First Choice Health PPO Network Idaho Directory

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1 First Choice Health PPO Network Idaho Directory When Looking for a Provider... The provider you select may not be available to all First Choice Health Network customers due to individual benefit plan or network restrictions. Please confirm your benefits and level of network access by contacting your insurance company or health plan administrator. Inclusion of a provider or facility in this directory does not guarantee coverage. A provider's network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Please consult your benefits summary, plan booklet or summary plan description to determine coverage. First Choice Health (FCHN) disclaims any implied warranty or representation about completeness or applicability for a particular purpose. First Choice Health Network, Inc., is not responsible for any claim, loss or damage resulting from use of this website. Important Information (Please read before proceeding) The First Choice Health PPO Network makes every effort to ensure the accuracy of our provider directory. However, a printed directory will always be at risk of being outdated. Before receiving services, you should always verify that the provider is participating in our network. You can take these steps by calling our PPO Customer Service at (800) Monday through Friday between 8 AM and 5 PM (Pacific). You can also use our website to produce customized real-time provider listings. Simply select the "Find a Doctor, Hospital or Facility" button on the homepage. Please note that actual coverage for the health care services you receive is determined by your benefit plan provisions. Introduction Just like you, First Choice Health, is concerned about the high cost of health care. To help lower the cost of care, we negotiate preferred rates with the health care providers in our network. These preferred rates are available to you because the First Choice Health PPO Network is part of your health care plan. Whenever you choose one of our PPO Network providers, you and your family save on the cost of health care. In addition to lower health care costs, there are other advantages to using PPO Network preferred providers: There are no claims to submit. Preferred providers bill your insurance company or health plan administrator for you; Your out-of-pocket costs are usually lower when you receive in-network care; and The First Choice Health PPO Network offers an extensive network of preferred providers from which to choose your family doctor, primary care physician (PCP) or other health care providers. Please take a few minutes to become acquainted with us as your network. Read your member handbook to understand the benefits provided by your health plan. Be prepared. Know your responsibilities and obligations before you or your family receive(s) care. If you have questions regarding your health coverage, please call your insurance company or health plan administrator. This directory was produced based on information available as of 6/23/2016. First Choice Health makes every effort to ensure the accuracy of our provider directory. Before receiving services, you should always verify that the provider is participating in our network. If you need help finding a preferred provider, please contact First Choice Health PPO Network Customer Service at (800) Monday through Friday between 8 AM and 5 PM (Pacific).

2 Check Our Website For the most current provider information, our website, allows you to look up specific health care providers or locate available providers in your area. You can search by city, zip code and county or provider specialty. This is a convenient way to determine your provider's participation. You can also download a complete directory, hospital listing, facility listing, clinic or urgent care listing. How to Use the First Choice Health PPO Network If your health plan requires you to choose a primary care provider (PCP), you should select one from those listed in this directory. A primary care provider is a family or general practitioner, an internist or a pediatrician. When changing your primary care provider, you should advise your insurance company or health plan administrator. This notification may be a requirement of your health plan. Some health plans also recognize Advanced Registered s (ARNP) as primary care providers. You should call your insurance company or health plan administrator to determine if they recognize ARNPs as primary care providers before you select one as a primary care provider. All primary care providers are listed in bold print for easy identification. Not all primary care providers are able to accept new patients. Those who were not accepting new patients at the time this directory was printed are marked with an asterisk (*). Whenever you select a new primary care provider, we recommend you call the provider's office first to be sure s/he is accepting new patients. If You Need to See a Specialist Your health care plan may require a referral from your primary care provider if you need specialty care. If your plan requires a referral, the process is easy: First, you or your primary care provider should select a specialist from this directory or contact our Customer Service Department at (800) Monday through Friday between 8 AM and 5 PM (Pacific) to verify the preferred status of any specialist; Second, have your primary care provider call the appropriate referral number on your member ID card; and Third, schedule your appointment with the specialist. If your plan does not require a referral, you may select a specialist from this directory, confirm that they are currently a preferred provider and schedule an appointment at any time. Some specialty care may not be covered by your health plan. For example, some health plans do not cover care from chiropractors, social workers, physician assistants and others. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. Your member handbook, insurance company or health plan administrator will be able to tell you what your benefit levels are, if any, when you receive care from an out-of-network provider. Women's Health Care (Washington State) For some health plans, Washington State law provides that women may self-refer to providers who specialize in the treatment of women's health care needs. This means a woman does not need a referral from her primary care provider in order to see a women's health care provider for the diagnosis and treatment of reproductive health services, gynecological care, maternity care, general examinations or preventative care, as well as medically appropriate follow-up visits for these services. This right to selfreferral is not a guarantee of coverage. Before you schedule your appointment you should do the following: Call your insurance company or health plan administrator to be sure the care you want is covered; Call to confirm whether or not you can self-refer to providers who specialize in women's health care needs;

3 Schedule your appointment with a recognized women's health care provider; and Be sure the women's health care provider is one of our PPO Network preferred providers. The following providers are recognized as women's health care providers: An MD or DO (osteopath) who is a family or general practitioner, internist, obstetrician or gynecologist; A licensed physician assistant for any of the above listed MDs or DOs; An advanced registered nurse practitioner (ARNP) who specializes in women's health, family practice or midwifery; Certified nurse midwife; or Licensed midwife. Please call and confirm with each listed to ensure he/she is accepting patients as a Primary Care Physician. As noted above, some specialty care may not be covered by your health plan. Please call your insurance company or check with your benefit plan to establish whether coverage is available for services provided by a under your health benefits from your health plan. Complementary and Alternative Medicine (CAM) Providers (Naturopaths, Acupuncturists and Licensed Massage Therapists) The First Choice Health PPO Network offers a CAM network for those health plans which have CAM benefits. Some CAM care may not be covered by your health plan. For example, some health plans do not cover care from Naturopaths, Acupuncturists or Licensed Massage Therapists. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. If You Need Hospital Care Some health care plans require pre-certification of non-emergent hospital care. Check your member ID card to see if your plan requires pre-certification. If pre-certification is required, you or your doctor must call the number printed on your ID card to obtain the necessary authorization before you are admitted to the hospital. In Case of an Emergency In the case of a life-threatening emergency, whether at home or away from home, seek the most immediate care available. If you are admitted to a hospital for an emergency, you, your doctor or the hospital may need to obtain retroactive authorization for the admission within the time specified by your benefit plan, or as soon as you are reasonably able to do so. To obtain certification, please call the number on your ID card. How to File a Claim In most instances, First Choice Health's PPO Network preferred providers will file a claim for the health care services you receive. However, occasionally you may receive a bill for services. If you receive a bill, be sure your name, member ID number, and group number are written on the bill. Please send the bill to the claims address on your ID card. Your Member ID Card is Very Important Your member ID card identifies you as eligible to see our PPO Network providers. It lists the name, address, and telephone number of your insurance company or health plan administrator and contains important information about hospital and surgical preauthorization. Please show your member ID card every time you visit one of our PPO Network providers.

4 Who to Call if You Have Questions Call your insurance company or health plan administrator if you have questions about any of the following: Your insurance coverage or coverage exclusions Your eligibility for health care services Your health care bills and claim processing Referral requirements You will find your insurance company's customer service phone number on your ID card or in your member handbook. The First Choice Health PPO cannot provide eligibility, coverage or claims information. Call First Choice Health in Seattle at (206) or toll-free at (800) Monday through Friday between 8 AM and 5 PM (Pacific) if you have questions about finding a provider or the preferred provider status of a preferred provider or facility. Call the preauthorization telephone number on your ID card if you have questions about preauthorization of hospital services. Thank you for choosing First Choice Health PPO Network. We look forward to meeting your health care needs.

5 HOSPITALS IMPORTANT: Anesthesiologist, Radiologist, Pathologist and Emergency Room Physicians practicing at the following hospitals may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho American Falls Harms Memorial Hospital District Arco Lost Rivers District Hospital Blackfoot Bingham Memorial Hospital Idaho Doctors Hospital Boise Intermountain Hospital St Alphonsus Regional Medical Center Inc Treasure Valley Surgical Hospital (Healthsouth) Bonners Ferry Boundary Community Hospital Caldwell West Valley Medical Center, Inc. Cascade Cascade Medical Center Coeur d Alene Kootenai Medical Center Cottonwood St Mary's Hospital Inc Emmett Walter Knox Memorial Hospital Gooding North Canyon Medical Center Grangeville Syringa Hospital & Clinics Idaho Falls Eastern Idaho Regional Medical Center Mountain View Hospital LLC Jerome 510 Roosevelt St American Falls, ID Highland Dr Arco, ID Poplar St Blackfoot, ID N Meridian Blackfoot, ID N Allumbaugh St Boise, ID Boise, ID Emerald St Boise, ID Kaniksu St Bonners Ferry, ID Arlington Ave Caldwell, ID Old State Hwy Cascade, ID Kootenai Health Way Lewston St Cottonwood, ID E Locust St Emmett, ID N Canyon Dr Gooding, ID W Main St Grangeville, ID Channing Wy Idaho Falls, ID Coronado St Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 1

6 First Choice Health Directory St Benedicts Family Medical Center Kellogg Shoshone Medical Center Lewiston St Joseph Regional Medical Center Meridian Vibra Hospital of Boise LLC Montpelier Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Moscow Gritman Medical Center Inc Mountain Home St Luke's Elmore Hospital Nampa Saint Alphonsus Medical Center Nampa Inc Orofino Clearwater Valley Hospital Pocatello Portneuf Medical Center Post Falls Northwest Specialty Hospital Preston Franklin County Medical Center Rexburg Madison Memorial Hospital Rupert Minidoka Memorial Hospital Saint Maries Benewah Community Hospital Salmon Steele Memorial Medical Center Sandpoint Bonner General Hospital Soda Springs 709 N Lincoln Ave Jerome, ID Jacobs Gulch Kellogg, ID th St Lewiston, ID S Bonita Way S 5th St Montpelier, ID S 5th St Montpelier, ID S Main St Moscow, ID N 6th E Mountain Home, ID th Ave Rd Nampa, ID Cedar St Orofino, ID Hospital Way Pocatello, ID E Polston Ave Post Falls, ID N 100 E Preston, ID E Main St Rexburg, ID th St Rupert, ID S 7th St Saint Maries, ID S Daisy St Salmon, ID N 3rd Ave Sandpoint, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 2

7 First Choice Health Directory Caribou Memorial Hospital Weiser Memorial Hospital 300 S 3rd W Soda Springs, ID E 5th St Weiser, ID (208) (208) Preferred Provider Network 6/23/2016 Page 3

8 CLINIC IMPORTANT: Individual providers practicing at the following clinics may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho Aberdeen Health West Inc American Falls Arthritis Specialty Center, Inc. Bingham Memorial Hospital Health West Inc Power County Hospital District Power County Hospital District Power County Hospital District Speech Therapy Services LLC 330 N Main Aberdeen, ID Roosevelt Ave American Falls, ID Tyhee Ave American Falls, ID Reed St American Falls, ID Roosevelt St American Falls, ID Rossevelt St American Falls, ID Tyhee Ave American Falls, ID Fort Hall Ave Ste B American Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) Ammon Ammon Medical and Urgent Care PLLC 3456 E 17th St Ste 125 Ammon, ID Pearl Health Clinic Rehabilitative Health Services 2705 E 17th St Ammon, ID Curlew Dr Ammon, ID Richard New MD PA 1498 S Midway Ave Ste 2 Ammon, ID Wholesome Health 3040 E 17th St Ammon, ID (208) (208) (208) (208) (208) Arco Mental Wellness Centers Ashton Alpine, P.L.L.C. Medical Imaging Associates of Idaho Falls PA Blackfoot Awareness Center For Counseling Barnes LLC Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital 159 N Idaho Arco, ID N 2nd St Ashton, ID S 8th St Ashton, ID W Bridge Blackfoot, ID W Bridge St Ste F Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Poplar Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 4

9 Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Blackfoot Medical Clinic Blackfoot CAMP Hippo Pediatric Therapy DJ Marc Cardinal MD PA East Idaho Anesthesia Associates PC East Idaho Anesthesia Associates PC Grove City Anesthesia LLC 98 Poplar St Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Popular St Blackfoot, ID N Meridian St Blackfoot, ID Parkway Dr Blackfoot, ID W Francis St Blackfoot, ID N 600 W Blackfoot, ID Poplar St Blackfoot, ID Poplar Blackfoot, ID N Meridian Blackfoot, ID Parkway Blackfoot, ID Hyde Ellis 725 Jensen Grove Dr Ste 4 Blackfoot, ID Idaho Physicians Clinic Medical Imaging Associates of Idaho Falls PA Mountain States Neonatology Inc Northwest Emergency Physicians Inc Parkway Foot & Ankle PLLC Pocatello Podiatry Associates PA Portneuf Medical Practices Portneuf Valley Family Center 98 Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Ste B Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Jensen Grove Dr Blackfoot, ID Robert J Lee MD PC 1443 Parkway Dr Ste 1 Blackfoot, ID Rocky Mountain PLLC Boise Abundant Life Counseling Access Anesthesia LLC Access Anesthesia LLC 1441 Parkway Dr Blackfoot, ID S Five Mile Rd Boise, ID N Liberty St Boise, ID Medical Dr Boise, ID Access Behavioral Health Services Inc 1276 W River St Ste 100 Boise, ID Acheive PLLC 4776 N Five Mile Rd Ste 101 Boise, ID Action Chiropractic Clinic Ada Dermatology Clinic Adult, Adolescent & Children's Counseling Center Advance Counseling Center Advanced Chiropractic 1542 S Timesquare Ln Boise, ID W Emerald St Boise, ID N Cole Rd Boise, ID N Cole Rd Ste 200B Boise, ID W Overland Rd Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (509) (509) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 5

10 Advance 9362 W Overland Rd Boise, ID Advantage Walk-in Chiropractic 2031 E Hospitality Ln Ste 150 Boise, ID Advantage Walk-In Chiropractic Alare' Counseling & Coaching, P.L.L.C N Milwaukee St Boise, ID W Platinum Dr Boise, ID Allergy Clinic - Idaho, Inc. 727 E Riverpark Ln Ste 100 Boise, ID Allied Orthopedics LLC 7979 W Rifleman St Boise, ID Allied Orthopedics LLC 1789 S Broadway Ave Ste 100 Boise, ID Amy Orlovich 2577 S Five Mile Rd Boise, ID Ankle & Foot Center PC 222 N 2nd St Ste 301 Boise, ID APB Medical, PC 222 N 2nd St Ste 304 Boise, ID Apex Chiropractic and Wellness 2200 E Warm Springs Ave Ste 106 Boise, ID Artisan Optics 7960 W Rifleman St Ste 150 Boise, ID Artisan Optics Aspen Mental Health At Chiropractic Audiology & Hearing Aid Center Autobus LLC 190 N 8th St Boise, ID W King St Boise, ID S Five Mile Boise, ID N Milwaukee St Ste A Boise, ID Potomac Dr Boise, ID Balance Chiropractic Clinics 6013 Overland Ste 101 Boise, ID Balanced Solutions Counseling 2577 S Five Mile Rd Boise, ID Beacon Pain Clinic 115 W Main St Ste 102 Boise, ID Beacon Pain Clinic 115 W Main St Ste 202 Boise, ID Beacon Pain Clinic 115 W Main St Ste 201 Boise, ID Behavioral Health Associates 600 E Riverpark Ln Ste 200 Boise, ID Blackmer Foot & Ankle Group PA 727 E Riverpark Ln Ste 100 Boise, ID Boise Advanced Imaging, PLLC Boise Advanced Imaging, PLLC Boise Anesthesia, P.A W Emerald St Boise, ID W Washington St Boise, ID Boise, ID Boise Anesthesia, P.A. 900 N Liberty St Ste 450 Boise, ID Boise Arthritis Clinic 901 N Curtis Rd Ste 404 Boise, ID Boise Asthma & Allergy Clinic 901 N Curtis Rd Ste 100 Boise, ID Boise Chiropractic Boise Family Chiropractic Boise Family Medicine Center 9217 W State St Boise, ID W Boise Ave Boise, ID W Overland Rd Boise, ID Boise Kidney and Hypertension PLLC 1109 W Myrtle St Ste 100 Boise, ID Boise Orthopedic Clinic 1075 N Curtis Rd Ste 300 Boise, ID Boise Osteopathic Medical Clinic 7685 W Emerald St Boise, ID Boise Physical Medicine and Rehabilitation 1000 N Curtis Rd Ste 202 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 6

11 Boise Psychological Services 315 N Allumbaugh St Boise, ID Boise Rheumatology, P.C. 222 N 2nd Ste 304 Boise, ID Boise Skin Clinic PLLC 1070 N Curtis Rd Ste 150 Boise, ID Boise Speech and Hearing Clinic W Persimmon Ln Ste 120 Boise, ID Boise State University Health Services Boise Vision Care PA 1529 Belmont St Boise, ID N Milwaukee St Boise, ID Booth Psychological Solutions, PLLC 4700 N Cloverdale Rd Ste 215 Boise, ID Cancer Center of Idaho 9357 W Emerald St Boise, ID Candace Crow, Ph.D W Bannock St Ste 101 Boise, ID Capital Eye Care Center for Lifetime Health 6700 W Emerald St Boise, ID E Bannock St Boise, ID Charles Novak, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Chinese Acupuncture & Natural Therapy Center Chiropractic Arts 2425 N Milwaukee St Boise, ID S Five Mile Rd Boise, ID Christian G. Zimmerman, M.D., PA 6140 W Curtisian Ste 400 Boise, ID Clarity Counseling PLLC Claudia Currie-Mills LCSW 5185 W Overland Rd Boise, ID W Main St Boise, ID Coire Weathers MD 413 N Allumbaugh St Ste 101 Boise, ID Complete Care Audiology W Persimmon Ln Ste 120 Boise, ID Connections Counseling Center 6550 W Emerald St Ste 110 Boise, ID Cross Natural Health 4700 N Cloverdale Rd Ste 103 Boise, ID Crum Chiropractic LLC David A Sim MD PA David A Teed David J. Antonie, O.D S Maple Grove Rd Boise, ID W Emerald St Boise, ID N 13th St Boise, ID W Overland Rd Boise, ID David Kent, M.D. 413 N Allumbaugh St Ste 101 Boise, ID David N. Price, D.C., DABCO 9508 Fairview Ave Boise, ID Davis Family Medicine 222 N 2nd St Ste 204 Boise, ID Deer Point, P.C N Eagle Rd Boise, ID Denae Barowsky LPC 3350 W Americana Ter Ste 215 Boise, ID Dermatology Clinic of Idaho DH Pitkin 7733 W Emerald St Boise, ID W Emerald St Boise, ID Diane Barnhill, L.C.P.C N Mountain View Dr Ste 185 Boise, ID Digestive Health Clinic, LLC Direct Surgical Assist Direct Surgical Assist 6259 W Emerald St Boise, ID W Rifleman St Boise, ID Boise, ID D Peter Reedy MD 999 N Curtis Rd Ste 307 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 7

12 Dr. Frederick D. Mondin Elizabeth Betsy Johnson Counseling Services LLC Elizabeth Birchmore Riss PLLC 220 W State St Boise, ID N 11st St Boise, ID W Washington St Boise, ID Eloisa S. Walker, M.D. 100 E Idaho St Ste 304 Boise, ID Emerge Counseling and Yoga 1001 N 27th St Boise, ID Eric Gilbreath, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Erik S. Jones, D.O., P.L.L.C. 222 N 2nd St Ste 202 Boise, ID Erland PC Etnyre & Associates PLLC Evans Anesthesia Services, P.C N Eagle Rd Boise, ID W Emerald St Boise, ID E Riverpark Ln River Run Surgery Center Boise, ID Evans Anesthesia Services, P.C. 360 E Mallard Dr Ste 125 Boise, ID Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Medical Center Medical Center 777 N Raymond St Boise, ID E Fort St Boise, ID W 35th St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID Fazzio Clinic 7301 W Emerald St Ste 102 Boise, ID Ferch Family Chiropractic Fletcher Chiropractic Center PLLC Foster Chiropractic 6624 Overland Rd Boise, ID N Eagle Rd Boise, ID N Maple Grove Rd Boise, ID Frances Zucco LCPC LLC 3350 W Americana Ter Way Ste 210 Boise, ID Francois D Trotta MD PA Full Circle Counseling & Consulting Gail M. Baccheschi, A.C.S.W. 128 E Mallard Dr Boise, ID W Bannock St Boise, ID W Hays St Boise, ID Gail Robison NP PLLC 413 N Allumbaugh St Ste 101 Boise, ID Gary W. Lee, L.C.S.W. 600 N Curtis Rd Ste 125 Boise, ID Gem State Dermatology PA Gem State Gem State 388 E Parkcenter Blvd Boise, ID Boise, ID W Myrtle St Boise, ID Gem State 161 E Mallard Dr Ste 130 Boise, ID Gem State 6200 W Emerald St Boise, ID Gem State LLP 161 E Mallard Dr Ste 130 Boise, ID Gem State LLP Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (866) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (808) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 8

13 Gem State LLP Gem State LLP Gem State LLP Gem State LLP 6200 W Emerald St Boise, ID W Myrtle St Boise, ID W Myrtle St Boise, ID W Franklin Rd Boise, ID Gem State LLP 161 E Mallard Ste 120 Boise, ID Gem State LLP Gem State LLP 6533 W Emerald St Boise, ID N Raymond St Boise, ID Glen S. Lovelace, M.D., PA 333 N 1st St Ste 260 Boise, ID Haase Consulting and Counseling 413 N Allumbaugh St Ste 101 Boise, ID Harvey Family Chiropractic Healthquest Chiropractic, P.C S Broadway Ave Boise, ID N Cole Rd Boise, ID Healthy Creations, Inc N Lakeharbor Ln Ste 201 Boise, ID Helene Belanger Counseling 1524 W Hays St Ste 201 Boise, ID Hickey Chiropractic DC 376 S Latah St Boise, ID Hollingshead Eye Center 360 E Mallard Dr Ste 110 Boise, ID Idaho Dermatologic Surgery & Laser Center 999 N Curtis Rd Ste 505 Boise, ID Idaho Diabetes & Endocrine Associates PA 9196 W Emerald St Ste 160 Boise, ID Idaho Emergency Physicians, P.A. Idaho Emergency Physicians, P.A N Cole Ste B Boise, ID Boise, ID Idaho Endocrinology, PLLC 403 S 11th St Ste 100 Boise, ID Idaho Eye Care Center Idaho Foot & Ankle Associates 1175 W Boise Ave Boise, ID N Liberty St Boise, ID Idaho Hand Center 901 N Curtis Rd Ste 304 Boise, ID Idaho Joint and Spine PC 9510 W Fairview Ave Boise, ID Idaho Memory & Aging Center PLLC 413 N Allumbaugh St Ste 101 Boise, ID Idaho Nephrology Associates 5610 Gage St Ste A Boise, ID Idaho Neurology 901 N Curtis Rd Ste 101 Boise, ID Idaho Pediatric Therapy Clinic PLLC W Wainwright Dr Boise, ID Idaho Physical Medicine Rehabilitation 600 N Robbins Rd Ste 300 Boise, ID Idaho Sleep Specialists, P.C. 403 S 11th St Ste 210 Boise, ID Idaho Spine and Sports Idaho Sports Medicine Institute, P.A. Idaho Urologic Institute, P.A W McMillan Rd Boise, ID University Dr Boise, ID N 2nd Boise, ID Idaho Urologic Institute, P.A. 222 N 2nd St Ste 115 Boise, ID Intermountain Eye & Laser Centers PLLC 999 N Curtis Rd Ste 205 Boise, ID Intermountain Eye & Laser Centers PLLC 251 E Front St Ste 110 Boise, ID Intermountain Functional Medicine PLLC W Wainwright Dr Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (617) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 9

14 Intermountain Medical Imaging Intermountain Medical Imaging 927 W Myrtle St Boise, ID Boise, ID James E Hollingsworth DC Chtd Garverdale Ct Ste 203 Boise, ID James G. Saccomando, Jr., MD 413 N Allumbaugh Ste 101 Boise, ID James R Barry PhD 6003 W Overland Rd Ste 301 Boise, ID James W. Kranz, D.C. Janelle Eckhardt PhD J Cameron Preece PhD LMFT Jenny Callao McColl, L.M.H.C. Jenny Zarak Counseling LLC Jon-Eric Baillie 910 N Curtis Rd Boise, ID W Hays St Boise, ID W Franklin St Boise, ID W Franklin St Boise, ID S Five Mile Rd Boise, ID W Barnes Dr Boise, ID Jon R Gray Chiropractic Center W Persimmon Ln Ste 102 Boise, ID Jon Wagnild, M.D Gage St Ste A Boise, ID Jordan Looze LPC 4948 Kootenai St Ste 207 Boise, ID Judit McCullough DC 410 S Orchard St Ste 152 Boise, ID Julia Gerhardt LCSW LLC 6550 Emerald St Ste 110 Boise, ID Kafia Abbasi MD 413 N Allumbaugh St Ste 101 Boise, ID Kaleidoscope Pediatric Therapy 7211 W Franklin Rd Boise, ID KB Counseling 413 N Allumbaugh St Ste 101 Boise, ID Keeton Counseling Services Keller Skin & Cancer Care PC W Landmark Ct Boise, ID N Eagle Rd Boise, ID Kennth M. Little, M.D W Curtisian Ave Ste 400 Boise, ID Kimberlee Minter Counseling PLLC 413 N Allumbaugh St Ste 101 Boise, ID Kinectic Chiropractic Kirk Parge DC 1819 W Holly St Boise, ID W Overland Rd Ste L101 Boise, ID Knowles Chiropractic PA 8752 W Overland Rd Ste 110 Boise, ID Kristine A Kirsch 3350 Americana Ter Ste 215 Boise, ID Laura Shockley Counseling 413 N Allumbaugh St Ste 101 Boise, ID Lifeline Chiropractic 5440 W Franklin Rd Ste 107 Boise, ID Lifepath Counseling and Wellness Live Right Chiropractic Living Hope Clinic Inc Main Family Medical W Overland Rd Boise, ID S Orchard St Ste A Boise, ID N Cole Rd Ste A Boise, ID W Main St Boise, ID Manning Neurosurgery PLLC 6140 W Curtisian Ave Ste 400 Boise, ID Maple Grove Eye Clinic 8955 W Hackamore Dr Boise, ID Marci Danielson LLC 3350 W Americana Terrace Ste 215 Boise, ID Mardi Stacy, Ph.D W Jefferson St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (952) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 10

15 Mariella L Hogan PhD ATR-BC PLLC 1010 W Hays St Boise, ID Mark Bostik, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Marlys Borreson LCPC Mary M Simon LCSW PLLC McKim Chirorpactic McMillan Medical Center 1074 E Krall St Boise, ID W Washington St Boise, ID W Emerald St Boise, ID N Five Mile Rd Boise, ID Megan Linz Counseling 6126 W State St Ste 106 Boise, ID Melinda E Blanchet N 11th Ave Boise, ID Melinda E Blanchet 6126 W State St Ste 208 Boise, ID Metamorphosis Counseling Center of Idaho, L.L.C S Timesquare Ln Ste 200 Boise, ID Michael R Thiry DC 5804 W Emerald St Boise, ID Michael V. Hajjar, M.D W Curtisian Ave Ste 400 Boise, ID Michael V. Hajjar, M.D W Curtisian Ave Ste 400 Boise, ID Michele Boyer, M.D. 413 N Allumbaugh St Ste 101 Boise, ID M Kathryn Montgomery M Kathryn Montgomery LPC 1414 W Franklin St Boise, ID W Franklin St Boise, ID Molly and Me Counseling and Training Center 2995 N Cole Rd Ste 115 Boise, ID Mountain Land Rehabilitation Inc 1435 S Maple Grove Rd Ste 201 Boise, ID Mountain Land Rehabilitation Inc 1907 S Broadway Ave Ste 203 Boise, ID Mountain States Counseling and Psychological Serivices, Inc. Mountain States Neonatology Inc Mountain States Neonatology Inc Nagraj Narasimhan, M.D. 311 N Allumbaugh St Boise, ID W Emerald St Boise, ID Boise, ID Gage St Ste A Boise, ID Ninon Germain MD 413 N Allumbaugh St Ste 101 Boise, ID Noah B Edvalson Northend Wellness 3271 N Milwaukee St Boise, ID W Hays St Boise, ID Northwest Eye & Laser Center, PLLC 111 W Main St Ste 200 Boise, ID Northwest Physical Medicine and Rehabilitation 6140 W Curtisian Ave Ste 400 Boise, ID Northwest Physical Medicine and Rehabilitation 190 E Bannock St Boise, ID NS Support, LLC 6140 W Curtisian Ave Ste 400 Boise, ID Oakes Chiropractic Health Center PA 3183 N Cole Rd Boise, ID Orthopaedic Associates, P.A W Emerald St Ste 140 Boise, ID Overton Stiff Professional Anesthesia Services Inc 220 W Jefferson St Boise, ID Overton Stiff Professional Anesthesia Services Inc 360 E Mallard Dr Ste 125 Boise, ID Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc 999 N Curtis Rd Boise, ID N Eagle Rd Boise, ID N Talcrest Pl Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (800) (208) (208) Preferred Provider Network 6/23/2016 Page 11

16 Overton Stiff Professional Anesthesia Services Inc 333 N 1st St Ste 240 Boise, ID Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 320 Boise, ID Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 300 Boise, ID Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Boise, ID Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Ste 200 Boise, ID Overton Stiff Professional Anesthesia Services Inc 1529 S Timesquare Ln Ste 100 Boise, ID Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pain Care Center Boise 305 W Idaho St Boise, ID N 2nd St Boise, ID N Eagle Rd Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID W Myrtle Boise, ID Pain Center 901 N Curtis Rd Ste 304 Boise, ID Pain Center Boise Pathways of Idaho LLC 301 W Myrtle St Boise, ID Cole Rd Ste B Boise, ID Paul J. Montalbano, M.D W Curtisian Ave Ste 400 Boise, ID Peak, P.C Emerald St Ste 101 Boise, ID Pediatric Cardiology 100 E Idaho St Ste 200 Boise, ID Perma Mental Health 950 W Bannock St Ste 1100 Boise, ID Personal Care Chiopractic Clinic PA 1319 W River St Boise, ID Perspectives Counseling 4948 W Kootenai St Ste 207 Boise, ID Pioneer Family Medicine 5909 W State St Boise, ID W Persimmon Ln Boise, ID Planned Parenthood of Western Washington 1109 Main Street Suite 500 Boise, ID Podiatry Center of Idaho 900 N Liberty St Ste 306 Boise, ID Precision Performance and Therapy 8950 W Emerald St Ste 150 Boise, ID Preventative Health LLC Primary Health Medical Group Primary Health Medical Group 9171 W State St Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group W Fairview Ave Boise, ID W State St Boise, ID W Emerald St Boise, ID Primary Health Medical Group 300 W Myrtle St Ste 100 Boise, ID Primary Health Medical Group 125 E Idaho St Ste 210 Boise, ID Primary Health Medical Group 4971 W Overland Rd Boise, ID Primary Health Medical Group-Urgent Care 1907 S Broadway Ste 101 Boise, ID (208) (208) (208) (866) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (800) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 12

17 Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 300 W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID Quiet Waters Counseling 6003 W Overland Rd Ste 101 Boise, ID Rachel Root PhD LP LLC 6003 W Overland Rd Ste 301 Boise, ID Raise the Bottom Training & Counseling Services LLC 9196 W Barnes Dr Boise, ID Reagan & Associates PLLC 413 N Allumbaugh St Ste 101 Boise, ID RehabAuthority LLC W Overland Rd Boise, ID RehabAuthority LLC 5520 N Eagle Rd Suite 102 Boise, ID RehabAuthority LLC 5520 N Eagle Rd Ste 102 Boise, ID Renee Hatten LCSW Renee O Bild PLLC 1408 W Hays St Boise, ID W Jefferson St Boise, ID Retina Specialists of Idaho, P.L.L.C W Wainwright Dr Ste 301 Boise, ID Retina Specialists of Idaho PLLC W Wainwright Dr Ste 301 Boise, ID Richard Lochhead MD PLLC 6140 W Curtisian Ave Ste 400 Boise, ID Roman Schwartsman, M.D W Norwood Dr Boise, ID Ronald B. Tye, PSY.D W Overland Rd Ste 301 Boise, ID Rosenberg Chiropractic, P.C W State St Ste 220 Boise, ID Rosmary Luque LCPC 4172 N Creswell Way Boise, ID Roxanne Nichols LLC 100 Main St Ste 203 Boise, ID Ryan N. Cole, M.D W Marigold St suite 150 Boise, ID Sage Healthcare 413 N Allumbaugh St Ste 101 Boise, ID Sage Health Care, P.L.L.C. 413 N Allumbaugh St Ste 101 Boise, ID Sage K Rogers MS LMFT Saint Alphonsus Behavioral Health Saint Alphonsus Inpatient Medicine Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center 1407 N 13th St Boise, ID N Allumbaugh St Boise, ID Boise, ID Boise, ID Boise, ID N Allumbaugh Boise, ID W Emerald St Boise, ID Boise, ID Saint Alphonsus Regional Medical Center 1075 N Curtis Rd Ste 200 Boise, ID Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Boise, ID Boise, ID Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 717 N Liberty St Boise, ID N Discovery Pl Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 13

18 Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 1050 W State St Boise, ID E Parkcenter Blvd Boise, ID Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID Saint Alphonsus Rehabilitation Services 717 N Liberty Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 206 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 1880 W Judith Ln Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 200 Boise, ID Saint Alphonsus Specialty Services Inc 1070 N Curtis Rd Ste 125 Boise, ID Saint Alphonsus Specialty Services Inc Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6th Fl Boise, ID th Fl Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 201 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID Saint Alphonsus Specialty Services Inc Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 401 Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty Ste 204 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 104 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID N Curtis Rd Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 100 Boise, ID Saint Alphonsus Specialty Services Inc 6500 W Emerald St Boise, ID Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 303 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Specialty Services Inc 5959 N Discovery Pl Boise, ID Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 201 Boise, ID Saint Alphonsus Specialty Services Inc 999 N Curtis Rd Ste 415 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Boise, ID W Emerald St Boise, ID (208) (209) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 14

19 Saint Alphonsus Specialty Services Inc 6165 W Emerald St Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 2141 E Parkcenter Blvd Boise, ID Boise, ID Boise, ID Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Vascular & Endovascular Services 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Wound Healing & Hyperbaric Medicine Boise, ID Saltzer Clinics 8950 W Emerald St Ste 168 Boise, ID Saltzer Clinics 7272 W Potomac Dr Boise, ID Sandra A. Thompson, M.D W Shoreline Dr Ste 140 Boise, ID Satu H Woodland 3060 S Rookery Lane Boise, ID Sawtooth Epidemiology and Infectious Disease 125 E Idaho St Ste 100 Boise, ID Sawtooth LLC Sensory Bin Pediatric Therapy Clinic PLLC 7979 W Rifleman St Boise, ID W Wainwright Dr Boise, ID Sharon Oster, M.D. 403 S 11th St Ste 310 Boise, ID Shelly Conley-Durkin, P.L.L.C. ShopKo EyeCare Center #4065 Sonshine Family Health Clinic Soo W. Lee, DC Southwest Idaho Advanced Care Hospital Providers 3775 N Eagle Rd Boise, ID Fairview Ave Boise, ID N Cole Rd Ste H Boise, ID Overland Rd Boise, ID W Franklin Rd Boise, ID Southwest Idaho Ear, Nose and Throat 900 N Liberty St Ste 400 Boise, ID SPD Organ Transplant Speech Spot LLC St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services 5610 W Gage St Ste A Boise, ID S Orchard St Ste B Boise, ID N Curtis Boise, ID Boise, ID Boise, ID St Alphonsus Pathology Physcian Services 901 N Curtis Rd Ste 401 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W State St Boise, ID W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Ste 2 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 15

20 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W McMillan Rd Boise, ID W Overland Rd Boise, ID S Owyhee St Boise, ID St. Alphonsus Regional Medical Center, Inc W Shoreline Dr Ste 120 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID W Emerald St Boise, ID W Judith Ln Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Ste 403 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 200 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste B10 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 125 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 200 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 206 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID th Fl Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 501 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 503 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 102 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Ste 305 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID E Baybrook Ct Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 125 Boise, ID St. Alphonsus Regional Medical Center, Inc. 600 W Robbins Rd Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc. Boise, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 16

21 St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 101 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID Boise, ID NW 16th St Ste A Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc. Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 305 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID Boise, ID Potomac Dr Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 203 Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc. Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 102 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID Entrance N4 Boise, ID Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. 999 N Curtis Rd Ste 415 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc S Federal Way Boise, ID W Emerald Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 303 Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID N Discovery Pl Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 501 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID E Parkcenter Blvd Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Libery St Ste 101 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 104 Boise, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 17

22 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 101 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 101 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc Curtisian Ave Boise, ID E Parkcenter Blvd Boise, ID W Lake Hazel Rd Boise, ID Boise, ID St. Alphonsus Regional Medical Center, Inc N Liberty St Ste 201 Boise, ID STARR Family Behavioral Health 2316 N Cole Rd Ste A Boise, ID Stay Strong Together 910 W Main St Ste 338 Boise, ID St Clair Specialty Physicians PC 5610 W Gage St Ste A Boise, ID Stephen Bushi MD 1902 W Judith Ln Ste 110 Boise, ID St Lukes Clinic-Saltzer Medical Group 8950 W Emerald Ste 168 Boise, ID St Lukes Clinic-Saltzer Medical Group St Luke's Clinic- Treasure Valley LLC 7272 W Potomac Dr Boise, ID N Sawgrass Way Boise, ID St Luke's Clinic- Treasure Valley LLC 1520 W State St Ste 100 Boise, ID St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC 130 E Boise Ave Boise, ID E Bannock St 10th Fl Boise, ID St Luke's Clinic- Treasure Valley LLC 403 S 11th St Ste 100 Boise, ID St Luke's Clinic- Treasure Valley LLC 100 E Idaho St Ste 316 Boise, ID St Luke's Clinic- Treasure Valley LLC 100 E Idaho St Ste 200 Boise, ID St Luke's Clinic- Treasure Valley LLC 703 S Americana Blvd Ste 120 Boise, ID St Luke's Clinic- Treasure Valley LLC 125 E Idaho St Ste 102 Boise, ID St Luke's Clinic- Treasure Valley LLC 1906 Fairview Ave Ste 350 Boise, ID St Luke's Neurosurgical Associates 100 E Idaho St Ste 200 Boise, ID Strickland Ear Clinic W Overland Rd Boise, ID Summit Counseling 413 Allumbaugh St Ste 102 Boise, ID Suzanne Burton LLC 5185 W Overland Rd Boise, ID Synergy Chiropractic and Nutrition 5418 N Eagle Rd Ste 120 Boise, ID Terry Reilly Health Services Terry Reilly Health Services Terry Reilly Health Services 408 N Allumbaugh St Boise, ID S 23rd St Boise, ID N Allumbaugh St Boise, ID The Allergy Group 1000 N Curtis Rd Ste 303 Boise, ID The Neighborhood Clinic The Pain Center 2036 N Cole Rd Boise, ID N 4th St Boise, ID Therapeutic Associates Inc 1520 W State St Ste 210 Boise, ID Therapeutic Associates Inc 960 Broadway Ave Ste 200 Boise, ID Therapeutic Associates, Inc.-Boise 1520 W State St Ste 210 Boise, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 18

23 Therapeutic Associates, Inc.-Boise 390 E Park Center Blvd Ste 130 Boise, ID The Shoulder Clinic of Idaho, PLLC 8854 W Emerald St Ste 102 Boise, ID The Walking Center Thiry Chiropractic 220 W Jefferson St Boise, ID W Parkcenter Blvd Boise, ID Thomas C. Manning, MD, Ph.D W Curtisian Ave Ste 400 Boise, ID Timothy J. Johans, M.D W Curtisian Ave Ste 400 Boise, ID Travis Jay Kemp MD 7979 W Rifleman St Boise, ID Treasure Valley Cardiology 900 N Liberty St Ste 302 Boise, ID Treasure Valley Endocirnology, P.C. 900 N Liberty St Ste 201 Boise, ID Treasure Valley Hearing & Balance Clinic 1084 N Cole Rd Boise, ID Troy Watkins, M.D. 125 E Idaho Ste 104 Boise, ID Troy Watkins, M.D W Emerald St Ste 170 Boise, ID University Professional Services Vision Quest Medical Center Warm Springs Counseling Wayland Fong MD 5610 S Gage St Boise, ID W Gage St Boise, ID E Warm Springs Ave Boise, ID S La Cassia Dr Boise, ID W. Bruce Cherny, M.D W Curtisian Ste 400 Boise, ID W. Bruce Cherny, M.D. 100 E Idaho Ste 202 Boise, ID Western Pacemaker Clinic PLLC 900 N Liberty St Ste 302 Boise, ID Westover Anesthesia PLLC 811 N Liberty St Boise, ID William Michael Tandy PhD LLC 6003 W Overland Rd Ste 301 Boise, ID Willis Family Chiropractic Garverdale Ct Ste 201 Boise, ID Willis Family Chiropractic Garverdale Ct Ste 201 Boise, ID Words of Wisdom Counseling Center LLC Words of Wisdom Counseling Center LLC 3724 N Buckingham Boise, ID W Rochester Dr Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonners Ferry Bonners Ferry Family Medicine, PLLC Boundary Community Clinics Boundary Community Hospital Boundary Community Hospital Specialty Clinic Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Kaniksu Health Services Moore Chiropractic Center North Idaho Nephrology Associates, Inc. Pend Orelle Vision Care Rawlings Community Counseling LLC 6488 Chinook Bonners Ferry, ID Kaniksu St Ste A Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID HCR 61 Box 61 A Bonners Ferry, ID Comanche St Bonners Ferry, ID Main St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Main St Bonners Ferry, ID Cody St Bonners Ferry, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 19

24 Sequel Alliance Family Services LLC Thompson Chiropractic Center Buhl Care Compassion Communication Family Health Services 6334 Main St Bonners Ferry, ID B Cody St Bonners Ferry, ID th Ave N Buhl, ID Fair St Buhl, ID (208) (208) (208) (208) Burley Arthritis Specialty Center, Inc Hiland Ave Burley, ID Asthma & Allergy of Idaho 1263 Bennett Ave Ste 3 Burley, ID Blackmer Foot & Ankle Group PA Evans Anesthesia Services, P.C. Family Health Services Portneuf Medical Practices Saint Alphonsus Specialty Services Inc 521 E Main St Burley, ID Hiland Ave Ste E Burley, ID Bennet Ave Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Burley, ID Speech Therapy Services LLC 1650 Overland Ave Ste 4 Burley, ID Wright LLC Caldwell 1945 Hiland Ave Burley, ID Abundance Behavioral Health Services Inc 524 E Cleveland Blvd Ste 230 Caldwell, ID Advanced Surgery of Idaho A Fresh Start Recovery Services LLC 404 E Elm St Caldwell, ID Blaine St Caldwell, ID Altitude 1906 Fairview Ave Ste 410 Caldwell, ID Apogee Medical Group Aspire Professional Counseling Services Balance Point Chiropractic Beacon Pain Clinic Boise Anesthesia, P.A. Boise Asthma & Allergy Clinic 1717 Arlington Ave Caldwell, ID Alkmaar ST Caldwell, ID E Logan St Caldwell, ID E Elm St Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Caldwell, ID Boise Kidney and Hypertension PLLC 4620 Enterprise Way Ste 100 Caldwell, ID Caldwell Chiropractic Center 104 E Pine St Caldwell, ID Caldwell 1818 S 10th Ave Ste 100 Caldwell, ID Caldwell Psychological Services Caldwell Urology PLLC Canyon Foot & Ankle Associates Carol Collins Chiropractic and Rehabilitiation Diagnostic Pathology Services, Inc. Downey Chiropractic Clinic 1815 S 10th Ave Caldwell, ID S Kimball Ave Caldwell, ID E Logan Caldwell, ID S 10th Ave Caldwell, ID Fairview Ave Caldwell, ID Arlington Ave Caldwell, ID E Pine St Caldwell, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (205) (208) (208) Preferred Provider Network 6/23/2016 Page 20

25 Downey Chirpractic Clinic 108 East Pine Caldwell, ID Eloisa S. Walker, M.D. 315 E Elm St Ste 100 Caldwell, ID Exodus Pain Clinic Exodus Pain Clinic Eye Associates Family Eyecare Specialists 409 E Elm St Caldwell, ID E Elm St Caldwell, ID Arlington Caldwell, ID Fairview Ave Caldwell, ID Foot & Ankle Medical Center 1818 S 10th Ste 250 Caldwell, ID Gem State Gem State LLP Human Supports of Idaho 1717 Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Badiola St Caldwell, ID Idaho Arthiritis and Ostpeoporosis Center, P.C S 10th Ave Ste 120 Caldwell, ID Idaho Emergency Physicians, P.A. Idaho Neurology 1717 Arlington Ave Caldwell, ID S Kimball Ave Caldwell, ID Idaho Sleep & Neurology, PLLC 1825 S Kimball Ave Ste 105 Caldwell, ID Imaging Center of Idaho, L.L.C Enterprise Way Caldwell, ID Lifeways Inc 2609 S 10th Ave Ste 102 Caldwell, ID McKim Chirorpactic 2523 S 10th Ave Ste 102 Caldwell, ID Michael Boyle, Ph.D. Mountain Land Rehabilitation Inc 5700 E Franklin Rd Caldwell, ID Enterprise Way Caldwell, ID Peak Mental Wellness and Counseling LLC 2805 Blaine St Ste 120 Caldwell, ID Primary Health Medical Group Primary Health Medical Group-Urgent Care RehabAuthority LLC RehabAuthority LLC 4815 Cleveland Blvd Caldwell, ID Cleveland Blvd Caldwell, ID E Pine St Caldwell, ID Cleveland Blvd Caldwell, ID Rocky Mountain Foot & Ankle 1818 S 10th Ave Ste 250 Caldwell, ID Russell T Snow DO PA 119 W Logan St Ste A Caldwell, ID Saint Alphonsus Medical Center-Ontario 1906 Fairview Ave Ste 430 Caldwell, ID Saint Alphonsus Regional Medical Center 315 E Elm St Ste 100 Caldwell, ID Saint Alphonsus Specialty Services Inc 315 E Elm St Ste 100 Caldwell, ID Saint Alphonsus Specialty Services Inc 1818 S 10th Ave Ste 200 Caldwell, ID Saint Alphonsus Specialty Services Inc 1818 S 10th Ave Ste 200 Caldwell, ID Saint Alphonsus Specialty Services Inc 3125 Medical Dr Caldwell, ID Saint Alphonsus Specialty Services Inc 1906 Fairview Ave Ste 430 Caldwell, ID Saint Alphonsus Specialty Services Inc 3123 Medical Dr Caldwell, ID Saint Alphonsus Specialty Services Inc 1906 Fairview Ave Ste 430 Caldwell, ID Saltzer Clinics Shannon Sorini LCSW 1818 S 10th Ave Caldwell, ID S 10th ave Caldwell, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (541) All practitioners providing services are (208) (208) (208) (208) (205) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 21

26 St Alphonsus Pathology Physcian Services 1717 Arlington Ave Caldwell, ID St. Alphonsus Regional Medical Center, Inc S 10th Ave Ste 200 Caldwell, ID St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID St. Alphonsus Regional Medical Center, Inc S 10th Ave Ste 200 Caldwell, ID St. Alphonsus Regional Medical Center, Inc Medical Dr Caldwell, ID St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID St. Alphonsus Regional Medical Center, Inc Fairview Ave Ste 430 Caldwell, ID St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID St. Alphonsus Regional Medical Center, Inc Fairview Ave Ste 430 Caldwell, ID St. Alphonsus Regional Medical Center, Inc Fairview Ave Ste 430 Caldwell, ID St Clair Specialty Physicians PC 1906 Fairview Ave Ste 430 Caldwell, ID St Lukes Clinic-Saltzer Medical Group 1818 S 10th Ave Caldwell, ID St Luke's Clinic- Treasure Valley LLC 315 E Elm St Ste 100 Caldwell, ID Terry Reilly Health Services Terry Reilly Health Services The Pain Center Treasure Valley Eyecare West Idaho Anesthesia West Idaho Orthopedic & Sports Medicine 2005 Arlington Ave Caldwell, ID Hope Ln Caldwell, ID S Kimball Ave Caldwell, ID S Kimball Ave Caldwell, ID Medical Dr Caldwell, ID E Elm St Caldwell, ID West Valley Medical Group LLC 211 E Logan St Ste 201 Caldwell, ID West Valley Medical Group LLC 211 E Logan St Ste 203 Caldwell, ID West Valley Medical Group LLC 211 E Logan St Ste 303 Caldwell, ID West Valley Medical Group LLC 1906 Fairview Ave Ste 200 & 230 Caldwell, ID West Valley Medical Group LLC 211 E Logan St Ste 203 & 303 Caldwell, ID West Valley Medical Group Specialty Services 315 E Elm St Ste 310 Caldwell, ID West Valley Medical Group Specialty Services 1906 Fairview Ave Ste 230 Caldwell, ID West Valley Professional Fee Billing, LLC 1717 Arlington Ave Caldwell, ID (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are Cascade Boise Orthopedic Clinic Boise Orthopedic Clinic Cascade Dermatology Clinic of Idaho Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Chubbuck 402 Old State Hwy Cascade, ID Old State Hwy Cascade, ID Lake Cascade PKWY Cascade, ID Duffers Ln Cascade, ID Old State Hwy Cascade, ID Lake Cascade Pkwy Cascade, ID (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 22

27 Center Counseling Services Chubbuck Chiropractic PA Custom Rehab LLC Elite Care Chiropractic Family Medical Clinic of Chubbuck Gerald L Knouf Health West Inc Idaho Skin Institute 265 E Chubbuck Rd Chubbuck, ID W Chubbuck Rd Ste A Chubbuck, ID E Cubbuck Rd Ste A Chubbuck, ID W Burnside Ave Ste D Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Burnside Ave Ste C Chubbuck, ID W Quinn Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID Lavon M. Cole 4460 Central Way Ste 2 Chubbuck, ID Mental Health Specialists Physicians Immediate Care Center Sanctuary Neuropsychology and Treatment Consultants 210 W Burnside Ave Chubbuck, ID W Chubbuck Rd Chubbuck, ID S Afton Pl Ste A Chubbuck, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Coeur D Alene Kathleen E Hosack CMHC 118 N 7th St Ste 5C Coeur D Alene, ID (208) Coeur d Alene 2 Hands 2005 Ironwood Pkwy Ste ACES Community Services 1417 N 4th St Action Orthopedics and Sports Medicine PLLC 1110 W Park Pl Ste Advanced Chiropractic Clinic Advanced Dermatology & Skin Surgery PLLC Advanced Dermatology & Skin Surgery PLLC 411 W Haycraft Ave Ste D1 Coeur d Alene, ID W Riverstone Dr W Riverstone Dr Alan B. Grosset, M.D. 700 Ironwood Dr Ste 103 Albert Crook DO 1103 W Ironwood Dr Ste A A New Hope Social Services, P.L.L.C. 202 E Anton Ave Ste 206 Coeur d Alene, ID Answers & Alternatives 5431 N Government Way Ste B Coeur d Alene, ID Appleway Chiropractic 213 W Appleway Ave Ste A Step Beyond 2201 N Government Way Ste K Asthma & Allergy of Idaho 714 W Appleway Ave Ste Basic Family Healthcare 401 Front Ave Ste B. Beville and Associates, LLC 315 W Dalton Ave Ste 103 Coeur d Alene, ID Borders Chiropractic 405 E Best Ste Cancer Care Northwest Centers PS 700 Ironwood Dr Ste Canfield Family Medicine, L.L.C. 700 Ironwood Dr Ste 234 Cardiology Associates of Spokane LLC 980 W Ironwood Dr Ste CDA Hand Therapy & Healing Center 2448 N Merritt Creek Loop Centennial Eye Care Center 255 W Canfield Ave Ste 6 Coeur d Alene, ID Cheri McCormack Counseling Services LLC 1042 W Mill Ave Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 23

28 Chiropractic Pain Relief 850 W Ironwood Dr Ste Chiropractic Therapeutics Christopher Butler DPM PC Coeur D'Alene Arthritis Clinic 1019 W Lacrosse Ave N Ironwood Center Dr W Ironwood Dr Coeur D Alene Foot and Ankle Clinic LLC 101 Ironwood Dr Ste 131 Coeur D'Alene Pediatrics PA 700 W Ironwood Dr Ste Coeur D'Alene Pediatrics PA 700 W Ironwood Dr Ste Coeur d Alene 1917 N Lakewood Dr Coeur d'alene Primary Care LLC 2065 Riverston Dr Ste 203 Coeur d Alene Spine and Brain PLLC 3320 N Grand Mill Ln Coeur D'Alene Surgical and Vein Center, PLLC 608 Northwest Blvd Ste Competitive Fitness & 1321 W Northwood Center Ct Ste B Cultivation Counseling 211 E Coeur d Alene Ave Ste Daniel S Hayes PhD & Associates LLC 2190 Ironwood Center Dr Ste David Aggen, D.C., Inc N Sunshine St Coeur d Alene, ID Dawn Saari Counseling 212 S 11th St Ste Don J. Schmitt, M.D. Educational & Psychological Services PLLC 1110 Ironwood Drive 1103 W Ironwood Dr Edward detar, M.D. 700 Ironwood Dr Ste 304 Elite EyeCare P.C. 101 Ironwood Dr Ste 181 Elizabeth M. Mathes, L.M.F.T. 118 N 7th St Ste B Ellenbecker Eye Clinic, P.L.L.C W Riverstone Drive Ste 101 Emily M Hart LMHC 1015 W Ironwood Dr Ste Empire Eye Physicians PS Empire Eye Physicians PS 2175 N Main St Ste A 2175 N Main St Ste A Family Health Associates 914 W Ironwood Dr Suite Family Health Associates 914 W Ironwood Dr Suite Family Medicine Coeur d' Alene, P.A. 700 Ironwood Dr Ste 101 Gavin S. Young, M.D Lincoln Way Ste Gregory R Keese MD PC Hallowitz Holistic Healing PS 1107 W Ironwood Dr N 4th St Haluk Tezcan, M.D. 700 Ironwood Dr Ste 103 Hayden Lake 7780 Mineral Dr Coeur d Alene, ID Health Care for Women 1800 Lincoln Way Ste Health Care for Women 980 W Ironwood Dr Ste Heart Clinics Northwest A Division of Kootenai Medical Center 700 Ironwood Dr Ste Henneberg & Kim OBGYN PLLC 980 W Ironwood Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 24

29 Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health 916 Ironwood Dr 108 E Walnut Street 201 E Harrison Ave W Park Pl W Park Pl Ste B W Haycraft Ave Coeur d Alene, ID W Hubbard St Heritage Health 2201 Ironwood Pl Ste 100 Heritage Health Heritage Health Higgins Clinic NW 1765 W Golf Course Rd Coeur d Alene, ID W Mill Ave 1250 N Northwood Center Ct Houk Chiropractic-Coeur d Alene PC 610 W Hubbard St Ste Idaho Hand and Upper Extremity Therapy 920 Ironwood Dr Ste 207 Ingrid Madsen PLLC 1110 W Park Pl Ste Inland Northwest Spine and Neurosurgery PLLC 850 W Ironwood Dr Ste IPC of Washington Ironwood Drive 2003 Kootenai Health Way Ironwood Center Dr Ironwood 920 Ironwood Dr Ste Jill Gronholz, D.O. John A Sturges MD PA 1401 N Lincoln Way 2170 Ironwood Center Drive Suite A John A Wolfe PhD 2190 Ironwood Center Dr Ste 2 Jonathan S. King, M.D., P.C Ironwood Dr Journey To Wellness Counseling Center 2005 Ironwood Pkway Ste 119 Jud Leifheit 421 E Coeur d' Alene Ave Ste 1A Judy Kimes MS LCPC LMFT 1130 W Prairie Ave Ste 1 Coeur d Alene, ID Julie C Thibault Julie Walker Katherine Crawford LCSW 2448 Merritt Creek Loop Ste 2F Merritt Creek Loop Ste 2F W Ironwood Dr Ste A Kootenai Audiology, L.L.C. 700 W Ironwood Dr Ste Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 2003 Kootenai Health Way Governmment Way 2003 Kootenai Health Way Lincoln Way Kootenai Health 700 Ironwood Dr Ste 301 (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 25

30 Kootenai Health 980 W Ironwood Dr Ste Kootenai Health 920 Ironwood Dr Ste 1600 Kootenai Health Kootenai Health 1701 Lincoln Way Kootenai Health Way Kootenai Health 1300 E Mullan Ave Ste Kootenai Health Kootenai Health 700 Ironwood Dr 2121W Ironwood Center Dr Kootenai Health 700 Ironwood Dr Ste Kootenai Health 700 Ironwood Dr Ste Kootenai Health 700 Ironwood Dr Ste 234 Kootenai Health 2003 Kootenai Health Way Kootenai Health 1919 Lincoln Way Ste 110 Kootenai Health 1919 Lincoln Way Ste 315 Kootenai Health 1919 Lincoln Way Ste 211 Kootenai Health 1919 Lincoln Way Ste 415 Kootenai Health 2003 Kootenai Health Way Ste Kootenai Health 700 W Ironwood Dr Ste Kootenai Health 700 W Ironwood Dr Ste Kootenai Health 700 W Ironwood Dr Ste Kootenai Health 700 Ironwood Dr Ste Kootenai Health 2003 Kootenai Health Way Kootenai Health 1110 W Park Pl Ste 202 Kootenai Health 1919 Lincoln Way Ste Kootenai Imaging Kootenai Imaging 2003 Kootenai Health Way W Ironwood Dr Kootenai Imaging 700 Ironwood Dr Ste 100 Kootenai Imaging Kootenai MRI 2003 Lincoln Way 825 W Ironwood Dr Kootenai Outpatient Imaging 700 Ironwood Dr Ste 110 Kootenai Urgent Care LLC 566 W Prairie Ave Coeur d Alene, ID Kootenai Urgent Care LLC 700 Ironwood Dr Ste 202 Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Vision Center, P.L.L.C. Lake City PA 700 Ironwood Dr Ste 120E Ironwood Dr Ste 258N Ironwood Dr Ste 220E 1112 W Ironwood Dr N 3rd St Ironwood Dr Ste C (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (209) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 26

31 Lake City PA Lakeland Family Medicine Lakeside Holistic Health, PLLC 2170 Ironwood Center Dr Ste B 1404 E Sherman Ave N 4th St Lakeside Pediatric and Adolescent Medicine, P.L.L.C. 980 W Ironwood Dr Ste 302 Coeur d Alene, ID Lakewood, L.L.C. Laura Sferra LCPC LLC Leanne Elisha Leonard D. Guth, M.D., P.C N Lincoln Way 520 E Coeur d Alene Ave W Ironwood Dr Ste A 5424 N Martha Lp Coeur d Alene, ID Liberty Services LLC 1042 W Mill Ave Ste Lisa L. Robinson, OD, PC Lloyd E. Witham, M.D., P.A. Michael E. Coats, M.D., P.L.L.C. 409 West Neider Avenue Suite C Coeur d Alene, ID Ironwood Dr 2022 N Goverment Way Michael J. Drager, D.P.M. 850 West Ironwood Drive Suite 301 Michael T. May, M.D. 700 Ironwood Dr Ste 304 Midlife Center Monarch Mental Health 1423 N Government Way E Sherman Ave Monarch Mental Health 2115 E Sherman Ave Ste 102 & Natural Spine Solutions Neurosurgery and Spine Northwest 3913 N Schreiber Way Coeur d Alene, ID N Merritt Creek Loop Ste A Northern Idaho Hand Rehabilitation PLLC 943 W Ironwood Dr Ste North Idaho Dermatology North Idaho Eye Institute PA 2288 N Merritt Creek Lp Lincoln Way North Idaho Lung, Asthma and Critical Care LLC 700 W Ironwood Dr Ste North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho 2003 Lincoln Way 2100 Ironwood Ct Ste A Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 1917 N Lakewood Dr North Idaho Urology PLLC 980 W Ironwood Dr Ste North Lakes Family Center Northwest Specialty Hospital Northwest Specialty Hospital 611 Lakeside Ave 315 W Dalton Ave Ste A Coeur d Alene, ID W Dalton Ave Ste B Coeur d Alene, ID Northwest Specialty Hospital 315 W Dalton Ave Ste 100 Coeur d Alene, ID NW Heart & Lung Surgical Assoc 2003 Kootenai Health Way Ste On Site for Seniors Inc 1052 W Mill Ave Orthopedic Institute 980 Ironwood Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 27

32 Orthopedic Specialty Institute LLC 1875 N Lakewood Dr Ste Pain Management of North Idaho 1686 W Riverstone Dr Ste Paladin Services 1042 W Mill Ave Ste Pathways of Idaho LLC Pathways of Idaho LLC 1417 N 4th St E Sherman Peach Counseling 2101 Lakewood Dr Ste & Sports Medicine Institute 850 W Ironwood Dr Ste Pinnacle and Sports Medicine Post Falls Chiropractic Prairie Family Medicine PLLC 3322 Grand Mill Lane N 4th St W Prairie Ave Coeur d Alene, ID Prairie Family Medicine PLLC 560 W Canfield Ave Ste 400 Coeur d Alene, ID Pure Inc N Government Way Ste 3 Coeur d Alene, ID Radia 315 W Dalton Ave Ste A Coeur d Alene, ID Raymond K. Greene, O.D., P.A. 850 Ironwood Dr Ste 104 Relief Workers Massage Therapy PLLC 1110 W Park Pl Ste Relief Workers Massage Therapy PLLC 1110 W Park Pl Ste Resilience Psychiatric Medicine 1417 N 4th St Restored Horizons 2115 E Sherman Ave Ste River City 370 E Kathleen Ave Ste 500 Coeur d Alene, ID Riverside Counseling, Inc. Riverwood Counseling LLC 408 E Montana St W Riverstone Dr Robert G. Holman, M.D. 700 Ironwood Drive Suite 304 Robert William Hagen MD Inc 416 E Coeur d A'lene Ave Rockwood Clinic PS 700 Ironwood Ave Ste 334 Rockwood Clinic PS 980 W Ironwood Dr Ste Rockwood Clinic PS 700 Ironwood Dr Ste Rockwood Clinic PS 700 W Ironwood Dr Ste Roy L Clapper OD Ryan Averett DPM PC Spencer D. Greendyke, M.D., L.L.C. Stephen Gajewski LLC 355 E Neider Ave Coeur d Alene, ID W Ironwood Center Dr N Grand Mill Ln N Merritt Creek Loop Ste 2E Stillpoint, L.L.C. 212 S 11th St Ste Stoddard Chiropractic 1025 Ironwood Dr Ste 2 Susan Keeley Counseling Services PC 1042 W Mill Ave Ste Susan M Beglinger LMFT 206 E Indiana Ave Ste Swayze Chiropractic, P.C. 402 W Canfield Ave Ste 3 Coeur d Alene, ID The Laser and Vein Center, P.L.L.C. 608 Northwest Blvd Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (509) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 28

33 The Lyman Knee Clinic 1875 N Lakewood Dr Ste 200 Thomas K. Thilo, M.D. 700 Ironwood Drive Suite 304 TRockwell LMP Inc 520 E Coeur D'Alene Ave Unlimited Health Chiropractic 320 E Neider Ave Ste 105 Coeur d Alene, ID Vein Clinics Northwest PLLC 850 Ironwood Dr Ste 201 Vickie L. Arriaga-Thorne, L.M.F.T W Ironwood Dr Ste A William M. Green, Ph.D /2 Sherman Avenue Suite 206 Coeur d Alene, ID (208) (208) (509) (208) (208) (208) (208) Cottonwood Heart Clinics Northwest A Division of Kootenai Medical Center St Mary's Cottonwood Clinic St Mary's Hospital Inc Craigmont St Mary's Craigmont Clinic 701 Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID N Division St. Craigmont, ID (208) (208) (208) (208) Dalton Gardens North Idaho Nephrology Associates, Inc N Mineral Dr Ste 850 Dalton Gardens, ID Open Mind Wellness 5920 N Government Way Ste 4 Dalton Gardens, ID (866) (208) Downey Health West Inc 79 N Main St Downey, ID (208) Driggs High Peaks PA Medical Imaging Associates of Idaho Falls PA Occupational Therapy Unlimited LLC Pocatello Podiatry Associates PA 500 Ski Hill Rd Driggs, ID E Howard Ave Driggs, ID E Little Ave Driggs, ID Valley Center Dr Driggs, ID Streubel Therapy Services 18 N Main St Ste 215 Driggs, ID Eagle Aesthetic Eye PC 323 E Riverside Dr Ste 136 Eagle, ID Boise Asthma & Allergy Clinic 323 E Riverside Dr Ste 204 Eagle, ID Booth Psychological Solutions, PLLC 4060 E Chinden Blvd Eagle, ID Bridgeway Health Services 1032 S Bridge Way Pl Ste 110 Eagle, ID Cottonwood Family Medicine 100 Cottonwood Ct Ste 150 Eagle, ID Eagle Cramer Chiropractic PA 1580 E State St Ste 104 Eagle, ID Eagle Creek Family Medicine 1281 E Iron Eagle Dr Eagle, ID Eagle Family Health 445 S Fitness Pl Ste 130 Eagle, ID Eagle Family Medicine, PA 100 W Cottonwood Ct Ste 100 Eagle, ID Eagle Healh & Wellness 868 E Riverside Dr Ste 200 Eagle, ID Eagle Hearing 440 E State St Ste 100 Eagle, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 29

34 Eagle Pediatrics PA Eagle Vision One 125 N Stierman Way Ste A Eagle, ID S Eagle Rd Eagle, ID Elks Rehab System 533 S Rivershore Ln Ste 120 Eagle, ID Ellison Family Chiropractic 3225 W Bavaria St Ste 101 Eagle, ID Eye 2 Eye 440 E State St Ste 140 Eagle, ID Gem State 323 E Riverside Dr Ste 108 Eagle, ID Gem State LLP 323 E Riverside Dr Ste 108 Eagle, ID Gem State LLP 323 E Riverside Dr Ste 108 Eagle, ID Idaho Allergy 379 E Shore Dr Ste 100 Eagle, ID Idaho Emergency Physicians, P.A. 323 E Riverside Dr Eagle, ID Idaho Surgical Partners 323 E Riverside Dr Ste 220 Eagle, ID Intermountain Eye & Laser Centers PLLC 323 E Riverside Dr Ste 122 Eagle, ID Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID John "Jay" Robertson PhD LMFT 849 E State St Ste 105 Eagle, ID Keystone Health 1159 E Iron Eagle Dr Ste 170 Eagle, ID Lawrence Sassadeck, D.C. 593 E State St Eagle, ID Lisa Johnson Counseling and Consulting LLC 325 E Shore Dr Ste 120 Eagle, ID L Schlickman MD PLLC 1139 E Winding Creek Dr Eagle, ID Mountain Land Rehabilitation Inc 875 E Plaza Dr Ste 103 Eagle, ID Overton Stiff Professional Anesthesia Services Inc 90 Cottonwood Ct Ste 100 Eagle, ID Overton Stiff Professional Anesthesia Services Inc 80 Cottonwood Ct Ste 100 Eagle, ID Overton Stiff Professional Anesthesia Services Inc 325 E Shore Dr Ste 100 Eagle, ID Pain Care Clinic of Idaho 742 E State St Ste 150 Eagle, ID Peak, P.C. 90 W Cottonwood Ct Ste 150 Eagle, ID Peak, P.C W Bavaria St Eagle, ID Peine Osteopathic Medicine 507 S Fitness Pl Ste 110 Eagle, ID Primary Health Medical Group 435 S Eagle Rd Ste 100 Eagle, ID Primary Health Medical Group-Urgent Care 435 S Eagle Rd Ste 100 Eagle, ID Rocky Mountain Foot & Ankle 323 E Riverside Dr Ste 204 Eagle, ID Rocky Mountain Health & Wellness 951 E Plaza Dr Ste 110 Eagle, ID Saint Alphonsus Rehabilitation Services 323 E Riverside Dr Ste 124 Eagle, ID Saint Alphonsus Specialty Services Inc 323 E Riverside Dr Ste 224 Eagle, ID Silver Creek Forensic & Clinical Psychology PLLC 1005 E Winding Creek Dr Ste 155 Eagle, ID St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 600 E State St Eagle, ID W Bavaria St Eagle, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 30

35 St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID St. Alphonsus Regional Medical Center, Inc. State of Mind Counseling and Neurofeedback Center LLC 3217 W Bavaria St Eagle, ID N Palmetto Ave Ste 1626 Eagle, ID State of Mind Counseling & Wellness Center 141 N Palmetto Ave Ste 1626 Eagle, ID Therapeutic Associates Inc 12 N Fisher Park Way Ste 100 Eagle, ID Winding Creek Medical Arts Emmett 1139 E Winding Creek Dr Eagle, ID Daniel M Pewe DC PC 288 Highway 16 Ste 101 Emmett, ID Emmett Counseling and Psychiatric Services LLC 2007 E Quail Run Rd Ste 1 Emmett, ID Emmett Eye Center Emmett Family Medicine & Direct Primary Care Emmett Medical Center, P.L.L.C. Foot & Ankle Medical Center Foot & Ankle Medical Center Gardner Chiropractic Gem Gem State Gem State LLP King PC Mountain Land Rehabilitation Inc Overton Stiff Professional Anesthesia Services Inc Russell T Snow DO PA Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Schreck Chiropractic & Wellness St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. The Walking Center Valley Family Health Care Valor Health-Emmett Medical Center Valor Health-Emmett Medical Center Valor Health-Emmett Medical Center Valor Health Family Medicine West Idaho Orthopedic & Sports Medicine 1108 S Washington Ave Emmett, ID E Quail Run Rd Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Washington Ave Emmett, ID S Washington Ave Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Commercial Emmett, ID S Washington Ave Emmett, ID S Washington Ave Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Washington Ave Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E 12th St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID N Wardwell Ave Emmett, ID E Locust St Emmett, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) Fairfield Family Health Services 401 W Camas Ave Fairfield, ID (208) Preferred Provider Network 6/23/2016 Page 31

36 Firth Firth Medical Center PLLC Fort Hall Pocatello Podiatry Associates PA 114 S Main St Firth, ID Mission Rd Fort Hall, ID (208) (208) Fruitland Allergy Clinic - Idaho, Inc. Christian Counseling Services CT Derm PC Eloisa S. Walker, M.D. Foot & Ankle Medical Center Iwasa Eye Center PA 1300 NW 16th St Fruitland, ID S Iowa Ave Fruitland, ID NW 12th St Fruitland, ID NW 16th Fruitland, ID NW 16th St Fruitland, ID NW 12th St Fruitland, ID Lifeways Inc 1611 N Whitley Dr Ste 7 Fruitland, ID Lifeways Inc 4944 Whitley Dr Ste 7 Fruitland, ID Memorial Hospital 1210 NW 16th St Fruitland, ID Nan Moss Counseling 1509 N Whitley Ste 11 Fruitland, ID Precision Chiropractic RehabAuthority LLC 720 Syringa Springs Dr Fruitland, ID N Whitley Dr Ste 1A Fruitland, ID Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 101 Fruitland, ID Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 102 Fruitland, ID Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 205 Fruitland, ID Saint Alphonsus Regional Medical Center 1118 NW 16th St Ste A Fruitland, ID Saint Alphonsus Rehabilitation Services (STARS) 910 NW 16th St Ste 200 Fruitland, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 1118 NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 101 Fruitland, ID Saint Alphonsus Specialty Services Inc 910 NW 16th St Fruitland, ID Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 101 Fruitland, ID Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 102 Fruitland, ID Snake River Dermatology Specialty Clinic of Idaho Inc St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc NW 16th St Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Ste 101 Fruitland, ID (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (541) All practitioners providing services are (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 32

37 St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Ste 101 Fruitland, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Fruitland, ID NW 16th St Fruitland, ID St Clair Specialty Physicians PC 910 NW 16th St Ste 102 Fruitland, ID St Luke's Clinic- Treasure Valley LLC Therapy Connection LLC 1210 NW 16th St Fruitland, ID N Whitley Dr Ste 1A Fruitland, ID Total Wellness Chiropractic & Holistic Care 211 N Whitley Dr Ste 4 Fruitland, ID Tri-City 215 N Whitley Dr Ste 1 Fruitland, ID Western Pacemaker Clinic PLLC West Idaho Orthopedic & Sports Medicine 910 NW 16th St Fruitland, ID NW 16th St Fruitland, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) Garden City Primary Health Medical Group Primary Health Medical Group-Urgent Care Riverside Rehab Garden Valley Acheive PLLC Garden Valley Family Medicine, P.C. Glenns Ferry Gem State LLP Glenns Ferry Health Center, Inc. Grand View Glenns Ferry Health Center, Inc. Grangeville Brown Family Vision Providence Spokane Heart Institute Providence Spokane Heart Institute St Mary's Grangeville Clinic Syringa General Hospital District CIF Syringa General Hospital District CIF Valley Medical Center, P.L.L.C. Valley Medical Center, P.L.L.C. Hailey Asthma & Allergy of Idaho Blackmer Foot & Ankle Group PA Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc W Chinden Blvd Garden City, ID W State St Garden City, ID W Riverside Dr Garden City, ID Banks Lowman Rd Garden Valley, ID Banks Lowman Rd Garden Valley, ID W 1st Ave Glenns Ferry, ID W First Ave Glenns Ferry, ID Main Street Grand View, ID W North St Grangeville, ID W Main Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID S Main Hailey, ID E Maple St Ste G Hailey, ID E Maple St Ste A Hailey, ID S Main Hailey, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 33

38 Hayden Active Family Healthcare PLLC Advanced Rehab Alpine Center Blue Chip Chiropractic, L.L.C. Body Tech Massage & Wellness Inc Chiropractic Pain Relief Coeur D'Alene Pediatrics PA 8836 N Hess Ste E Hayden, ID N Hess St Ste C Hayden, ID N Cornerstone Dr Hayden, ID N Wayne Drive Hayden, ID W Hayden Ave Hayden, ID N Wayne Blvd Hayden, ID N Hess St Hayden, ID Cunningham Chiropractic PC 8827 N Government Way Ste 3 Hayden, ID Eye Guys Optical Fitness Plus Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Hayden Lake Chiropractic Hayden Lake Family Physicians Hayden Vision Source Joshua Tree Kootenai Health Lake City PA Lakewood, L.L.C. Lindauer Vision Clinic Makaia Foster North Idaho Nephrology Associates, Inc. North Star and Wellness Palliative Care of North Idaho Palliative Care of North Idaho Physio One Tessendorf Family Chiropractic LLC Walk-In Clinic 8160 N Cornerstone St Ste B Hayden, ID W Hayden Ave Hayden, ID N Hess St Ste A Hayden, ID N Hess St Ste A Hayden, ID North Cornerstone Drive Hayden, ID Cornerstone Drive Hayden, ID Government Way Hayden, ID N Government Way Hayden, ID W Prairie Ave Hayden, ID N Goverment Way Hayden, ID W Hayden Ave Hayden, ID W Honey Suckle Ave Hayden, ID W Hayden Ave Hayden, ID N Hess Ste C Hayden, ID N Hess St Ste B Hayden, ID N Government Way Hayden, ID N Government Way Hayden, ID N Wayne Dr Hayden, ID W Biztown Loop Hayden, ID W Prairie Shopping Ctr Hayden, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (207) (509) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Hayden Lake Empire Eye Physicians PS Homedale RehabAuthority LLC RehabAuthority LLC Terry Reilly Health Services Horseshoe Bend 8445 N Government Way Hayden Lake, ID W Idaho Ave Homedale, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID (509) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 34

39 Acheive PLLC 400 Highway 55 Horseshoe Bend, ID Garden Valley Family Medicine, P.C. Idaho City 102 Quinn St Horseshoe Bend, ID East Boise County Medical Clinic 3852 Highway 21 Idaho City, ID Idaho Falls Active Change Center 901 Pier View Dr Ste 204 Idaho Falls, ID Allied Healthcare PLLC Baker Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Boyd L. Hammond, M.D., P.A. Bradford L. Talcott, M.D., Ph.D., P.C. Brad Jamison Chiropractic, P.L.L.C S 15th E Idaho Falls, ID John Adams Pkwy Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Channing Way Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Elk Creek Dr Idaho Falls, ID E 17th st Idaho Falls, ID Coronado St Idaho Falls, ID S Woodruff Idaho Falls, ID Bridgewater Counseling PLLC 1075 S Utah Ste 352 Idaho Falls, ID Burke Family Chiropractic Integrative Health Services, Inc E 17th St Idaho Falls, ID Carriagehouse Obstetrics and Gynecology LLC 1570 Midway Ste 1 Idaho Falls, ID Channing PC 2570 Channing Way Idaho Falls, ID Cloverleaf Therapy 3000 Pancheri Dr Unit 3 Idaho Falls, ID Community Care Channing Way LLC Community Care, P.L.L.C. Dan I Dragotoiu Daniel K. Hinckley, M.D. Daron L. Scherr, M.D., P.A. Eastern Idaho Cardiology Associates PLLC Eastern Idaho Foot Clinic 2725 Channing Way Idaho Falls, ID S Utah Ave Idaho Falls, ID S Woodruff Idaho Falls, ID E 17th st Suite A Idaho Falls, ID Valencia Dr Idaho Falls, ID S Woodruff Ave Ste 12A Idaho Falls, ID Channing Way Idaho Falls, ID Eastern Idaho Medical Consultants 2985 Cortez Ave Ste 200 Idaho Falls, ID Eastern Idaho Neurological Associates, P.A. Eastern Idaho Regional Medical Center Inpatient Services 2353 Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID East Falls Cardiovascular and Thoracic Surgery, L.L.C Channing Way Ste 112 Idaho Falls, ID East Falls Cardiovascular and Thoracic Surgery, L.L.C S Woodruff Idaho Falls, ID East Falls Family Medicine LLC 2860 Channing Way Ste 100 Idaho Falls, ID East Falls Family Medicine LLC East Falls Plastic Surgery 3242 S Woodruff Ave Idaho Falls, ID Channing Way Ste 114A Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 35

40 East Idaho Anesthesia Associates PC 1540 Elk Creek Dr Idaho Falls, ID East Idaho Ear Nose Throat - Facial Plastic Surgery PA 3446 S 15th E Idaho Falls, ID EIRMC Hospitalist Services Ellis Excellence in Medicine INC Eye Clinic of Idaho Falls PA Family First Medical Center, PLLC Foot & Ankle Specialists of Idaho PC Foothills Rehabilitation and Performance Services LLC Gene K Hodges MD Grand Teton Child Neurology Grand Teton Chiropractic PC Grand Teton Gastroenterology Gregory E. Biddulph, M.D. Grove City Anesthesia LLC 3100 Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Idaho Falls, ID S Holmes Ave Idaho Falls, ID Washington Parkway Idaho Falls, ID E 17th St Idaho Falls, ID Woodking Dr Idaho Falls, ID E 17th St Ste A Idaho Falls, ID Oxford Dr Idaho Falls, ID E 17th St Idaho Falls, ID Cortez Ave Idaho Falls, ID Washington Pkwy Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID Health & Wellness Center of Idaho, P.L.L.C S Woodruff Ave Ste 5 Idaho Falls, ID High Valley Dermatology & Dermatologic Surgery, PLLC Huntsman Orthopaedic Surgery & Sports Medicine Idaho Behavioral Health Services Idaho Eye Center, P.A Providence Way Idaho Falls, ID Washington Pkwy Idaho Falls, ID E 25th St Idaho Falls, ID E 17th St Idaho Falls, ID Idaho Falls Clinic, P.A S Woodruff Ste 15 Idaho Falls, ID Idaho Falls Dermatology PA 2860 Channing Way Ste 121 Idaho Falls, ID Idaho Falls 3360 Washington Pkwy Ste 1 Idaho Falls, ID Idaho Falls Hand Surgery Idaho Falls Infectious Diseases, P.L.L.C. Idaho Falls Pediatrics Idaho Falls Pulmonary-Sleep & Critical Care Specialists PC Idaho Foot and Ankle Center Idaho Heart Institute Idaho Kidney Institute, L.L.P. Idaho Neurosurgery & Spine PLLC Idaho Neurosurgery & Spine PLLC Idaho Orthopaedic Surgery, P.C. Idaho Physician Services Inc Idaho Physician Services Inc Idaho Physician Services Inc Intermountain Emergency Physicians 933 S Utah Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Coronado St Idaho Falls, ID E 25th St Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Cortez Ave Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Potomac Way Idaho Falls, ID E Sunnyside Rd Ste F Idaho Falls, ID Merlin Dr Idaho Falls, ID Channing Way Ste 100A Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 36

41 Intermountain Radiation Oncology PA Jason G Dalling Julian de Bruyn Kops MD PC Kenneth Krell MD PA Leavitt Women's Healthcare Life Change Associates, PLLC Life Spring Women's Clinic, P.A. Lisa Porter Lynn J Stromberg MD PA 1550 Hoopes Ave Idaho Falls, ID Washington Pkwy Idaho Falls, ID E 17th St Ste C Idaho Falls, ID Channing Way Idaho Falls, ID Elk Creek Dr Idaho Falls, ID S Woodruff Ave Idaho Falls, ID John Adams Pkwy Idaho Falls, ID E Lincoln Rd Ste B Idaho Falls, ID Coronado St Idaho Falls, ID Machen Family Medicine PC 3500 Potomac Way Ste 100 Idaho Falls, ID Manual Solutions PLLC 2640 Channing Way Idaho Falls, ID Manual Solutions PLLC 1075 S Utah Ave Ste 351 Idaho Falls, ID Mark E Freeman MD PC Mark Weight MD PC Mark Weight MD PC Maternal Fetal Services of Utah, L.L.C. Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 3760 Washington Pkwy Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID Medical Imaging Associates of Idaho Falls PA 2001 S Woodruff Ave Ste 20 Idaho Falls, ID Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Mental Wellness Centers Monarch Healthcare PLLC Monarch Healthcare PLLC Mountain Crest Foot and Ankle, P.A. Mountain States Neonatology Inc Mountain States Neonatology Inc Mountain States Neonatology Inc Mountain View Hospital LLC Mountain View Hospital LLC 2725 Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID E 25th St Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Ste A102 Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (801) (208) (801) (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 37

42 Mountain View Hospital LLC Mountain View Hospital LLC Mountain View Hospital LLC 919 South Utah Ave Idaho Falls, ID Desoto St Idaho Falls, ID E 17th St Idaho Falls, ID Mountain West Dermatology 3425 Merlin Dr Ste 200 Idaho Falls, ID Mountain West Ear Nose and Throat PC MVH Anesthesia, LLC Neurobehavioral & Developmental Disorders Clinic 1582 Elk Creek Dr Idaho Falls, ID Coronado St Idaho Falls, ID W Broadway St Ste G Idaho Falls, ID New Beginnings, Inc East 25th St Ste 185 Idaho Falls, ID Northstar Healthcare LLC 1995 E 17th St Ste 2 Idaho Falls, ID Obstetrics and Gynecology Associates of Idaho Falls 2065 E 17th St Ste D Idaho Falls, ID Overton Stiff Professional Anesthesia Services Inc 1570 Midway Dr Ste 1 Idaho Falls, ID Overton Stiff Professional Anesthesia Services Inc Pain Specialists of Idaho, L.L.C. Pathology Associates of Idaho Falls 2327 Coronado St Idaho Falls, ID E Sunnside Rd Ste J Idaho Falls, ID Channing Way Idaho Falls, ID Peak Performance Therapy Services 3456 E 17th st Ste 130 Idaho Falls, ID Performance Therapy 3125 Valencia Dr Idaho Falls, ID Peter M. Cannon, M.D S Woodruff Ste 4 Idaho Falls, ID Premier Eye Care of Eastern Idaho PLLC 1449 E 17th St Idaho Falls, ID Radial First Cardiovascular Associates LLC 2001 S Woodruff Ave Ste 3 Idaho Falls, ID RehabAuthority LLC RehabAuthority LLC Rencher Robert J Lee MD PC Rocco P. Cifrese, M.D. Rocky Mountain Diabetes and Osteoporosis Center Rocky Mountain Diabetes and Osteoporosis Center Ronald M. Zohner, M.D. Rosemark WomenCare Specialists Rosemark WomenCare Specialists Sarah Vlach, M.D. Shoulder & Knee Center, P.A. Simpson DermCare and Family Medicine PLLC Southeast Idaho Stanley J. Cheslock, M.D. Sterling Physician Group PLLC Summit Health Professionals, P.L.L.C. Summit Orthopaedics 720 S Woodruff Ave Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Channing Way Idaho Falls, ID S 15th E Idaho Falls, ID E 17th St Idaho Falls, ID E 25th St Idaho Falls, ID Washington Parkway Idaho Falls, ID st St Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Channing Way Ste A Idaho Falls, ID E 17th St Idaho Falls, ID Teton Plaza Ste B Idaho Falls, ID Channing Way Idaho Falls, ID E 17th St Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Washington Pkwy Idaho Falls, ID Coronado St Idaho Falls, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (20) x5233 (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (206) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 38

43 Superior Surgery Center Anesthesia PLLC 3345 Potomac Way Idaho Falls, ID E Sunnyside Rd Ste B Idaho Falls, ID Terry Baker MD 3200 Channing Way Ste A-105 Idaho Falls, ID Teton Foot & Ankle Center PC 3345 S Holmes Ave Idaho Falls, ID Teton Diagnostic, L.L.C S Woodruff Ste 17 Idaho Falls, ID Teton Diagnostic, L.L.C. Teton Vision Center Teton Vision Center PLLC 2922 Cortez Idaho Falls, ID S Ammon Rd Idaho Falls, ID S Ammon Rd Idaho Falls, ID Teton Women's Health Center 2001 S Woodruff Ste 10 Idaho Falls, ID The Pediatric Center Tony D. Quinton, D.P.M., P.L.L.C Washington Pkwy Idaho Falls, ID Merlin Dr Idaho Falls, ID Total Family Medicine, P.L.L.C E 17th St Ste 5 Idaho Falls, ID Zoe Interventional Pain Management LLC 2060 S Woodruff Ave Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Jerome Eloisa S. Walker, M.D. Family Care Physicians Family Health Services Family Health Services St Lukes Clinic - Jerome Family Medicine St Luke's Jerome ER Wright LLC Kamiah St Mary's Kamiah Clinic Kellogg Cardiology Associates of Spokane LLC Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Henneberg & Kim OBGYN PLLC Henneberg & Kim OBGYN PLLC Heritage Health James P Osmanski DO Kellogg Inc Kootenai Health Mary-Alice Janzen, M.D. Medical Imaging Associates of Idaho Falls PA Mountain Health Services, P.C th Ave Jerome, ID W 5th Jerome, ID West Ave A Ste B Jerome, ID Pioneer Ct Jerome, ID th Ave W Jerome, ID N Lincoln Ave Jerome, ID Pioneer Ct Jerome, ID Oak St Kamiah, ID McKinley Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Avenue Kellogg, ID McKinley Ave Kellogg, ID Oregon Street Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) Preferred Provider Network 6/23/2016 Page 39

44 North Idaho Eye Clinics, Inc. North Idaho Nephrology Associates, Inc. North Idaho Urology PLLC Rockwood Clinic PS Shoshone Medical Center Providers Kendrick Gritman Medical Center 403 Bunker Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID E Main St Kendrick, ID (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are Ketchum Meier Clinics 360 E Ave Ste 200 Ketchum, ID Meier Clinics Saint Alphonsus Specialty Services Inc 180 1st St W Ste 303C Ketchum, ID Hospital Dr Ketchum, ID Saint Alphonsus Specialty Services Inc 100 Hospital Dr Ste 107 Ketchum, ID Kimberly Wright LLC 931 Center St Ste 3-4 Kimberly, ID Wright LLC Wright LLC 921 Center St E Kimberly, ID Center St Ste C Kimberly, ID (207) (207) (208) (208) (208) (208) (208) Kooskia Clearwater Valley Hospital & Clinics Syringa General Hospital District CIF 102 Thenon St Kooskia, ID N Main St Kooskia, ID (208) (208) Kuna Advanced Family Medicine PLLC 943 N Linder Rd Ste 103 Kuna, ID Boise Family Chiropractic Cedar Health Center ClarifEye Family Eyecare 708 E Wythe Creek Ct Kuna, ID E Wythe Creek Ct Ste 102A Kuna, ID E Wythe Creek Ct Kuna, ID Family Medicine Health Center 708 E Wythe Creek Ct Ste 103 Kuna, ID Kuna Chiropractic Family Care Center Kuna Counseling Center, L.L.C. 675 W 4th St Kuna, ID W Main St Kuna, ID Mountain Land Rehabilitation Inc 672 E Wythe Creek Ct Ste 103 Kuna, ID Pioneer Sports & Pain Center 1619 N Linder Rd Kuna, ID RehabAuthority LLC 943 N Linder Rd Ste 104 Kuna, ID St. Alphonsus Regional Medical Center, Inc. 757 E Wythe Creek Ct Kuna, ID (208) (208) (208) (208) (208) (208) (206) (208) (208) (208) (208) All practitioners providing services are Lava Hot Springs Health West Inc 85 S 5th W Lava Hot Springs, ID (208) Lewiston Alpine Vision Center th St Ste 400 Lewiston, ID Alpine Vision Center 739 Bryden Ave Ste A Lewiston, ID (208) (208) Preferred Provider Network 6/23/2016 Page 40

45 Anderson Gallaher & Assoc Counseling PLLC Behavioral Health Solutions, P.A. Boyer Chiropractic 450 Thain Rd Ste F Lewiston, ID Juniper Dr Lewiston, ID D St Lewiston, ID Bridgeway Counseling Center LC 324 5th St Ste 102 Lewiston, ID Bryden Family Vision Building Blocks Pediatric Therapy Cardiology Associates of Spokane LLC Carmine Petracca OD ClearView Eye Clinic, LTD Clearwater Gastroenterology Clearwater Medical Clinic 939 Bryden Ave Lewiston, ID rd St Lewiston, ID th Ave Lewiston, ID Bryden Ave Lewiston, ID rd Ave Ste 201A Lewiston, ID th St Ste B Lewiston, ID th St Lewiston, ID Community Health Association of Spokane 338 6th St Ste 101 Lewiston, ID Debra Street, M.S.W. Dr. Kracke & Associates, P.A. Dynamic PLLC Eastgate Chiropractic Incorporated Heart Clinics Northwest A Division of Kootenai Medical Center Institute of and Fitness Interventional Pain Consultants PA Jennifer Kaufman ARNP PLLC Joan P Burrow DC Justine Arabi LCPC Kindra J Hibbard MS Eds nd St Lewiston, ID th St Lewiston, ID st St Lewiston, ID Burrell Ave Lewiston, ID St Johns Way Lewiston, ID Southway Lewiston, ID Juniper Dr Lewiston, ID Larkspur Ln Lewiston, ID Park Ave Lewiston, ID nd St Lewiston, ID Miller St Lewiston, ID Kurt A. Bailey, D.C th St Ste 200 Lewiston, ID Kym Orthopedics PLLC Larsen Gastroenterology PLLC Lee W. Gould, M.D. Lewiston Orthopaedic Associates, P.A th St Ste 4B Lewiston, ID Carol Dr Lewiston, ID St. John's Way Lewiston, ID Warner Dr Lewiston, ID Lori L Holder LCSW 504 Main St Ste 472 Lewiston, ID Neurosurgery & Spine Care Specialists PLLC 324 5th St Ste 101 Lewiston, ID Nina J. Woods, L.C.P.C. Northwest Natural healthcare LLC 312 Miller St Lewiston, ID Main St Lewiston, ID Orie E. Kaltenbaugh, M.D. 307 St John's Way Ste 1 Lewiston, ID Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pathologists Regional Laboratory - Physicians th St Lewiston, ID th Ste Lewiston, ID th St Lewiston, ID Sixth St Lewiston, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) Preferred Provider Network 6/23/2016 Page 41

46 Peak Performance PMG PHC Providence Spokane Heart Institute Providence Spokane Heart Institute Radiation Oncology Associates, P.L.L.C. Sandra Godfrey, L.M.H.C Bryden Ave Ste A Lewiston, ID th St Lewiston, ID th St Grade Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID nd St Lewiston, ID St Joseph Medical Group rd Ave Ste 701 Lewiston, ID St Joseph Medical Group rd Ave Ste 801 Lewiston, ID St Joseph Medical Group 428 6th St Lewiston, ID St Joseph Medical Group 307 Saint Johns Way Ste 11 Lewiston, ID St Joseph Medical Group 415 6th St Sre 2A Lewiston, ID St Joseph Medical Group 307 St Johns Way Ste 4 Lewiston, ID St Joseph Medical Group 307 Saint Johns Way Ste 9 Lewiston, ID St. Joseph Orthopaedic Care St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers 307 St. Johns Way Lewiston, ID th St Lewiston, ID Idaho St Lewiston, ID Saint Johns Way Lewiston, ID St. Joseph Regional Medical Center Providers 307 Saint Johns Way Ste 11 Lewiston, ID St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers Valley Medical Center, P.L.L.C. 222 Southway Ste C Lewiston, ID st Ave Lewiston, ID Warner Dr Lewiston, ID th St Lewiston, ID Burrell Ave Lewiston, ID Juniper Dr Lewiston, ID th Ave Lewiston, ID th St Lewiston, ID (208) (509) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Malad City Christensen Foot & Ankle Clinic Malad Valley Clinic, Department of Oneida County Hosptial Malad Valley Clinic, Department of Oneida County Hosptial Medical Imaging Associates of Idaho Falls PA Marsing Terry Reilly Health Services McCall Boise Orthopedic Clinic Boise Orthopedic Clinic 150 N 200th W Malad City, ID W 200 N Malad City, ID Bannock St Malad City, ID N 200 W Malad City, ID Main St Marsing, ID W Forrest McCall, ID W Forrest McCall, ID (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 42

47 Comprehensive Dermatology of Idaho PLLC Justin Rowe OD PA Saint Alphonsus Specialty Services Inc McCammon Health West Inc Melba Terry Reilly Health Services 211 Forest St McCall, ID Lenora St McCall, ID State St McCall, ID Center St McCammon, ID nd St Melba, ID (208) (208) (208) (208) (208) Meridian 360 Chiropractic Wellness 1965 S Eagle Rd Ste Access Anesthesia LLC 1828 S Millenium Way Ste Access Anesthesia LLC 3630 E Louise Dr Access Living 690 S Industry Way Ste Adams Center For Counseling 2525 N Stokesberry Pl Unit A Meridian, ID Ada West Dermatology, P.C S Millenium Way Ste Ada West Dermatopathology, LLC 1618 S Millenium Way Ste Advanced Surgery of Idaho 520 S Eagle Rd Ste Align Chiropractic & Rehabilitation 750 W Ustick Rd Ste 100 Meridian, ID Allergy Clinic - Idaho, Inc E Gentry Way Ste Allied Orthopedics LLC Alpine Cottage Chiropractic Ankle & Foot Center PC 3015 E Magic View Dr 1326 N Main St S Millenium Way Austin Family Chiropractic 2320 E Gala St Ste Barney Greenspan, Ph.D E Heritage Park St Ste 125 Meridian, ID Better Life Chiropractic 1220 N Meridian Rd Ste A Blackmer Foot & Ankle Group PA 3080 E Gentry Way Ste 201 Boise Advanced Imaging, PLLC Boise Anesthesia, P.A E Magic View Dr 3025 W Cherry Ln Boise Asthma & Allergy Clinic 2320 E Gala St Ste Boise Kidney and Hypertension PLLC 3525 E Louise Dr Ste Boise Kidney and Hypertension PLLC 3525 E Louise Dr Ste Boise Orthopedic Clinic 520 S Eagle Ste 3213 Boise Surgical Group, PA 3399 E Louise Ave Ste 400 Borron Family Medicine PLLC 790 W Ustick Rd Ste 110 Meridian, ID BridgeTower Chiropractic 3120 W Belltower Dr Ste 150 Meridian, ID Cafferty Counseling Services Caitlin Parker-Weiser LCPC PLLC 39 E State Ave N Stokesberry Pl Meridian, ID (208) (509) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 43

48 Care Chiropractic Clinic, Inc N Main St Center for Hope and Healing 660 E Franklin Rd Ste 260 Columbia Inc PS 2470 N Stokesberry Pl Meridian, ID Columbia Inc PS 2270 W Everest Ln Ste 2280 Meridian, ID Dr Misty L Wall Elizabeth Birchmore Riss PLLC 849 E Fairview Ave Meridian, ID W Cherry Ln Eloisa S. Walker, M.D. 520 S Eagle Rd Ste Embrace Wellness LLC 1943 N Locust Grove Rd Meridian, ID Ennis Endocrinology 2450 E Gala St Ste Epic Psychological Services PLLC 2273 E Gala St Ste EP Services LLC 3630 E Louise Dr Exodus Pain Clinic 3875 E Overland Rd Ste 200 Exodus Pain Clinic Eye Associates 3875 E Overland Rd 2620 S Eagle Rd Family Medicine Health Center 2275 S Eagle Rd Ste Family Medicine Health Center Foot & Ankle Medical Center Four Rivers Anesthesia, PC Gem State Gem State Gem State LLP Gem State LLP Gem State LLP Gibb Anesthesia 925 NW 1st St 1828 Millienium Way S Millenium Way 2929 E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr S Bonito Way N Tower Bridge Way Meridian, ID Glen S. Lovelace, M.D., PA 520 S Eagle Rd Ste Gloria M Beery PLLC 1545 E Leighfield Dr Ste 100 Meridian, ID Healthy Habits Wellness Clinic Inc 14 S Baltic Pl Hedrick Counseling, Inc N Stokeberry Pl Ste 120 Meridian, ID Hodges Family Medicine PLLC 2947 E Magic View Dr Ste I Can PT LLC 1626 Wells Ave Ste Idaho Arthiritis and Ostpeoporosis Center, P.C E louise Dr Ste Idaho Foot & Ankle Associates 2947 E Magic View Dr Ste Idaho Minor Emergency and Idaho Physical Medicine Rehabilitation Idaho Urologic Institute, P.A. Initial Point Family Medicine, P.L.L.C E Copper Point Dr E Overland Rd 2855 E Magic View Dr S Eagle Rd Intermountain Eye & Laser Centers PLLC 3090 E Gentry Way Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 44

49 Intermountain Medical Imaging 2929 E Magic View Dr James H Bates MD 2690 S Eagle Rd Ste James Herrold, M.D E Overland Rd Ste Jared Anthony Belsher 849 E Fairview Ave Jennifer Snider 1828 Millenium Way Ste Jennifer Snider 3630 E Louise Dr John S Fox MD 1545 E Leighfield Dr Ste 100 Meridian, ID Journey Mental Health 3288 E Pine Ave Kim Keys LLC 2596 N Stokesberry Pl Ste Kristina L Palmer MS LCPC Kyle Palmer, M.D N Stokesberry Pl Meridian, ID E Overland Rd Lifespan Wellness PLC 1404 N Main St Ste 101 Lynnee Rogers Counseling Manning Neurosurgery PLLC Marianne L. Zakarian, M.D., F.A.C.O.G. Obstetrics & Gynecology Mark Wigod MD PA Mary M Bosco RD LD Nutrition Counseling 849 E Fairview Ave E Overland Rd 2536 N Stokesberry Pl Meridian, ID E Louise Dr 2525 N Stokesbery Pl Ste B Meridian, ID Melanie Twite, LLC 750 W Ustick Rd Ste 120 Meridian, ID Meridian Chiropractic Center 323 W Pine Ave Meridian Family Medicine 1525 E Leigh Field Dr Ste 150 Meridian, ID Meridian Pain Center 3875 E Overland Rd Ste Meridian Pediatrics PC Meridian Vision Meridian Vision Michael V. Hajjar, M.D N Locust Grove Rd Meridian, ID N Main St E Carmel Dr Meridian, ID E Overland Rd MidValley Health Care 2321 E Gala St Ste 3 Modern Rehab Moncarch Behavioral Health 745 S Progress Ave Meridian, ID E Fairview Ave Mountain Land Rehabilitation Inc 1450 E Fairview Ave Ste Mountain States Orthopaedics 520 S Eagle Rd Ste Neurological Associates Northwest Neurobehavioral Health, LLC 3875 E Overland Rd S Eagle Rd Olsen Chiropractic Clinic, P.L.L.C E Franklin Rd Suite Overton Stiff Professional Anesthesia Services Inc 3520 E Louise Dr Overton Stiff Professional Anesthesia Services Inc 2947 E Magic View Dr Ste Overton Stiff Professional Anesthesia Services Inc 6700 N Linder Rd Ste 13 Meridian, ID Overton Stiff Professional Anesthesia Services Inc 2026 S Eagle Rd (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 45

50 Overton Stiff Professional Anesthesia Services Inc 2273 E Gala St Ste Panthera LLC 1406 N Main St Ste Paul J. Montalbano, M.D E Overland Rd Personal Solutions 2596 N Stokesbury Pl Ste 100 Meridian, ID Phyllis R Nodler 3709 N Locust Grove Rd Ste 150 Meridian, ID Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 3115 E Florence Dr 1623 S Wells Ave 1900 W Chinden Blvd Meridian, ID E Fairview Ave E Florence Dr Rand Martel LCPC 2273 E Gala St Ste Rand Martel LCPC 2273 E Gala St Ste 100 Ratus PLLC 2365 E Gala St Ste 2 RehabAuthority LLC RehabAuthority LLC RehabAuthority LLC 3551 E Overland Rd S Progress Ave S Carol St Meridian, ID Remedy Counseling Center 750 W Ustick Rd Ste 120 Meridian, ID Retina Consultants of Idaho, P.L.L.C E Overland Rd Ste Revitalize Chiropractic 2985 S Meridian Rd Ste 140 Rocky Mountain Foot & Ankle Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 1828 S Millenium Way SW 5th Ave 3020 W Cherry Ln Ste D 3875 E Overland Rd Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln Ste Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln E Magic View Dr W Cherry Ln Ste A Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Saltzer Clinics 3277 E Louise Dr Ste Scott Hoopes, M.D E Gala St Ste Scott P Hoopes MD 2273 E Gala St Ste Sensory Bin Pediatric Therapy Clinic PLLC 1098 N Hickory Ave Ste Serenity Counseling 750 W Ustick Rd Ste 120 Meridian, ID Serenity Neuropsychology & Counseling 2498 N Stokesberry Pl Ste 150 Meridian, ID Simply Womens Health LLC 2273 E Gala St Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 46

51 Sinus Center - Idaho PA 3090 E Gentry Way Ste SPD Organ Transplant 3525 E Louise Dr Ste Specialty Clinic of Idaho Inc 3085 E Magic View Dr Ste Specialty Clinic of Idaho Inc 3085 E Magic View Dr Ste St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Cherry Ln Ste B E Overland Rd 3025 W Cherry Ln W Cherry Ln Ste A W Cherry Ln W Cherry Ln W Cherry Ln Ste B W Cherry Ln St. Alphonsus Regional Medical Center, Inc W Cherry Ln Ste 205 St. Alphonsus Regional Medical Center, Inc. State Avenue Offices LLC 3551 E Overland Rd 39 E State Ave St Lukes Clinic-Saltzer Medical Group 3277 E Louise Dr Ste St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste St Luke's Clinic- Treasure Valley LLC 3525 E Louise Dr Ste St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste St Luke's Clinic- Treasure Valley LLC 3399 E Louise Dr St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste 2204 Tadje Orthopaedics LLC 520 S Eagle Rd Ste Tarter Family Medicine 1560 N Crestmont Dr Ste A The Allergy Group 520 S Eagle Rd Ste Therapeutic Associates Inc The Walking Center Thomas C. Manning, MD, Ph.D. Timothy J. Johans, M.D. Tonia Nicholson CRNA PLLC Tony Salkas PLLC 3645 E Overland Rd S Eagle Rd Overland Rd 3875 E Overland Rd 3630 E Louise Dr N Stokesberry Pl Meridian, ID Transformations Idaho PLLC 2857 S Meridian Rd Ste Treasure Valley Anesthesia Treasure Valley Anesthesia 3235 N Tower Bridge Way Meridian, ID S Millenium Way Treasure Valley Eye Center 3045 E St Lukes St Ste Treasure Valley Family Medicine PLLC Treasure Valley Family Medicine PLLC 2428 N Stokesberry Pl Meridian, ID N Stokesberry Pl Meridian, ID (208) (206) All practitioners providing services are (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 47

52 Treasure Valley Hearing & Balance Clinic Unity Health Center PLLC Unity Health Center PLLC 745 S Progress Ave 745 S Progress Ave Meridian Rd Vision Quest Medical Center 3025 W Cherry Ln Ste 207 Warm Springs Counseling Warm Springs Counseling Western Pacemaker Clinic PLLC 1833 S Millenium Way 745 S Progress Ave 745 S Progress Ave Western Pacemaker Clinic PLLC 3025 W Cherry Ln Ste 205 West Idaho Orthopedic & Sports Medicine 3875 E Overland Rd Westover Anesthesia PLLC 1828 S Millenium Way Ste West Valley Medical Group LLC 745 S Progress Ave Ste 120 Willis Family Chiropractic 1565 E Leigh Field Dr Ste 150 Meridian, ID Middleton Family Eyecare Specialists 381 S Middleton Rd Middleton, ID Lee 18 E Main St Ste 1 Middleton, ID Middleton Chiropractic, L.L.C. Peak, P.C. Terry Reilly Health Services West Valley Medical Group LLC 111 E Main St Middleton, ID S Middleton Rd Middleton, ID S 1st Ave E Middleton, ID S Middleton Rd Ste B Middleton, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Montpelier Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Clay L Campbell MD PC Medical Imaging Associates of Idaho Falls PA 164 S 5th St Montpelier, ID Washington St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID (208) (208) (208) (208) (208) Moscow Alpine Vision Center 872 Troy Rd Ste 130 Moscow, ID Alpine Vision Center 872 Troy Rd Ste 130 Moscow, ID Andrea L. Masom, L.M.H.C. 106 E 3rd St Ste 2B Moscow, ID Aspire Counseling Services LLC 200 S Almon St Ste 204 Moscow, ID Asthma & Allergy of Idaho 619 S Washington St Ste 201 Moscow, ID Asthma & Allergy of Idaho Behavioral Health Solutions, P.A. 700 S Main Moscow, ID Ash St Moscow, ID Charles A. Jacobson, M.D W A St Ste 201 Moscow, ID Chia-Chi Hu 814 S Washington St Moscow, ID ClearView Eye Clinic, LTD 2500 West A St Ste 202 Moscow, ID (208) (208) (208) (208) (208) (208) x3277 (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 48

53 Community Health Association of Spokane David E Potter LCPC Diana L. Pals, C.M.H.C. Educational & Psychological Services PLLC 719 S Main St Moscow, ID S Washington St Moscow, ID South Washington Street Moscow, ID W A St Ste C Moscow, ID Edwin M. Tingstad, M.D., P.L.L.C W A St Ste 201 Moscow, ID Elements of Wellness Aquatic and Manual Therapy, Inc. Gritman Medical Center Gritman Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center 872 Troy Hwy ste 170 Moscow, ID S Main St Moscow, ID S Washington St Ste A Moscow, ID S Main St Moscow, ID N Main St Moscow, ID Karen A Knoff 505 S Mountain View Rd Ste 2 Moscow, ID Moscow Family Eye Clinic Inc 1205 E 6th St Moscow, ID Moscow Family Medicine 623 S Main St Ste 1 Moscow, ID Moscow Family Medicine 623 S Main St Ste 1 Moscow, ID Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Medical PA Moscow Mountain Sport and 670 W Pullman Rd Moscow, ID W Pullman Rd Moscow, ID Ash St Moscow, ID Ash St Moscow, ID Ash St Moscow, ID w Pullman Rd Moscow, ID W A St Moscow, ID W A St Moscow, ID W A St Moscow, ID W A St Moscow, ID W A St Moscow, ID N Main St Moscow, ID E White Ave Moscow, ID Moscow-Pullman OB/GYN 623 S Main St Ste 5 Moscow, ID North Idaho Dermatology 619 S Washington St Ste 302 Moscow, ID Palouse Acupuncture, LLC 200 S Almon Ste 102 Moscow, ID Palouse Foot and Ankle Clinic, P.S. 619 South Washington Suite 103 Moscow, ID Palouse Imaging Consultants, PLLC Palouse Imaging Consultants, PLLC Palouse Surgeons, L.L.C. PMG PHC PMG PHC PMG PHC 405 Styner Ave Moscow, ID S Main St Moscow, ID W A St Ste A Moscow, ID Rodeo Dr Moscow, ID S Main St Moscow, ID S Washington St Moscow, ID (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (509) (509) (509) Preferred Provider Network 6/23/2016 Page 49

54 Pullman Regional Hospital Clinic Network LLC 1420 S Blaine St Ste 5 Moscow, ID Quality Chiropractic Center 619 S Washington St Ste 101 Moscow, ID R&B Anesthesia PLLC Root Health - Acupuncture & Chinese Herbs 2300 W A St Moscow, ID S Jefferson St Moscow, ID Steven E. Pennington, M.D. 623 S Main St Ste 6 Moscow, ID Steven E. Pennington, M.D West A Suite 201 Moscow, ID St. Joseph Orthopaedic Care 700 S Main St Moscow, ID Total Health Physician Group, LLC 619 S Washington Ste 203 Moscow, ID Vein Clinics Northwest PLLC 212 E Rodeo Dr Ste 410 Moscow, ID Mountain Home Boise Orthopedic Clinic Boise Orthopedic Clinic Doctors Clinic of Elmore County Eloisa S. Walker, M.D. Family Care Clinic/Scott Baldridge Foot & Ankle Medical Center Glenns Ferry Health Center, Inc. Idaho Urologic Institute, P.A. 895 N 6th E Mountain Home, ID N 6th E Mountain Home, ID American Legion Blvd Mountain Home, ID N 6th E Mountain Home, ID Rattlesnake Ave Ste B Mountain Home, ID N 6th E Mountain Home, ID American Legion Blvd Mountain Home, ID N 6th E Mountain Home, ID Kieffer Chiropractic Clinic 667 Old Highway 30 Mountain Home, ID Peak, P.C. Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc. St Clair Specialty Physicians PC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic-Trinity Mountain Medical St Luke's Elmore Medical Center Physician Group The Walking Center 1005 Airbase Rd Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 4th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID McKenna Dr Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) Mullan Heritage Health 117 Terrill Loop Mullan, ID (208) Nampa Acacia Wellness Center 353 W Iowa Nampa, ID Access Behavioral Health Services Inc 3307 Caldwell Blvd Ste 104 Nampa, ID Advanced Eyecare Advanced Specialty Care for Women Allergy Clinic - Idaho, Inc th Ave S Nampa, ID N Brinson St Nampa, ID Caldwell Blvd Nampa, ID (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 50

55 Allied Orthopedics LLC Altitude N Marketplace Blvd Nampa, ID S Midland Blvd Nampa, ID Andrea Torrez MA LCSW LLC 17 12th Ave S Ste 207 Nampa, ID Anesthesiology Consultants of ID Anesthesiology Consultants of ID Balanced Movement Chiropractic th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID N Marketplace Blvd Nampa, ID Barbara A Ottenhoff PsyD st St S Ste 304 Nampa, ID Belnap Chiropractic Center th Ave S Nampa, ID Better Health & Play Therapy, Inc E Franklin Rd Ste 220 Nampa, ID Boise Asthma & Allergy Clinic Canyon Chiropractic Center Chiropractic Center Christian Clinical Concepts LLC Idaho Center Blvd Nampa, ID th Ave S Nampa, ID Holly St Nampa, ID E Franklin Rd Ste 220 A & H Nampa, ID Columbia Inc PS 4301 Garrity Blvd Ste 103 Nampa, ID Communicate Therapy Services Community Outreach Counseling 156 McClure Ave Nampa, ID W Sanetta St Nampa, ID Comprehensive Dermatology of Idaho PLLC N Brinson St Ste 100 Nampa, ID Darrell A Kammer MD David J. Antonie, O.D. Deborah Y Wellman Dermatology Center of Canyon County Diagnostic Pathology Services, Inc. Diagnostic Pathology Services, Inc. Eloisa S. Walker, M.D. Eyecare Associates of Nampa Family Eyecare Specialists th Ave Rd Ste C Nampa, ID nd St Nampa, ID th Ave Rd Nampa, ID nd St S Nampa, ID St Lukes Dr Nampa, ID th Ave Rd Nampa, ID Garrity Blvd Nampa, ID nd St S Nampa, ID N Jacob Alcott Way Nampa, ID Family Eyecare Specialists 4424 E Flamingo Ave Ste 100 Nampa, ID Foot & Ankle Medical Center Gem State Gem State Gem State LLP Gem State LLP Gibb Anesthesia Healing Scars Counseling Center Idaho Counseling Center LLP Idaho Emergency Physicians, P.A. Idaho Emergency Physicians, P.A th Ave Rd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID Birch Ln Nampa, ID Caldwell Blvd Ste G Nampa, ID th Ave S Ste B1-B2 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 51

56 Idaho Foot & Ankle Associates th Ave S Nampa, ID Idaho Foot & Ankle Associates 2635 Caldwell Blvd Ste 101 Nampa, ID Idaho Therapy Source PLLC Idaho Urologic Institute, P.A. Intermountain Eye & Laser Centers PLLC Jensen Eye Associates PLLC Jensen Eye Associates PLLC Journey Mental Health Lifestages OB/GYN Luann D Pecsek Mark Chown, M.D. Martin S. Donaldson, D.C. McKim Chirorpactic Medical Directors of Idaho Mercy Physician Group, Inc. Mercy Physician Group, Inc. Mitchell T Smith LCPC LLC Mountain Land Rehabilitation Inc Mountain States Neonatology Inc Mountain States Neonatology Inc Nampa Radiologists, P.A. Nampa Radiologists, P.A. Peak Mental Wellness and Counseling LLC Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care RehabAuthority LLC RehabAuthority LLC N Brinson St Nampa, ID th Ave Rd Ste B Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Ste A Nampa, ID th Ave Rd Ste E Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave S Nampa, ID C 12 Ave Road Nampa, ID th St S Nampa, ID th Ave Rd Nampa, ID N Horton St Nampa, ID th Ave Rd Nampa, ID E 12th Ave Rd Nampa, ID th Ave S Ste B3 Nampa, ID E Exchange Way Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID th Ave Road Nampa, ID E Flamingo Ave Nampa, ID rd St S Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID W Iowa Ave Nampa, ID W Iowa Ave Nampa, ID Richard Lochhead MD PLLC 4424 E Flamingo Ave Ste 110 Nampa, ID Saint Alphonsus Medical Center - Nampa Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services (STARS) Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc th Ave Rd Nampa, ID Constitution Way Nampa, ID E Flamingo Ave Nampa, ID SW 4th Ave Nampa, ID Garrity Blvd Nampa, ID W Iowa Ave Nampa, ID E Hawaii Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 52

57 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID S Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID th Ave Rd Nampa, ID Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 220 Nampa, ID Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 110 Nampa, ID Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 300 Nampa, ID Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 200 Nampa, ID Saint Alphonsus Specialty Services Inc th Ave Rd Nampa, ID Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 200 Nampa, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saltzer Clinics Saltzer Clinics Saltzer Clinics Saltzer Clinics 319 E Hawaii Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID Saltzer Clinics 9850 W St Luke's Dr Ste 129 Nampa, ID Saltzer Clinics 9850 W St Lukes Dr Ste 229 Nampa, ID Sound Physicians of Idaho Sound Physicians of Idaho, PLLC th Ave Rd Nampa, ID th Ave Road Nampa, ID Southwest Idaho Ear, Nose and Throat 4424 E Flamingo Ave Ste 320 Nampa, ID Specialty Clinic of Idaho Inc St Alphonsus Pathology Physcian Services St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID Garrity Blvd Nampa, ID S Midland Blvd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID Garrity Blvd Nampa, ID W Iowa Ave Nampa, ID Garrity Blvd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Ste E Nampa, ID W Iowa Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (253) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 53

58 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 401 E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID St. Alphonsus Regional Medical Center, Inc. 210 W Georgia Ave Ste 120 Nampa, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 214 S Midland Blvd Nampa, ID E Hawaii Ave Nampa, ID S Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID St. Alphonsus Regional Medical Center, Inc E Flamingo Ave Ste 200 Nampa, ID St. Alphonsus Regional Medical Center, Inc E Flamingo Ave Ste 110 Nampa, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St Clair Specialty Physicians PC 211 W Iowa Ave Nampa, ID W Karcher Rd Nampa, ID th Ave Rd Nampa, ID Park Centre Way Nampa, ID St Lukes Clinic-Saltzer Medical Group 9850 W St Luke's Dr Ste 129 Nampa, ID St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC 215 E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID E Flamingo Ave Nampa, ID Garrity Blvd Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Hawaii Ave Nampa, ID Strive Counseling Inc 5700 E Franklin Rd Ste 190 Nampa, ID Strive Counseling Inc Susanne L. Stimpson, MS, CCC-SLP Terry Reilly Health Services Terry Reilly Health Services rd St Nampa, ID E Vineyard Way Nampa, ID th Ave N Nampa, ID N 16th Ave Nampa, ID Terry Reilly Health Services st St S Ste 302 Nampa, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 54

59 Terry Reilly Health Services The Allergy Group Therapeutic Associates Inc Therapeutic Associates, Inc.-Boise Thomas J Hammer Pedidatrics Treasure Valley Hearing & Balance Clinic Wendell D. Nelson, D.C. West Valley Medical Group LLC Women's Medical Clinic New Plymouth Gibb Anesthesia Saint Alphonsus Medical Center-Ontario Valley Family Health Care West Valley Medical Group LLC Nezperce St Mary's Nezperce Clinic Orofino Clearwater Valley Hospital & Clinics Heart Clinics Northwest A Division of Kootenai Medical Center Palouse Imaging Consultants, PLLC Riverside Osburn Cardiovascular Institute II PC Osburn Family Medicine Parma Parma LLC Shawn Alan Rudkin, D.C. Shawn A Rudkin & Associates PC West Valley Medical Group LLC 207 1st St S Nampa, ID W Iowa Ave Ste A Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID N Jacob Allcott Way Nampa, ID Caldwell Blvd Nampa, ID th Ave S Nampa, ID N Midland Blvd Nampa, ID th Ave Road Nampa, ID N Plymouth Ave New Plymouth, ID N Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID Oak St Nezperce, ID Cedar St Orofino, ID Riverside Ave Orofino, ID Cedar St Orofino, ID th St Orofino, ID E Mullan Osburn, ID E Mullan Ave Osburn, ID N 3rd St Parma, ID N 2nd St Parma, ID E Grove Ave Parma, ID Grove St Parma, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (209) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) Payette Emmett Counseling and Psychiatric Services LLC 501 N 16th St Ste 110 Payette, ID Health Care With Heart 823 Central Ave Payette, ID Treasure Valley 501 N 16th St Ste 105 Payette, ID (208) (208) (208) All practitioners providing services are Pierce Clearwater Valley Hospital & Clinics Pinehurst 105 W Carle St Pierce, ID (208) Preferred Provider Network 6/23/2016 Page 55

60 Silver Valley Medicine, Inc. Plummer Art and Science Chiropractic Center Benewah Medical Center Benewah Medical Center Benewah Medical Center Cardiovascular Institute II PC St. Maries Family Medicine 107 Church St Pinehurst, ID C St Plummer, ID B St Plummer, ID B St Plummer, ID N 12th St Plummer, ID th St Plummer, ID B St Plummer, ID (208) (509) (208) (208) (208) (208) (208) Pocatello Advanced Performance 333 N 18th Ave Ste D2 Pocatello, ID Anthony Joseph MD INC 333 N 18th Ave Ste D-1 Pocatello, ID Arthritis Specialty Center, Inc E Center Ste E Pocatello, ID Art of Motion Chiropractic and Sports Medicine PLLC 1800 Flandro Dr Ste 130 Pocatello, ID Belnap Chiropractic, P.A. 521 E Halliday St Pocatello, ID Benjamin Blair, M.D., P.A. 333 N 18th Ave Ste D-1 Pocatello, ID Bingham Memorial Hospital 1151 Hospital Way Bldg D Ste 100 Pocatello, ID Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital 1151 Hospital Way Ste D201 Pocatello, ID E Terry St Pocatello, ID Hospital Way Ste D201 Pocatello, ID Vista Dr Ste C Pocatello, ID Bingham Memorial Hospital 353 N 4th Ave Ste 102 Pocatello, ID Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackrock Anesthesia Services PA Brizzee Family Medicine Inc 1595 Bannock Hwy Pocatello, ID Bannock Hwy Pocatello, ID E Terry St Pocatello, ID Call Pl Pocatello, ID Moonlight Mine Rd Pocatello, ID Flandro Dr Pocatello, ID Care LLC 500 S 11th Ave Ste 201 Pocatello, ID Center for Orthopedic Rehabilitation Center Street Health Care 560 Memorial Dr Ste C Pocatello, ID E Center Pocatello, ID Christensen Foot & Ankle Clinic 1777 E Clark St Ste 220 Pocatello, ID Community Care, P.L.L.C. Community Care Pocatello PLLC David L. Wise, M.D. David R Donaldson MD Diabetes and Associates East Idaho Anesthesia Associates PC 1595 Yellowstone Ave Pocatello, ID Yellowstone Pocatello, ID S 15th St Pocatello, ID N 18th Ave Ste B3 Pocatello, ID E Terry St Pocatello, ID Vista Dr Ste C Pocatello, ID (208) (206) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 56

61 Evans Chiropractic 2010 Flandro Dr Pocatello, ID EXCEL Weight Loss Solutions 611 Wilson Ave Ste #8 Pocatello, ID Flicker LLC 4922 Yellowstone Ave Ste J Pocatello, ID Gateway Counseling Inc 224 S Arthur Ave Ste 2 Pocatello, ID Grove City Anesthesia LLC Hand & Upper Extremity Center, Inc. Hand & Upper Extremity Center, Inc. Hannah's Place LLC Health and Wellness 1155 Pocatello Creek Rd Pocatello, ID Warren Ave Pocatello, ID Memorial Dr Pocatello, ID N Main St Pocatello, ID E Center Pocatello, ID Health West Inc 845 W Center Ste 202 Pocatello, ID Health West Inc 880 W Quinn Rd Pocatello, ID Health West Inc 845 W Center Ste 200 Pocatello, ID Health West Inc Health West Inc Heartland Wellness Center Idaho Eye Center, P.A. Idaho Hyperbarics, Inc N 8th St Pocatello, ID Memorial Dr Pocatello, ID N 12th Ave Pocatello, ID Call Pl Pocatello, ID W Alameda Rd Pocatello, ID Idaho Kidney Institute, L.L.P. 444 Hospital Way Ste 607 Pocatello, ID Idaho Neurosurgery & Spine PLLC Idaho Orthopaedic and Sports Clinic Idaho Regional Hand & Upper Extremity Center Idaho Skin Institute Idaho Sports & Spine PLLC InterMountain Medical Clinic Intermountain Radiation Oncology PA Jason Richards MD PLLC Jason Richards MD PLLC Johnson Family Chiropractic 2240 E Center St Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Ste B Pocatello, ID Bench Rd Ste A Pocatello, ID Hospital Way Ste A Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Pocatello, ID E Center St Ste A Pocatello, ID Vista Dr Pocatello, ID Pole Line Rd Pocatello, ID Juniper Springs 500 S 11th Ave Ste 203 Pocatello, ID Keith Kevin Harmon, M.D. 500 S 11th St Ste 501 Pocatello, ID Lavon M. Cole 265 E Chubbuck Rd Pocatello, ID Life Change Associates, PLLC 1777 E Clark St Ste 210 Pocatello, ID Meadowland Therapy Inc Medical Imaging Associates of Idaho Falls PA M Elizabeth Gerard MD PLLC 1033 W Quinn Rd Pocatello, ID Hospital Way Pocatello, ID E Center St Ste A Pocatello, ID Mental Wellness Centers 1070 Hiline Rd Ste 210 Pocatello, ID Mountain States Neonatology Inc 651 Memorial Dr Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (855) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 57

62 Mountain States Neonatology Inc Mountain View Family Medicine, Inc. Northstar Healthcare LLC Page Family Chiropractic Specialists of Idaho LLC Specialists of Idaho LLC Physicians Immediate Care Center Physicians Immediate Care Center Physicians Immediate Care Center Physicians Mental Health Services Pocatello Children & Adolescent Clinic, P.A. Pocatello Eyecare Pocatello Clinic, PA Pocatello Podiatry Associates PA 777 Hospital Way Pocatello, ID Birdie Thompson Dr Pocatello, ID E Young St Pocatello, ID /2 E Chubbuck Rd Pocatello, ID E Center St Ste D Pocatello, ID Yellowstone Ave Ste B Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Wy Ste A Pocatello, ID Alpine Dr Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Hospital Way Bldg F Pocatello, ID N 18th Ave Pocatello, ID W Quinn Rd Pocatello, ID E Clark St Pocatello, ID Pocatello Pulmonary, P.C. 500 S 11th Ste 305 Pocatello, ID Pocatello Associates 1151 Hospital Way Bldg B Pocatello, ID Pocatello Women's Health Clinic 777 Hospital Way Ste 300 Pocatello, ID Portneuf Medical Center 1151 Hospital Way Building B Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 202 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 202 Pocatello, ID Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices 880 W Quinn Rd Pocatello, ID N 7th Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID Portneuf Medical Practices 777 Hospital Way Bldg A #101 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID Portneuf Medical Practices 500 S 11th Ste 205 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 201 Pocatello, ID Portneuf Medical Practices 957 Hospital Way Bldg A Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 115 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Pocatello, ID Portneuf Medical Practices 1777 E Clark St Ste 330 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste G-15 Pocatello, ID Portneuf Medical Practices 500 S 11th Ste 303 Pocatello, ID Portneuf Medical Practices 500 S 11th Ste 500 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 58

63 Portneuf Medical Practices 777 Hospital Way Ste G1 Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 301 Pocatello, ID Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices 777 Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID Portneuf Medical Practices 500 S 11th Ste 300 Pocatello, ID Portneuf Medical Practices 500 S 11th Ave Ste 301 Pocatello, ID Portneuf Medical Practices 500 S 11th Ste 303 Pocatello, ID Portneuf Valley Family Center 2055 Garrett Way Ste 1 Pocatello, ID Portneuf Valley Family Center 353 N 4th Ave Ste 110 Pocatello, ID Portneuf Valley Family Center 444 Hospital Way Ste 477 Pocatello, ID Primary Care Specialists PA Psychological Assessment Specialists RehabAuthority LLC 110 Vista Dr Pocatello, ID Yellowstone Ste C5 Pocatello, ID Yellowstone Ave Ste A Pocatello, ID Richard A. Wathne, M.D., P.A. 333 N 18th Ste D-1 Pocatello, ID Robert R Jones MD 1951 Bench Rd Ste C Pocatello, ID Rocky Mountain Diabetes and Osteoporosis Center 444 Hospital Way Bldg B Ste 611 Pocatello, ID Rocky Mountain Emergency Physicians LLC R & R Therapy Plus PLLC Ryan D Hope MD LLC Scott Huneycutt SEI Anesthesia PLLC SEI Anesthesia PLLC Sharp Counseling Inc 777 Hospital Way Pocatello, ID S 4th Ave Pocatello, ID E Center St Ste B Pocatello, ID E Center Ste A Pocatello, ID N 18th Ste A Pocatello, ID Hospital Way Pocatello, ID N Main St Ste E Pocatello, ID S. Jeff Bray, D.P.M., Inc. 333 N 18th Ave Ste D1 Pocatello, ID S M Maloff MD PC Southeast Idaho Gastroenterology PLLC Specialized Family Medicine PA Speech Therapy Services LLC 2240 E Center St Ste A Pocatello, ID Hospital Way Bldg A Pocatello, ID N 4th Ave Ste B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Steelhead Medical, L.T.D. 333 N 18th Ave Ste B-3 Pocatello, ID Streamline Chiropractic PLLC 560 Memorial Dr Pocatello, ID Superior 1800 Flandro Dr Ste 190 Pocatello, ID Superior 1800 Flandro Dr Ste 110 Pocatello, ID Teton Brain and Spine Teton Vascular Institute of Pocatello 333 N 18th Ave Ste B4 Pocatello, ID Hospital Way Bldg B Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (480) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 59

64 Therapy Links Timothy E Snell MD PLLC Valley Foot & Ankle, P.C. Valley View Anesthesia PA Valley View Anesthesia PA West Family Medicine 2010 Flandro Dr Pocatello, ID E Center Pocatello, ID Pocatello Creek Rd Pocatello, ID N 18th Ave Ste A Pocatello, ID Vista Dr Pocatello, ID Call Creek Pl Ste A Pocatello, ID (208) (208) (208) (208) (208) (208) Ponderay Bonner General Immediate Care 400 Schweitzer Plaza Dr Ste 1 Ponderay, ID Kaniksu Health Services Highway 200 Ponderay, ID North Idaho Dermatology Hwy 95 Ponderay, ID North Idaho Nephrology Associates, Inc. 204 N Triangle Dr Ponderay, ID North Idaho Orthopedics & Sports Medicine Hwy 200 Ste 102 Ponderay, ID Northwest Orthopaedic Specialists PS Hwy 200 Ste 102 Ponderay, ID Ryan F. Webster, D.C. 400 Schweitzer Plaza Dr Ste 4 Ponderay, ID Woodlands Family Medicine Highway 200 Ste 101 Ponderay, ID Woodlands Family Medicine Hwy 200 Ste 102 Ponderay, ID Post Falls Abundant Wellness Center ACES Community Services Advanced Rehab Allen Goodall, P.T. and Associates Amy Greene Barbara Kogler, CCC-A Bridgewater Chiropractic and Soft Tissue Center Cancer Care Northwest Centers PS 1125 E Polston Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID Thornton St Post Falls, ID North Idaho Suite A1 Post Falls, ID E 16th Ave Ste B Post Falls, ID N Spokane St Post Falls, ID N Thornton Post Falls, ID E Mullan Ave Post Falls, ID Cardiovascular Institute II PC 750 N Syringa St Ste 203 Post Falls, ID Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID Dr Bowen & Annette Asper NP Dr. Cher Jacobsen 1296 E Polston Ave Ste B Post Falls, ID W 4th Ave Ste B Post Falls, ID Dr. Toby Ficklin Chiropractic & Sports Therapy 601 East Seltice Way Suite 110 Post Falls, ID Empowered Through Play LLC Health Within Chiropractic Center Heart Clinics Northwest A Division of Kootenai Medical Center Heritage Health 3491 E Solena Ave Post Falls, ID E Seltice Way Ste C Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Polston Ave Post Falls, ID Insight Diagnostic Imaging, P.A. 750 N Syringa Ste 104 Post Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (509) (208) (208) (208) (208) (208) (208) (757) (208) (208) (208) (866) Preferred Provider Network 6/23/2016 Page 60

65 In Touch IPC of Washington James E. Vancho DC, Pc James P Osmanski DO James P Osmanski DO Kootenai Health 104 W 9th St Post Falls, ID N Cecil Post Falls, ID West 11th Street Suite B Post Falls, ID N Syringa St Ste 200B Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Post Falls, ID Kootenai Health 1300 E Mullen Ave Ste 900 Post Falls, ID Kootenai Health 925 Polston Ave Post Falls, ID Kootenai Health 1300 E Mullan Ave Ste 500 Post Falls, ID Kootenai Health 1296 E Poston Ave Ste B Post Falls, ID Kootenai Health 1300 E Mullan Ave Ste 300 Post Falls, ID Kootenai Health Kootenai Health Kootenai Imaging Kootenai Outpatient Imaging 1296 E Polston Ave Ste C Post Falls, ID E Mullen Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID Kootenai Urgent Care LLC 1300 E Mullan Ste 600 Post Falls, ID Kootenai Vision Center, P.L.L.C. Laura Asbell, Ph.D. Lawrence K. Gibbon, M.D. Life Chiropractic Center Living Well Counseling & Consulting, L.L.C E Polston Ave Ste B Post Falls, ID W Laura Ln Post Falls, ID W 4th Ave Ste B Post Falls, ID Shetland Ct Post Falls, ID N Thornton St Ste C Post Falls, ID MAC PLLC 927 E Polston Ave Ste 201 Post Falls, ID Medical Oncology Associates PS 1641 E Poulston Ave Ste 102 Post Falls, ID Mountain View Chiropractic North Idaho Eye Institute PA North Idaho Eye Institute PA 1624 E Seltice Way Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID North Idaho Nephrology Associates, Inc E Mullan Ave Ste 1200 Post Falls, ID North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Neurosurgery And Spine PLLC North Idaho North Idaho 460 N Garden Plaza Ct Post Falls, ID N Cecil Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID North Spokane Pulmonary Clinic, P.S. 609 N Calgary Ct Ste 103 Post Falls, ID Northwest Muscle Therapy 614 E Seltice Way Ste A Post Falls, ID Northwest Specialty Hospital 750 N Syringa St Ste 100 Post Falls, ID Northwest Specialty Hospital 750 N Syringa St Ste 104 Post Falls, ID (208) (509) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 61

66 Northwest Specialty Hospital 750 N Syringa St Ste 100 Post Falls, ID Northwest Specialty Hospital 1593 E Polston Ave Post Falls, ID Optimal Chiropractic PC 609 N Calgary Ct Ste 1 Post Falls, ID Pathways of Idaho LLC Patricia Jean Easton LCSE-CHT Pinnacle and Sports Medicine Pinnacle and Sports Medicine Post Falls Family Medicine Post Falls Optometric Physicians PLLS Radia Radia RehabAuthority LLC Resilience Psychiatric Medicine River City Anesthesia Associates PLLC River City Chiropractic Inc River City Rockwood Clinic PS 1700 E Schneidmiller Ave Post Falls, ID Warbler LN Post Falls, ID E Polston Ave Ste B Post Falls, ID E Mullen Post Falls, ID E Polston Ave Post Falls, ID W 4th Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Post Falls, ID E Polston Ave Post Falls, ID Schneidmiller Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID Rockwood Clinic PS 750 N Syringa St Ste 204 Post Falls, ID Spokane Radiation Oncology, Inc., P.S. Sports Medicine Sevices, Inc E Mullen Post Falls, ID E Polston Ave Ste B Post Falls, ID St Joseph's Ear Nose and Throat Clinic LLC 323 N Spokane St Ste 100 Post Falls, ID Surgical Bariatrics Northwest 750 N Syringa Ste 205 Post Falls, ID Thomas P. Beaton, M.D. 750 N Syringa Ste 203 Post Falls, ID TW Creative Therapy LLC Virtual Radiologic Professionals, LLC Virtual Radiologic Professionals, LLC Virtual Radiologic Professionals, LLC 1810 Schneidmiller Ave Ste 131 A Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID N Cecil Rd Post Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (509) (208) (208) (208) (208) (208) All practitioners providing services are (208) (952) (952) (208) Potlatch Gritman Medical Center Gritman Medical Center 156 6th St Potlatch, ID th St Potlatch, ID (208) All practitioners providing services are (208) All practitioners providing services are Preston Christensen Foot & Ankle Clinic Franklin County Medical Center Franklin County Medical Center 44 N 100th St E Preston, ID N 1st E Preston, ID N 1st E Preston, ID Health West Inc 655 S 4th E Ste 600 Preston, ID Parkway Foot & Ankle PLLC Preston Chirpractic Chartered 10 S 100 W Ste B Preston, ID North State Street Preston, ID (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 62

67 Western Anesthesia Relief 44 N 1st E Preston, ID (208) Priest River Chiropractic Plus, PC 314 E Albeni Hwy Ste 103 Priest River, ID Chiropractic Plus, PC 6509 Hwy 2 Priest River, ID Delores D. Miller, L.M.P th St Priest River, ID Kaniksu Health Services 6509 Hwy 2 Ste 101 Priest River, ID Sequel Alliance Family Services LLC 5486 Hwy 2 Ste 102 Priest River, ID Rathdrum Heritage Health N Hwy 41 Rathdrum, ID Heritage Health Heritage Health N Kimo Ct Rathdrum, ID N Kimo Ct Ste B Rathdrum, ID Kootenai Health North Hwy 41 Rathdrum, ID Lakeland Chiropractic Clinic North Highway 41 Rathdrum, ID Lakeland Immediate Care N Highway 41 Rathdrum, ID Lakeland and Sports Injuries, PA N Hwy 41 Rathdrum, ID North Idaho Eye Clinics, Inc N Hwy 41 Rathdrum, ID Rathdrum, Inc. Restored Horizons Rexburg Anesthesia West PA Blackfoot Anesthesia Services LLC Brian W Christensen MD PA Centerpoint Counseling Services LLC Community Care Rexburg LLC Complete Family Care PLLC North Kimo Court Suite A Rathdrum, ID Kimo Ct Ste B Rathdrum, ID N 2nd E Rexburg, ID First American Cir Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID Fall Creek Skin & Health Clinic 534 Trejo St Ste 400 Rexburg, ID Fall River Medical PLLC Green Field Family Medicine Idaho Eye Center, P.A. Idaho Eye Center, P.A. Idaho Foot and Ankle Center Madison Women's Clinic, PLLC 21 Winn Dr Rexburg, ID E 4th N Rexburg, ID E 2nd N Rexburg, ID First American Circle Rexburg, ID E 2nd N Rexburg, ID Madison Professional Park Rexburg, ID Manual Solutions PLLC 101 E Main St Ste 203 Rexburg, ID Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 450 E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID (888) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 63

68 Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Mountain States Neonatology Inc Rehab Services of Idaho 20 Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID E 2nd N Rexburg, ID Rehab Services of Idaho 36 Professional Plaza Ste 110 Rexburg, ID Rexburg Counseling Rexburg Medical Center Robert Coray Sarah Vlach, M.D. Seasons Medical LLC Sterling Physician Group PLLC Teton Medical Group PLLC Teton Madison LLC 859 S Yellowstone Hwy Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID E Main Rexburg, ID S 2nd E Rexburg, ID S 2nd E 3rd Fl Rexburg, ID N 3rd E Rexburg, ID E 4th N Rexburg, ID Upper Valley ENT & Allergy 256 N 2nd E Ste 2 Rexburg, ID Upper Valley Orthopedics PLLC Rigby 360 E Main St Rexburg, ID Arthritis Specialty Center, Inc. 711 Rigby Lake Dr Ste 114 Rigby, ID Community Care Rigby Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 167 E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Monarch Healthcare PLLC 426 Farnsworth Way Ste 3 Rigby, ID Rigby PLLC Rupert Family Health Services 3854 E 300 N Rigby, ID th St Rupert, ID Mini-Cassia Surgical th St Ste 10 Rupert, ID Minidoka Medical Center RHC th St Ste 1 Rupert, ID Mt Harrision Audiology and Hearing Aids LLC th St Ste 2 Rupert, ID (208) (208) (208) (208) (406) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Sagle William Thomas Barker, L.M.F.T. Saint Anthony Medical Imaging Associates of Idaho Falls PA Upper Valley Community Health Services, Inc 1491 Beers Humbird Dr Ste B Sagle, ID N 3rd E Saint Anthony, ID N 3rd St E Saint Anthony, ID (208) (208) (208) Saint Maries Heart Clinics Northwest A Division of Kootenai Medical Center 229 S 7th St Saint Maries, ID Kirk Parge DC 201 N 8th St Ste 4 Saint Maries, ID Medical Oncology Associates PS 229 7th St Saint Maries, ID (208) (208) (509) Preferred Provider Network 6/23/2016 Page 64

69 North Idaho Nephrology Associates, Inc. 229 S 8th St Saint Maries, ID Pathways of Idaho LLC 622 College Ave Ste 2 Saint Maries, ID St. Maries Eye Clinic St. Maries Family Medicine St. Maries Family Medicine St. Maries Family Medicine Thomas P. Beaton, M.D. 704 College Ave Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 7th St Saint Maries, ID S 8th St Saint Maries, ID (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are Salmon Medical Imaging Associates of Idaho Falls PA Providence Medical Group-Montana Steele Memorial Clinic 203 S Daisy Salmon, ID S Daisy St Salmon, ID Main St Salmon, ID (208) (406) All practitioners providing services are (208) All practitioners providing services are Sandpoint Alan B. Grosset, M.D. 420 N 2nd Ave Ste 4 Sandpoint, ID Asthma & Allergy of Idaho 606 N 3rd Ave Ste 101 Sandpoint, ID Baker Chiropractic Clinic, P.C. 102 S Euclid Ave Ste 109 Sandpoint, ID Bonner General Hospital 520 N 3rd Ave Sandpoint, ID Bonner General Hospital 420 N 2nd Ave Ste 200 Sandpoint, ID Bonner General Hospital 423 N Third Ave Ste 210 Sandpoint, ID Bonner Brom Glidden Cardiology Associates of Spokane LLC Cornerstone Cycles of Life Healthcare 1327 Superior St Sandpoint, ID S Division Ave Sandpoint, ID S 1st Ave Sandpoint, ID N Division Ave Sandpoint, ID N Division Ave Sandpoint, ID Cyndee D Darby Counseling Service 1327 Superior St Ste 110 Sandpoint, ID Eye Care For You Eye Clinic of Sandpoint Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Associates PA Judy Kimes MS LCPC LMFT Julie A Price MPT 710 W Superior St Ste A Sandpoint, ID S 1st Ave Sandpoint, ID S 1st Ave Sandpoint, ID S 1st Ave Sandpoint, ID N 3rd Ste 203 Sandpoint, ID N 3rd Ave Sandpoint, ID Church St Sandpoint, ID Ontario St Sandpoint, ID W Pine Sandpoint, ID Kaniksu Health Services 420 N 2nd Ave Ste 100 Sandpoint, ID Kootenai Audiology, L.L.C. 420 N 2nd Ave Ste 300 Sandpoint, ID Kootenai Health Kootenai Health 520 N 3rd Ave Sandpoint, ID Michigan St Ste A Sandpoint, ID (208) (800) x3277 (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 65

70 Kootenai Health 420 2nd Ave Sandpoint, ID Majeski Counseling 301 N 1st Ave Ste 202 Sandpoint, ID Michael E. Coats, M.D., P.L.L.C. Michelle Anderson, FNP 1211 Michigan Ave Sandpoint, ID Michigan St Ste C Sandpoint, ID Mountain View 102 S Euclid Ave Ste 212 Sandpoint, ID Northern Lakes Chiropractic Clinic, P.C Washington St Ste 203 Sandpoint, ID North Idaho Children's Mental Health, L.L.C. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc W Ontario Sandpoint, ID N 3rd Ave Sandpoint, ID Washington Ave Sandpoint, ID Washington St Sandpoint, ID North Idaho Nephrology Associates, Inc. 606 N 3rd Ave Ste 101 Sandpoint, ID North Idaho Urology PLLC Northwest Orthopaedic Specialists PS Pend Orelle Vision Care 420 2nd Ave Sandpoint, ID US Hwy 2 W Sandpoint, ID Oak St Unit A Sandpoint, ID Pinnacle Pain Center PS 1327 Superior Ste 104 Sandpoint, ID PMG PHC 606 N 3rd Ave Ste 101 Sandpoint, ID Providence Spokane Heart Institute Providence Spokane Heart Institute Providence Spokane Heart Institute Providence Spokane Heart Institute Pure Inc. Robert E Rust Jr MD Rockwood Clinic PS 207 Church St Sandpoint, ID N Third Ave Pine Grove Medical Bldg Sandpoint, ID N 3rd Ave Sandpoint, ID Church St Sandpoint, ID N Boyer Rd Sandpoint, ID N Division Ave Sandpoint, ID S 1st Ave Sandpoint, ID Sandpoint Family Health Center LLC 606 N 3rd Ave Ste 101 Sandpoint, ID Sandpoint Family Medicine/Urgent Care Schillar Anesthesia Serivces Inc Tamra M Krutz MA LCPC PA 302 South First Avenue Sandpoint, ID N 3rd Sandpoint, ID Superior St Ste B Sandpoint, ID Tatum Miller 120 E Lake St Ste 201 Sandpoint, ID Thomas P. Beaton, M.D. Women's Health Care, P.L.L.C. 606 N 3rd Ave Sandpoint, ID Michigan St Ste C Sandpoint, ID (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (509) (509) (509) (509) (509) (208) (208) (509) (208) (208) (208) (206) (208) (208) All practitioners providing services are (208) Shelley Bingham Memorial Hospital Blackfoot Medical Clinic Shelley Chiropractic Shelley Chiropractic, P.A. Shoshone Shoshone Family Medical Center 275 W Locust Shelley, ID S Emerson Ave Shelley, ID N State St Shelley, ID N State St Shelley, ID S Apple St Shoshone, ID (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 66

71 Silverton Loving Care & More 104 Wind River Rd Silverton, ID (208) Soda Springs Bingham Memorial Hospital Bingham Memorial Hospital Caribou Memorial Hospital Caribou Memorial Hospital Christensen Foot & Ankle Clinic Pocatello Podiatry Associates PA 300 S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd St W Soda Springs, ID S 3rd St Soda Springs, ID Portneuf Valley Family Center 15 W Center Ste 2 Soda Springs, ID Speech Therapy Services LLC 316 W 2nd St S Soda Springs, ID (208) (208) (208) (208) (208) (208) (208) (208) Spirit Lake Alpine Center Magical Massage St Maries Benewah Community Hospital Star Crane Chiropractic Eye 2 Eye Northstar Troy Gritman Medical Center Moscow Family Medicine Moscow Family Medicine 6186 W Maine Spirit Lake, ID W Maine St Spirit Lake, ID S 7th St St Maries, ID W State St Star, ID S Seneca Springs Way Star, ID W State St Star, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) Twin Falls Allergy Clinic - Idaho, Inc. 191 Addison Ave Twin Falls, ID Asthma & Allergy of Idaho 800 Falls Ave Ste 2 Twin Falls, ID Blackmer Foot & Ankle Group PA Care Compassion Communication Crosspointe Family Services Evans Anesthesia Services, P.C. Evans Anesthesia Services, P.C. 191 N Addison Ave Twin Falls, ID River Vista Pl Twin Falls, ID Fillmore St Twin Falls, ID Addison Ave Twin Falls, ID Falls Ave W Twin Falls, ID Family & Adolescent Care of Twin Falls 476 Cheney Dr W Ste 160 Twin Falls, ID Family Health Services Family Health Services 325 Martin Street Twin Falls, ID Martin Street Twin Falls, ID Geoffroi A. Golay, DC, PLLC 488 Blue Lakes Blvd N Ste 107 Twin Falls, ID (208) (208) (208) (208) (208) (2) x9017 (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 67

72 Jolliff Counseling & Behavioral Health Inc 834 Falls Ave Ste 1050 Twin Falls, ID Kelsie Lyn Robinson LPC Magic Valley Magic Valley Foot And Ankle Specialists PLLC Michael V. Hajjar, M.D. Planned Parenthood of Western Washington Psychiatric Services Behavioral Health Clinic Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Southern Idaho Pain Institute Specialty Clinic of Idaho Inc St. Alphonsus Regional Medical Center, Inc Eastland Dr N Ste C Twin Falls, ID Eastland Dr N Ste B Twin Falls, ID Shoup Ave W Ste B Twin Falls, ID N College Rd Ste C Twin Falls, ID nd Ave N Twin Falls, ID Eastland Dr Twin Falls, ID filer Ave E Twin Falls, ID N College Rd Ste C Twin Falls, ID Falls Ave Twin Falls, ID Falls Ave Twin Falls, ID N College Rd Ste C Twin Falls, ID Tripp Family Medicine Inc 1411 Fillmore St Ste 600 Twin Falls, ID Wright LLC Wright LLC 1444 Falls Ave E Twin Falls, ID Falls Ave E Twin Falls, ID Wright LLC 1411 Falls Ave E Ste 401 Twin Falls, ID Wright LLC 452 Cheney Dt W Ste 190 Twin Falls, ID Victor Monarch Healthcare PLLC 338 Mountainside Blvd Ste 4 Victor, ID Wallace ACES Community Services 416 6th St Wallace, ID J. Bayard Miller, M.D. 610 Cedar St Wallace, ID Vester Eye Clinic, L.L.C. 425 Pine St Wallace, ID (208) (208) (208) (208) (208) (800) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (209) (208) (208) (208) (208) (208) Weiser Foot & Ankle Medical Center Gibb Anesthesia Memorial Hospital Memorial Hospital Physician's Primary Care Center Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc. Tri-City Two Rivers Medical Clinic Weiser Chiropractic Center PA Wendell Wright LLC 645 E 5th St Weiser, ID E Main St Weiser, ID E Liberty St Weiser, ID E 5th St Weiser, ID E 7th St Weiser, ID E 5th St Weiser, ID E 5th St Weiser, ID E 7th St Weiser, ID E 3rd St Weiser, ID W Court St Weiser, ID W Main St Wendell, ID (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 68

73 Wilder The Clinic at Wilder West Valley Medical Group LLC 215 3rd St Wilder, ID th St Ste A Wilder, ID (208) (208) Preferred Provider Network 6/23/2016 Page 69

74 URGENT CARE CLINIC IMPORTANT: Individual providers practicing at the following clinics may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho Boise Primary Health Medical Group-Urgent Care 1907 S Broadway Ste 101 Boise, ID Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 300 W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID (208) (208) (208) (208) Caldwell Primary Health Medical Group-Urgent Care 4815 Cleveland Blvd Caldwell, ID (208) Coeur d Alene Rockwood Clinic PS 700 Ironwood Dr Ste Rockwood Clinic PS 700 W Ironwood Dr Ste Eagle Primary Health Medical Group-Urgent Care 435 S Eagle Rd Ste 100 Eagle, ID (208) (509) (208) Garden City Primary Health Medical Group-Urgent Care Meridian Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Nampa Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 6052 W State St Garden City, ID E Fairview Ave E Florence Dr 700 Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID (208) (208) (208) (208) (208) Post Falls Rockwood Clinic PS 1593 E Polston Ave Post Falls, ID Rockwood Clinic PS 750 N Syringa St Ste 204 Post Falls, ID (509) (509) Sandpoint Rockwood Clinic PS 302 S 1st Ave Sandpoint, ID (509) Preferred Provider Network 6/23/2016 Page 70

75 FACILITIES Ambulatory Surgical Center Idaho Blackfoot Parkway Surgical Center 1485 Parkway Drive Blackfoot, ID (208) Boise Idaho Endoscopy Center, L.L.C W Emerald St Boise, ID (208) Center of Idaho, LLC 1425 W River Boise, ID (208) Pacific Cataract and Laser Institute 250 Bobwhite Ct Ste 100 Boise, ID (800) Pacific Cataract and Laser Institute 2822 S Vista Ave Boise, ID (208) Pain Care Boise 301 W Myrtle Boise, ID (208) Saint Alphonsus Outpatient Surgery Boise, ID (208) Southwest Idaho Surgery Center, Inc. 900 N Liberty St Ste 400 Boise, ID (208) Surgicare Center of Idaho LLC 360 E Mallard St Ste 125 Boise, ID (208) Caldwell West Valley Medical Center Outpatient Surgery 1717 Arlington Ave Caldwell, ID (208) Coeur d Alene Advanced Dermatology & Skin Surgery 1700 W Riverstone Dr (208) Coeur d'alene Foot & Ankle Surgery Center 101 Ironwood Dr Ste 131 (208) Coeur D'Alene Surgery Center 2121 Ironwood Center Dr (208) Kootenai Outpatient Surgery Center 707 Ironwood (208) North Idaho Cataract & Laser Center 1814 Lincoln Way (208) North Idaho Endoscopy Center, P.L.L.C Lincoln Way Suite 100 (208) North Idaho Pain Center 1686 W Riverstone Dr Ste (208) Idaho Falls Creekside Surgery Center 2375 E Sunnyside Rd Ste B Idaho Falls, ID (208) Grand Teton Surgical Center 2290 Coronado St Idaho Falls, ID (208) Lewiston IPC Surgical Center, L.L.C Juniper Dr Lewiston, ID (208) Lewis & Clark Orthopaedic Institute, L.L.C. 318 Warner Dr Lewiston, ID (208) Pacific Cataract and Laser Institute th St Lewiston, ID (208) Meridian Eagle Eye Surgery & Laser Center 3090 Gentry Way Ste 100 (208) Meridian Health Plaza 3025 W Cherry Ln (208) Sinus Surgery Center Idaho PA 3085 E Magic View Dr Ste (208) Surgery Center of Idaho, L.L.C E Magic View Dr (208) Moscow Palouse Surgery Center 2300 W A Street Moscow, ID (208) Nampa Treasure Valley Surgery Center Nampa 4400 E Flamingo Ave Nampa, ID (208) Pocatello Endoscopy Center LLC 1151 Hospital Way Ste A Pocatello, ID (208) Idaho SurgiCenter Inc 1157 Call Pl Pocatello, ID (208) PCS Endoscopy Suite, Inc. 500 S 11th Ave Ste 303 Pocatello, ID (208) Skyline Surgery Center, Inc. 285 Vista Dr Ste C Pocatello, ID (208) Ponderay Pend Oreille Surgery Center, LLC Hwy 200 Ste 201 Ponderay, ID (208) Rexburg Preferred Provider Network 6/23/2016 Page 71

76 Upper Valley Surgery Center PLLC 256 N 2nd E Ste 1 Rexburg, ID (208) Sandpoint Sandpoint Surgery Center LLC 1327 Superior St Ste 111 Sandpoint, ID (208) Behavioral Health Facility Idaho Silverton Loving Care & More 104 Wind River Rd Silverton, ID (208) Cancer Center Idaho Boise Saint Alphonsus Cancer Care Center Boise, ID (208) Caldwell Caldwell Cancer Care Center-Medical Oncology 3123 Commercial Way Caldwell, ID (208) Caldwell Cancer Care Center-Radiation Oncology 3123 Commercial Way Caldwell, ID (208) Dialysis Idaho Coeur d Alene North Idaho Dialysis Facility 2100 Ironwood Ct (208) Dalton Gardens Fresenius Medical Care Hayden Lake 7600 Mineral Dr Ste 850 Dalton Gardens, ID (208) Lewiston NRI Lewiston st St Lewiston, ID (208) Moscow Fresenius Medical Care Palouse 723 S Main St Moscow, ID (208) Ponderay Fresenius Medical Care Idaho Panhandle Dialysis Center 204 N Triangle Dr Ponderay, ID (208) Post Falls Renal Care Group- Post Falls 1300 E Mullan Ave Ste 1200 Post Falls, ID (208) Durable Medical Equipment Supplier Idaho Blackfoot Includes the following: Wheelchairs (WC), Diabetic Supplies (DS), Mastectomy Prosthetics (MP), Electronic/Mechanical, Equipment (EE), General Equipment (GE). For availablility of these services, check with Preferred durable medical equipment providers listed below. Norco, Inc Parkway Dr Ste 26 Blackfoot, ID (208) Boise Idaho Sleep Health 7272 W Potomac Dr Boise, ID (208) Norco, Inc E Fairview Ave Boise, ID (208) Northland Hearing Centers Inc 4111 W State St Boise, ID (208) Rehab Systems Inc W Lemhi Boise, ID (208) The CPAP Clinic 6128 Fairview Avenue Suite 1A Boise, ID (208) Preferred Provider Network 6/23/2016 Page 72

77 Caldwell The CPAP Clinic 2423 S Georgia Ave Caldwell, ID (208) Chubbuck Norco, Inc Yellowstone Hwy Chubbuck, ID (208) Coeur d Alene ADAPT Prosthetics Orthotics LLC 2204 Ironwood Place Ste A (208) Bellevue Healthcare II Inc North Idaho 115 E Harrison Ave (208) Good Night Medical 2005 Ironwood Pkwy Ste 130 (208) Home Med Plus, Inc N Government Way Ste M (208) Idaho Home Medical, Inc. 212 West Ironwood Drive (208) Idaho Home Medical, Inc. 411 W Haycraft Ave Ste B2 Coeur d Alene, ID (208) Ironwood Medical Supply & Oxygen 2120 Ironwood Center Dr Coeur d Alene, ID (208) Kootenai Prosthetic Orthotic Service, Inc W Northwood Center Ct Ste A (208) Lake City Shoe Repair 6055 N Government Way Ste 1 Coeur d Alene, ID (208) Preferred Medical 1101 W Ironwood Dr (208) Dalton Gardens Soper's Mobility Aids, L.L.C N Government Wy Dalton Gardens, ID (208) Garden City Pacific Pulmonary Services 5220 Sawyer Ct Ste D Garden City, ID (208) Grangeville Norco, Inc. 329 W Main Grangeville, ID (208) Hayden Apria Healthcare, Inc. 77 W Commerce Dr Ste B Hayden, ID (208) Idaho Falls Homecare Medical Equipment 2275 Channing Way Idaho Falls, ID (208) Norco, Inc Washington Pkwy Idaho Falls, ID (208) Rocky Mountain Artificial Limb & Brace Inc 2230 E 25th St Idaho Falls, ID (208) Meridian Norco, Inc N Eagle Rd Meridian, ID (208) United Seating & Mobility 1311 E Franklin Rd Ste 104 (208) Walgreens Infusion Services 800 S Industry Way Ste (208) Montpelier Homecare Medical Equipment 386 Washington St Montpelier, ID (208) Moscow Norco, Inc. 223 W 3rd St Moscow, ID (208) Northwest Respiratory & Medical 619 S Washington St Ste 102 Moscow, ID (208) Nampa Idaho Sleep Health 210 W Georgia Ave Ste 120 Nampa, ID (208) Northland Hearing Centers Inc 106 Holly St Nampa, ID (208) Pocatello Maag Prescription Center LLC 333 W Center St Pocatello, ID (20) x3131 Rocky Mountain Artificial Limb & Brace Inc 285 Jefferson Ave Pocatello, ID (208) Post Falls American Seating & Mobility 1640 E Schneidmiller Ave Post Falls, ID (877) Kootenai Prosthetic Orthotic Service, Inc E Polston Ave Post Falls, ID (208) Rexburg Norco, Inc. 146 N 2nd E Rexburg, ID (208) Sandpoint Kootenai Prosthetic Orthotic Service, Inc Ponderosa Dr Ste 101 Sandpoint, ID (208) Preferred Provider Network 6/23/2016 Page 73

78 Twin Falls Apria Healthcare, Inc. 261 Addison Ave W Twin Falls, ID (208) National Seating & Mobility, Inc Filer Ave E Twin Falls, ID (208) Norco, Inc. 330 N Haven St Twin Falls, ID (208) Rehab Systems Inc. 542 Addison Ave W Twin Falls, ID (208) Home Health Idaho Blackfoot Access Home Care 131 N Oak St Blackfoot, ID (208) Boise CORAM Alternate Site Services, Inc W Executive Dr Boise, ID (208) CORAM Alternate Site Services, Inc W Emerald St Boise, ID (800) Saint Alphonsus Home Health & Hospice LLC 427 N Curtis Rd Boise, ID (208) Chubbuck Access Home Care LLC 240 W Burnside Ave Ste B Chubbuck, ID (208) Encompass Home Health of Idaho 4425 Burley Dr Ste C Chubbuck, ID (208) Coeur d Alene Family Home Care Corp 1620 Northwest Blvd Ste (208) Gentiva Health Services 1230 Northwood Center Court (208) Gentiva Health Services 1620 Northwest Blvd Ste 201 Gentiva Health Services 1230 Northwood Center Ct (208) North Idaho Home Health 850 W Kathleen Ave Coeur d Alene, ID (208) Gooding Idaho Home Health & Hospice 329 Washington St Gooding, ID (208) Hayden Panhandle Health District 8500 N Atlas Rd Hayden, ID (208) Idaho Falls Avalon Home Health 403 1st St Idaho Falls, ID (208) Encompass Home Health of Idaho 3686 Washington Pkwy Idaho Falls, ID (208) Idaho Home Health & Hospice 1906 Jennie Lee Dr Idaho Falls, ID (208) IntegriCare of Eastern Idaho 2236 East 25th Street Idaho Falls, ID (208) Meridian Idaho Home Health & Hospice 1965 S Eagle Rd Ste (208) Moscow Gritman Home Health & Hospice 700 S Main St Moscow, ID (208) Pocatello Alliance Home Health of Idaho 440 E Clark St Ste A Pocatello, ID (208) Heritage Home Health 1009 W Quinn Rd Ste B Pocatello, ID (208) Idaho Home Health & Hospice 315 E Alameda Rd Pocatello, ID (208) Preston Access Home Care 307 S 1st E Preston, ID (208) Rexburg Encompass Home Health of Idaho 351 E 2nd N Rexburg, ID (208) Twin Falls Idaho Home Health & Hospice 222 Shoshone St E Twin Falls, ID (208) Preferred Provider Network 6/23/2016 Page 74

79 Home Infusion Idaho Blackfoot Lincare Inc 90 W Judicial St Blackfoot, ID (208) Coeur d Alene Lincare Inc 3909 N Schreiber Way Ste 1 Coeur d Alene, ID (208) Grangeville Lincare Inc 60 Frontage Rd Ste A7A Grangeville, ID (208) Idaho Falls Lincare Inc 2265 Desoto St Idaho Falls, ID (208) Meridian Lincare Inc 150 S Adkins Way Ste 120 & (208) Moscow Lincare Inc 428 W 3rd St Unit 2 Moscow, ID (208) Rexburg Lincare Inc 2685 S 2000 W Rexburg, ID (208) Salmon Lincare Inc 1102 Main St Salmon, ID (208) Sandpoint Lincare Inc 525 Cedar St Sandpoint, ID (208) Twin Falls Lincare Inc 250 2nd Ave S Ste C Twin Falls, ID (208) Hospice Idaho Boise Four Rivers Hospice 427 N Curtis Rd Boise, ID (208) Fruitland Heart N Home Hospice & Palliative Care LLC 1100 NW 12th St Fruitland, ID (208) Meridian Hearts For Hospice, L.L.C Gentry Way (801) Nampa Mercy Medical Center-Hospice 215 E Hawaii Nampa, ID (208) Sandpoint Bonner Community Hospice 602 N Third Ave Sandpoint, ID (208) Imaging Facility Idaho Boise Intermountain Medical Imaging 927 W Myrtle Boise, ID (208) Intermountain Medical Imaging Boise, ID (208) Intermountain Medical Imaging 161 E Mallard Ste 120 Boise, ID (206) Saint Alphonsus Regional Medical Center Boise, ID (208) Caldwell Preferred Provider Network 6/23/2016 Page 75

80 West Valley Women's Imaging Center 315 E Elm St Ste 330 Caldwell, ID (208) Eagle Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID (208) Meridian Intermountain Medical Imaging 2929 E Magic View Dr (208) Nampa St Alphonsus Nampa th Ave Road Nampa, ID (208) St Alphonsus Nampa 4400 E Flamingo Ave Nampa, ID (208) Pocatello Allied Imaging Inc 2043 E Center St Ste 115 Pocatello, ID (855) Twin Falls Allied Portable Xray Inc 1255 Filer Ave E Ste C Twin Falls, ID (208) Independent Laboratory Idaho Boise Cole Diagnostics 7988 W Marigold St Ste 150 Boise, ID (208) Interpath Laboratory, Inc W Emerald Boise, ID (208) Laboratory Corporation of America 6090 Emerald Street Boise, ID (208) Saint Alphonsis Laboratory 1055 N Curtis Road Boise, ID (208) Saint Alphonsis Laboratory 1055 N Curtis Road Boise, ID (208) Saint Alphonsus Laboratory Boise, ID (208) Treasure Valley Laboratory 1070 N Curtis Rd Ste 130 Boise, ID (208) Treasure Valley Laboratory 333 1st Ste 240 Boise, ID (208) Caldwell Interpath Laboratory, Inc S 10th Ave Caldwell, ID (208) West Valley Medical Center Laboratory 1718 Arlington Ave Caldwell, ID (208) Coeur d Alene Alpha Medical Labs 920 Ironwood Dr (208) Alpha Medical Labs 700 Ironwood Dr Ste 108 (208) Alpha Medical Labs 980 Ironwood Dr Ste 103 (208) Pathology Associates Med Labs 700 Ironwood Dr Ste 108 (208) Pathology Associates Med Labs 920 Ironwood Dr (208) Pathology Associates Med Labs 1607 Lincoln Wy (208) Pathology Associates Med Labs 980 Ironwood Dr Ste 103 (208) Pathology Associates Med Labs 914 W Ironwood Dr Ste 101 (208) Quest Diagnostics 2207 Ironwood Pl (208) Idaho Falls Laboratory Corporation of America 2114 Niagra Street Idaho Falls, ID (208) Quest Diagnostics 1970 East 17th Suite 119 Idaho Falls, ID (208) Treasure Valley Laboratory 2001 S Woodruff Ste 16 Idaho Falls, ID (208) Kellogg Mountain Healthcare, Inc. 740 McKinley Avenue Kellogg, ID (208) Lewiston Pathologists Regional Laboratory 415 Sixth Street Lewiston, ID (208) Pathologists Regional Laboratory 415 Sixth Street Lewiston, ID (208) Meridian Treasure Valley Laboratory 3025 W Cherry Ln (208) Nampa Preferred Provider Network 6/23/2016 Page 76

81 Interpath Laboratory, Inc th Ave N Nampa, ID (208) St Alphonsus Nampa th Ave Road Nampa, ID (208) St Alphonsus Nampa 4400 E Flamingo Ave Nampa, ID (208) Pocatello Laboratory Corporation of America 1950 East Clark Street Suite F Pocatello, ID (208) Quest Diagnostics 1777 E Clark St Ste 210 Pocatello, ID (208) Treasure Valley Laboratory 1951 Bench Rd Ste A Pocatello, ID (208) Post Falls Pathology Associates Med Labs 1300 Mullan Post Falls, ID (208) Long Term Acute Care Hospital Idaho Boise Southwest Idaho Advanced Care Hospital 6651 W Franklin Rd Boise, ID (208) Post Falls Northern Idaho Advanced Care Hospital 600 N Cecil Rd Post Falls, ID (208) Medical Transportation Services Idaho Boise Acute Rescue & Transport Inc 1104 W Dundee St Boise, ID (208) Mental Health Center Idaho Boise Saint Alphonsus Behavioral Health 131 N Allumbaugh Boise, ID (208) Caldwell West Valley Medical Center 1717 Arlington Ave Caldwell, ID (208) Optical Hardware Center Idaho Lewiston Affordable Optics st St Lewiston, ID (208) Physical Rehabilitation Facility Idaho Boise Saint Alphonsus Rehabilitation Services (STARS) 901 N Curtis Rd Ste 204 Boise, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 717 N Liberty Boise, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 5959 N Discovery Way Boise, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 1050 W State St Boise, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 2141 E Parkcenter Blvd Boise, ID (208) Preferred Provider Network 6/23/2016 Page 77

82 Caldwell West Valley Therapy Connections 222 Elm St Caldwell, ID (208) Eagle Saint Alphonsus Rehabilitation Services (STARS) 875 E Plaza Ste 105 Eagle, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 323 E Riverside Dr Ste 124 Eagle, ID (208) Fruitland Saint Alphonsus Rehabilitation Services (STARS) 910 NW 16th St Fruitland, ID (208) Meridian Saint Alphonsus Rehabilitation Services (STARS) 3025 W Cherry Ln Ste D (208) Saint Alphonsus Rehabilitation Services (STARS) 179 SW 5th Ave (208) Saint Alphonsus Rehabilitation Services (STARS) 3875 E Overland Rd (208) Nampa Saint Alphonsus Rehabilitation Services (STARS) 2707 Garrity Blvd Ste 3 Nampa, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 131 Constitution Way Nampa, ID (208) Saint Alphonsus Rehabilitation Services (STARS) 4424 E Flamingo Ave Nampa, ID (208) Facility Idaho Boise Intermountain Medical Imaging 327 W Myrtle Boise, ID (208) Intermountain Medical Imaging 161 E Mallard Ste 120 Boise, ID (208) Saint Alphonsus Breast Care Center 6200 W Emerald Boise, ID (208) Coeur d Alene Inland Northwest Imaging LLC 850 Ironwood Dr Ste B101 (208) Kootenai Medical Center 700 W Ironwood Dr Ste (208) Kootenai Outpatient Imaging 700 Ironwood Dr Ste 110 (208) Eagle Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID (208) Meridian Intermountain Medical Imaging 2923 E Magic View Dr (208) Middleton AAA Medical Solutions Inc 412 S King Ave Ste 100 Middleton, ID (208) Moscow Alliance HealthCare Services, Inc. 700 S Main St Moscow, ID (800) Pocatello Diagnostic Imaging Services of Idaho 1951 Bench Rd Ste F Pocatello, ID (208) Post Falls Kootenai Outpatient Imaging 1300 E Mullan Ave Post Falls, ID (208) Rehabilitation Facility Idaho Boise Saint Alphonsus Rehabilitation Unit Boise, ID (208) Skilled Nursing Facility Preferred Provider Network 6/23/2016 Page 78

83 Idaho Boise Avamere Transitional Care And Rehabilitation Boise 1001 S Hilton St Boise, ID (208) Bridgeview Estates 1828 Bridgeview Blvd Boise, ID (208) Lcc of Boise 808 North Curtis Road Boise, ID (208) Lcc of Treasure Valley 502 North Kimball Place Boise, ID (208) Northview Hospital 8050 Northview Street Boise, ID (208) Saint Alphonsus Skilled Nursing Unit Boise, ID (208) Caldwell Cascade Rehabilitation and Care Center 2814 South Indiana Avenue Caldwell, ID (208) Kindred Nursing & Rehabilitation-Caldwell 210 Cleveland Blvd Caldwell, ID (208) Kindred Nursing and Rehabilitation-Canyon West 2814 S Indiana Ave Caldwell, ID (208) West Valley Skilled Nursing Unit 1717 Arlington Ave Caldwell, ID (208) Coeur d Alene Ivy Court 2200 Ironwood Pl (208) LaCrosse Health & Rehabilitation Center 210 W LaCrosse Ave (208) Life Care Center of Coeur d Alene 500 W Aqua Ave (208) Emmett Holly Hills Care Center 501 West Idaho Blvd. Emmett, ID (208) Grangeville SunBridge Care and Rehabilitation for Grangeville 410 N.E. Second Street Grangeville, ID (208) Idaho Falls Lcc of Idaho Falls 2725 East 17th Street Idaho Falls, ID (208) Kellogg Kindred Nursing & Rehabilitation-Mountain Valley 601 W Cameron Ave Kellogg, ID (208) Lewiston Kindred Transitional Care & Rehabilitation-Lewiston th St Lewiston, ID (208) Life Care Center of Lewiston 325 Warner Dr Lewiston, ID (208) SunBridge Care and Rehab for Lewiston 1014 Burrell Avenue Lewiston, ID (208) The Orchards Rehabilitation & Care Center 1014 Burrell Ave Lewiston, ID (208) McCall SunBridge Care and Rehabilitation for McCall 418 Floyd St McCall, ID (208) Meridian SunBridge Rehabilitation and Living Center for Meridian 1351 W Pine Ave (208) Moscow Kindred Nursing & Rehabilitation-Aspen Park 420 Rowe St Moscow, ID (208) Nampa Karcher Estates 1127 Caldwell Blvd. Nampa, ID (208) Kindred Nursing & Rehabilitation-Nampa 404 Horton St Nampa, ID (208) SunBridge Retirement and Rehabilitation Center for Nampa 2609 Sunnybrook Drive Nampa, ID (208) Payette SunBridge Care and Rehabilitation for Payette 1019 Third Avenue South Payette, ID (208) Pocatello Pocatello Health Services Inc 527 Memorial Dr Pocatello, ID (208) Quinn Meadows Rehabilitation & Care Center 1033 W Quinn Rd Pocatello, ID (208) Sandpoint Life Care Center of Sandpoint 1125 N Division St Sandpoint, ID (208) Twin Falls SunBridge Care and Rehabilitation for Twin Falls 640 Filer Avenue West Twin Falls, ID (208) Preferred Provider Network 6/23/2016 Page 79

84 Weiser Kindred Nursing & Rehabilitation-Weiser 331 E Park St Weiser, ID (208) Sleep Disorder Center/Lab Idaho Boise Saint Alphonsus Sleep Clinic Boise, ID (208) Substance Abuse Rehabilitation Facility Idaho Boise Saint Alphonsus Addiction Recovery Center 6138 Emerald St Suite B Boise, ID (208) Lewiston Riverside Recovery th Ave Lewiston, ID (208) Preferred Provider Network 6/23/2016 Page 80

85 Preferred Providers Idaho Aberdeen Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease Buitrago, Martha I. Infectious Disease 330 N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID Hutton-Levenson, Judith LMHC 330 N Main, Marriage & Family Aberdeen, ID Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care 330 N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID N Main Aberdeen, ID (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) American Falls Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 81

86 Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Seibold, Spencer Garrett DO Smith, Dean Ty DO Williams, Dean MD Infectious Disease Buitrago, Martha I. Infectious Disease 823 Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Roosevelt St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Tyhee Ave American Falls, ID Reed St American Falls, ID Roosevelt St American Falls, ID Reed St American Falls, ID Hutton-Levenson, Judith LMHC 823 Reed St, Marriage & Family American Falls, ID Counselor / Babb, Kristine ARNP, RN / Babb, Kristine ARNP, RN / Cassell, Linda Jere ARNP / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy DeVoe, Cara E Stringfield, Sari D PT 510 Roosevelt St American Falls, ID Rossevelt St American Falls, ID Roosevelt St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) ADA Accessible (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) Harms Memorial Hospital District (208) Harms Memorial Hospital District (208) Harms Memorial Hospital District (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 82

87 Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Shelley, David J,, Interventional Rheumatology Walaliyadda, Ananda Rheumatology, Brown, Shannon L LSW Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urgent Care Carbol, Courtland Reid MD Urgent Care Ammon Certified Nutritionist/Registered Diet Zirker, Lindsey Ann RD Certified Nutritionist/Registered Diet Wheeler, Laramie DO Marlowe, Kenneth Roy LMHC Warren, Zakery R 823 Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Reed St American Falls, ID Tyhee Ave American Falls, ID Roosevelt Ave American Falls, ID Reed St American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Fort Hall Ave Ste B American Falls, ID Reed St American Falls, ID E 17th St Ammon, ID E 17th St Ammon, ID Curlew Dr Ammon, ID E 17th St Ammon, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 83

88 Weadick, Jill R / Adams, Rachel RN /, Nurse Practitioner/Mental Health Brabec, Jaclyn S PAC Psychiatry Layman, Howard A. Psychiatry New, Richard A. MD Psychiatry Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Moedl, April A LSW Nelson, Amanda Sue LSW Spencer, David E LSW Suarez, Alex Arco Barney, Gene Ryan LSW Brown, Suzanne E LSW Ashton Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Walters, Cris A. PT Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology 2705 E 17th St Ammon, ID Curlew Dr Ammon, ID E 17th St Ammon, ID Curlew Dr Ammon, ID S Midway Ave Ste 2 Ammon, ID E 17th St Ammon, ID Curlew Dr Ammon, ID Curlew Dr Ammon, ID E 17th St Ammon, ID Curlew Dr Ammon, ID N Idaho Arco, ID N Idaho Arco, ID S 8th St Ashton, ID N 2nd St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID (208) (208) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) ADA Accessible Languages: SPANISH (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible Languages: SPANISH (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 84

89 Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO 23 S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID S 8th St Ashton, ID (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center Blackfoot Allergy & Immunology Bilstrom, David E. Allergy & Immunology Jones, Douglas Harry MD Allergy & Immunology Anesthesiology Garbarini, Michael P Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Stutts, III, Baldwin Shields MD, Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Adams, Henry Michael RN, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Field, Jess Paul Cert Registered Nurse Anesthetist (CRNA) Hanks, Jed D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 326 Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Popular St Blackfoot, ID N Meridian St Blackfoot, ID Poplar Blackfoot, ID N Meridian Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Poplar Blackfoot, ID Poplar Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Popular St Blackfoot, ID N Meridian St Blackfoot, ID Poplar Blackfoot, ID N Meridian Blackfoot, ID Parkway Blackfoot, ID (208) (208) Bingham Memorial Hospital (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) (208) (208) Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 85

90 Purcell, Blake G CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Allen, Daniel Holt, Kurtis Murdock, Edward Okasinski, Robert E Beckett, Paul L DO, Bird, Jace A. Call, Thomas Sterling Call, Thomas Sterling Carrigan, Brian W MD Clinger, Steven J MD Fackrell, Matthew J. DO Gillespie, Robert Todd PA Gillespie, Robert Todd PA Gillespie, Robert Todd PA Harris, Michael T. Harris, Michael T. Kam, Jared Michael MD Kam, Jared Michael MD Kam, Jared Michael MD Martin, Brady C DO Martin, Brady C DO McKinlay, Kirt Miles MD Moser, Francis Bryce DO Willey, Jay Warren DO Willey, Jay Warren DO Gastroenterology 1485 Parkway Blackfoot, ID Poplar Blackfoot, ID N Meridian Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID W Idaho St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) Languages: FRENCH (208) Languages: FRENCH (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 86

91 Cook, Darryl Bruce MD Gastroenterology, Cook, Darryl Bruce MD Gastroenterology, Davis, Thomas V DO Gastroenterology, Davis, Thomas V DO Gastroenterology, Godfrey, Jonathan Dean MD Gastroenterology General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery Johansen, Francis Taylor DO General Surgery Medvetz, Lisa Ann MD General Surgery Medvetz, Lisa Ann MD General Surgery Schneider, Doran J DO General Surgery Anderson, Shane K DO Anderson, Shane K DO Anderson, Shane K DO Anderson, Shane K DO Capriccione, Angelo M MD Capriccione, Angelo M MD Haderlie, Michael J MD, Nephrology Reid, Jason Kirkwood MD Scherr, Daron L. Shah, Tushar K MD Shrader, David L MD Siktel, Hira Babu MD, Nephrology Siktel, Hira Babu MD, Nephrology Stutts, III, Baldwin Shields MD, Cardiovascular Disease Wehrle, Lance R DO Tomazin, Kathleen S. LMHC Nephrology Rahim, Fahim MD Nephrology, Rahim, Fahim MD Nephrology, 98 Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID W Idaho St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID W Bridge Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Languages: ITALIAN, SPANISH (208) Languages: ITALIAN, SPANISH (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 87

92 Neurological Surgery Huneycutt, William Scott Neurological Surgery Huneycutt, William Scott Neurological Surgery Kelly, Brandon Reyes MD Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Neurology Gerard, Mary Elizabeth MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Bean, Leslie Ann NPRA, RN Blake, O'Dopherty Beverley ARNP Blake, O'Dopherty Beverley ARNP Holland, David G NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Wedler, Trilby M ARNP, RN Wedler, Trilby M ARNP, RN Wedler, Trilby M ARNP, RN Zobell, Anna Lurrine NPRA, RN Zobell, Anna Lurrine NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / 98 Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Bingham Memorial Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) ADA Accessible (208) (208) (208) (208) Bingham Memorial Hospital (208) Not accepting new patients (208) (208) (208) (208) (208) Bingham Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 88

93 Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Finnerty, Christina Marie NPRA, RN / Harris, Tyson A NPRA, RN / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Montgomery, Jason Andrew ARNP, RN / Montgomery, Jason Andrew ARNP, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / Arya, Sushila Arya, Sushila Bourkovski, Heather Shannon Larson, Steven P DO Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Weaver, Heidi S MD Weaver, Heidi S MD Occupational Therapy Jaques, Betty C Occupational Therapy Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Ririe, David W MD Oncology, Medical Ophthalmology Fornarotto, John Michael Ophthalmology Fornarotto, John Michael Ophthalmology 98 Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID N 600 W Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) ADA Accessible (208) (208) (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) (208) (208) Portneuf Medical Center (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 89

94 Fields, Gail E DO Fields, Gail E DO Hansen, Stephen M., Spinal Cord Injury Hansen, Stephen M., Spinal Cord Injury Lee, Robert Jensen MD Peterson, David John DO Peterson, David John DO Peterson, David John DO Peterson, David John DO Selznick, Hugh S Otolaryngology Donaldson, David R MD Otolaryngology McGee, Kraig C Otolaryngology McGee, Kraig C Otolaryngology Pain Management Manjunath, Prashanth S MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Garrison, Charles O Pathology McGee, Kristopher Adamson MD Pathology Patel, Roshan S. MD Pathology Pediatrics Julian, Christie A Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Barnes, Trevor G PT Hawker, Brandon Scott PT Hurst, Ryan B PT Hyde, Jason R Nichols, Deidra R PT Wheelwright, Dale C 53 Poplar Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Ste 1 Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID W Bridge St Ste F Blackfoot, ID W Francis St Blackfoot, ID W Francis St Blackfoot, ID Jensen Grove Dr Ste 4 Blackfoot, ID Parkway Dr Blackfoot, ID N 600 W Blackfoot, ID (208) Bingham Memorial Hospital -Idaho Doctors Hospital (208) Bingham Memorial Hospital -Idaho Doctors Hospital (208) Languages: FRENCH, HAITIAN CREOLE (208) Languages: FRENCH, HAITIAN CREOLE (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: PORTUGUESE (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 90

95 Cooper, Stacy Ann PA Cooper, Stacy Ann PA Dixon, Annie M PA Hatch, Angela G Heier, Julie Marie McGee, Julia R PA McGee, Julia R PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA Miller, Natalie Marie PA Porter, Ryan PA Porter, Ryan PA Robinson, Jennifer Lynn PA Plastic & Reconstructive Surgery Martin, II, Garry Michael MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Maloff, Stephen M MD Plastic Surgery, Surgery, Hand Podiatry Gambles, Darin G Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Robinson, Dan E. DPM Podiatry Psychiatry Palmer, Kelly P. DO Psychiatry Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Psychology Whitley, II, Donald M PY Psychology Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O 98 Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Ste B Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Jensen Grove Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) (208) (208) Mountain View Hospital LLC -Portneuf Medical Center (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 91

96 Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional,, Nuclear Cardinal, DJ Marc MD, Nuclear, Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Stephenson, John D LMHC, LSW Speech Language Pathology Gearhart, Carisa A Speech Language Pathology Urology Jones, Peter J MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Sule, J David MD Urology Zobell, Richard L MD Urology Boise Licensed Acupuncturist 1441 Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Camas Blackfoot, ID N 600 W Blackfoot, ID Parkway Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) Portneuf Medical Center (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 92

97 Zhang, Shiyan LAC Acupuncture Allergy & Immunology Callanan, Joseph J MD Allergy & Immunology Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology Baillie, Jon-Eric MD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, Linda M NPRA, RN Anesthesiology McGarry, Sean Anesthesiology McGarry, Sean Anesthesiology Mortensen, Joseph Anesthesiology Smagula, Carl M. Anesthesiology Smagula, Carl M. Anesthesiology Wilding, Victoria C Anesthesiology, Pain Management Wilding, Victoria C Anesthesiology, Pain Management Audiology Adams, Shalise CA Audiology Cheshire, Spencer L CA Audiology Elcox, Jacquie A CA Audiology Lifferth, Spencer K CA Audiology Olsen, Cynthia K Audiology Redmond, Paul C Audiology Stoker, Brek D CA Audiology Strickland, Tosha K Audiology Whitcomb, Curtis J CA Audiology Workman, Cory D Audiology Behavioral/Mental Health Karcher, Emily Behavioral/Mental Health McConaughey, Karen S. Behavioral/Mental Health Cardiac Electrophysiology Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease 2425 N Milwaukee St Boise, ID N Curtis Rd Ste 303 Boise, ID N Curtis Rd Ste 100 Boise, ID N Curtis Rd Ste 100 Boise, ID N Curtis Rd Ste 100 Boise, ID N Curtis Rd Ste 303 Boise, ID W Barnes Dr Boise, ID E Riverpark Ln River Run Surgery Center Boise, ID E Mallard Dr Ste 125 Boise, ID E Riverpark Ln River Run Surgery Center Boise, ID Boise, ID N Liberty St Ste 450 Boise, ID Boise, ID Boise, ID N Liberty St Ste 450 Boise, ID th Fl Boise, ID Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID N Cole Rd Boise, ID N Milwaukee St Ste A Boise, ID N Milwaukee St Ste A Boise, ID N Cole Rd Boise, ID W Persimmon Ln Ste 120 Boise, ID W Overland Rd Boise, ID N Cole Rd Boise, ID N Liberty St Ste 400 Boise, ID W Overland Rd Ste 301 Boise, ID W Overland Rd Ste 101 Boise, ID Boise, ID W Curtisian Ave Ste 200 Boise, ID (208) Not accepting new patients (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (952) (866) (208) (2) x9019 (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 93

98 Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Vloka, Margo E MD Cardiac Electrophysiology, Cardiovascular Disease Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Johnson, Alex C Cardiovascular Disease Malasky, Beth Cardiovascular Disease, Parent, Mark G Cardiovascular Disease, Interventional Cardiology Rich, Michael E Cardiovascular Disease, Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Sim, David N Cardiovascular Disease Wetherley, Graham K Cardiovascular Disease Writer, Steven L Cardiovascular Disease, Interventional Cardiology Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Anderson, Nancy L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bogsrud, Theodore W. CRNA Cert Registered Nurse Anesthetist (CRNA) Burman, Kevin P Cert Registered Nurse Anesthetist (CRNA) Elsemore, Thomas S. Cert Registered Nurse Anesthetist (CRNA) Gray, Walter S Cert Registered Nurse Anesthetist (CRNA) 1070 N Curtis Rd Ste 125 Boise, ID W Curtisian Ave Ste 300 Boise, ID W Curtisian Ave Ste 300 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 200 Boise, ID N Curtis Rd Ste 125 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 200 Boise, ID N Liberty St Ste 302 Boise, ID W Emerald St Boise, ID N Liberty St Ste 302 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Jefferson St Boise, ID W Main St Ste 100 Boise, ID N Eagle Rd Boise, ID W Gage St Ste B Boise, ID S Vista Ave Boise, ID W Jefferson St Boise, ID N 1st St Ste 240 Boise, ID S 11th St Ste 320 Boise, ID S 11th St Ste 300 Boise, ID E Riverpark Ln Boise, ID E Riverpark Ln Ste 200 Boise, ID S Timesquare Ln Ste 100 Boise, ID W Idaho St Boise, ID N 2nd St Boise, ID N Eagle Rd Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID N Talcrest Pl Boise, ID (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Bonner General Hospital (208) Bonner General Hospital (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Blue Mountain Hospital (208) Blue Mountain Hospital (208) Blue Mountain Hospital (208) Blue Mountain Hospital (208) (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (866) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) Eagle Eye Surgery & Laser Center (208) (208) Providence Centralia Hosp (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 94

99 Hare, Karl W ARNP Cert Registered Nurse Anesthetist (CRNA) Parent, Cynthia M Cert Registered Nurse Anesthetist (CRNA) Taylor, Susan G. Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Washington, Arlissa M Cert Registered Nurse Anesthetist (CRNA) Whaley, Christopher M. Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Blanchet, Medina E Certified Nutritionist/Registered Diet Blanchet, Medina E Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Harris, Marlee Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Kidder, Staci M Certified Nutritionist/Registered Diet Rae, Erin M Certified Nutritionist/Registered Diet Rich, Marjorie C Certified Nutritionist/Registered Diet Ruszel, Kelsey E Certified Nutritionist/Registered Diet Shanaberger, Shelby G Certified Nutritionist/Registered Diet Anderson, Carl R. DC Arnold, Matthew A. Bingham, Toby O. DC Crum, Eric R Edvalson, Noah Blue Ferch, Gregory E Fisher, Christopher DC Fisher, Michelle A Fletcher, Scott D Foster, Stoney R DC Gough, Ken Gray, Jon R Harvey, James R Harvey, Nichole Hickey, Thomas Dennis DC Hollingsworth, James E DC 2822 S Vista Ave Boise, ID N Talcrest Pl Boise, ID S Vista Ave Boise, ID Boise, ID N Liberty St Ste 450 Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID N 11th Ave Boise, ID W State St Ste 208 Boise, ID N Curtis Rd Ste 305 Boise, ID Boise, ID Belmont St Boise, ID N Curtis Rd Ste 305 Boise, ID N Eagle Rd Ste 120 Boise, ID E Warm Springs Ave Ste 106 Boise, ID N Curtis Rd Ste 305 Boise, ID N Raymond St Boise, ID E Bannock St Boise, ID S Five Mile Boise, ID S Timesquare Ln Boise, ID W Boise Ave Boise, ID S Maple Grove Rd Boise, ID N Milwaukee St Boise, ID Overland Rd Boise, ID W Emerald St Boise, ID S Orchard St Ste A Boise, ID N Eagle Rd Boise, ID N Maple Grove Rd Boise, ID N Curtis Rd Ste 204 Boise, ID W Persimmon Ln Ste 102 Boise, ID S Broadway Ave Boise, ID S Broadway Ave Boise, ID S Latah St Boise, ID Garverdale Ct Ste 203 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 95

100 Hood, Chad C DC Jellum, Lynne A Jones, Kjersten Jean Kidder, Andrew C Knowles III, John R. Kranz, James W, Acupuncture Kreusel, Kory L DC Laska, Nicole Lee, Soo, Acupuncture McCullough, Judit I DC McKim, Joshua K DC Norris, Troy D. Oakes, Darrell E Parge, Kirk DC, LAC, Acupuncture Pewe, Jeffrey Allen Pfaff, Brian Price, David N Rae, Brian J DC Ranck IV, Miles E Ricks, Jamie M DC Ricks, Jamie M DC Rosenberg, James Robert DC Sayer, Jaren L. Shaffer, Toby J Smith, Scott D DC Spainhower, Jerry T St Michel, Jillaine Dawn Thiry, John Thiry, Michael R Thiry, Robert Edward DC Thompson, L Erik Trapp, James B. Willis, Chad Willis, Nicole Willis, Nicole Clinical Nurse Specialist Hickerson, Joyce B NPRA, RN Clinical Nurse Specialist 3211 N Milwaukee St Boise, ID W Franklin Rd Ste 107 Boise, ID S Orchard St Ste A Boise, ID N Eagle Rd Ste 120 Boise, ID W Overland Rd Ste 110 Boise, ID N Curtis Rd Boise, ID N Eagle Rd Ste 120 Boise, ID S Orchard St Ste A Boise, ID Overland Rd Boise, ID S Orchard St Ste 152 Boise, ID W Emerald St Boise, ID Overland Ste 101 Boise, ID N Cole Rd Boise, ID W Overland Rd Ste L101 Boise, ID S Five Mile Rd Boise, ID N Curtis Rd Ste 204 Boise, ID Fairview Ave Boise, ID E Warm Springs Ave Ste 106 Boise, ID W Overland Rd Boise, ID E Hospitality Ln Ste 150 Boise, ID N Milwaukee St Boise, ID W State St Ste 220 Boise, ID N Cole Rd Boise, ID W Boise Ave Boise, ID N Milwaukee St Boise, ID W State St Boise, ID N Eagle Rd Boise, ID W Parkcenter Blvd Boise, ID W Emerald St Boise, ID W River St Boise, ID N Lakeharbor Ln Ste 201 Boise, ID W Holly St Boise, ID Garverdale Ct Ste 201 Boise, ID Garverdale Ct Ste 201 Boise, ID Garverdale Ct Ste 201 Boise, ID E Warm Springs Ave Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 96

101 Judd, Connie J NPRA Clinical Nurse Specialist Martsenyuk, Anna V Clinical Nurse Specialist Morgan, Teresa E Clinical Nurse Specialist Nelson, Sarah Clinical Nurse Specialist Osipchuk, Alla V Clinical Nurse Specialist Prinzing, Catherine Clinical Nurse Specialist Prinzing, Catherine Clinical Nurse Specialist Spencer, Jane K Clinical Nurse Specialist Dermatology Bender, Matthew Dermatology Blickenstaff, Richard D Dermatology Brooks, Naomi B Dermatology Cottingham, Teri J Dermatology Keller, Wade R Dermatology Mings, Steven M MD Dermatology Ririe, Marnie R MD Dermatology Stewart, James H Dermatology Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Davis, Robert L Dingman, Jeffrey Elliot, Eric T Ellison, Samantha M MD Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD 300 S 23rd St Boise, ID N 4th St Boise, ID Boise, ID Boise, ID N 4th St Boise, ID Boise, ID N Curtis Rd Ste 305 Boise, ID N Liberty St Ste 300 Boise, ID W State St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 505 Boise, ID N Eagle Rd Boise, ID E Parkcenter Blvd Boise, ID N Curtis Rd Ste 150 Boise, ID W Emerald St Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 97

102 Huang, Po Y MD Judd, Matthew T Kim, David T MD Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Lee, Darin J Madsen, Julie M. Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Peterson, Kari Quinn, Jason M MD Reynolds, Brian Reynolds, Charles M Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Sanderson, Thomas Walter MD Southard, Andrew Stillwagon, Nathan Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Endocrinology Christensen, Richard B MD Endocrinology Foote, Julie A MD Endocrinology Roosevelt, Theodore S MD Endocrinology Stanciu, Irinel N Endocrinology Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID S Americana Blvd Ste 120 Boise, ID Boise, ID W Emerald St Ste 102 Boise, ID N Cole Ste B Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID N Cole Ste B Boise, ID Boise, ID W Franklin Rd Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID S 11th St Ste 100 Boise, ID N Liberty St Ste 201 Boise, ID W Emerald St Ste 160 Boise, ID S 11th St Ste 100 Boise, ID St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 98

103 Stanciu, Irinel N Endocrinology Allen, Suzanne M MD Allen, Suzanne M MD Allen, Suzanne M MD Alviso, Marvin A Alviso, Marvin A Alviso, Marvin A Bailey, Justin Ballance, David A MD Barinaga, Mary E Belzer, Bruce Biggerstaff, Jennifer Burgess, Anne P MD Burgess, Anne P MD Burgess, Anne P MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Chasin, Judith Clinger, Mark B MD Clinger, Mark B MD Cook, Jennifer L Culpepper, Scott A MD Cyprus, Idalyn G MD, Urgent Care Davids, Abby R MD Davis, Ashley A MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD Deutsch, Kirsten M MD Devitt, Angeline G MD 403 S 11th St Ste 100 Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 100 Boise, ID W Emerald St Boise, ID W State St Boise, ID W Judith Ln Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Overland Rd Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID Main Street Suite 500 Boise, ID Main St Ste 500 Boise, ID N Harbor Ln Boise, ID W State St Ste 100 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Boise, ID W Lake Hazel Rd Boise, ID W State St Ste 100 Boise, ID W Emerald St Boise, ID N 2nd St Ste 204 Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID W Emerald St Boise, ID N Sawgrass Way Boise, ID E Parkcenter Blvd Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (800) (800) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 99

104 Dillion, April Dunay, Megan A MD Durham, Joshua DO Eck, John J MD Edwards, Jeffrey Karl Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Erwin, Ann E Esplin, Andrea C Gee, David L MD Gendler, Julie L Gendler, Julie L Gendler, Julie L Gerrish, Sarah MD Glass, Justin A MD Hansen, Jeffrey A Hansen, Jeffrey A Hartman, Donald D MD Higginbotham, Ronald S DO Hlavinka, Jon L Hlavinka, Jon L Hollopeter, Sarah MD Hudon, Tyler W MD Hughes, Meghan Jackson, Derek D MD Johnson, Gregory W Johnson, Mark C MD Johnson, Mark A Johnson, Shae H DO Jones, Erik S DO Kaylor, Michael 300 W Myrtle St Ste 100 Boise, ID N Raymond St Boise, ID W Emerald St Boise, ID E Bannock St Boise, ID N Raymond St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID E Boise Ave Boise, ID N Raymond St Boise, ID W Main St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID S Broadway Ave Ste 101 Boise, ID W Emerald St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Judith Ln Boise, ID W State St Boise, ID S 23rd St Boise, ID N Raymond St Boise, ID E Boise Ave Boise, ID N Sawgrass Way Boise, ID E Fairview Ave Boise, ID W Emerald St Boise, ID N 2nd St Ste 202 Boise, ID W Barnes Dr Boise, ID (208) (208) St Alphonsus Regional Medical Center Inc (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Not accepting new patients -St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 100

105 Kern, Lisa M MD King, Ashley J MD Kocemba, Russell M Kuntz, Kara M Kunz, Harold V MD Kunz, Harold V MD Lawler, Christopher T MD,, Sports Medicine Ludwig, Jason S Lyons, Julie A. Lyons, Julie A. Lyons, Julie A. MacDonald, Frank D MD Maier, Eric L MD Maier, Mike K MD Martin, David Anthony MD Martin, David Anthony MD McCoy, Justin A DO McCullough, Stephanie E Michaud, Mark Miller, Katherine E Mock, Dale L Moore, Harold G MD Moore, Ryan Moorhouse, Aaron D Mudge, Sandy L Mulder, Gertjan MD Nasser, Wajeeh E MD, Urgent Care Nelson, Aurelia W MD Nichols, Heather E MD Palmer, Todd R MD Palmer, Todd R MD 2141 E Parkcenter Blvd Boise, ID W State St Ste 100 Boise, ID N Sawgrass Way Boise, ID N Raymond St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Curtis Rd Ste 300 Boise, ID W Persimmon Ln Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W State St Boise, ID N Sawgrass Way Boise, ID N Sawgrass Way Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Raymond St Boise, ID N Raymond St Boise, ID S Broadway Ave Ste 101 Boise, ID E Parkcenter Blvd Boise, ID W Overland Rd Boise, ID W Judith Ln Boise, ID W Fairview Ave Boise, ID W Persimmon Ln Boise, ID E Fort St Boise, ID N Sawgrass Way Boise, ID W State St Ste 100 Boise, ID N Sawgrass Way Boise, ID E Fort St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Languages: SPANISH (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 101

106 Palmer, Todd R MD Perko, Robert K MD Pogue, Bryan C MD Quinn, Heather E. Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Rich, Kevin T MD Rich, Kevin T MD Rich, Kevin T MD Richardson, Erik J MD Richardson, Erik J MD Ringo, Shelley, Sports Medicine Roscoe, James MD Roscoe, James MD Roscoe, James MD Roscoe, James MD Roscoe, James MD Roser, Louis A MD Ross, Daniel S MD Ross, Daniel S MD Ross, Daniel S MD Ross, Daniel S MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rutherford, Mark A MD Sackman, Irv E MD Scheffel, Scot B MD, Sports Medicine 777 N Raymond St Boise, ID W McMillan Rd Boise, ID W Lake Hazel Rd Boise, ID Main St Ste 500 Boise, ID W Emerald St Boise, ID W Emerald St Ste 2 Boise, ID W McMillan Rd Boise, ID N Liberty Ste 204 Boise, ID W Judith Ln Boise, ID W Emerald St Boise, ID E Baybrook Ct Boise, ID N Liberty St Ste 203 Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W State St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W Judith Ln Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W 35th St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID E Boise Ave Boise, ID E Idaho St Ste 316 Boise, ID E Boise Ave Boise, ID E Boise Ave Boise, ID University Dr Boise, ID (208) (208) (208) (800) (208) Not accepting new patients (208) (208) (208) (208) Not accepting new patients (208) Not accepting new patients (208) (208) (208) (208) (208) (208) St Luke's Elmore Hospital (208) St Luke's Elmore Hospital (208) (208) (208) (208) (208) (208) (208) Not accepting new patients Languages: SPANISH (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 102

107 Schmitz, David F Schmitz, David F Schmitz, David F Schwendiman, Scott N MD Serio, Vincent J Shappard, Scott A DO Shepherdson, Nikole Shepherdson, Nikole Shepherdson, Nikole Siegersma, Wendy M MD Siegersma, Wendy M MD Sindt, Cezanne E Stutzman, Kimberly R Stutzman, Kimberly R Stutzman, Kimberly R Thomas, George W Tirrell, Laura L. MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tubbs, Gary Vania, Amber M DO Vania, Cyrus H DO Watts, Karl N MD Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Wilkinson, Kelly C MD Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine 777 N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID W Emerald St Boise, ID Belmont St Boise, ID W Overland Rd Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Raymond St Boise, ID E Fairview Ave Boise, ID W Judith Ln Boise, ID N Liberty St Ste 100 Boise, ID W Emerald St Ste 2 Boise, ID W Curtisian Ave Ste 100 Boise, ID N Liberty St Ste 204 Boise, ID N Eagle Rd Boise, ID W Overland Rd Boise, ID W Overland Rd Boise, ID W Overland Rd Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID W Fairview Ave Boise, ID W State St Boise, ID N Raymond St Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc -St. Luke Community Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 103

108 Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wolfe, Rochelle S MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Gastroenterology Cordum, Nic R MD Gastroenterology Evans, Ashley T MD Gastroenterology Gibson, Robert F MD Gastroenterology Gibson, Samuel S MD Gastroenterology Goulet, Christopher J MD Gastroenterology Jankowski, Meghan T Gastroenterology, Karasek, Veronika Gastroenterology Mallory, Mark A MD Gastroenterology Schutz, Stephen M MD Gastroenterology General Surgery Anderson, Bryan J General Surgery Barresi, Roberto V. MD General Surgery Bourquard, Renee A. MD General Surgery Chown, Mark S. MD General Surgery Giles, Jonathan V. MD General Surgery Green, Johnny B General Surgery, Colon & Rectal Surgery Heaton, Bren General Surgery Heaton, Bren General Surgery Henson, Scott A. MD General Surgery Mayberry, John C General Surgery, Surgical Critical Care Prier, Elizabeth M General Surgery Verner, Reese A. MD General Surgery Williams, Shauna T MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology W Fairview Ave Boise, ID W State St Boise, ID W Myrtle St Ste 100 Boise, ID Belmont St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Liberty St Ste 201 Boise, ID N Curtis Boise, ID N Curtis Boise, ID N Curtis Boise, ID N Curtis Boise, ID N Liberty St Ste 201 Boise, ID N Liberty Ste 204 Boise, ID W Curtisian Ave Ste 100 Boise, ID N Curtis Boise, ID N Curtis Rd Ste 415 Boise, ID N Liberty St Ste 101 Boise, ID N Curtis Boise, ID N Liberty St Ste 201 Boise, ID N Liberty Ste 204 Boise, ID W Potomac Dr Boise, ID W Curtisian Ave Ste 100 Boise, ID (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 104

109 Connor, Gerard P MD Gynecologic Oncology Perez, Gerardo M. MD Gynecologic Oncology Hospitalist Axtell, Ricky J Hospitalist, Beeson, Donna L. DO Hospitalist, Edwards, William T MD Hospitalist Hayton, Derek D DO, Hospitalist Hayton, Derek D DO, Hospitalist Hoang, Van Ngoc Hospitalist, Hunt, Lisa M MD Hospitalist Krafft, Tanya S MD Hospitalist Matzinger, Carolyn Hospitalist Petersen, Robert L MD Hospitalist Wilson, Martha C, Hospitalist Infectious Disease Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease, Wyatt, Casi M Infectious Disease Wyatt, Casi M Infectious Disease Wyatt, Casi M Infectious Disease Agnew, Ann C MD Ashby, Laurie J MD Blake, Alice P MD, Pediatrics Box, Lesleigh Anne Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Capriccione, Angelo M MD Coffman, Thomas, Infectious Disease Boise, ID Boise, ID N Sawgrass Way Boise, ID W Wainwright Dr Boise, ID Boise, ID N Raymond St Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID W Wainwright Dr Boise, ID Boise, ID S 23rd St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID E Idaho St Ste 100 Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID E Idaho St Ste 100 Boise, ID N Raymond St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W Franklin Rd Boise, ID W State St Ste 100 Boise, ID N 2nd St Ste 304 Boise, ID W Judith Ln Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Franklin Rd Boise, ID W Emerald St Boise, ID (208) (208) (208) Legacy Salmon Creek Hospital (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Languages: ITALIAN, SPANISH (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 105

110 Coffman, Thomas, Infectious Disease Dee, Michael M Dee, Michael M Erland, Kerilynn Fazlani, Naveed A Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Fong, Wayland B MD Freeman, John C, Pediatrics Freeman, John C, Pediatrics Guicheteau, John E MD Hahn, Christine G MD, Infectious Disease Hamso, Magni MD Lee, David Lee, Paul Lee, Paul Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Mathews, Katherine A MD Mathews, Katherine A MD Oster, Sharon E MD, Infectious Disease Page, Randell Lee MD Qi, Huiling MD Roberts, Rick N MD Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD Stringam, Stanley Owen MD Swanson, Joel C MD Williams, Ryan J MD Interventional Cardiology Fonken, Steven J Cardiovascular Disease, Interventional Cardiology 125 E Idaho St Ste 100 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Eagle Rd Boise, ID Curtisian Ave Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID S La Cassia Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Curtisian Ave Ste 300 Boise, ID W Emerald St Boise, ID S 23rd St Boise, ID Curtisian Ave Boise, ID W McMillan Rd Boise, ID W Curtisian Ave Ste 300 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID Boise, ID Curtisian Ave Boise, ID S 11th St Ste 310 Boise, ID W Emerald St Ste 168 Boise, ID W Wainwright Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID Boise, ID Boise, ID N Curtis Rd Ste 125 Boise, ID (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) Not accepting new patients (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Southwest Idaho Advanced Care Hospital (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 106

111 Johnson, Alex C Cardiovascular Disease, Interventional Cardiology Kapadia, Carl B Interventional Cardiology, Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Adams, Jessica D Akina, Ashley Mary LMHC Arendt, Kelly M Atkinson, Jacob M Baker, Jane D Barnhill, Diane LMHC Barowsky, Denae Beauclaire, Tori LMHC Belanger, Helene LMHC Birchmore Riss, Sarah Elizabeth LMHC Borreson, Marlys A Boise, ID W Curtisian Ave Ste 200 Boise, ID Boise, ID Boise, ID E Warm Springs Ave Boise, ID W Overland Rd Boise, ID E Riverpark Ln Ste 200 Boise, ID W River St Ste 100 Boise, ID Boise, ID N Mountain View Dr Ste 185 Boise, ID W Americana Ter Ste 215 Boise, ID E Warm Springs Ave Boise, ID W Hays St Ste 201 Boise, ID W Washington St Boise, ID E Krall St Boise, ID Brown, Paula 6817 W Platinum Dr, Marriage & Family Boise, ID Counselor Burton, Suzanne CMFC Cady, Rebecca Clubb, Shane LMHC Curtis, Charlene Caryl RC Daniel, Diane Elderkin, Anita R Finley, Gretchen R Haase, Travis Hamilton, Hannah L LMHC Harris, Michele LMHC Harris, Michele LMHC Harviel, Robin S LMHC Johnson, Elizabeth J Jones, Victoria R LMHC Journee, Britney Kalk, Leah D LMHC Keeton, Nancy E LMHC Kirsch, Kristine A LMHC Lane, Krista LMHC 5185 W Overland Rd Boise, ID Cole Rd Ste B Boise, ID W Kootenai St Ste 207 Boise, ID W King St Boise, ID E Riverpark Ln Ste 200 Boise, ID W River St Ste 100 Boise, ID W Hays St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID N Buckingham Boise, ID W Rochester Dr Boise, ID E Warm Springs Ave Boise, ID N 11st St Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Boise, ID Cole Rd Ste B Boise, ID W Landmark Ct Boise, ID Americana Ter Ste 215 Boise, ID Belmont St Boise, ID (208) Not accepting new patients (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 107

112 Lipscomb, Ryan Looze, Jordan K LMHC Luque, Rosemary L Martin, David Allen RC Mauk, Susan P Mccoll, Jenny C McCullough, Sandra C LMHC Miller, Terry E Minkler, Brhe A LMHC Mondin, Frederick D LMFT Montgomery Hall, Kathryn LMHC Montgomery Hall, Kathryn LMHC Murphy, Susan Navarro, Anabel Nichols, Roxanne Nichols, Roxanne Niece, Matt R Noleen, Alisa J LMHC Orlovich, Amy S LMHC Phipps, Kate A LMHC Ramsey, Jacalyn Reagan, Leah F LMHC Rhuman, Laureen K LMHC Shockley, Laura S Stevens, Barbara A, Toms, Joseph E LMHC Toth, Dawn Kaelea LMHC Varner, Jennifer Lorena LMHC Ward, Ray A West, Karla J LMFT, LMHC Wilhelm, Ellyn K LMHC Wilson, Christine Wingfield, Andrew Wolfe, Gina Wood, Julia C LMHC Zarak, Jennifer E LMHC Zucco, Frances M LMHC 1880 W Judith Ln Boise, ID Kootenai St Ste 207 Boise, ID N Creswell Way Boise, ID W King St Boise, ID E Riverpark Ln Ste 200 Boise, ID W Franklin St Boise, ID S 23rd St Boise, ID S Timesquare Ln Ste 200 Boise, ID E Warm Springs Ave Boise, ID W State St Boise, ID W Franklin St Boise, ID W Franklin St Boise, ID W Emerald St Boise, ID W River St Ste 100 Boise, ID W Emerald St Boise, ID Main St Ste 203 Boise, ID E Warm Springs Ave Boise, ID W Overland Rd Boise, ID S Five Mile Rd Boise, ID E Warm Springs Ave Boise, ID N Cole Rd Ste 200B Boise, ID N Allumbaugh St Ste 101 Boise, ID S Five Mile Rd Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID S 23rd St Boise, ID W King St Boise, ID N 27th St Boise, ID W River St Ste 100 Boise, ID Belmont St Boise, ID Cole Rd Ste B Boise, ID N Cole Rd Boise, ID Belmont St Boise, ID E Warm Springs Ave Boise, ID E Warm Springs Ave Boise, ID S Five Mile Rd Boise, ID W Americana Ter Way Ste 210 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (808) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 108

113 Marriage & Family Counselor Danielson, Marci M LMFT Marriage & Family Counselor Humphrey, Marcy Lynn Marriage & Family Counselor Kasefang, Brittany Corinne LMFT Marriage & Family Counselor Preece, John Cameron (J Cameron) Marriage & Family Counselor Rogers, Sage K LMFT Marriage & Family Counselor Teed, David Anthony LMFT Marriage & Family Counselor Tefft, Coby J LMFT Marriage & Family Counselor Walker, Dena M LMFT Marriage & Family Counselor Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Neonatal/Perinatal Medicine Berger, James I MD Neonatal/Perinatal Medicine Dajnowicz, Anthony M. Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Oyafemi, Oluyemisi M MD Neonatal/Perinatal Medicine Nephrology Davidson, Robert L MD Nephrology Fearday, Aaron A MD Nephrology Haake, Robert J. Nephrology Hunt, Nicholas MD Nephrology Hunt, Nicholas MD Nephrology Keller, Christopher R MD Nephrology Kendrick, Elizabeth A Nephrology Langewisch, Eric Donald Nephrology Mallea, Michael MD Nephrology Mallea, Michael MD Nephrology Meng, Jerry MD Nephrology Narasimhan, Nagraj MD Nephrology Norman, Douglas J. Nephrology Pintar, Thomas Nephrology Silva, Arnold MD Nephrology 3350 W Americana Terrace Ste 215 Boise, ID W River St Ste 100 Boise, ID S Five Mile Rd Boise, ID W Franklin St Boise, ID N 13th St Boise, ID N 13th St Boise, ID E Warm Springs Ave Boise, ID W King St Boise, ID N Liberty St Ste 206 Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID Boise, ID W Myrtle St Ste 100 Boise, ID W Myrtle St Ste 100 Boise, ID W Gage St Ste A Boise, ID Gage St Ste A Boise, ID W Gage St Ste A Boise, ID W Myrtle St Ste 100 Boise, ID W Gage St Ste A Boise, ID S Gage St Boise, ID Gage St Ste A Boise, ID W Gage St Ste A Boise, ID W Myrtle St Ste 100 Boise, ID Gage St Ste A Boise, ID S Gage St Boise, ID W Gage St Ste A Boise, ID W Myrtle St Ste 100 Boise, ID (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 109

114 Wagnild, Jon P. MD Nephrology Neurological Surgery Andersen, Bruce J MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Johans, Timothy J MD Neurological Surgery Little, Kenneth M MD Neurological Surgery Little, Kenneth M MD Neurological Surgery Lochhead, Richard A MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Montalbano, Paul J MD Neurological Surgery Reedy, David P MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Neurology Clark, Lukas T MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Lyons, George R MD Neurology, Sleep Disorder Medicine Lyons, George R MD Neurology, Sleep Disorder Medicine Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Porth, Karen G MD Neurology Redshaw, James D MD Neurology Redshaw, James D MD Neurology River, Mary E MD Neurology River, Mary E MD Neurology 5610 Gage St Ste A Boise, ID N Liberty St Ste 303 Boise, ID W Curtisian Ste 400 Boise, ID E Idaho Ste 202 Boise, ID E Idaho St Ste 200 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID E Bannock St 10th Fl Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID N Curtis Rd Ste 307 Boise, ID W Curtisian Ste 400 Boise, ID N Curtis Rd Ste 102 Boise, ID th Fl Boise, ID N Curtis Rd Ste 201 Boise, ID N Curtis Rd Ste 503 Boise, ID Boise, ID N Liberty St Ste 303 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Liberty St Ste 300 Boise, ID N Liberty St Ste 303 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Liberty St Ste 303 Boise, ID N Liberty St Ste 300 Boise, ID N Liberty St Ste 303 Boise, ID N Liberty St Ste 300 Boise, ID N Liberty St Ste 303 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 110

115 Seeberger, Lauren C MD Neurology Swanson, Thomas H Neurology Whitesell, Jackie Neurology Whitesell, Jackie Neurology Nurse Midwife Certified/Licensed Ball, Joan E Nurse Midwife Certified/Licensed Cox, Sarah R Nurse Midwife Certified/Licensed Cox, Sarah R Nurse Midwife Certified/Licensed English-Burt, Amy E NPRA, RN Nurse Midwife Certified/Licensed Gomes, Kristin S CNM, RN Nurse Midwife Certified/Licensed Govreau, Rieneke D Nurse Midwife Certified/Licensed Horton, Frances M CNM, NPRA, RN Nurse Midwife Certified/Licensed Johnson, Joann M CNM Nurse Midwife Certified/Licensed Rhodes, Kristine CNM Nurse Midwife Certified/Licensed Widener, Margaret L CNM Nurse Midwife Certified/Licensed Widener, Margaret L CNM Nurse Midwife Certified/Licensed Araquistain, Mary K NPRA, RN Araquistain, Mary K NPRA, RN Asaro, Laura L ARNP, RN Bahadar, Denise R NPRA, RN Barnes, Keri J Bars, Ashleigh T NPRA, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boyer, Shannon C NPRA, RN Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Butterfield, Jessica Crill, Carey Deitchler, Lane ARNP Deitchler, Lane ARNP Dey, Patricia T DiRocco, Melissa NPRA 600 N Robbins Rd Boise, ID N Curtis Rd Ste 101 Boise, ID N Liberty St Ste 300 Boise, ID N Liberty St Ste 303 Boise, ID N Cloverdale Rd Ste 103 Boise, ID E Fort St Boise, ID W 35th St Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 204 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 100 Boise, ID N 1st St Ste 260 Boise, ID N Liberty Ste 204 Boise, ID N Liberty St Ste 204 Boise, ID W State St Boise, ID W Emerald St Boise, ID Boise, ID E Parkcenter Blvd Boise, ID W Curtisian Ave Ste 400 Boise, ID N Curtis Rd Ste 101 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Curtisian Ave Ste 400 Boise, ID W State St Boise, ID W Emerald St Boise, ID W Curtisian Ave Ste 300 Boise, ID W Curtisian Ave Ste B10 Boise, ID Boise, ID N Allumbaugh St Boise, ID W Emerald St Boise, ID S Federal Way Boise, ID W Curtisian Ave Ste 200 Boise, ID Boise, ID (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 111

116 Domby, Kylee M NPRA Boise, ID Duff, Robert H ARNP, RN 4971 W Overland Rd, / Boise, ID Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Farmer, James R NPRA, RN Fields, Pamela K NPRA, RN Furner, Beverlee K Haley, Amos O NPRA Harmony, Russell B Heidt, Tiffany C ARNP Heilman, Michael NPRA, RN Heilman, Michael NPRA, RN Herr, Jessica Marie Hilpert, Stephanie ARNP Hilpert, Stephanie ARNP Hilpert, Stephanie ARNP Hoffman, Christina Huffine, Cory ARNP, RN Huffine, Cory ARNP, RN Huffine, Esther S ARNP, RN Jeffress, Mary Jones, Robyn Jones, Robyn Jones, Robyn Keene, Hilary A NPRA, RN Khochay, Natalia Khochay, Natalia Khochay, Natalia Knutson, Heather N NPRA, RN Kreizenbeck, D'Nicole Lee, Valerie L NPRA Lee, Valerie L NPRA Lesso, Jennifer C L'Heureux, Nancy J 8950 W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Curtis Rd Ste 202 Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 200 Boise, ID W Emerald St Boise, ID th Fl Boise, ID N Liberty St Ste 201 Boise, ID W McMillan Rd Boise, ID W Emerald St Boise, ID N Liberty St Ste 201 Boise, ID N Curtis Rd Ste 201 Boise, ID N Curtis Rd Ste 503 Boise, ID Boise, ID W Overland Rd Boise, ID W State St Boise, ID N Rosepoint Way Ste 100 Boise, ID N Curtis Rd Ste 202 Boise, ID N Liberty St Ste 203 Boise, ID W State St Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 200 Boise, ID W Curtisian Ave Ste 102 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID N Eagle Rd Boise, ID N Curtis Rd Ste 305 Boise, ID Gage St Ste A Boise, ID Boise, ID Boise, ID Curtisian Ave Boise, ID (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Tacoma General Allenmore Hospital (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 112

117 Lynch, Chelsea M NPRA, RN Mclain, Margaret L NPRA Mclain, Margaret L NPRA Mclain, Margaret L NPRA McMullen, Susan Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Nadolski, Nancy Nadolski, Nancy Nadolski, Nancy Neumayer, Jennifer Nordquist, Jennifer Nordquist, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Randall, Mary S Randall, Mary S Reiling, June Robbins, Travis Rogien, Frances Rogien, Frances Rye, Jared T Rye, Jared T Sears, Esther M ARNP, RN Sickel, Christopher W NPRA, RN Sjoberg, Christopher Sjoberg, Christopher Smith, Michael Spolar, Ranan G NPRA Suida, Jennifer ARNP 125 E Idaho St Ste 100 Boise, ID N Curtis Ste 305 Boise, ID Boise, ID W Curtisian Ave Ste 300 Boise, ID Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID W Curtisian Ave Ste 200 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID N Curtis Rd Ste 100 Boise, ID W State St Boise, ID W Emerald St Boise, ID Boise, ID N Curtis Rd Ste 100 Boise, ID W Curtisian Ave Ste 200 Boise, ID N Curtis Rd Ste 125 Boise, ID W Emerald St Boise, ID S Broadway Ave Ste 101 Boise, ID W Curtisian Ave Ste 200 Boise, ID W Curtisian Ave Ste 300 Boise, ID Boise, ID Boise, ID Boise, ID N Curtis Rd Ste 200 Boise, ID Boise, ID W Gage St Ste A Boise, ID E Idaho St Ste 100 Boise, ID Boise, ID Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 113

118 Svangstu, Deborah N NPRA, RN Thornton, Eli G NPRA Unterseher, Kristina L NPRA Walker, Craig A Weeks, Teresa A Weeks, Teresa A Weeks, Teresa A Young, Tracy M ARNP / Aitchison, Brittany L NPRA, RN / Bainbridge, Laura Joanne NPRA, NPRA, PTAS, RN / Barron, Gregory N ARNP, RN / Bethel, Tamara F NPRA / Bowen, Kathryn Louise ARNP, RN / Cross, Karen L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crume, Geneva NPRA / Cureton, Jeremey S / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Devlin, Katherine L NPRA, RN / 6140 W Curtisian Ave Ste 400 Boise, ID W Overland Rd Boise, ID Gage St Ste A Boise, ID W Myrtle St Ste 100 Boise, ID N Curtis Rd Ste 102 Boise, ID N Curtis Rd Ste 201 Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Main St Boise, ID W Persimmon Ln Boise, ID N Cole Rd Ste H Boise, ID W Wainwright Dr Boise, ID N Cloverdale Rd Ste 103 Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID W Fairview Ave Boise, ID W State St Boise, ID W Myrtle St Ste 100 Boise, ID S Broadway Ste 101 Boise, ID W Myrtle St Boise, ID N Five Mile Rd Boise, ID W McMillan Rd Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Judith Ln Boise, ID Duff, Robert H ARNP, RN 1130 E Fairview Ave, / Boise, ID Duff, Robert H ARNP, RN 8971 W Overland Rd, / Boise, ID Duff, Robert H ARNP, RN 1907 S Broadway Ave Ste 101, / Boise, ID Duff, Robert H ARNP, RN W Fairview Ave, / Boise, ID Duff, Robert H ARNP, RN 6052 W State St, / Boise, ID Duff, Robert H ARNP, RN 300 W Myrtle St Ste 100, / Boise, ID Farmer, Josie F ARNP, RN / Franden, Julie J NPRA, NPRA, RN / W Persimmon Ln Boise, ID W Persimmon Ln Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 114

119 Graf, Janet / Gray, Phoebe / Hellman, Sandra L / Johnston, Tracy NPRA, RN / Kennedy, Andrea M NPRA, RN / King, Amanda D NPRA, RN / King, Amanda D NPRA, RN / Loegering, Michael / Lohani, Sailita NPRA, RN / Morgan, Mary / Mortimer, Margaret / Munting, Babette N / Reinhardt, Kristine M / Reinhardt, Kristine M / Reinhardt, Kristine M / Schimpf, Maya NPRA, RN / Stark, Mary K NPRA / Stark, Mary K NPRA / Sullivan, Deborah L NPRA, RN / Swainston, Keith R / Turner, Roberta Lynn NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitehead-Price, Kelly R / Whitener, Linda A / Whitener, Linda A / Whitener, Linda A / Young, Jane NPRA, RN / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Corbett, Carolyn S /Mental Health Hawkins, Marie NPRA, RN /Mental Health Jepson, Mark A ARNP /Mental Health Kuehne, Shawna /Mental Health Robison, Gail /Mental Health 413 N Allumbaugh St Ste 101 Boise, ID E Fort St Boise, ID Belmont St Boise, ID Belmont St Boise, ID N Cole Rd Boise, ID N Raymond St Boise, ID E Fort St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Curtis Rd Ste 100 Boise, ID E Fort St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W State St Boise, ID W Emerald St Boise, ID W McMillan Rd Boise, ID Belmont St Boise, ID Main St Ste 500 Boise, ID N Harbor Ln Boise, ID N Curtis Rd Ste 101 Boise, ID W State St Boise, ID W Gage St Ste A Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W State St Boise, ID W Emerald St Boise, ID W State St Boise, ID W Emerald St Boise, ID W McMillan Rd Boise, ID N Curtis Rd Ste 100 Boise, ID W River St Ste 100 Boise, ID W River St Ste 100 Boise, ID S 23rd St Boise, ID N Allumbaugh St Boise, ID W River St Ste 100 Boise, ID N Allumbaugh St Ste 101 Boise, ID (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (800) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 115

120 Salazar, Elisa NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health Suhr, Cheryl Lynn NPRA, RN /Mental Health Woodland, Satu H CRNS, RN /Mental Health /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric /Women's Health Inman, Kandiss /Women's Health Inman, Kandiss /Women's Health Latta, Angela M NPRA, RN /Women's Health Ajmani, Shashi Bouchard, Julia K MD Bradford, Donnell L Bradford, Donnell L Bradford, Donnell L Caplinger, Patricia, Hospitalist 131 N Allumbaugh St Boise, ID S 23rd St Boise, ID W Barnes Dr Boise, ID S Rookery Lane Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID N Liberty St Ste 203 Boise, ID S Broadway Ste 101 Boise, ID W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID Boise, ID N Liberty St Ste 100 Boise, ID N 1st St Ste 260 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 204 Boise, ID N Liberty Ste 204 Boise, ID W Curtisian Ave Ste 300 Boise, ID N Liberty St Ste 100 Boise, ID Boise, ID (208) St Alphonsus Regional Medical Center Inc (208) (208) (541) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 116

121 Caplinger, Patricia, Hospitalist Digiosia, Juliana L Digiosia, Juliana L Digiosia, Juliana L Digiosia, Juliana L Hayes, Cynthia R MD Iverson, Julie M Janowiak, Mary A Janowiak, Mary A Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kattenhorn, Jon R MD Klomp, G Robert Knutson, Christina M MD Knutson, Christina M MD Lovelace, Glen S MD Ludders, Darrell J MD Lund, Martha H McCaffrey, Rebecca L Shearer, Alison MD Thomson, Brook A Thomson, Brook A Thomson, Brook A Thomson, Sara B MD Young, Debbie L MD Occupational Medicine Cook-Shimanek, Margaret K Occupational Medicine Gibson, Michael P MD Occupational Medicine Kammer, Jacob W MD Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy 900 N Liberty St Ste 206 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty Ste 204 Boise, ID W Curtisian Ave Ste 300 Boise, ID N Liberty St Ste 100 Boise, ID W Emerald St Boise, ID Main St Ste 500 Boise, ID N Liberty St Ste 204 Boise, ID N Liberty St Ste 100 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Liberty St Ste 100 Boise, ID E Idaho St Ste 210 Boise, ID N Liberty St Ste 204 Boise, ID N Liberty St Ste 100 Boise, ID N 1st St Ste 260 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 206 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 206 Boise, ID N Liberty St Ste 204 Boise, ID Boise, ID N Liberty St Ste 100 Boise, ID N Liberty St Ste 100 Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID W Fairview Ave Boise, ID W State St Boise, ID (208) (208) (208) (208) (208) (208) (800) Languages: GERMAN (208) (208) EvergreenHealth Medical Center -Swedish Medical Center (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (206) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 117

122 Burback, Eric Occupational Therapy Craig, Amanda Occupational Therapy Deangelis, Caren A Occupational Therapy Ganier, Marcie OT Occupational Therapy Hendrickson, Kim Occupational Therapy Hutt, Macaile M OT Occupational Therapy Kennedy, Anthony J OT Occupational Therapy Moores, Desiree OT Occupational Therapy Page, Maureen A OT Occupational Therapy Poppleton, Sara Leile OT Occupational Therapy Schroeder, Joanna OT Occupational Therapy Spangler, Kamber OT Occupational Therapy Sullivan, Heather Occupational Therapy Town, Brady Occupational Therapy Vania, Carolina Occupational Therapy Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Schultheiss, Karl J Oncology, Medical Ophthalmology Anderson, Lawrence D Ophthalmology Boerner, Mark J MD Ophthalmology Carey, Brian J. Ophthalmology Choe, Joyce Eunyoung MD Ophthalmology Chung, Paul Y MD Ophthalmology Chung, Paul Y MD Ophthalmology Earl, James MD Ophthalmology Fethke, Kathryn M MD Ophthalmology Fishburn, Jon R MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert M Ophthalmology Gano, David L. MD Ophthalmology Gano, David L. MD Ophthalmology Gruzensky, William D. MD Ophthalmology 901 N Curtis Rd Ste 204 Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 304 Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID W Franklin Rd Boise, ID W Franklin Rd Boise, ID W Franklin Rd Boise, ID W Franklin Rd Boise, ID W Wainwright Dr Boise, ID W Wainwright Dr Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 204 Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID W Hackamore Dr Boise, ID W Main St Ste 200 Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID W Wainwright Dr Ste 301 Boise, ID N Curtis Rd Ste 205 Boise, ID N Curtis Rd Ste 205 Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID (208) (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN (208) (208) (208) (208) (208) Providence Centralia Hosp (208) Providence Centralia Hosp (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Providence Centralia Hosp (208) Providence Centralia Hosp (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 118

123 Guzek, James P MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Harf, Leo S MD Ophthalmology Hollingshead, Mark E MD Ophthalmology Johns, Gordon E MD Ophthalmology Mannschreck, Molly J MD Ophthalmology Mannschreck, Molly J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Mong, Jacob A DO Ophthalmology Reynolds, Adam C MD Ophthalmology Roberts, Denton R MD Ophthalmology Seery, Loren S MD Ophthalmology Sonntag, John R Ophthalmology Sugiyama, Ronald K Ophthalmology Trotta, Francois D MD Ophthalmology Tweeten, James P MD Ophthalmology Optometry Antonie, David J. Optometry Archibald, Alexander C. OD Optometry Archibald, Alexander C. OD Optometry Arvidson, Brian Arthur Optometry Barnhart, Francis J. OD Optometry Barnhart, Francis J. OD Optometry Besecker, Jason R OD Optometry Blacker, Adam Bryce OD Optometry Boespflug, Daniel Richard Optometry Bronner, Aaron W Optometry Bronner, Aaron W Optometry Calnan-Holt, Kimberly J. OD Optometry Carter, Lee Optometry Carter, Lee Optometry Clements, Steven D. OD Optometry 2822 S Vista Ave Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Curtis Rd Ste 205 Boise, ID E Mallard Dr Ste 110 Boise, ID S Vista Ave Boise, ID N Curtis Rd Ste 205 Boise, ID E Front St Ste 110 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Gage St Boise, ID N Curtis Rd Ste 205 Boise, ID W Wainwright Dr Ste 301 Boise, ID S Vista Ave Boise, ID W Gage St Boise, ID S Vista Ave Boise, ID E Mallard Dr Boise, ID N Curtis Rd Ste 205 Boise, ID W Overland Rd Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID E Mallard Dr Ste 110 Boise, ID E Mallard Dr Ste 110 Boise, ID N Milwaukee St Boise, ID S Vista Ave Boise, ID E Mallard Dr Ste 110 Boise, ID S Vista Ave Boise, ID N Curtis Rd Ste 205 Boise, ID E Front St Ste 110 Boise, ID Fairview Ave Boise, ID (208) Providence Centralia Hosp (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) Providence Centralia Hosp (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Providence Centralia Hosp (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 119

124 Cleverly, Chad W Optometry Denison, Justin J Optometry Everett, Mark G Optometry Everett, Mark G Optometry Ewing, Vanessa J OD Optometry Ewing, Vanessa J OD Optometry Flint, Bruce G. Optometry Flint, Bruce G. Optometry Gibbs, Robert D. Optometry Gibbs, Robert D. Optometry Hatfield, Dylan L Optometry Hopstad, Luke K Optometry James, Donald K. Optometry James, Donald K. Optometry Johnson, Brian S OD Optometry Johnson, Jeffrey C OD Optometry Johnson, Jeffrey C OD Optometry Johnson, Ryan C OD Optometry Johnson, Ryan C OD Optometry Kronberg, Jill A OD Optometry Kronberg, Jill A OD Optometry Mamiya, Reid I. Optometry Mamiya, Reid I. Optometry Maraman, Mark A Optometry Muto, John H Optometry Pabalis, Gary R OD Optometry Peterson, Donald L. Optometry Pitkin, Dennis H OD Optometry Reynolds, Terrence J OD Optometry Schrempp, Daniel Dinnison OD Optometry Williams, Salisa K Optometry Youngman, Lori A. Z. Optometry Boyer, Jeffrey S MD Chopp, Thomas M MD Clawson, Mark C MD Coughlin, Michael J MD 3293 N Milwaukee St Boise, ID N Milwaukee St Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID N Curtis Rd Ste 205 Boise, ID E Front St Ste 110 Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID E Mallard Dr Ste 110 Boise, ID N Curtis Rd Ste 205 Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID W Rifleman St Ste 150 Boise, ID N 8th St Boise, ID W Rifleman St Ste 150 Boise, ID N 8th St Boise, ID W Rifleman St Ste 150 Boise, ID N 8th St Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID W Boise Ave Boise, ID W Gage St Boise, ID S Vista Ave Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID N Curtis Rd Ste 304 Boise, ID W Emerald St Ste 102 Boise, ID N Curtis Rd Ste 304 Boise, ID N Curtis Rd Ste 300 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 120

125 Daines, Steven B MD Doerr, Timothy E MD Flint, Wesley W MD Floyd, Charles T MD Goodwin, Thomas E MD Gustavel, Michael J MD Hassinger, David MD Hassinger, David MD Hassinger, Sean MD Hassinger, Sean MD Haytmanek, Craig T MD Hessing, Jeffrey G MD Hirose, Christopher B Jastifer, James R MD Johnston, James M. MD Jurgensmeier, Darin MD Kemp, Travis J Kemp, Travis J Kemp, Travis J Kloss, John G MD Kloss, John G MD Kristensen, Ronald M MD Lamey, David M MD Lamey, David M MD Lewis, Kirk J Lindner, William C McGee, Dennis Meier, Mark C MD Menzner, Jeffry P MD Miller, Jennifer R MD Moore, Richard E MD Moss, Stanley W Schwartsman, Roman MD Shearer, David W Spelich, Mark A MD 6165 W Emerald St Boise, ID W Emerald St Ste 140 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 101 Boise, ID W Emerald St Ste 102 Boise, ID University Dr Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID N Curtis Rd Ste 300 Boise, ID W Emerald St Ste 140 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 300 Boise, ID S Americana Blvd Ste 120 Boise, ID W Emerald St Boise, ID W Rifleman St Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 304 Boise, ID S Americana Blvd Ste 120 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 304 Boise, ID University Dr Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID S Americana Blvd Ste 120 Boise, ID University Dr Boise, ID W Emerald St Boise, ID E Idaho St Ste 102 Boise, ID W Norwood Dr Boise, ID N Curtis Rd Ste 300 Boise, ID W Rifleman St Boise, ID (208) St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 121

126 Spelich, Mark A MD Walker, Robert MD Watkins, Troy B MD Watkins, Troy B MD Webb, Darby MD Zeigler, Todd E MD Zeigler, Todd E MD Zeigler, Todd E MD Otolaryngology Beasley, Donald J Otolaryngology Garner, Eric T MD Otolaryngology, Plastic Surgery within the Head and Neck Jones, III, Arthur (AC) C. MD Otolaryngology Killian, Peter Otolaryngology Maughan, DelRay MD Otolaryngology Rustad, Todd J MD Otolaryngology Schwarz, Matthew B MD Otolaryngology Tubach, Martin Otolaryngology Van De Graaff, Ryan L MD Otolaryngology Pain Management Binegar, William G Pain Management Binegar, William G Pain Management Farrell, Patrick E MD Pain Management, Anesthesiology Guy, Rebekah E Pain Management Guy, Rebekah E Pain Management Guy, Rebekah E Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Thompson, Sandra A Pain Management Thompson, Sandra A Pain Management Pallative Care Clifford, Kevin A MD Pallative Care, Pathology Ausmus, Gregory G Pathology Chaffin, Jack C MD Pathology, Cytopathology Cole, Ryan N. Pathology, Dermatopathology 1789 S Broadway Ave Ste 100 Boise, ID S Americana Blvd Ste 120 Boise, ID E Idaho Ste 104 Boise, ID W Emerald St Ste 170 Boise, ID S Americana Blvd Ste 120 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 501 Boise, ID N Curtis Rd Ste 501 Boise, ID N Curtis Rd Ste 104 Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID N Liberty St Ste 400 Boise, ID W State St Boise, ID N Liberty St Ste 400 Boise, ID W Myrtle St Boise, ID N Curtis Rd Ste 304 Boise, ID th Fl Boise, ID W Main St Ste 102 Boise, ID W Main St Ste 202 Boise, ID W Main St Ste 201 Boise, ID N Rosepoint Way Ste 100 Boise, ID N Rosepoint Way Ste 100 Boise, ID W Shoreline Dr Ste 140 Boise, ID N 4th St Boise, ID Boise, ID Boise, ID Boise, ID W Marigold St suite 150 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 122

127 Hager, Christopher MD Pathology Hall, Brian MD Pathology Johnson, Cary A Pathology Kim, Edward J MD Pathology Kois, Nancy C MD Pathology Moore, Mark O MD Pathology Pediatric Cardiology Adams, Robert F MD Pediatric Cardiology Alexander, Diana C Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Mack, Gordon K MD Pediatric Cardiology Womack, Michael S Pediatric Cardiology Pediatric Surgery Curnow, Adrian J MD Pediatric Surgery LoSasso, Barry E Pediatric Surgery Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Anschutz, Travis W MD Pediatrics, Neonatal Medicine Anschutz, Travis W MD Pediatrics, Neonatal Medicine Antink, Naya N MD Pediatrics Archibald, Vaun J Pediatrics Beauchaine, Angela Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bishop, Bradley G MD Pediatrics Brown, Perry S Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID Boise, ID E Idaho St Ste 200 Boise, ID E Idaho St Ste 200 Boise, ID E Idaho St Ste 200 Boise, ID E Idaho St Ste 200 Boise, ID E Idaho St Ste 200 Boise, ID N Liberty St Ste 201 Boise, ID N Liberty St Ste 201 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Boise, ID Boise, ID N Liberty St Ste 203 Boise, ID N Liberty St Ste 203 Boise, ID W Emerald St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Liberty St Ste 203 Boise, ID E Fort St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) Sacred Heart Medical Center (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 123

128 Julian, Christie A Pediatrics Kiehl, John J MD Pediatrics Kikuchi, Julie Pediatrics King, Jennifer J MD Pediatrics Overy, Ann C Pediatrics Peterman, David Pediatrics Showalter, Kelly R Pediatrics Smith, Steven A Pediatrics Tubach, Shana L MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Physical Medicine and Rehabilitation Cox, Rodde D MD Physical Medicine and Rehabilitation Friedman, Robert H MD Physical Medicine and Rehabilitation Greenwald, Nancy E MD Physical Medicine and Rehabilitation Gussner, Christian G MD Physical Medicine and Rehabilitation Harris, Mark J MD Physical Medicine and Rehabilitation Kadyan, Vivek MD Physical Medicine and Rehabilitation Kadyan, Vivek MD Physical Medicine and Rehabilitation Keel, Amanda MD Physical Medicine and Rehabilitation Keel, Amanda MD Physical Medicine and Rehabilitation Krafft, Kevin MD Physical Medicine and Rehabilitation Krafft, Kevin MD Physical Medicine and Rehabilitation Mcmartin, Michael R MD Physical Medicine and Rehabilitation Mcmartin, Michael R MD Physical Medicine and Rehabilitation Moore, Monte H MD Physical Medicine and Rehabilitation Quattrone, Barbara E MD Physical Medicine and Rehabilitation Sant, Michael O MD Physical Medicine and Rehabilitation Whitaker, James Aroet DO Physical Medicine and Rehabilitation Ackerman, Jerrod R PT Ackerman, Jerrod R PT Ackerman, Jerrod R PT Adams, Robert Bret PT Allred, Garren Allred, Jason D N Liberty St Ste 203 Boise, ID N Liberty St Ste 203 Boise, ID E Fort St Boise, ID N Liberty St Ste 203 Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID E Fort St Boise, ID W Emerald St Boise, ID N Liberty St Ste 203 Boise, ID E Idaho St Ste 304 Boise, ID E Idaho St Ste 200 Boise, ID N Curtis Rd Ste 202 Boise, ID N Robbins Rd Ste 300 Boise, ID N Robbins Rd Ste 300 Boise, ID N Robbins Rd Ste 300 Boise, ID N Robbins Rd Ste 300 Boise, ID N Curtis Rd Ste 202 Boise, ID th Fl Boise, ID N Curtis Rd Ste 202 Boise, ID N Curtis Rd Ste 204 Boise, ID W Curtisian Ave Ste 400 Boise, ID E Bannock St Boise, ID N Curtis Rd Ste 202 Boise, ID N Curtis Rd Ste 204 Boise, ID N Robbins Rd Ste 300 Boise, ID N Robbins Rd Ste 300 Boise, ID N Robbins Rd Ste 300 Boise, ID W Fairview Ave Boise, ID W State St Ste 210 Boise, ID E Park Center Blvd Ste 130 Boise, ID Broadway Ave Ste 200 Boise, ID W McMillan Rd Boise, ID N Liberty St Boise, ID Emerald St Ste 101 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) West Valley Medical Center, Inc. (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 124

129 Amoruso, Melanie Christina PT Armstrong, Jay R PT Ashenbrener, Samantha L Ashenbrener, Samantha L Barnes, Nicole L Barnes, Nicole L Barnes, Nicole L Barnes, Robert M PT Barnes, Robert M PT Berryhill, Jenny Marie Berryhill, Jenny Marie Blalock, Aytree PT Book, Anthony R Book, Anthony R Booth, Matthew R PT Booth, Matthew R PT Borgerd, Wendy L PT Box, Jeffrey A PT Box, Jeffrey A PT Bryner, Kent Bucher, Joshua Charles PT Calvin, Jennifer Clark, Heather Ashley PT Clark, Heather Ashley PT Cope, Adam M PT Danielson, Galen E. PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Duke, Catherine E Duke, Catherine E Dupont, Corey E PT Dupont, Corey E PT English, Mindy E PT English, Mindy E PT Farmer, Greg Fleckenstein, David A. Goodnough, Christina M PT W McMillan Rd Boise, ID University Dr Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Ste 210 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Ste 210 Boise, ID W State St Ste 210 Boise, ID W State St Ste 210 Boise, ID E Park Center Blvd Ste 130 Boise, ID S Broadway Ave Ste 203 Boise, ID N Curtis Rd Ste 204 Boise, ID E Parkcenter Blvd Boise, ID E Park Center Blvd Ste 130 Boise, ID Broadway Ave Ste 200 Boise, ID N Curtis Rd Ste 204 Boise, ID S Maple Grove Rd Ste 201 Boise, ID S Broadway Ave Ste 203 Boise, ID N Curtis Rd Ste 204 Boise, ID W McMillan Rd Boise, ID N Curtis Rd Ste 204 Boise, ID W Overland Rd Boise, ID N Curtis Rd Ste 204 Boise, ID N Eagle Rd Suite 102 Boise, ID N Eagle Rd Ste 102 Boise, ID W Overland Rd Boise, ID N Eagle Rd Ste 102 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID N Liberty St Boise, ID N Robbins Rd Boise, ID N Eagle Rd Suite 102 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (209) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 125

130 Hamilton, Samantha W PT Hammer, James D Hansen, Christopher Herauf, Kyle PT Hoaglun, Jennifer E PT Holgate, Brian PT Hulquist, Kristin K PT Hulsey, Kevin L PT Hulsey, Kevin L PT Huntington, Alexandra Suzanne Savery PT Ineck, Yesenia PT Johnson, Tara Jones, Alvin L Keele, Barb Keele, Jason Kelly, Suzanne Knox, Aaron W. PT Kolb, Peter Kolb, Peter Kornkven, Elizabeth Krall, Darrell Krall, Darrell Kreissler, Phillip PT Kuehn, Kathleen LaBarthe, Jason PT LaFace, Kristina Loree, Todd Andrew PT Lougheed, Christopher J PT Lyons, Clay Marsh, Ryan Daniel PT Maughan, Kyle D PT Mayo, Sue McCord, Maril Mitchell, Jeremy Moores, Paula Morrison, Paul R Morton, Doug W Wainwright Dr Boise, ID Emerald St Ste 101 Boise, ID W Emerald St Ste 150 Boise, ID S Maple Grove Rd Ste 201 Boise, ID University Dr Boise, ID W McMillan Rd Boise, ID University Dr Boise, ID N Eagle Rd Suite 102 Boise, ID N Eagle Rd Ste 102 Boise, ID W McMillan Rd Boise, ID N Five Mile Rd Ste 101 Boise, ID N Curtis Rd Ste 204 Boise, ID W Overland Rd Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 204 Boise, ID N Liberty St Boise, ID S Broadway Ave Ste 203 Boise, ID N Curtis Rd Ste 204 Boise, ID E Parkcenter Blvd Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 304 Boise, ID W Rifleman St Boise, ID N Curtis Rd Ste 204 Boise, ID University Dr Boise, ID N Curtis Rd Ste 204 Boise, ID N Curtis Rd Ste 204 Boise, ID N Eagle Rd Suite 102 Boise, ID N Curtis Rd Ste 204 Boise, ID W Overland Rd Boise, ID N Five Mile Rd Ste 101 Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 204 Boise, ID N Curtis Rd Ste 204 Boise, ID N Discovery Pl Boise, ID Emerald St Ste 101 Boise, ID N Curtis Rd Ste 204 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (209) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 126

131 Moss, Mark L PT Moss, Mark L PT Murphy, Nancy Murphy, Shaun Nelson, Steve Oliver, Charles C Page, Bradford R PT Pape, Jim Patterson, Reid J. Repulski, Jana Nicole Reyes, Krystal Lynn PT Rowe, Katie A PT Ruppert, Deanna Sands, Charles Sartin, Paul W PT Saul, Kevin Simpson, Connie Swanson, Kirstin Taylor, Jeffrey R PT Troxler, Josette Claire Trudeau, Brian Tyler, Zacher James PT Tyner, Ashley PT Tyner, Ashley PT Vanderford, Chris Wageman, Josh Wagner, Lynsey J PT Wagner, Lynsey J PT Wagner, Lynsey J PT Wahl, Andrea J. Wegley, Roger S Wegley, Roger S Wegley, Roger S Weiderman, Brian C PT Weiderman, Brian C PT Weiderman, Brian C PT Weiderman, Brian C PT 1520 W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Boise, ID N Discovery Pl Boise, ID N Curtis Rd Ste 204 Boise, ID W Franklin Rd Boise, ID University Dr Boise, ID W State St Boise, ID N Five Mile Rd Ste 101 Boise, ID N Robbins Rd Boise, ID W Rifleman St Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID Emerald St Ste 101 Boise, ID University Dr Boise, ID N Curtis Rd Ste 204 Boise, ID N Liberty St Boise, ID N Curtis Rd Ste 204 Boise, ID W McMillan Rd Boise, ID W State St Boise, ID N Discovery Pl Boise, ID N Eagle Rd Suite 102 Boise, ID N Curtis Rd Ste 204 Boise, ID W McMillan Rd Boise, ID N Curtis Rd Ste 204 Boise, ID N Discovery Pl Boise, ID W State St Ste 210 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID Emerald St Ste 101 Boise, ID E Park Center Blvd Ste 130 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W State St Ste 210 Boise, ID E Park Center Blvd Ste 130 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 127

132 Weldon, Garrett PT Weldon, Garrett PT White, Brian L PT Whitworth, Kala C PT Whitworth, Kala C PT Whitworth, Kala C PT Whitworth, Kala C PT Wilson, Ashley M PT Wilson, Karen A OT Wilson, Peggy Yoder, Brenda Ambrosier, Amy M Amideo, Nicole M PAC Anstrand, Charles J PA Arhets, Alexander J PA Ayers, Brianne L Babcock, Kelsey F PA Barnes, Darryl Barnes, Darryl Beach, Kelly S PAC Bishop, Rebecca Bledsoe, Aaron L PAC Boutkaska, Jude Briggs, Jessica A Brumpton, Tara J Burke, Danielle N Burke, Ryan PAC Buzzini, Robert J Buzzini, Robert J Cafferty, Ashley B Callaway, Jackie B Callaway, Jackie B Callaway, Jackie B Callaway, Jackie B Carmichael, Lindsey J PA W Overland Rd Boise, ID N Eagle Rd Suite 102 Boise, ID S Broadway Ave Ste 203 Boise, ID W State St Ste 210 Boise, ID E Park Center Blvd Ste 130 Boise, ID W State St Ste 210 Boise, ID Broadway Ave Ste 200 Boise, ID W McMillan Rd Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID N Liberty St Boise, ID W State St Ste 100 Boise, ID E Bannock St 10th Fl Boise, ID N Curtis Rd Ste 104 Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 303 Boise, ID W Curtisian Ave Ste 200 Boise, ID S Broadway Ave Ste 101 Boise, ID W Myrtle St Ste 100 Boise, ID W Fairview Ave Boise, ID Boise, ID W State St Boise, ID N Allumbaugh St Ste 101 Boise, ID W State St Ste 100 Boise, ID W Overland Rd Boise, ID W Curtisian Ave Ste 300 Boise, ID W Fairview Ave Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 501 Boise, ID N Curtis Rd Ste 505 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 501 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Rifleman St Boise, ID (208) (208) (208) Languages: DANISH (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 128

133 Carmichael, Lindsey J PA Carver, Erin PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Catchings, David PAC Catchings, David PAC Catchings, David PAC Chorn, Andy S Chorn, Andy S Church, Nathan Clark, Juliet M PAC Clark, Juliet M PAC Coleman, Scott R PAC Coleman, Scott R PAC Colson, Kathryn A Connley, Madeline L Coyne, Angela A PAC Crawford, Christian T PAC Culbertson, Eric R PA Delic, Zana PA DeMasters, Troy A Douthit, Thomas Eisenbraun, Valeri J PAC Fish, Stacy Flaker, Jeffrey PAC Flaker, Jeffrey PAC Fossen, Kathleen L Frelly, Stephen PAC Friel, Fred J Friel, Fred J Frix, Jeremy Fuhriman, Kathryn H Galloway, Meghan PAC Galloway, Meghan PAC 1789 S Broadway Ave Ste 100 Boise, ID W Emerald Ste 168 Boise, ID N Sawgrass Way Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 501 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W State St Boise, ID W Emerald St Boise, ID W Overland Rd Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Emerald St Ste 102 Boise, ID W McMillan Rd Boise, ID N Eagle Rd Boise, ID W Overland Rd Boise, ID N 4th St Boise, ID W Bannock St Ste 1100 Boise, ID W Curtisian Ave Ste 100 Boise, ID N Liberty St Ste 400 Boise, ID W Myrtle St Ste 100 Boise, ID N Liberty St Ste 100 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID N Curtis Rd Ste 300 Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID W Myrtle Boise, ID E Fairview Ave Boise, ID W Emerald St Boise, ID W Curtisian Ave Ste 400 Boise, ID W Curtisian Ave Ste 400 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 129

134 Gardner, Marshall E. Garver, Rachel Michelle Garver, Rachel Michelle Gill, Taya D PA Gill, Taya D PA Golus, Jaclyn PAC Goodspeed, Rebecca J PAC Griggs, Jeffrey Gunderson, Christopher D PAC Hall, Christine M Hamilton, Brady Hanson, Erik K Hardesty, Michael Hardesty, Michael Hart, Bryan Hart, Bryan Hart, Bryan Heaton, Rhoda E PAC Holder, Katy PAC Holmes, Cynthia L. Holmes, Cynthia L. Hoskins, Anna Hudson, Kevin M PAC Jensen, Brenna Lynn PA Josefow, Kathryn A PAC Josefow, Kathryn A PAC Kasumovic, Sandra PAC Kasumovic, Sandra PAC Kasumovic, Sandra PAC Kerns, Benjamin T King, Rachel M PA King, Rachel M PA King, Rachel M PA Kokoulina, Polina PAC Kokoulina, Polina PAC Lane, Michael J PA Lane, Sarah M PAC 727 E Riverpark Ln Ste 200 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 501 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID E Parkcenter Blvd Boise, ID W Emerald St Boise, ID S Americana Blvd Ste 120 Boise, ID N Raymond St Boise, ID W State St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Curtis Rd Ste 101 Boise, ID N Curtis Rd Ste 415 Boise, ID N Curtis Rd Ste 415 Boise, ID W Curtisian Ave Ste 400 Boise, ID N Liberty St Ste 300 Boise, ID N Liberty St Ste 303 Boise, ID Boise, ID N 2nd St Ste 115 Boise, ID W State St Boise, ID W Emerald St Boise, ID N Liberty St Ste 201 Boise, ID W State St Ste 100 Boise, ID W Emerald St Ste 168 Boise, ID N Curtis Rd Ste 300 Boise, ID S Federal Way Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Five Mile Rd Boise, ID S Americana Blvd Ste 120 Boise, ID W Emerald St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID Boise, ID N Liberty St Ste 101 Boise, ID E Parkcenter Blvd Boise, ID W Emerald St Ste 160 Boise, ID (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 130

135 Lawler, Helen Leonard, Bryce E Levitch, Rachel Lewis, Heather PA Lilly, Alanna E Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M Lute, Joshua M Mack, Charisse Maffey, Jenna Magee, Stefanie Marsh, Marian M Marsh, Marian M Martin, Cory M PAC Maus, Eric R McGar, Dale W McIntyre, Shane M PAC Middleton, Julia Millward, Anthony F PAC Mitchell, Janet E. PAC Mitchell, Janet E. PAC Moon, Erin PAC Moore, Alanna Morrill, Scott Moss, Eric C Moss, Eric C Nielson, David E PAC O'Connor, Jared Ostermiller, Mariya PAC Otstot, Todd M Otstot, Todd M Ozier, Mary Ann PA 6140 W Curtisian Ave Ste 200 Boise, ID E Fairview Ave Boise, ID N Raymond St Boise, ID N Curtis Rd Ste 202 Boise, ID W McMillan Rd Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID W Fairview Ave Boise, ID W State St Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID E Bannock St 10th Fl Boise, ID W Fairview Ave Boise, ID N Curtis Rd Ste 415 Boise, ID N Curtis Rd Ste 200 Boise, ID W Curtisian Ave Ste B10 Boise, ID S Federal Way Boise, ID Boise, ID W Curtisian Ave Ste 102 Boise, ID W Overland Rd Boise, ID W Rifleman St Boise, ID S 23rd St Boise, ID W State St Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 100 Boise, ID N Liberty St Ste 203 Boise, ID W State St Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Curtisian Ave Ste 400 Boise, ID W Lake Hazel Rd Boise, ID W Emerald St Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID University Dr Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 131

136 Papa, Jared W Papa, Jared W Paytash, Susan Paytash, Susan Piccono, Molly C Piccono, Molly C Piccono, Molly C Piccono, Molly C Pollmann, Robert PA Poly, Laura PAC Proctor, Erin PA Rambow, Thomas Rios, Raul PAC Rogers, Victoria S Rogers, Victoria S Rota, Nicole PAC Rothwell, Tara C PAC Sampogna, Marina J PA Sanders, Lisa K Schwartz, Amanda R PA Schwartz, Amanda R PA Schwartz, Amanda R PA Schwartz, Amanda R PA Shaw, Brenda J PAC Shinkle, Samuel J Shuey, Yelena Sielaff, Jenna Skelly, Katherine G PAC Smith, Jeffrey D PAC Smith, Jeffrey D PAC Smith, Preston Scott Smith, Preston Scott Snyderman, David PAC Stear, Jennifer L PAC Stear, Jennifer L PAC Steinburg, Rick L 121 E Fort St Boise, ID W 35th St Boise, ID W Emerald St Boise, ID E Parkcenter Blvd Boise, ID W Curtisian Ave Ste 100 Boise, ID N Liberty St Ste 101 Boise, ID N Libery St Ste 101 Boise, ID N Liberty St Ste 101 Boise, ID N Robbins Rd Ste 300 Boise, ID E Bannock St Boise, ID N Curtis Rd Ste 200 Boise, ID th Fl Boise, ID S Broadway Ave Ste 101 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID W Potomac Dr Boise, ID W Wainwright Dr Boise, ID W Overland Rd Boise, ID S 11th St Ste 100 Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Liberty St Ste 203 Boise, ID S Federal Way Boise, ID N Five Mile Rd Boise, ID W Overland Rd Boise, ID W Emerald St Boise, ID W Curtisian Ave Ste 102 Boise, ID N Allumbaugh St Ste 101 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID S 23rd St Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID E Riverpark Ln Ste 200 Boise, ID (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) Not accepting new patients (208) (208) (208) (208) (208) Not accepting new patients Languages: RUSSIAN (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 132

137 Steinburg, Rick L Tate, Nancy Thurston, Christina M Tindal, Megan Marie Trainor, Sadie M PAC Trainor, Sadie M PAC Trump, Richard Trump, Richard Trump, Richard Trump, Richard Tuthill, Mary Ann PAC Tuthill, Mary Ann PAC Valentine, Dominick M PAC Vickers, Amber M PA Vincent, Kelly Jo Wampold, Sarah PAC Watsen, Sharene E PA Weber, Colette D Weber, Colette D Weber, Colette D Wells, Becky White, Michael D PAC Whitted, Daniel Yan, Jie Young, James F Plastic Surgery Etherington, Linsey MD Plastic Surgery Etherington, Linsey MD Plastic Surgery Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry DeVries, Jason B DPM Podiatry Jones, Stewart O DPM Podiatry Kinghorn, Kurt E DPM Podiatry Leis, Stanley B DPM Podiatry 727 E Riverpark Ln Ste 100 Boise, ID Boise, ID N 2nd St Ste 204 Boise, ID N Curtis Rd Ste 300 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID N Curtis Rd Ste 300 Boise, ID N Curtis Rd Ste 415 Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Emerald St Boise, ID W Curtisian Ave Ste 300 Boise, ID W Curtisian Ave Ste 102 Boise, ID W Overland Rd Boise, ID W Emerald St Ste 102 Boise, ID N 2nd St Ste 204 Boise, ID S 11th St Ste 100 Boise, ID W Emerald St Boise, ID N Liberty St Ste 204 Boise, ID W Lake Hazel Rd Boise, ID W State St Boise, ID S 11th St Ste 100 Boise, ID W Norwood Dr Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID W Curtisian Ave Boise, ID N Liberty St Ste 101 Boise, ID N Liberty St Boise, ID N Liberty St Boise, ID E Riverpark Ln Ste 100 Boise, ID N Liberty St Boise, ID N 2nd St Ste 301 Boise, ID N Liberty St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 133

138 Owen, Dana S DPM Podiatry Owen, James J DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Stano, William S. DPM Podiatry Swensen, Robert A DPM Podiatry Swensen, Robert A DPM Podiatry Psychiatry Abbasi, Kafia Psychiatry Bostick, Marc W MD Psychiatry Boyer, Michele L MD Psychiatry Boyer, Michele L MD Psychiatry Bushi, Stephen T MD Psychiatry Desai, Abhilash K MD Psychiatry Germain, Ninon M Psychiatry Germain, Ninon M Psychiatry Gilbreath, Eric C MD Psychiatry, Psychiatry, Child/Adolescent Hagen, Barbara J. MD Psychiatry Jones, Jeralyn J MD Psychiatry Kent, David A MD Psychiatry Negron, Roberto A MD Psychiatry Negron, Roberto A MD Psychiatry Novak, Charles C MD Psychiatry Novak, Charles C MD Psychiatry Olnes, Andy L. MD Psychiatry Piktel, James H MD Psychiatry Piktel, James H MD Psychiatry Saccomando, James G MD Psychiatry Stoddart, Jeremy R MD Psychiatry Streeter, Christopher D Psychiatry Weathers, Coire Psychiatry Weathers, Coire Psychiatry Wills, Alex B Psychiatry Psychology Barry, James R Psychology Booth, Raydell J PY Psychology Brady, Molly M Psychology 900 N Liberty St Ste 306 Boise, ID N Liberty St Ste 306 Boise, ID N Liberty St Boise, ID W Jefferson St Boise, ID N Curtis Rd Ste 300 Boise, ID Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID W Judith Ln Ste 110 Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh Ste 101 Boise, ID Belmont St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID N Allumbaugh Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID N Allumbaugh St Ste 101 Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Ste 101 Boise, ID W Bannock St Ste 1100 Boise, ID W Overland Rd Ste 301 Boise, ID N Cloverdale Rd Ste 215 Boise, ID N Liberty St Boise, ID (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (617) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 134

139 Brotman, Adam H PY Psychology Calhoun, Robert F Psychology Crow, Candice K PY Psychology DeBoard, Sarah Marion Psychology Dennis, J Michael PY Psychology Eckhardt, Janelle PY Psychology Eiguren, Amaya A PY Psychology Eisenbeiss, Michael J LMHC, PY Psychology, Etnyre, Allison L Psychology Gage, Jason Psychology Gage, Jason Psychology Gerrish, Winslow G Psychology Hogan, Mariella L Psychology Holley, Helen Psychology Holley, Helen Psychology Johnston, Michael D Psychology Magel, Larkin E. Psychology Radcliffe, Alison Psychology Root, Rachel A Psychology Stacy, Mardi PY Psychology Sylvester, Merry E PY Psychology Tandy, William Psychology Tandy, William Psychology Thomas, Brett PY Psychology Tye, Ronald B PY Psychology Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Clark, Robert L Pulmonary Disease Crowley, Joseph J MD Pulmonary Disease Crowley, Joseph J MD Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease 740 E Warm Springs Ave Boise, ID N Allumbaugh St Boise, ID W Bannock St Ste 101 Boise, ID N Liberty St Boise, ID N Allumbaugh St Boise, ID W Hays St Boise, ID E Warm Springs Ave Boise, ID N Allumbaugh St Boise, ID W Emerald St Boise, ID N Allumbaugh St Boise, ID N Liberty St Boise, ID N Raymond St Boise, ID W Hays St Boise, ID Boise, ID th Fl Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Boise, ID Belmont St Boise, ID W Overland Rd Ste 301 Boise, ID W Jefferson St Boise, ID Boise, ID N Cole Rd Ste A Boise, ID W Overland Rd Ste 301 Boise, ID N Allumbaugh St Boise, ID W Overland Rd Ste 301 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 135

140 East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease El-Ashram, Nayer B MD Pulmonary Disease, Goltry, Brian W. MD Pulmonary Disease Holweger, Joshua D MD Pulmonary Disease O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine Patel, Anil Pulmonary Disease Patel, Anil Pulmonary Disease Patel, Anil Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Sutherland, Kathleen R MD Pulmonary Disease Sutherland, Kathleen R MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Gamboa, John E MD Radiation Oncology Sales, Lindsay R MD Radiation Oncology Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD 6140 W Curtisian Ave Ste B10 Boise, ID Potomac Dr Boise, ID N Curtis Rd Ste 200 Boise, ID Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID Boise, ID W Emerald St Boise, ID Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID W Myrtle St Boise, ID W Franklin Rd Boise, ID E Mallard Ste 120 Boise, ID Boise, ID (208) (208) (208) St Joseph Regional Medical Center (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 136

141 Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Giles, David J MD Giles, David J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Goodman, Cyle Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Jackson, John A MD 927 W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID W Emerald St Boise, ID W Washington St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Mallard Dr Ste 130 Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 200 Boise, ID W Myrtle St Boise, ID W Myrtle St Boise, ID W Franklin Rd Boise, ID E Mallard Ste 120 Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 137

142 Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Papenfuss, Mark 927 W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID E Mallard Dr Ste 130 Boise, ID W Emerald St Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID W Myrtle St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 138

143 Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 139

144 Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Mallard Dr Ste 130 Boise, ID W Myrtle St Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 140

145 Wegner, Daniel J MD Wegner, Daniel J MD Shaver, Rodger W. MD Shaver, Rodger W. MD Shaver, Rodger W. MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional Giauque, Anthony P MD, Vascular & Interventional Registered Nurse/First Assistant Crawford, Robert Registered Nurse/First Assistant Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Eckland, Steven R. MD Rheumatology Rupp, Peggy A MD Rheumatology Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease 6533 W Emerald St Boise, ID N Raymond St Boise, ID Boise, ID W Myrtle St Boise, ID E Mallard Dr Ste 130 Boise, ID W Emerald St Boise, ID W Myrtle St Boise, ID Boise, ID W Myrtle St Boise, ID Boise, ID W Myrtle St Boise, ID Boise, ID W Myrtle St Boise, ID Boise, ID W Emerald St Ste 140 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID N 2nd Ste 304 Boise, ID N Curtis Rd Ste 404 Boise, ID W Emerald St Ste 168 Boise, ID W Potomac Dr Boise, ID Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 200 Boise, ID NW 16th St Ste A Boise, ID Potomac Dr Boise, ID Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 141

146 Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Troyer, Brett Eric MD Sleep Disorder Medicine, Pulmonary Disease Ahlrichs, Thomas LSW Ashenbrener, Sadie Baccheschi, Gail M LSW Barth, Wendy Bild, Renee O Brown, Katie Cain, Jaimie L Callens, Lloyd Anthony Carlson, Bette Chrisman, Jill Chrisman, Jill Conley-Durkin, Shelly Conley-Durkin, Shelly Currie-Mills, Claudia LSW Eames, Kimi LSW Garcia, Trisha L LSW Gerhardt, Julia P. LSW Gosline, Matthew T LSW Gratton, Molly Diann Hakes, Diane T LSW Hatten, Renee D. LSW Hislop, Donna LSW Hollander, Brigett W LSW Johannsen, Deanna M LSW Johnson, S Lori LSW Johnson, Susanne J LSW Krumm, Jane E Lara, Benjamin Ramon LSW Lee, Gary W. Linz, Megan M Lusby, Laurisa R 1075 N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID W Curtisian Ave Ste B10 Boise, ID Potomac Dr Boise, ID S 11th St Ste 210 Boise, ID N Raymond St Boise, ID E Warm Springs Ave Boise, ID W Hays St Boise, ID W Main St Ste 338 Boise, ID W Jefferson St Boise, ID N Allumbaugh St Ste 101 Boise, ID W Judith Ln Boise, ID Allumbaugh St Ste 102 Boise, ID E Riverpark Ln Ste 200 Boise, ID N Raymond St Boise, ID W Emerald St Boise, ID N Eagle Rd Boise, ID N Allumbaugh St Boise, ID W Main St Boise, ID W Judith Ln Boise, ID Belmont St Boise, ID Emerald St Ste 110 Boise, ID E Warm Springs Ave Boise, ID N Cole Rd Ste 115 Boise, ID N Allumbaugh St Boise, ID W Hays St Boise, ID N Cole Rd Ste A Boise, ID N Cole Rd Ste A Boise, ID N Allumbaugh St Boise, ID W Overland Rd Boise, ID N Raymond St Boise, ID N Allumbaugh St Boise, ID W Barnes Dr Boise, ID N Curtis Rd Ste 125 Boise, ID W State St Ste 106 Boise, ID W Emerald St Ste 110 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 142

147 McCleaft, Esther A LSW McCullough, Mark A LSW Mezo, Melissa LSW Midgett, Bradley LSW Miles, Amy A. Minter, Kimberlee Barrett LSW Moon, Heather K Moon, Heather K Nelsen, Deborah J Niezwaag, Leah M LSW O'Brien, Sarah L LSW Olson, Amy Perry, Kenneth R LSW Posluszny, Matt T LSW Poulsen, Tammy Powell, Nathan E Reusser, John R Root, Laura E LSW Root, Laura E LSW Rutten-Turner, Elizabeth A LSW Schaffeld, Mark P Schlegel-Preheim, Jenna A Simon, Mary M Simon, Mary M Smith, Jim B Smith, Kathy L Stockett, Jeremy J LSW Torrez, Javier LSW Turner, Ann E LSW Uberuaga, Damiana Uberuaga, Damiana Vogel, William LSW Walker-Novi, Dani West, Natalie N LSW Woodall, Deborah LSW Woods, Melissa A LSW Woods, Melissa A LSW 300 S 23rd St Boise, ID S 23rd St Boise, ID S 23rd St Boise, ID Potomac Dr Boise, ID Allumbaugh St Ste 102 Boise, ID N Allumbaugh St Ste 101 Boise, ID E Fort St Boise, ID W Emerald St Boise, ID N Allumbaugh St Boise, ID E Warm Springs Ave Boise, ID Belmont St Boise, ID Boise, ID E Warm Springs Ave Boise, ID S 23rd St Boise, ID Boise, ID E Warm Springs Ave Boise, ID Boise, ID N Allumbaugh St Boise, ID N Allumbaugh St Boise, ID N Liberty St Ste 204 Boise, ID Boise, ID E Warm Springs Ave Boise, ID W Emerald St Boise, ID W Washington St Boise, ID S 23rd St Boise, ID N Liberty St Boise, ID N Allumbaugh St Boise, ID E Fort St Boise, ID W Overland Rd Boise, ID N Allumbaugh St Boise, ID W Bannock St Boise, ID S 23rd St Boise, ID S 23rd St Boise, ID E Warm Springs Ave Boise, ID S 23rd St Boise, ID S 23rd St Boise, ID N Allumbaugh St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 143

148 Yancey, Becky L LSW Speech Language Pathology Ambrose, Marla Kay SLPA Speech Language Pathology Bethke, Amber M SLPA Speech Language Pathology Boyd, Claire M Speech Language Pathology Burney, Jenifer M SLPA Speech Language Pathology Chatterton, Rian Noel SLPA Speech Language Pathology Harris, Sydney Speech Language Pathology Harris, Sydney Speech Language Pathology Jacobsen, Sara SLPA Speech Language Pathology Marion, Brandi Speech Language Pathology McCarthy, Laura Jean SLPA Speech Language Pathology Neidermyer, Suzanne M Speech Language Pathology Orlando, Kristin Kathleen SLPA Speech Language Pathology Overton, Allyson SLPA Speech Language Pathology Robinson, Heather Speech Language Pathology Subasic, Elizabeth Speech Language Pathology Wiskirchen, Megan K SLPA Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Southard, Jennifer A Sports Medicine, Surgical Critical Care Fujii, Tisha K Surgical Critical Care Fujii, Tisha K Surgical Critical Care Hill, Britani R MD Surgical Critical Care Morgan, Billy R MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Strawn, Dale Surgical Critical Care 740 E Warm Springs Ave Boise, ID W Wainwright Dr Boise, ID W Franklin Rd Boise, ID W Franklin Rd Boise, ID W Franklin Rd Boise, ID W Persimmon Ln Ste 120 Boise, ID N Curtis Rd Ste 204 Boise, ID N Liberty St Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID S Orchard St Ste B Boise, ID N Liberty St Boise, ID W Wainwright Dr Boise, ID W Franklin Rd Boise, ID N Liberty St Boise, ID N Liberty St Boise, ID W Franklin Rd Boise, ID N Curtis Rd Ste 501 Boise, ID N Discovery Pl Boise, ID W Emerald St Boise, ID W Rifleman St Boise, ID S Broadway Ave Ste 100 Boise, ID W Emerald St Boise, ID N Curtis Rd Ste 200 Boise, ID N Curtis Rd Ste 201 Boise, ID N Curtis Rd Ste 415 Boise, ID N Curtis Rd Ste 415 Boise, ID N Curtis Boise, ID N Curtis Rd Ste 401 Boise, ID N Curtis Rd Ste 415 Boise, ID N Curtis Rd Ste 415 Boise, ID (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Not accepting new patients (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 144

149 Strong, Michelle L MD General Surgery, Surgical Critical Care Thoracic & Cardiac Surgery Fall, Stephen Thoracic & Cardiac Surgery Jones, Stephen D Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ashby, Hansel MD Urgent Care Campana, Kirk A MD Urgent Care Domangue Shiflett, Natalie A MD Urgent Care Graff, Michael Urgent Care Little, Terry M DO Urgent Care Stolworthy, Lloyd D Urgent Care, Stolworthy, Lloyd D Urgent Care, Stone, Janine Urgent Care Turner, Mark A MD Urgent Care, Turner, Mark A MD Urgent Care, Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 999 N Curtis Rd Ste 415 Boise, ID W Curtisian Ave Ste 102 Boise, ID W Curtisian Ave Ste 102 Boise, ID W Curtisian Ave Ste 102 Boise, ID W Curtisian Ave Ste 102 Boise, ID Boise, ID Boise, ID W Emerald St Boise, ID N Five Mile Rd Boise, ID N Five Mile Rd Boise, ID S Federal Way Boise, ID N Five Mile Rd Boise, ID E Fairview Ave Boise, ID W Fairview Ave Boise, ID W Fairview Ave Boise, ID N Five Mile Rd Boise, ID E Warm Springs Ave Boise, ID S Broadway Ste 101 Boise, ID W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID S Broadway Ave Ste 101 Boise, ID W Fairview Ave Boise, ID W State St Boise, ID W Myrtle St Ste 100 Boise, ID S Broadway Ste 101 Boise, ID W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID W Overland Rd Boise, ID (208) St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 145

150 Urology Fairfax, Cynthia A MD Urology Fairfax, Cynthia A MD Urology King, Dawn K MD Urology King, Dawn K MD Urology Kuo, Helen MD Urology Miller, Stephen J Urology Miller, Stephen J Urology Morris, Michael S MD Urology Rice, David B Urology Stritzke, Donald K MD Urology Waldmann, Todd M MD Urology Waldmann, Todd M MD Urology Williams, Joseph H MD Urology Williams, Joseph H MD Urology Vascular Surgery Alessi, Christopher Vascular Surgery Arlein, Wes J Vascular Surgery Bonners Ferry Cardiovascular Disease Blakeley, Russell R MD Cardiovascular Disease, Blakeley, Russell R MD Cardiovascular Disease, Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Moore, Daniel Lee Thompson, James Llewellyn Dietitian Ashford Tucker, Susan M Dietitian Dickens, Tricia MD Luther, Gordon E MD Antoniuk, Nelson MD Carter, Thomas DO Durante, Cynthia T Fletcher, Thomas G. MD 222 N 2nd Boise, ID N 2nd St Ste 115 Boise, ID N 2nd Boise, ID N 2nd St Ste 115 Boise, ID N 2nd St Ste 115 Boise, ID N 2nd Boise, ID N 2nd St Ste 115 Boise, ID Fairview Ave Ste 350 Boise, ID N 2nd St Ste 115 Boise, ID Fairview Ave Ste 350 Boise, ID N 2nd Boise, ID N 2nd St Ste 115 Boise, ID N 2nd Boise, ID N 2nd St Ste 115 Boise, ID W Curtisian Ave Ste 102 Boise, ID W Curtisian Ave Ste 102 Boise, ID Kaniksu St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID HCR 61 Box 61 A Bonners Ferry, ID Main St Bonners Ferry, ID B Cody St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Valley Medical Center (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible -Bonner General Hospital (208) ADA Accessible (208) Languages: PORTUGUESE, SPANISH (208) (208) Mid-Valley Hospital (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 146

151 Fowler, Jeffrey B. OD Garwick, Jennifer F. Geyman, Troy W MD Geyman, Troy W MD Kaczmarek, Linda B Lawrence, Thomas L. MD Layeux, Susan J MD Snyder, Michael D MD Wells, Richard Willis III, Henry S MD General Practice Puffer, Steven C. General Practice Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Hettick, Jamie L MD Kim-Brown, Mona J. LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Cox, Ann ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Koch, Tracey A. / Manzella, Joan Marie ARNP, RN / O'Keefe, Tawnya D. / Sweeney, Katie ARNP, RN / 6615 Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Chinook Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Ste A Bonners Ferry, ID Kaniksu St Ste A Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Ste A Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Taylor, Travis Lee ARNP, NPRA, RN 6640 Kaniksu St /, Registered Nurse/ Bonners Ferry, ID First Assistant /Geriatric Rafacz, Ruthann /Geriatric Optometry Harrell, Nathaneal David OD Optometry 6615 Comanche St Bonners Ferry, ID Main St Bonners Ferry, ID (208) Bonner General Hospital (208) Boundary Community Hospital (208) Languages: PORTUGUESE -Boundary Community Hospital (208) ADA Accessible Languages: PORTUGUESE (208) Boundary Community Hospital (208) Bonner General Hospital (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Bonner General Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 147

152 DiBenedetto, Michael Raymond Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Ainge, Charlotte S MA Allmaras, Tanya Marie PA Jabbour, Albert Kenneth PAC McIsaac, Michael Andrew Sprunt, Matthew W PA Burbank, Nicole S MD Fatz, Casey J MD Beck, Gina Marie LSW Kusler, Adam LSW Lucero, Carol Vanita Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Buhl / Milliron, Anastasia B / Hodges, Ryan Dennis PA Josoff, Reena F. Burley Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Cardiovascular Disease 6640 Kaniksu St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Kaniksu St Bonners Ferry, ID Cody St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Comanche St Bonners Ferry, ID Fair St Buhl, ID Fair St Buhl, ID th Ave N Buhl, ID Bennett Ave Ste 3 Burley, ID Hiland Ave Ste E Burley, ID (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital -Boundary Community Hospital (208) ADA Accessible (208) ADA Accessible (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital -Gritman Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 148

153 Antonelli, Lisa Frances MD Cardiovascular Disease Boehm, Douglas Kent Cardiovascular Disease, Call, Benjamin Flandro MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Bean, Leslie Ann NPRA, RN / Harris, Tyson A NPRA, RN / Milliron, Anastasia B / Watson, Jennifer A NPRA, RN / Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Haytmanek, Craig T MD Barker, Jonathan Bishop, Ryan PT Christensen, Cory R PT DeVoe, Cara E King, Daniel M PT Mecham, Tyler D PT Searle, Shane B Stringfield, Sari D PT Toronto, Scott PT Hatch, Angela G Hodges, Ryan Dennis PA Walaliyadda, Ranmali Kalyani PA Podiatry DeVries, Jason B DPM Podiatry Speech Language Pathology 1501 Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Hiland Ave Ste B1 Burley, ID Bennet Ave Burley, ID Bennett Ave Ste 3 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Hiland Ave Burley, ID Hiland Ave Burley, ID Hiland Ave Burley, ID Hiland Ave Burley, ID Overland Ave Ste 4 Burley, ID Hiland Ave Burley, ID Hiland Ave Burley, ID Hiland Ave Burley, ID Overland Ave Ste 4 Burley, ID Hiland Ave Burley, ID Hiland Ave Ste B1 Burley, ID Bennet Ave Burley, ID Hiland Ave Burley, ID E Main St Burley, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 149

154 Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urology Jones, Peter J MD Urology Caldwell Allergy & Immunology Keiley, Michael V Allergy & Immunology Anesthesiology McGarry, Sean Anesthesiology Mortensen, Joseph Anesthesiology Smagula, Carl M. Anesthesiology Cardiovascular Disease Box, Lyndon C Cardiovascular Disease Codina, Michael A MD Cardiovascular Disease Duerr, Robert L Cardiovascular Disease Eiriksson, Charles E Cardiovascular Disease Fry, Stefanie J Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Marks, Melinda L. Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Undesser, Karl P MD Cardiovascular Disease Undesser, Karl P MD Cardiovascular Disease Undesser, Karl P MD Cardiovascular Disease Writer, Steven L Cardiovascular Disease, Interventional Cardiology 1650 Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Overland Ave Ste 4 Burley, ID Hiland Ave Ste B1 Burley, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Fairview Ave Ste 230 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Ste 200 Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID E Elm St Ste 310 Caldwell, ID Fairview Ave Ste 230 Caldwell, ID E Elm St Ste 100 Caldwell, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 150

155 Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Beyer, Floyd E DC Downey, Dennis J DC, Acupuncture Downey, Dennis J DC, Acupuncture Downey, John C. King, Robin W DC McKim, Joshua K DC Mckim, Raymond K DC Soren, Jaron R Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Martsenyuk, Anna V Clinical Nurse Specialist Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Davis, Robert L Dingman, Jeffrey Elliot, Eric T Ellison, Samantha M MD Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD Huang, Po Y MD Judd, Matthew T Kim, David T MD 1717 Arlington Ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID East Pine Caldwell, ID E Pine St Caldwell, ID E Pine St Caldwell, ID Fairview Ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID E Logan St Caldwell, ID Arlington Ave Caldwell, ID Hope Ln Caldwell, ID S Kimball Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID (208) (208) (208) (208) (208) (205) (208) (208) Languages: SPANISH (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 151

156 Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Lee, Darin J Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Olsen, Molly Peterson, Kari Quinn, Jason M MD Reynolds, Brian Reynolds, Charles M Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Southard, Andrew Thomas, Mark C DO Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Allen, Daniel Ball, Katherine L Baron, Andrew R MD Bitters, J'Cinda Blanton, Harrison D MD Clinger, Mark B MD Cortes De Jorge, Vanessa MD Cortes De Jorge, Vanessa MD Gardner, James W MD Gardner, Michelle MD 1717 Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID E Elm St Ste 100 Caldwell, ID Hope Ln Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID Hope Ln Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 152

157 Hansen, Jeffrey A Hlavinka, Jon L Hughes, Meghan Hughes, Meghan Knorpp, Daniel S DO Kunz, Harold V MD Llenos, Joe Marie F Llenos, Joe Marie F Martin, David Anthony MD Millward, Michael H MD Moore, Ryan Moulton, Travis R DO Portenier, Samantha J MD Redd, Phillip J Richardson, Erik J MD Roach, Michael L MD Siegersma, Wendy M MD Skinner, Jocele A MD Stowell, Patrick D MD Summers, Samuel M Wiberg, Ralene MD Wilkinson, Kelly C MD, Sports Medicine Wyatt, Roger T /OB Augustus, Richard A /OB Davidson, Elaine M. MD /OB General Surgery Agee, Jon M MD General Surgery Cornwell, Ronald W MD General Surgery Hardy, Ryan R MD General Surgery Kreuder, Kent A. MD General Surgery Martin, Richard MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology 1818 S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID Hope Ln Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID E Logan St Ste 201 Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Cleveland Blvd Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID Cleveland Blvd Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID S 10th Ave Caldwell, ID (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) Not accepting new patients (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) St Luke's Elmore Hospital (208) (208) (208) (205) (208) (208) (205) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 153

158 Connor, Gerard P MD Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Hospitalist Braun, Derek Hospitalist, Soth, Layhong, Hospitalist Takyar, Harinder K. MD Hospitalist, Wilson, Martha C, Hospitalist Wilson, Martha C, Hospitalist Brown, Sherri L MD Buersmeyer, Patricia M MD Dee, Michael M Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Koga, Steven J MD Koga, Steven J MD Lewis, Nicholas J MD, Pediatrics Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Schulte, Michaela Stringam, Stanley Owen MD Wielebinski, Paul T. MD Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Baughman, Dennis M LMHC Boyle, Michael C. LMHC Collins, Carol T LMHC Conrad-Renteria, Camryn J LMHC 1818 S 10th Ave Ste 200 Caldwell, ID Medical Dr Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Hope Ln Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID E Logan St Ste 201 Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID E Franklin Rd Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Noyes, Virginia D CMFC, LMHC Alkmaar ST, Marriage & Family Caldwell, ID Counselor Padden, Kevin Patrick Steele, Maja M Van Der Eijk, Louise LMHC Wall, Charlayne LMHC 2805 Blaine St Ste 120 Caldwell, ID Blaine St Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Blaine St Caldwell, ID (208) (208) (208) (208) Evanston Regional Hospital (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (541) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 154

159 Woodburn, Kelsi K Zucco, Frances M LMHC Nephrology Davidson, Robert L MD Nephrology Fearday, Aaron A MD Nephrology Hunt, Nicholas MD Nephrology Keller, Christopher R MD Nephrology Kendrick, Elizabeth A Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Silva, Arnold MD Nephrology Neurology Clark, Lukas T MD Neurology Djernes, Michael R MD Neurology Harris, Wade S. MD Neurology, Sleep Disorder Medicine Harris, Wade S. MD Neurology, Sleep Disorder Medicine Maxwell, Shane A DO Neurology Swanson, Thomas H Neurology Araquistain, Mary K NPRA, RN Bars, Ashleigh T NPRA, RN Boulton, Cynthia M ARNP, RN Bullock, Bobbi NPRA Butterfield, Jessica Eshelman, Charlotte G NPRA, PA, RN Gabica, Andrea Huffine, Cory ARNP, RN Jones, Robyn Lesso, Jennifer C Miyazaki, James Morgan, Laurel D NPRA, RN Nordquist, Jennifer Rye, Jared T Sjoberg, Christopher Swensen, Holly D ARNP 2609 S 10th Ave Ste 102 Caldwell, ID Blaine St Ste 120 Caldwell, ID Enterprise Way Ste 100 Caldwell, ID Enterprise Way Ste 100 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Enterprise Way Ste 100 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Enterprise Way Ste 100 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID S Kimball Ave Ste 105 Caldwell, ID S 10th Ave Caldwell, ID S Kimball Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID S Kimball Ave Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Medical Dr Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Medical Dr Caldwell, ID (541) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 155

160 / Crum, Sonya L / Curtright, Sarah E ARNP, RN / 4815 Cleveland Blvd Caldwell, ID S 10th Ave Caldwell, ID Duff, Robert H ARNP, RN 4815 Cleveland Blvd, / Caldwell, ID Reinhardt, Kristine M / Robbins, Jeffrey / Schooler Smith, Andrea NPRA / Sobba, Cheryl K NPRA / Sobba, Cheryl K NPRA / Sullivan, Deborah L NPRA, RN / Thacker, Robert S / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitener, Linda A / Wilson, Sara E / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Croft, Ashley Janae ARNP, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health /Pediatric Hickey, Samantha /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric /Women's Health Carloy, Karen E /Women's Health Colwell, Theodore W MD Fu, Jessica Kaiser, John Rhyan MD Robinson, Michael J Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Ophthalmology Hainsworth, Kenneth M MD Ophthalmology 315 E Elm St Ste 100 Caldwell, ID Cleveland Blvd Caldwell, ID Arlington Ave Caldwell, ID E Logan St Ste 201 Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID S Kimball Ave Ste 105 Caldwell, ID E Logan St Ste 203 Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID Fairview Ave Ste 230 Caldwell, ID E Cleveland Blvd Ste 230 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID Cleveland Blvd Caldwell, ID E Elm St Ste 310 Caldwell, ID E Elm St Ste 310 Caldwell, ID E Elm St Ste 310 Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 310 Caldwell, ID Medical Dr Caldwell, ID Medical Dr Caldwell, ID Medical Dr Caldwell, ID Medical Dr Caldwell, ID S 10th Ave Caldwell, ID (208) (208) Bingham Memorial Hospital (205) (208) (205) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 156

161 Kent, Gregory J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Optometry Bewley, James R Optometry Black, William T OD Optometry Dayton, Drew C Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry Heiner, Darren W Optometry Highsmith, Brittany S OD Optometry Mills, Micah S OD Optometry Norris, Randy OD Optometry Stebel, Holly L Optometry Daines, Michael T MD Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Shevlin, Michael MD Smith, John Q MD Wolf, Jonathon Curtis Pain Management Guy, Rebekah E Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Thompson, Sandra A Pain Management Pathology Ausmus, Gregory G Pathology Grant, Nicholas G Pathology Hall, Brian MD Pathology Kronz, Joseph D MD Pathology Pediatric Neurology Fleenor, Paul W Pediatric Neurology Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics 1602 Arlington Caldwell, ID S 10th Ave Caldwell, ID Fairview Ave Caldwell, ID Fairview Ave Caldwell, ID Arlington Caldwell, ID Fairview Ave Caldwell, ID Fairview Ave Caldwell, ID Fairview Ave Caldwell, ID S Kimball Ave Caldwell, ID S Kimball Ave Caldwell, ID Arlington Caldwell, ID Fairview Ave Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID E Elm St Caldwell, ID S Kimball Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 157

162 Babbel, David G DO Pediatrics Bennett, Jeannette E MD Pediatrics Copeland, Katie E MD Pediatrics Hur, Jee Yeun Pediatrics Keller, Merle L Pediatrics Miller, Natasha MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Bastian, Steven Merrill PT Box, Jeffrey A PT Douglass, Benjamin Brook PT Hadley, J Kyle PT Hawks, Rulin J PT Muir, James M PT Simonson, Jared W PT Smith, Brian A PT Thomason, Jeffery A PT Vinci, Paul West PT Weatherston, Sean R. PT Weldon, Garrett PT White, Brian L PT Abe, Hodaka P Burch, Joel J Burch, Joel J Casebolt, Alex P PA Coleman, Scott R PAC Culbertson, Eric R PA George, Kyle PAC Gill, Taya D PA Godina, Raul PA Hackenberg, Amber A PAC Hart, Bryan Heaton, Rhoda E PAC Hoewing, Heather M PAC 315 E Elm St Ste 100 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID Fairview Ave Ste 410 Caldwell, ID Enterprise Way Caldwell, ID E Pine St Caldwell, ID Enterprise Way Caldwell, ID S 10th Ave Ste 100 Caldwell, ID E Pine St Caldwell, ID E Pine St Caldwell, ID E Pine St Caldwell, ID Enterprise Way Caldwell, ID Cleveland Blvd Caldwell, ID Fairview Ave Ste 410 Caldwell, ID E Pine St Caldwell, ID Enterprise Way Caldwell, ID E Elm St Caldwell, ID Cleveland Blvd Caldwell, ID Cleveland Blvd Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S Kimball Ave Caldwell, ID Hope Ln Caldwell, ID S 10th Ave Caldwell, ID Cleveland Blvd Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID Arlington Ave Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: FRENCH (208) (208) Languages: DANISH (208) (205) (208) (208) (208) (208) (208) (208) (205) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 158

163 Holmes, Cynthia L. Jamison, Craig R King, Rachel M PA Kokoulina, Polina PAC Maus, Eric R McGill, Jennifer D Mitchell, Janet E. PAC Ostolasa, Sis E PAC Otstot, Todd M Rogers, Victoria S Sawyer, Rachel S PAC Smith, Preston Scott Smith, Travis Steinmann, Carl W PAC Tate, Nancy Wikfors, Bryce PAC Wood, Sarah PA Wood, Sarah PA Plastic Surgery within the Head and Neck Snow, Russell T DO Plastic Surgery within the Head and Neck, Otolaryngology Podiatry Benedict, Randall L DPM Podiatry Black, Andrew P DPM Podiatry Burk, Phillip N DPM Podiatry Burk, Phillip R Podiatry Erickson, Jed H DPM Podiatry Psychiatry Banta, Lawrence E Psychiatry Banta, Lawrence E Psychiatry Banta, Lawrence E Psychiatry Bates, John R Psychiatry, Behavioral/Mental Health Bates, John R Psychiatry, Behavioral/Mental Health Steinberg, Si Robin MD Psychiatry Psychology Book, Phares PY Psychology Pulmonary Disease 315 E Elm St Ste 100 Caldwell, ID E Elm St Caldwell, ID S 10th Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Ste 120 Caldwell, ID E Elm St Ste 100 Caldwell, ID E Logan St Ste 203 & 303 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Caldwell, ID S Kimball Ave Ste 105 Caldwell, ID S 10th Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID E Elm St Ste 100 Caldwell, ID Arlington Ave Caldwell, ID E Elm St Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Badiola St Caldwell, ID W Logan St Ste A Caldwell, ID E Logan Caldwell, ID Fairview Ave Ste 430 Caldwell, ID S 10th Ste 250 Caldwell, ID S 10th Ave Ste 250 Caldwell, ID S 10th Ave Ste 250 Caldwell, ID E Logan St Ste 201 Caldwell, ID E Logan St Ste 203 Caldwell, ID Fairview Ave Ste 200 & 230 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Badiola St Caldwell, ID S 10th Ave Ste 102 Caldwell, ID S 10th Ave Caldwell, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (541) Saint Alphonsus Medical Center - Ontario (208) Saint Alphonsus Medical Center - Ontario (541) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 159

164 Hendrickson, Danny J Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Brooks, Joseph MD Radiation Oncology Sales, Lindsay R MD Radiation Oncology Cegnar, Janet Christianson, Kimball Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Yeager, Robert MD Johnson, Michael B. Shaver, Rodger W. MD Rheumatology Ader, John T DO Rheumatology Lagwinski, Mikael D MD Rheumatology Meier, Svetlana Rheumatology 1906 Fairview Ave Ste 430 Caldwell, ID S 10th Ave Caldwell, ID Medical Dr Caldwell, ID Medical Dr Caldwell, ID Medical Dr Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Arlington Ave Caldwell, ID Enterprise Way Caldwell, ID Enterprise Way Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Ste 120 Caldwell, ID S 10th Ave Ste 120 Caldwell, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 160

165 Palfreyman, Eric Rheumatology Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Andrade, Sarah LSW Collins, Caroline Elizabeth LSW Kelly-Majors, Leslie Kubesh, Brian G Mitchell, Mandy F LSW Ruelas, Terry LSW Sanders, Lorinda Lee Sorini, Shannon Lynn LSW Van Ausdal, Ron Jacob LSW West, Natalie N LSW Wiley, Michael E LSW Woodall, Deborah LSW Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Urology Stritzke, Donald K MD Urology Wozniak, Andrea S. Urology Cascade Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Dermatology Stewart, James H Dermatology Lawler, Christopher T MD,, Sports Medicine 1818 S 10th Ave Ste 120 Caldwell, ID S 10th Ave Caldwell, ID S 10th Ave Ste 200 Caldwell, ID S 10th Ave Ste 200 Caldwell, ID Fairview Ave Ste 430 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Blaine St Ste 120 Caldwell, ID Blaine St Ste 120 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Arlington Ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID S 10th ave Caldwell, ID S 10th Ave Ste 102 Caldwell, ID Badiola St Caldwell, ID Blaine St Ste 120 Caldwell, ID Arlington Ave Caldwell, ID E Elm St Ste 100 Caldwell, ID Cleveland Blvd Caldwell, ID Cleveland Blvd Caldwell, ID S Kimball Ave Caldwell, ID S Kimball Ave Caldwell, ID Old State Hwy Cascade, ID Lake Cascade Pkwy Cascade, ID Duffers Ln Cascade, ID Old State Hwy Cascade, ID (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (541) (208) (208) (541) (541) (208) (541) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) McKenzie-Willamette Medical Center -Sacred Heart RiverBend (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 161

166 Bedell, Mikael E Arhets, Alexander J PA Frelly, Stephen PAC Levitch, Rachel McInally, James T PAC 402 Lake Cascade PKWY Cascade, ID Duffers Ln Cascade, ID Duffers Ln Cascade, ID Lake Cascade PKWY Cascade, ID Lake Cascade PKWY Cascade, ID (208) (208) (208) (208) (208) Chubbuck Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Bowers, Paul Kendell DC, DC, RN Gneiting, Josh D DC Hale, Jeremy Wayne Bokelmann, Jean M MD Fenstermaker, John Horrocks, Mark T MD Kjos, Melissa R MD Knouf, Gerald L MD Morrison, Chelsie A DO Willey, Jay Warren DO Willis, Howard James DO Harper, Verronica LMHC 4460 Central Way Ste 2 Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Burnside Ave Ste D Chubbuck, ID W Chubbuck Rd Ste A Chubbuck, ID W Quinn Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Burnside Ave Ste C Chubbuck, ID W Quinn Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID Hutton-Levenson, Judith LMHC 880 W Quinn Rd, Marriage & Family Chubbuck, ID Counselor Mckee, William Lawrence LMHC Rasmussen, Kimberly B LMHC Turpin, LeeAnn A LMHC Baab, Samantha ARNP, RN Clegg, Michelle DC McGregror, David Jim ARNP, RN Strong, Brittany Wedler, Trilby M ARNP, RN / 265 E Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID (208) (208) (208) (208) Not accepting new patients Languages: SPANISH (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible -Bingham Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 162

167 Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Schaffer, Scott Bradley NPRA, RN / Vawdrey, Randy P ARNP, RN / Winder, Heidi S NPRA, RN / Dyer, Donald A MD Cavner, Brandi PT Ellis, Sadie E PT Higbee, Shawn Robert PT McKee, Jared L PT Barkus, Robert Bieniasz, Paul D PAC Burnside, Leslie I PAC Hale, Nicholas Alexander Judd, Jocelyn Ann PA Manning, Nicole PA McCulloch, Ryan T PA McKinlay, Amy Louise PA Psychiatry Sierra, Manuel A MD Psychiatry Sierra, Manuel A MD Psychiatry Broberg, Scott Bernell LSW Collins, Doty J LSW Comstock, Jacob L LSW Coeur d Alene Licensed Acupuncturist Langenderfer, Pamela Sue LAC Acupuncture Aerospace Medicine Edwards, Bruce Monroe MD Aerospace Medicine Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, 880 W Quinn Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Quinn Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Quinn Rd Chubbuck, ID E Cubbuck Rd Ste A Chubbuck, ID E Cubbuck Rd Ste A Chubbuck, ID E Cubbuck Rd Ste A Chubbuck, ID E Cubbuck Rd Ste A Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Quinn Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Chubbuck Rd Chubbuck, ID W Burnside Ave Chubbuck, ID E Chubbuck Rd Chubbuck, ID E Chubbuck Rd Chubbuck, ID W Quinn Rd Chubbuck, ID S Afton Pl Ste A Chubbuck, ID N 4th St W Dalton Ave Ste B Coeur d Alene, ID W Appleway Ave Ste (208) (208) (208) (208) (208) ADA Accessible Languages: SPANISH (208) (208) (208) (208) (208) Languages: PORTUGUESE (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible -Northwest Specialty Hospital (208) Bonner General Hospital -Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 163

168 Audiology Schnell, Gloria R. Audiology Strong, Heidi J CA Audiology Torosian, Karen L. Audiology Torosian, Karen L. Audiology Behavioral/Mental Health Berthon, Michelle Behavioral/Mental Health Gage, Irene LSW Behavioral/Mental Health Henderson, Shari L. LSW Behavioral/Mental Health Leonard, Linda Madree Behavioral/Mental Health Leonard, Linda Madree Behavioral/Mental Health Mace-Tucker, Barbara L. Behavioral/Mental Health Pessein, Darlene E. LSW Behavioral/Mental Health Regan, Laurie D. LSW Behavioral/Mental Health Shannon, Lucinda S. LSW Behavioral/Mental Health Winterer, Sandra L. Behavioral/Mental Health Cardiac Electrophysiology Taylor, Matthew G MD Cardiac Electrophysiology, Cardiovascular Disease Taylor, Matthew G MD Cardiac Electrophysiology, Cardiovascular Disease Cardiac Surgery Burnett, Robert J MD Cardiac Surgery, General Surgery Cardiovascular Disease Abate, Joseph A. MD Cardiovascular Disease Bennett, William R. Cardiovascular Disease, Interventional Cardiology Blakeley, Russell R MD Cardiovascular Disease, Byazrova, Eteri S. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Chilson, Donald A. MD Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease, Interventional Cardiology Everett, John P. Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Fritz, Ronald M. DO Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology 700 W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way E Sherman Ave E Sherman Ave Ste 102 & S 11th St Ste E Coeur d Alene Ave Ste Kootenai Health Way Kootenai Health Way N Government Way Kootenai Health Way Ironwood Dr Ste Kootenai Health Way Ste W Golf Course Rd Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste (208) (209) (208) (209) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Languages: RUSSIAN (208) (509) (208) ADA Accessible (208) Sacred Heart Medical Center (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (509) Bonner General Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 164

169 Hill, R Dean MD Cardiovascular Disease, Interventional Cardiology Hostetler, Michael D Cardiovascular Disease Janout, Marek MD Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Lessmeier, Timothy J. MD Cardiovascular Disease, Cardiac Electrophysiology MacInerney, Jr, Edward James MD Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Murphy, William S. Cardiovascular Disease Murphy, William S. Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Spyra, Wolfgang J.T. MD Cardiovascular Disease, Waggoner, Jr., L. Douglas Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Wallace, Eric L DO Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Boerner, Tarah RD Certified Nutritionist/Registered Diet Carpenter, Nancy Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Hugo, Elizabeth DIET Certified Nutritionist/Registered Diet 700 Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste Lincoln Way E Mullan Ave Ste Lincoln Way Ste Kootenai Health Way Kootenai Health Way W Ironwood Dr Ste Lincoln Way E Mullan Ave Ste Ironwood Drive (208) ADA Accessible -Deaconess Medical Center (208) ADA Accessible -Sacred Heart Medical Center (208) ADA Accessible Languages: CZECH -Sacred Heart Medical Center (208) Bonner General Hospital (208) ADA Accessible -Bonner General Hospital (208) ADA Accessible -Sacred Heart Univ District (208) ADA Accessible (509) (208) (509) (208) ADA Accessible (208) ADA Accessible Languages: GERMAN -Bonner General Hospital (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital -Sacred Heart Univ District Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 165

170 McGahan, Kendra M CD Certified Nutritionist/Registered Diet Mitch, Abigail Shirley RD Certified Nutritionist/Registered Diet Nave, Sarah R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Taylor, Lindsay L. Certified Nutritionist/Registered Diet Aggen, David T. DC Aggen, Laura Nicole Bailey, II, Jerry L. DC, LAC, Acupuncture Borders, Steven Paul DC Eymann, Craig Earl DC Fichter Jr, Wayne Marvin DC Hauser, Richard A. Higgins, William B DC Hull, Brian Jeffrey DC Jacobson, Melissa Anne Martin, Logan C. Mills, Adam Kenneth DC Norce, Brian L. Parsons, Gregory V. Priebe, Jeffrey J DC Stoddard, Charlene R. Stolzel, Samantha Lynn DC Swayze, Charles P. Terry, Michael A DC Dermatology Craig, Stephen D. MD Dermatology Cvancara, Joseph MD Dermatology Dominey, Andrea M MD Dermatology Dunn, Paul T MD Dermatology 2003 Kootenai Health Way Kootenai Health Way Kootenai Health Way W Ironwood Dr Ste Lincoln Way E Mullan Ave Ste Lincoln Way Ste W Ironwood Dr Ste Lincoln Way Lincoln Way Ste Lincoln Way 6125 N Sunshine St Coeur d Alene, ID N Sunshine St Coeur d Alene, ID N 4th St E Best Ste W Ironwood Dr N Schreiber Way Coeur d Alene, ID N 4th St N Northwood Center Ct E Neider Ave Ste 105 Coeur d Alene, ID N Lakewood Dr W Lacrosse Ave W Hubbard St Ste W Appleway Ave Ste W Haycraft Ave Ste D1 Coeur d Alene, ID W Ironwood Dr Ste Ironwood Dr Ste W Lacrosse Ave W Canfield Ave Ste 3 Coeur d Alene, ID W Hubbard St Ste N Merritt Creek Lp W Riverstone Dr W Riverstone Dr W Riverstone Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible Languages: PORTUGUESE (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 166

171 Gee, Matthew R Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Reynaud, Albert C MD Dermatology Reynaud, Albert C MD Dermatology Ringger, Benjamin Carl MD Dermatology Sukut, Chadd Joseph MD Dermatology Dietitian Adrian, Katie June RD Dietitian Bergeron, Breanna Katrina RD Dietitian Bergeron, Breanna Katrina RD Dietitian Diamond, Linda J RD Dietitian Leifheit, Anastasia Marie RD Dietitian Smith, Tamara L RD Dietitian Wolfe, Britney A RD Dietitian Amon, Jr., Henry G. Chiu, Mary, Chun, Wallace E. MD Ettner, Michael L. MD Fooe, Charles B. Freitag, Corby C. Gelwix, Thomas J. Hankins, Thomas Carlisle MD, Aerospace Medicine Hankins, Thomas Carlisle MD, Aerospace Medicine Hitchcock, Robyn MD Hitchcock, Robyn MD Hitchcock, Robyn MD Hitchcock, Robyn MD Hjeltness, Kirk MD Hjeltness, Kirk MD Hjeltness, Kirk MD Hjeltness, Kirk MD Luther, Gordon E MD Matthews, Cari E Nickol, Thomas E. MD Obligato, Peter R N Merritt Creek Lp N Merritt Creek Lp N Merritt Creek Lp N Merritt Creek Lp W Riverstone Dr N Merritt Creek Lp W Riverstone Dr 2003 Kootenai Health Way E Mullan Ave Ste Lincoln Way Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way W Dalton Ave Ste A Coeur d Alene, ID Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr Kootenai Health Way Kootenai Health Way Kootenai Health Way W Prairie Ave Coeur d Alene, ID (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 167

172 Obligato, Peter R. Obligato, Peter R. Obligato, Peter R. Parker, Sarah M MD Perschau, Benjamin R. Russo, Anthony L MD Russo, Anthony L MD Endocrinology Rodebaugh, Maria R MD Endocrinology Abrahams, Michael MD Abrahams, Michael MD Ancker, Robert A MD Barker, Michael MD Barker, Michael MD Barker, Michael MD Bell, Richard K MD, Urgent Care Bowman, Bradley P Bowman, Bradley P Bowman, Bradley P Brancheau, Shaun P MD Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Timothy Burns, Timothy Caldwell, Richard B Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care 700 Ironwood Dr Ste Ironwood Dr Ste 220E 1112 W Ironwood Dr Kootenai Health Way Kootenai Health Way W Dalton Ave Ste A Coeur d Alene, ID W Dalton Ave Ste 100 Coeur d Alene, ID Lincoln Way Ste W Dalton Ave Ste A Coeur d Alene, ID W Dalton Ave Ste B Coeur d Alene, ID Kootenai Health Way W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Ironwood Dr Suite W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr Lincoln Way W Prairie Ave Coeur d Alene, ID Lincoln Way Ste Ironwood Dr Ste 120E W Ironwood Dr Ironwood Dr Ste Lincoln Way Ste N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital (208) ADA Accessible -Bonner General Hospital (208) (208) (208) (208) (208) Not accepting new patients (208) Pullman Regional Hospital (208) Pullman Regional Hospital (208) Pullman Regional Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 168

173 Chisholm, Donald MD, Urgent Care Cox, Craig H. MD, Urgent Care Cox, Craig H. MD, Urgent Care Cox, Craig H. MD, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Drury, Bradley C MD Emry, Geoffrey T MD Emry, Geoffrey T MD Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Fogarty, Shana D. MD Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Givens, Jeffery S MD, Urgent Care Givens, Jeffery S MD, Urgent Care Givens, Jeffery S MD, Urgent Care Gronholz, M Jill DO, Osteopathic Manipulation Gronholz, M Jill DO, Osteopathic Manipulation Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care 920 Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr W Ironwood Dr Suite Ironwood Dr Ste N Lincoln Way 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr Kootenai Health Way W Prairie Ave Coeur d Alene, ID W Dalton Ave Ste A Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Lincoln Way Ste Ironwood Dr Ste 120E W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr N Lincoln Way 1401 N Lincoln Way 5424 N Martha Lp Coeur d Alene, ID N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 169

174 Hagen, Robert W MD Hagen, Robert W MD Hagen, Robert W MD Haynes, Paul B MD Haynes, Paul B MD Haynes, Paul B MD Haynes, Paul B MD Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Keene, Warren C. MD Kindler, Scott R. DO Kindler, Scott R. DO Kindler, Scott R. DO Klein, Dennis DO Klein, Dennis DO Klein, Dennis DO Lakko, Robert Jordan DO Lakko, Robert Jordan DO Lee, Janet Lindley, Lorene H. MD Lindley, Lorene H. MD Lindstrom, Janice A. MD Lorion, S. Jessy MD Malek, Steven J. MD Manteuffel, Mark E. MD Martin, Thomas P. MD Mayer, Alan Douglas Mayer, Alan Douglas Mayer, Alan Douglas McDonald, Jara K MD McFarland, Robert M, Urgent Care McFarland, Robert M, Urgent Care McLandress, Richard A, Urgent Care McLandress, Richard A, Urgent Care 416 E Coeur d A'lene Ave W Dalton Ave Ste A Coeur d Alene, ID W Dalton Ave Ste B Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr Kootenai Health Way W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Park Pl W Golf Course Rd Coeur d Alene, ID Kootenai Health Way W Prairie Ave Coeur d Alene, ID W Ironwood Dr Ironwood Dr Ste E Sherman Ave Kootenai Health Way Kootenai Health Way W Dalton Ave Ste 100 Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID Ironwood Dr Ste Lincoln Way Ste Ironwood Dr Ste Lincoln Way Ste 315 (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 170

175 Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Neal, Thomas A MD, Urgent Care Ragsdale, Sara K DO Ragsdale, Sara K DO Ragsdale, Sara K DO Ragsdale, Sara K DO Rittenour, Timothy Mark MD Rittenour, Timothy Mark MD Rittenour, Timothy Mark MD Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Scarola, Chad W. MD Schaller, Christine C. MD Schaller, Christine C. MD Schaller, Christine C. MD Schaller, Christine C. MD Schmitt, Don J., Urgent Care Shaw, Alyssa A MD Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Robin R. MD Shupe, Jonathan M MD Smith, Gayle Diane Smith, Gayle Diane 201 E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Mill Ave 920 Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 258N W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Golf Course Rd Coeur d Alene, ID Lincoln Way W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr Ironwood Drive 914 W Ironwood Dr Suite N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr Kootenai Health Way Lincoln Way Ste E Harrison Ave W Park Pl (208) (208) (208) (208) (208) (208) (208) Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Not accepting new patients -Northwest Hospital & Medical Center (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 171

176 Snyders, Brian D. Stenhouse, Faine MD Stenhouse, Faine MD Stenhouse, Faine MD Stenhouse, Faine MD Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Suriano, Catherine M. Thurston, Richard K. Wester, Daniel C MD Wester, Daniel C MD Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care /OB Mena, Robert M. /OB Mena, Robert M. /OB Mena, Robert M. /OB Siemers, Rebecca MD /OB Gastroenterology James, Michael W MD Gastroenterology Preiksaitis, Harold G MD Gastroenterology Webb, Kevin R MD Gastroenterology Young, Gavin S. Gastroenterology Young, Gavin S. Gastroenterology General Surgery detar, Edward G. General Surgery detar, Edward G. General Surgery 1130 W Prairie Ave Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID E Mullan Ave Ste Ironwood Dr Ste 120E W Ironwood Dr Ironwood Center Drive Suite A 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr Lincoln Way Kootenai Health Way W Dalton Ave Ste A Coeur d Alene, ID W Dalton Ave Ste B Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID E Harrison Ave W Park Pl E Sherman Ave Ste Ironwood Dr Ste 120E W Ironwood Dr W Golf Course Rd Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr Lincoln Way Ste Lincoln Way Ste Kootenai Health Way Lincoln Way Ste Lincoln Way Ste Lincoln Way Ste Ironwood Dr Ste W Ironwood Dr Ste (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 172

177 Holman, Robert G MD General Surgery Holman, Robert G MD General Surgery Holman, Robert G MD General Surgery Johnson, Kevin M MD General Surgery Kladar, Philip A MD General Surgery Kontny, Debra A General Surgery Lundeby, John P. General Surgery May, Michael T. General Surgery May, Michael T. General Surgery Pennings, John L. MD General Surgery Quinn, Timothy T General Surgery Stafford, Douglas R. MD General Surgery Thilo, Thomas K. General Surgery Thilo, Thomas K. General Surgery Torgenson, Marcus J MD General Surgery Ward, Christopher A MD General Surgery Ward, Christopher A MD General Surgery Hospitalist Alhafez, Fadi MD Hospitalist, Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Meythaler, Jay Hospitalist Mroczko, Mark P MD Hospitalist Yunusov, Murad Y Hospitalist, Bartels, David Cadwell DO, Oncology/Hematology Bertsch, Rebecca J DO Carraher, Michael J MD Casper, John B MD, Anesthesiology Casper, John B MD, Anesthesiology Casper, John B MD, Anesthesiology 700 Ironwood Drive Suite Lincoln Way Ste W Ironwood Dr Ste Northwest Blvd Ste Ironwood Dr Ste Northwest Blvd Ste Northwest Blvd Ste Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Ironwood Dr Ste Ironwood Drive Suite Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way Lincoln Way 2100 Ironwood Ct Ste A Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 2003 Kootenai Health Way Kootenai Health Way Kootenai Health Way Ironwood Dr 1919 Lincoln Way Ste W Golf Course Rd Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr (208) (208) (208) (208) ADA Accessible -Northwest Specialty Hospital (208) (208) Languages: GERMAN (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: RUSSIAN (208) ADA Accessible (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 173

178 Chester, Catherine A MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Daugharty, Barbara A Daugharty-Fowler, Susan M Daugharty-Fowler, Susan M Dinning, Andrea N Dinning, Dustin D DO, Rheumatology Fehir, Kim M. Gersh, Robert H., Oncology/Hematology Gertson, Dawn Gill, Kirandeep Kaur DO, Pediatrics Gill, Kirandeep Kaur DO, Pediatrics Gill, Kirandeep Kaur DO, Pediatrics Haller, Frederick MD Hecker, Susan C. MD Hettick, Jamie L MD Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Lahr, Stephanie Lutsenhizer, Del B. MD Melchiore, Susan MD Melchiore, Susan MD Melchiore, Susan MD Melchiore, Susan MD Missirian, Rina Jannik MD, Geriatric Medicine Newcombe, Jr., L. Raymond MD Newcombe, Jr., L. Raymond MD Newcombe, Jr., L. Raymond MD Notestine, Aaron J MD, Cardiovascular Disease Osmanski, Lorene A. Osmanski, Lorene A. Pataky, James 1919 Lincoln Way Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID Ironwood Dr Ste Kootenai Health Way Lincoln Way Ste Lincoln Way Ste W Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste Kootenai Health Way E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID Kootenai Health Way W Prairie Ave Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Golf Course Rd Coeur d Alene, ID Kootenai Health Way Kootenai Health Way W Park Pl W Mill Ave Kootenai Health Way W Golf Course Rd Coeur d Alene, ID W Park Pl E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr 1090 W Park Pl Lincoln Way (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) Shoshone Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 174

179 Roth, Jason Eric Roth, Jason Eric Schwintek, Jason MD Thykeson, Karen A Uhder, Kerstin A Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wise, John M Wise, John M Wise, John M Interventional Cardiology Alexander, Susan J Interventional Cardiology, Cardiovascular Disease Kadel, Keith A MD Interventional Cardiology, Cardiovascular Disease, Kavanaugh, Kevin M MD Interventional Cardiology, Cardiovascular Disease Thew, Stephen T. MD Interventional Cardiology Bradymire, Rena Lorinne LMHC, LSW Bradymire, Rena Lorinne LMHC, LSW Carr-Peterson, Stacia Crista LMHC Daggy, Linda Marie LMHC Daggy, Linda Marie LMHC Daggy, Linda Marie LMHC Donahue-Reed, Lucretia M1 Farrar, Tiffany Layne LMHC Gajewski, Stephen W Gedeik, Jacqueline Amy Hart, Emily M. LMHC Coeur D Alene Hosack, Kathleen E RC Coeur d Alene 980 W Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way E Harrison Ave W Park Pl Kootenai Health Way W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 258N Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste N Government Way Ste K E Sherman N 4th St E Harrison Ave W Park Pl W Park Pl Ste B Kootenai Health Way E Coeur d Alene Ave Ste N Merritt Creek Loop Ste 2E Ironwood Pkway Ste W Ironwood Dr Ste N 7th St Ste 5C Coeur D Alene, ID (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Deaconess Medical Center -Sacred Heart Medical Center (208) ADA Accessible (208) ADA Accessible -Bonner General Hospital (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (509) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 175

180 Huffer, John Brian LMHC Huffer, John Brian LMHC Huffer, John Brian LMHC Kern, Amanda S LSW Kimes, Judy Leifheit, Jud Eugene Madsen, Ingrid E RC McCormack, Cheri A LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC Park, Kristin Suzanne LMFT Park, Kristin Suzanne LMFT Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Piovesan, Dean Stanley LMHC Piovesan, Dean Stanley LMHC Poe, Blake M Saari, Dawn L. LMHC Scott, Jennifer Diane LMHC Scott, Jennifer Diane LMHC Sferra, Laura Siena RC Sherman, JoAnne E LMHC Sherman, JoAnne E LMHC Smith, Jodi Suzanne LMHC Smith, Jodi Suzanne LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC Telleria, Brian James LMHC Telleria, Brian James LMHC Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT White, Rebecca Lynn LMHC White, Rebecca Lynn LMHC 1090 W Park Pl W Park Pl Ste B Ironwood Pl Ste N 4th St W Prairie Ave Ste 1 Coeur d Alene, ID E Coeur d' Alene Ave Ste 1A W Park Pl Ste W Mill Ave Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste E Montana St S 11th St Ste W Prairie Ave Coeur d Alene, ID W Canfield Ave Ste 400 Coeur d Alene, ID E Coeur d Alene Ave N Government Way Ste K N 4th St W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste E Harrison Ave W Park Pl W Park Pl Ste B Merritt Creek Loop Ste 2F W Park Pl W Park Pl Ste B (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 176

181 White, Rebecca Lynn LMHC Marriage & Family Counselor Arriaga-Thorne, Vickie L Marriage & Family Counselor Beglinger, Susan Marie LMFT Marriage & Family Counselor Krapfl, Julie Nichole LMFT Marriage & Family Counselor Licensed Massage Therapist Leech, Christopher Alan LMP Massage Therapy Morris, Laura LMP Massage Therapy Rockwell, Tyson J Massage Therapy Taranto, Jessica Massage Therapy Naturopathic Physician Hallowitz, Toby Kyle LAC Naturopathic Physician, Acupuncture Nephrology Carson, Richard W Nephrology Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Groza, Petru Nephrology Jones, Kristie E MD Nephrology, Mielke, Brendan A Nephrology Musa, John L MD Nephrology Petersen, Emily Lara Nephrology Sanchez, Sean Ian Nephrology, Singh, Satinder Nephrology Neurological Surgery Buchanan, Colin C MD Neurological Surgery Dirks, Bret A. Neurological Surgery Ganz, William F. MD Neurological Surgery Larson, Jeffrey J Neurological Surgery Larson, Jeffrey J Neurological Surgery McDonald, Jeffrey D. MD Neurological Surgery Neurology Britt Jr, Charles W MD Neurology 2201 Ironwood Pl Ste W Ironwood Dr Ste A E Indiana Ave Ste E Coeur d Alene Ave Ste W Hubbard St Ste W Park Pl Ste E Coeur D'Alene Ave W Lacrosse Ave N 4th St 700 Ironwood Ave Ste Lincoln Way 2100 Ironwood Ct Ste A Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 700 Ironwood Ave Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste N Grand Mill Ln W Ironwood Dr Ste N Merritt Creek Loop Ste A N Grand Mill Ln Kootenai Health Way Kootenai Health Way Ironwood Dr Ste (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (509) (509) (509) (509) (509) Deaconess Medical Center (509) (208) ADA Accessible (208) (208) (208) ADA Accessible -Northwest Specialty Hospital (208) Northwest Specialty Hospital (208) (208) Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 177

182 Coats, Michael Edwin MD Neurology Coats, Michael Edwin MD Neurology Hampton, Cliff W MD Neurology Hoffman, Donald L MD Neurology Kelts, Eric A MD Neurology Lavy, Louisa Neurology Ramey, David B Neurology Ramey, David B Neurology Schreiber, David J MD Neurology Nurse Midwife Certified/Licensed Holcomb, Pam K NPRA Nurse Midwife Certified/Licensed Krull, Faith M Nurse Midwife Certified/Licensed Olscamp, Stephanie J NPRA, NPRA, RN Nurse Midwife Certified/Licensed Warzecha, Katy Nurse Midwife Certified/Licensed Williamson, Ronda L. RNMW Nurse Midwife Certified/Licensed Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Asper, Annette L ARNP, RN Bowman, Taffie ARNP Brinkmann, Bart D NPRA, RN Campa, Carolyn M NPRA, RN Capaul, Jessica ARNP, RN Cartwright-Nolting, Kiandra Lynn ARNP, RN Collar, Janet Collar, Janet Collar, Janet Dahlen, Paula I ARNP, PA, Dahlen, Paula I ARNP, PA, Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Gallegos, Samantha ARNP, RN Hanson, Amber E ARNP Heidenreich, Tanya M ARNP, RN 2022 N Goverment Way 700 Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Mill Ave W Golf Course Rd Coeur d Alene, ID N Lakewood Dr Ste Ironwood Dr Ste Ironwood Dr Ste N Merritt Creek Lp Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID W Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Park Pl W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (509) (208) (208) (208) (208) (208) (509) (208) ADA Accessible (509) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 178

183 Itveldt, Fred M NPRA Itveldt, Fred M NPRA Itveldt, Fred M NPRA Kastens, Valerie M. Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Liter, Mary M RN Love, Denise NPRA Love, Denise NPRA Manion, Kathleen Marie Masterson, Twyla J ARNP, RN Masterson, Twyla J ARNP, RN Mortensen, Shannon K. NPRA, RN Mueller, Diane M NPRA, RN Mykkanen, Debra Colleen ARNP, RN Mykkanen, Debra Colleen ARNP, RN Pena, Holly B ARNP, RN Pena, Holly B ARNP, RN Pena, Holly B ARNP, RN Reese, Reva Gay ARNP Reese, Reva Gay ARNP Reese, Reva Gay ARNP Reese, Reva Gay ARNP Roby, Amanda Dee ARNP Skurupey, Brooke M NPRA, NPRA Soehren, Pauline M. Spencer, Breanna A. Spencer, Breanna A. Spencer, Breanna A W Park Pl W Park Pl Ste B Ironwood Pl Ste Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 258N W Ironwood Dr W Golf Course Rd Coeur d Alene, ID W Riverstone Dr Ste W Riverstone Dr Ste W Ironwood Dr W Ironwood Dr Ste W Dalton Ave Ste A Coeur d Alene, ID W Ironwood Dr Ste N Merritt Creek Lp Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 258N E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 202 (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) Not accepting new patients (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (208) (208) (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (509) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 179

184 Spencer, Breanna A. Spencer, Breanna A. Stow, Marti NPRA, RN Szymanski, Michael E ARNP, RN Szymanski, Michael E ARNP, RN Thompson, Carrie Thomson, Valerie J NPRA Trenkle, Susan Youmans, Angela R NPRA, RN Youmans, Angela R NPRA, RN /Adult LejaMeyer, Kathleen Ruth NPRA /Adult / Bailey, Chad D. / Baran, Susan E. / Barnes, Cindy L ARNP, RN / Barnes, Cindy L ARNP, RN / Breisacher, Lisa G M ARNP, RN / Brown, Jessica Brook NPRA / Brown, Peter Christopher NPRA, RN / Brown, Peter Christopher NPRA, RN / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Cleveland, Eileen Melody ARNP, RN / Cutler, Hilary L ARNP, RN / Dummer, Susan L. / Dummer, Susan L. / Ficek, Brittany ARNP, RN / Forsman, Katie L / Hansen, Holli NPRA, RN / Hansen, Holli NPRA, RN / Hansen, Holli NPRA, RN / Harder, Paige A. / Hickman, Jennifer Lynn ARNP / 700 Ironwood Dr Ste 120E W Ironwood Dr W Ironwood Dr Ste W Park Pl W Golf Course Rd Coeur d Alene, ID Kootenai Health Way W Ironwood Dr Ste Lincoln Way Ste Kootenai Health Way Ironwood Dr Ste W Riverstone Dr Kootenai Health Way 980 W Ironwood Dr Ste Lincoln Way E Mullan Ave Ste Lincoln Way Ste W Ironwood Dr Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID Front Ave Ste N Merritt Creek Lp W Ironwood Dr Ste Ironwood Dr Ste Lincoln Way Ste W Ironwood Dr Ste W Park Pl W Mill Ave W Golf Course Rd Coeur d Alene, ID Kootenai Health Way E Harrison Ave (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (509) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 180

185 Hickman, Jennifer Lynn ARNP / Hickman, Jennifer Lynn ARNP / Hickman, Jennifer Lynn ARNP / Hildebrandt, Susan Eileen ARNP, RN / Hughes, Laine D. / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hurst, Gary Arthur ARNP, RN / Kilroy, Stephanie L / Koep, Julia J NPRA / Koep, Julia J NPRA / Koep, Julia J NPRA / Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Kugler, Tiffany Sue NPRA, RN / Meyer, Sean Alan NPRA, RN / Meyer, Sean Alan NPRA, RN / Moore, Holly K ARNP, ARNP / Nelson, Janice M. ARNP / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Qualls, Jana Marie ARNP, RN / Qualls, Jana Marie ARNP, RN / Sutton, Christy ARNP, RN / Sutton, Christy ARNP, RN / Szymanski, Mary T / Taylor, Ellen J. NPRA, RN / 1090 W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID Lincoln Way Ste W Ironwood Dr Ste 302 Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID N Lakewood Dr Ste Ironwood Dr Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Park Pl W Golf Course Rd Coeur d Alene, ID W Park Pl W Golf Course Rd Coeur d Alene, ID N Grand Mill Ln W Prairie Ave Coeur d Alene, ID Kootenai Health Way Lincoln Way 2100 Ironwood Ct Ste A Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 201 E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Park Pl W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 181

186 Taylor, Ellen J. NPRA, RN / Taylor, Ellen J. NPRA, RN / Taylor, Ellen J. NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Torok, Jennifer M NPRA, RN /, Nurse Practitioner/Pediatric Vecchio, Pamela J ARNP / Vesser, Tana ARNP, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Watson, Jennifer A NPRA, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Williams, Marty Jay ARNP, RN / Wilson, Connie Marie NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / /Geriatric Rafacz, Ruthann /Geriatric /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health 700 Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste 302 Coeur d Alene, ID W Park Pl Ironwood Dr Ste 120E E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Golf Course Rd Coeur d Alene, ID W Appleway Ave Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste Lincoln Way Ste E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Park Pl E Harrison Ave W Park Pl W Park Pl Ste B W Ironwood Dr Ste A 1090 W Park Pl W Park Pl Ste B (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 182

187 Gourley, Janet M. /Mental Health, / Adult Gourley, Peter G ARNP /Mental Health Harris, Charlotte R ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric McLachlan, Nicola L ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric /Women's Health Rock, Ellen K NPRA, RN /Women's Health Bering, Stacie C. Cutting, Jon A. MD Duke, Adam R MD Helal, Kenneth J MD Henneberg, Andrew A. MD Henneberg, Deward A. MD Henneberg, R. Randel MD Hill, Regan MD Hill, Regan MD Kim, John Jene MD McCrummen, Brenna K MD Meltzer, Julie M MD Pates, Jason A, Maternal & Fetal Medicine Pates, Jason A, Maternal & Fetal Medicine Penney, Brett A MD 1130 W Prairie Ave Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Kootenai Health Way E Harrison Ave W Park Pl W Park Pl Ste B W Haycraft Ave Coeur d Alene, ID W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Park Pl W Golf Course Rd Coeur d Alene, ID W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way W Ironwood Dr Ste Lincoln Way Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) Not accepting new patients (208) (208) Not accepting new patients -Northwest Specialty Hospital (208) Not accepting new patients Languages: SPANISH (208) Not accepting new patients Languages: SPANISH (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 183

188 Penney, Brett A MD Penney, Larry L MD Schultz, Kevin Jay MD Woods, Steven K. Occupational Therapy Douglas, Mary S OT Occupational Therapy Swider, Robert Occupational Therapy Taft, Virginia E OT Occupational Therapy Walker Satren, Debra J. Occupational Therapy Oncology, Medical Bemiller, Lynn S. Oncology, Medical Bergland, Eric F. Oncology, Medical Bouda, David Oncology, Medical Denes, Alex Oncology, Medical Fangman, Michael Oncology, Medical Garfield, David Oncology, Medical Mulvey, Kevin P MD Oncology, Medical, Hematology, Padolick, Joseph M. Oncology, Medical Patel, Dinesh Oncology, Medical Siegel, William Oncology, Medical Zietz, Bruce H. Oncology, Medical Oncology/Hematology Allen, Jeffrey W Oncology/Hematology Chester, Kawal D. Oncology/Hematology Chester, Kawal D. Oncology/Hematology Forsythe, Alice M Oncology/Hematology Grosset, Alan B. Oncology/Hematology, Kaya, Hakan Oncology/Hematology Kim, Kevin T MD Oncology/Hematology Tezcan, Haluk Oncology/Hematology Ophthalmology Buckland III, G. Thaddeus MD Ophthalmology Dance, David Gerald MD Ophthalmology Duke, Sara Lin MD Ophthalmology Granier, Alison Marie MD Ophthalmology Kent, Roderick S MD Ophthalmology 980 W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste N Merritt Creek Loop W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Ironwood Dr Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Lincoln Way Lincoln Way Lincoln Way Lincoln Way Lincoln Way (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) (509) (208) (208) Languages: GERMAN, TURKISH (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 184

189 Kontos, Mark A. MD Ophthalmology Moss, Stephen A MD Ophthalmology Parden, Patrick J. MD Ophthalmology Skale, David M Ophthalmology StormoGipson, D. Justin Ophthalmology Wold, David A. MD Ophthalmology Optometry Butherus, Kelsi Optometry Clapper, Roy L. OD Optometry Ellenbecker, Cindy L. Optometry Ellenbecker, Wayne D OD Optometry Fagan, Lance W. OD Optometry Garn, Daniel N. Optometry Greene, Raymond K. Optometry Hamlin, Lindsay J Optometry Jangula, Rebecca Jael Optometry Robinson, Lisa L. Optometry Ulrich, Bret A. Optometry Weisel, John C OD Optometry Brown, Scott A. Dunteman, Roger C. Greendyke, Spencer D. Halvorson, Thomas L MD Keese, Gregory Robert MD King, Jonathan S MD, Sports Medicine King, Jonathan S MD, Sports Medicine Linthicum, Jonathan J MD Lyman, Jeffrey R MD Lyman, Jeffrey R MD McInnis, Douglas P. Quinn, Connor W MD Quinn, Connor W MD, Sports Medicine Quinn, Connor W MD, Sports Medicine Sims, William Witham, Lloyd E N Main St Ste A Lincoln Way Lincoln Way N Main St Ste A 1814 Lincoln Way Lincoln Way E Neider Ave Coeur d Alene, ID E Neider Ave Coeur d Alene, ID W Riverstone Drive Ste W Riverstone Drive Ste N 3rd St Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste W Canfield Ave Ste 6 Coeur d Alene, ID West Neider Avenue Suite C Coeur d Alene, ID Ironwood Dr Ste Lincoln Way Lincoln Way 2003 Kootenai Health Way N Grand Mill Ln N Lakewood Dr Ste W Ironwood Dr Ironwood Dr 2003 Kootenai Health Way Kootenai Health Way N Lakewood Dr Ste N Lakewood Dr Ste Kootenai Health Way Kootenai Health Way W Park Pl Ste W Park Pl Ste Kootenai Health Way Ironwood Dr (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 185

190 Witham, Lloyd E. Otolaryngology De Tar, Thomas R MD Otolaryngology Gilbert, Michael E. MD Otolaryngology McCormick, Chad D. Otolaryngology Smith, Ian M MD Otolaryngology Stout, Ronald J. Otolaryngology Tacia, Brandy M Otolaryngology Pain Management Jameson, Jessica Berryman MD Pain Management Magnuson, Scott K MD Pain Management Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Garabedian, Carl P Pediatric Cardiology Garabedian, Hrair A Pediatric Cardiology, Neonatal/Perinatal Medicine, Pediatrics Jensen, Richard A Pediatric Cardiology Plymale, Jennifer M Pediatric Cardiology Pediatric Endocrinology Hassing, Jeanne M Pediatric Endocrinology Pediatric Psychiatry Boydston, Lauren A MD Pediatric Psychiatry Pediatrics Craddock, Duane E. MD Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Edwards, Randi L MD Pediatrics, Ford, Leila Dawn MD Pediatrics Hickok, Brian J MD Pediatrics Hickok, Brian J MD Pediatrics Martin, Beth A MD Pediatrics Martin, Beth A MD Pediatrics Neff, Terence E. MD Pediatrics Neff, Terence E. MD Pediatrics Nichols, Michael G. MD Pediatrics 2003 Kootenai Health Way Kootenai Health Way Kootenai Health Way W Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste W Riverstone Dr Ste W Riverstone Dr Ste Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way 700 W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste 302 Coeur d Alene, ID W Ironwood Dr Ste 302 Coeur d Alene, ID Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way (208) (208) (208) Languages: SPANISH (209) (208) (208) (208) (208) (208) Not accepting new patients (208) Providence Sacred Heart Medical Center & Children's Hospital (208) (208) (208) (208) (509) (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 186

191 Park, Sung Eun MD Pediatrics Prince, Jean M. MD Pediatrics Prince, Jean M. MD Pediatrics Riley, Christy L MD Pediatrics Savage, Cheri K MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Shaw, Mary Jo MD Pediatrics Webb, Kathleen S MD Pediatrics, Perinatal Medicine Weeda, Charlotte E MD Pediatrics Westcott, Ronda L. Pediatrics Westcott, Ronda L. Pediatrics Physical Medicine and Rehabilitation Ludwig, Michael MD Physical Medicine and Rehabilitation Ludwig, Michael MD Physical Medicine and Rehabilitation Sanders, Hanna O MD Physical Medicine and Rehabilitation Andres, Jeremy E. Angel, Genita Gail Baird, Dirk A. Baird, Dirk A. Band, Kathleen A PT Bartoo, Gary F. PT Bartoo, Joshua B. Bauer, Tina M. PT Bauer, Tina M. PT Baxter, Tyler Mitchell PT Bengtson, Mark B. Borg, Adam Michael PT Butler, Jennifer E. PT Clegg, Shawna Lea PT Cook, Todd Vincent PT Cook, Todd Vincent PT DiBiase, Sheree L Dye, Jeremy Albert PT Ehrhart, Caitlin Shizue PT 980 W Ironwood Dr Ste 302 Coeur d Alene, ID W Ironwood Dr Ste 302 Coeur d Alene, ID Kootenai Health Way W Ironwood Dr Ste 302 Coeur d Alene, ID W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way W Ironwood Dr Ste W Ironwood Dr Ste 302 Coeur d Alene, ID Kootenai Health Way N Grand Mill Ln Kootenai Health Way Lincoln Way 1401 N Lincoln Way 2448 N Merritt Creek Loop Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID Ironwood Dr Ste N Lakewood Dr N Lakewood Dr N Lincoln Way 2170 Ironwood Center Dr Ste B 980 Ironwood Dr Ste Grand Mill Lane N Lakewood Dr Ironwood Center Dr Ste B 3322 Grand Mill Lane Grand Mill Lane N Lakewood Dr Ironwood Center Dr Ste B 1917 N Lakewood Dr Ironwood Dr Ste (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 187

192 Faletto, Peter J. Feasline, Mark E. Gallatin, Angela J PT Garner, Bryan Robert PT Gephart, Cathleen Marie PT, Orthopedics Hall, Leola E PT Hammond, Lucas P PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hillman, David W PT Hopper, Dean M. Kane, Justin T. PT Kim, Michael C. PT Kiracofe, Clifford L. Lamphier, Tom C Lucas, Matthew J. Moehring, Kimberly Elaine PT Morrison, Stephanie Alyse PT Norling, Zachary K PT Olsen, Jerald R PT Olsen, Jerald R PT Papineau, Timothy L. PT Pruitt, Sky R PT Randklev, Scott Robert PT Sampsel, Malea Lynn PT Sayler, John P Scherr, Brian M Scherr, Brian M Shellman, Lee C. PT Shipley, Heather Lea PT Smalley, Lisa M. Smith, Diana Lynn Smith, Diana L PT Smith, Diana L PT Steininger, Laura Handyside PT Stephenson, Brenda K PT Stephenson, Brenda K PT 3655 N Government Way Ste 3 Coeur d Alene, ID N Lakewood Dr N Grand Mill Ln Grand Mill Lane Ironwood Pkwy Ste Ironwood Center Dr Ste B 370 E Kathleen Ave Ste 500 Coeur d Alene, ID Grand Mill Lane N Lakewood Dr E Kathleen Ave Ste 500 Coeur d Alene, ID N Lakewood Dr N Lakewood Dr E Kathleen Ave Ste 500 Coeur d Alene, ID N Lincoln Way 1401 N Lincoln Way 1917 N Lakewood Dr W Hubbard St N Lakewood Dr Grand Mill Lane Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID Grand Mill Lane N Lakewood Dr E Kathleen Ave Ste 500 Coeur d Alene, ID W Ironwood Dr Grand Mill Lane Grand Mill Lane W Hubbard St N Lakewood Dr Grand Mill Lane Grand Mill Lane Ironwood Dr Ste C 2180 Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID Grand Mill Lane Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID (208) (208) Languages: SPANISH (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 188

193 Suarez, Kerry K PT Thoreson, Nate S PT Toews, Norman Lawrence PT Verhaeghe, Eric N PT Weber, Fred J. Wheeler, Adam Laurence PT Whiting, Michael A. Ahrndt, Scott B. PA Almeida, Susan B. PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Bobbitt, Anna K Brown, Lura A PAC Buckland, Audrey S PA Byrne, Thomas J. PA Byrne, Thomas J. PA Chrysler, Nicole S. Cohen, Jeffrey M. Comstock, Calista DeAnne Davis, Robert PAC Doty, Timothy J PA Duncan, Douglas McEnery Dutkiewicz, James W PA Eggleston-Thompson, Mary H. Eggleston-Thompson, Mary H. Eggleston-Thompson, Mary H. Ellern, Jeanne M PA Ellsworth, Amy L PA Ellsworth, Amy L PA Ellsworth, Amy L PA Fiola, Amanada L Flygare, Richard A PA Foley, Gretchen M Gibbs, Scott W. PA 3320 N Grand Mill Ln E Kathleen Ave Ste 500 Coeur d Alene, ID W Hubbard St E Kathleen Ave Ste 500 Coeur d Alene, ID W Northwood Center Ct Ste B Ironwood Dr Ste W Ironwood Dr Ste W Riverstone Dr W Prairie Ave Coeur d Alene, ID E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Park Pl N Merritt Creek Lp Ironwood Dr Ste W Park Pl W Golf Course Rd Coeur d Alene, ID Riverston Dr Ste Ironwood Dr Ste Ironwood Dr Ste N Grand Mill Ln Lincoln Way Ste W Prairie Ave Coeur d Alene, ID W Ironwood Center Dr Kootenai Health Way Kootenai Health Way Ironwood Dr Ste W Riverstone Dr Ironwood Ave Ste Lincoln Way Ste W Ironwood Dr Ste Ironwood Ave Ste N Merritt Creek Lp Ironwood Dr Ste E Harrison Ave (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Syringa Hospital & Clinics (208) Syringa Hospital & Clinics (208) Syringa Hospital & Clinics (208) Syringa Hospital & Clinics (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible (509) (208) (208) (208) (208) Languages: PORTUGUESE (208) ADA Accessible (208) Shoshone Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 189

194 Gibbs, Scott W. PA Gibbs, Scott W. PA Gibbs, Scott W. PA Graham, Michael C PA Graham, Michael C PA Graham, Michael C PA Handyside, Christopher John PAC Handyside, Christopher John PAC Hartzell, Sarah O PA Hartzell, Sarah O PA Hartzell, Sarah O PA Hays, Melodie Headley, Travis C. Houseman, Mary F. Jackson, Rebecca L PAC Jacobsen, Elizabeth Joan Jarstad, Katie Dawn Johansen, Sophea R PA Jones, Sarah M PA Keyser, Lawrence E. Lang, Gregory Lien, Jeffrey E. Lo-Tomblin, Jin Mei PAC Lo-Tomblin, Jin Mei PAC McMahon IV, James P PAC McMahon IV, James P PAC Melgaard, John P. Melgaard, John P. Melgaard, John P. Melgaard, John P. Melgaard, John P. Mikles, Erika M PA Mohr, Michael A PA Richlie, Taryn M PAC Richlie, Taryn M PAC 1090 W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E W Ironwood Dr W Park Pl W Golf Course Rd Coeur d Alene, ID E Harrison Ave W Park Pl W Golf Course Rd Coeur d Alene, ID Kootenai Health Way Kootenai Health Way W Park Pl Ironwood Dr Ste W Riverstone Dr W Golf Course Rd Coeur d Alene, ID Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste Kootenai Health Way Kootenai Health Way Ste Kootenai Health Way Lincoln Way Ste Lincoln Way Ste W Ironwood Dr Suite W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr W Golf Course Rd Coeur d Alene, ID Ironwood Dr Ste E Harrison Ave W Park Pl (208) Shoshone Medical Center (208) Shoshone Medical Center (208) Shoshone Medical Center (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Shoshone Medical Center (208) ADA Accessible (208) (208) ADA Accessible (509) (208) (208) Languages: CANTONESE (CHINESE DIALECT) (208) Languages: CANTONESE (CHINESE DIALECT) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Languages: SPANISH (208) ADA Accessible (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 190

195 Richlie, Taryn M PAC Richlie, Taryn M PAC Rodriguez, Craig A PA Rose-Wolf, Gretchen E. Ruiz, Jose Anthony Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Schmidt, Magen Sielaff, Jenna Sijan, Tod A. Sijan, Tod A. Smith, Ryan Lee PA Smith, Ryan Lee PA Smith, Ryan Lee PA Smith, Ryan Lee PA Starley, Savannah Janeve PA Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Vail, Torrey PA Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Wagstaff, Tyler B PAC Wagstaff, Tyler B PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC 196 W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID N Merritt Creek Lp Ironwood Dr Ste W Dalton Ave Ste A Coeur d Alene, ID Ironwood Dr 108 E Walnut Street 201 E Harrison Ave W Park Pl W Dalton Ave Ste B Coeur d Alene, ID Kootenai Health Way Kootenai Health Way Ironwood Dr 1090 W Park Pl E Harrison Ave W Park Pl W Park Pl Ste B W Haycraft Ave Coeur d Alene, ID Ironwood Dr Ste W Prairie Ave Coeur d Alene, ID W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E W Ironwood Dr Kootenai Health Way Ste N Grand Mill Ln E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID Ironwood Dr Ste Kootenai Health Way E Harrison Ave W Park Pl W Haycraft Ave Coeur d Alene, ID W Golf Course Rd Coeur d Alene, ID (208) (208) (208) (208) ADA Accessible (208) EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 191

196 Plastic & Reconstructive Surgery Kuhlman-Wood, Kate A MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Mandel, Benjamin A MD Plastic Surgery, General Surgery Mullen, Patrick James MD Plastic Surgery, General Surgery Podiatry Averett, Ryan K. DPM Podiatry Averett, Ryan K. DPM Podiatry Butler, Christopher R. DPM Podiatry Butler, Christopher R. DPM Podiatry Drager, Michael J. Podiatry Nunez, Orlando Enrique MD Podiatry Thompson, Bryan T. Podiatry Preventive Medicine Swanson, IV, John David MD Preventive Medicine, Aerospace Medicine, Occupational Medicine Psychiatry Alexander, Coralyn J Psychiatry Carlberg, Nicole L Psychiatry Carlberg, Nicole L Psychiatry Crook, Albert A DO Psychiatry Forsyth, William A MD Psychiatry Garrett, Justin P DO Psychiatry Kirby, James V. Psychiatry Lavy, Eric T Psychiatry Nolte, Thomas MD Psychiatry Ragan II, Charles L MD Psychiatry Stoddard, Tim J. Psychiatry Wait, David B. MD Psychiatry Wait, David B. MD Psychiatry Wait, David B. MD Psychiatry Psychiatry, Child/Adolescent Nelson, Sandra K. Psychiatry, Child/Adolescent Psychology Crawford, Emily K PY Psychology Green, William M. PY Psychology Hanger, Philip PY Psychology 1875 N Lakewood Dr Ste Kootenai Health Way Ste W Ironwood Center Dr Kootenai Health Way W Ironwood Center Dr Kootenai Health Way N Ironwood Center Dr West Ironwood Drive Suite Ironwood Dr Ste Kootenai Health Way W Dalton Ave Ste A Coeur d Alene, ID Kootenai Health Way N 4th St N 4th St 1103 W Ironwood Dr Ste A Kootenai Health Way Kootenai Health Way W Park Pl Ste B Kootenai Health Way Kootenai Health Way Kootenai Health Way Kootenai Health Way E Harrison Ave W Park Pl W Park Pl Ste B Ironwood Dr Ste A 2190 Ironwood Center Dr Ste /2 Sherman Avenue Suite 206 Coeur d Alene, ID Ironwood Center Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Northwest Specialty Hospital (208) Northwest Specialty Hospital (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) Seattle Children's Hospital (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 192

197 Hayes, Daniel S PY Psychology Rehnberg, Timothy S PY Psychology Wolfe, John A PY Psychology Pulmonary Disease Chang, Kevin J MD Pulmonary Disease, Critical Care Medicine Fairfax, Walter R MD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Robinson, Richard J. Pulmonary Disease Scoggins, Robert Myles MD Pulmonary Disease Strait, Kevin B. Pulmonary Disease, Critical Care Medicine Radiation Oncology Call, Jason Radiation Oncology Davenport, David E MD Radiation Oncology Fairbanks, Robert K. MD Radiation Oncology Griffith, Jon L. Radiation Oncology Griffith, Jon L. Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Laing, Susan M MD Radiation Oncology Lamoreaux, Wayne T. Radiation Oncology Lee, Christopher M. Radiation Oncology Wagner, Aaron Eugene Radiation Oncology Caywood, Devin T MD Caywood, Devin T MD Larsen, Michael L MD Larsen, Michael L MD McKlendin, Keith P. MD McKlendin, Keith P. MD McKlendin, Keith P. MD Thatcher, Stephen Hasler MD Burbank, Nicole S MD 2190 Ironwood Center Dr Ste W Ironwood Dr Ironwood Center Dr Ste W Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste W Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr 700 Ironwood Dr Ste Ironwood Dr 700 Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Ironwood Dr Ste Lincoln Way 2003 Kootenai Health Way Ironwood Dr Ste Kootenai Health Way Ironwood Dr Ste W Ironwood Dr Ironwood Dr Ste Kootenai Health Way (208) (208) Pullman Regional Hospital (208) Not accepting new patients (208) Not accepting new patients -Northern Idaho Advanced Care Hospital (208) (208) Not accepting new patients -Northern Idaho Advanced Care Hospital (208) (208) Not accepting new patients (509) (509) (509) Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) (509) (208) Sacred Heart Medical Center (509) (509) Languages: SPANISH (509) Languages: GERMAN (509) (208) (208) (208) (208) (208) (208) (208) (509) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 193

198 Burbank, Nicole S MD Fatz, Casey J MD Fatz, Casey J MD Fatz, Casey J MD Ley, Carl E. Ley, Carl E. Lowe, Philip N Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD McNamee, Brian J. MD McNamee, Brian J. MD McNamee, Brian J. MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michel, Jerry A,,, Vascular & Interventional, Therapeutic Schomberg, Paula Jean, Therapeutic Van Heuvelen, Gary MD, Therapeutic Registered Nurse/First Assistant McPaul, Margaret Registered Nurse/First Assistant Rheumatology Sakai, Linda M. MD Rheumatology Wiesenhutter, Craig W. MD Rheumatology Beville, Barbara A. Beville, Barbara A. Brinton, Barbara F LSW Brinton, Barbara F LSW Bullick, Patty LSW 825 W Ironwood Dr Kootenai Health Way W Ironwood Dr Ironwood Dr Ste Ironwood Dr Ste W Ironwood Dr W Dalton Ave Ste A Coeur d Alene, ID Kootenai Health Way Ironwood Dr Ste W Ironwood Dr W Ironwood Dr Ironwood Dr Ste Lincoln Way 2003 Kootenai Health Way Ironwood Dr Ste W Ironwood Dr Kootenai Health Way Ironwood Dr Ste W Ironwood Dr W Ironwood Dr Ironwood Dr Ste Lincoln Way 315 W Dalton Ave Ste A Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste Kootenai Health Way W Ironwood Dr W Ironwood Dr N Government Way Ste B Coeur d Alene, ID W Dalton Ave Ste 103 Coeur d Alene, ID N 4th St E Sherman W Riverstone Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) Deaconess Medical Center (509) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 194

199 Cartwright, Laura Elaine LSW Cartwright, Laura Elaine LSW Cartwright, Laura Elaine LSW Crawford, Katherine May Crawford, Katherine May Croteau, Carol J Currie, Karen Joy LSW Currie, Karen Joy LSW Currie, Karen Joy LSW DeTienne, Wayne Eugene LSW Easton, Patricia J LSW Easton, Patricia J LSW Easton, Patricia J LSW Easton, Patricia J LSW Enger, Sonja L LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Grayhek, Paul A LSW Grayhek, Paul A LSW Heisler, Sharene M LSW Hennige, Susan Jenkins, Joyl LSW, LSW Keeley, Susan Elizabeth LSW Lee, Kimberly Suzanne LSW Marceau, Cathleen J LSW Marceau, Michael W May, Diana Lynn LSW May, Diana Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nishek, Shoba Marie LSW Nishek, Shoba Marie LSW Nishek, Shoba Marie LSW Schilling, Lea Beth LSW 1090 W Park Pl W Park Pl Ste B Ironwood Pl Ste E Anton Ave Ste 206 Coeur d Alene, ID W Ironwood Dr Ste A Kootenai Health Way W Park Pl W Park Pl Ste B Ironwood Pl Ste W Prairie Ave Coeur d Alene, ID E Harrison Ave W Park Pl W Park Pl Ste B W Haycraft Ave Coeur d Alene, ID Ironwood Pl Ste W Park Pl W Park Pl Ste B E Coeur d Alene Ave Ste Ironwood Pl Ste W Park Pl Ste B Ironwood Pl Ste Lakewood Dr Ste Lincoln Way Ste N 4th St W Mill Ave Ste W Mill Ave Ste Lakeside Ave 611 Lakeside Ave 1417 N 4th St E Sherman W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 195

200 Schilling, Lea Beth LSW Schilling, Lea Beth LSW Sherman, Robert Pierce LSW Stone, Jared Thomas LSW Stone, Jared Thomas LSW Sutton, Tracey Lee LSW Sutton, Tracey Lee LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Tavares, Dee Marla Jo LSW Tavares, Dee Marla Jo LSW Timonen, Wayne Bingham LSW, LSW Videtich, Kevin Lawrence LSW, LSW, LSW Videtich, Kevin Lawrence LSW, LSW, LSW Williams, Jeffrey K. LSW Woods, Kelly Ryan LSW Woods, Kelly Ryan LSW Woods, Kelly Ryan LSW Surgery, Hand Kuhlman-Wood, Kate A MD Plastic & Reconstructive Surgery, Surgery, Hand Thoracic & Cardiac Surgery Coleman, William S MD Thoracic & Cardiac Surgery Nisco, Steven J MD Thoracic & Cardiac Surgery Siwek, Leland G MD Thoracic & Cardiac Surgery, General Surgery Vishwanath, Mandya MD Thoracic & Cardiac Surgery Thoracic Surgery Koutlas, Theodore MD Thoracic Surgery Reynolds, Branden R MD Thoracic Surgery, General Surgery Worrall, Neil K MD Thoracic Surgery, Cardiovascular Disease Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Crites, John D MD Urgent Care Crites, John D MD Urgent Care Crites, John D MD Urgent Care 2025 W Park Pl Ste B Ironwood Pl Ste W Mill Ave Ste N 4th St E Sherman W Park Pl W Park Pl Ste B Ironwood Pl Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste N Government Way Ste B Coeur d Alene, ID N 4th St E Sherman W Mill Ave Ste W Park Pl W Park Pl Ste B Ironwood Pl Ste Kootenai Health Way Kootenai Health Way Ste Kootenai Health Way Ste Kootenai Health Way Ste Kootenai Health Way Ste Kootenai Health Way Ste Kootenai Health Way Ste Kootenai Health Way Ste W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 258N W Ironwood Dr W Prairie Ave Coeur d Alene, ID Ironwood Dr Ste Ironwood Dr Ste 120E (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (208) (208) (208) (208) Languages: FRENCH (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 196

201 Crites, John D MD Urgent Care Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Urology Clark, Randil MD Urology Clark, Randil MD Urology Ellison, Edward D. MD Urology Ellison, Edward D. MD Urology Gates, Charles L MD Urology Gates, Charles L MD Urology McLaughlin, Matthew D. DO Urology McLaughlin, Matthew D. DO Urology Peterson, Chad A MD Urology Peterson, Chad A MD Urology 1112 W Ironwood Dr W Prairie Ave Coeur d Alene, ID E Mullan Ave Ste W Dalton Ave Ste A Coeur d Alene, ID Ironwood Dr Ste 120E Ironwood Dr Ste 220E 1112 W Ironwood Dr Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste Kootenai Health Way W Ironwood Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Cottonwood Cardiovascular Disease Hostetler, Michael D Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bouis, Charles CRNA Cert Registered Nurse Anesthetist (CRNA) Gustin, Kent B Cert Registered Nurse Anesthetist (CRNA) Krahn, Matthew George CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Loseth, Patrick W CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Martin, Dana D Cert Registered Nurse Anesthetist (CRNA) Merritt, Albert William CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Overly, Thomas W. CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stormes, Michael Scott RN Cert Registered Nurse Anesthetist (CRNA) Wilson, Jr, Carlan Albert CRNA Cert Registered Nurse Anesthetist (CRNA) Dermatology Yokel, Benjamin Karl MD Dermatology 701 Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID (208) Sacred Heart Medical Center (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -St Mary's Hospital Inc -Tri-State Memorial Hospital (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Yakima Valley Memorial Hospital -Clearwater Valley Hospital -St Joseph Regional Medical Center -St Mary's Hospital Inc -Clearwater Valley Hospital -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 197

202 Sanderson, Thomas Walter MD Atkinson, Obbie Ted Farnworth, Marc Van MD Jones, Andrew E DO Luensmann, Abby Marie MD, MD Meredith, Lindsay L MD Minnehan, Haley J. MD Pikus, Jared Jan DO Secrest, Alvin J MD Sigler, Ronald L. / Gehring, Margaret A ARNP, RN / Hewlitt, Brenda K. / Uhlenkott, Scarlett J ARNP, RN / Wilson, Megan W ARNP, RN / Keyser, Lawrence E. Rose-Wolf, Gretchen E. Psychiatry LaCroix, Camille A MD Psychiatry Weir, Rachel A MD Psychiatry Psychiatry, Child/Adolescent Smith, Amy S MD, MD Psychiatry, Child/Adolescent Easton, Dean MD Gordon, Benjamin HollisJames Serra, Alexander D 701 Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID (208) ADA Accessible (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible Languages: SPANISH -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -St Alphonsus Regional Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible -Gritman Medical Center Inc (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 198

203 Awobuluyi, Marc Taiwo, Neuroradiology Bechtel, Mark H. Bulczak, Dariusz Piotr Burgoyne, Brian MD Cheng, Sam Dixon, Joseph Trammell MD Farner, Robert M. MD Fiore, Marissa A MD, MD, Pediatric Foral, Jonathan Michael MD Henry, Charles MD, MD Hurt, Christopher J Kang, Margaret Kenyherz, Gregory E Lovelace, Todd Delton MD McCorvey, Barbara M MD Montella, Marc MD Paul, Marc H MD Petrovich, Linda M MD Philip, Shailendri ER MD Reisenauer, Christin S Rickman, Christopher E Romey, Roy L. Rossin, Richard D Shkurovich, Sergey MD Spinuzza, Thomas Strong, Benjamin W. MD Takeuchi, Sean Y MD Uytana, Vinson L 701 Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center -Gritman Medical Center Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 199

204 Wong, William J. Zaytsev, Igor Viktorovitch Sports Medicine Bruner, Jack C. MD Sports Medicine Craigmont Farnworth, Marc Van MD / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Dalton Gardens Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Garcia, Michael D LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, / O'Keefe, Tawnya D. / Downey Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease 701 Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID Lewiston St Cottonwood, ID N Division St. Craigmont, ID N Division St. Craigmont, ID N Division St. Craigmont, ID N Division St. Craigmont, ID N Division St. Craigmont, ID N Mineral Dr Ste 850 Dalton Gardens, ID N Government Way Ste 4 Dalton Gardens, ID N Mineral Dr Ste 850 Dalton Gardens, ID N Mineral Dr Ste 850 Dalton Gardens, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (866) (208) (866) (866) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 200

205 Buitrago, Martha I. Infectious Disease 79 N Main St Downey, ID Hutton-Levenson, Judith LMHC 79 N Main St, Marriage & Family Downey, ID Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care 79 N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID N Main St Downey, ID (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Driggs Williamson, Larry A LMHC Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Occupational Therapy Enrico, Amanda Cheyenne OT Occupational Therapy Evans, Heather Dawn OT Occupational Therapy Davidson, Paige H PT Petersen, Brett W PT Streubel, Dan N PT Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Bachman, Lorin Christopher MD 120 E Howard St Driggs, ID E Howard Ave Driggs, ID E Little Ave Driggs, ID E Little Ave Driggs, ID Ski Hill Rd Driggs, ID Ski Hill Rd Driggs, ID N Main St Ste 215 Driggs, ID Valley Center Dr Driggs, ID Valley Center Dr Driggs, ID E Howard Ave Driggs, ID (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) Mountain View Hospital LLC -Portneuf Medical Center (208) (208) Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 201

206 Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Speech Language Pathology Walker, Cynthia W SLPA Speech Language Pathology Eagle Allergy & Immunology Fritz, Stephen B Allergy & Immunology, Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Audiology Vore, Abram P Audiology Cramer, Todd R Ellison, Gary C Pfaff, Brian Sassadeck, Lawrence Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A 120 E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID E Howard Ave Driggs, ID Ski Hill Rd Driggs, ID E Shore Dr Ste 100 Eagle, ID E Riverside Dr Ste 204 Eagle, ID E Riverside Dr Ste 204 Eagle, ID E Riverside Dr Ste 204 Eagle, ID E State St Ste 100 Eagle, ID E State St Ste 104 Eagle, ID W Bavaria St Ste 101 Eagle, ID E Riverside Dr Ste 124 Eagle, ID E State St Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 202

207 Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Dingman, Jeffrey Elliot, Eric T Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD Huang, Po Y MD Judd, Matthew T Kim, David T MD Kitamura, Brian C Kraska, Eric MD Lee, Darin J Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Peterson, Kari Quinn, Jason M MD Reynolds, Brian Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Stillwagon, Nathan Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Burke, Linda D MD 323 E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID E Riverside Dr Eagle, ID S Fitness Pl Ste 130 Eagle, ID St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 203

208 Clukey, Kristi A Elstun, Katherine M MD Herold, Heidi A Hill, Douglas M. MD, Occupational Medicine Jones, IV, Arthur C MD Knorpp, Daniel S DO Nowierski, Shawn C MD Orchard, Douglas H. MD Price-Miller, Marcia D MD Redd, Phillip J Reed, Daniel Westbrook, Sharon Wilkinson, Kelly C MD, Sports Medicine Wooll, Vicki General Surgery Macha, Matthew General Surgery Boggossian, Debra A. MD, Hospitalist Casper, John B MD, Anesthesiology Luque, Marion L MD McCusker, Kevin T Schlickman, Louis M MD Swanson, Joel C MD Johnson, Lisa R LMHC Minkler, Brhe A LMHC Smith, Lynda S LMHC Smith, Lynda S LMHC Marriage & Family Counselor Mitchell, Jill Marriage & Family Counselor Robertson, John (Jay) A Marriage & Family Counselor Neuromusculoskeletal Medicine Peine, Christopher Neuromusculoskeletal Medicine, Nurse Midwife Certified/Licensed Gomes, Kristin S CNM, RN Nurse Midwife Certified/Licensed Araquistain, Mary K NPRA, RN 600 E State St Eagle, ID E Riverside Dr Ste 200 Eagle, ID S Eagle Rd Ste 100 Eagle, ID E Riverside Dr Ste 224 Eagle, ID W Bavaria St Eagle, ID W Bavaria St Eagle, ID W Cottonwood Ct Ste 100 Eagle, ID E Riverside Dr Ste 224 Eagle, ID Cottonwood Ct Ste 150 Eagle, ID E Riverside Dr Ste 224 Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID E Iron Eagle Dr Eagle, ID E Riverside Dr Ste 220 Eagle, ID E Riverside Dr Ste 224 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID E Winding Creek Dr Eagle, ID E Iron Eagle Dr Ste 170 Eagle, ID E Winding Creek Dr Eagle, ID E Riverside Dr Ste 224 Eagle, ID E Shore Dr Ste 120 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID N Palmetto Ave Ste 1626 Eagle, ID N Palmetto Ave Ste 1626 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID E State St Ste 105 Eagle, ID S Fitness Pl Ste 110 Eagle, ID E Riverside Dr Ste 224 Eagle, ID E State St Eagle, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 204

209 Dey, Patricia T Flynn, Courtney N Jones, Robyn Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Randall, Mary S / Coate, Katherine T ARNP / Crum, Sonya L / Crum, Sonya L / DeLacy, Kara E / Draper, Amanda ARNP / 323 E Riverside Dr Ste 224 Eagle, ID E Shore Dr Ste 100 Eagle, ID W Bavaria St Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 224 Eagle, ID E Riverside Dr Ste 204 Eagle, ID W Bavaria St Eagle, ID E Riverside Dr Ste 204 Eagle, ID E Riverside Dr Ste 224 Eagle, ID E State St Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID E Plaza Dr Ste 110 Eagle, ID E Riverside Dr Ste 224 Eagle, ID Duff, Robert H ARNP, RN 435 S Eagle Rd Ste 100, / Eagle, ID Jensen, Leonard R / Reinhardt, Kristine M / Shackelford, Colleen M / Whitener, Linda A / /Mental Health Braswell, Donna /Mental Health /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric Bradford, Donnell L Digiosia, Juliana L Guzman, Guillermo Guzman, Guillermo Janowiak, Mary A Self, Lee MD Serrano, Maribel MD Occupational Medicine Martinez, Stephen Occupational Medicine Ophthalmology McInnes, Alan W MD Ophthalmology, Plastic Surgery within the Head and Neck 1159 E Iron Eagle Dr Ste 170 Eagle, ID W Bavaria St Eagle, ID E Plaza Dr Ste 110 Eagle, ID W Bavaria St Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID E Riverside Dr Ste 224 Eagle, ID S Eagle Rd Ste 100 Eagle, ID E Riverside Dr Ste 224 Eagle, ID E Riverside Dr Ste 224 Eagle, ID W Bavaria St Eagle, ID W Bavaria St Eagle, ID E Riverside Dr Ste 224 Eagle, ID W Cottonwood Ct Ste 100 Eagle, ID W Bavaria St Eagle, ID S Eagle Rd Ste 100 Eagle, ID E Riverside Dr Ste 136 Eagle, ID (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 205

210 Reynolds, Adam C MD Ophthalmology Optometry Hall, Zackary N OD Optometry Moss, Craig M OD Optometry Schwers, Jeffrey E OD Optometry Simmons, Deric Optometry Sorenson, Shawn C Optometry Warner, Aaron J Optometry Pain Management Boese, Edmund C Pain Management, Anesthesiology Pediatrics Grigore, Daniela Pediatrics Humphrey, Carrie A MD Pediatrics Miller, Alan Paul MD Pediatrics Townsend, Stacey MD Pediatrics Ackerman, Jerrod R PT Ashenbrener, Samantha L Barnes, Nicole L Barnes, Robert M PT Booth, Matthew R PT Box, Jeffrey A PT Duke, Catherine E Dupont, Corey E PT English, Mindy E PT Fleckenstein, David A. Habig, Debbie Hammer, James D Herauf, Kyle PT Januzzi, Joe PT Morrison, Paul R Moss, Mark L PT Murphy, Shaun Repulski, Jana Nicole Spencer, Carri Trudeau, Brian Wagner, Lynsey J PT 323 E Riverside Dr Ste 122 Eagle, ID E State St Ste 140 Eagle, ID S Eagle Rd Eagle, ID E State St Ste 140 Eagle, ID E Riverside Dr Ste 122 Eagle, ID S Eagle Rd Eagle, ID S Eagle Rd Eagle, ID E State St Ste 150 Eagle, ID E Riverside Dr Ste 224 Eagle, ID E Riverside Dr Ste 224 Eagle, ID N Stierman Way Ste A Eagle, ID E Riverside Dr Ste 224 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID E Plaza Dr Ste 103 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID S Rivershore Ln Ste 120 Eagle, ID E Riverside Dr Ste 124 Eagle, ID W Bavaria St Eagle, ID E Plaza Dr Ste 103 Eagle, ID E Riverside Dr Ste 124 Eagle, ID W Cottonwood Ct Ste 150 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID E Riverside Dr Ste 124 Eagle, ID S Rivershore Ln Ste 120 Eagle, ID E Riverside Dr Ste 124 Eagle, ID E Riverside Dr Ste 124 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 206

211 Wegley, Roger S Weiderman, Brian C PT White, Brian L PT Whitworth, Kala C PT Chan, Rylan J Crockett, Kellee J PA Fuhriman, Kathryn H Huffaker, Kristina PAC Inzer Castillo, Christa Johnson, Jeffery L PA Loewenstein, Timothy Morris, Bradley PAC Sierra, Talia M Podiatry Burk, Phillip R Podiatry Erickson, Jed H DPM Podiatry Psychiatry Belnap, Grant B MD Psychiatry Merrill, Jordan W Psychiatry Psychology Arnold, Bill R PY Psychology Booth, Raydell J PY Psychology Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Hom, Benjamin 12 N Fisher Park Way Ste 100 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID E Plaza Dr Ste 103 Eagle, ID N Fisher Park Way Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID W Bavaria St Eagle, ID E Iron Eagle Dr Eagle, ID E Iron Eagle Dr Eagle, ID W Bavaria St Eagle, ID S Eagle Rd Ste 100 Eagle, ID W Bavaria St Eagle, ID W Bavaria St Eagle, ID E Riverside Dr Ste 204 Eagle, ID E Riverside Dr Ste 204 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID E Winding Creek Dr Ste 155 Eagle, ID E Chinden Blvd Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID (208) (208) (208) Languages: DANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 207

212 Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional 323 E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID E Riverside Dr Ste 108 Eagle, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 208

213 Harris, Jami D LSW Kelly-Majors, Leslie Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 1032 S Bridge Way Pl Ste 110 Eagle, ID S Bridge Way Pl Ste 110 Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID S Eagle Rd Ste 100 Eagle, ID (208) (208) (208) (208) (208) Emmett Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Gardner, Aaron R Pewe, Daniel M Schreck, Jason C DC Mcguffey, Tina A MD Mumford, Brett T Petrie, Jennifer L MD, Obstetrics Rodriguez-Lopez, Eddie O. MD Sebastian, Robin MD Thomson, James F Vetter, William H General Surgery Bastian, Zachary MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Butterfield, Jessica Gabica, Andrea Morgan, Laurel D NPRA, RN Swensen, Holly D ARNP / Casdorph, Deborah A. / Corbin, Carlie G NPRA, RN / Lisenbey, Dana M / Phillips, Debra / Phillips, Debra / /Mental Health Barfield, Patricia /Mental Health 110 S Washington Ave Emmett, ID S Washington Ave Emmett, ID Highway 16 Ste 101 Emmett, ID S Washington Ave Emmett, ID N Wardwell Ave Emmett, ID N Wardwell Ave Emmett, ID E Quail Run Rd Emmett, ID E 12th St Emmett, ID E 12th St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Washington Ave Emmett, ID E 12th St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID N Wardwell Ave Emmett, ID E Quail Run Rd Ste 1 Emmett, ID (208) Eagle Eye Surgery & Laser Center (208) (208) (208) (208) Walter Knox Memorial Hospital (208) Walter Knox Memorial Hospital (208) (208) Languages: SPANISH (208) (208) Walter Knox Memorial Hospital (208) Walter Knox Memorial Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Walter Knox Memorial Hospital (208) Walter Knox Memorial Hospital (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 209

214 Robison, Gail /Mental Health Fox, John S Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Optometry Warner, Trenton G OD Optometry Woodward, Thomas W. OD Optometry Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Shevlin, Michael MD Shevlin, Michael MD Shevlin, Michael MD Smith, John Q MD Box, Jeffrey A PT King, Scott Glen PT Murri, David B PT White, Brian L PT Abe, Hodaka P Beech, Louie W Estep, Cherish Jamison, Craig R McVey, Douglas K Petrie, Joseph W PAC Sherwood, Charles T PAC Shuey, II, David Martin PAC Sternes, Roy A PAC Wikfors, Bryce PAC Plastic Surgery within the Head and Neck Snow, Russell T DO Plastic Surgery within the Head and Neck, Otolaryngology Podiatry 2007 E Quail Run Rd Ste 1 Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Washington Ave Emmett, ID S Washington Ave Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID S Washington Ave Emmett, ID S Commercial Emmett, ID S Washington Ave Emmett, ID S Washington Ave Emmett, ID E Locust St Emmett, ID E 12th St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Quail Run Rd Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: DANISH (208) (208) (208) (208) (208) (208) (208) (208) Walter Knox Memorial Hospital (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 210

215 Burk, Phillip N DPM Podiatry Martin, Trever J DPM Podiatry Martin, Trever J DPM Podiatry Martin, Trever J DPM Podiatry Stano, William S. DPM Podiatry Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Cegnar, Janet Christianson, Kimball Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Shaver, Rodger W. MD Calhoun, Bernice R LSW Heald, Teresa Labernik, Julie N 1024 E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Locust St Emmett, ID E Quail Run Rd Ste 1 Emmett, ID E Quail Run Rd Ste 1 Emmett, ID E Quail Run Rd Ste 1 Emmett, ID (208) (208) (208) (208) (208) (208) (208) (208) x3324 (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 211

216 Lee, Michael S Mitchell, Mandy L Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Fairfield / Milliron, Anastasia B / Hodges, Ryan Dennis PA Firth / Searle, Kathleen L ARNP, RN / Steffler, Shantel RN, RN, RN, RN / Fort Hall Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Fruitland Cardiovascular Disease Johnson, Alex C Cardiovascular Disease Malasky, Beth Cardiovascular Disease, Malasky, Beth Cardiovascular Disease, Parent, Mark G Cardiovascular Disease, Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Duncan, Michael A Lindsey, Jonathan Dermatology Andersen, Brock Dermatology Thornfeldt, Carl R Dermatology Acor, Barry L MD, Sports Medicine Baker, Bridgette M Gardner, James W MD Gardner, James W MD 2007 E Quail Run Rd Ste 1 Emmett, ID E Quail Run Rd Ste 1 Emmett, ID E Locust St Emmett, ID W Camas Ave Fairfield, ID W Camas Ave Fairfield, ID S Main St Firth, ID S Main St Firth, ID Mission Rd Fort Hall, ID Mission Rd Fort Hall, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID Syringa Springs Dr Fruitland, ID N Whitley Dr Ste 4 Fruitland, ID NW 16th St Ste A Fruitland, ID NW 12th St Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center - Ontario (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 212

217 Gardner, James W MD Goldberg, Marcel A Hill, Douglas M. MD, Occupational Medicine Hoilien, Michael J DO Moore, Ryan Moore, Ryan Roach, Michael L MD Roach, Michael L MD Roser, Louis A MD Roser, Louis A MD Skinner, Jocele A MD General Surgery Tesnohlidek, Dwaine Anthony MD General Surgery Christenson, Mark D MD Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Baughman, Dennis M LMHC Brown, Cody J Moss, Nan LMHC Stramel, Janice Aileen LMHC Van Der Eijk, Louise LMHC Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Neurology Nelsen, Mihoko M MD Neurology River, Mary E MD Neurology River, Mary E MD Neurology Araquistain, Mary K NPRA, RN Beveridge, Tricia A. Furner, Beverlee K Hilpert, Stephanie ARNP Randall, Mary S Randall, Mary S 910 NW 16th St Ste 101 Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Fruitland, ID NW 16th St Ste 102 Fruitland, ID NW 16th St Ste 101 Fruitland, ID Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Ste 11 Fruitland, ID S Iowa Ave Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (541) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 213

218 Randall, Mary S Weeks, Teresa A Weeks, Teresa A Weeks, Teresa A / Whitehead-Price, Kelly R / Whitehead-Price, Kelly R / Optometry Iwasa, Daniel E OD Optometry Davis, Richard, Sports Medicine Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Peterson, Randolph E MD Shevlin, Michael MD Smith, John Q MD Otolaryngology Boyajian, John A. CRNA Otolaryngology Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Black, Jake Douglass, Benjamin Brook PT Hamann, Craig L PT Heaton, JaNeil M PT Hoopes, Gary L Johnson, Lynn R PT McDaniel, Amy Schamber, Jane Stephens, Cody D PT Trudeau, Brian Woods, Seneca Abe, Hodaka P Barclay, David J Branch, Anne M PA Branch, Anne M PA Brioschi Jr, Charles Edward 910 NW 16th St Ste 101 Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 12th St Fruitland, ID NW 16th St Ste 205 Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th Fruitland, ID NW 16th St Ste 200 Fruitland, ID N Whitley Dr Ste 1A Fruitland, ID N Whitley Dr Ste 1 Fruitland, ID N Whitley Dr Ste 1 Fruitland, ID N Whitley Dr Ste 1 Fruitland, ID N Whitley Dr Ste 1A Fruitland, ID NW 16th St Ste 200 Fruitland, ID NW 16th St Ste 200 Fruitland, ID N Whitley Dr Ste 1 Fruitland, ID NW 16th St Ste 200 Fruitland, ID NW 16th St Ste 200 Fruitland, ID NW 16th St Fruitland, ID NW 12th St Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 16th St Ste 205 Fruitland, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 214

219 Gardner, Marshall E. Heninger, Bradley PA Jamison, Craig R Lawler, Helen Lawler, Helen Mccray, Tiffany A Olson, Chelsea L PA Peterson, Jamie B PAC Steinburg, Rick L Steinburg, Rick L Sweet, Christina PAC Weber, Colette D Wikfors, Bryce PAC Wood, Sarah PA Podiatry Martin, Trever J DPM Podiatry Psychiatry Bates, John R Psychiatry, Behavioral/Mental Health Steinberg, Si Robin MD Psychiatry Pulmonary Disease Hendrickson, Danny J Pulmonary Disease Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Bollingberg, Cristy Ann LSW Koberlein, Timothy L LSW Lamberti, Paola Fabiana Rupp, Chelsea Marie Sanders, Lorinda Lee Van Ausdal, Ron Jacob LSW Sports Medicine Foote, John Sports Medicine, Orthopedics Urology King, Dawn K MD Urology Klein, Eric W MD Urology Kuo, Helen MD Urology 1300 NW 16th St Fruitland, ID NW 16th St Ste 205 Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID NW 12th St Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Fruitland, ID NW 16th St Ste A Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID NW 16th St Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID Whitley Dr Ste 7 Fruitland, ID NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID N Whitley Dr Ste 7 Fruitland, ID NW 16th St Ste 205 Fruitland, ID NW 16th St Ste 102 Fruitland, ID NW 16th St Ste 102 Fruitland, ID NW 16th St Ste 102 Fruitland, ID (208) (208) Saint Alphonsus Medical Center - Ontario (208) (208) (208) (208) (208) (208) Memorial Hospital (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center - Ontario (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 215

220 Stritzke, Donald K MD Urology Vascular Surgery Alessi, Christopher Vascular Surgery Alessi, Christopher Vascular Surgery Garden City Behavioral/Mental Health Alexander, Erin A. Behavioral/Mental Health Collier, Anita A. Behavioral/Mental Health / Crum, Sonya L / /Pediatric Weller, Katie /Pediatric Bledsoe, Aaron L PAC Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Garden Valley Koenig, Michael R MD Maughan, Kyle D PT Glenns Ferry Ensminger, Mark R MD General Surgery Welch, John C MD General Surgery Jenks, Barry Edward LMHC Best, Dawn D Morgan, Laurel D NPRA, RN Swartz, Rachel M 1210 NW 16th St Fruitland, ID NW 16th Ste A Fruitland, ID NW 16th St Ste 101 Fruitland, ID W Riverside Dr Garden City, ID W Riverside Dr Garden City, ID W State St Garden City, ID W State St Garden City, ID W State St Garden City, ID W State St Garden City, ID W State St Garden City, ID W Chinden Blvd Garden City, ID Banks Lowman Rd Garden Valley, ID Banks Lowman Rd Garden Valley, ID W First Ave Glenns Ferry, ID W First Ave Glenns Ferry, ID W First Ave Glenns Ferry, ID W First Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W First Ave Glenns Ferry, ID (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible -Ocean Beach Hospital (208) ADA Accessible Languages: JAPANESE, SPANISH (208) ADA Accessible Languages: SPANISH (208) ADA Accessible (208) (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 216

221 Cegnar, Janet Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Grand View Ensminger, Mark R MD Jenks, Barry Edward LMHC Grangeville Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Whisenant, Michael Neil Cardiovascular Disease Dardis, James Walter MD Dardis, James Walter MD Farnworth, Marc Van MD 486 W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID W 1st Ave Glenns Ferry, ID Main Street Grand View, ID Main Street Grand View, ID W Main St Grangeville, ID W Main St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible -Ocean Beach Hospital (208) ADA Accessible Languages: SPANISH (509) (509) St Joseph Regional Medical Center (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) St Mary's Hospital Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 217

222 Griffis, Daniel Christopher MD Griffis, Daniel Christopher MD Jessup, Tema Lynn DO Jessup, Tema Lynn DO Minnehan, Haley J. MD Sigler, Ronald L. Told, Matthew DO Told, Matthew DO General Surgery Bell, Adam D DO General Surgery / Gehring, Margaret A ARNP, RN / Imus, William Mark NPRA, RN / Imus, William Mark NPRA, RN / Long, Deborah J / McHugh, Lynn G / Wilson, Megan W ARNP, RN / Bigsby, Geneen E DO Bigsby, Geneen E DO Bigsby, Geneen E DO Optometry Brown, Joel I. Optometry Atkins, David Scott PA, PA Atkins, David Scott PA, PA Bell, Keith E. Bledsoe, Todd PAC 607 W Main St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W Main Grangeville, ID W Main Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID W Main St Grangeville, ID W North St Grangeville, ID W Main Grangeville, ID W Main St Grangeville, ID (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (509) (509) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible (208) ADA Accessible (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (509) Newport Community Hospital (208) ADA Accessible Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 218

223 Bledsoe, Todd PAC Davis, Heather Nicole PA Wynn, Derek Ron PA Sports Medicine Bruner, Jack C. MD Sports Medicine Hailey Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology / Watson, Jennifer A NPRA, RN / Podiatry DeVries, Jason B DPM Podiatry Hayden Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Cunningham, Wendy Nagy Jacobson, Melissa Anne Marsh, Kevin R. DC May, Richard J Priebe, Jeffrey J DC Priebe, Randall P. DC Tessendorf, Joseph N DC Tessendorf, Thomas N DC Ancker, Robert A MD Borsheim, Mark P MD, Urgent Care Brososky, Bradley W. MD, Urgent Care Esau, Arlie E., Urgent Care Fogarty, Shana D. MD 722 W North St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID W North St Grangeville, ID S Main Hailey, ID E Maple St Ste A Hailey, ID E Maple St Ste A Hailey, ID S Main Hailey, ID E Maple St Ste G Hailey, ID W Prairie Ave Hayden, ID W Prairie Ave Hayden, ID W Prairie Ave Hayden, ID W Prairie Ave Hayden, ID N Government Way Ste 3 Hayden, ID W Hayden Ave Hayden, ID North Cornerstone Drive Hayden, ID N Wayne Drive Hayden, ID N Wayne Blvd Hayden, ID N Wayne Blvd Hayden, ID W Biztown Loop Hayden, ID W Biztown Loop Hayden, ID N Government Way Hayden, ID Cornerstone Drive Hayden, ID Cornerstone Drive Hayden, ID Cornerstone Drive Hayden, ID N Government Way Hayden, ID (208) ADA Accessible Languages: SPANISH (208) St Joseph Regional Medical Center (208) ADA Accessible (208) St Mary's Hospital Inc (208) Bonner General Hospital -Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 219

224 Linford, Douglas S. MD Riske, Terrance A MD, Urgent Care Torquato, John L. MD, Urgent Care Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Licensed Massage Therapist Foster, Makaia M. Massage Therapy Morningstar, Rose M. Massage Therapy Nephrology Foster, Sherwin Stephen MD Nephrology, Ngo, Thuy-Trang Thi MD Nephrology, Mykkanen, Debra Colleen ARNP, RN Volking, Camille Lagene NPRA, RN / Fletcher, Jennifer S NPRA, RN / Gentry, Carla J. / LaPlante, Jessica L NPRA / Long, Deborah J / O'Keefe, Tawnya D. / Palmer, Renee Michelle ARNP / Sutton, Christy ARNP, RN / Williams, Marty Jay ARNP, RN / /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Optometry Breazeal, Larry D OD Optometry Heaton, Alisha Optometry Lindauer, Robin R OD Optometry Sorensen, Robert A Optometry Stoenner, Debra L. Optometry Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Martin, Beth A MD Pediatrics 566 W Prairie Ave Hayden, ID Cornerstone Drive Hayden, ID W Prairie Shopping Ctr Hayden, ID N Hess Ste C Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID N Hess Ste C Hayden, ID N Hess Ste C Hayden, ID N Hess St Hayden, ID N Hess Ste C Hayden, ID N Hess Ste E Hayden, ID Cornerstone Drive Hayden, ID N Hess Ste E Hayden, ID Cornerstone Drive Hayden, ID N Hess Ste C Hayden, ID Cornerstone Drive Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Cornerstone St Ste B Hayden, ID Government Way Hayden, ID W Honey Suckle Ave Hayden, ID Government Way Hayden, ID Government Way Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID (208) (208) (208) (208) (208) (208) (208) (208) Northwest Specialty Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 220

225 Neff, Terence E. MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Weeda, Charlotte E MD Pediatrics Andrews, David B. Bauer, Tina M. PT Blackwelder, Tyler Bluemer, Lori-Ann I. Borg, Adam Michael PT Bruns, Jason Cook, Todd Vincent PT Cooper-Scott, Haley E PT DiBiase, Sheree L Dye, Jeremy Albert PT Ehrhart, Caitlin Shizue PT Feasline, Mark E. Hall, Leola E PT Hankes, Matthew Beier PT Hopper, Dean M. Kane, Justin T. PT Kiracofe, Clifford L. Lucas, Matthew J. Morrison, Stephanie Alyse PT Schneider, Gary D. Sgroi, Kevin J. Shellman, Lee C. PT Steininger, Laura Handyside PT Swider, Deborah E PT Venera, Teri Ann PT Wheeler, Adam Laurence PT Foster, Michael Foster, Michael Petersen, Henry Aron PAC Triphahn, Laura K. PA Podiatry 9095 N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID N Hess St Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID N Wayne Dr Hayden, ID N Hess St Ste C Hayden, ID W Hayden Ave Hayden, ID N Hess St Ste B Hayden, ID W Hayden Ave Hayden, ID N Wayne Dr Hayden, ID N Goverment Way Hayden, ID W Hayden Ave Hayden, ID N Cornerstone Dr Hayden, ID W Hayden Ave Hayden, ID N Goverment Way Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID W Hayden Ave Hayden, ID N Cornerstone Dr Hayden, ID N Government Way Hayden, ID W Hayden Ave Hayden, ID N Goverment Way Hayden, ID N Cornerstone Dr Hayden, ID N Wayne Dr Hayden, ID N Cornerstone Dr Hayden, ID N Hess Ste C Hayden, ID N Hess Ste E Hayden, ID N Hess Ste C Hayden, ID N Hess Ste C Hayden, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) Languages: SPANISH (208) ADA Accessible (208) (208) (208) (207) (208) (208) (208) (208) (208) (208) Not accepting new patients ADA Accessible (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 221

226 Babol, Jacqueline M Podiatry Hix, Joel D Podiatry Urgent Care Panos, Craig J MD Urgent Care, Hayden Lake Ophthalmology Kontos, Mark A. MD Ophthalmology Homedale Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist /Mental Health Stackle, Mary J NPRA, RN /Mental Health Applegate, Evan J PT Douglass, Benjamin Brook PT Hartley, Nicholas C PT Homstad, Brett Jeffrey Hulsey, Kevin L PT Weldon, Garrett PT Greaves, Gordon Brad Ruelas, Terry LSW Horseshoe Bend Koenig, Michael R MD Ineck, Yesenia PT Maughan, Kyle D PT Idaho City Maricle-Kuwahara, Lynda J N Hess St Ste A Hayden, ID N Hess St Ste A Hayden, ID W Prairie Ave Hayden, ID N Government Way Hayden Lake, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID W Idaho Ave Homedale, ID E Idaho Ave Homedale, ID W Idaho Ave Homedale, ID W Idaho Ave Homedale, ID W Idaho Ave Homedale, ID E Idaho Ave Homedale, ID E Idaho Ave Homedale, ID Quinn St Horseshoe Bend, ID Highway 55 Horseshoe Bend, ID Highway 55 Horseshoe Bend, ID Highway 21 Idaho City, ID (509) (208) Languages: SPANISH (208) (509) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Northwest Specialty Hospital (208) ADA Accessible (208) ADA Accessible (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 222

227 Idaho Falls Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Poulter, Alan J MD Anesthesiology, Pain Management Zoe, Holly MD Anesthesiology Cardiac Electrophysiology Perez-Verdia, Alejandro MD Cardiac Electrophysiology Cardiovascular Disease Garcia, George M MD Cardiovascular Disease Gerlach, Paul A MD Cardiovascular Disease Kaufman, Jay Stuart Cardiovascular Disease Lassetter, John E. MD Cardiovascular Disease Lassetter, John E. MD Cardiovascular Disease Wachter, Susan B MD Cardiovascular Disease Webb, Kipp B. Cardiovascular Disease, Cert Registered Nurse Anesthetist (CRNA) Adams, Henry Michael RN, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Nebeker, Gregory D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Purcell, Blake G CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 2025 E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Elk Creek Dr Idaho Falls, ID E Sunnside Rd Ste J Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID S Woodruff Ave Ste 12A Idaho Falls, ID S Woodruff Ave Ste 3 Idaho Falls, ID Cortez Ave Idaho Falls, ID S Woodruff Ave Ste 3 Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Elk Creek Dr Idaho Falls, ID E Sunnyside Rd Ste B Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Elk Creek Dr Idaho Falls, ID S Holmes Ave Ste B Idaho Falls, ID (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 223

228 Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Burke Sr, Terry Lynn DC Gardner, James C DC Jamison, Nolan B. Nelson, Aaron M DC Dermatology Brooke, Paul MD Dermatology Hinkson, Mark E. Dermatology Miner, Brandon Lynn DO Dermatology Sewell, Lindsay D MD Dermatology Anderson, Joseph M. Anderson, Joseph M. Bloxham, Brandon Dee DO Cross, Scott G. Griggs, Matthew R. Maughan, Eric B. Packer, Scott Michael Thompson, Justin Wells, Edwin G Endocrinology Liljenquist, David R. MD Endocrinology Liljenquist, John E. Endocrinology Baker, Wallace C. Bennett, Barry F. Browne, Ronald Orie Brumfield, Troy R. DO Cheslock, Stanley J. Christensen, Kay L. Cifrese, Rocco P. de Bruyn Kops, III, Julian MD Gillespie, Robert Todd PA Gillespie, Robert Todd PA 3345 S Holmes Ave Ste B Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Woodruff Idaho Falls, ID S 15th E Idaho Falls, ID Channing Way Ste 121 Idaho Falls, ID Merlin Dr Ste 200 Idaho Falls, ID Providence Way Idaho Falls, ID Providence Way Idaho Falls, ID Channing Way Idaho Falls, ID E 25th St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Washington Parkway Idaho Falls, ID E 25th St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Idaho Falls, ID E 17th St Idaho Falls, ID Channing Way Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Ste C Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID (208) (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) (208) Eastern Idaho Regional Medical Center (208) ADA Accessible (208) (208) Eastern Idaho Regional Medical Center (208) Intermountain Hospital (208) Eastern Idaho Regional Medical Center (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) Languages: SPANISH -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 224

229 Harris, Michael T. Harris, Michael T. Hill, David L DO Hodges, Gene K. MD Hodges, Gene K. MD Johnson, Teresa K. Kam, Jared Michael MD Kam, Jared Michael MD Machen, Shane Gary DO Maguire III, James F. DO Mangan, Martin Angus Martin, Brady C DO Martin, Brady C DO Mayo, Tyler F DO McLaughlin, Daniel W. MD Packer, Flint R. Payne, Matthew DO Payne, Matthew DO Perttula, Eric W. Rindfleisch, Dallas George DO Roisum, Tony C. MD Simpson, Isac Phil DO Southwick, Boyd K. Thompson, Peter J. MD Thompson, Peter J. MD Thompson, Peter J. MD Gastroenterology Behrend, Clint E MD Gastroenterology Evans, Larry C DO Gastroenterology Hendrix, Paul M MD Gastroenterology 2375 Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 25th St Idaho Falls, ID E 17th St Ste A Idaho Falls, ID E 17th St Ste 5 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Potomac Way Ste 100 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Washington Parkway Idaho Falls, ID Channing Way Ste 100 Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ave Ste 5 Idaho Falls, ID Channing Way Idaho Falls, ID Washington Pkwy Ste 1 Idaho Falls, ID Teton Plaza Ste B Idaho Falls, ID Washington Parkway Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID South Utah Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID (208) Languages: FRENCH (208) Languages: FRENCH (208) Eastern Idaho Regional Medical Center (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) Not accepting new patients Languages: SPANISH (208) Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 225

230 Warner, Ned R DO Gastroenterology, Williams, Todd A MD Gastroenterology, General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery Davis, Anthony Kenyatta MD General Surgery Hammond, Boyd L. MD General Surgery Hammond, Boyd L. MD General Surgery Hammond, Boyd L. MD General Surgery Lemon, Michael L DO General Surgery Lemon, Michael L DO General Surgery Medvetz, Lisa Ann MD General Surgery Schneider, Doran J DO General Surgery Infectious Disease Buitrago, Martha I. Infectious Disease Nathan, Richard Infectious Disease Anderson, Shane K DO Avondet, Alan G. Bates, Jr, Rodney DO Blank, Douglas U., Cardiovascular Disease Coffman, Kim J., Cardiovascular Disease Cook, Brady L. Dragotoiu, Dan Ionel MD Fink, Jude Aaron R MD Focht, Stephen J. MD Haderlie, Michael J MD Krantz, Leland K. Krell, Kenneth E. MD Rahim, Naeem, Nephrology 2770 Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 17th st Idaho Falls, ID Channing Way Ste 100A Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Ste 100A Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID S Woodruff Ste 15 Idaho Falls, ID Channing Way Ste 213 Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Ste 200 Idaho Falls, ID S Woodruff Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 15 Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) ADA Accessible -Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) Eastern Idaho Regional Medical Center (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) ADA Accessible (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 226

231 Scherr, Daron L. Shrader, David L MD Snarr, Patrick Vincent DO Stoddard, Bradley K. Stutts, III, Baldwin Shields MD, Cardiovascular Disease Stutts, III, Baldwin Shields MD, Cardiovascular Disease Taylor, Scott A. MD Vance, Carl D. MD Wagner, Margaret A. Whatmore, Douglas N., Cardiovascular Disease Andersen, Scott Kay Dudley, M, Kenneth D LMHC Koester, JoAnn LMHC Whitehead, Elizabeth LMHC Maternal & Fetal Medicine Adams, Lan Le MD Maternal & Fetal Medicine, Beauchamp, Luanna MD Maternal & Fetal Medicine, Carpenter, Jeanette Ruth MD Maternal & Fetal Medicine Carpenter, Jeanette Ruth MD Maternal & Fetal Medicine Spencer, Andrew Harding MD Maternal & Fetal Medicine, Nephrology Ghani, Nasimul MD Nephrology Rahim, Fahim MD Nephrology, Neurological Surgery Allen, Clark H MD Neurological Surgery Allen, Clark H MD Neurological Surgery Kelly, Brandon Reyes MD Neurological Surgery Neurology Cheatham, Robert MD Neurology Cheatham, Robert MD Neurology Talcott, Bradford L Neurology Talcott, Bradford L Neurology Vincent, Stephen G. MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, 2900 Valencia Dr Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ste 15 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Cortez Ave Ste 200 Idaho Falls, ID Washington Parkway Idaho Falls, ID S Woodruff Ste 15 Idaho Falls, ID Cortez Ave Ste 200 Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID Pier View Dr Ste 204 Idaho Falls, ID E 25th St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Ste A102 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ste 15 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Potomac Way Idaho Falls, ID Potomac Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (801) ADA Accessible (801) ADA Accessible (801) ADA Accessible (801) ADA Accessible (801) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) Eastern Idaho Regional Medical Center (801) ADA Accessible (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 227

232 Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Blair, Victoria L NPRA, RN Holland, David G NPRA, RN Huntsman, Elliot V ARNP, RN Huntsman, Elliot V ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Thompson, Terry L ARNP Thompson, Terry L ARNP Zobell, Anna Lurrine NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Boyle, Nate J NPRA, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Finnerty, Christina Marie NPRA, RN / Finnerty, Christina Marie NPRA, RN / Garland, Jan S NPRA, RN / Johnson, Brian R NPRA, NPRA / Roth, Kathryn Jill ARNP, RN / Walker, Brad L ARNP, RN / 1670 John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Ste 3 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Potomac Way Idaho Falls, ID E Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Potomac Way Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 25th St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Ste 3 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Ste 2 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Bingham Memorial Hospital (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Bingham Memorial Hospital (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 228

233 Walker, Brad L ARNP, RN / /Mental Health Anderson, Jeffrey C NPRA /Mental Health Swope, Wendy F ARNP, RN /Mental Health /Neonatal Shinever, Rachel T ARNP /Neonatal Shinever, Rachel T ARNP /Neonatal /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal /Pediatric Bagley, Heather Ann ARNP, RN /Pediatric Obstetrics Gundersen, Jason Bill MD Obstetrics Adams, Steven DO Allphin, Christopher James MD Allphin, Christopher James MD Asay, Kayla LeAnn MD Baker, Jeffrey B. MD Baker, Jeffrey B. MD Ball, Robert H., Maternal & Fetal Medicine Ball, Robert H., Maternal & Fetal Medicine Belfort, Michael A. Clark, Steven L. Erickson, Ty B. MD Erickson, Ty B. MD Huggins, Margaret C MD Huggins, Margaret C MD Isbell, Richard D. Leavitt, Glenn R. DO McGregor, Jonathan Kent Merrill, Carrie L E 17th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Washington Pkwy Idaho Falls, ID Potomac Way Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Cortez Ave Idaho Falls, ID Cortez Ave Idaho Falls, ID E 17th St Ste D Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Midway Ste 1 Idaho Falls, ID Pancheri Dr Idaho Falls, ID (208) (208) ADA Accessible (208) Eastern Idaho Regional Medical Center (801) ADA Accessible (208) (801) ADA Accessible (801) ADA Accessible (208) (208) (206) Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (206) Not accepting new patients (208) (801) ADA Accessible -Eastern Idaho Regional Medical Center (208) Languages: AFRIKAAN (208) (208) Eastern Idaho Regional Medical Center (206) Not accepting new patients -Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) Not accepting new patients (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 229

234 Merrill, Carrie L. Nelson, Barbara MD Nelson, Barbara MD Oldroyd, James M MD Pugmire, Heather Dawn MD Robison, Matthew DO Robison, Matthew DO Robison, Steven W. Robison, Steven W. Weaver, Heidi S MD Occupational Medicine Curtis, Stewart R DO Occupational Medicine Occupational Therapy Fisher, Katie Lyn Occupational Therapy Hansen, Marisa E L OT Occupational Therapy Hong, Lisa Kay OT Occupational Therapy Marion, Neil Vance OT Occupational Therapy Peterson, Barbara K OT Occupational Therapy Oncology, Medical Adams, Nathan B Oncology, Medical Dickson, Dane J MD Oncology, Medical Hancock, Jeffrey D MD Oncology, Medical Shull, Christian T MD Oncology, Medical Ophthalmology Anderson, David Ray MD Ophthalmology Cannon, Richard P. MD Ophthalmology Gardner, Bradley P. MD Ophthalmology Romriell, Eric K. Ophthalmology Thompson, Kyle G MD Ophthalmology Traynor, Matthew Preston Ophthalmology Optometry Cook, D. Bryan OD Optometry Denney, Mark Donald OD Optometry Porter, Lisa L. Optometry 3450 Potomac Way Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID S Woodruff Ste 10 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Pancheri Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID S 15th E Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Potomac Way Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Holmes Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Ammon Rd Idaho Falls, ID S Ammon Rd Idaho Falls, ID E Lincoln Rd Ste B Idaho Falls, ID (206) Not accepting new patients -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (206) Not accepting new patients (208) Eastern Idaho Regional Medical Center (208) Bingham Memorial Hospital (208) Mountain View Hospital LLC (206) Not accepting new patients -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (206) Not accepting new patients (208) Eastern Idaho Regional Medical Center (208) Not accepting new patients (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) ADA Accessible (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 230

235 Andary, John L. Biddulph, Gregory E. MD Griffiths, Stan R MD Huntsman, Casey Lee, Robert Jensen MD Liljenquist, Joseph R., Sports Medicine McCowin, Philip Ross MD Peterson, David John DO Peterson, David John DO Richardson, Nathan Davis MD Stromberg, Lynn J MD Weight, Mark Anthony MD Weight, Mark Anthony MD West, Gregory G PY Orthopedics Dalling, Jason Glenn MD Orthopedics Otolaryngology Baker, Terry MD Otolaryngology, Surgery, Head & Neck Hanks, Kevin M. Otolaryngology Hinckley, Daniel K. Otolaryngology Lee, Richard Garrett MD Otolaryngology, Pediatric Otolaryngology Pain Management Poston, Jason M. MD Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Daines, Clark R. MD Pathology Tannenbaum, Matt MD Pathology Teermann, Gabriele E MD Pathology Pediatric Neurology Castellanos, Peter William MD Pediatric Neurology Pediatrics Anderson, Kelly Jarom MD Pediatrics 2035 E 17th St Idaho Falls, ID Washington Pkwy Idaho Falls, ID Coronado St Idaho Falls, ID Washington Pkwy Idaho Falls, ID S 15th E Idaho Falls, ID Merlin Dr Idaho Falls, ID Coronado St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Coronado St Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID Washington Pkwy Idaho Falls, ID Channing Way Ste A-105 Idaho Falls, ID Elk Creek Dr Idaho Falls, ID E 17th st Suite A Idaho Falls, ID S 15th E Idaho Falls, ID E Sunnside Rd Ste J Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Oxford Dr Idaho Falls, ID Washington Pkwy Idaho Falls, ID (208) Eastern Idaho Regional Medical Center (208) Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center (208) Mountain View Hospital LLC (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) (208) (205) (208) (208) Eastern Idaho Regional Medical Center -Idaho Doctors Hospital -Lost Rivers District Hospital -Mountain View Hospital LLC -Star Valley Medical Center (208) (208) Not accepting new patients Languages: SPANISH -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 231

236 Aughney, Jeffrey John DO Pediatrics Buonaiuto, Salvatore J MD Pediatrics Meyers, Stephen A. Pediatrics Moore, Joseph R MD Pediatrics Porter, Ron W. Pediatrics Smith, Scott A. Pediatrics Steorts, Mitchael C MD, MD Pediatrics Perinatal Medicine Gesteland, Katherine M. MD Perinatal Medicine Physical Medicine and Rehabilitation Anderson, Sean D DO Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Vlach, Sarah A. MD Physical Medicine and Rehabilitation Anderson, Michael PT Bailey, Greg James PT Daniels, Zachary Lucas PT Daniels, Zachary Lucas PT Dimond, Trevor B PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Ellis, Jay T PT Ellis, Sadie E PT Goode, Andrew Blake PT Horman, P. Briggs PT Hunsaker, Nathan A PT Hunsaker, Nathan A PT Jones, Jeremy PT Kennedy, Brent S. PT King, Tristan M PT Larson, Tyler John PT Lasco-Sanders, Kari Anne Lemon, Richard W Liddle, Stephanie A. Loertscher, Jed G PT Maiers, Bret L 3430 Washington Pkwy Idaho Falls, ID Channing Way Idaho Falls, ID W Broadway St Ste G Idaho Falls, ID Coronado St Idaho Falls, ID Coronado St Idaho Falls, ID Coronado St Idaho Falls, ID Coronado St Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Channing Way Ste A Idaho Falls, ID Woodking Dr Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Idaho Falls, ID S Utah Ave Ste 351 Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Ste D Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Potomac Way Idaho Falls, ID Potomac Way Idaho Falls, ID E 17th st Ste 130 Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Channing Way Idaho Falls, ID Woodking Dr Idaho Falls, ID S 15th E Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Potomac Way Idaho Falls, ID Valencia Dr Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Potomac Way Idaho Falls, ID (208) (801) ADA Accessible (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (801) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Languages: ITALIAN (208) Languages: ITALIAN (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 232

237 McAteer, Jennifer Lisa McDonald, Bart W. O'Keef, Daniel Glen PT Pahis, Casondra Dawn PT Peterson, Emilie Louise PT Rupp, Michael David PT Schmitt, Dustin C PT Stewart, Ryan Christopher PT Thompson, Mark Craig PT Waite, Christine Fischer PT Weber, Renee Angela PT Weldon, Garrett PT Weldon, Garrett PT Woodland, Lynn Harry Anderson, Joseph Dee PA Bartschi, Jed T PAC Belnap, Kylee G PAC Christensen, Travis Arlen PA Christensen, Wade Kent Cooper, Stacy Ann PA Coryell, Laura C Dixon, Annie M PA Fagan, Sara Kathleen PA Fowler, Cody J PAC French, Vanessa K PA Gambles, Dallin B PAC Gammon, Stanford Benjamin, Cardiac Surgery Gardner, Lee Shane PA Hanson, Beverly A PA Hanson, Brandon Carl PA, PA Heier, Julie Marie Josten, Karie Elizabeth PAC Kenney, Helen Kay PA McKay, Lance Winfield PA McKay, Lance Winfield PA 3345 Potomac Way Idaho Falls, ID Potomac Way Idaho Falls, ID Potomac Way Idaho Falls, ID Valencia Dr Idaho Falls, ID Potomac Way Idaho Falls, ID Channing Way Idaho Falls, ID S 15th E Idaho Falls, ID Potomac Way Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Potomac Way Idaho Falls, ID Valencia Dr Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Ste D Idaho Falls, ID Channing Way Idaho Falls, ID Providence Way Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID John Adams Pkwy Idaho Falls, ID Coronado St Idaho Falls, ID Potomac Way Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Potomac Way Idaho Falls, ID E 25th St Idaho Falls, ID E 17th St Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Washington Pkwy Idaho Falls, ID S Woodruff Ave Ste 5 Idaho Falls, ID Washington Pkwy Idaho Falls, ID Channing Way Idaho Falls, ID Washington Pkwy Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 233

238 Morgan, Stephanie M PA Nealis, Monica J PA Powell, Tara PA, PA Tabor, Laura A Turpin, Lance P PAC Willis, Robert D Plastic & Reconstructive Surgery Martin, II, Garry Michael MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Freeman, Mark Edward MD Plastic Surgery, General Surgery Podiatry Black, Timothy R. DPM Podiatry Cooper, Jerry D. Podiatry Howard, Kert W DPM Podiatry James, Michael K. DPM Podiatry Kovac, Kylin Todd DPM Podiatry Peterson, John David DPM Podiatry Quinton, Tony D. DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Psychiatry Brooks, Gerald A MD Psychiatry Bunnell, Susan Lynn MD Psychiatry Girling, Philip W. Psychiatry Kowalski, Peter C MD Psychiatry Larsen, Matthew F DO Psychiatry Layman, Howard A. Psychiatry New, Richard A. MD Psychiatry Ostrom, Mary Beth MD Psychiatry Ostrom, Mary Beth MD Psychiatry 1660 John Adams Pkwy Idaho Falls, ID Elk Creek Dr Idaho Falls, ID S Woodruff Ave Ste 5 Idaho Falls, ID John Adams Pkwy Idaho Falls, ID Coronado St Idaho Falls, ID Merlin Dr Ste 200 Idaho Falls, ID E 17th St Idaho Falls, ID Channing Way Ste 114A Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Washington Pkwy Idaho Falls, ID Elk Creek Dr Idaho Falls, ID Channing Way Idaho Falls, ID Washington Parkway Idaho Falls, ID S Holmes Ave Idaho Falls, ID Elk Creek Dr Idaho Falls, ID E 17th St Idaho Falls, ID Merlin Dr Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID Washington Pkwy Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID (208) ADA Accessible (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) ADA Accessible Languages: SPANISH (208) ADA Accessible -Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) ADA Accessible -Eastern Idaho Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 234

239 Palmer, Kelly P. DO Psychiatry Ravsten, Deric V. DO Psychiatry Schultz, Steven Lee MD Psychiatry, Psychiatry, Child/Adolescent Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Psychology Bishop, Kelli M Psychology Pulmonary Disease Salem, Allen Pulmonary Disease, Sleep Disorder Medicine Salem, Allen Pulmonary Disease, Sleep Disorder Medicine Radiation Oncology Callaghan, Michael T MD Radiation Oncology McAllister, Calvin J MD Radiation Oncology Todd, Steven J. Radiation Oncology Bailey, Jared H Bailey, Jared H Bigler, Dirk E. Bigler, Dirk E. Chugg, Jared A Chugg, Jared A Lance, Jason N MD Pierson, Nicholas S Preece, Stephen Richard MD Preece, Stephen Richard MD Wray, Alan B Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD 2420 E 25th St Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID Desoto St Idaho Falls, ID Hoopes Ave Idaho Falls, ID Hoopes Ave Idaho Falls, ID Hoopes Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) Mountain View Hospital LLC -St Joseph Regional Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 235

240 Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Behrmann, David A MD Behrmann, David A MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Clinger, Neal J MD Clinger, Neal J MD Ferdinand, Andrew J Ferdinand, Andrew J 1945 E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Languages: CAMBODIAN -Madison Valley Medical Center -Minidoka Memorial Hospital (208) Languages: CAMBODIAN (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Madison Valley Medical Center -Minidoka Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 236

241 Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 237

242 Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Neeley, James P. Neeley, James P. Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology 2922 Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 238

243 Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 239

244 Strobel, John J. Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ste 17 Idaho Falls, ID Cortez Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 240

245 Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional, Whiting, John MD, Interventional, Registered Nurse/First Assistant Angelo, Frank R RN Registered Nurse/First Assistant Adamson, Cindy L Bilstrom, Jodyne LSW DaBell, Sheila M LSW Denison, Steven Kent LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Hartley, Michael T Peninger, Shaylene LSW Pettingill, Eric V CMFC, LSW Smith, Debbie D LSW Steimlosk, Heather M LSW Suarez, Alex Speech Language Pathology Adamski, Margaret Ellen SLPA Speech Language Pathology 765 S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID Channing Way Idaho Falls, ID Coronado St Idaho Falls, ID John Adams Pkwy Idaho Falls, ID S Woodruff Ave Ste 20 Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Ave Idaho Falls, ID E 17th St Idaho Falls, ID E 17th St Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID E Sunnyside Rd Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID Coronado St Idaho Falls, ID E 25th St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID S Utah Ste 352 Idaho Falls, ID E 25th St Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID E 17th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID E 25th St Idaho Falls, ID Pancheri Dr Unit 3 Idaho Falls, ID East 25th St Ste 185 Idaho Falls, ID Woodking Dr Idaho Falls, ID (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) Languages: SPANISH (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 241

246 Bullock, Kristan Margaret SLPA, SLPA Speech Language Pathology Fisher, Amy Elizabeth SLPA Speech Language Pathology Fullmer, Lorenza Marie SLPA Speech Language Pathology Hulet, Vicki N SLPA Speech Language Pathology Padron, Brenda Durtschi SLPA Speech Language Pathology Stephens, Samantha N SLPA Speech Language Pathology Stowell, Kimberly Dawn SLPA Speech Language Pathology Taylor, Dawn SL Speech Language Pathology Woolstenhulme, Shelby Dee SLPA Speech Language Pathology Surgery, Hand Thurman, Robert T. MD Surgery, Hand Surgical Critical Care Miller, John Garth Oliver MD Surgical Critical Care, Vascular Surgery Thoracic & Cardiac Surgery Hodson, Gregory R. MD Thoracic & Cardiac Surgery Needham, Charles S MD Thoracic & Cardiac Surgery, General Surgery Setser, Edward R MD Thoracic & Cardiac Surgery Thoracic Surgery Denyer, Michael H. Thoracic Surgery, General Surgery Urology Cannon, Peter M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Jerome Davis, Keith E MD Irwin, James S MD Kern, Joshua W Kern, Joshua W Lohmann, James D MD Sugden, Elizabeth H MD Tangen, Lorraine M MD Zepeda, Thomas H MD /OB Johnson, Brian L. MD /OB Hospitalist Housley, Jonathan W MD Hospitalist 3715 Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID Woodking Dr Idaho Falls, ID S Utah Ave Idaho Falls, ID Channing Way Idaho Falls, ID S Woodruff Idaho Falls, ID S Woodruff Ave Idaho Falls, ID S Woodruff Ave Idaho Falls, ID Channing Way Ste 112 Idaho Falls, ID S Woodruff Ste 4 Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID Sunnyside Rd Ste F Idaho Falls, ID N Lincoln Ave Jerome, ID th Ave W Jerome, ID W 5th Jerome, ID th Ave W Jerome, ID th Ave W Jerome, ID th Ave W Jerome, ID th Ave W Jerome, ID N Lincoln Ave Jerome, ID W 5th Jerome, ID N Lincoln Ave Jerome, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Eastern Idaho Regional Medical Center (208) (208) ADA Accessible (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 242

247 Nurse Midwife Certified/Licensed Merrill, Melissa D ARNP, CNM, RN 132 5th Ave W Nurse Midwife Certified/Licensed, / Jerome, ID Women's Health / Milliron, Anastasia B / Trabert, Alice R / Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Barker, Jonathan Bishop, Ryan PT Christensen, Cory R PT King, Daniel M PT Toronto, Scott PT Williams, Eric PT, Sports Medicine Hodges, Ryan Dennis PA Sedano, Yolanda S PAC 114 Pioneer Ct Jerome, ID th Ave W Jerome, ID th Ave Jerome, ID Pioneer Ct Jerome, ID Pioneer Ct Jerome, ID Pioneer Ct Jerome, ID Pioneer Ct Jerome, ID Pioneer Ct Jerome, ID Pioneer Ct Jerome, ID West Ave A Ste B Jerome, ID th Ave W Jerome, ID (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) Kamiah Atkinson, Obbie Ted Farnworth, Marc Van MD Jones, Andrew E DO Minnehan, Haley J. MD Secrest, Alvin J MD Sigler, Ronald L. / Gehring, Margaret A ARNP, RN / Hewlitt, Brenda K. / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Sports Medicine Bruner, Jack C. MD Sports Medicine 518 Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID Oak St Kamiah, ID (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) St Mary's Hospital Inc (208) (208) (208) (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) St Mary's Hospital Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 243

248 Kellogg Cardiovascular Disease Abate, Joseph A. MD Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Kelley, Michael B Cardiovascular Disease Murphy, William S. Cardiovascular Disease Backman, Stephen J Mueller, Mark E, Urgent Care Nelson, Peter N MD Silha, Paula M, Zachary, William H Barstad, Brian K Haigh, Charles P Haynes, Paul B MD Jaeger, Mary Alice Elizabeth Mayer, Alan Douglas McDonald, Jara K MD McDonald, Jara K MD Meza, Michael G. MD Porr, Darrel R Smith, Gayle Diane Whiting, Michael D., Urgent Care General Surgery Brinkman, James F MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Crest, Anthony Bryan MD Gill, Kirandeep Kaur DO, Pediatrics Haller, Frederick MD Haller, Frederick MD Newcombe, Jr., L. Raymond MD Roth, Jason Eric 740 McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Kellogg, ID McKinley Ave Kellogg, ID McKinley Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID Oregon Street Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) North Valley Hospital -Valley Hospital and Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Shoshone Medical Center (208) (208) (208) (208) (208) (208) (208) Shoshone Medical Center (208) Shoshone Medical Center (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 244

249 Roth, Jason Eric Wilson, Jeffrey D DO Daggy, Linda Marie LMHC Huffer, John Brian LMHC Olson, Casey Lynn LMHC Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC Walker, Julie Dawn LMFT White, Rebecca Lynn LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Arnold, Lynda J. NPRA, RN Dahlen, Paula I ARNP, PA, Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Reese, Reva Gay ARNP Szymanski, Michael E ARNP, RN / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Hickman, Jennifer Lynn ARNP / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Tickemyer, Krista Ann NPRA, RN / 740 McKinley Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 245

250 Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Young, Lana Rochelle NPRA, RN / /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric Henneberg, Deward A. MD Henneberg, R. Randel MD Kim, John Jene MD Optometry Miller, Brian R. Optometry Otolaryngology McCormick, Chad D. Otolaryngology Williams, Michael Andrew PT Wood, Rusty Marion PT Atkins, David Scott PA, PA Byrne, Thomas J. PA Gibbs, Scott W. PA Gibbs, Scott W. PA Hartzell, Sarah O PA Jarstad, Katie Dawn Jarstad, Katie Dawn Richlie, Taryn M PAC Richlie, Taryn M PAC Sarkis, Heather J. PA Vieth, Patricia Ann Knoll PAC Yourzek Sr, Michael J PAC Podiatry Babol, Jacqueline M Podiatry 740 McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID Bunker Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Avenue Kellogg, ID McKinley Avenue Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients Languages: SPANISH (208) Not accepting new patients Languages: SPANISH (208) Not accepting new patients (208) (208) (208) (208) (208) Syringa Hospital & Clinics (208) (208) Shoshone Medical Center (208) Shoshone Medical Center (208) (208) Shoshone Medical Center (208) Shoshone Medical Center (208) (208) (208) (208) (208) (509) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 246

251 Hix, Joel D Podiatry Psychiatry Wait, David B. MD Psychiatry Pulmonary Disease Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Melendez, Michael G MD Melendez, Michael G MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Cartwright, Laura Elaine LSW Currie, Karen Joy LSW Easton, Patricia J LSW Garrett, Christopher A LSW Grayhek, Paul A LSW Nicholas Anderson, Kristina Lynn LSW Schilling, Lea Beth LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Woods, Kelly Ryan LSW 740 McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID McKinley Ave Kellogg, ID (208) Languages: SPANISH -Northwest Specialty Hospital (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 247

252 Urgent Care Panos, Craig J MD Urgent Care, Urology Gates, Charles L MD Urology Kendrick Rice, Matthew L. DOIR Boughton, Janice M. MD Park, Melissa L. MD White, Kama Sibbell MD / Seegmiller, Jennifer A ARNP / Von Bargen, Elizabeth L ARNP, RN / Christensen, Heather PA Landle, Kelly Marie PA Shoemaker, Carolyn PA Ketchum Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Psychology Day, Lisa A Psychology Day, Lisa A Psychology Kimberly Barker, Jonathan Bishop, Ryan PT Bishop, Ryan PT Christensen, Cory R PT Toronto, Scott PT Wood, James PT Kooskia 25 Jacobs Gulch Kellogg, ID McKinley Ave Kellogg, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID E Main St Kendrick, ID Hospital Dr Ketchum, ID Hospital Dr Ketchum, ID E Ave Ste 200 Ketchum, ID st St W Ste 303C Ketchum, ID Center St Ste C Kimberly, ID Center St Ste 3-4 Kimberly, ID Center St Ste C Kimberly, ID Center St Ste C Kimberly, ID Center St Ste C Kimberly, ID Center St Ste C Kimberly, ID (208) (208) (208) Languages: GERMAN -Gritman Medical Center Inc -Pullman Regional Hospital (208) Gritman Medical Center Inc (208) (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) (208) St Joseph Regional Medical Center (208) (208) (207) (207) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 248

253 Dardis, James Walter MD Griffis, Daniel Christopher MD Jessup, Tema Lynn DO Robinson, Charity D. MD Schochler, Amy L. Told, Matthew DO / Imus, William Mark NPRA, RN / Bigsby, Geneen E DO Atkins, David Scott PA, PA Bledsoe, Todd PAC Wynn, Derek Ron PA Easton, Dean MD Kuna Burtenshaw, Stephen K Dennis, William J Rosenlund, Kevin A DC Shaffer, Toby J Armijo, Molly B Elstun, Katherine M MD Foutz, Michael W Lamers, Stacy J MD Nichols, Heather E MD Porr, Darrel R Ross, Daniel S MD Optometry Grigg, Lisa S Optometry 022 N Main St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID Thenon St Kooskia, ID Thenon St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID N Main St Kooskia, ID Thenon St Kooskia, ID N Linder Rd Kuna, ID E Wythe Creek Ct Ste 102A Kuna, ID W 4th St Kuna, ID E Wythe Creek Ct Kuna, ID N Linder Rd Ste 103 Kuna, ID N Linder Rd Ste 103 Kuna, ID N Linder Rd Ste 103 Kuna, ID E Wythe Creek Ct Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID E Wythe Creek Ct Kuna, ID (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -Syringa Hospital & Clinics (208) Clearwater Valley Hospital (208) Clearwater Valley Hospital (208) ADA Accessible (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible -Syringa Hospital & Clinics (208) ADA Accessible Languages: SPANISH (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Languages: VIETNAMESE (208) Not accepting new patients (208) (208) Shoshone Medical Center (208) St Alphonsus Regional Medical Center Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 249

254 Grigg, Robert S Optometry Box, Jeffrey A PT Cope, Adam M PT Douglass, Benjamin Brook PT Hulsey, Kevin L PT Peterson, Kimberlee A PT Shaw, Clayton Towner PT Vinci, Paul West PT Weldon, Garrett PT White, Brian L PT Ball, Jeffrey V PAC Crawford, Andrew R Kasumovic, Sandra PAC Schwartz, Amanda R PA Barnes, Dolly A. 762 E Wythe Creek Ct Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID N Linder Rd Ste 104 Kuna, ID N Linder Rd Ste 104 Kuna, ID N Linder Rd Ste 104 Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID N Linder Rd Ste 104 Kuna, ID N Linder Rd Ste 104 Kuna, ID N Linder Rd Ste 104 Kuna, ID E Wythe Creek Ct Ste 103 Kuna, ID E Wythe Creek Ct Kuna, ID N Linder Rd Ste 103 Kuna, ID E Wythe Creek Ct Kuna, ID E Wythe Creek Ct Kuna, ID W Main St Kuna, ID (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) Languages: DANISH (208) (208) (208) (208) (206) Lava Hot Springs Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease Buitrago, Martha I. Infectious Disease 85 S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID Hutton-Levenson, Judith LMHC 85 S 5th W, Marriage & Family Lava Hot Springs, ID Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / 85 S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 250

255 Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care Lewiston Anesthesiology Flinders, Craig G. MD Anesthesiology, Pain Management Haas, Gary D DO Anesthesiology, Pain Management Stoutin, Lyndal E. Anesthesiology Audiology Cheng, Julia W Audiology Wood, David CA Audiology Behavioral/Mental Health Godfrey, Sandra LMHC Behavioral/Mental Health Kelly Anderson, Kay V LMHC, LSW Behavioral/Mental Health Shull, Frank E. LMHC Behavioral/Mental Health Cardiovascular Disease Fuhs, Bryan E Cardiovascular Disease Goldberg, Harold R Cardiovascular Disease, Gould, Lee W Cardiovascular Disease, Katz, Guy E Cardiovascular Disease,, Interventional Cardiology Konarzewska, Hanna Barbara MD Cardiovascular Disease Lessmeier, Timothy J. MD Cardiovascular Disease, Cardiac Electrophysiology Mallavarapu, Christopher Thomas MD Cardiovascular Disease Moosa, Yunus Ali MD Cardiovascular Disease, Interventional Cardiology Murphy, William S. Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology 85 S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID S 5th W Lava Hot Springs, ID Juniper Dr Lewiston, ID Juniper Dr Lewiston, ID Juniper Dr Lewiston, ID rd Ave Ste 201A Lewiston, ID rd Ave Ste 201A Lewiston, ID nd St Lewiston, ID Thain Rd Ste F Lewiston, ID th St Ste 102 Lewiston, ID th St Grade Lewiston, ID th St Grade Lewiston, ID St. John's Way Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID St Johns Way Lewiston, ID th St Lewiston, ID th St Lewiston, ID th Ave Lewiston, ID St Johns Way Lewiston, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (208) (208) (208) (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (208) St Joseph Regional Medical Center (208) Deaconess Medical Center -Sacred Heart Univ District (208) St Joseph Regional Medical Center (208) Sacred Heart Univ District (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 251

256 Perry, John J MD Cardiovascular Disease, Interventional Cardiology Vandergon, Dirk D MD Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Whisenant, Michael Neil Cardiovascular Disease Zubair, Imran MD Cardiovascular Disease, Cardiac Electrophysiology Cert Registered Nurse Anesthetist (CRNA) Anderson, Nancy L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bogsrud, Theodore W. CRNA Cert Registered Nurse Anesthetist (CRNA) Bullock, Brian Lorin CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Burman, Kevin P Cert Registered Nurse Anesthetist (CRNA) Elsemore, Thomas S. Cert Registered Nurse Anesthetist (CRNA) Hare, Karl W ARNP Cert Registered Nurse Anesthetist (CRNA) Strohm, Mandi L Cert Registered Nurse Anesthetist (CRNA) Taylor, Susan G. Cert Registered Nurse Anesthetist (CRNA) Washington, Arlissa M Cert Registered Nurse Anesthetist (CRNA) Whaley, Christopher M. Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Boyer, Thomas Burrow, Joan P Hall, Joseph E. DC Moore-Fisher, Julie A Kessinger, Stephen Ray DO Bare, David H Hansen, Mulloy G. MD Harries, Larry D. Hedrick, Frances A MD Jefferson, Glenn E MD Jones, Leah Jeanne MD Niska, Lois Ruth DO 415 6th St Sre 2A Lewiston, ID th St Sre 2A Lewiston, ID th St Grade Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th Ste Lewiston, ID D St Lewiston, ID Park Ave Lewiston, ID Burrell Ave Lewiston, ID Burrell Ave Lewiston, ID th St Sre 2A Lewiston, ID th St Ste 101 Lewiston, ID th St Ste 101 Lewiston, ID Idaho St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID (208) Benefis Hospitals, Inc. -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center (208) (208) (208) (208) St Joseph Regional Medical Center (208) Providence Centralia Hosp (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: TAGALOG (208) (208) St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible Languages: FRENCH -Overlake Hospital Medical Center -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 252

257 Osborn, Scott DO Petersen, David A. /OB Olupona, Damilola Ewonubah OD /OB Gastroenterology Adams, Frank Beuregard DO Gastroenterology Dettwiler, Carl R MD Gastroenterology Dettwiler, Carl R MD Gastroenterology Larsen, Murray I MD Gastroenterology, Morgenstern, John Carl MD Gastroenterology Parent, Michael K. MD Gastroenterology, Parent, Michael K. MD Gastroenterology, Scowcroft, Charles MD Gastroenterology Serrano, Oluwagbenga MD Gastroenterology Stitcher, Richard J MD Gastroenterology General Practice Chavez, Celso R MD General Practice General Surgery Bell, Adam D DO General Surgery Bell, Adam D DO General Surgery Fenster, Harold A MD General Surgery Fenster, Harold A MD General Surgery Hanson, Ray W. MD General Surgery Harrison, Vincent MD General Surgery Hoffmann, Brian A MD General Surgery, Colon & Rectal Surgery Hoffmann, Brian A MD General Surgery, Colon & Rectal Surgery Hutner, Edward S MD General Surgery Jones, Sallee Eckler DO General Surgery Manley, Justin Dale MD General Surgery McHale, Matthew J DO General Surgery McHale, Matthew J DO General Surgery 307 St Johns Way Ste 4 Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID rd Ave Ste 701 Lewiston, ID rd Ave Ste 801 Lewiston, ID th St Ste B Lewiston, ID Carol Dr Lewiston, ID rd Ave Ste 701 Lewiston, ID rd Ave Ste 701 Lewiston, ID rd Ave Ste 801 Lewiston, ID rd Ave Ste 701 Lewiston, ID rd Ave Ste 701 Lewiston, ID rd Ave Ste 701 Lewiston, ID th St Lewiston, ID th St Lewiston, ID rd Ave Ste 801 Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID Saint Johns Way Ste 11 Lewiston, ID th St Lewiston, ID rd Ave Ste 801 Lewiston, ID St Johns Way Ste 4 Lewiston, ID Saint Johns Way Ste 11 Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID (208) St Joseph Regional Medical Center (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible (208) St Joseph Regional Medical Center (208) (208) (509) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) Rapid City Regional Hospital -St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center (208) ADA Accessible -Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) ADA Accessible (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 253

258 Strong, Michelle L MD General Surgery Strong, Michelle L MD General Surgery Thorne, Gary M MD General Surgery Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Infectious Disease Yu, Inski Howard E Quan MD Infectious Disease Yu, Inski Howard E Quan MD Infectious Disease Dattilo, Ginger L MD, Geriatric Medicine Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Dykstra, Timothy J. OD Eggleston, Melanie T MD Felt, Richard W Greene, Magdelena MD Leach, Robert MD McIntosh, Daniel B Muoghalu, Marie-Perez Agin MD 415 6th St Lewiston, ID th St Sre 2A Lewiston, ID Saint Johns Way Lewiston, ID st Ave Lewiston, ID Warner Dr Lewiston, ID th St Lewiston, ID Burrell Ave Lewiston, ID Juniper Dr Lewiston, ID th Ave Lewiston, ID th St Sre 2A Lewiston, ID Saint Johns Way Ste 9 Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID Southway Ste C Lewiston, ID st Ave Lewiston, ID Warner Dr Lewiston, ID th St Lewiston, ID Burrell Ave Lewiston, ID Juniper Dr Lewiston, ID th Ave Lewiston, ID th St Lewiston, ID th St Lewiston, ID Saint Johns Way Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID Saint Johns Way Lewiston, ID th St Lewiston, ID (208) St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) St Joseph Regional Medical Center (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Charles Health System Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible (208) Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 254

259 Willis, Charla R. Interventional Cardiology Jafary, Fahim Haider MD Interventional Cardiology, Cardiovascular Disease Lubbe, Dieter F Interventional Cardiology Schmidt, James Edward MD Interventional Cardiology, Cardiovascular Disease Sochanski, Miroslaw Tadeusz MD Interventional Cardiology, Cardiovascular Disease Arabi, Justine L LMHC Hibbard, Kindra Joy LMHC Woods, Nina J LMHC Licensed Massage Therapist Tye, Loretta Jane Massage Therapy Neurological Surgery Soloniuk, Donald S MD Neurological Surgery Neurology Chowdhury, Arif A MD Neurology Keane, Mark MD Neurology Thomas, Jean K MD Neurology Nurse Midwife Certified/Licensed Hedrick, Andrea N CNM, NPRA Nurse Midwife Certified/Licensed Andrechak, Laurel A NPRA, RN Bailey, Kurt A ARNP, RN, Bailey, Kurt A ARNP, RN, Carpenter, Todd M NPRA, RN Dickison, Michele NPRA, RN Evans, Geni RN Fast, Eric T ARNP, RN Giolitti, Dino Joseph ARNP, RN Giolitti, Dino Joseph ARNP, RN Huffman, Fawna Sunshine ARNP, RN Kaufman, Jennifer A ARNP, RN Kaufman, Jennifer A ARNP, RN Loetscher, Cheryl A ARNP, RN Richardson, Joan E ARNP, NPRA th St Lewiston, ID th St Sre 2A Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID nd St Lewiston, ID Miller St Lewiston, ID Miller St Lewiston, ID Main St Lewiston, ID th St Ste 101 Lewiston, ID St. Johns Way Lewiston, ID Saint Johns Way Lewiston, ID St. Johns Way Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Ste 200 Lewiston, ID Juniper Dr Lewiston, ID th St Lewiston, ID Idaho St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Ste 4B Lewiston, ID rd Ave Ste 701 Lewiston, ID Larkspur Ln Lewiston, ID th St Lewiston, ID th St Lewiston, ID (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) Deaconess Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) (208) (208) (208) Pullman Regional Hospital -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center (208) ADA Accessible (208) St Joseph Regional Medical Center (208) Languages: PORTUGUESE, SPANISH (208) Languages: PORTUGUESE, SPANISH (208) ADA Accessible (208) St Joseph Regional Medical Center (208) (208) ADA Accessible (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) (509) (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 255

260 Ringering, Anita R ARNP, RN Shearon, Karine Leigh NPRA, RN Smith, Theresa Ziegeldorf, Doris E ARNP, RN /Adult DeWitt, Linda K ARNP, RN /Adult / Capdeboscq, Linda A / Carpenter, Stephanie M ARNP, RN /, Nurse Practitioner/Mental Health Carpenter, Stephanie M ARNP, RN /, Nurse Practitioner/Mental Health Christenson, April Lynn NPRA, RN / Ellis, Carol A ARNP, RN / Engledow, Nicole ARNP / Harris, Cody B NPRA, RN / Hight, Robin L / Knight, Lynley Renee ARNP, RN / Larson, Amy L NPRA, RN / Long, Deborah J / Mahal, Robert Scott ARNP, RN / McHugh, Lynn G / McHugh, Maree Patricia ARNP, RN / Morris, Katherine L ARNP, RN / Norwood, Christine L / Piscitello, April Brooke ARNP, RN / Piscitello, April Brooke ARNP, RN / Stolte, Carmen R. ARNP, RN / Taylor, Julie Anne ARNP, RN, RN / Uhlenkott, Scarlett J ARNP, RN / Von Bargen, Elizabeth L ARNP, RN / Von Bargen, Elizabeth L ARNP, RN / /Mental Health Bentley, Katrina Kaye /Mental Health Bowman, Carrie Kay NPRA, RN /Mental Health Clements, Rachel Eron ARNP, RN /Mental Health th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste B Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID th St Grade Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID th St Lewiston, ID rd Ave Ste 701 Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID th St Ste B Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Ste 102 Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID (208) ADA Accessible (208) St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) Harrison Medical Center (208) ADA Accessible (208) ADA Accessible -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (509) ADA Accessible (208) (208) (208) St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible (509) (208) ADA Accessible (509) Gritman Medical Center Inc (208) ADA Accessible -Gritman Medical Center Inc (208) ADA Accessible (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) St Joseph Regional Medical Center (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 256

261 Kainuma, Koji ARNP, RN /Mental Health Kainuma, Koji ARNP, RN /Mental Health Larsen, Dorian LaMont NPRA, RN /Mental Health Peashka, Lynn-Marie Morgan NPRA, RN /Mental Health Bigsby, Geneen E DO Steiger, Irwin H., Urquhart, Sean T. Watson, Alex B MD Occupational Medicine Chicoine, Kevin MD Occupational Medicine Oncology, Medical Braud, Edward Louis MD Oncology, Medical Middleman, Edward L MD Oncology, Medical Middleman, Edward L MD Oncology, Medical Oncology/Hematology Morgan, Clinton R MD Oncology/Hematology, Ophthalmology Carey, Brian J. Ophthalmology Choe, Joyce Eunyoung MD Ophthalmology Chung, Paul Y MD Ophthalmology Chung, Paul Y MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert M Ophthalmology Gano, David L. MD Ophthalmology Gruzensky, William D. MD Ophthalmology Guzek, James P MD Ophthalmology Johns, Gordon E MD Ophthalmology Richards, Shawn C MD Ophthalmology Seery, Loren S MD Ophthalmology Sugiyama, Ronald K Ophthalmology Optometry Archibald, Alexander C. OD Optometry Arvidson, Brian Arthur Optometry Barnhart, Francis J. OD Optometry 428 6th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID Southway Ste C Lewiston, ID th St Lewiston, ID th St Lewiston, ID Idaho St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID rd Ave Ste 201A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) (208) St Joseph Regional Medical Center -St Mary's Hospital Inc (208) St Joseph Regional Medical Center -St Mary's Hospital Inc (208) St Joseph Regional Medical Center (208) (208) (208) Providence Centralia Hosp (208) Providence Centralia Hosp (208) Providence Centralia Hosp (208) (208) (208) (208) Providence Centralia Hosp (208) Providence Centralia Hosp (208) (208) (208) Providence Centralia Hosp (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 257

262 Brockbank, Stephen R. Optometry Bronner, Aaron W Optometry Calnan-Holt, Kimberly J. OD Optometry Everett, Mark G Optometry Flint, Bruce G. Optometry Flint, Bruce G. Optometry Gibbs, Robert D. Optometry James, Donald K. Optometry Johnson, Brian S OD Optometry Johnson, Brian S OD Optometry Mamiya, Reid I. Optometry Maraman, Mark A Optometry Peterson, Donald L. Optometry Petracca, Carmine J Optometry Polito, Julia Christine OD Optometry Ritter, Jason S OD Optometry Schrempp, Daniel Dinnison OD Optometry Williams, Salisa K Optometry Wilson, Nathan Michael OD Optometry Youngman, Lori A. Z. Optometry Zollman, Stacie Leann OD Optometry Beardsley, Bryan J. Dietrich, Gregory D MD Flock, Timothy J Hansen, Regan B Jelinek, John A, Sports Medicine Kaltenbaugh, Orie E. MD Kaltenbaugh, Orie E. MD Kaltenbaugh, Orie E. MD Kym, Marvin R MD Thueson, Kaden John PA, PA Pathology Cihak, Robert W. Pathology Fulton, Rebecca Lynn Pathology th St Ste 400 Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID Bryden Ave Lewiston, ID Bryden Ave Ste A Lewiston, ID Bryden Ave Lewiston, ID th St Lewiston, ID th St Lewiston, ID Bryden Ave Ste A Lewiston, ID th St Lewiston, ID Bryden Ave Ste A Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID St John's Way Ste 1 Lewiston, ID Warner Dr Lewiston, ID St. Johns Way Lewiston, ID th St Ste 4B Lewiston, ID Warner Dr Lewiston, ID Sixth St Lewiston, ID Sixth St Lewiston, ID (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (208) (208) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 258

263 Peterson, Alan Pathology Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Jensen, Richard A Pediatric Cardiology Pediatrics Ambroson, Craig N MD Pediatrics Carasali, Natale A MD Pediatrics Krisher, Theodore K MD Pediatrics Lynch Justis, Darby S MD Pediatrics Moorman, Daniel R Pediatrics Schultz, Gregory P. MD Pediatrics Biery, Tami Rachele Frasier, Lloyd P L Larsen, Jamie Lynn Larsen, Jamie Lynn Ohman, Lawrence Charles PT Schlangen, Colleen Ann PT Strehle, Johanna M PT Strehle, Johanna M PT Arnzen, Barbara R. Barnes, Danielle Morgan PA Bell, Keith E. Blankenship, Beth L PA Brown, Bradly Kenneth Leroy PA Davis, Heather Nicole PA Davis, Heather Nicole PA Grinage, Jennifer A PA Hebrlee, Jr, James Michael PA 415 Sixth St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID Bryden Ave Ste A Lewiston, ID Southway Lewiston, ID Bryden Ave Ste A Lewiston, ID rd St Lewiston, ID Southway Lewiston, ID Bryden Ave Ste A Lewiston, ID Southway Lewiston, ID st St Lewiston, ID th St Lewiston, ID Warner Dr Lewiston, ID th St Grade Lewiston, ID th St Lewiston, ID Warner Dr Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID (208) St Joseph Regional Medical Center (509) ADA Accessible -Sacred Heart Medical Center (509) ADA Accessible (509) ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) ADA Accessible -St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible -St Joseph Regional Medical Center (208) ADA Accessible -St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) St Joseph Regional Medical Center (208) ADA Accessible (208) (509) Newport Community Hospital (208) ADA Accessible (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 259

264 Keyser, Lawrence E. Lassen, Matthew Gordon PA, PA, PA Lewis, Chad ARNP McKinney, Amber McKinney, Amber Nieraeth, Michael Robert PAC Obray, Gregory Robert PA Ostermiller, Jeremy B PAC Paulson, Bret A Rose-Wolf, Gretchen E. Schug, Andrew J Podiatry Washington, Neil Bendel DPM Podiatry Psychiatry Bye, Brenda Kay Deal DO Psychiatry Bye, Brenda Kay Deal DO Psychiatry Johnson, Robert L. Psychiatry Johnson, Robert L. Psychiatry Rambeau, Jamie MD Psychiatry Roberts Jr, Eugene Leornard MD Psychiatry Sherman, Vance Eugene MD Psychiatry Sherman, Vance Eugene MD Psychiatry Sullivan, Robert MD Psychiatry Sullivan, Robert MD Psychiatry Psychiatry, Child/Adolescent March, Robert Lee MD Psychiatry, Child/Adolescent March, Robert Lee MD Psychiatry, Child/Adolescent Psychology Kracke, Kevin R. PY Psychology MacKinnon, Philip Psychology Yama, Mark Francis Psychology Pulmonary Disease El-Ashram, Nayer B MD Pulmonary Disease Radiation Oncology Anderson, Kent W MD Radiation Oncology, 307 St Johns Way Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID th St Lewiston, ID rd Ave Ste 701 Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID Warner Dr Lewiston, ID St Johns Way Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID Juniper Dr Lewiston, ID Saint Johns Way Lewiston, ID th St Lewiston, ID (208) (208) ADA Accessible (208) (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) St Joseph Regional Medical Center (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) St Joseph Regional Medical Center -St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center (208) (208) (208) Gritman Medical Center Inc (208) St Joseph Regional Medical Center (208) St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 260

265 Ho, John W. MD,, Vascular & Interventional, Interventional Valji, Karim, Interventional, Bomley, Olisa M LSW Bomley, Olisa M LSW Graves, Darci M LSW Hirsch, Pamala Gynn LSW Holthaus, Marcia G LSW Keene, David Hal LSW Lawhead, Alison LSW Lawhead, Alison LSW McIntosh, Brandon LSW Mraz, Chivonne LSW Nystrom, Rebecca A LSW, LSW Nystrom, Rebecca A LSW, LSW Patzer, Elizabeth Galene Powell, Alicia F LSW Street, Debra L. LSW Young, Erin J LSW, LSW Surgery, Hand Boyea, Steven R MD Surgery, Hand Urgent Care Leon, Richard Scott MD Urgent Care Urology Cochran, John L MD, MD Urology Kronholm, Stephen K MD Urology Rainwater, Leslie M MD Urology Malad City Dixon, Tyler Carnahan DO Flinders, Kurt Timothy DO Johnson, Stephen C 415 6th St Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID nd St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID th St Sre 2A Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Ste 101 Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID nd St Lewiston, ID th St Lewiston, ID Warner Dr Lewiston, ID th St Lewiston, ID th St Lewiston, ID th St Lewiston, ID Southway Ste C Lewiston, ID Bannock St Malad City, ID Bannock St Malad City, ID W 200 N Malad City, ID (208) Languages: CANTONESE (CHINESE DIALECT), MANDARIN (CHINESE DIALECT) (208) ADA Accessible (208) (208) Harborview Medical Center -UW Medical Center (208) St Joseph Regional Medical Center (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) St Joseph Regional Medical Center (208) (208) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 261

266 Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Podiatry Christensen, Brent DPM Podiatry Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Marsing Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist Lutes, Kendra LMHC /Mental Health Stackle, Mary J NPRA, RN /Mental Health Buchmiller, Camille PAC Landes, Troy A PAC 150 N 200 W Malad City, ID N 200th W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID N 200 W Malad City, ID Main St Marsing, ID Main St Marsing, ID Main St Marsing, ID Main St Marsing, ID Main St Marsing, ID Main St Marsing, ID Main St Marsing, ID (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 262

267 Ruelas, Terry LSW Woodall, Deborah LSW McCall Dermatology Owsley, Ryan Dermatology Lawler, Christopher T MD,, Sports Medicine Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Optometry Rowe, Justin M Optometry Wilkey, Thad 201 Main St Marsing, ID Main St Marsing, ID Forest St McCall, ID W Forrest McCall, ID State St McCall, ID State St McCall, ID Lenora St McCall, ID Forest St McCall, ID (208) (208) (208) (208) (208) (208) (208) (208) McCammon Bowers, Paul Kendell DC, DC, RN Smith, Dean Ty DO 204 Center St McCammon, ID Center St McCammon, ID Hutton-Levenson, Judith LMHC 204 Center St, Marriage & Family McCammon, ID Counselor / Karroum, Brandi Binh NPRA, RN / Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA 204 Center St McCammon, ID Center St McCammon, ID Center St McCammon, ID (208) (208) (208) (208) (208) (208) Melba Acevedo-Daniels, Suhrei Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist /Mental Health Stackle, Mary J NPRA, RN /Mental Health Meridian Allergy & Immunology 150 2nd St Melba, ID nd St Melba, ID nd St Melba, ID nd St Melba, ID (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 263

268 Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology McGarry, Sean Anesthesiology Smagula, Carl M. Anesthesiology Audiology Elcox, Jacquie A CA Audiology Redmond, Paul C Audiology Whitcomb, Curtis J CA Audiology Cardiovascular Disease Moore, Timothy R MD Cardiovascular Disease Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Brinton, Clark L. Cert Registered Nurse Anesthetist (CRNA) Price, Emily CRNA Cert Registered Nurse Anesthetist (CRNA) Snider, Jennifer L RNAD Cert Registered Nurse Anesthetist (CRNA) Snider, Jennifer L RNAD Cert Registered Nurse Anesthetist (CRNA) Watson, Russell J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Watson, Russell J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Westover, Shad B CRNA Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Bosco, Mary M Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Austin, Adam M Gibbons, Scott H DC Hanson, Jared L Jensen, Jared L Jessop Jr, David V Lundahl, Kimball Telford DC Price, Christian B DC 2320 E Gala St Ste E Gala St Ste E Gala St Ste S Eagle Rd Ste W Cherry Ln W Cherry Ln S Progress Ave 745 S Progress Ave 745 S Progress Ave 3025 W Cherry Ln Ste S Progress Ave W Cherry Ln Ste E Gentry Way Ste N Linder Rd Ste 13 Meridian, ID E Gentry Way Ste E Louise Dr Millenium Way Ste E Louise Dr N Tower Bridge Way Meridian, ID S Millenium Way 1828 S Millenium Way Ste N Stokesbery Pl Ste B Meridian, ID W Cherry Ln W Cherry Ln E Gala St Ste W Belltower Dr Ste 150 Meridian, ID S Eagle Rd Ste S Meridian Rd Ste W Pine Ave S Baltic Pl N Meridian Rd Ste A (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) Blue Mountain Hospital (208) Eagle Eye Surgery & Laser Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 264

269 Sampson, Richard P. DC, LAC, Acupuncture Strickland, Roy I. Whalen, John E Willis, Nicole Woolner, Chad M DC Dermatology Burr, Randall D Dermatology Funke, Alisa Dermatology Measham, Christine A Dermatology Measham, Christine A Dermatology Pitt, Alan J A Dermatology Wells, Gregory L Dermatology Wells, Gregory L Dermatology Lawler, Christopher T MD,, Sports Medicine Endocrinology Christensen, Richard B MD Endocrinology Ennis, Robert F Endocrinology Stanciu, Irinel N Endocrinology Alviso, Marvin A Battaglia, Marisa Andreini Beach, Ann Burgess, Anne P MD Butuk, David J MD Cadwallader, Kara L MD Clinger, Mark B MD Crownover, Brian K MD, Hospitalist Crownover, Brian K MD, Hospitalist Dockter, Lisa Epperly, Ted D MD Fender, Fred W MD Gendler, Julie L Goldberg, Marcel A Grajcar, Mark S DO Hamblin, Derek Hansen, Jeffrey A 1504 N Main St N Meridian Rd Ste A N Main St E Leigh Field Dr Ste 150 Meridian, ID W Ustick Rd Ste 100 Meridian, ID S Millenium Way Ste S Millenium Way Ste S Millenium Way Ste S Millenium Way Ste S Millenium Way Ste S Millenium Way Ste S Millenium Way Ste S Eagle Rd Ste S Eagle Rd Ste E Gala St Ste S Eagle Rd Ste S Eagle Rd Ste S Wells Ave 2275 S Eagle Rd Ste W Cherry Ln Ste B E Leigh Field Dr Ste 150 Meridian, ID E Franklin Rd E Louise Dr Ste N Stokesberry Pl Meridian, ID N Stokesberry Pl Meridian, ID E Florence Dr 2275 S Eagle Rd Ste W Cherry Ln Ste B S Eagle Rd Ste W Cherry Ln Ste B S Eagle Rd E Florence Dr 3277 E Louise Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 265

270 Hlavinka, Jon L Hodges, Timothy P Hodges, Timothy P Holliday, Jennifer Hooft, Raymond P MD House, Angela L DO Jencks, Crystal L Kuntz, Kara M Kunz, Harold V MD Lawler, Christopher T MD,, Sports Medicine Lyons, Robert Martin, David Anthony MD McCullough, Stephanie E Mills, Denise Partridge, Christopher A Porr, Darrel R Quinn, Heather E. Redd, Phillip J Richardson, Erik J MD Ringo, Shelley, Sports Medicine Roscoe, James MD Ross, Daniel S MD Ross, Daniel S MD Schelhaas, Kristyn A DO Scott, Jeffrey L DO Shepherdson, Nikole Siegersma, Wendy M MD Thomas, George W Vania, Cyrus H DO Westbrook, Sharon Wilkinson, Kelly C MD, Sports Medicine 3277 E Louise Dr Ste E Louise Dr Ste E Magic View Dr Ste S Eagle Rd Ste E Copper Point Dr W Chinden Blvd Meridian, ID W Cherry Ln Ste B S Eagle Rd Ste E Louise Dr Ste S Eagle Ste S Wells Ave 3277 E Louise Dr Ste S Eagle Rd Ste E Florence Dr 2428 N Stokesberry Pl Meridian, ID S Eagle Rd Ste E Franklin Rd W Cherry Ln Ste B E Louise Dr Ste E Florence Dr 2275 S Eagle Rd Ste S Eagle Rd Ste NW 1st St 1900 W Chinden Blvd Meridian, ID W Cherry Ln Ste B S Eagle Rd Ste E Louise Dr Ste W Chinden Blvd Meridian, ID E Florence Dr 3115 E Florence Dr 3115 E Florence Dr (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Not accepting new patients (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Shoshone Medical Center (208) ADA Accessible (208) (208) St Luke's Elmore Hospital (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 266

271 Wilkinson, Kelly C MD, Sports Medicine You, Phyllis /OB Davidson, Elaine M. MD /OB General Surgery Agee, Jon M MD General Surgery Barresi, Roberto V. MD General Surgery Cornwell, Ronald W MD General Surgery Getz, Jon B. MD General Surgery Giles, Jonathan V. MD General Surgery Hardy, Ryan R MD General Surgery Henson, Scott A. MD General Surgery Martin, Richard MD General Surgery Taylor, Amber M General Surgery Verner, Reese A. MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Infectious Disease Blue, Sky Infectious Disease, Dau, Birgitt Infectious Disease Wyatt, Casi M Infectious Disease Agnew, Ann C MD Buersmeyer, Patricia M MD Dee, Michael M Eisele, Stan A MD Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Jeffery, Allan DO Lewis, Nicholas J MD, Pediatrics Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD 1623 S Wells Ave 2275 S Eagle Rd Ste E Louise Dr Ste S Eagle Rd Ste E Louise Ave Ste S Eagle Rd Ste E Louise Ave Ste E Louise Ave Ste S Eagle Rd Ste E Louise Ave Ste S Eagle Rd Ste W Cherry Ln Ste A E Louise Ave Ste E Louise Dr Ste N Liberty St Ste S Eagle Rd Ste S Eagle Rd Ste S Eagle Rd Ste S Bonito Way E Louise Dr Ste E Louise Dr Ste W Cherry Ln Ste B E Louise Dr Ste E Louise Dr Ste S Baltic Pl E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 267

272 Absalonson, Amy L Arambul, Brittany L LMHC Arambul, Brittany L LMHC Belsher, Jared Anthony LMHC Birchmore Riss, Sarah Elizabeth LMHC Burks, Michelle M LMHC Campbell, Stacy A LMHC Clubb, Shane LMHC Fehrer, Kristin H Glorfield, Cyndia Kay Glorfield, Cyndia Kay Hansen, William Alfred LMHC Harris, Jessica L LMHC Hedrick, Amy Elisa LMHC Hiner, Kama LMHC, LMHC Kaserman, Melinda LMHC Keys, Kim R LMFT Martel, Rand Martel, Rand Myers, Victor E LMHC Nearman, JoAnne LMHC Niece, Matt R Niece, Matt R Niece, Matt R Nodler, Phyllis R Nodler, Phyllis R Palmer, Kristina Parker-Weiser, Caitlin A LMHC Pearson-Cafferty, Camilla Stayne LMHC Pearson-Cafferty, Camilla Stayne LMHC Price, Tessa B Rhuman, Laureen K LMHC Rogers, Lynnee Chantel LMFT Scholten, Debra L LMHC Senieur, Cherie Anne LMHC Szudera, John W LMHC 1833 S Millenium Way 750 W Ustick Rd Ste 120 Meridian, ID W Ustick Rd Ste 120 Meridian, ID E Fairview Ave W Cherry Ln E Gala St Ste E Pine Ave E State Ave W Ustick Rd Ste 120 Meridian, ID E State Ave S Millenium Way 690 S Industry Way Ste E Pine Ave N Stokeberry Pl Ste 120 Meridian, ID S Industry Way Ste S Millenium Way 2596 N Stokesberry Pl Ste E Gala St Ste E Gala St Ste S Industry Way Ste E Pine Ave S Progress Ave S Millenium Way 745 S Progress Ave 2596 N Stokesbury Pl Ste 100 Meridian, ID N Locust Grove Rd Ste 150 Meridian, ID N Stokesberry Pl Meridian, ID N Stokesberry Pl Meridian, ID E State Ave E State Ave S Eagle Rd W Ustick Rd Ste 120 Meridian, ID E Fairview Ave W Ustick Rd Ste 120 Meridian, ID S Industry Way Ste S Eagle Rd (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 268

273 Thompson, Andrea Jo LMHC Throne, Jarilyn M LMHC Twite, Melanie T Twite, Melanie T Whiteman, Leslee Lynn Williams, Lisa C LMHC Yeager, Joyce F LMHC Zuniga, Valarie L LMHC Marriage & Family Counselor Benjamin, Janet L LMFT Marriage & Family Counselor Dunkley, Gregory J Marriage & Family Counselor Grigg, Michael LMFT Marriage & Family Counselor Nephrology Davidson, Robert L MD Nephrology Davidson, Robert L MD Nephrology Dittrich, Mary T Nephrology Hall, Amanda K Nephrology, Keller, Christopher R MD Nephrology Keller, Christopher R MD Nephrology Meng, Jerry MD Nephrology Silva, Arnold MD Nephrology Silva, Arnold MD Nephrology Neurological Surgery Hajjar, Michael V MD Neurological Surgery Johans, Timothy J MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Montalbano, Paul J MD Neurological Surgery Neurology Asher, Stephen W MD Neurology Cline, Martha A MD Neurology Djernes, Michael R MD Neurology Han, Allen C MD Neurology Herrold, James M MD Neurology Maxwell, Shane A DO Neurology Orme, Heidi T Neurology Whitesell, Jackie Neurology 690 S Industry Way Ste S Millenium Way 750 W Ustick Rd Ste 120 Meridian, ID W Ustick Rd Ste 120 Meridian, ID E Franklin Rd Ste S Eagle Rd E Franklin Rd Ste E Gala St Ste S Eagle Rd E Pine Ave E Pine Ave E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Overland Rd 3875 E Overland Rd 3875 E Overland Rd 3875 E Overland Rd 3875 E Overland Rd E Overland Rd E Louise Dr Ste E Overland Rd E Overland Rd Ste E Louise Dr Ste E Overland Rd Ste E Overland Rd (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 269

274 Nurse Midwife Certified/Licensed Rhodes, Kristine CNM Nurse Midwife Certified/Licensed Abel, Angela Marie ARNP, RN Abel, Angela Marie ARNP, RN Araquistain, Mary K NPRA, RN Boulton, Cynthia M ARNP, RN Boyer, Shannon C NPRA, RN Bullock, Bobbi NPRA Christensen, Paul H Connley, Katy NPRA, RN Cook, Jennifer K NPRA, RN Eshelman, Charlotte G NPRA, PA, RN Huffine, Cory ARNP, RN Jeppesen, Virginia Jones, Robyn Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Neilson, Janice Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Ralph, Susan Lynette NPRA Robbins, Travis Rye, Jared T Svangstu, Deborah N NPRA, RN / Beattie, Christie J ARNP / Beery, Gloria M NPRA / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Curtright, Sarah E ARNP, RN / 520 S Eagle Rd Ste S Progress Ave S Industry Way Ste W Cherry Ln Ste B E Louise Dr Ste E Overland Rd 3025 W Cherry Ln Ste B S Progress Ave W Cherry Ln S Millenium Way Ste E Louise Dr Ste E Overland Rd 520 S Eagle Rd Ste W Cherry Ln Ste B E Magic View Dr E Magic View Dr W Cherry Ln Ste S Millenium Way Ste E Gala St Ste W Cherry Ln Ste B E Gala St Ste S Baltic Pl W Chinden Blvd Meridian, ID W Cherry Ln Ste B E Overland Rd 790 W Ustick Rd Ste 110 Meridian, ID E Leighfield Dr Ste 100 Meridian, ID E Florence Dr 3115 E Florence Dr 1623 S Wells Ave 3277 E Louise Dr Ste Duff, Robert H ARNP, RN 3115 E Florence Dr, / Duff, Robert H ARNP, RN 1623 S Wells Ave, / Frunchak, Yelena / 2640 S Eagle Rd (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 270

275 Gray, Phoebe / Gray, Phoebe / Mangum, Meredith K NPRA, RN / Montierth, Shawnee K NPRA, RN / Morgan, Mary / Moser, Leanna M NPRA, RN / Reinhardt, Kristine M / Ricciardi, Suzanne Marie / Snyder, Nancy L NPRA / Stark, Mary K NPRA / Stone, Brookney R NPRA / Tarter, Cherese R / Underkofler, Kari Mae NPRA, RN / Van Zandt, Shirley NPRA / Whitehead-Price, Kelly R / Whitener, Linda A / Woolston, Courtney M / /Mental Health Corey, Ann M NPRA /Mental Health Nation, Rebekah ARNP, RN /Mental Health Reiland, Joycelyn J /Mental Health /Pediatric McCrory, Vanessa I /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric /Women's Health Hadfield, Tammy L NPRA, RN /Women's Health Terrell, Stephanie L NPRA, RN /Women's Health Bradford, Donnell L Digiosia, Juliana L Fox, John S Jacobs, Jeffrey R Janowiak, Mary A Kaiser, John Rhyan MD Kasper, Megan E MD 2275 S Eagle Rd Ste NW 1st St 1525 E Leigh Field Dr Ste 150 Meridian, ID E Gala St Ste NW 1st St 1525 E Leigh Field Dr Ste 150 Meridian, ID W Cherry Ln Ste B S Progress Ave S Eagle Rd Ste E Franklin Rd W Ustick Rd Ste 110 Meridian, ID N Crestmont Dr Ste A E Louise Dr Ste W Cherry Ln Ste B W Cherry Ln Ste B W Cherry Ln Ste B E Franklin Rd S Eagle Rd N Main St Ste E Gala St Ste N Locust Grove Rd Meridian, ID E Fairview Ave E Florence Dr 1943 N Locust Grove Rd Meridian, ID E Gala St Ste W Cherry Ln Ste B W Cherry Ln Ste B E Leighfield Dr Ste 100 Meridian, ID S Meridian Rd Ste W Cherry Ln Ste B E Louise Dr Ste E Louise Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) Not accepting new patients (208) (208) (208) ADA Accessible (208) St Alphonsus Regional Medical Center Inc (208) Not accepting new patients ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 271

276 Knutson, Christina M MD Lovelace, Glen S MD Siudzinski, Kelly MD Zakarian, Marianne L Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy Bjornson, Michelle L Occupational Therapy Curtis, Candice Faye OT Occupational Therapy Curtis, Candice Faye OT Occupational Therapy Galm, Heather Dawn Occupational Therapy List, Kimberly Occupational Therapy Moroge, Andrea M Occupational Therapy Strickler, Rebecca Occupational Therapy VanOrder, Charee Occupational Therapy Wagner, Tricia Occupational Therapy Ophthalmology Carter, Tracy D DO Ophthalmology Fethke, Kathryn M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hufsmith, Sandra J MD Ophthalmology Kent, Gregory J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Miller, Mark R Ophthalmology Mong, Jacob A DO Ophthalmology Simpson, Scott C MD Ophthalmology Optometry Carter, Lee Optometry Christensen, Robert D OD Optometry Crawford, Brandon B OD Optometry Dayton, Drew C Optometry Mcelroy, Kevin W OD Optometry Nielson, Dennis E. OD Optometry Pabalis, Gary R OD Optometry Simmons, Deric Optometry 3025 W Cherry Ln Ste B S Eagle Rd Ste E Gala St Ste N Stokesberry Pl Meridian, ID E Florence Dr 3020 W Cherry Ln Ste D 1098 N Hickory Ave Ste SW 5th Ave 1098 N Hickory Ave Ste SW 5th Ave 1098 N Hickory Ave Ste SW 5th Ave 3020 W Cherry Ln Ste D 179 SW 5th Ave 3025 W Cherry Ln Ste E Gentry Way Ste E Louise Dr Ste S Eagle Rd S Eagle Rd E Louise Dr Ste E St Lukes St Ste W Cherry Ln Ste E Overland Rd Ste E Gentry Way Ste E St Lukes St Ste E St Lukes St Ste S Eagle Rd E Carmel Dr Meridian, ID N Main St W Cherry Ln Ste E Gentry Way Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Languages: SPANISH (208) Languages: PORTUGUESE (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 272

277 Williams, Bret D Optometry Curran, Andrew R, Sports Medicine Daines, Michael T MD Hansen, Robert G MD, Surgery, Hand Hassinger, David MD Hassinger, Sean MD Holley, Keith G MD Johnston, James M. MD Kemp, Travis J Kloss, John G MD Kristensen, Ronald M MD Lamey, David M MD Menzner, Jeffry P MD Moss, Stanley W Moss, Stanley W Nicola, George A MD Palmer, Kyle L MD Robinson, Tildon Clark MD Shevlin, Michael MD Smith, John Q MD Spelich, Mark A MD Tadje, Jared P Walker, Robert MD Webb, Darby MD Otolaryngology Boyajian, John A. CRNA Otolaryngology Boyajian, John A. CRNA Otolaryngology Tubach, Martin Otolaryngology Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Pediatric Cardiology Adams, Robert F MD Pediatric Cardiology Alexander, Diana C Pediatric Cardiology Mack, Gordon K MD Pediatric Cardiology Pediatrics 3045 E St Lukes St Ste W Cherry Ln E Overland Rd E Overland Rd E Magic View Dr 3015 E Magic View Dr 3025 W Cherry Ln S Eagle Rd Ste E Magic View Dr 520 S Eagle Ste S Eagle Rd Ste S Eagle Ste S Eagle Rd Ste S Eagle Rd Ste S Eagle Rd Ste E Overland Rd E Overland Rd W Cherry Ln E Overland Rd E Overland Rd E Magic View Dr 520 S Eagle Rd Ste S Eagle Rd Ste S Eagle Rd Ste E Magic View Dr Ste E Magic View Dr Ste E Florence Dr 3875 E Overland Rd Ste E Overland Rd 3525 E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 273

278 Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Bennett, Jeannette E MD Pediatrics Bradford, Velma S Pediatrics Brown, Perry S Pediatrics Copeland, Katie E MD Pediatrics Dominguez-Owens, Heather N. Pediatrics Kissam, Barbara E Pediatrics Knowles, Byron D MD Pediatrics Smith, Steven A Pediatrics Taylor, Brandon M DO Pediatrics Van Steenbergen, Allyson A Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Zieba, Angella M Pediatrics Physical Medicine and Rehabilitation Bates, James H MD Physical Medicine and Rehabilitation Friedman, Robert H MD Physical Medicine and Rehabilitation Greenwald, Nancy E MD Physical Medicine and Rehabilitation Gussner, Christian G MD Physical Medicine and Rehabilitation Harris, Mark J MD Physical Medicine and Rehabilitation Moore, Monte H MD Physical Medicine and Rehabilitation Morland, James H MD Physical Medicine and Rehabilitation Quattrone, Barbara E MD Physical Medicine and Rehabilitation Sant, Michael O MD Physical Medicine and Rehabilitation Ackerman, Jerrod R PT Allred, Garren Ashenbrener, Samantha L Barnes, Nicole L Barnes, Robert M PT Booth, Matthew R PT Box, Jeffrey A PT Bunnell, Erica L PT 3277 E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste E Louise Dr Ste N Locust Grove Rd Meridian, ID S Eagle Rd Ste E Louise Dr Ste N Locust Grove Rd Meridian, ID N Locust Grove Rd Meridian, ID E Louise Dr Ste N Locust Grove Rd Meridian, ID N Locust Grove Rd Meridian, ID N Locust Grove Rd Meridian, ID S Eagle Rd Ste S Eagle Rd Ste N Locust Grove Rd Meridian, ID S Eagle Rd Ste E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3875 E Overland Rd Ste E Overland Rd 3551 E Overland Rd 3645 E Overland Rd SW 5th Ave 3645 E Overland Rd E Overland Rd E Overland Rd E Overland Rd E Fairview Ave Ste E Overland Rd (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) St. Luke Community Hospital (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 274

279 Cazier, Caleb P PT Cope, Adam M PT Danielson, Galen E. PT Danielson, Galen E. PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Duke, Catherine E Dupont, Corey E PT English, Mindy E PT Gabrielsen, Jacob A. PT Gabrielsen, Jacob A. PT Gerard, Therese Gleason, Stephanie Glenn, Rilee Hatab, Christine Henderson, Heather J PT Hietschold, Shannon Hulsey, Kevin L PT Johnson, Miranda Keele, Barb Keele, Jason Krall, Darrell Kuznia, Benjamin Allen Lausen, Jon Patrick Meyer, Nichol Moss, Mark L PT Partridge Gammo, Lyndsey Pearson, Allison Pierce, Brett Andrew PT Pierce, Brett Andrew PT Richey, Beth Saul, Kevin Schow, Michael PT Simpson, Douglas B. Simpson, Douglas B. Smith, Matthew E PT Smith, Matthew E PT 3551 E Overland Rd S Progress Ave Meridian, ID S Carol St Meridian, ID S Progress Ave Meridian, ID E Overland Rd S Progress Ave E Overland Rd E Overland Rd E Overland Rd N Stokesberry Pl Meridian, ID W Everest Ln Ste 2280 Meridian, ID SW 5th Ave 179 SW 5th Ave 3875 E Overland Rd 179 SW 5th Ave 1626 Wells Ave Ste W Cherry Ln Ste D 745 S Progress Ave Meridian, ID SW 5th Ave 3020 W Cherry Ln Ste D 3875 E Overland Rd 520 S Eagle Ste E Overland Rd E Fairview Ave Ste SW 5th Ave 3645 E Overland Rd W Cherry Ln Ste D 3020 W Cherry Ln Ste D 2470 N Stokesberry Pl Meridian, ID W Everest Ln Ste 2280 Meridian, ID W Cherry Ln Ste D 3020 W Cherry Ln Ste D 1450 E Fairview Ave Ste N Stokesberry Pl Meridian, ID W Everest Ln Ste 2280 Meridian, ID S Carol St Meridian, ID S Progress Ave Meridian, ID (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: DANISH (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 275

280 Stephens, Scott Allen PT Vinci, Paul West PT Wagner, Lynsey J PT Walker, Nikki L. PT Weerts, Robin Wegley, Roger S Weiderman, Brian C PT Weishaar, Jamie A PT Weldon, Garrett PT Weldon, Garrett PT White, Brian L PT Whitworth, Kala C PT Zbaraschuk, Korey L PT Abe, Hodaka P Allen, Laura B Allen, Nicolas J PAC Barclay, David J Barnes, Daryn Burke, Louis Callaway, Jackie B Carmichael, Lindsey J PA Casebolt, Alex P PA Chorn, Andy S Church, Nathan Coleman, Scott R PAC Erstad, Lindsay Flaker, Jeffrey PAC Flaker, Jeffrey PAC Frazee Whitson, Heather Frazee Whitson, Heather Frelly, Stephen PAC Friedt, Brian D Frisby, Scott Frix, Jeremy Galloway, Meghan PAC 3551 E Overland Rd S Progress Ave Meridian, ID E Overland Rd S Carol St Meridian, ID E Overland Rd 3645 E Overland Rd E Overland Rd S Progress Ave Meridian, ID E Overland Rd S Progress Ave E Fairview Ave Ste E Overland Rd N Stokesberry Pl Meridian, ID E Overland Rd S Millenium Way Ste E Louise Dr E Magic View Dr Ste E Florence Dr 3875 E Overland Rd E Magic View Dr 3015 E Magic View Dr 3277 E Louise Dr Ste E Magic View Dr 1900 W Chinden Blvd Meridian, ID E Louise Dr Ste N Stokesberry Pl Meridian, ID Overland Rd 3875 E Overland Rd 745 S Progress Ave Meridian Rd 1618 S Millenium Way Ste S Millenium Way Ste E Leigh Field Dr Ste 150 Meridian, ID W Chinden Blvd Meridian, ID E Overland Rd (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) Languages: DANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 276

281 Gardner, Marshall E. Gill, Taya D PA Gill, Taya D PA Gonzales, Gladys Graklanoff, Teresa E Griggs, Jeffrey Hanson, Stephanie PA Hartley, Arlene C Holder, Katy PAC Holmes, Cynthia L. Jamison, Craig R Josefow, Kathryn A PAC Kerns, Benjamin T King, Rachel M PA Lawler, Helen Levitch, Rachel Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M Maffey, Jenna McClenahan, Melissa B McGill, Jennifer D McMeekin, David O Middleton, Julia Miles, Michele L PAC Mitchell, Janet E. PAC Moss, Eric C Nielsen, Kathleen R PAC Noel, Brenton J PAC Otstot, Todd M Papa, Jared W Pollmann, Robert PA Proffitt, Frannie A PAC Rogers, Victoria S Ruiz, Jamie PA Sanders, Lisa K Schwartz, Amanda R PA 3090 E Gentry Way Ste E Magic View Dr Ste E Louise Dr Ste E Gala St Ste S Millenium Way Ste S Eagle Rd Ste E Leigh Field Dr Ste 150 Meridian, ID W Cherry Ln Ste B E Magic View Dr W Cherry Ln Ste B E Overland Rd S Eagle Ste S Eagle Rd Ste E Louise Dr Ste W Cherry Ln Ste NW 1st St 3115 E Florence Dr 1623 S Wells Ave 3015 E Magic View Dr 1900 W Chinden Blvd Meridian, ID E Magic View Dr E louise Dr Ste E Florence Dr 3875 E Overland Rd Ste E Leigh Field Dr Ste 150 Meridian, ID W Cherry Ln Ste B E Magic View Dr 2640 S Eagle Rd S Wells Ave 3277 E Louise Dr Ste S Eagle Rd Ste E Overland Rd 3115 E Florence Dr 3277 E Louise Dr Ste E Gala St Ste S Eagle Rd Ste W Cherry Ln Ste B (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 277

282 Sherwood, Charles T PAC Smith, Jeffrey D PAC Smith, Preston Scott Stear, Jennifer L PAC Steinburg, Rick L Steinburg, Rick L Steinburg, Rick L Talford, David B Talford, David B Vickers, Amber M PA Visser, Juliann C PAC Watsen, Sharene E PA Wells, Becky White, Michael D PAC Wikfors, Bryce PAC Wilson, Ryan G Plastic Surgery Wigod, Mark D Plastic Surgery Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry Burk, Phillip N DPM Podiatry Burk, Phillip R Podiatry Jones, Stewart O DPM Podiatry Kinghorn, Kurt E DPM Podiatry Leis, Stanley B DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Stano, William S. DPM Podiatry Psychiatry Ashaye, Olurotimi A MD Psychiatry Ashaye, Olurotimi A MD Psychiatry Harrington, Kristina J MD Psychiatry Hoopes, Scott P MD Psychiatry Warren-Sutton, Hamilton Psychiatry Wills, Alex B Psychiatry 14 S Baltic Pl E Magic View Dr 3277 E Louise Dr Ste E Magic View Dr 3090 E Gentry Way Ste E Gentry Way Ste E Magic View Dr Ste S Progress Ave Meridian Rd 1623 S Wells Ave 1618 S Millenium Way Ste S Eagle Rd Ste W Chinden Blvd Meridian, ID S Eagle Rd Ste E Overland Rd S Wells Ave 3630 E Louise Dr 2947 E Magic View Dr Ste E Magic View Dr Ste Millienium Way S Millenium Way E Magic View Dr Ste S Millenium Way E Magic View Dr Ste E Magic View Dr Ste S Eagle Rd E Gala St Ste E Gala St Ste E Gala St Ste E Gala St Ste S Eagle Rd E Gala St Ste 3 (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) ADA Accessible (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) Intermountain Hospital (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 278

283 Psychology Brady, Molly M Psychology Brinker, Michael J PY Psychology Connelly, James W PY Psychology Golden, Carolyn S Psychology Greenspan, Barney PY Psychology Hall, Jeffrey D PY Psychology Hulbert, Ryan J Psychology Hulbert, Ryan J Psychology Jorgensen, Melinda L Psychology Klabo, Colleen G Psychology Latta, Amy Psychology Pape, Terrence E Psychology Parks, Kimberly L PY Psychology Peters, Meaghan E PY Psychology Ponsford Hall, Rebekah E PY Psychology Porter, Emily Psychology Sharrette, Johnathan A PY Psychology Snider, Melody L Psychology Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Giles, David J MD Gobel, Reginald J MD 2076 S Eagle Rd S Eagle Rd S Eagle Rd S Eagle Rd E Heritage Park St Ste 125 Meridian, ID S Eagle Rd E Gala St Ste E Gala St Ste S Eagle Rd S Eagle Rd S Eagle Rd E Franklin Rd Ste S Eagle Rd S Eagle Rd S Eagle Rd S Eagle Rd S Eagle Rd N Stokesberry Pl Ste 150 Meridian, ID E Louise Dr Ste E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr S Bonito Way E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr 2929 E Magic View Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 279

284 Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD 3025 W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr S Bonito Way E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 280

285 Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Shaver, Rodger W. MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional Registered Nurse/Surgical Assist Cornwall, Kelli Registered Nurse/Surgical Assist Thomas, Vera Registered Nurse/Surgical Assist Rheumatology Ader, John T DO Rheumatology 3025 W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr W Cherry Ln E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Louise Ave Ste E Louise Ave Ste E Louise Dr Ste (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 281

286 Lagwinski, Mikael D MD Rheumatology Meier, Svetlana Rheumatology Palfreyman, Eric Rheumatology Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Adams, Jyl E LSW Ahlrichs, Thomas LSW Anderst, Jodi LSW Carpenter, James A LSW Chrisman, Jill Curtis, Laura J Curvey, Lynn P LSW Davis, Eva L LSW De Nofa, Angelique LSW Fisher, Trina Freeman, Jeannie Gonser, Rikki LSW Harsch, Tricia A LSW Hislop, Donna LSW Hitt, Shelly L LSW Jessen, Rachel E LSW La Jeunesse, Jennifer A LSW Leschinski, Alan J LMFT Martindale, Tina M Moreno, Marcos LSW Morgan, Jonathan J LSW Peck, Brian S LSW Phillips, Sandra E LSW Phillips, Sandra E LSW Roethlisberger, Hillary E Salkas, Anthony J Schwartz, Michael D Symmonds, Lauren E Torrez, Javier LSW Wall, Misty Lynn LSW 3277 E louise Dr Ste E louise Dr Ste E louise Dr Ste E Louise Dr Ste W Cherry Ln Ste B N Stokesberry Pl Unit A Meridian, ID S Eagle Rd Ste E Fairview Ave S Eagle Rd S Eagle Rd Ste S Eagle Rd S Millenium Way 2076 S Eagle Rd E Gala St Ste E Gala St Ste S Millenium Way 2321 E Gala St Ste S Millenium Way 2321 E Gala St Ste E Gala St Ste E Gala St Ste S Eagle Rd N Main St Ste E Franklin Rd Ste S Eagle Rd S Eagle Rd S Eagle Rd E State Ave E Gala St Ste NW 1st St 2596 N Stokesberry Pl Meridian, ID E Pine Ave S Millenium Way 2275 S Eagle Rd Ste E Fairview Ave Meridian, ID (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 282

287 Wick, Cathie D Speech Language Pathology Ambrose, Marla Kay SLPA Speech Language Pathology Colter, Lindsey M Speech Language Pathology Dean, Tiffany Speech Language Pathology Gresham, Amber Speech Language Pathology Holcomb, Kristen Speech Language Pathology Learned, Laura E SLPA Speech Language Pathology Leigh, Meghan Speech Language Pathology Obert, Elsa Speech Language Pathology Pifer, Jami D SLPA Speech Language Pathology Robinson, Heather Speech Language Pathology Van Donsel, Mary Speech Language Pathology Vandervelden, Pat Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Thoracic & Cardiac Surgery Jones, Stephen D Thoracic & Cardiac Surgery Urgent Care Stone, Janine Urgent Care Turner, Mark A MD Urgent Care, Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Urology Fairfax, Cynthia A MD Urology Fredriksson, William MD Urology Greer, John A MD Urology King, Dawn K MD Urology Klein, Eric W MD Urology Kuo, Helen MD Urology Miller, Stephen J Urology 2321 E Gala St Ste N Hickory Ave Ste SW 5th Ave 179 SW 5th Ave 179 SW 5th Ave 179 SW 5th Ave 2076 S Eagle Rd SW 5th Ave 179 SW 5th Ave 2076 S Eagle Rd W Cherry Ln Ste D 179 SW 5th Ave 179 SW 5th Ave 3025 W Cherry Ln 3015 E Magic View Dr 3399 E Louise Ave Ste E Florence Dr 2076 S Eagle Rd E Fairview Ave E Florence Dr 1900 W Chinden Blvd Meridian, ID E Florence Dr 1130 E Fairview Ave E Florence Dr 1623 S Wells Ave 2855 E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 283

288 Rice, David B Urology Waldmann, Todd M MD Urology Watkins, Wilfred MD Urology Williams, Joseph H MD Urology Middleton Squire, Jr, George C DC Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Laitinen, William T MD, Hospitalist Hospitalist Wilson, Martha C, Hospitalist / Bean, Karen / Guy, Rebecca NPRA / McConkie, Richard M NPRA, RN / Schooler Smith, Andrea NPRA / Swainston, Rebecca A / /Mental Health Stackle, Mary J NPRA, RN /Mental Health Optometry Bewley, James R Optometry Black, William T OD Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry Stebel, Holly L Optometry Allred, Jason D. Lee, Brian W PT Sands, Charles Wahl, Andrea J. Christensen, Kristin Hackenberg, Amber A PAC Kingery, Kristine Ostolasa, Sis E PAC 2855 E Magic View Dr E Magic View Dr E Magic View Dr E Magic View Dr E Main St Middleton, ID S 1st Ave E Middleton, ID S 1st Ave E Middleton, ID S 1st Ave E Middleton, ID S 1st Ave E Middleton, ID S Middleton Rd Ste B Middleton, ID S Middleton Rd Ste B Middleton, ID S Middleton Rd Ste B Middleton, ID S 1st Ave E Middleton, ID S Middleton Rd Ste B Middleton, ID S 1st Ave E Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID E Main St Ste 1 Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Middleton, ID S Middleton Rd Ste B Middleton, ID S Middleton Rd Ste B Middleton, ID S Middleton Rd Ste B Middleton, ID S Middleton Rd Ste B Middleton, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 284

289 Montpelier Campbell, Clay Ian MD Crane, Peter Melvin Hansen, Lance Andrew MD Jacobson, Trevor Dean MD General Surgery Podany, Joseph E General Surgery Caldwell, Nicole L Clark, Jack Osborne MD Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Jepsen, Kerry Glen MD Dayton, Joseph Lymen PA Moss, Alex Cameron PA Moss, Alex Cameron PA Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO 166 S 5th St Montpelier, ID Washington St Montpelier, ID Washington St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID Washington St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID S 5th St Montpelier, ID (208) (208) (208) Bear Lake County Memorial Hospital (208) (208) (208) (208) Bear Lake County Memorial Hospital (208) (208) Languages: GERMAN (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 285

290 Moscow Licensed Acupuncturist McLean, Cass Marie LAC Acupuncture Schott, Kameron Renee LAC Acupuncture Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Wakefield, Kenneth J MD Allergy & Immunology, Audiology Cheng, Julia W Audiology Wood, David CA Audiology Behavioral/Mental Health Pals, Diana L. Behavioral/Mental Health Cardiovascular Disease Chilson, Donald A. MD Cardiovascular Disease Waggoner, Jr., L. Douglas Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Ellison, Robert L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Smith, Robert K Cert Registered Nurse Anesthetist (CRNA) McKenzie, James E. DC Dermatology Craig, Stephen D. MD Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Ringger, Benjamin Carl MD Dermatology Baker Jr, Norman D DO Baldwin, Ronald F. MD Bentwood, Jennifer Louise MD Bentwood, Jennifer Louise MD Blewett, Kimberley Dawn DO 200 S Almon Ste 102 Moscow, ID S Jefferson St Moscow, ID S Washington St Ste 201 Moscow, ID S Main Moscow, ID West A St Ste 202 Moscow, ID West A St Ste 202 Moscow, ID South Washington Street Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID N Main St Moscow, ID W A St Moscow, ID W A St Moscow, ID S Washington St Ste 101 Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Main St Moscow, ID W A St Moscow, ID Ash St Moscow, ID W A St Moscow, ID W A St Moscow, ID (208) (541) Not accepting new patients ADA Accessible Languages: GERMAN (208) Bonner General Hospital -Gritman Medical Center Inc (208) x3277 (208) (208) (208) Bonner General Hospital -Gritman Medical Center Inc (208) Sacred Heart Medical Center (509) (509) Bonner General Hospital -Sacred Heart Univ District (509) Bonner General Hospital -Sacred Heart Univ District (208) Not accepting new patients -Gritman Medical Center Inc (208) Not accepting new patients (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) ADA Accessible (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 286

291 Clair, Charles MD Collins, Deborah Anne Kuhn MD Cox, Craig H. MD, Urgent Care Elsbury, Nancy J. Elsbury, Nancy J. Geidl, Ramona Sue MD Grauke, John H. MD Marciano, Patricia Nicolle MD Niska, Lois Ruth DO Paz, Raymond M MD Reetz, Heidi Johanna MD Ruby, Wayne L. MD Ruby, Wayne L. MD Ruby, Wayne L. MD Shearer, Helen M. MD Shearer, Helen M. MD Spain, Francis K. MD Spain, Francis K. MD Spain, Francis K. MD Stoops, Kyrsten E MD Story, Rodney R MD Ting, Robert M. Ting, Robert M. Wagner, Drue O. MD White, Kraig Arthur MD Worth, Dustin K Worth, Dustin K Worth, Dustin K /OB Parker, Bryn E MD /OB Parker, Bryn E MD /OB Parker, Bryn E MD /OB General Surgery Parra, Juan D General Surgery 623 S Main St Ste 1 Moscow, ID N Main St Moscow, ID S Main St Ste 1 Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID N Main St Moscow, ID N Main St Moscow, ID W A St Moscow, ID S Main St Moscow, ID N Main St Moscow, ID S Main St Ste 1 Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID W A St Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID S Main St Ste 1 Moscow, ID w Pullman Rd Moscow, ID W A St Moscow, ID S Main St Ste 1 Moscow, ID S Main St Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID S Washington Ste 203 Moscow, ID S Main St Ste 1 Moscow, ID S Main St Ste 1 Moscow, ID Ash St Moscow, ID W A St Moscow, ID S Main St Ste 1 Moscow, ID Ash St Moscow, ID W A St Moscow, ID W A St Ste A Moscow, ID (208) (208) Gritman Medical Center Inc (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Languages: GERMAN (208) Gritman Medical Center Inc (208) ADA Accessible (208) Gritman Medical Center Inc (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) (208) ADA Accessible (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (208) Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (208) Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (509) Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 287

292 Visger, John S. MD General Surgery Hospitalist Fore, Jane A. Hospitalist Boughton, Janice M. MD Griffing, Katherine L Moon, David K. Park, Melissa L. MD Peterson, Dennis L. Peterson, Dennis L. Spady, Robert N MD White, Kama Sibbell MD Knoff, Karen A. Konen, Nicole Masom, Andrea L RC Vaughn, Glenn Alan LMHC Licensed Massage Therapist Lundgren, Teleea LMP Massage Therapy Rhodes, Belinda Lee LMP Massage Therapy Swanger, Erica LMP Massage Therapy Weston, Paul J LMP Massage Therapy Nephrology Chow, Nelson Nephrology, Neurology Chowdhury, Arif A MD Neurology Campa, Carolyn M NPRA, RN Mortensen, Shannon K. NPRA, RN / Cutler, Hilary L ARNP, RN / Larson, Amy L NPRA, RN / Von Bargen, Elizabeth L ARNP, RN / Watson, Jennifer A NPRA, RN / 2301 W A St Ste A Moscow, ID S Main St Moscow, ID S Washington St Ste A Moscow, ID Rodeo Dr Moscow, ID Styner Ave Moscow, ID S Washington St Ste A Moscow, ID S Main St Ste 1 Moscow, ID W Pullman Rd Moscow, ID S Washington Ste 203 Moscow, ID S Washington St Ste A Moscow, ID S Mountain View Rd Ste 2 Moscow, ID S Almon St Ste 204 Moscow, ID E 3rd St Ste 2B Moscow, ID W A St Ste C Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID Rodeo Dr Moscow, ID S Main St Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Washington St Ste 201 Moscow, ID (509) Not accepting new patients -Gritman Medical Center Inc -Pullman Regional Hospital (208) ADA Accessible (208) ADA Accessible -Gritman Medical Center Inc (509) Sacred Heart Medical Center (208) PeaceHealth St John Medical Center (208) ADA Accessible (208) (208) (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible -Gritman Medical Center Inc (208) ADA Accessible (208) ADA Accessible (509) (208) St Joseph Regional Medical Center (208) (208) Gritman Medical Center Inc (208) (208) ADA Accessible (208) ADA Accessible (208) Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 288

293 Watson, Jennifer A NPRA, RN / /Mental Health Blazzard, Deborah NPRA, RN /Mental Health Minudri, Ric MD Trinh, Huong MD Occupational Therapy Willbanks, Dayna K. OT Occupational Therapy Ophthalmology Hoehn, Alyssa Susann MD Ophthalmology Leach, David B. Ophthalmology Richards, Shawn C MD Ophthalmology Optometry Brockbank, Stephen R. Optometry Gleason, Katherine M Baughman OD Optometry Polito, Julia Christine OD Optometry Wilson, Nathan Michael OD Optometry Zollman, Stacie Leann OD Optometry Jacobson, Charles A. Pennington, Steven E. MD Pennington, Steven E. MD Tingstad, Edwin M. MD, Sports Medicine Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Garabedian, Carl P Pediatric Cardiology Garabedian, Hrair A Pediatric Cardiology, Neonatal/Perinatal Medicine, Pediatrics Plymale, Jennifer M Pediatric Cardiology Pediatrics Ariyawansa, P. Malini Pediatrics Boyer, Lennis K. Pediatrics 700 S Main Moscow, ID S Blaine St Ste 5 Moscow, ID S Main St Ste 5 Moscow, ID S Main St Ste 5 Moscow, ID Troy Hwy ste 170 Moscow, ID E 6th St Moscow, ID West A St Ste 202 Moscow, ID West A St Ste 202 Moscow, ID Troy Rd Ste 130 Moscow, ID West A St Ste 202 Moscow, ID Troy Rd Ste 130 Moscow, ID Troy Rd Ste 130 Moscow, ID Troy Rd Ste 130 Moscow, ID W A St Ste 201 Moscow, ID S Main St Ste 6 Moscow, ID West A Suite 201 Moscow, ID W A St Ste 201 Moscow, ID S Washington St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Blaine St Ste 5 Moscow, ID S Blaine St Ste 5 Moscow, ID (208) x3277 (208) ADA Accessible (208) Gritman Medical Center Inc (208) (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc -Pullman Regional Hospital (509) ADA Accessible -Sacred Heart Medical Center (509) ADA Accessible (509) ADA Accessible (509) ADA Accessible (509) ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital (208) ADA Accessible -Pullman Regional Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 289

294 Edgehouse, Kristin Ann DO Pediatrics, Pediatric Hematology/Oncology Frostad, Michael J MD Pediatrics Gordon, Methuel Adriano Vishnu MD Pediatrics Kinkel, Amy Nicole MD Pediatrics Riley, Jarrett DO Pediatrics Boyko, Brenda L Eriksson, Marie H. PT Fletcher, Kimberly M. PT Fletcher, Rory Michael PT Godfrey, Matthew PT Isakson, Kelly P. PT Miller, Thomas PT, PT Snell, Hilary PT Thie, Glenda Dorman Ainge, Charlotte S MA Bickford, Albert D PA Bickford, Albert D PA Blazzard, Jacob I PAC Bledsoe, Todd PAC Brown, Lura A PAC Flygare, Richard A PA Goodrich, Wendy Monique PA Goodrich, Wendy Monique PA Graham, Michael C PA Graham, Michael C PA Hebrlee, Jr, James Michael PA Lassen, Matthew Gordon PA, PA, PA Rodriguez, Craig A PA Podiatry 1420 S Blaine St Ste 5 Moscow, ID S Blaine St Ste 5 Moscow, ID S Blaine St Ste 5 Moscow, ID S Blaine St Ste 5 Moscow, ID S Blaine St Ste 5 Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID E White Ave Moscow, ID N Main St Moscow, ID S Main St Ste 1 Moscow, ID W Pullman Rd Moscow, ID S Blaine St Ste 5 Moscow, ID N Main St Moscow, ID S Washington St Ste 302 Moscow, ID S Washington St Ste 302 Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID S Main St Ste 1 Moscow, ID W A St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Washington St Ste 302 Moscow, ID (208) ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital () x2247 ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital (208) ADA Accessible -Pullman Regional Hospital (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) ADA Accessible (208) Languages: SPANISH (208) (208) Languages: PORTUGUESE (208) (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) ADA Accessible (208) ADA Accessible (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 290

295 Capawana, Bradly J Podiatry Psychiatry Ravasia, Sajid Psychiatry Psychology Fitzgerald, Jarod John PY Psychology Hu, Chia-Chi PY Psychology Rehnberg, Timothy S PY Psychology Steffen, Jeanne Marie Psychology Walker, Walter Rand Psychology Yama, Mark Francis Psychology Gordon, Benjamin HollisJames Ho-Laumann, Nancy Hoo, Charles C Khan, Toseef MD Okoh, James I. MD Parshad, Sulekha Sussman, Arlene MD Archibald, Steven A MD Bulczak, Dariusz Piotr Burkholz, Kimberly MD Caldemeyer, Karen S. MD Calhoun, Shannon Patrick DO Cheng, Sam Cheng, Sam Chilukuri, Ananthakrishna MD Cho, Parina G MD Davis, Mark Cameron MD DeRoo, Teresa Anne Dutton, Amanda MD Dymond, Melissa Lee MD Eggleston, Ben Foral, Jonathan Michael MD Goni, Michelle MD Henry, Charles MD, MD 619 South Washington Suite 103 Moscow, ID Rodeo Dr Moscow, ID W A St Ste C Moscow, ID S Washington St Moscow, ID W A St Ste C Moscow, ID W A St Ste C Moscow, ID W A St Ste C Moscow, ID Ash St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID S Main St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID S Main St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID (208) Pullman Regional Hospital (509) (208) (208) (208) Pullman Regional Hospital (208) (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center (208) (208) Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 291

296 Hotchkiss, Laura A. MD Hurt, Christopher J Lovelace, Todd Delton MD Montella, Marc MD Paul, Marc H MD Paul, Marc H MD Philip, Shailendri ER MD Reisenauer, Christin S Rossin, Richard D Spinuzza, Thomas Strong, Benjamin W. MD Takeuchi, Sean Y MD Toothman, Richard L. MD Uytana, Vinson L Wong, William J. Keene, David Hal LSW 700 S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID S Main St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID S Main St Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID Styner Ave Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID S Main St Moscow, ID (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Lake Chelan Community Hospital -Prosser Memorial Hospital Mountain Home Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Cert Registered Nurse Anesthetist (CRNA) Garrett, Michael P CRNA Cert Registered Nurse Anesthetist (CRNA) Kieffer, Jeffrey F DC Kuracina, Marilee J. Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Mercy, Michael R. MD Rosenquist, Janet A. MD Thompson, Harold K. Baldridge, Scott A Brininger, Timothy L MD 890 N 6th E Mountain Home, ID N 6th E Mountain Home, ID Old Highway 30 Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID Rattlesnake Ave Ste B Mountain Home, ID McKenna Dr Mountain Home, ID (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 292

297 Crossley, Dennis D MD Crossley, Dennis D MD Ensminger, Mark R MD Olson, Karl H MD Roberts, Layne D /OB Muhonen, Timothy J. MD /OB General Surgery Welch, John C MD General Surgery Ziola, Krzysztof H. Ziola, Krzysztof H. Jenks, Barry Edward LMHC Nephrology Hunt, Nicholas MD Nephrology Kendrick, Elizabeth A Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Best, Dawn D Sjoberg, Christopher Swartz, Rachel M Johnston, James M. MD Kristensen, Ronald M MD Menzner, Jeffry P MD Walker, Robert MD Webb, Darby MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Allred, Jason D. Wahl, Andrea J. 895 N 6th E Mountain Home, ID McKenna Dr Mountain Home, ID American Legion Blvd Mountain Home, ID McKenna Dr Mountain Home, ID American Legion Blvd Mountain Home, ID McKenna Dr Mountain Home, ID American Legion Blvd Mountain Home, ID N 6th E Mountain Home, ID McKenna Dr Mountain Home, ID American Legion Blvd Mountain Home, ID N 4th E Mountain Home, ID N 4th E Mountain Home, ID N 4th E Mountain Home, ID N 4th E Mountain Home, ID American Legion Blvd Mountain Home, ID N 4th E Mountain Home, ID American Legion Blvd Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID Airbase Rd Mountain Home, ID Airbase Rd Mountain Home, ID (208) (208) (208) ADA Accessible (208) (208) (208) Ocean Beach Hospital (208) ADA Accessible Languages: JAPANESE, SPANISH (208) Languages: GERMAN, POLISH (208) Languages: GERMAN, POLISH (208) ADA Accessible Languages: SPANISH (208) (208) Languages: SPANISH (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 293

298 Griggs, Jeffrey Kerns, Benjamin T Lawler, Helen Petrie, Breeann M PA Smith, Delmar W Podiatry Martin, Trever J DPM Podiatry Stano, William S. DPM Podiatry Radiation Oncology Brooks, Joseph MD Radiation Oncology Urology Miller, Stephen J Urology Waldmann, Todd M MD Urology Mullan McDonald, Jara K MD Meza, Michael G. MD / Koep, Julia J NPRA / Wigle, Michael Eugene ARNP, RN / Gibbs, Scott W. PA Yourzek Sr, Michael J PAC Nampa Allergy & Immunology Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology Allen, Andrew W DO Anesthesiology Allen, Andrew W DO Anesthesiology Decker, Michael J. Anesthesiology Mortensen, Joseph Anesthesiology Mortensen, Joseph Anesthesiology Stratton, Michael Anesthesiology 890 N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID McKenna Dr Mountain Home, ID American Legion Blvd Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID N 6th E Mountain Home, ID Terrill Loop Mullan, ID Terrill Loop Mullan, ID Terrill Loop Mullan, ID Terrill Loop Mullan, ID Terrill Loop Mullan, ID Terrill Loop Mullan, ID Idaho Center Blvd Nampa, ID Idaho Center Blvd Nampa, ID Idaho Center Blvd Nampa, ID W Iowa Ave Ste A Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Shoshone Medical Center (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 294

299 Stratton, Michael Anesthesiology Trainer, Kerri D Anesthesiology Trainer, Kerri D Anesthesiology Audiology Adams, Shalise CA Audiology Cheshire, Spencer L CA Audiology Elcox, Jacquie A CA Audiology Redmond, Paul C Audiology Whitcomb, Curtis J CA Audiology Workman, Cory D Audiology Cardiac Electrophysiology Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Vloka, Margo E MD Cardiac Electrophysiology, Cardiovascular Disease Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Chambers, John D Cardiovascular Disease Chambers, John D Cardiovascular Disease Codina, Michael A MD Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Hostetler, Michael D Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Johnson, Alex C Cardiovascular Disease Katz, Guy E Cardiovascular Disease,, Interventional Cardiology Undesser, Karl P MD Cardiovascular Disease Wetherley, Graham K Cardiovascular Disease Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Rich, Marjorie C Certified Nutritionist/Registered Diet Storms, April D Certified Nutritionist/Registered Diet Belnap, Cameron J DC 4400 E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 320 Nampa, ID Caldwell Blvd Nampa, ID Caldwell Blvd Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Ste 300 Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Ste 300 Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Ste 300 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID th Ave S Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) Sacred Heart Medical Center (208) Bonner General Hospital (208) (208) Deaconess Medical Center -Sacred Heart Univ District (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 295

300 Beyer, Floyd E DC Donaldson, Martin S DC McConnell, Michael J DC McKim, Joshua K DC Moldenhauer, Glenn DC Nelson, Wendell D Swenson, David L DC Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Dermatology Harris, Ryan J MD Dermatology Owsley, Ryan Dermatology Powell, Gavin R MD Dermatology Angleton, Peter J MD Angleton, Peter J MD Barnes, Randy L MD Barnes, Randy L MD Binnion, Dianna L MD Binnion, Dianna L MD Boesiger, Brian M MD Boesiger, Brian M MD Burriesci, Mark A Burriesci, Mark A Calder, Jonathan E MD Calder, Jonathan E MD Campbell, Matthew B Campbell, Matthew B Conklin, Matthew J MD Conklin, Matthew J MD Cornett, Benjamin L Cornett, Benjamin L Davis, Robert L Davis, Robert L Dingman, Jeffrey th Ave Rd Nampa, ID th St S Nampa, ID N Marketplace Blvd Nampa, ID th Ave Rd Nampa, ID Holly St Nampa, ID th Ave S Nampa, ID th Ave S Nampa, ID th Ave N Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID nd St S Nampa, ID N Brinson St Ste 100 Nampa, ID nd St S Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 296

301 Dingman, Jeffrey Elliot, Eric T Elliot, Eric T Ellison, Samantha M MD Ellison, Samantha M MD Epperson, John P Epperson, John P Gibson, John M MD Gibson, John M MD Hammerstedt, Heather S Hammerstedt, Heather S Harris, Tyler J MD Harris, Tyler J MD Henzler, Mark A MD Henzler, Mark A MD Huang, Po Y MD Huang, Po Y MD Judd, Matthew T Judd, Matthew T Kim, David T MD Kim, David T MD Kitamura, Brian C Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Kraska, Eric MD Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Lee, Darin J Lee, Darin J Marshall, Shane K Miller, Jonathan D MD Miller, Jonathan D MD Morris, Chalmer 4400 E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) (208) St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 297

302 Morris, Chalmer Morris, C Luke Morris, C Luke Nelson, Andrew C Nelson, Andrew C Olsen, Molly Peterson, Kari Peterson, Kari Quinn, Jason M MD Quinn, Jason M MD Reynolds, Brian Reynolds, Brian Reynolds, Charles M Riss, David DO Riss, David DO Saak, Kristen H MD Saak, Kristen H MD Southard, Andrew Southard, Andrew Stillwagon, Nathan Stillwagon, Nathan Thomas, Mark C DO Thomas, Mark C DO Tobe, Christopher E MD Tobe, Christopher E MD Wasielewski, Jessica N MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Wyatt, Christopher C Acevedo-Daniels, Suhrei Allen, Daniel Baron, Andrew R MD Baron, Andrew R MD 4400 E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave N Nampa, ID N Midland Blvd Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 298

303 Barrus, Paul E Bitters, J'Cinda Black, Stuart A MD Black, Stuart A MD Bowman, Jonathan MD Bowman, Jonathan MD Buxton, Robert B Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Culpepper, Scott A MD Danis, Laura Arnheim DO Goldberg, Marcel A Googe, Sarah L Graham, Austin J. Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hill, Douglas M. MD, Occupational Medicine Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hughes, Meghan Hughes, Meghan Hutchings, Randall H. MD Hutchings, Randall H. MD Ingham, Maxine Jensen, Julia M DO Kantayya, Vivek S MD 207 1st St S Nampa, ID N Midland Blvd Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID th Ave N Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave N Nampa, ID st St S Nampa, ID th Ave Rd Nampa, ID W Iowa Ave Nampa, ID th Ave Rd Nampa, ID th Ave N Nampa, ID N 16th Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 299

304 Kantayya, Vivek S MD Knorpp, Daniel S DO Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Lam, Linda Linn, Erik S MD Linn, Erik S MD Llenos, Joe Marie F Lundberg, Joshua E MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Mullins, John MD Nichols, Heather E MD Partridge, Christopher A Pearce, John DO Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Richardson, Erik J MD Richardson, Erik J MD Richardson, Erik J MD Richardson, Erik J MD 207 1st St S Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W Iowa Ave Nampa, ID S Midland Blvd Nampa, ID W Karcher Rd Nampa, ID N Midland Blvd Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID st St S Nampa, ID N Midland Blvd Nampa, ID Garrity Blvd Nampa, ID th Ave Rd Nampa, ID S Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID (208) (208) (208) Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) Not accepting new patients (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Luke's Elmore Hospital (208) St Luke's Elmore Hospital (208) St Luke's Elmore Hospital (208) St Luke's Elmore Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 300

305 Richardson, Erik J MD Riley, Mari A Riley, Mari A Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Staller, Sarah R MD Westbrook, Sharon Wiberg, Ralene MD Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilson, Martha C, Hospitalist /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB General Surgery Ballantyne, Richard MD General Surgery Chown, Mark S. MD General Surgery Fredline, Forrest R DO General Surgery Harmon, Keith Kevin General Surgery Smith, Barry DO General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Hospitalist Adnan, Muhammad K MD Hospitalist Bensch, Peggie A MD, Hospitalist 9850 W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID st St S Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E 12th Ave Rd Nampa, ID C 12 Ave Road Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID (208) St Luke's Elmore Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 301

306 Gangappa, Malatesha MD Hospitalist Reddy, Swetha Hospitalist Vargas Villazon, Patrick D MD Hospitalist Wilson, Martha C, Hospitalist Wilson, Martha C, Hospitalist Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Chang, Basil DO Dee, Michael M Dee, Michael M Dee, Michael M Dee, Michael M Dee, Michael M Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Griggs, Jr., Hilliard, Hospitalist Koga, Steven J MD Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave N Nampa, ID st St S Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 302

307 Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Page, Randell Lee MD Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD Stringam, Stanley Owen MD Stringam, Stanley Owen MD Stringam, Stanley Owen MD Austin, Melody Anne LMHC 210 W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Ste 300 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave S Ste B1-B2 Nampa, ID Brumpton, Rona M LMFT, LMHC 5700 E Franklin Rd Ste 220, Marriage & Family Nampa, ID Counselor Elderkin, Anita R Fisher, Wendy Hamilton, Hannah L LMHC Hernandez-Henry, Angela LMHC Lutes, Kendra LMHC Miller, Amber L LMHC 3307 Caldwell Blvd Ste 104 Nampa, ID E Flamingo Ave Nampa, ID N 16th Ave Nampa, ID N 16th Ave Nampa, ID N 16th Ave Nampa, ID E Franklin Rd Ste 190 Nampa, ID (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 303

308 Miller, Amber L LMHC Navarro, Anabel Padden, Kevin Patrick Pecsek, Luann Dunn LMHC Salazar, Beronica Smith, Mitchell T Toms, Joseph E LMHC Wall, Charlayne LMHC Ward, Ray A Waters, SuzAnna Zucco, Frances M LMHC Marriage & Family Counselor rd St Nampa, ID Caldwell Blvd Ste 104 Nampa, ID rd St S Nampa, ID th Ave S Nampa, ID Caldwell Blvd Ste G Nampa, ID th Ave S Ste B3 Nampa, ID st St S Ste 302 Nampa, ID W Iowa Nampa, ID Caldwell Blvd Ste 104 Nampa, ID N 16th Ave Nampa, ID rd St S Nampa, ID Wellman, Deborah Y LMFT, LMHC th Ave Rd Marriage & Family Counselor, Licensed Professional Nampa, ID Counselors Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Neurological Surgery Lochhead, Richard A MD Neurological Surgery Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology 211 W Iowa Ave Nampa, ID E Flamingo Ave Ste 220 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID Park Centre Way Nampa, ID Park Centre Way Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 304

309 Maxwell, Shane A DO Neurology Nelsen, Mihoko M MD Neurology Whitesell, Jackie Neurology Araquistain, Mary K NPRA, RN Baldwin, Sharon M Baldwin, Sharon M Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Butterfield, Jessica Connley, Katy NPRA, RN Drewrey, Kimberly Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Gabica, Andrea Hart, Jill K Johnson, Tosha J ARNP Johnson, Tosha J ARNP Johnson, Tosha J ARNP Jones, Robyn Lesso, Jennifer C Miyazaki, James Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA 9850 W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID th Ave N Nampa, ID N 16th Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID E Hawaii Ave Nampa, ID W Iowa Ave Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 300 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID W Karcher Rd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID Idaho Center Blvd Nampa, ID E Flamingo Ave Nampa, ID Idaho Center Blvd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 305

310 Randall, Mary S Swensen, Holly D ARNP / Barnhart, Carolyn G NPRA, RN / Condon, Amy V NPRA, RN / Crum, Sonya L / Crum, Sonya L / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Dozier, Amanda Lynn / 4424 E Flamingo Ave Ste 300 Nampa, ID E Hawaii Ave Nampa, ID th Ave Rd Nampa, ID S Midland Blvd Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID Duff, Robert H ARNP, RN 700 Caldwell Blvd, / Nampa, ID Duff, Robert H ARNP, RN th Ave Rd, / Nampa, ID McConkie, Richard M NPRA, RN / Morgan, Mary / Morgan, Mary / Morgan, Mary / Patterson, Sara ARNP, RN / Reinhardt, Kristine M / Reinhardt, Kristine M / Ryder, Renee B / Schooler Smith, Andrea NPRA / Sobba, Cheryl K NPRA / Thacker, Robert S / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitener, Linda A / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Corbett, Carolyn S /Mental Health N Midland Blvd Nampa, ID S Midland Blvd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID S Midland Blvd Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID th Ave N Nampa, ID th Ave N Nampa, ID N Midland Blvd Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID Garrity Blvd Nampa, ID Garrity Blvd Nampa, ID Caldwell Blvd Ste 104 Nampa, ID Caldwell Blvd Ste 104 Nampa, ID (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 306

311 Gray, Katherine NPRA /Mental Health Peppersack, Deo Marie NPRA, RN /Mental Health Reed, Ann Marie NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Carlson, Gerald E. DO Gregerson, Gary N MD Gregerson, Gary N MD Guzman, Guillermo Hughes, Dustan T MD Hughes, Juliette E MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kasper, Megan E MD Rudeen, Randall L MD Serrano, Maribel MD Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy Bjornson, Michelle L Occupational Therapy Dickens, Christine Meyers Occupational Therapy Harmon, Stacy A OT Occupational Therapy 207 N 16th Ave Nampa, ID W Iowa Nampa, ID st St S Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID th Ave Road Nampa, ID th Ave N Nampa, ID N Brinson St Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W St Lukes Dr Ste 229 Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Ste 200 Nampa, ID E Flamingo Ave Ste 200 Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Nampa, ID N Brinson St Nampa, ID E Flamingo Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) Not accepting new patients (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 307

312 Lonseth, Lindsey J OT Occupational Therapy Taucer, Kent Occupational Therapy VanOrder, Charee Occupational Therapy Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Harf, Leo S MD Ophthalmology Jensen, Johanna M MD Ophthalmology Jensen, Peter E Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Reynolds, Adam C MD Ophthalmology Optometry Antonie, David J. Optometry Bewley, James R Optometry Bewley, James R Optometry Black, William T OD Optometry Black, William T OD Optometry Carter, Lee Optometry Ewing, Vanessa J OD Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry N Brinson St Nampa, ID SW 4th Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Ste A Nampa, ID th Ave Rd Ste A Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID nd St Nampa, ID N Jacob Alcott Way Nampa, ID E Flamingo Ave Ste 100 Nampa, ID N Jacob Alcott Way Nampa, ID E Flamingo Ave Ste 100 Nampa, ID th Ave S Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 100 Nampa, ID N Jacob Alcott Way Nampa, ID (208) (541) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 308

313 Galvan-Shubin, Candice A Optometry Hagberg, Landon K OD Optometry Heiner, Darren W Optometry Heiner, Darren W Optometry Hopstad, Luke K Optometry Mcgourty, Brian J OD Optometry Sparhawk, Justin D Optometry Sparhawk, Justin D Optometry Stebel, Holly L Optometry Stebel, Holly L Optometry Tiller, Daniel Optometry Watson, Jacob C Optometry White, Rodney Optometry Andrew, Shane A Curran, Andrew R, Sports Medicine Hassinger, David MD Hassinger, Sean MD Holley, Keith G MD Johnson, Miers C Johnston, James M. MD Johnston, James M. MD Kemp, Travis J Kristensen, Ronald M MD Kristensen, Ronald M MD Menzner, Jeffry P MD Menzner, Jeffry P MD Robinson, Tildon Clark MD Spelich, Mark A MD Walker, Robert MD Walker, Robert MD Webb, Darby MD Webb, Darby MD Otolaryngology Beasley, Donald J Otolaryngology Boyajian, John A. CRNA Otolaryngology Garner, Eric T MD Otolaryngology, Plastic Surgery within the Head and Neck 4424 E Flamingo Ave Ste 100 Nampa, ID nd St S Nampa, ID N Jacob Alcott Way Nampa, ID E Flamingo Ave Ste 100 Nampa, ID E Flamingo Ave Nampa, ID nd St S Nampa, ID th Ave Rd Ste A Nampa, ID th Ave Rd Ste E Nampa, ID N Jacob Alcott Way Nampa, ID E Flamingo Ave Ste 100 Nampa, ID th Ave S Nampa, ID th Ave S Nampa, ID th Ave S Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Ste 110 Nampa, ID N Marketplace Blvd Nampa, ID N Marketplace Blvd Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID N Marketplace Blvd Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Flamingo Ave Ste 110 Nampa, ID N Marketplace Blvd Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Ste 320 Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 309

314 Jones, III, Arthur (AC) C. MD Otolaryngology Kammer, Darrell A MD Otolaryngology Killian, Peter Otolaryngology Maughan, DelRay MD Otolaryngology Rustad, Todd J MD Otolaryngology Schwarz, Matthew B MD Otolaryngology Van De Graaff, Ryan L MD Otolaryngology Pain Management Collins, Branson J MD Pain Management, Anesthesiology Pathology Grant, Nicholas G Pathology Kronz, Joseph D MD Pathology Kronz, Joseph D MD Pathology Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Anschutz, Travis W MD Pediatrics, Neonatal Medicine Bennett, Jeannette E MD Pediatrics 4424 E Flamingo Ave Ste 320 Nampa, ID th Ave Rd Ste C Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 320 Nampa, ID E Flamingo Ave Ste 320 Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID St Lukes Dr Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 310

315 Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Brown, Matthew S MD Pediatrics Brus, Mario Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Hammer, Thomas J MD Pediatrics Omer, Preston S MD Pediatrics Suski, Alicia MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Wheaton, Michael MD Pediatrics Ackerman, Jerrod R PT Ashenbrener, Samantha L Barnes, Nicole L Bastian, Steven Merrill PT Cardoza, Marisol Cook, Tyson Cook, Tyson Dobson, Beau Douglass, Benjamin Brook PT Dufur, Kathy A Duke, Catherine E Dummer, Brook Dupont, Corey E PT Edwards, Steen English, Mindy E PT Fleckenstein, David A. Fleckenstein, David A. 215 E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W Karcher Rd Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID N Jacob Allcott Way Nampa, ID E Hawaii Ave Nampa, ID N 16th Ave Nampa, ID Garrity Blvd Nampa, ID th Ave Rd Nampa, ID Garrity Blvd Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID S Midland Blvd Nampa, ID SW 4th Ave Nampa, ID Constitution Way Nampa, ID E Flamingo Ave Nampa, ID Constitution Way Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Ste B Nampa, ID SW 4th Ave Nampa, ID Caldwell Blvd Ste B Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Ste B Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W Georgia Ave Nampa, ID (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 311

316 Fujimoto, Ann Gabrielsen, Jacob A. PT Howell, Rosemary C Hulsey, Kevin L PT Johnson, Lynn R PT Johnson, Tara Kinsman, Deanna Cowles PT Kinsman, Deanna Cowles PT Kromrei, Tonja Mansor Jess, Marcy Martin, Nathan Brian Miller, James Moss, Mark L PT Myhre, Ryan L PT Ousley-Trevett, Jennifer Robin Ousley-Trevett, Jennifer Robin Owens, Michael Rayhorn, Ethan Rayhorn, Ethan Schamber, Jane Shaw, Daniel D Shaw, Daniel D Simpson, Douglas B. Smith, Samantha L. Thornock, Brian Wayne PT Wagner, Lynsey J PT Wagner, Lynsey J PT Weatherston, Sean R. PT Wegley, Roger S Weiderman, Brian C PT Weiderman, Brian C PT Weldon, Garrett PT Whiles, Jami J White, Brian L PT Whitworth, Kala C PT Whitworth, Kala C PT Woolley, Jon 4424 E Flamingo Ave Nampa, ID Garrity Blvd Ste 103 Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID SW 4th Ave Nampa, ID Constitution Way Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W Georgia Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Ste B Nampa, ID E Exchange Way Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W Georgia Ave Nampa, ID Constitution Way Nampa, ID Constitution Way Nampa, ID E Flamingo Ave Nampa, ID SW 4th Ave Nampa, ID Constitution Way Nampa, ID E Flamingo Ave Nampa, ID Garrity Blvd Ste 103 Nampa, ID N Brinson St Nampa, ID W Iowa Ave Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID S Midland Blvd Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID E Exchange Way Nampa, ID Caldwell Blvd Ste B Nampa, ID Caldwell Blvd Ste B Nampa, ID SW 4th Ave Nampa, ID (208) (208) Languages: SPANISH (208) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) Languages: FRENCH (208) (208) (208) (208) (208) (208) Languages: DANISH (208) (208) (541) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 312

317 Zbaraschuk, Korey L PT Allen, Nicolas J PAC Anstrand, Charles J PA Anstrand, Charles J PA Ayers, Brianne L Barcelo, Julia PAC Barnes, Daryn Buchmiller, Camille PAC Buchmiller, Camille PAC Callaway, Jackie B Carmichael, Lindsey J PA Carver, Erin PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Chorn, Andy S Clements, David H Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC DeHaven, Erin PAC Derkacs, Derek PAC Derkacs, Derek PAC Douthit, Thomas Flynn, Christie PA Flynn, Christie PA Fossen, Kathleen L Franco, Janine Frost, Charles PA Frost, Charles PA Gardner, Marshall E Garrity Blvd Ste 103 Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Ste A Nampa, ID st St S Nampa, ID Caldwell Blvd Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID N Marketplace Blvd Nampa, ID N Marketplace Blvd Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID N Marketplace Blvd Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 320 Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 313

318 George, Kyle PAC George, Megan F PAC George, Megan F PAC Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Griggs, Jeffrey Griggs, Jeffrey Grote, Heather L Hall, Christine M Hall, Christine M Hall, Christine M Harrold, Calvin M PAC Heaton, Rhoda E PAC Heaton, Thea PA Heywood, Nicole Broadbent PAC Heywood, Nicole Broadbent PAC Hoewing, Heather M PAC Holmes, Cynthia L. Jensen, Brenna Lynn PA Karas, Daria E Kasumovic, Sandra PAC Kerns, Benjamin T Kerns, Benjamin T King, Rachel M PA King, Rachel M PA King, Rachel M PA King, Rachel M PA King, Rachel M PA Kokoulina, Polina PAC Lobb, Brian C PAC Lobb, Brian C PAC Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M 207 1st St S Nampa, ID N 16th Ave Nampa, ID st St S Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID th Ave Rd Nampa, ID E Hawaii Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID W St Lukes Dr Ste 229 Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID nd St S Nampa, ID E Hawaii Ave Nampa, ID W St Lukes Dr Ste 229 Nampa, ID N Midland Blvd Nampa, ID Garrity Blvd Nampa, ID E Hawaii Ave Nampa, ID W Iowa Ave Nampa, ID W Karcher Rd Nampa, ID E Hawaii Ave Nampa, ID St Lukes Dr Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID N Marketplace Blvd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 314

319 Lynam, Rochelle M Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maus, Eric R McCabe, Patrick B McCabe, Patrick B McComb, Michael PA McComb, Michael PA McComb, Michael PA McCready, Vernon D PAC Mitchell, Janet E. PAC Moss, Eric C Murgoitio, Jacob PAC Nielson, David E PAC Nutting, Rachel E PAC Ostolasa, Sis E PAC Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Permann, Seth A Pyatek, Kathleen M PAC Rambow, Thomas Reimers, Jeffrey L Reimers, Jeffrey L Reimers, Jeffrey L Reimers, Jeffrey L Relyea, Ramon A PA Relyea, Ramon A PA Rios, Raul PAC Rogers, Victoria S Rogers, Victoria S Rogers, Victoria S th Ave N Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID E Hawaii Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 110 Nampa, ID N Marketplace Blvd Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID th Ave N Nampa, ID Garrity Blvd Nampa, ID N Marketplace Blvd Nampa, ID st St S Nampa, ID E Flamingo Ave Ste 110 Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Ste 110 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID nd St S Nampa, ID th Ave N Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID E Flamingo Ave Nampa, ID W Iowa Ave Nampa, ID Caldwell Blvd Nampa, ID Caldwell Blvd Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 315

320 Rogers, Victoria S Rogers, Victoria S Rota, Nicole PAC Short, William PA Smith, Jeffrey D PAC Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Travis Smith, Travis Stear, Jennifer L PAC Steinburg, Rick L Steinburg, Rick L Tate, Nancy Trainor, Sadie M PAC Trump, Richard White, Michael D PAC White, Michael D PAC Wilkey, Thad Podiatry Anderson, Kerry W DPM Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry Burk, Phillip N DPM Podiatry Jones, Stewart O DPM Podiatry Leis, Stanley B DPM Podiatry Martin, Trever J DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Psychiatry Banta, Lawrence E Psychiatry Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease Hendrickson, Danny J Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease 290 W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID W Sanetta St Nampa, ID N Marketplace Blvd Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID Garrity Blvd Nampa, ID E Flamingo Ave Nampa, ID N Marketplace Blvd Nampa, ID Caldwell Blvd Nampa, ID Caldwell Blvd Nampa, ID E Flamingo Ave Nampa, ID N Marketplace Blvd Nampa, ID S Midland Blvd Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Hawaii Ave Nampa, ID N Brinson St Ste 100 Nampa, ID th Ave S Nampa, ID Caldwell Blvd Ste 101 Nampa, ID Caldwell Blvd Ste 101 Nampa, ID th Ave Rd Nampa, ID Caldwell Blvd Ste 101 Nampa, ID Caldwell Blvd Ste 101 Nampa, ID th Ave Rd Nampa, ID Caldwell Blvd Ste 101 Nampa, ID N Midland Blvd Nampa, ID E Flamingo Ave Nampa, ID W Georgia Ave Ste 120 Nampa, ID E Hawaii Ave Nampa, ID E Flamingo Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 316

321 Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD 215 E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Ste B Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 317

322 Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID th Ave Road Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID E Flamingo Ave Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Nampa, ID W Georgia Ave Nampa, ID W St Luke's Dr Ste 129 Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID E Hawaii Ave Nampa, ID W Georgia Ave Ste 120 Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID W Georgia Ave Ste 120 Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) Saint Alphonsus Medical Center Nampa Inc (208) (208) (208) (208) (208) Not accepting new patients (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 318

323 Channer, Tylene K Channer, Tylene K Engebrecht, Elizabeth A LSW Hammagren Freeman, Ashley Johannsen, Deanna M LSW Jones, Jessica L Jones, Jessica L Judson, Julie A Kelly-Majors, Leslie McCullough, Mark A LSW Perry, Jennifer L LSW Perry, Jennifer L LSW Torrez, Andrea LSW Torrez, Javier LSW Vogel, William LSW Speech Language Pathology Harder, Patricia Lynne SLPA Speech Language Pathology Hazlet, Ben Speech Language Pathology Holcomb, Kristen Speech Language Pathology Kelli, Mikelle Waite Speech Language Pathology Kossick, Ashley Speech Language Pathology Stimpson, Suzanne L. Speech Language Pathology Willoughby, Laura K Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Southard, Jennifer A Sports Medicine, Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Strawn, Dale Surgical Critical Care Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 5700 E Franklin Rd Ste 190 Nampa, ID rd St Nampa, ID N 16th Ave Nampa, ID N 16th Ave Nampa, ID E Franklin Rd Ste 220 A & H Nampa, ID E Franklin Rd Ste 190 Nampa, ID rd St Nampa, ID th Ave N Nampa, ID rd St S Nampa, ID st St S Ste 302 Nampa, ID E Franklin Rd Ste 190 Nampa, ID rd St Nampa, ID th Ave S Ste 207 Nampa, ID th Ave S Ste 207 Nampa, ID st St S Ste 302 Nampa, ID N Brinson St Nampa, ID SW 4th Ave Nampa, ID SW 4th Ave Nampa, ID SW 4th Ave Nampa, ID SW 4th Ave Nampa, ID E Vineyard Way Nampa, ID McClure Ave Nampa, ID N Marketplace Blvd Nampa, ID E Flamingo Ave Nampa, ID th Ave Rd Nampa, ID th Ave Rd Nampa, ID E Flamingo Ave Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (541) (541) (541) (208) (208) (208) St Alphonsus Regional Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 319

324 Yerger, James Urgent Care Yerger, James Urgent Care Urology Fredriksson, William MD Urology Klein, Eric W MD Urology Morris, Michael S MD Urology New Plymouth Allen, Daniel, Baker, Bridgette M Sebastian, Robin MD Thomas, Geoffrey L / Barfield, Patrick A / Bean, Karen / Corbin, Carlie G NPRA, RN / Andersen, Colby J PA Beech, Louie W Hackenberg, Amber A PAC Kingery, Kristine Sternes, Roy A PAC Nezperce Jones, Andrew E DO / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Orofino Cardiovascular Disease Bennett, William R. Cardiovascular Disease, Interventional Cardiology 700 Caldwell Blvd Nampa, ID th Ave Rd Nampa, ID th Ave Rd Ste B Nampa, ID th Ave Rd Ste B Nampa, ID E Hawaii Ave Nampa, ID S Plymouth Ave New Plymouth, ID N Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID S Plymouth Ave New Plymouth, ID N Plymouth Ave New Plymouth, ID Oak St Nezperce, ID Oak St Nezperce, ID Oak St Nezperce, ID Oak St Nezperce, ID Oak St Nezperce, ID Riverside Ave Orofino, ID (208) (208) (208) (208) (208) (209) (208) (208) (208) (208) (209) (208) (208) (208) (209) (209) (208) St Alphonsus Regional Medical Center Inc (208) St Mary's Hospital Inc (208) (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 320

325 Williams, Michael P MD Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bouis, Charles CRNA Cert Registered Nurse Anesthetist (CRNA) Gustin, Kent B Cert Registered Nurse Anesthetist (CRNA) Martin, Dana D Cert Registered Nurse Anesthetist (CRNA) Merritt, Albert William CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Overly, Thomas W. CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stormes, Michael Scott RN Cert Registered Nurse Anesthetist (CRNA) Dermatology Yokel, Benjamin Karl MD Dermatology Nelson, Peter N MD Sanderson, Thomas Walter MD Campbell, Kimberly Jordan MD 1055 Riverside Ave Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Danke, William E. 301 Cedar St, Geriatric Medicine, Orofino, ID Jenkins, Christopher K Robinson, Charity D. MD Schochler, Amy L. Sholar, Colleen P DO /OB Morris, Joshua MD /OB General Practice Berg, Cay E MD General Practice Interventional Cardiology Kavanaugh, Kevin M MD Interventional Cardiology, Cardiovascular Disease Stephenson, Kelli D NPRA, RN 301 Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Riverside Ave Orofino, ID Cedar St Orofino, ID (208) ADA Accessible -Bonner General Hospital -Sacred Heart Univ District (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Yakima Valley Memorial Hospital -Clearwater Valley Hospital -St Joseph Regional Medical Center -St Mary's Hospital Inc -Clearwater Valley Hospital -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital (208) ADA Accessible (208) ADA Accessible Languages: SPANISH -Clearwater Valley Hospital -Coulee Medical Center (208) ADA Accessible -Clearwater Valley Hospital (208) ADA Accessible -Clearwater Valley Hospital (208) ADA Accessible -Clearwater Valley Hospital (208) ADA Accessible (208) ADA Accessible -Mountain View Hospital LLC (208) ADA Accessible -Bonner General Hospital (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 321

326 / Braun, Joanne ARNP, RN / Miller, Tammy Jo NPRA, RN / Marks, William L. Odren, Donelle L. Thomas, Alison J. Box, Nicholas Julien PA Psychiatry LaCroix, Camille A MD Psychiatry Easton, Dean MD Ho-Laumann, Nancy Khan, Toseef MD Parshad, Sulekha Serra, Alexander D Archibald, Steven A MD Awobuluyi, Marc Taiwo, Neuroradiology Bechtel, Mark H. Bulczak, Dariusz Piotr Cavazos, Cristina MD Cheng, Sam Chilukuri, Ananthakrishna MD Cho, Parina G MD Davis, Mark Cameron MD Dixon, Joseph Trammell MD Dymond, Melissa Lee MD Eggleston, Ben Finch, Lisa Foral, Jonathan Michael MD 301 Cedar St Orofino, ID Cedar St Orofino, ID th St Orofino, ID th St Orofino, ID th St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -St Alphonsus Regional Medical Center Inc -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Swedish Medical Center (208) ADA Accessible -Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 322

327 Goni, Michelle MD Hotchkiss, Laura A. MD Hurt, Christopher J Kang, Margaret Lovelace, Todd Delton MD Moon, David M MD Paul, Marc H MD Philip, Shailendri ER MD Reisenauer, Christin S Rickman, Christopher E Romey, Roy L. Rossin, Richard D Shah, Samir MD Shkurovich, Sergey MD Spinuzza, Thomas Strong, Benjamin W. MD Tague, David F Takeuchi, Sean Y MD Uytana, Vinson L Verhey, Peter T, Wong, William J. Zaytsev, Igor Viktorovitch Osburn Cardiovascular Disease Pavlic, Romeo A Cardiovascular Disease Branz, Anthony J MD Parma Rudkin, Shawn A Rudkin, Shawn A / 301 Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID Cedar St Orofino, ID E Mullan Osburn, ID E Mullan Ave Osburn, ID N 2nd St Parma, ID E Grove Ave Parma, ID (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Gritman Medical Center Inc -Lake Chelan Community Hospital -Prosser Memorial Hospital -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Lake Chelan Community Hospital (208) Languages: GERMAN, RUSSIAN, SPANISH (208) Shoshone Medical Center (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 323

328 Bean, Karen / Guy, Rebecca NPRA / Swainston, Rebecca A / Grow, Marc P PT Hackenberg, Amber A PAC Kingery, Kristine Payette Carrell, Kenneth K Carroll, Ronald Eugene MD Rodriguez-Lopez, Eddie O. MD Schantz, Shannon D Phillips, Alisha L ARNP, RN, RN / Buhr-Cote, JoAnn / Corbin, Carlie G NPRA, RN / Stark, Jody A ARNP, RN /, Nurse Practitioner/Mental Health /Mental Health Barfield, Patricia /Mental Health Robison, Gail /Mental Health Chudleigh, Daniel Walter Hardy, David Oran Heaton, Brian Beech, Louie W Rodriguez, Katee J PAC Shuey, Yelena Calhoun, Bernice R LSW Heald, Teresa Labernik, Julie N Mitchell, Mandy L Sanchez, Thomas R LSW 307 Grove St Parma, ID Grove St Parma, ID Grove St Parma, ID N 3rd St Parma, ID Grove St Parma, ID Grove St Parma, ID NE 10th Ave Payette, ID Central Ave Payette, ID NE 10th Ave Payette, ID NE 10th Ave Payette, ID Central Ave Payette, ID NE 10th Ave Payette, ID NE 10th Ave Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 105 Payette, ID N 16th St Ste 105 Payette, ID N 16th St Ste 105 Payette, ID NE 10th Ave Payette, ID NE 10th Ave Payette, ID NE 10th Ave Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 110 Payette, ID N 16th St Ste 110 Payette, ID NE 10th Ave Payette, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Saint Alphonsus Medical Center - Ontario (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: RUSSIAN (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 324

329 Pierce Jenkins, Christopher K Easton, Dean MD Pinehurst Beier, Rafael L.W. DO Plummer Cardiovascular Disease Pavlic, Romeo A Cardiovascular Disease Kain, Ryan Gregory Lee DC Lies, Lynna Marie DC Aragundi, Soraya O. Barinaga, Mary E Beck, James W. MD Fullen, Coy B Gonzalez, Marilou Marcelo MD Paz, Raymond M MD Rush, Shelby Renae MD General Surgery Wheeler, William W General Surgery / Griffin, June G NPRA, RN / Hildebrandt, Susan Eileen ARNP, RN / Vetter, Nichole Carol NPRA, RN / Optometry Meyer, Brian OD Optometry Ainge, Charlotte S MA Davis, Robert PAC Anardi, Chrystal M Anardi, Chrystal M 105 W Carle St Pierce, ID W Carle St Pierce, ID Church St Pinehurst, ID th St Plummer, ID N 12th St Plummer, ID C St Plummer, ID B St Plummer, ID B St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID B St Plummer, ID N 12th St Plummer, ID B St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID B St Plummer, ID B St Plummer, ID B St Plummer, ID N 12th St Plummer, ID (208) Languages: SPANISH (208) (208) Clearwater Valley Hospital -Coulee Medical Center (208) Languages: GERMAN, RUSSIAN, SPANISH (208) (509) (208) (208) (208) (208) (208) (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 325

330 Kenyon, Willow R LSW Munson, Angela M LSW Printz, Carl W LSW Threadgill, Heather Nicole LSW Williams, Katarzyna LSW, LSW Urgent Care Hartwig, R. Kim Urgent Care, Pocatello Anesthesiology Cook, Roger A MD Anesthesiology Follett, Steven Larry MD Anesthesiology Huff, Daniel M MD Anesthesiology Leon De Los Rios, Juan Jose MD Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Shelton, Ryan Robert MD Anesthesiology Snell, Daniel D. Anesthesiology Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, 427 N 12th St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID N 12th St Plummer, ID B St Plummer, ID B St Plummer, ID N 18th Ste A Pocatello, ID Vista Dr Pocatello, ID N 18th Ave Ste A Pocatello, ID N 18th Ste A Pocatello, ID Call Pl Pocatello, ID Vista Dr Ste C Pocatello, ID N 18th Ste A Pocatello, ID N 18th Ste A Pocatello, ID E Chubbuck Rd Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Ste 202 Pocatello, ID Hospital Way Ste 202 Pocatello, ID W Quinn Rd Pocatello, ID N 7th Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 303 Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Ste 202 Pocatello, ID Hospital Way Ste 202 Pocatello, ID W Quinn Rd Pocatello, ID N 7th Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Skyline Surgery Center (208) (208) ADA Accessible (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 326

331 Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bringhurst, Alex John ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Brook, Leon CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Chow, Daniel Justin CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Johanson, Gary ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Marler, Richard Aaron CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 777 Hospital Way Bldg A #101 Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 303 Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Ste 202 Pocatello, ID Hospital Way Ste 202 Pocatello, ID W Quinn Rd Pocatello, ID N 7th Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 303 Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID S 11th Ste 303 Pocatello, ID N 18th Ste A Pocatello, ID N 18th Ste A Pocatello, ID N 18th Ste A Pocatello, ID N 18th Ste A Pocatello, ID Pocatello Creek Rd Pocatello, ID N 18th Ste A Pocatello, ID Pocatello Creek Rd Pocatello, ID N 18th Ste A Pocatello, ID N 18th Ste A Pocatello, ID Pocatello Creek Rd Pocatello, ID N 18th Ste A Pocatello, ID Call Pl Pocatello, ID Vista Dr Ste C Pocatello, ID N 18th Ste A Pocatello, ID (208) ADA Accessible (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) Not accepting new patients (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible -Portneuf Medical Center (208) Not accepting new patients -Portneuf Medical Center (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 327

332 Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Roper, Benson Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Skidmore, Tammy L ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Waterman, Cassidi B NPRA, RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Donaldson, Karen Diane RD, RD Certified Nutritionist/Registered Diet Donaldson, Karen Diane RD, RD Certified Nutritionist/Registered Diet Belnap, Mark E. Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Evans, Nathan J. DC Johnson, II, Gary L DC Ofisa, Shaloam DC Page, Timothy Lee Williams, Jeffrey M DC, RN Dermatology Stoddard, Earl R. Dermatology Stoddard, Earl R. Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Dietitian Roberts, Misty Ann CD Dietitian Conner, John Shelton MD Favor, Douglas Garth Fowler, Randall Scott MD Fowler, Randall Scott MD 1155 Pocatello Creek Rd Pocatello, ID N 18th Ste A Pocatello, ID Call Pl Pocatello, ID Vista Dr Ste C Pocatello, ID N 18th Ste A Pocatello, ID Pocatello Creek Rd Pocatello, ID Moonlight Mine Rd Pocatello, ID N 18th Ste A Pocatello, ID Pocatello Creek Rd Pocatello, ID Hospital Way Pocatello, ID N 18th Ste A Pocatello, ID Bench Rd Ste B Pocatello, ID Wilson Ave Ste #8 Pocatello, ID E Halliday St Pocatello, ID W Center Ste 202 Pocatello, ID W Center Ste 200 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Flandro Dr Pocatello, ID Pole Line Rd Pocatello, ID Flandro Dr Ste 130 Pocatello, ID /2 E Chubbuck Rd Pocatello, ID Memorial Dr Pocatello, ID Bench Rd Ste B Pocatello, ID Bench Rd Ste A Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID E Terry St Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 500 Pocatello, ID (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) Not accepting new patients (208) (208) ADA Accessible (208) (208) (208) (208) (480) (480) (480) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 328

333 Gerber, David Aaron Holt, Kurtis, Urgent Care Marshall, Jordon Scott DO, PHAR Packer, Scott Michael Packer, Scott Michael Parmley, Willis Earl MD Parmley, Willis Earl MD Ryan, Kenneth Craig Sandy, Curtis Clinton MD Sandy, Curtis Clinton MD Endocrinology Liljenquist, David R. MD Endocrinology Liljenquist, John E. Endocrinology Bailey, Jordan MD Bokelmann, Jean M MD Bokelmann, Jean M MD Bokelmann, Jean M MD Bokelmann, Jean M MD Brizzee, David DO Burton, Bradley MD Clair, Charles MD Clark, Sharla DO Clark, Sharla DO Clifford, Kyle Layton Cree, Jonathan MD Cree, Jonathan MD Fenstermaker, John Fenstermaker, John Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Gillespie, Robert Todd PA Gillespie, Robert Todd PA Gillespie, Robert Todd PA 777 Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Yellowstone Ave Pocatello, ID Yellowstone Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste G1 Pocatello, ID Hospital Way Bldg B Ste 611 Pocatello, ID Hospital Way Bldg B Ste 611 Pocatello, ID N 4th Ave Ste B Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Flandro Dr Pocatello, ID Birdie Thompson Dr Pocatello, ID W Center Ste 202 Pocatello, ID Bench Rd Ste B Pocatello, ID Memorial Dr Pocatello, ID Birdie Thompson Dr Pocatello, ID Hospital Way Ste 201 Pocatello, ID Memorial Dr Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 303 Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID (480) (480) (480) (208) (208) (480) (208) (480) (480) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) Languages: FRENCH (208) ADA Accessible Languages: FRENCH (208) (208) ADA Accessible (208) Languages: SPANISH (208) ADA Accessible Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) ADA Accessible Languages: SPANISH (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 329

334 Gregson, Michael J MD Gregson, Michael J MD Gregson, Michael J MD Holmstead, Earl Evan MD Horrocks, Mark T MD Joseph, Anthony E., Sports Medicine Kam, Jared Michael MD Kam, Jared Michael MD Kam, Jared Michael MD Kjos, Melissa R MD Kjos, Melissa R MD Kjos, Melissa R MD Mangan, Martin Angus Mangan, Martin Angus Mansfield, Mark L MD Martin, Brady C DO Martin, Brady C DO Martin, Brady C DO Maynard, Richard M DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mills, Lavonne R MD Mills, Lavonne R MD Morrison, Chelsie A DO Morrison, Chelsie A DO Nielsen, Travis Dale DO Nielsen, Travis Dale DO Nielsen, Travis Dale DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Price, Jared M DO Price, Jared M DO 1125 W Alameda Rd Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Birdie Thompson Dr Pocatello, ID W Center Ste 202 Pocatello, ID N 18th Ave Ste D-1 Pocatello, ID Hospital Way Ste D201 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID W Center Ste 202 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Yellowstone Ave Pocatello, ID Yellowstone Pocatello, ID Vista Dr Pocatello, ID Hospital Way Ste D201 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Vista Dr Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID W Center Ste 200 Pocatello, ID Memorial Dr Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Bench Rd Ste B Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID W Center Ste 202 Pocatello, ID (208) (208) (208) (208) (208) Languages: SPANISH (206) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) Portneuf Medical Center (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible -Portneuf Medical Center (208) Portneuf Medical Center (208) Portneuf Medical Center (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 330

335 Price, Jared M DO Price, Jared M DO Ragan, Joseph Neil MD Ragan, Joseph Neil MD Ragan, Joseph Neil MD Smith, Dean Ty DO Smith, Dean Ty DO Smith, Dean Ty DO Solbrig, Ronald M. MD Solbrig, Ronald M. MD Solbrig, Ronald M. MD Thayne, Andrew W. Walker, Kris M MD Warnock, Zachary B MD Warnock, Zachary B MD West, Brandon DO Willey, Jay Warren DO Willey, Jay Warren DO Willis, Howard James DO Wise, David Leo MD Woodhouse, William M MD Woodhouse, William M MD Woodhouse, William M MD Gastroenterology Cook, Darryl Bruce MD Gastroenterology, Davis, Thomas V DO Gastroenterology, Godfrey, Jonathan Dean MD Gastroenterology General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice General Surgery Birkenhagen, Walter Kurt MD General Surgery Birkenhagen, Walter Kurt MD General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery 777 Hospital Way Ste G1 Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID W Quinn Rd Pocatello, ID Memorial Dr Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Bench Rd Ste B Pocatello, ID Bench Rd Ste B Pocatello, ID Bench Rd Ste B Pocatello, ID W Center Ste 200 Pocatello, ID Call Creek Pl Ste A Pocatello, ID Yellowstone Ave Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Yellowstone Ave Pocatello, ID S 15th St Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Bldg A Pocatello, ID Hospital Way Bldg A Pocatello, ID Hospital Way Bldg A Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID E Terry St Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) Portneuf Medical Center (208) Portneuf Medical Center (208) Portneuf Medical Center (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Idaho Doctors Hospital (208) Bingham Memorial Hospital -Idaho Doctors Hospital (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 331

336 Davis, Anthony Kenyatta MD General Surgery De La Rosa, Jacob MD General Surgery, Thoracic Surgery Fritz, Katie Jane General Surgery Garay, Alian G General Surgery Harmon, Keith Kevin General Surgery Marshall, Gregg Arthur MD General Surgery Marshall, Gregg Arthur MD General Surgery McRoberts, Drew W General Surgery McRoberts, Drew W General Surgery Medvetz, Lisa Ann MD General Surgery Preston, Kate Elizabeth MD General Surgery Schneider, Doran J DO General Surgery Hospitalist Knight, Charles MD Hospitalist, Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Allen, Eric DO Anderson, Shane K DO Anghel, Gabriela Corina MD Babbitt, Linda Lou MD Benson, Mark P Benson, Mark P Benson, Mark P Capriccione, Angelo M MD Groom, Corwin P MD Haderlie, Michael J MD O'Mara, Thomas MD Critical Care Medicine, Rahim, Naeem, Nephrology Scherr, Daron L. Shrader, David L MD Stutts, III, Baldwin Shields MD, Cardiovascular Disease 1151 Hospital Way Bldg D Ste 100 Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Ste 201 Pocatello, ID Hospital Way Ste 115 Pocatello, ID S 11th St Ste 501 Pocatello, ID Hospital Way Ste 201 Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste 201 Pocatello, ID Hospital Way Bldg A Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Hospital Way Ste 201 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Hospital Way Ste 201 Pocatello, ID Hospital Way Ste 202 Pocatello, ID Memorial Dr Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste D201 Pocatello, ID S 11th Ste 303 Pocatello, ID S 11th Ave Ste 203 Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 300 Pocatello, ID S 11th Ave Ste 301 Pocatello, ID E Terry St Pocatello, ID S 11th Ste 300 Pocatello, ID Hospital Way Ste 607 Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste 607 Pocatello, ID E Center Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) Eastern Idaho Regional Medical Center (208) ADA Accessible (208) (208) Eastern Idaho Regional Medical Center (208) ADA Accessible Languages: ROMANIAN (208) (208) (208) (208) (208) Languages: ITALIAN, SPANISH (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 332

337 Vance, Carl D. MD Wehrle, Lance R DO Andersen, Matthew Colt LMHC Davies, Pamela L LMHC Evans, Cody R. Hall, Lisa Janine LSW 444 Hospital Way Bldg B Ste 611 Pocatello, ID E Terry St Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Yellowstone Ste C5 Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Hutton-Levenson, Judith LMHC 845 W Center Ste 202, Marriage & Family Pocatello, ID Counselor Hutton-Levenson, Judith LMHC 1000 N 8th St, Marriage & Family Pocatello, ID Counselor Hutton-Levenson, Judith LMHC 465 Memorial Dr, Marriage & Family Pocatello, ID Counselor Zierke, Justin Dean LMHC, RC, RCCD Zierke, Justin Dean LMHC, RC, RCCD Maternal & Fetal Medicine Draper, Michael L Maternal & Fetal Medicine, Nephrology Rahim, Fahim MD Nephrology, Neurological Surgery Harrison, Gregory S Neurological Surgery Huneycutt, William Scott Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Neurology Cheatham, Robert MD Neurology Gerard, Mary Elizabeth MD Neurology Kennedy, Robert Michael Neurology, Kennedy, Robert Michael Neurology, Nurse Midwife Certified/Licensed Ackerman, Patty Jo CNM, RN Nurse Midwife Certified/Licensed Lamb, Nicole CNM, RN Nurse Midwife Certified/Licensed Muckerman, Julia L. Nurse Midwife Certified/Licensed Anderson, Kyle C ARNP, RN Baab, Samantha ARNP, RN Bean, Leslie Ann NPRA, RN Blake, O'Dopherty Beverley ARNP 1070 Hiline Rd Ste 210 Pocatello, ID Hospital Way Ste 477 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 607 Pocatello, ID Hospital Way Ste 201 Pocatello, ID E Center Ste A Pocatello, ID Hospital Way Ste 115 Pocatello, ID N 18th Ave Ste B4 Pocatello, ID Hospital Way Pocatello, ID E Center St Ste A Pocatello, ID Hospital Way Pocatello, ID E Clark St Ste 330 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 300 Pocatello, ID N 18th Ste A Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID E Terry St Pocatello, ID Blake, O'Dopherty Beverley ARNP 777 Hospital Way, / Pocatello, ID (208) Eastern Idaho Regional Medical Center (208) (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) (208) (208) (208) Portneuf Medical Center (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (480) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 333

338 Champlin, Colleen NPRA, RN Follett, Stephanie Dianne NPRA, RN Hampton, Nicolette R NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Horst, Jessica Rose NPRA, NPRA, RN Horst, Jessica Rose NPRA, NPRA, RN Huntsman, Elliot V ARNP, RN Kaufmann, Theresa M ARNP, RN McGregror, David Jim ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Packer, Adam Alden NPRA, RN Robertson, Codie Melissa ARNP, RN Rodriguez, Debra Lynn Rosenkrance, Mary B NPRA, RN Sabel, William G ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Thompson, Laura M. ARNP Wedler, Trilby M ARNP, RN /Adult Barron, Cynthia L CRNS, RN /Adult / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Blad, Gustin Ross NPRA, RN / Bullock, Nicholas Freeman NPRA, RN / Bullock, Nicholas Freeman NPRA, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / 777 Hospital Way Ste 201 Pocatello, ID Vista Dr Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID E Terry St Pocatello, ID E Terry St Pocatello, ID E Center St Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Pocatello, ID Vista Dr Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID E Terry St Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Way Ste G-15 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Ste 202 Pocatello, ID W Quinn Rd Pocatello, ID S 11th Ste 500 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) Portneuf Medical Center (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible -Bingham Memorial Hospital (208) ADA Accessible (208) (208) (208) (208) (208) Portneuf Medical Center (208) Portneuf Medical Center (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 334

339 Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Dekker, Ruth ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Fletcher, Zuzana ARNP, RN / Fletcher, Zuzana ARNP, RN / Fletcher, Zuzana ARNP, RN / Harris, Tyson A NPRA, RN / Harris, Tyson A NPRA, RN / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Karroum, Brandi Binh NPRA, RN / Millward, Erin Louise NPRA, RN / Montgomery, Jason Andrew ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Roth, Kathryn Jill ARNP, RN / Turner, Roberta Lynn NPRA, RN / Turner, Roberta Lynn NPRA, RN / Turner, Roberta Lynn NPRA, RN / Vawdrey, Randy P ARNP, RN / Vawdrey, Randy P ARNP, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / /Mental Health Clark, Stephanie Ann ARNP, RN /Mental Health Clark, Stephanie Ann ARNP, RN /Mental Health /Women's Health 1151 Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID N 4th Ave Ste B Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Memorial Dr Pocatello, ID Memorial Dr Pocatello, ID N 18th Ave Ste B4 Pocatello, ID E Center Pocatello, ID E Center Pocatello, ID W Center Ste 202 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID E Young St Pocatello, ID S 11th Ste 303 Pocatello, ID S 11th Ste 500 Pocatello, ID Hospital Way Pocatello, ID Yellowstone Ave Pocatello, ID Yellowstone Ave Ste E Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hiline Rd Ste 210 Pocatello, ID Yellowstone Ave Ste E Pocatello, ID (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible Languages: SPANISH (208) ADA Accessible Languages: SPANISH (208) (208) (208) (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 335

340 Gunning, Janelise ARNP, RN /Women's Health Rice, Cynthia M /Women's Health Callaghan, Cheryl Mary MD Carlson, Joel Andrew Cox, Kim Leon Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Jones, Michael Gary DO Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Shelley, Carole Elizabeth MD Stinger, William Barrett DO Weaver, Heidi S MD Occupational Therapy Brown, Andrea OT Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Jean, Janice OT Occupational Therapy Jean, Janice OT Occupational Therapy Peterson, Barbara K OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Schmidt, Mary A. OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Ririe, David W MD Oncology, Medical Ophthalmology Fornarotto, John Michael Ophthalmology Fornarotto, John Michael Ophthalmology 777 Hospital Way Ste 300 Pocatello, ID E Center Pocatello, ID S 11th Ave Ste 201 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID E Terry St Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Ste 300 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N Main St Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Warren Ave Pocatello, ID Memorial Dr Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Flandro Dr Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 205 Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 18th Ave Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Portneuf Medical Center (208) Bingham Memorial Hospital (208) Bingham Memorial Hospital (208) (208) (208) (855) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) Portneuf Medical Center (208) ADA Accessible (208) (208) (208) (208) Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 336

341 Gardner, Bradley P. MD Ophthalmology Jones, Robert Randall MD Ophthalmology Romriell, Eric K. Ophthalmology Blair, Benjamin Esplin, Vermon Sims MD, Surgery, Hand Hansen, Stephen M., Spinal Cord Injury Peterson, David John DO Peterson, David John DO Peterson, David John DO Richards, Jason P MD, Sports Medicine Richards, Jason P MD, Sports Medicine Richardson, Nathan Davis MD Stucki, Jeffrey Dee DO, Surgery, Hand Wathne, Richard A MD, Sports Medicine Orthopedics Coker, Steven Lloyd MD Orthopedics Otolaryngology Donaldson, David R MD Otolaryngology McGee, Kraig C Otolaryngology Yost, Morgan G DO Otolaryngology Pain Management Hope, Ryan Don MD Pain Management, Anesthesiology Snell, Timothy Earl MD Pain Management Snell, Timothy Earl MD Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Garrison, Charles O Pathology Pediatrics Denton, David Miles MD Pediatrics Duty, Laura Marie MD Pediatrics Fulks, Brian Christopher Pediatrics Hardin, Creighton A MD Pediatrics McInturff, Don E MD Pediatrics, Murdoch, Matthew Ayers MD Pediatrics Parsons, Cindy Elizabeth MD Pediatrics 1157 Call Pl Pocatello, ID Bench Rd Ste C Pocatello, ID Call Pl Pocatello, ID N 18th Ave Ste D-1 Pocatello, ID Memorial Dr Ste B Pocatello, ID Hospital Way Ste A Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID E Center St Ste A Pocatello, ID Vista Dr Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Memorial Dr Ste B Pocatello, ID N 18th Ste D-1 Pocatello, ID Memorial Dr Pocatello, ID N 18th Ave Ste B3 Pocatello, ID N 18th Ave Ste B-3 Pocatello, ID Hospital Way Pocatello, ID E Center St Ste B Pocatello, ID N 18th Ste A Pocatello, ID E Center Pocatello, ID Hospital Way Ste D201 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID W Alameda Rd Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID (208) Eastern Idaho Regional Medical Center (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Languages: FRENCH, HAITIAN CREOLE (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) Languages: SPANISH (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 337

342 Stelzer, Matthew Alan MD Pediatrics Summerill, Shaun Stephen MD Pediatrics Yost, Gentry C Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Hill, Kevin Scott MD Physical Medicine and Rehabilitation Aitken, Elizabeth PT Aitken, Elizabeth PT Bates, John T Des Fosses, Danny Rae DeVoe, Cara E Ellis, Sadie E PT Flicker, Timothy Andrew PT Goode, Andrew Blake PT Goode, Andrew Blake PT Higbee, Shawn Robert PT Johnson, Joni Lynn PT Johnson, Joni Lynn PT Klitgaard, Steven R PT Klitgaard, Steven R PT Lane, Brelan J PT Lane, Brelan J PT Lemon, Richard W Lemon, Richard W Maiers, Bret L Maiers, Bret L Marshall, Robert Lance McAteer, Jennifer Lisa McDonald, Bart W. McKee, Jared L PT Merrill, Melissa PT Merrill, Melissa PT O'Keef, Daniel Glen PT 1151 Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg F Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Ste G-15 Pocatello, ID E Center St Ste D Pocatello, ID Yellowstone Ave Ste B Pocatello, ID Memorial Dr Ste C Pocatello, ID W Quinn Rd Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Yellowstone Ave Ste J Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 110 Pocatello, ID S 11th Ste 500 Pocatello, ID E Center St Ste D Pocatello, ID Yellowstone Ave Ste B Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 110 Pocatello, ID Yellowstone Ave Ste A Pocatello, ID E Center St Ste D Pocatello, ID Flandro Dr Ste 190 Pocatello, ID W Quinn Rd Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 110 Pocatello, ID N 18th Ave Ste D2 Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Memorial Dr Ste C Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 110 Pocatello, ID Flandro Dr Ste 190 Pocatello, ID (208) (208) Languages: SPANISH (208) (208) (208) (208) Portneuf Medical Center (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) Not accepting new patients (208) ADA Accessible (208) ADA Accessible (208) Languages: PORTUGUESE (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 338

343 Peterson, Emilie Louise PT Rasmussen, Corey L PT Rasmussen, Corey L PT Rasmussen, Corey L PT Sidwell, Randy Curt PT Stewart, Ryan Christopher PT Strait, Joshua P PT Stringfield, Sari D PT Waite, Christine Fischer PT Zitractch, Blaire M PT Barkus, Robert Barto, Allison D PA Belnap, Dale M PAC Bieniasz, Paul D PAC Bieniasz, Paul D PAC Bills, Kebai Dawn Bills, Kebai Dawn Borgholthaus, Lana Jo PAC Borgholthaus, Lana Jo PAC Eddie, Derek Berkley PA Eddie, Derek Berkley PA Eddie, Derek Berkley PA Gregson, Matthew M PAC Hale, Nicholas Alexander Hansen, Lisa Anne PA Hansen, Lisa Anne PA Hatch, Angela G Heier, Julie Marie Heier, Julie Marie Heier, Julie Marie Higbee, Logan PAC Higbee, Logan PAC Higbee, Logan PAC Hill, David Wayne Johnson, Shad C Judd, Jocelyn Ann PA 1800 Flandro Dr Ste 190 Pocatello, ID Yellowstone Ave Ste A Pocatello, ID E Center St Ste D Pocatello, ID Yellowstone Ave Ste B Pocatello, ID N 18th Ave Ste D2 Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Flandro Dr Ste 190 Pocatello, ID Memorial Dr Ste C Pocatello, ID Yellowstone Ave Pocatello, ID Vista Dr Pocatello, ID Memorial Dr Ste B Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID E Clark St Ste 210 Pocatello, ID N 8th St Pocatello, ID Yellowstone Ave Pocatello, ID Alpine Dr Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID Yellowstone Pocatello, ID Hospital Way Bldg A Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Way Pocatello, ID N 8th St Pocatello, ID Hospital Way Bldg A #101 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Yellowstone Ave Pocatello, ID Yellowstone Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg A Pocatello, ID N 8th St Pocatello, ID (208) ADA Accessible (208) Languages: SPANISH (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (480) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (480) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 339

344 Judd, Jocelyn Ann PA Katter, Renee Lynn Katter, Renee Lynn Lachapelle, Brian Keith PAC Letko, Karl Max PA Letko, Karl Max PA Manning, Nicole PA Manning, Nicole PA Manning, Nicole PA Martin, David McDonald, David Mosiah PAC McDonald, David Mosiah PAC McGee, Julia R PA McGee, Julia R PA McGee, Julia R PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA Miller, Natalie Marie PA Nielson, Tyrell P PA Petersen, Jedidiah Allen PA, PAC Petersen, Jedidiah Allen PA, PAC Petersen, Jedidiah Allen PA, PAC Phelps, Paula B Pool, Justin Craig PA Pool, Justin Craig PA Porter, Ryan PA Rasmussen, Nicholas PA Ray, Debra R. Redding, Jessica PA Richins, Stephen L PA Rizor, Helena MB PA Robinson, Jennifer Lynn PA Schaper, Heather Ann PA Schaper, Heather Ann PA Schaper, Heather Ann PA Simmons, Steven Boe PA 465 Memorial Dr Pocatello, ID Garrett Way Ste 1 Pocatello, ID Hiline Rd Ste 210 Pocatello, ID Hospital Way Ste 215 Pocatello, ID S 11th Ste 205 Pocatello, ID Hospital Way Pocatello, ID Yellowstone Ave Pocatello, ID Hospital Wy Ste A Pocatello, ID Alpine Dr Pocatello, ID Bench Rd Ste B Pocatello, ID W Quinn Rd Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Ste D201 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Pocatello, ID Call Creek Pl Ste A Pocatello, ID W Center Ste 202 Pocatello, ID W Center Ste 200 Pocatello, ID Memorial Dr Pocatello, ID S 11th Ave Ste 203 Pocatello, ID N 18th Ste D-1 Pocatello, ID N 18th Ave Ste D-1 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Vista Dr Pocatello, ID Hospital Way Ste 202 Pocatello, ID N 18th Ave Ste B3 Pocatello, ID E Center Ste E Pocatello, ID E Center Ste E Pocatello, ID Hospital Way Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID N 18th Ste D-1 Pocatello, ID (208) ADA Accessible (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) Portneuf Medical Center (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 340

345 Simmons, Steven Boe PA Walaliyadda, Ranmali Kalyani PA Wilson, Jared Kent PA Plastic Surgery Maloff, Stephen M MD Plastic Surgery, Surgery, Hand Podiatry Bray, S Jeff Podiatry Christensen, Brent DPM Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Howard, Kert W DPM Podiatry Matthews, Adam C DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Wilde, Brandon Dean DPM Podiatry Psychiatry Erwin, Kathleen A MD Psychiatry Hazle, William H Psychiatry Palmer, Kelly P. DO Psychiatry Ravsten, Deric V. DO Psychiatry Psychiatry, Child/Adolescent Fife, David A DO Psychiatry, Child/Adolescent, Psychiatry Psychology Amen, Cynthia Lee Psychology Christensen, John L PY Psychology Dickey, John H. Psychology Dickey, John H. Psychology Dickey, John H. Psychology Gardner, Eunice Grace PY Psychology Roberts, Verena Margarete PY Psychology Ross, Theresa L PY Psychology Westehaus, Kendra PY Psychology Whitley, II, Donald M PY Psychology Pulmonary Disease Krawtz, Steven M Pulmonary Disease, Critical Care Medicine, Internal Medicine Radiation Oncology Callaghan, Michael T MD Radiation Oncology 333 N 18th Ave Ste D-1 Pocatello, ID E Center Ste E Pocatello, ID Hospital Way Pocatello, ID E Center St Ste A Pocatello, ID N 18th Ave Ste D1 Pocatello, ID E Clark St Ste 220 Pocatello, ID E Clark St Pocatello, ID E Clark St Pocatello, ID Hospital Way Bldg B Ste 611 Pocatello, ID E Clark St Pocatello, ID Hospital Way Ste D201 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Pocatello Creek Rd Pocatello, ID Hospital Way Pocatello, ID S 11th Ste 303 Pocatello, ID N 4th Ave Ste 110 Pocatello, ID E Clark St Ste 210 Pocatello, ID Yellowstone Ave Ste E Pocatello, ID Yellowstone Ste C5 Pocatello, ID Yellowstone Ste C5 Pocatello, ID Memorial Dr Pocatello, ID Hospital Way Pocatello, ID W Center Ste 202 Pocatello, ID Yellowstone Ste C5 Pocatello, ID Memorial Dr Pocatello, ID S 11th Ste 303 Pocatello, ID Yellowstone Ste C5 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Hospital Way Ste 202 Pocatello, ID Hospital Way Pocatello, ID (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) Not accepting new patients (208) (208) Bingham Memorial Hospital (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 341

346 McAllister, Calvin J MD Radiation Oncology Todd, Steven J. Radiation Oncology Bailey, Jared H Bailey, Jared H Chugg, Jared A Pierson, Nicholas S Preece, Stephen Richard MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Behrmann, David A MD Cameron, David M Cameron, David M Eng, Allen A MD Ferdinand, Andrew J Ferdinand, Andrew J Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Shelley, David J,, Interventional Shelley, David J,, Interventional Stephens, George H Stephens, George H Strobel, John J. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional, Whiting, John MD, Interventional, Rheumatology 777 Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Building B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Building B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Vista Dr Ste C Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Hospital Way Building B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Building B Pocatello, ID Hospital Way Bldg B Pocatello, ID Hospital Way Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID E Terry St Pocatello, ID (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) ADA Accessible Languages: CAMBODIAN (208) (208) (208) (208) (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) Madison Valley Medical Center -Minidoka Memorial Hospital -Mountain View Hospital LLC (208) ADA Accessible (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 342

347 Walaliyadda, Ananda Rheumatology, Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Broberg, Scott Bernell LSW Brown, Crete Brown, Shannon L LSW Brown, Shannon L LSW Brown, Shannon L LSW Brown, Shannon L LSW Collins, Doty J LSW Collins, Doty J LSW Collins, Doty J LSW Comstock, Jacob L LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Dye, Robb D LSW Dye, Robb D LSW Golightly, Brooke Jacqueline LSW Lewis, Deborah Gene LSW Sharp, Linda C LSW Smith, Dawn Elizabeth LSW Speech Language Pathology Ament, Robin Pierce SLPA Speech Language Pathology Ament, Robin Pierce SLPA Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jemmett, McKenzie SLPA Speech Language Pathology Jemmett, McKenzie SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology 1448 E Center Ste E Pocatello, ID S 11th Ste 305 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID S Arthur Ave Ste 2 Pocatello, ID N 12th Ave Pocatello, ID W Quinn Rd Pocatello, ID W Center Ste 200 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID W Center Ste 200 Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Hiline Rd Ste 210 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Pocatello, ID Call Creek Pl Ste A Pocatello, ID N 4th Ave Ste 110 Pocatello, ID Hiline Rd Ste 210 Pocatello, ID N Main St Ste E Pocatello, ID S 11th Ste 303 Pocatello, ID Memorial Dr Ste C Pocatello, ID N Main St Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Memorial Dr Ste C Pocatello, ID N Main St Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) ADA Accessible (855) (208) (208) (208) (208) (208) (208) ADA Accessible (855) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 343

348 Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Miller, Karissa D SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Waldron, Shayna Lyn SLPA, SLPA Speech Language Pathology Waldron, Shayna Lyn SLPA, SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Sports Medicine Johnson, Chris R DO Sports Medicine, Thoracic Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Urgent Care Carbol, Courtland Reid MD Urgent Care Carbol, Courtland Reid MD Urgent Care Carbol, Courtland Reid MD Urgent Care Shaw, James F MD Urgent Care Shaw, James F MD Urgent Care Urology Bohus, Robert W MD Urology Jones, Peter J MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Sule, J David MD Urology 1110 Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID N Main St Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Memorial Dr Ste C Pocatello, ID N Main St Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Call Creek Dr Ste 4B Pocatello, ID Hospital Way Ste A Pocatello, ID Hospital Way Ste 215 Pocatello, ID Hospital Way Pocatello, ID Hospital Way Ste 215 Pocatello, ID W Quinn Rd Pocatello, ID N 8th St Pocatello, ID Memorial Dr Pocatello, ID Bench Rd Ste B Pocatello, ID Hospital Way Ste G1 Pocatello, ID Hospital Way Ste 301 Pocatello, ID Hospital Way Ste 301 Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID N 4th Ave Ste 102 Pocatello, ID Bannock Hwy Pocatello, ID Hospital Way Bldg D Ste 100 Pocatello, ID Bannock Hwy Pocatello, ID (208) (208) (855) (208) (208) (208) (208) (208) (208) ADA Accessible (855) (208) (208) (208) (208) Languages: SPANISH -Portneuf Medical Center (208) Languages: SPANISH -Portneuf Medical Center (208) Languages: SPANISH (208) (208) Portneuf Medical Center (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible -Portneuf Medical Center (208) ADA Accessible -Portneuf Medical Center (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) Bingham Memorial Hospital -CHI St Alexius Health Williston (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 344

349 Ponderay Webster, Ryan F Dermatology Craig, Stephen D. MD Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Dietitian Ashford Tucker, Susan M Dietitian DeHaven, Charlene MD Rumore, Paul MD Antoniuk, Nelson MD Bloom, Joan M. MD Carter, Thomas DO Christensen, Stephen MD Dardine, Jade MD Durante, Cynthia T Fletcher, Thomas G. MD Fowler, Jeffrey B. OD Kaczmarek, Linda B Lawrence, Thomas L. MD Reinhardt, Ligeia A MD Simmons, Samuel Eric PA Wells, Richard General Practice Puffer, Steven C. General Practice Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Hettick, Jamie L MD Kim-Brown, Mona J. LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Campa, Carolyn M NPRA, RN 400 Schweitzer Plaza Dr Ste 4 Ponderay, ID Hwy 95 Ponderay, ID Hwy 95 Ponderay, ID Hwy 95 Ponderay, ID Highway 200 Ponderay, ID Schweitzer Plaza Dr Ste 1 Ponderay, ID Schweitzer Plaza Dr Ste 1 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ste 101 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Schweitzer Plaza Dr Ste 1 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID N Triangle Dr Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID N Triangle Dr Ponderay, ID Hwy 95 Ponderay, ID (208) (208) (208) (208) (208) (208) (208) (208) Languages: PORTUGUESE, SPANISH (208) Bonner General Hospital (208) (208) (208) (208) Mid-Valley Hospital (208) (208) Bonner General Hospital (208) (208) Bonner General Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 345

350 Cox, Ann ARNP, RN Mortensen, Shannon K. NPRA, RN / Cutler, Hilary L ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Grimm, Nichole Suzanne ARNP, RN / Grimm, Nichole Suzanne ARNP, RN / Koch, Tracey A. / O'Keefe, Tawnya D. / Sweeney, Katie ARNP, RN / Highway 200 Ponderay, ID Hwy 95 Ponderay, ID Hwy 95 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ste 101 Ponderay, ID Hwy 200 Ste 102 Ponderay, ID Highway 200 Ponderay, ID N Triangle Dr Ponderay, ID Highway 200 Ponderay, ID Taylor, Travis Lee ARNP, NPRA, RN Hwy 200 Ste 102 /, Registered Nurse/ Ponderay, ID First Assistant /Geriatric Rafacz, Ruthann /Geriatric DiBenedetto, Michael Raymond Magee, William Thomas Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Ainge, Charlotte S MA Allmaras, Tanya Marie PA Bazzano, Robert B. Brown, Lura A PAC Dryden, Chelsy Layne PAC Flygare, Richard A PA Jabbour, Albert Kenneth PAC McIsaac, Michael Andrew Rodriguez, Craig A PA Sprunt, Matthew W PA Podiatry Fisher, Jonathan Donald DPM Podiatry Highway 200 Ponderay, ID Hwy 200 Ste 102 Ponderay, ID Hwy 200 Ste 102 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Hwy 200 Ste 102 Ponderay, ID Hwy 95 Ponderay, ID Highway 200 Ponderay, ID Hwy 95 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Hwy 95 Ponderay, ID Highway 200 Ponderay, ID Hwy 200 Ste 102 Ponderay, ID (208) (208) Gritman Medical Center Inc (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital (208) (208) Bonner General Hospital -Boundary Community Hospital (208) Bonner General Hospital -Boundary Community Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: PORTUGUESE (208) (208) (208) (208) (208) Bonner General Hospital -Boundary Community Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 346

351 Ely, Mallorie LSW Kusler, Adam LSW Lucero, Carol Vanita Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Post Falls Anesthesiology Bertoni, Raymond Anesthesiology Herndon, Brian N RN, RN Anesthesiology, Cert Registered Nurse Anesthetist (CRNA) Riley, Eric T. Anesthesiology Audiology Kogler, Barbara K CA Audiology Kogler, Barbara K CA Audiology Larson, Clarissa G Audiology Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Damrongpipatkij, Yudthsak Cardiovascular Disease Everett, John P. Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Hill, R Dean MD Cardiovascular Disease, Interventional Cardiology Janout, Marek MD Cardiovascular Disease Jones, David T. Cardiovascular Disease Jones, David T. Cardiovascular Disease McGann, Christopher J Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Muni, Nimish H Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Pavlic, Romeo A Cardiovascular Disease Waggoner, Jr., L. Douglas Cardiovascular Disease Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID Highway 200 Ponderay, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID N Spokane St Ste 100 Post Falls, ID N Spokane St Post Falls, ID N Spokane St Ste 100 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID N Syringa St Ste 203 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) Yakima Valley Memorial Hospital (208) (208) (208) (509) (509) (208) Languages: THAI (208) (208) (509) (509) Harrison Medical Center (208) Deaconess Medical Center (208) Languages: CZECH -Sacred Heart Medical Center (509) Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (509) Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) (509) (509) (208) Swedish Medical Center (208) (208) Languages: GERMAN, RUSSIAN, SPANISH (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 347

352 Cert Registered Nurse Anesthetist (CRNA) Gibbar, Angela Rae ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Honcoop, Barry Cert Registered Nurse Anesthetist (CRNA) Moos, Jeffrey A RN Cert Registered Nurse Anesthetist (CRNA) Reames, Daryl V RN, RNAD Cert Registered Nurse Anesthetist (CRNA) Webb, Clarke B ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Marshall, Jill E. Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Badders, Jedediah Daniel DC Crawford, Scott Nathan DC Elliott, Scott DC Ficklin, Toby A. DC Hardison, Michael David DC Higgins, William B DC Irwin, Brendan James DC Jacobson, Melissa Anne Thomas, Richard J DC Vancho, James E DC Wentworth, Emily Rene DC Chiu, Mary, Hankins, Thomas Carlisle MD, Aerospace Medicine Hitchcock, Robyn MD Hjeltness, Kirk MD Obligato, Peter R. Russo, Anthony L MD Winter, James P MD Abrahams, Michael MD Barker, Michael MD Billingslea, Christopher M DO Bowman, Bradley P Burns, Brittany Carleton MD, Urgent Care Caldwell, Richard B, Urgent Care Chambers, David L, Urgent Care 1593 E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 103 Post Falls, ID E Mullan Ave Ste 300 Post Falls, ID N Thornton Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID East Seltice Way Suite 110 Post Falls, ID E Seltice Way Post Falls, ID E Seltice Way Ste C Post Falls, ID E Seltice Way Ste C Post Falls, ID E Polston Ave Ste A Post Falls, ID Shetland Ct Post Falls, ID West 11th Street Suite B Post Falls, ID N Calgary Ct Ste 1 Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 100 Post Falls, ID N Syringa St Ste 100 Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID (208) (208) (208) Benewah Community Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Bonner General Hospital (208) (208) (208) Pullman Regional Hospital (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 348

353 Cox, Craig H. MD, Urgent Care Denny, Stuart, Urgent Care Esau, Arlie E., Urgent Care Ford, Morgan D. Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Gibbon, Lawrence K. MD, Urgent Care Gilles, Ryan J Givens, Jeffery S MD, Urgent Care Guth, Leonard D MD, Urgent Care Hagen, Robert W MD Haynes, Paul B MD Jacobsen, Cher A MD Jones, Roxanna S, Urgent Care Kindler, Scott R. DO Klein, Dennis DO Lindblad, Donald (Blair) MD Meza, Michael G. MD Monohan, Michael W. DO Neal, Thomas A MD, Urgent Care Peters, Anthony D DO Ragsdale, Sara K DO Rittenour, Timothy Mark MD Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Schaller, Christine C. MD Shaw, Alyssa A MD, Urgent Care Stenhouse, Faine MD Sturges, John A, Urgent Care Wester, Daniel C MD Whiting, Michael D., Urgent Care /OB Mena, Robert M. /OB General Surgery Pennings, John L. MD General Surgery Sarkis, Antoine Y MD General Surgery 1300 E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 100 Post Falls, ID W 4th Ave Ste B Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Polston Ave Post Falls, ID W 4th Ave Ste B Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ave Ste 300 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa Ste 205 Post Falls, ID N Syringa St Ste 103 Post Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 349

354 Stackow, John C. MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Bartels, David Cadwell DO, Oncology/Hematology Benson, Eric P. MD Carraher, Michael J MD Casper, John B MD, Anesthesiology Dinning, Andrea N Gersh, Robert H., Oncology/Hematology Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Melchiore, Susan MD Roth, Jason Eric Roth, Jason Eric Wise, John M Interventional Cardiology Houck, Robin C Interventional Cardiology Thew, Stephen T. MD Interventional Cardiology Carr-Peterson, Stacia Crista LMHC Kimmel, Katie LMHC Mitchell, Kristine I LMHC Olson, Casey Lynn LMHC Piovesan, Dean Stanley LMHC Record, Susan Nasser LMHC, RN Wenig, Tanya C White, Rebecca Lynn LMHC Licensed Massage Therapist Greene, Amy Elizabeth LMP Massage Therapy Hurt, Sonja LMP Massage Therapy Lee, Shannon L Massage Therapy Robertson, Omega LMP Massage Therapy Nephrology 750 N Syringa St Ste 103 Post Falls, ID E Mullan Ave Ste 1200 Post Falls, ID N Garden Plaza Ct Post Falls, ID N Cecil Post Falls, ID E Polston Ave Post Falls, ID E Poulston Ave Ste 102 Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID Polston Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Solena Ave Post Falls, ID E Polston Ave Post Falls, ID N Thornton St Ste C Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID Schneidmiller Ave Ste 131 A Post Falls, ID E Polston Ave Post Falls, ID E 16th Ave Ste B Post Falls, ID E Polston Ave Post Falls, ID E Seltice Way Ste A Post Falls, ID E Polston Ave Post Falls, ID (208) Benewah Community Hospital -Shoshone Medical Center (208) (208) (208) (208) (509) ADA Accessible (208) (208) (208) (208) (509) ADA Accessible (208) (208) (208) (509) (509) (208) (208) Languages: FRENCH (208) (757) (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 350

355 Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Mielke, Brendan A Nephrology Neurological Surgery McDonald, Jeffrey D. MD Neurological Surgery Neurology Coats, Michael Edwin MD Neurology, Sleep Disorder Medicine Nuclear Medicine Black, Richard R. Nuclear Medicine Nurse Midwife Certified/Licensed Krull, Faith M Nurse Midwife Certified/Licensed Williamson, Ronda L. RNMW Nurse Midwife Certified/Licensed Arnold, Lynda J. NPRA, RN Asper, Annette L ARNP, RN Asper, Annette L ARNP, RN Bowman, Taffie ARNP Cano-Keighley, Michelle Nicole NPRA, RN Collar, Janet Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Masterson, Twyla J ARNP, RN Mykkanen, Debra Colleen ARNP, RN Pena, Holly B ARNP, RN Reese, Reva Gay ARNP Spencer, Breanna A. / Baran, Susan E. / Brulotte, Natalie Rose NPRA, RN / Harder, Paige A. / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / 1300 E Mullan Ave Ste 1200 Post Falls, ID N Garden Plaza Ct Post Falls, ID N Cecil Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID N Syringa Ste 104 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Mullan Ave Ste 500 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID E Poston Ave Ste B Post Falls, ID N Syringa St Ste 200B Post Falls, ID N Spokane St Ste 100 Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 100 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID N Cecil Post Falls, ID (208) (208) (208) (208) (509) (208) (509) Not accepting new patients (866) (208) (208) (208) (208) (208) (208) (208) (509) (509) (509) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (509) Not accepting new patients (208) (208) (208) (509) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 351

356 Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Marsh, Joni D / O Neill, Chelsey J ARNP, RN / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Spellman, Shauna A. ARNP, RN / Sutton, Christy ARNP, RN / Taylor, Ellen J. NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Williams, Marty Jay ARNP, RN / Wilson, Annalee M ARNP, RN / Young, Lana Rochelle NPRA, RN / /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric McLachlan, Nicola L ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Hill, Regan MD McCrummen, Brenna K MD Woods, Steven K. Oncology, Medical Ahmad, Naseer MD Oncology, Medical Ahmad, Naseer MD Oncology, Medical Mulvey, Kevin P MD Oncology, Medical, Hematology, Oncology/Hematology Allen, Jeffrey W Oncology/Hematology Chester, Kawal D. Oncology/Hematology Kaya, Hakan Oncology/Hematology Samuels, Brian L. Oncology/Hematology, Samuels, Brian L. Oncology/Hematology, 925 E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Poulston Ave Ste 102 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Ste 1200 Post Falls, ID N Garden Plaza Ct Post Falls, ID N Cecil Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 500 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID E Mullen Ave Ste 900 Post Falls, ID N Syringa St Ste 104 Post Falls, ID E Poulston Ave Ste 102 Post Falls, ID E Mullen Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID N Syringa St Ste 104 Post Falls, ID (208) (208) (509) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) ADA Accessible (208) (208) (509) ADA Accessible (509) ADA Accessible (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 352

357 Samuels, Brian L. Oncology/Hematology, Tezcan, Haluk Oncology/Hematology Ophthalmology Buckland III, G. Thaddeus MD Ophthalmology Dance, David Gerald MD Ophthalmology Duke, Sara Lin MD Ophthalmology Granier, Alison Marie MD Ophthalmology Kent, Roderick S MD Ophthalmology Moss, Stephen A MD Ophthalmology Parden, Patrick J. MD Ophthalmology StormoGipson, D. Justin Ophthalmology Optometry Fagan, Lance W. OD Optometry Jangula, Jesse James Optometry Jangula, Rebecca Jael Optometry Weisel, John C OD Optometry Bowen, Joseph Marshall MD Linthicum, Jonathan J MD Quinn, Connor W MD, Sports Medicine Otolaryngology Beaton, Thomas P. Otolaryngology De Tar, Thomas R MD Otolaryngology Gilbert, Michael E. MD Otolaryngology Pain Management Jameson, Jessica Berryman MD Pain Management Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Martin, Beth A MD Pediatrics Neff, Terence E. MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Weeda, Charlotte E MD Pediatrics 1641 E Poulston Ave Ste 102 Post Falls, ID E Mullan Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID W 4th Ave Ste A Post Falls, ID W 4th Ave Ste A Post Falls, ID Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste C Post Falls, ID E Polston Ave Ste C Post Falls, ID N Syringa Ste 203 Post Falls, ID N Spokane St Ste 100 Post Falls, ID N Spokane St Ste 100 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID E Mullan Ave Ste 1000 Post Falls, ID (509) ADA Accessible (208) Languages: GERMAN, TURKISH (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 353

358 Andrews, David B. Andrews, David B. Bengtson, Mark B. Bengtson, Mark B. Bluemer, Lori-Ann I. Borg, Adam Michael PT Brouwer, Jesse PT Clegg, Shawna Lea PT Cook, Todd Vincent PT Cook, Todd Vincent PT Cox, Bailly Rene PT Dye, Jeremy Albert PT Feasline, Mark E. Feasline, Mark E. Garner, Bryan Robert PT Goodall, Fay A PT Hammond, Lucas P PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hillman, David W PT Holmes, Katharine L. Hopper, Dean M. Johnson, Brett C Kane, Justin T. PT Kim, Michael C. PT Lucas, Matthew J. Moehring, Shawn G PT Morris, Neil David PT Morrison, Stephanie Alyse PT Nagle, Lee E. Norling, Zachary K PT Norling, Zachary K PT Papineau, Timothy L. PT Pruitt, Sky R PT Randklev, Scott Robert PT 925 E Polston Ave Ste B Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Ste B Post Falls, ID E Mullen Post Falls, ID Thornton St Post Falls, ID E Polston Ave Ste A Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste A Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Ste B Post Falls, ID North Idaho Suite A1 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste A Post Falls, ID E Mullen Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Ste 201 Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste A Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste B Post Falls, ID E Mullen Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Post Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 354

359 Sayler, John P Scherr, Brian M Scherr, Brian M Sharples-Faucher, Brad E PT Shellman, Lee C. PT Shipley, Heather Lea PT Smalley, Lisa M. Steininger, Laura Handyside PT Sweetapple, Jean C Thoreson, Nate S PT Tonani, Karen Verhaeghe, Eric N PT Waldo, Chad Phillip PT Atkins, David Scott PA, PA Biondo, Natale PAC Gibbs, Scott W. PA Graham, Michael C PA Hartzell, Sarah O PA Kazmierski, Brian E PA Lang, Gregory Lang, Gregory Melgaard, John P. Richlie, Taryn M PAC Rosenthal, Seth T Ruiz, Jose Anthony Ruiz, Jose Anthony Spraggins, Rasan L Trudeau, Randy J. PAC Whitmore, Megan N PAC Yourzek Sr, Michael J PAC Podiatry Thompson, Bryan T. Podiatry Preventive Medicine Swanson, IV, John David MD Preventive Medicine, Aerospace Medicine, Occupational Medicine 1590 E Polston Ave Ste B Post Falls, ID E Polston Ave Ste B Post Falls, ID E Mullen Post Falls, ID W 9th St Post Falls, ID E Polston Ave Ste A Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Ste B Post Falls, ID W 9th St Post Falls, ID E Polston Ave Post Falls, ID W 9th St Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 103 Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID N Syringa Ste 205 Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste B Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Ste A Post Falls, ID N Syringa St Ste 100 Post Falls, ID (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Syringa Hospital & Clinics (208) Northwest Specialty Hospital (208) Shoshone Medical Center (208) Gritman Medical Center Inc (208) (208) (509) (509) (208) (208) (208) Northwest Specialty Hospital (208) EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (208) EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (509) (208) (208) (208) (208) Northwest Specialty Hospital (208) Northwest Specialty Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 355

360 Psychiatry Carlberg, Nicole L Psychiatry Carlberg, Nicole L Psychiatry Psychology Asbell, Laura PY Psychology Pulmonary Disease Green, Todd R Pulmonary Disease, Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Werchowski, Jeffrey L MD Pulmonary Disease, Sleep Disorder Medicine Radiation Oncology Call, Jason Radiation Oncology Davenport, David E MD Radiation Oncology Fairbanks, Robert K. MD Radiation Oncology Griffith, Jon L. Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Laing, Susan M MD Radiation Oncology Lamm, Frank R MD Radiation Oncology Lamoreaux, Wayne T. Radiation Oncology Lee, Christopher M. Radiation Oncology Wagner, Aaron Eugene Radiation Oncology McKlendin, Keith P. MD Bageac, Alexandru C Bardo, Dianna M.E. Brockenbrough, Kimberly B Clemett, John Fatz, Casey J MD Gapinski, Connie J Johnson, Germaine Richard MD, Nuclear Medicine Ley, Carl E E Schneidmiller Ave Post Falls, ID Schneidmiller Ave Post Falls, ID W Laura Ln Post Falls, ID N Calgary Ct Ste 103 Post Falls, ID N Syringa St Ste 200B Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Ste 204 Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullen Post Falls, ID E Poulston Ave Ste 102 Post Falls, ID E Mullan Ave Post Falls, ID E Poulston Ave Ste 102 Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Post Falls, ID Polston Ave Post Falls, ID E Polston Ave Post Falls, ID E Mullan Ave Post Falls, ID (208) (208) (208) (509) Providence Holy Family Hospital (208) (208) (509) Not accepting new patients (509) ADA Accessible (509) ADA Accessible (509) ADA Accessible (509) ADA Accessible -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) Sacred Heart Medical Center (509) ADA Accessible -Sacred Heart Medical Center (509) ADA Accessible (509) ADA Accessible (509) ADA Accessible Languages: SPANISH (509) ADA Accessible Languages: GERMAN (509) ADA Accessible (208) (208) Providence Portland Medical Center (208) (208) (208) (208) (952) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 356

361 Lowe, Philip N Lowe, Philip N Martinez, Alberto J MD Martinez, Alberto J MD McNamee, Brian J. MD Michalson, Arne E MD Michalson, Arne E MD Michel, Jerry A,,, Vascular & Interventional Michel, Jerry A,,, Vascular & Interventional Pfleger, Mark J Smith, Justin B,, Interventional Theoharis, Jennifer A, Therapeutic Schomberg, Paula Jean, Therapeutic Van Heuvelen, Gary MD, Therapeutic Brinton, Barbara F LSW Currie, Karen Joy LSW Easton, Patricia J LSW May, Diana Lynn LSW Nicholas Anderson, Kristina Lynn LSW Osterson, Cara P LSW Schilling, Lea Beth LSW Stone, Jared Thomas LSW Videtich, Kevin Lawrence LSW, LSW, LSW Urgent Care Brinton, Howard MD Urgent Care Crites, John D MD Urgent Care Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Potlatch Rice, Matthew L. DOIR Park, Melissa L. MD 1593 E Polston Ave Post Falls, ID N Syringa St Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Polston Ave Post Falls, ID N Syringa St Post Falls, ID E Polston Ave Post Falls, ID E Polston Ave Post Falls, ID Polston Ave Post Falls, ID E Mullan Ave Post Falls, ID E Mullan Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID E Polston Ave Post Falls, ID Warbler LN Post Falls, ID E Schneidmiller Ave Post Falls, ID E Polston Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID E Polston Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID E Schneidmiller Ave Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID E Mullan Ste 600 Post Falls, ID N Syringa St Ste 100 Post Falls, ID th St Potlatch, ID th St Potlatch, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (952) Lake Chelan Community Hospital (509) ADA Accessible -Deaconess Medical Center (509) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN (208) Gritman Medical Center Inc -Pullman Regional Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 357

362 White, Kama Sibbell MD / Seegmiller, Jennifer A ARNP / Davis, Jennifer L PA Landle, Kelly Marie PA 225 6th St Potlatch, ID th St Potlatch, ID th St Potlatch, ID th St Potlatch, ID (208) (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) Preston Cert Registered Nurse Anesthetist (CRNA) Holt, Alan D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bowers, Paul Kendell DC, DC, RN Ward, Dallas K. Ward, Leonard E., Acupuncture Bokelmann, Jean M MD Christensen, Kelli Deanne MD Fenstermaker, John Fernandez, Luis Manual MD, MD Harris, Marcus D DO Harris, Marcus D DO Horrocks, Mark T MD Kjos, Melissa R MD Knapp, Stuart G MD Knapp, Stuart G MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO /OB Curtis, Jacob K DO /OB Curtis, Jacob K DO /OB Patten, Daniel Y /OB Patten, Daniel Y /OB Infectious Disease Buitrago, Martha I. Infectious Disease 44 N 1st E Preston, ID S 4th E Ste 600 Preston, ID N State St Preston, ID North State Street Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID N 1st E Preston, ID N 1st E Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID N 1st E Preston, ID N 1st E Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID N 1st E Preston, ID N 1st E Preston, ID N 1st E Preston, ID N 1st E Preston, ID S 4th E Ste 600 Preston, ID Hutton-Levenson, Judith LMHC 655 S 4th E Ste 600, Marriage & Family Preston, ID Counselor / (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) ADA Accessible (208) ADA Accessible (208) Languages: SPANISH (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Languages: SPANISH (208) ADA Accessible Languages: SPANISH (208) Eastern Idaho Regional Medical Center (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 358

363 Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Schaper, Heather Ann PA Wyatt, Chantee I PAC Wyatt, Chantee I PAC Podiatry Christensen, Brent DPM Podiatry Gambles, Darin G Podiatry Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care Priest River Kiriaka, Bradley Dean DC Kiriaka, Bradley Dean DC Thomas, Christopher A. Antoniuk, Nelson MD Carter, Thomas DO Fletcher, Thomas G. MD Fowler, Jeffrey B. OD Kim-Brown, Mona J. LMHC Licensed Massage Therapist Miller, Delores D Massage Therapy Cox, Ann ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / 655 S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID N 1st E Preston, ID N 1st E Preston, ID N 100th St E Preston, ID S 100 W Ste B Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID S 4th E Ste 600 Preston, ID E Albeni Hwy Ste 103 Priest River, ID Hwy 2 Priest River, ID E Albeni Hwy Ste 103 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID th St Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) (888) (208) (208) (208) Languages: PORTUGUESE, SPANISH (208) (208) (208) Bonner General Hospital (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 359

364 Koch, Tracey A. / /Geriatric Rafacz, Ruthann /Geriatric Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Jabbour, Albert Kenneth PAC Kusler, Adam LSW Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Rathdrum Hall, Steven B. Haynes, Paul B MD Haynes, Paul B MD Mayer, Alan Douglas Meza, Michael G. MD Meza, Michael G. MD Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Crest, Anthony Bryan MD Gill, Kirandeep Kaur DO, Pediatrics Melchiore, Susan MD Newcombe, Jr., L. Raymond MD Wilson, Jeffrey D DO Daggy, Linda Marie LMHC Huffer, John Brian LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC 6509 Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID Hwy 2 Ste 101 Priest River, ID North Highway 41 Rathdrum, ID North Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Ste B Rathdrum, ID Kimo Ct Ste B Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 360

365 Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC White, Rebecca Lynn LMHC Arnold, Lynda J. NPRA, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Reese, Reva Gay ARNP / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Prindle, Regina M ARNP, RN / Tickemyer, Krista Ann NPRA, RN / Vecchio, Pamela J ARNP / Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Young, Lana Rochelle NPRA, RN / /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Optometry Miller, Brian R. Optometry Bailey, Michael D Bartoo, Joshua B. Danser, Christine PT Garrett, Christopher J. Atkins, David Scott PA, PA Gibbs, Scott W. PA Richlie, Taryn M PAC N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Ste B Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID Kimo Ct Ste B Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID North Kimo Court Suite A Rathdrum, ID North Kimo Court Suite A Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID (208) (208) (208) (208) (208) (208) (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Syringa Hospital & Clinics (208) Shoshone Medical Center (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 361

366 Sarkis, Heather J. PA Sarkis, Heather J. PA Smith, Ryan Lee PA Vieth, Patricia Ann Knoll PAC Yourzek Sr, Michael J PAC Psychiatry Wait, David B. MD Psychiatry Cartwright, Laura Elaine LSW Currie, Karen Joy LSW Easton, Patricia J LSW Garrett, Christopher A LSW Nicholas Anderson, Kristina Lynn LSW Schilling, Lea Beth LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Urgent Care Morse, Jeremy Charles MD Urgent Care Kimo Ct Ste B Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Ste B Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Hwy 41 Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Kimo Ct Rathdrum, ID N Highway 41 Rathdrum, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Rexburg Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Daniels, David F. Dustin, Kelly L DO, DO Gillette, Austin C MD Hardy, Scott R DO Jones, Richard T MD Prince, Clay C MD Speakman, William B DO Watson, Joseph E MD Wilde, Trevor Glade DO /OB Zollinger, Charles J. MD /OB General Surgery 491 First American Cir Rexburg, ID First American Cir Rexburg, ID First American Cir Rexburg, ID E Main St Rexburg, ID Winn Dr Rexburg, ID Winn Dr Rexburg, ID E 4th N Rexburg, ID N 3rd E Rexburg, ID Madison Professional Park Rexburg, ID E Main St Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID (208) Bingham Memorial Hospital (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 362

367 Christensen, Brian Wade MD General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery Andersen, Scott Kay Marriage & Family Counselor Anderson, Kellie M LMFT Marriage & Family Counselor Neurology Cheatham, Robert MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, / Jeppesen, Nichole Ann / Jeppson, Rebecca M NPRA, RN / /Women's Health Jones, Rachelle NPRA, RN /Women's Health Allred, John W MD Evans, Edward E MD Occupational Therapy Anderson, Rebecca Jo Occupational Therapy Anderson, Rebecca Jo Occupational Therapy Chidester, Jonathan G OT Occupational Therapy Clift, Jeffery M OT Occupational Therapy Daybell, Matthew K OT Occupational Therapy Kingsford, Brian D Occupational Therapy Kingsford, Brian D Occupational Therapy Ophthalmology Cannon, Richard P. MD Ophthalmology Gardner, Bradley P. MD Ophthalmology Larson, Michael J MD Lee, Kevin Murdock MD, Sports Medicine Torngren, Travis Roy MD 20 Madison Professional Park Rexburg, ID S 2nd E 3rd Fl Rexburg, ID E 2nd N Rexburg, ID S Yellowstone Hwy Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID Madison Professional Park Rexburg, ID Madison Professional Park Rexburg, ID Madison Professional Park Rexburg, ID Madison Professional Park Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID Professional Plaza Ste 110 Rexburg, ID E 2nd N Rexburg, ID Professional Plaza Ste 110 Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID Professional Plaza Ste 110 Rexburg, ID First American Circle Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID E Main St Rexburg, ID E Main St Rexburg, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (406) (208) Not accepting new patients (406) (208) Not accepting new patients (208) (406) (208) (208) Eastern Idaho Regional Medical Center (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 363

368 Otolaryngology McMaster, Jay R DO Otolaryngology Peterson, Barry J DO Otolaryngology, Allergy & Immunology Pediatrics Gates, Gene P MD Pediatrics Hymas, Jason E MD Pediatrics Physical Medicine and Rehabilitation Vlach, Sarah A. MD Physical Medicine and Rehabilitation Cordero, Bradley Stewart PT Little, Stacie L. Rupp, Michael David PT Anderson, Terry J. PAC Bagley, Brett G PAC Batt, David Porter PA Brunson, Zachery Michael PA Day, David PAC Hammar, Mark S PA Perez, Rebecca PAC Weber, Dan L PAC Podiatry Kovac, Kylin Todd DPM Podiatry Bigler, Dirk E. Bigler, Dirk E. Bigler, Dirk E. Bigler, Dirk E. Lance, Jason N MD Sievers, Ralph E. MD Wray, Alan B Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD 256 N 2nd E Ste 2 Rexburg, ID N 2nd E Ste 2 Rexburg, ID S 2nd E Rexburg, ID S 2nd E Rexburg, ID E Main Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID E Main St Ste 203 Rexburg, ID Winn Dr Rexburg, ID Trejo St Ste 400 Rexburg, ID E 2nd N Rexburg, ID E 2nd N Rexburg, ID N 3rd E Rexburg, ID S 2nd E Rexburg, ID E 2nd N Rexburg, ID N 2nd E Ste 2 Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID Professional Plz Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E 4th N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) (208) Not accepting new patients (208) ADA Accessible (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) ADA Accessible (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC -St Joseph Regional Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 364

369 Bachman, Lorin Christopher MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Clinger, Neal J MD Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. 393 E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 365

370 Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Neeley, James P. Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. 425 E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 366

371 Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Penney, Richard M. MD, Interventional Rigby Hammar, Bryan D. Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Allphin, Christopher James MD Huggins, Margaret C MD McGary, Trent Robert PT 1 Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E Main St Rexburg, ID Professional Plz Rexburg, ID E Main St Rexburg, ID Madison Professional Park Rexburg, ID E 2nd N Rexburg, ID E 4th N Rexburg, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Farnsworth Way Ste 3 Rigby, ID Farnsworth Way Ste 3 Rigby, ID E 300 N Rigby, ID (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) Mountain View Hospital LLC (208) (208) (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 367

372 Richins, Stephen L PA Rizor, Helena MB PA Walaliyadda, Ranmali Kalyani PA Bigler, Dirk E. Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. 711 Rigby Lake Dr Ste 114 Rigby, ID Rigby Lake Dr Ste 114 Rigby, ID Rigby Lake Dr Ste 114 Rigby, ID Rigby Lake Dr Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 368

373 Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Rheumatology Walaliyadda, Ananda Rheumatology, Urgent Care Curtis, Larry T MD Urgent Care Rupert Audiology Pickup, Christine Wilcox Audiology Swenson, Jeffrey Scott MD General Surgery Johnson, Daclynn S MD General Surgery Saunders, Margo MD / Catmull, Aaron Bradley NPRA, RN / McHan, Cameron NPRA, RN / Milliron, Anastasia B / Hodges, Ryan Dennis PA Sagle Marriage & Family Counselor Barker, William T. Marriage & Family Counselor Saint Anthony Williams, Kerry Chant DC Spaulding, Tiffany /OB Curtis, Jacob K DO /OB Nuclear Medicine Edlin, James P. MD Nuclear Medicine, 711 Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Rigby, ID E 1st S Rigby, ID Rigby Lake Dr Ste 114 Rigby, ID E 1st S Rigby, ID th St Ste 2 Rupert, ID th St Ste 1 Rupert, ID th St Ste 10 Rupert, ID th St Ste 1 Rupert, ID th St Ste 1 Rupert, ID th St Ste 1 Rupert, ID th St Rupert, ID th St Rupert, ID Beers Humbird Dr Ste B Sagle, ID N 3rd St E Saint Anthony, ID N 3rd St E Saint Anthony, ID N 3rd St E Saint Anthony, ID N 3rd E Saint Anthony, ID (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) ADA Accessible (208) Minidoka Memorial Hospital (208) ADA Accessible -Minidoka Memorial Hospital (208) ADA Accessible (208) ADA Accessible Languages: SPANISH (208) (208) Minidoka Memorial Hospital (208) Languages: SPANISH (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 369

374 Miller, Whittney K NPRA, RN Brower, Andrew L PAC Hansen, Bryant F PAC Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Saint Maries Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease, Interventional Cardiology Fritz, Ronald M. DO Cardiovascular Disease Parge, Kirk DC, LAC, Acupuncture Davenport, Terry E OD Katovich Jr, John R MD Schneider, Jesse A DO Spence, W. Scott MD 20 N 3rd St E Saint Anthony, ID N 3rd St E Saint Anthony, ID N 3rd St E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID N 3rd E Saint Anthony, ID S 7th St Saint Maries, ID S 7th St Saint Maries, ID N 8th St Ste 4 Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (509) Bonner General Hospital (208) Languages: SPANISH (208) Benewah Community Hospital (208) Benewah Community Hospital (208) Benewah Community Hospital (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 370

375 Spence, W. Scott MD Thurston, Richard K. General Surgery Stackow, John C. MD General Surgery Wheeler, William W General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Nephrology Foster, Sherwin Stephen MD Nephrology, Nuclear Medicine Sigg, Daniel M Nuclear Medicine / O'Keefe, Tawnya D. / Rogers, Leslie Corrine ARNP, RN / Taylor, Jessica Ann / Watson, Alex B MD Oncology, Medical Ahmad, Naseer MD Oncology, Medical Chaudhry, Arvind Oncology, Medical, Oncology/Hematology Samuels, Brian L. Oncology/Hematology, Optometry Magwire, Robert D. Optometry Otolaryngology Beaton, Thomas P. Otolaryngology Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Lamm, Frank R MD Radiation Oncology Brinton, Barbara F LSW May, Diana Lynn LSW Stone, Jared Thomas LSW Videtich, Kevin Lawrence LSW, LSW, LSW Salmon Cardiovascular Disease Navone, Anthony J MD Cardiovascular Disease, 229 S 7th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID th St Saint Maries, ID S 8th St Saint Maries, ID S 8th St Saint Maries, ID th St Saint Maries, ID S 8th St Saint Maries, ID th St Saint Maries, ID th St Saint Maries, ID th St Saint Maries, ID College Ave Saint Maries, ID S 8th St Saint Maries, ID th St Saint Maries, ID th St Saint Maries, ID College Ave Ste 2 Saint Maries, ID College Ave Ste 2 Saint Maries, ID College Ave Ste 2 Saint Maries, ID College Ave Ste 2 Saint Maries, ID S Daisy St Salmon, ID (208) (208) (208) Benewah Community Hospital -Shoshone Medical Center (208) (208) (208) (509) (208) (208) (509) (208) (509) (509) (509) (208) (208) (509) Sacred Heart Medical Center (509) (208) (208) (208) (208) (406) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 371

376 Hayward, Bruce T. Zavotsky, Diane, /OB Gardner, Samuel Interventional Cardiology Bandow, George T Interventional Cardiology, Infectious Disease Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Campbell, Ruth Nebeker, Suzanne Natelson, Richard Behm, Gregory M. Nolan, David E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Sandpoint Allergy & Immunology 805 Main St Salmon, ID Main St Salmon, ID Main St Salmon, ID S Daisy St Salmon, ID S Daisy Salmon, ID Main St Salmon, ID Main St Salmon, ID Main St Salmon, ID Main St Salmon, ID Main St Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID S Daisy Salmon, ID (208) (208) (208) (406) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital -Portneuf Medical Center (208) (208) (208) (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) (208) (208) (208) Mountain View Hospital LLC (208) (208) Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 372

377 Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Smith, Daniel Philip Wiser Anesthesiology, Pain Management Audiology Schnell, Gloria R. Audiology Strong, Heidi J CA Audiology Torosian, Karen L. Audiology Cardiovascular Disease Blakeley, Russell R MD Cardiovascular Disease, Blakeley, Russell R MD Cardiovascular Disease, Canaday, Donald B. Cardiovascular Disease Fritz, Ronald M. DO Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Hollenbaugh, Darren C Cardiovascular Disease Hollenbaugh, Darren C Cardiovascular Disease Holman, Robert L. Cardiovascular Disease, Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Murphy, William S. Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Schillar, Pamella Arline CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Baker, Rick A. DC Leisy, Ryan A. Dietitian Buck, Audrey Dietitian Davidson, James Riley MD Uzabel, Samuel MD Antoniuk, Nelson MD Carter, Thomas DO Dunn, Scott R. MD Fletcher, Thomas G. MD 606 N 3rd Ave Ste 101 Sandpoint, ID Superior Ste 104 Sandpoint, ID N 2nd Ave Ste 300 Sandpoint, ID nd Ave Sandpoint, ID N 2nd Ave Ste 300 Sandpoint, ID N 3rd Ste 203 Sandpoint, ID N 3rd Ave Sandpoint, ID S 1st Ave Sandpoint, ID N 3rd Ave Sandpoint, ID S 1st Ave Sandpoint, ID N 3rd Ave Sandpoint, ID Church St Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ste 203 Sandpoint, ID S 1st Ave Sandpoint, ID N 3rd Sandpoint, ID S Euclid Ave Ste 109 Sandpoint, ID Washington St Ste 203 Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID (800) x3277 (509) (208) (208) (208) (208) (208) (509) Bonner General Hospital -Gritman Medical Center Inc (208) Bonner General Hospital (509) (509) Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital -Valley Medical Center (509) Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital -Valley Medical Center (208) Languages: GERMAN -Bonner General Hospital (208) Bonner General Hospital (208) (208) Bonner General Hospital (208) (208) (208) (208) (208) (208) Languages: PORTUGUESE, SPANISH (208) (208) Bonner General Hospital (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 373

378 Meulenberg, Daniel J. MD Rust Jr, Robert E MD Schwartz, Bradley L. Schwartz, Bradley L. Waters, Jeremy MD Waters, Kara DO General Practice Hernandez, Mark A MD General Practice Puffer, Steven C. General Practice General Surgery May, Michael T. General Surgery Torgenson, Marcus J MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Crane, Charles M MD Dinning, Dustin D DO, Rheumatology Morley, Kimberly A Roth, Jason Eric Roth, Jason Eric Darby, Cynthia D LMFT Glidden, Brom Joshua Phillip LMHC Hicks, Jill K LMHC Kimes, Judy Krutz, Tamra Mae LMHC Majeski, Susan Margaret Miller, Tatum Marie LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, 606 N 3rd Ave Ste 101 Sandpoint, ID N Division Ave Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID South First Avenue Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID Washington Ave Sandpoint, ID Washington St Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID Church St Sandpoint, ID N 3rd Ave Sandpoint, ID N 3rd Ave Sandpoint, ID S 1st Ave Sandpoint, ID S 1st Ave Sandpoint, ID Superior St Ste 110 Sandpoint, ID S Division Ave Sandpoint, ID W Ontario Sandpoint, ID Ontario St Sandpoint, ID Superior St Ste B Sandpoint, ID N 1st Ave Ste 202 Sandpoint, ID E Lake St Ste 201 Sandpoint, ID N 3rd Ave Sandpoint, ID Washington Ave Sandpoint, ID Washington St Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID (208) Bonner General Hospital (208) Languages: SPANISH (208) (208) Bonner General Hospital (208) Bonner General Hospital (208) Bonner General Hospital (208) Bonner General Hospital (208) (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (208) Not accepting new patients (208) (208) (206) (208) (208) Not accepting new patients (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 374

379 Neurology Coats, Michael Edwin MD Neurology Ramey, David B Neurology Nurse Midwife Certified/Licensed Britain, Elizabeth A CNM Nurse Midwife Certified/Licensed Britain, Elizabeth A CNM Nurse Midwife Certified/Licensed Bowman, Taffie ARNP Cox, Ann ARNP, RN / Anderson, Michelle M. ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Hoover, Jane E NPRA, RN / Kendra, Regina Marie Domingo / Koch, Tracey A. / Long, Deborah J / Long, Deborah J / McHugh, Lynn G / McHugh, Lynn G / O'Connor, Brett D NPRA, RN / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Robertson, Kathryn Collene / Watson, Jennifer A NPRA, RN / /Women's Health Dalsing, Cynthia W CNM, RN /Women's Health McLaughlin, Patricia R. NPRA, RN /Women's Health Algoe, Kristin Kathleen MD Bowden, Margaret M MD Honsinger, Bruce W. MD Jones Huntsberger, Amelia Welsh MD Santarpio, Camille M. Oncology, Medical Mason, Francene Oncology, Medical Oncology/Hematology 1211 Michigan Ave Sandpoint, ID Michigan St Ste A Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N Third Ave Ste 210 Sandpoint, ID N 3rd Ste 203 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID Michigan St Ste C Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID Superior Ste 104 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID Church St Sandpoint, ID N Third Ave Pine Grove Medical Bldg Sandpoint, ID Church St Sandpoint, ID N Third Ave Pine Grove Medical Bldg Sandpoint, ID South First Avenue Sandpoint, ID N 3rd Ave Sandpoint, ID Washington Ave Sandpoint, ID Washington St Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID South First Avenue Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID Michigan St Ste C Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N Third Ave Ste 210 Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N 2nd Ave Ste 200 Sandpoint, ID N 3rd Ave Sandpoint, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (509) (208) (509) (509) (509) (509) (208) (208) (208) (208) (208) (208) (800) x3277 (208) (208) (208) Bonner General Hospital (208) Bonner General Hospital (208) Bonner General Hospital (208) (208) Bonner General Hospital (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 375

380 Grosset, Alan B. Oncology/Hematology, Ophthalmology Bellin, Bruce D. Ophthalmology Optometry Gagnon, Julie Beth OD Optometry Harrell, Nathaneal David OD Optometry Moore, Andrea OD Optometry Shuster, John K. Otolaryngology Beaton, Thomas P. Otolaryngology Pain Management Ispirescu, Jeffrey Sorin MD Pain Management, Anesthesiology Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Jensen, Richard A Pediatric Cardiology Pediatrics DeLand, George MD Pediatrics Gilbert, Joyce A Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Physical Medicine and Rehabilitation Dechter, Stephen M Physical Medicine and Rehabilitation Boyd, Mary A PT Crandall-Williams, Cheryl Jean PT Faletto, Peter J. Price, Julie Ann Rust, Christina M PT Sodorff, Steven A Bell, Keith E. Bell, Keith E. 420 N 2nd Ave Ste 4 Sandpoint, ID S 1st Ave Sandpoint, ID W Superior St Ste A Sandpoint, ID Oak St Unit A Sandpoint, ID W Superior St Ste A Sandpoint, ID US Hwy 2 W Sandpoint, ID N 3rd Ave Sandpoint, ID Superior Ste 104 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 3rd Ave Ste 101 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 3rd Ave Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID Superior Ste 104 Sandpoint, ID S Euclid Ave Ste 212 Sandpoint, ID Superior Ste 104 Sandpoint, ID N Boyer Rd Sandpoint, ID W Pine Sandpoint, ID N Division Ave Sandpoint, ID Superior St Sandpoint, ID Church St Sandpoint, ID N Third Ave Pine Grove Medical Bldg Sandpoint, ID (208) (208) Bonner General Hospital (208) (208) (208) (208) Providence Sacred Heart Medical Center & Children's Hospital (208) (509) (509) ADA Accessible -Sacred Heart Medical Center (509) ADA Accessible (509) ADA Accessible (208) Providence Sacred Heart Medical Center & Children's Hospital (208) Providence St Peter Hosp (208) (208) (208) (509) (208) (509) (208) (208) (208) (208) (509) Newport Community Hospital (509) Newport Community Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 376

381 Boyd, John C. Butcher, Julie Nicole Foord, Donna J Jabbour, Albert Kenneth PAC Niculaescu, Alina Cipriana PA Stone, Precious Alexandra Ravina Podiatry Babol, Jacqueline M Podiatry Hix, Joel D Podiatry Psychiatry Johnson, Terry M MD Psychiatry Davis, Neal Kusler, Adam LSW Ruddle, Celina Ululani LSW Ruguleiski, Cynthia Denise Urology Clark, Randil MD Urology Ellison, Edward D. MD Urology McLaughlin, Matthew D. DO Urology Peterson, Chad A MD Urology Shelley Wilkins, Travis R. Williams, Brennan Todd DC Clinger, Steven J MD Fackrell, Matthew J. DO Gillespie, Robert Todd PA Kam, Jared Michael MD Martin, Brady C DO General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery 1005 US Hwy 2 W Sandpoint, ID Superior Ste 104 Sandpoint, ID N Division Ave Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID Superior Ste 104 Sandpoint, ID Superior Ste 104 Sandpoint, ID S 1st Ave Sandpoint, ID S 1st Ave Sandpoint, ID N 3rd Ave Sandpoint, ID W Ontario Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID N 2nd Ave Ste 100 Sandpoint, ID W Ontario Sandpoint, ID nd Ave Sandpoint, ID nd Ave Sandpoint, ID nd Ave Sandpoint, ID nd Ave Sandpoint, ID N State St Shelley, ID N State St Shelley, ID S Emerson Ave Shelley, ID S Emerson Ave Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID (208) Providence Sacred Heart Medical Center & Children's Hospital (509) (208) (208) (509) (509) (509) ADA Accessible (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) Northwest Specialty Hospital (208) (208) Languages: FRENCH (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 377

382 Anderson, Shane K DO Shrader, David L MD Blake, O'Dopherty Beverley ARNP Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN / Adams, Karla K NPRA, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Johnson, Brian R NPRA, NPRA / Walker, Brad L ARNP, RN / Pugmire, Heather Dawn MD Weaver, Heidi S MD Fields, Gail E DO Peterson, David John DO Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Pediatrics Julian, Christie A Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation McKay, Lance Winfield PA Bilstrom, Jodyne LSW Shoshone Davis, Keith E MD Nurse Midwife Certified/Licensed Habeck, Michella Nurse Midwife Certified/Licensed / Sandy, Janet NPRA, RN / 275 W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID S Emerson Ave Shelley, ID W Locust Shelley, ID W Locust Shelley, ID W Locust Shelley, ID S Apple St Shoshone, ID S Apple St Shoshone, ID S Apple St Shoshone, ID (208) (208) (208) (208) (208) (208) (208) (208) Bingham Memorial Hospital (208) (208) Bingham Memorial Hospital (208) (208) Bingham Memorial Hospital (208) (208) Bingham Memorial Hospital -Idaho Doctors Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 378

383 Roberts, Stephanie PAC Silverton Bauer, Joseph Anthony LSW Johnson, Meghann Elizabeth LSW, LSW McAdams, Melanie M LSW Soda Springs Franson, John Karl MD Franson, John Karl MD General Surgery Podany, Joseph E General Surgery Podany, Joseph E General Surgery Weber, Nita B, Pediatrics Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Jepsen, Kerry Glen MD Richardson, Nathan Davis MD Richardson, Nathan Davis MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation DeVoe, Cara E Stringfield, Sari D PT McKay, Lance Winfield PA Miller, Natalie Marie PA Robinson, Jennifer Lynn PA Smith, Brett A Smith, Brett A Walker, Heidi Y PAC 113 S Apple St Shoshone, ID Wind River Rd Silverton, ID Wind River Rd Silverton, ID Wind River Rd Silverton, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN (208) (208) Not accepting new patients (208) (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 379

384 Podiatry Christensen, Brent DPM Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Shelley, David J,, Interventional Bilstrom, Jodyne LSW Golightly, Brooke Jacqueline LSW Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urology Sule, J David MD Urology Spirit Lake Licensed Massage Therapist Willis, Roxanne Marie LMP Massage Therapy Ehrhart, Caitlin Shizue PT Schneider, Gary D. Swider, Deborah E PT Wheeler, Adam Laurence PT 300S 3rd St W Soda Springs, ID S 3rd St Soda Springs, ID S 3rd St Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID S 3rd W Soda Springs, ID W Center Ste 2 Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID W 2nd St S Soda Springs, ID S 3rd W Soda Springs, ID W Maine St Spirit Lake, ID W Maine Spirit Lake, ID W Maine Spirit Lake, ID W Maine Spirit Lake, ID W Maine Spirit Lake, ID (208) (208) Mountain View Hospital LLC -Portneuf Medical Center (208) (208) (208) Not accepting new patients (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 380

385 St Maries Cert Registered Nurse Anesthetist (CRNA) Bowles, Brent V CRNA, NPRA Cert Registered Nurse Anesthetist (CRNA) Breckenridge, Harold K ARNP Cert Registered Nurse Anesthetist (CRNA) Watts, Richard Gary CRNA Cert Registered Nurse Anesthetist (CRNA) Baker Jr, Norman D DO Luther, David J. MD Ross, Dale J MD Watson, Alex B MD Podiatry Clark, Brent A DPM Podiatry Melendez, Michael G MD 229 S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID S 7th St St Maries, ID (208) (208) (208) St. James Healthcare (208) (208) (208) Benewah Community Hospital -Sacred Heart Univ District (208) (208) (208) Star Crane, Stephen DC Optometry Graviet, Jeffrey P OD Optometry Hall, Zackary N OD Optometry DeCloss, Lindsey E PT Nichols, Brian D PT Nichols, Judianne K Troy Rice, Matthew L. DOIR Spain, Francis K. MD Worth, Dustin K Boughton, Janice M. MD Park, Melissa L. MD Peterson, Dennis L. White, Kama Sibbell MD 9762 W State St Star, ID S Seneca Springs Way Star, ID S Seneca Springs Way Star, ID W State St Star, ID W State St Star, ID W State St Star, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID (208) (208) (208) (208) (208) (208) (208) Languages: GERMAN -Gritman Medical Center Inc -Pullman Regional Hospital (208) Gritman Medical Center Inc -Pullman Regional Hospital (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 381

386 / Seegmiller, Jennifer A ARNP / Von Bargen, Elizabeth L ARNP, RN / Landle, Kelly Marie PA Shoemaker, Carolyn PA 412 S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID S Main St Troy, ID (208) Gritman Medical Center Inc (208) Gritman Medical Center Inc (208) (208) St Joseph Regional Medical Center Twin Falls Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, Linda M NPRA, RN Anesthesiology Golay, Geoffroi DC Adamson, Theran MD Cadwallader, Kara L MD Cadwallader, Kara L MD Quinn, Heather E. Romney, Kenneth C. Tripp, Jonathan P Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Corle, Tracie LMHC Gritton, Mark Allen LMHC Guzman, Jennifer Renee LMHC Mietzner, Karen L LMHC Robinson, Kelsie L. LMHC, LMHC Neurological Surgery Andersen, Bruce J MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Nurse Midwife Certified/Licensed 800 Falls Ave Ste 2 Twin Falls, ID Addison Ave Twin Falls, ID Falls Ave W Twin Falls, ID Addison Ave Twin Falls, ID Blue Lakes Blvd N Ste 107 Twin Falls, ID Eastland Dr Twin Falls, ID nd Ave N Twin Falls, ID nd Ave N Twin Falls, ID nd Ave N Twin Falls, ID Martin Street Twin Falls, ID Fillmore St Ste 600 Twin Falls, ID filer Ave E Twin Falls, ID Falls Ave Ste 1050 Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Eastland Dr N Ste C Twin Falls, ID N College Rd Ste C Twin Falls, ID N College Rd Ste C Twin Falls, ID Merrill, Melissa D ARNP, CNM, RN 200 2nd Ave N Nurse Midwife Certified/Licensed, / Twin Falls, ID Women's Health (208) Bonner General Hospital -Gritman Medical Center Inc (2) x9017 (208) (2) x9017 (208) (208) (800) (208) (208) (208) Forks Community Hospital (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 382

387 Pehrson, Michelle Marie ARNP, RN Simmons, Drew B NPRA, RN / Asher, Lacie Shilo ARNP / King, Krystal ARNP, RN / Lammers, Beverly Ann NPRA, RN / Mancari, Roanne W NPRA, RN / Milliron, Anastasia B / Milliron, Anastasia B / Watson, Jennifer A NPRA, RN / Iverson, Julie M Otolaryngology Boyajian, John A. CRNA Otolaryngology Pain Management Dille, Clinton L MD Pain Management Barker, Jonathan Barker, Jonathan Barker, Jonathan Billings, David PT Billings, David PT Bishop, Ryan PT Bishop, Ryan PT Christensen, Cory R PT Hortin, Arthur J Hortin, Arthur J Jarrett, Travis E Jarrett, Travis E Johnson, Sylvan PT Johnson, Sylvan PT King, Daniel M PT King, Daniel M PT Mecham, Tyler D PT Mecham, Tyler D PT Searle, Shane B 1363 Fillmore St Twin Falls, ID Eastland Dr N Ste B Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Ste 600 Twin Falls, ID Fillmore St Twin Falls, ID Cheney Dr W Ste 160 Twin Falls, ID Martin Street Twin Falls, ID Martin Street Twin Falls, ID Falls Ave Ste 2 Twin Falls, ID nd Ave N Twin Falls, ID Falls Ave Twin Falls, ID Falls Ave Twin Falls, ID Falls Ave E Twin Falls, ID Falls Ave E Ste 401 Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID (208) ADA Accessible (208) Lost Rivers District Hospital (208) ADA Accessible (208) (208) ADA Accessible (208) (208) (208) (208) (208) Languages: GERMAN (208) ADA Accessible (208) (208) (209) (208) EvergreenHealth Medical Center -Swedish Medical Center (208) Languages: SPANISH (208) Languages: SPANISH (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 383

388 Toronto, Scott PT Toronto, Scott PT Toronto, Scott PT Williams, Eric PT, Sports Medicine Williams, Eric PT, Sports Medicine Wood, James PT Wright, Cliff R PT Wright, Cliff R PT Attebury, Benjamin W Dalley, Jeremy Buxton PA Etcheto, John L PAC Gardner, Marshall E. Hess, Jennifer L PAC Hodges, Ryan Dennis PA Hodges, Ryan Dennis PA Singleton, Russell Neal PAC Steinburg, Rick L Steinburg, Rick L Steinburg, Rick L Urrutia, Johnny M PAC Podiatry DeVries, Jason B DPM Podiatry Roberts, Caleb E DPM Podiatry Psychology Gardner, Theodore William PY Psychology Ellis, Mark Dalton LSW Espinoza, Nancy J LSW Ginder, Whitney Dawn LSW Jones, Christine Lee LSW Josoff, Reena F. Kaschmitter, Rachel Mary LSW McRill, Kathleen Marie LSW, LSW Ohlensehlen, Lora A LSW Schwennen, Katelyn Mary LSW Smith, Tomais Jed LSW 1444 Falls Ave E Twin Falls, ID Falls Ave E Ste 401 Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave E Twin Falls, ID Cheney Dt W Ste 190 Twin Falls, ID Falls Ave Twin Falls, ID Fillmore St Ste 600 Twin Falls, ID Falls Ave Twin Falls, ID Addison Ave Twin Falls, ID Eastland Dr Twin Falls, ID Martin Street Twin Falls, ID Martin Street Twin Falls, ID Fillmore St Ste 600 Twin Falls, ID Addison Ave Twin Falls, ID Addison Ave Twin Falls, ID Falls Ave Twin Falls, ID Falls Ave Twin Falls, ID N Addison Ave Twin Falls, ID Shoup Ave W Ste B Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Falls Ave Ste 1050 Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID River Vista Pl Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID (208) (209) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) ADA Accessible (208) (208) (208) (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible (208) ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 384

389 Stringam, Chase Alan LSW, LSW Wilson, Shannon Lynn LSW Victor Allphin, Christopher James MD Huggins, Margaret C MD Wallace Miller Jr., Joseph B. Optometry Vester, Dick L. Optometry Cartwright, Laura Elaine LSW Weiser Cardiovascular Disease Johnson, Alex C Cardiovascular Disease Waite, Alan L Blanchard, Jordan V MD Blanchard, Jordan V MD Drake, Bryan L DO Gardner, Jonathan M MD Hemphill, Bryon D DO Hubele, Suzanna Snyder, Paul J MD Wootton, Lore Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology / Ankarberg, Selena / Peterson, Randolph E MD Hoopes, Gary L 1363 Fillmore St Twin Falls, ID Fillmore St Twin Falls, ID Mountainside Blvd Ste 4 Victor, ID Mountainside Blvd Ste 4 Victor, ID Cedar St Wallace, ID Pine St Wallace, ID th St Wallace, ID E 5th St Weiser, ID W Court St Weiser, ID E Liberty St Weiser, ID E 5th St Weiser, ID E Liberty St Weiser, ID E Liberty St Weiser, ID E Liberty St Weiser, ID E 3rd St Weiser, ID E 7th St Weiser, ID E 3rd St Weiser, ID E 5th St Weiser, ID E 5th St Weiser, ID E 3rd St Weiser, ID E 5th St Weiser, ID E 7th St Weiser, ID (208) ADA Accessible (208) ADA Accessible (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) Shoshone Medical Center (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 385

390 Ankarberg, Ryan K PAC Hamilton, Kent Peterson, Jamie B PAC Peterson, Jamie B PAC Podiatry Martin, Trever J DPM Podiatry White, Barbara A Wendell Bishop, Ryan PT King, Daniel M PT Searle, Shane B Williams, Eric PT, Sports Medicine Wilder Allen, Daniel, / Bean, Karen / Guy, Rebecca NPRA / Pesnell, Kelly / Swainston, Rebecca A / Hackenberg, Amber A PAC Kingery, Kristine Kingery, Kristine 400 E 7th St Weiser, ID E 3rd St Weiser, ID E Liberty St Weiser, ID E 5th St Weiser, ID E 5th St Weiser, ID E 5th St Weiser, ID W Main St Wendell, ID W Main St Wendell, ID W Main St Wendell, ID W Main St Wendell, ID th St Ste A Wilder, ID th St Ste A Wilder, ID th St Ste A Wilder, ID rd St Wilder, ID th St Ste A Wilder, ID th St Ste A Wilder, ID rd St Wilder, ID th St Ste A Wilder, ID (208) (208) (208) Memorial Hospital (208) Memorial Hospital (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 386

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