Living 199 Rizor, Helena PA 90, 93 Robbins, Rhonda MD 110, 111 Robert, Alina MD 87 Roberts, Caleb DPM 178 Roberts, Denton MD 114 Roberts, Eric PT 148 Roberts, Jacob PT 148 Roberts, Rick MD 18, 36 Roberts, Stephanie PA 95 Roberts, Whitney PA 168 Robinson, Dan DPM 177, 178 Robinson, Jennifer PA 163 Robinson, Joseph PA 161, 166 Robinson, Lucas PA 161, 166, 167 Robinson, Michael MD 110 Robinson, Mitch PA 175 Robinson, Robert SLP 185 Robison, Adam MD 49 Robison, Jacob MD 131 Robison, Jason MD 126, 127 Robison, Matthew DO 110 Robison, Steven MD 110 Rodemack, Dean PA 166, 168, 169, 172, 173, 175 Rodgers, Bret MD 132 Rodriguez, Johary NP 101 Rodriguez-Valdivia, Yolanda MD 24 Rogers, Beth MD 134 Rogers, Victoria PA 161, 167 Roisum, Tony MD 73 Rolan, Tamara CNM 52 Romney, Kenneth MD 49, 75 Romriell, Eric DO 115, 116 Roquiz, Daniel MD 41 Roscoe, Janet NP 11 Rosenblum, Joseph DO 29, 49 Rosenthal, Seth PA 170 Roskelley, Morgan PA 158 Ross, Allyson MD 18, 19 Ross, Daniel MD 2, 6, 8, 12, 18 Rota, Nicole PA 159 Rothwell, Tara PA 38 Rousseau, Leanne MD 42 Rowan, Andrea PT 142 Rowe, Derrick PA 158 Rowe, Justin OD 125 Roy, Molly PA 89, 90 Royal Plaza Health And Rehabilitation 200 Ruddell, Brian DC 65 Ruddell, Kevin DC 65 Rulon, Elizabeth MD 2, 8, 11 Ruman, Lori NP 100 Ruprecht, Jennifer OD 125 Rust, Robert MD 203 Rustad, Todd MD 130, 131 Ruth, Timothy MD 8 Rutherford, Dean DC 63 Rutherford, Mark MD 9 Ryan, Andrew PA 161 Ryan, Victoria PA 73 Sackman, Irvin MD 9 Sadaj, John MD 86, 180 Sadauckas, Kelly PT 156 Salem, Allen MD 180 Salzsieder, Todd PA 166, 167 Sampson, Richard DC 63 Sampson, Sharon PT 146 Samuels, Brian MD 79, 80 Sanchez-Jaquez, Cristina MD 203 Sander, Stephanie PA 165 Sandison, Richard MD 49 Sandon, Kira PA 94 Sandy, Janet NP 105 Sanford, Chris 55, 56 Sansom, Susan NP 101, 104 Sant, Michael MD 136, 137 Saperston, Kara MD 194 Sarkis, Antoine MD 190, 191 Sarkis, Heather PA 40 Sartin, Cory DC 61 Sasso, David MD 179, 180 Satterfield, Trevor MD 50 Saurette, Kristoff PT 152, 153, 154 Savage, Kate 55 Sawtooth Orthotics & Prosthetics 70 Sawyer, Timothy MD 181 Saxey, Benjamin PA 175 Scanlan, Christina PA 175 Scanlan, Stacey PT 138 Scarola, Chad MD 41 Schantz, Shannon MD 46 Schaper, Heather PA 20, 21, 24, 26, 38, 46 Scharmann, Alex PT 148, 149 Schelhaas, Kristyn DO 19 Schell, Amy MD 11, 83 Schlickman, Louis MD 13 Schmidt, Magen PA 170 Schmidt, Mary OT 112, 113 Schmitt, Don MD 75 Schmitt, Dustin PT 148 Schneider, David PA 159, 162 Schneider, Doran DO 189, 190 231

Index of Providers / Índice de Proveedores continued Schneider, Kathryn MD 6 Schneider, Steven MD 6 Schnell, Sandra PT 139, 145, 148 Scholes, Christopher MD 70 Schomberg, Paula MD 181 Schooler-Smith, Andrea NP 103, 106 Schoolfield, Matthew MD 193 Schow, Michael PT 144 Schrader, Scott PA 160, 175 Schrempp, Daniel OD 118 Schroeder, Amber PA 163, 189 Schroeder, Harmony MD 108, 109, 111 Schug, Andrew PA 172 Schulte, Michaela MD 83, 84 Schultz, Robyn PT 146 Schwarz, Matthew MD 131 Schwarze, Kimberly PT 145 Schwendiman, Mark DO 69 Schwerman, Julie PT 157 Schwers, Jeffrey OD 118 Scoggins, Robert MD 180 Scott, Julie PA 18 Scott, Kade PT 148 Scott, Lauren PT 142, 144 Scrivner, Cody PA 158 Seale, Walter MD 66, 67 Seargent, Janice OT 112 Searle, Cade PT 157 Searle, Shane PT 150, 151, 156, 157 Sebastian, Robin MD 38 Sedano, Yolanda PA 39, 171 Seery, Loren MD 114, 116 Seery, Loren MD 114 Seiger, Cindy PT 146 Sela, Kyle PT 147 Selznick, Hugh MD 128 Serio Iii, Vincent MD 7, 18 Sessions, Scott PT 150 Setser, Edward MD 194 Seyb, Stacy MD 88 Sgroi, Kevin PT 153 Shackelford, James MD 201, 204 Shalz, Jennifer MD 18 Shanahan, Alexis MD 11 Shapiro, Glen MD 128 Sharp, Stuart PA 94 Sharples-Faucher, Brad PT 154 Shatto, Benjamin RPT 142 Shaver Pharmacy & Compounding 70, 133, 135 Shaw, Clayton PT 142, 149 Shaw, Trent PA 90, 91, 92, 93, 95 Shearer, Helen MD 43 Shearing, Kevin PA 160, 162, 164 Shedd, Lindsay PA 89 Shepherdson, Nikole DO 18 Shields, Christopher MD 24 Shinkle, Samuel PA 7 Shoebridge, Nicholas DO 83 Short, William PA 90, 92 Showalter, Larry MD 126, 127 Shrader, David MD 85, 180 Shrum, Brea MD 108 Shuey, David PA 93 Shuler, Cory NP 100 Shull, Christian MD 79, 80 Shumard, Erin PA 18 Shupe, Jonathan MD 41 Shuss, John MD 191 Siddiqui, Mohammad MD 206 Sidwell, Randy PT 146 Siebel, John MD 80 Siegersma, Wendy MD 35 Siemers, Rebecca MD 41 Siktel, Hira MD 84, 85 Sim, David MD 57 Simm, Kendell PA 164 Simmons, Deric OD 119 Simmons, Steven PA 163 Simon, David MD 137 Simonson, Jared PT 142, 155 Simpson, Isac DO 73 Simpson, Scott MD 114 Sims, William MD 129 Singer, Nicole PA 160 Singleton, Russell PA 171, 175 Sipe, Sean PT 151 Sires, Caleb PA 168 Sirucek, Maria DC 63 Sisul, David MD 195, 196 Siudzinski, Kelly MD 107 Sjoberg, Christopher NP 100 Skale, David MD 116 Skeem, Randall MD 50 Skelly, Katherine PA 7 Skurupey, Brooke FNP 105 Slade, Jason MD 18, 83 Smedshammer, Margo PA 167 Smetanka, Rachel PA 163 Smith, Alan DC 65 Smith, Amy PT 147 Smith, Brandon PA 94 Smith, Camille DO 50 Smith, Carla MD 126, 127 Smith, Cherish PA 168 Smith, Corrie 55 Smith, Dean DO 20, 21, 24, 26, 38, 46 Smith, Dell MD 176 Smith, Diana PT 151, 152, 153 Smith, Donald MD 112 Smith, Gayle DO 75 Smith, Golden OD 120 Smith, Ian MD 131, 132 Smith, Jacob MD 72 Smith, Jeffrey PA 162 Smith, Jessica PA 45 Smith, Justin MD 37 Smith, Kristie 54 Smith, Maria NP 107 Smith, Matthew PT 145, 148 Smith, Preston PA 160, 162, 167, 175 Smith, Rusty PHD 202 Smith, Ryan PA 170 Smith, Scott DC 62 Smith, Shauna 184 Smith, Stephen MD 181 Snake River Medical Services Inc 133 Snarr, Klynda PA 165, 171 Snyders, Brian DO 41 Soares, Colin PA 90 Solbrig, Ronald MD 24, 25, 39 Solich, Chara MD 182 Sopers Mobility Aids Llc 52, 71, 80 Soren, Jaron DC 64 Sorensen, Robert A OD 123 Sorensen, Robert OD 123 Sorenson, Shawn OD 119 Soucie, Gary MD 27, 28 Souza, James MD 179, 180 Spackman, Emily PT 148 Spackman, Michael MD 78 Spainhower, J Tod DC 62 Sparhawk, Justin OD 122 Sparhawk, Justin OD 122 Sparks, Kristan OD 119, 120 Sparks, Kristan OD 119 Spaulding, Tiffany DO 39 Speakman, William DO 24, 30, 32, 39, 44 Spearing, Casie NP 107 Spence, Nathan MD 60, 87 Spencer, Breanna NP 105 232

Index of Providers / Índice de Proveedores continued Spencer, Craig MD 195 Spencer, Miller MD 84 Spevak, Hailey NP 107 Spritzer, David MD 50 Spyra, Wolfgang MD 60 Squires, Adam PT 157 St John, Elizabeth PA 94 St Joseph Regional Medical 198 St Lukes Elmore Long Term Care 199 St Lukes Elmore Medical 198 St Lukes Magic Valley Regional Medical Ltd 198 St Lukes Mccall Ltd 198 St Lukes Medical Wood River Ltd 198 St Lukes Nampa Medical Ltd 198 St Lukes Regional Medical 198 St Lukes Rehab Elks Subacute Rehab Unit 199 Staben, Mary MD 11 Stabler, Jonathan MD 41, 42 Stackow, John MD 190, 191 Stafford, Douglas MD 190 Stahlberg, Bill PA 193 Staller, Sarah MD 34 Stanley, Malissa NP 103, 105 Stano, William DPM 176, 177 Stanton, Kristopher MD 74 Starcher, Christine 139, 145, 149 Starley, Savannah PA 170 Stebel, Holly OD 121, 122, 123 Stebel, Holly OD 118, 121, 122, 123 Stebel, Todd OD 118 Stebel, Todd OD 118 Stein, Mari NP 101 Steinbacher, John PA 193 Steinberg, Si MD 204, 205 Steinburg, Rick PA 90, 92, 95, 97 Steininger, Laura PT 152, 153 Stenhouse, Faine MD 42 Stephens, Cody PT 155 Stephens, Samantha 185 Sterling, Hugh MD 72 Sternes, Roy PA 168 Sternke, Alice PT 140 Stevens, Audra PA 30, 32 Stevens, Holly MD 108 Stevens, Paul DO 112 Stevenson, Phillip PA 175 Stewart, James MD 68, 70 Stewart, Tyler PA 158 Stich-Hennen, Jessica 54, 55 Stoddard, Earl MD 69 Stoenner, Debra DO 124 Stoenner, Debra OD 124 Stolworthy, Lloyd MD 18 Stone, Janine MD 18 Stoops, Kyrsten MD 43 Stormogipson, D Justin MD 116 Stott, Kyle OD 124 Stott, Kyle OD 124 Stowell, Kimberly 185 Stowell, Patrick MD 18, 33 Strand, Cherie OT 113 Strehle, Johanna PT 155 Streubel, Daniel PT 156 Strickland, Roy DC 63 Stringam, Joshua DO 36, 39, 44, 47, 50 Stringam, Stanley MD 35, 36 Stringfield, Sari PT 156 Stritzke, Donald MD 196 Strong, Janet NP 100 Strowd, Megan PA 94 Struble, Collin DC 62 Stubbs, Leslie MD 9, 83 Stucki, Jeffrey DO 125 Stucki, Laurie 56 Studebaker, Mandy PA 162 Stuesse, David MD 193 Sturges, John MD 41 Stutts Iii, Baldwin MD 57, 58, 84, 85 Stutzman, Kimberly MD 2, 7, 18 Sugden, Elizabeth MD 39 Sugiyama, Ronald MD 114 Sule, Joseph MD 195, 196 Sullivan Ii, William MD 206 Sullivan, Cara MD 34 Summers, Joshua DO 190 Sunny Ridge 199 Sur, Mousoomi MD 12 Suthers, Lindsay 185, 186 Svangstu, Deborah NP 100, 102 Svennevik, Eirik MD 188 Swainston, Rebecca NP 104 Swajkoski, Alan MD 108 Swan, Lisa PT 138, 142, 144 Swanson, Todd MD 74 Swayze, Charles DC 65 Sweet, Christina PA 172 Sweetapple, Jean PT 152 Sweeten, H Neil PA 158 Swerdloff, Jonathan MD 97 Szentes, Mark MD 188 Szymanski, Mary FNP 105 Tabor, Laura PA 30 Tacia, Brandy DO 132 Tadje, Jared MD 127 Taft, Virginia OT 113 Taggart, Kara MD 194, 196 Tall, Roger MD 196 Tanabe, Alex MD 11 Tanabe, Kimberly MD 13 Tanner, Brandon PA 166, 168, 169, 172, 173, 175 Tanner, William 186 Taylor, Amanda 184, 186 Taylor, Brent PA 162 Taylor, Christy NP 103 Taylor, Jeffrey PT 144 Taylor, Joy NP 27, 28 Taylor, Julie NP 106 Taylor, Mark PT 157 Taylor, Matthew MD 60, 66 Taylor, Michael MD 194, 195, 196 Taylor, Michael MD 115, 116 Taylor, Rebecca 55 Taylor, Timothy MD 196 Teeples, David DO 45 Tenley, Clifford MD 3 Terrell, Stephanie NP 101, 102, 104 Terry Reilly Health Clinics Melba Dental - Fqhc 77 Terry Reilly Health Services Boise 848 La Cassia 76 Terry Reilly Health Services - Fqhc 77 Terry Reilly Health Services - Fqhc 77 Terry Reilly Health Services - Fqhc 77 Terry Reilly Health Services Boise Clinic 76 Terry Reilly Health Services Caldwell Clinic - Fqhc 77 Terry Reilly Health Services Homedale Clinic - Fqhc 78 Terry Reilly Health Services Marsing Clinic - Fqhc 78 Tesnohlidek, D Anthony MD 191 Tessendorf, Thomas DC 65 233

Index of Providers / Índice de Proveedores continued Teton Post Acute Care And Rehabilitation 199 Tew, Kody PA 27, 28, 39 Thatcher, Jody PT 138 Thatcher, Stephen MD 181, 182 Thayn, Zhohnann PT 155 Thayne, Andrew MD 24 Thomas, Christopher DC 63 Thomas, Geoffrey DO 75 Thomas, George DO 19 Thomas, Rexy MD 11 Thomas, Richard DO 69 Thomas, Scott MD 73, 74, 75 Thomason, Aaron NP 100 Thomason, Jeffrey PT 142, 149 Thome, Amanda PT 146, 147 Thompson, Amy FNP 105 Thompson, Bryan DPM 178 Thompson, E Gregory MD 11 Thompson, Erik OD 117, 123 Thompson, Erik OD 117, 123, 125 Thompson, John PA 160 Thompson, Julia PT 139, 144 Thompson, L Erik DC 61 Thompson, Marietta MD 107, 108 Thompson, Sandra MD 134 Thompson, Terry NP 103 Thompson, Travis DC 64 Thompson, William MD 183 Thomson, James MD 38 Thongsri, Roslon MD 72 Thoreson, Nathaniel PT 155 Thorne, Todd PA 92, 93, 94, 95, 96, 97 Thornock, Brian PT 150 Thornton, Jared DC 63 Thorpe, Tyson PA 94 Thueson, Kaden PA 169, 171, 172 Thueson, Sharon PA 175 Thurman, Jackie 185, 186 Thurston, Christina PA 50 Thurston, Nicole MD 202, 204 Tiegs, Mick DC 61 Tieu, Coral MD 132 Tieu, Thomas MD 197 Tiller, Daniel OD 122 Ting, Robert MD 43 Tingey, Amanda 186 Todd, Steven MD 181 Tolman, Mont DO 13 Tomey, David PA 18 Tomlinson, Timothy DPM 177 Toolson, Ryan DO 179, 180 Toomey, Jeremy MD 125 Torgenson, Marcus MD 190 Tormey, Rebecca PT 139, 144 Torngren, Travis MD 129 Toronto, Scott PT 150, 151, 156, 157 Torquato, John MD 41 Torres, Rian DC 61 Toupin, Megan OT 113 Tovey, Candice PT 146, 148 Tracy, Ian PT 139, 140, 142 Trainor, Sadie PA 88 Trainor, Todd PA 164 Tran, Jeannie OD 124 Tran, Tuan MD 83 Trapp, James DC 61 Treat, Scott PT 148 Trenkle, Susan NP 105 Trimarco, Theresa 54 Tripp, Jonathan DO 50 Trotta, Francois MD 114 Troxler, Josette PT 139, 144 Troyer, Brett MD 183 Tubach, Martin MD 130 Tullar, David PA 94 Tullis, Michael MD 197 Tumanjan, Christine PA 89 Turcotte, Roger MD 3, 11, 84 Tureman, Brian PA 193 Turner, Mark MD 7 Turner, Taylor MD 108 Turpin, Adrian PA 27, 163 Tweeten, James MD 114 Twin Falls 200 Tyson-Mcomie, Jaimee 184 Uhlman, Eric MD 196, 197 Ullery, Gary DO 27 Ulrich, William PA 91, 92, 93 Underdahl, Hannah CNM 52 Underkofler, Kari NP 104 Undesser, Karl MD 66 Upper Valley Community Health Services Inc_Fqhc 77 Upper Valley Community Health Services Inc_Fqhc 78 Uranga, Rebecca MD 108, 109, 111 Urfer, Alexander PT 146 Urquhart, Sean MD 111 Urrutia, Johnny PA 97 Vail, Kaitlin PT 146 Valentine, Jim MD 188 Valerio, Michael PA 90 Valley Family Health Care Inc_Fqhc 78 Valley Family Health Care Inc_Fqhc 78 Valley Health _Fqhc 78 Valor Health Hospital 198 Valor Health Hospital 183 Valora, Peter PA 164 Van De Graaff, Ryan MD 131 Van Heuvelen, Gary MD 181, 182 Van Sickle, Jason DC 64 Van Valin, Nathaniel PA 94 Vandenburgh, Cortney DO 28 Vander Lugt, Allison NP 100 Vanderford, Christian PT 142, 145 Vandonsel, Mary 184 Vania, Amber DO 7 Vania, Cyrus DO 9 Vansant, Amanda PA 162, 166, 167, 172 Vantassell, Sharlynn NP 103 Vasquez, Julio Cesar MD 194 Vaughn-Powell, Joni PT 146 Verhaeghe, Eric PT 153, 155 Verner, Reese MD 188, 189 Vetter, William MD 38 Vickers, Amber PA 18 Viehweg, Jessica PA 175 Vincen Brown, Michael PA 18 Vincent, Kelly PA 159 Vinci, Paul PT 149 Visser, Juliann PA 162 Vlach, Sarah MD 137 Vogler, Amica PT 144 Vook, James MD 73 Vore, Abram 55 Voye, Sarah PA 158 Vuturo, Maggie MD 194, 195 Wachter, Susan MD 27, 28, 85 Wade, Carol NP 28 Waechtler, Tifani PT 150 Wagner, Aaron MD 181, 182 Wagner, Lynsey PT 138, 140, 144, 149 Wagnon, Jeremy DC 63 Wagstaff, Tyler PA 193 Wait, David MD 205 Wakefield, Kenneth MD 53 Walaliyadda, Ananda MD 183 234

Index of Providers / Índice de Proveedores continued Walaliyadda, Ranmali PA 163, 169 Waldmann, Todd MD 194, 195 Waldo, Chad PT 151, 153 Walker, Beau PA 192 Walker, Gary OD 125 Walker, Gary OD 125 Walker, Jared OD 125 Walker, Jared OD 125 Walker, Kris MD 24 Walker, Marilee OT 112 Walker, Robert MD 127, 128 Wallace, Eric DO 59, 60, 87 Wallman, Meghan MD 108 Walters, Cristine PT 150 Walters, Mary NP 101 Wampold, Sarah PA 89 Ward, Christopher MD 190, 191, 197 Ward, Nathan DO 3, 18, 33, 35 Ward, Regan PT 157 Wardell, Benjamin PT 155 Warner, Aaron OD 119 Warner, Trenton OD 123 Warnock, Zachary MD 24, 25 Warren, Amber PA 89 Waselchuk, Amy PA 158, 162 Washington, Neil DPM 177 Waters, Cristy PA 92, 95 Waters, Jeremy MD 29 Waters, Joseph MD 50 Waters, Kara DO 29 Waters, Stanley MD 126 Watkins-Brecheen, Kathy CNM 52 Watsen, Sharene PA 89 Watson, Alex MD 112 Watson, Benjamin PA 11 Watson, Jacob OD 122 Wayment, Tyler MD 176 Weatherly, Joseph DO 25, 27, 32 Weathers, Coire MD 202 Weatherston, Sean PT 150 Weaver, Adam DDS 68 Weaver, Heidi MD 109, 110 Webb, Chad DC 63 Webb, Darby MD 126, 127, 128 Webb, Derrick PT 155 Webb, Lori 185 Weber, Dan PA 171 Weber, Renee PT 148 Webster, Ryan DC 63 Weese, Donald MD 194, 195 Wegler, Jennifer PA 193 Wegley, Roger PT 138, 140, 144, 149 Wehrle, Lance DO 25, 27, 28, 32 Weiderman, Brian PT 138, 140, 142, 144, 149 Weinhold, Ana MD 20, 21, 25, 26, 38, 46, 73 Weinrobe, Mark MD 3 Weis, Jane CNM 53 Weis, Patrick MD 179, 180 Weiser Memorial Hospital 198 Weishaar, Jamie PT 145 Weiss, Michael MD 136 Weitemier, Kenneth MD 9 Welch, Nathan MD 115, 116 Welch, Robert MD 117 Welker, Jason DC 64 Weller, Katie NP 7, 9, 19 Wells, Becky PA 3, 4, 9, 12, 19 Wells, Britton MD 126, 127 Wells, Gregory MD 69 Welty, Julie MD 51 Werdel, John MD 108, 109 Werth, Amanda OT 113 Wertzler, Kelsey MD 14, 19 West, Brandon DO 25 West, Gregory MD 128 West, Timothy MD 108, 109 Westberry, James MD 50 Wester, Daniel MD 40 Westergard, Rebecca PA 92 Wettstein, Daniel DPM 178 Weyhrich, Darin MD 107, 108 Wheatley, Alison PA 94 Wheatley, Nathan PA 94 Whitaker, James DO 136 Whitaker, Mary 56 Whitaker, Tara MD 3 Whitcomb, Curtis 55, 56 White, Alex PT 157 White, Brian PT 140, 142, 149, 150, 151 White, Judson DC 63 White, Michael PA 158 White, Rodney OD 122 Whiting, Joel PA 163, 164, 165, 169, 171 Whiting, Michael MD 41 Whitmore, Megan PA 170 Whitworth, Kala PT 138, 140, 144, 149 Wiberg, Ralene MD 33, 36 Wick, John MD 72 Wickern, Gregory MD 53 Wigle, Michael NP 105 Wilde, Trevor DO 74, 75 Wilkens, Taylor DDS 68 Wilkey, Thad PA 168, 175 Wilkinson, Kelly MD 4, 7 Willardson, Jed PA 163, 164, 165, 171 Willes, Jeremy PA 166 Willey, Jay DO 25 Williams, Alan PT 150 Williams, Brennan DC 63 Williams, Bret OD 119 Williams, Eric PT 145, 155, 157 Williams, Jeffrey DC 63 Williams, John MD 7 Williams, Joseph MD 195 Williams, Kerry DC 63, 65 Williams, Marcia 184, 185, 186 Williams, Michael MD 59, 60, 61 Williams, Ryan PA 163, 164, 165, 171 Williams, Travis DO 97 Williamson, Ronda CNM 53 Willis, Robert PA 165 Willmore, Jennifer PA 171 Wills, Alex MD 202, 203, 206 Wilson, Ashley PT 139 Wilson, Connie FNP 105 Wilson, Gregory DO 183 Wilson, Jared PA 192 Wilson, Kevin MD 19 Wilson, Martha MD 72, 74 Wilson, Nathan OD 124 Wilson, Renee PA 89, 90 Wilson, Ryan PA 19 Wilson, Ryan PA 170 Wilson, Sara FNP 19, 33 Wilson, Sara MD 9 Wimer, Douglas MD 11 Winchester, Daniel MD 69 Winkler, Carey MD 88 Winn, Esther PT 139, 144 Winslow, Michele NP 101 Witte, Marcia MD 51 Wohlwend, Tiffany PA 164 Wolf, Holly PA 159 Wolff, Kelley PA 159, 160 Wonderlich, Thomas MD 3 Wood Kerr, Karlee 185 Wood, Chelsea PA 159, 175 235

Index of Providers / Índice de Proveedores continued Wood, James PT 150, 151, 156, 157 Wood, Sarah PA 159, 166, 167 Woodbury, Lori PA 30, 32 Woodhouse, William MD 25 Woodlief, Justin MD 19 Woods, Kathryn MD 29 Woods, Nicholaus PT 139, 142, 144 Woods, Steven MD 111 Workman, Donald MD 191 Wortham, Lori PA 175 Wortham, Rex MD 39 Wraalstad, Randal DPM 178 Wray, Adam DO 69 Wren, Stefanie PT 152 Wren, Stephen PA 162, 166, 168 Wright, Bryan PT 150, 151, 156, 157, 158 Wright, Clifton PT 150, 151, 156, 158 Wright, Mark MD 130 Wright, Vanessa MD 42 Writer, Steven MD 87 Wu, Liang MD 3 Wucinich, Michael PA 97 Wyatt, Casi DO 82 Wyler, David DO 179, 180 Wylie, Bryce PA 163, 164, 165, 169, 171 Wynn, Shane OD 119, 120, 124 Yamada, Kelvin MD 99 Yavruian, Rick DO 206 Yerger, James MD 13, 19, 33, 34 York, David MD 180 You, Phyllis MD 3 Young, Mark MD 11 Young, Raulan PT 150 Youngstrom, Karma PA 163, 164, 166, 169, 171 Yovichin, Mark MD 75 Yuly, Steven PT 142 Zacher, Tyler PT 141 Zapp, Lyndsi PA 9 Zaremba, Cheryl 184, 185, 186 Zarse, Karl MD 88 Zausmer, Glenn DO 196, 197 Zeimantz, Stephen NP 7, 100, 104 Zelaya, Jill PA 164 Zerr, Katie PT 141 Zerr, Ryan DO 187 Ziebarth, Dustin DO 33, 36, 40, 44, 47, 50, 76 Ziebarth, Jessica DO 137 Zierer, Janet NP 105 Zinggeler Berg, Jeannette MD 180 Ziola, Krzysztof MD 37 Zollman, Stacie OD 124 Zollman, Stacie OD 124 Zuckerman, Dan MD 79 Zuckerman, Norman MD 97 Zundel, Brett PA 44, 90, 92 236

Index of Pharmacies / Índice de Farmacias BENGAL PHARMACY 208 BINGHAM MEMORIAL HOSPITAL 208, 214 BROULIMS PHARMACY 209 CHAS LEWIS & CLARK PHARMACY 210 CROSS PHARMACY 208, 214 CUSTOM RX 207 CUSTOMEDICA PHARMACY NORTH END 207 CUSTOMEDICA PHARMACY 207 CVS PHARMACY 209 Caremark Mail Order Service 212 ED SNELLS' PHARMACY 208 FAMILY MEDICINE HLTH CNTR PHCY 207 FORT HALL INDIAN HEALTH CTR PHCY 215 HEARTLAND LTC PHARMACY 207, 214 HELLS CANYON PHARMACY 210 ID UROLOGIC INSTITUTE PHARMACY 207 IDAHO STATE VETERANS HOME 214 INTERLAKE PHARMACY 210, 214 ISVH L PHARMACY 210, 214 KOOTENAI CLINICS CANCER SVCS P 210 LADD FAMILY PHARMACY 207 MAAG PRESCRIPTION CENTER LLC 208 MEDICAL CLINIC PHARMACY 209 MEDICAL PLAZA PHARMACY 208 MEDICAP LTC PHARMACY 208, 214 MEDICAP PHARMACY 208, 209, 214 MEDICINE MAN SOUTHWEST PHARMACY 210 MEDICINE MAN ATHOL PHARMACY 210 MEDICINE MAN HAYDEN PHARMACY 210 MEDICINE MAN NORTH PHARMACY 210 MEDICINE MAN PHARMACY 210 MEDICINE MAN PRAIRIE PHARMACY 210 MEDICINE MAN RATHDRUM 210 MEDICINE MAN SANDPOINT 209 MEDICINE MAN WEST PHARMACY 210 MEDNOW PHARMACY 207, 209 MEDNOW PHCY AT ST ALPHONSUS 207 MEDSYNC PHARMACY 207 MOUNTAIN CARE PHARMACY 207, 214 MOUNTAIN PHARMACY 209 NIMIIPUU HEALTH 210, 215 NORTH IDAHO UROLOGY 210 OMNICARE OF BOISE 208, 214 OPTION CARE 208, 213 OWL SOUTHWAY PHARMACY 211 PHARMACY SHOP EXPRESS 209 PHARMACY SHOP 208 PHARMERICA 208, 214 PORTICO PHARMACY 208 RATHDRUM DRUG 210 REDDISH PHARMACY UNITED DRUG 209 RIDLEY'S PHARMACY #7156 208 RIDLEY'S PHARMACY 208, 209 RIDLEYS PHARMACY 207 RITE AID PHARMACY 207, 208, 209, 210, 211 ROSAUERS PHARMACY 211 SANDPOINT DRUG INC 209 SHAVER PHCY AND COMPOUNDING CT 208 SNAKE RIVER LTC PHARMACY 208, 214 SNAKE RIVER PHARMACY 208 ST LUKES MERIDIAN MEDICAL CTR 208 ST LUKES REG MED CTR PHCY O/P 207 STAR PHARMACY 208 STATE HOSPITAL SOUTH PHARMACY 209, 214 TERRY REILLY HEALTH SERVICES 209 THE OWL DRUG CPS 211, 214 VIC'S FAMILY PHARMACY INC. 209, 214 VICS FAMILY PHARMACY 209 WALGREENS 207, 208, 209, 210, 211 WALLACE DRUG 208 WELL LIFE POST FALLS PHARMACY 210 WHITE CROSS PHARMACY SANDPOINT 209 WHITE CROSS PHARMACY 209 WHITE CROSS PHCY SPIRIT LAKE 210 YOKES PHARMACY 209, 210 237

This pharmacy directory was updated on 09/2018. For more recent information or other questions, please contact us, Molina Medicare Options Plus Member Services, at (844) 239-4913 or, for TTY users, 711, 7 days a week, 8 a.m. to 8 p.m., local time, or visit www.molinahealthcare.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.molinahealthcare.com/medicare. You may also call Member Services for updated provider. Este directorio de farmacias se actualizó en 09/2018. Para obtener información más reciente o si tiene otras preguntas, comuníquese con nosotros al Departamento de Servicios para Miembros de Molina Medicare Options Plus al (844) 239-4913 o, para los usuarios del servicio TTY al 711, los 7 días de la semana de 8:00 a. m. a 8:00 p. m., hora local, o visite www.molinahealthcare.com/medicare. Los cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Puede obtener un Directorio de farmacias actualizado en nuestra página web en www.molinahealthcare.com/medicare. También puede llamar al Departamento de Servicios para Miembros para saber cuáles son los proveedores actuales. xvii

If you have additional questions, please call Member Services: (844) 239-4913, TTY 711 7 days a week, 8 a.m. - 8 p.m., local time Or for more information visit: www.molinahealthcare.com/medicare Si tiene otras preguntas comuníquese con el Departamento de Servicios para Miembros: (844) 239-4913, TTY al 711 Los 7 días de la semana, de 8:00 a.m. a 8:00 p.m., hora local O para más información visite el sitio web: www.molinahealthcare.com/medicare