Physician Compare National (NPI:1699793661)

HEALTHCARE PROVIDER: PAUL JOSEPH MONTALBANO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699793661
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880689363
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100630000551
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MONTALBANO
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1055 N CURTIS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SAINT ALPHONSUS REGIONAL MEDICAL CENTER
	Group Practice or individual's line 2 address
City	BOISE
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	837061309
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2083672121
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	130063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TREASURE VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT ALPHONSUS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	130006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKE'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	130013
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAINT ALPHONSUS MEDICAL CENTER - NAMPA
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	380052
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1699793661)

HEALTHCARE PROVIDER: PAUL JOSEPH MONTALBANO MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information