Karen M Redwine
M.D. | Pediatric Nephrology | Female
Karen M Redwine, M.D. is a Boise, Idaho based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Karen M Redwine is
305 E Jefferson St, Boise, Idaho - 83712-6273. She can be contacted on phone at
208-381-7336.
Karen M Redwine is a sole proprietor of her business.
NPI number (Unique professional ID) for Karen M Redwine is
1164476131 which was assigned by NPPES on 22 May, 2006 and it was last updated on 03 Sep, 2019.
Karen M Redwine license number is
M-13200 for Pediatrics Pediatric Nephrology (2080P0210X) in Idaho.
Karen M Redwine deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Karen M Redwine basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Karen M Redwine |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Karen M Redwine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 305 E Jefferson St
Boise, ID, 83712-6273
United States |
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| Phone Number : | 208-381-7336 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164476131 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2006 |
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| Last Updated On : | 03 Sep, 2019 |
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Medicare Participation:
Karen M Redwine participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8921011743 |
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| Medicare Enrollment ID : | I20160511001315 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Texas Medical School At Houston |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Karen M Redwine accepts medicare insurance. |
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Group Practice Association:
Karen M Redwine is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Karen M Redwine is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| St Lukes Clinic - Treasure Valley Llc | 4981878402 | 884 | 222 N 2nd St
Suite 215
Boise, ID - 837026130
Ph: 2083817336 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Karen M Redwine are as mentioned. Primary taxonomy code for Karen M Redwine, M.D. is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | M0173 | TX |
| 2080P0210X | Pediatrics Pediatric Nephrology | No | E-5176 | AR |
| 2080P0210X | Pediatrics Pediatric Nephrology | No | M0173 | TX |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | M-13200 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Karen M Redwine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8P2608 | Other | TX | BCBSTX |
| 180864401 | MEDICAID | TX | |
| 180864402 | Other | TX | CSHCN |
| 164436001 | MEDICAID | AR | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
305 E JEFFERSON ST,
BOISE, ID, 83712-6273
United States | BOISE, ID | 208-381-7336 |
1 CHILDRENS WAY # 653,
LITTLE ROCK, AR, 72202-3500
United States | LITTLE ROCK, AR | 501-364-1100 |
222 N 2ND ST STE 215,
BOISE, ID, 83702-6130
United States | BOISE, ID | 208-381-7336 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 305 E Jefferson St
Boise, ID, 83712-6273
United States |
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| Phone Number : | 208-381-7336 |
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Business Location:
Patients can refer following map for directions to
Karen M Redwine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.