PROVIDER DIRECTORY - 11/01/2019

IDAHO











This Provider Directory is provided by Coventry Workers' Comp Services to present to you information on hospitals, physicians and other providers who have agreed to provide their usual services to you at specially contracted rates of payment. All decisions about the type of care you receive are the responsibility of you and the physician whom you select. The quality and results of the care provided are the responsibility of the physician. Some health services may be provided by resident physicians under the supervision of the listed physicians. While Conventry Workers' Comp Services make every effort to maintain accurate and up-to-date information, we cannot be responsible for any omissions or errors after publication. Please confirm provider participation prior to your visit.
 
 
 

 


PROVIDER DIRECTORY
Prepared For



ID 

IF EMERGENCY MEDICAL CARE IS NEEDED: Call 911, fire or police whenever emergency medical care is needed. This directory is NOT intended to identify emergency medical providers.

The following pages are a directory of physicians and medical facilities for your use in obtaining workers' compensation medical care. The physicians and medical facilities listed in this directory are independent contractors and are not the agents or employees of Coventry. The information identifying physicians and medical facilities is intended to assist you in directing the medical care of employees who have injuries or illnesses covered by the workers' compensation system in accordance with state law.

We have endeavored to make the following information complete and accurate as of the date this directory is published. However, the status of providers changes, and new providers join our network. Accordingly, the information contained herein is subject to change without notice, and Coventry does not warrant the completeness or accuracy of the information.


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The information herein is protected proprietary information of Coventry Health Care Workers Compensation, Inc. Use of this information for any purpose other than for which it is provided is prohibited.
 
 
 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

Blackfoot, ID
Buhl, ID
Caldwell, ID
Coeur D`Alene, ID
Cottonwood, ID
Driggs, ID
Gooding, ID
Idaho Falls, ID
Jerome, ID
Kellogg, ID
Meridian, ID
Montpelier, ID
Nampa, ID
Pocatello, ID
Ponderay, ID
Post Falls, ID
Preston, ID
Rathdrum, ID
Rexburg, ID
Rigby, ID
Rupert, ID
Saint Maries, ID
Shelley, ID
Twin Falls, ID
 
 

                   

                   

                   








































                   

                   

                   








































 
 
 
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 TOC 1 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

  Blackfoot, ID  

Family Medicine
 
 
 

*Harris, Michael T., MD
Bingham Memorial Physicians
Idaho Physicians Clinic
98 Poplar St
Blackfoot, ID 83221
208-785-3800

*Soucie, Gary W., MD
Blackfoot Medical Clinic
1441 Parkway Dr
Blackfoot, ID 83221
208-785-2600

*Willey II, Jay W., MD, DO
Idaho Physicians Clinic
98 Poplar St
Blackfoot, ID 83221
208-785-3800

Family Practice
 
 
 

*Soucie, Gary W., MD
Blackfoot Medical Clinic
1441 Parkway Dr
Blackfoot, ID 83221
208-785-2600

*Willey II, Jay W., MD, DO
Idaho Physicians Clinic
98 Poplar St
Blackfoot, ID 83221
208-785-3800

 
 
 

  Buhl, ID  

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

*Boettcher, Greg C., DO
Partners In Healthcare Inc
718 Highway 30
Buhl, ID 83316
208-934-4433

  Caldwell, ID  

Internal Medicine
 
 
 

*Koga, Steven J., MD
West Valley Medical Center
1717 Arlington Ave
Caldwell, ID 83605
208-459-4641

*Koga, Steven J., MD
West Valley Medical Group
(Caldwell Internal Medicine)
West Valley Medical Group
1906 Fairview Ave Ste 230
Caldwell, ID 83605
208-459-4667, 208-795-5201

  Coeur D`Alene, ID  

Family Medicine
 
 
 

 
 
 

*Haynes, Paul Bruce, MD
Kootenai Clinic Family
Medicine
North Idaho Medical Care
Center
1701 Lincoln Way
Coeur D`Alene, ID 83814
208-667-9110, 208-765-1866

*Haynes, Paul Bruce, MD
North Idaho Medical Care
Center LLC
2003 Kootenai Health Way
Coeur D`Alene, ID 83814
208-666-3000

*Haynes, Paul Bruce, MD
Heritage Health Main
1090 W Park Pl
Coeur D`Alene, ID 83814
208-292-0292

*Haynes, Paul Bruce, MD
Heritage Health Union Gospel
Mission
196 W Haycraft Ave
Coeur D`Alene, ID 83815
208-292-0292

*Haynes, Paul Bruce, MD
Heritage Health Homeless
201 E Harrison Ave
Coeur D`Alene, ID 83814
208-292-0697

*Haynes, Paul Bruce, MD
Heritage Health Kroc Rx
1765 W Golf Course Rd
Coeur D`Alene, ID 83815
208-292-0292

*Haynes, Paul Bruce, MD
Heritage Health at North
Idaho College

 
 
 

(cont)
1000 W Garden Ave
Coeur D`Alene, ID 83814
208-769-7818

Urgent Care Clinic
 
 
 

*Northwest Urgent Care
315 W Dalton Ave
Coeur D`Alene, ID 83815
208-209-2060

  Cottonwood, ID  

Internal Medicine
 
 
 

*St Marys Cottonwood Clinic
701 Lewiston St
Cottonwood, ID 83522
208-962-0137

Multi-specialty (Group)
 
 
 

*St Marys Cottonwood Clinic
701 Lewiston St
Cottonwood, ID 83522
208-962-0137

  Driggs, ID  

Internal Medicine
 
 
 

 
 
 
Email this page
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Page 1: Blackfoot to Driggs 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

*Pohl, James K., MD
Teton Valley Health Care
120 E Howard St
Driggs, ID 83422
208-354-2383

*Pohl, James K., MD
Driggs Health Clinic
283 N 1st E
Driggs, ID 83422
208-354-2302

  Gooding, ID  

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

*Boettcher, Greg C., DO
North Canyon Medical Center
267 N Canyon Dr
Gooding, ID 83330
208-934-4433

  Idaho Falls, ID  

Family Medicine
 
 
 

*Campbell, Derek R., DO
Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Campbell, Derek R., DO
Community Care West Side

 
 
 

(cont)
765 S Utah Ave
Idaho Falls, ID 83402
208-525-2600

*Campbell, Derek R., DO
2730 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Daniels, David F., DO
Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Daniels, David F., DO
Community Care West Side
765 S Utah Ave
Idaho Falls, ID 83402
208-525-2600

*Harris, Michael T., MD
Idaho Physicians Clinic
3422 S 15th E
Idaho Falls, ID 83404
208-535-3615

*Harris, Michael T., MD
Bingham Family Medicine &
Specialty Clinic
1740 E 17th St
Idaho Falls, ID 83404
208-535-3615

*Harris, Michael T., MD
Idaho Pain Group
2375 E Sunnyside Rd Ste F
Idaho Falls, ID 83404
208-535-3626

Family Practice
 
 
 

 
 
 

*Campbell, Derek R., DO
Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Campbell, Derek R., DO
Community Care West Side
765 S Utah Ave
Idaho Falls, ID 83402
208-525-2600

*Campbell, Derek R., DO
2730 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Maguire, James F., MD, DO
Community Care West Side
765 S Utah Ave
Idaho Falls, ID 83402
208-525-2600

*Maguire, James F., MD, DO
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Maguire, James F., MD, DO
Mountain View RediCare
2730 Channing Way
Idaho Falls, ID 83404
208-525-8448

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

*Maguire, James F., MD, DO
Community Care West Side
765 S Utah Ave
Idaho Falls, ID 83402

 
 
 

(cont)
208-525-2600

*Maguire, James F., MD, DO
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

*Maguire, James F., MD, DO
Mountain View RediCare
2730 Channing Way
Idaho Falls, ID 83404
208-525-8448

Occupational Medicine Clinic
 
 
 

*Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

Outpatient Facility
 
 
 

*Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

Urgent Care Clinic
 
 
 

*Community Care Channing Way
2725 Channing Way
Idaho Falls, ID 83404
208-525-8448

 
 
 
Email this page
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Page 2: Driggs to Jerome 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

  Jerome, ID  

Urgent Care
 
 
 

*Urgent Care of Jerome
133 W Avenue A Ste B
Jerome, ID 83338
208-324-2004

Urgent Care Clinic
 
 
 

*Urgent Care of Jerome
133 W Avenue A Ste B
Jerome, ID 83338
208-324-2004

  Kellogg, ID  

Family Medicine
 
 
 

*Haynes, Paul Bruce, MD
Heritage Mountain Health
Services
740 McKinley Ave
Kellogg, ID 83837
208-783-1267

  Meridian, ID  

 
 
 

Family Medicine
 
 
 

*Battaglia, Sam G., MD
Primary Health Medical Group
1623 S Wells Ave
Meridian, ID 83642
208-489-1450

  Montpelier, ID  

Family Medicine
 
 
 

*Crane, Peter M., MD
Bear Lake Family Care &
OB/GYN
465 Washington St
Montpelier, ID 83254
208-847-4495

  Nampa, ID  

Urgent Care Clinic
 
 
 

*Saint Alphonsus Medical
Center Nampa

1510 12th Ave Rd Ste 100
Nampa, ID 83686
208-498-1333

  Pocatello, ID  

 
 
 

Family Medicine
 
 
 

*Campbell, Derek R., DO
Community Care Pocatello LLC
1595 Yellowstone Ave
Pocatello, ID 83201
208-233-0032

*Daniels, David F., DO
Community Care Pocatello LLC
1595 Yellowstone Ave
Pocatello, ID 83201
208-233-0032

*Thayne, Andrew W., MD
Intermountain Medical Clinic
1951 Bench Rd Ste B
Pocatello, ID 83201
208-238-1000

*Willey II, Jay W., DO
MVH PIC LLC
Physicians Immediate Care
Center
134 W Chubbuck Rd Ste B
Pocatello, ID 83202
208-237-7911

*Willey II, Jay W., MD, DO
MVH PIC LLC
Physicians Immediate Care
Center
495 Yellowstone Ave
Pocatello, ID 83201
208-417-0102, 208-425-1620

Family Practice
 
 
 

 
 
 

*Campbell, Derek R., DO
Community Care Pocatello LLC
1595 Yellowstone Ave
Pocatello, ID 83201
208-233-0032

*Maguire, James F., MD, DO
Community Care Pocatello LLC
1595 Yellowstone Ave
Pocatello, ID 83201
208-233-0032

*Willey II, Jay W., DO
MVH PIC LLC
Physicians Immediate Care
Center
134 W Chubbuck Rd Ste B
Pocatello, ID 83202
208-237-7911

*Willey II, Jay W., MD, DO
MVH PIC LLC
Physicians Immediate Care
Center
495 Yellowstone Ave
Pocatello, ID 83201
208-417-0102, 208-425-1620

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

*Maguire, James F., MD, DO
Community Care Pocatello LLC
1595 Yellowstone Ave
Pocatello, ID 83201
208-233-0032

Internal Medicine
 
 
 

 
 
 
Email this page
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Page 3: Jerome to Pocatello 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

*Groom, Corwin P., MD
Pocatello Clinic of Internal
Medicine
500 S 11th Ave Ste 300
Pocatello, ID 83201
208-233-4562

  Ponderay, ID  

Family Medicine
 
 
 

*Bloom, Joan Marie, MD
Woodlands Family Medicine
30544 Highway 200 Ste 101
Ponderay, ID 83852
208-263-6300

  Post Falls, ID  

Family Medicine
 
 
 

*Haynes, Paul Bruce, MD
Heritage Health Post Falls
Kootenai Physicians Clinic
North Idaho Medical Care
Center
925 E Polston Ave
Post Falls, ID 83854
208-618-0787, 208-625-5640, 208-773-9113

Urgent Care Clinic
 
 
 

 
 
 

*Northwest Urgent Care
750 N Syringa St
Post Falls, ID 83854
208-262-2600

  Preston, ID  

Family Medicine
 
 
 

*Knapp, Stuart G., MD
Willow Valley Family Medicine
& Obstetrics
47 N 1st E
Preston, ID 83263
208-852-2900

  Rathdrum, ID  

Family Medicine
 
 
 

*Haynes, Paul Bruce, MD
Kootenai Clinic Family
Medicine
North Idaho Medical Care
Center
16760 N Highway 41
Rathdrum, ID 83858
208-687-1840, 208-687-9113

*Haynes, Paul Bruce, MD
Heritage Health Rathdrum
Clinic
16740 N Highway 41
Rathdrum, ID 83858

 
 
 

(cont)
208-687-5627

  Rexburg, ID  

Family Medicine
 
 
 

*Campbell, Derek R., DO
Community Care Rexburg
72 E Main St
Rexburg, ID 83440
208-359-1770, 208-525-8448

*Daniels, David F., DO
Community Care Rexburg
72 E Main St
Rexburg, ID 83440
208-359-1770

Family Practice
 
 
 

*Campbell, Derek R., DO
Community Care Rexburg
72 E Main St
Rexburg, ID 83440
208-359-1770, 208-525-8448

*Maguire, James F., MD, DO
Community Care Rexburg
72 E Main St
Rexburg, ID 83440
208-359-1770, 208-525-8448

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

 
 
 

*Maguire, James F., MD, DO
Community Care Rexburg
72 E Main St
Rexburg, ID 83440
208-359-1770, 208-525-8448

  Rigby, ID  

Family Medicine
 
 
 

*Campbell, Derek R., DO
Rigby Community Care
167 E 1st St
Rigby, ID 83442
208-525-8448, 208-745-8747

*Daniels, David F., DO
Rigby Community Care
167 E 1st S
Rigby, ID 83442
208-745-8747

Family Practice
 
 
 

*Campbell, Derek R., DO
Rigby Community Care
167 E 1st St
Rigby, ID 83442
208-525-8448, 208-745-8747

*Maguire, James F., MD, DO
167 E 1st St
Rigby, ID 83442
208-525-8448

Family Practice/Osteopathic Manipulative Treatment** since 1999.
 
 
 

 
 
 
Email this page
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Page 4: Ponderay to Rigby 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 

*Maguire, James F., MD, DO
167 E 1st St
Rigby, ID 83442
208-525-8448

  Rupert, ID  

Family Medicine
 
 
 

*Swenson, Jeffrey S., MD
Minidoka Medical Center
1218 9th St Ste 12
Rupert, ID 83350
208-436-4322

  Saint Maries, ID  

Family Medicine
 
 
 

*Wester, Daniel Cooper, MD
Benewah Community Hospital
229 S 7th St
Saint Maries, ID 83861
208-245-5551

  Shelley, ID  

Family Medicine
 
 
 

 
 
 

*Soucie, Gary W., MD
210 S Emerson Ave
Shelley, ID 83274
208-357-7404

Family Practice
 
 
 

*Soucie, Gary W., MD
210 S Emerson Ave
Shelley, ID 83274
208-357-7404

  Twin Falls, ID  

Family Medicine
 
 
 

*Tripp, Jonathan P., DO
Tripp Family Medicine Inc
1411 Fillmore St Ste 600
Twin Falls, ID 83301
208-933-4400

Urgent Care Clinic
 
 
 

*Physicians Immediate Care
Center

243 Cheney Dr W Ste 200
Twin Falls, ID 83301
208-736-7422

*Urgent Care Of Twin Falls
2392 Addison Ave E
Twin Falls, ID 83301

 
 
 

(cont)
208-933-4440

 
 

                   

                   

                   








































 
 
 
Email this page
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Page 5: Rupert to Twin Falls 

 

Provider Listing
Provider data last updated: 10/25/2019
 
 
 
Last Update: 10/25/2019
 
 
 


B


Battaglia, Sam G., MD
Bloom, Joan Marie, MD
Boettcher, Greg C., DO1,2 

C


Campbell, Derek R., DO2,3,4 
Community Care Channing Way
Crane, Peter M., MD

D


Daniels, David F., DO2,3,4 

G


Groom, Corwin P., MD

H


Harris, Michael T., MD0,2 
Haynes, Paul Bruce, MD1,3,4 

K


Knapp, Stuart G., MD
Koga, Steven J., MD

 
 
 


M


Maguire, James F., MD, DO2,3,4 

N


Northwest Urgent Care1,4 

P


Physicians Immediate Care Cent
Pohl, James K., MD1,2 

S


Saint Alphonsus Medical Center
Soucie, Gary W., MD1,5 
St Marys Cottonwood Clinic
Swenson, Jeffrey S., MD

T


Thayne, Andrew W., MD
Tripp, Jonathan P., DO

U


Urgent Care of Jerome2,3 
Urgent Care Of Twin Falls

 
 
 


W


Wester, Daniel Cooper, MD
Willey II, Jay W., DO
Willey II, Jay W., MD, DO1,3 
 
 
 
 ^ = No New WC, * = EPP Provider
THIS LIST IS SUBJECT TO CHANGE.
 Index 1