STANLEY MOGELSON (NPI# 1134169501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134169501 |
| Entity Type | Individual |
| Full Name | STANLEY MOGELSON |
| Credential | M.D. |
| Practice Address |
660 Shoshone St E Suite 110 Twin Falls ID 83301-6110 |
| Practice Telephone | 2087323380 |
| Practice Fax Number | 2087323300 |
| Mailing Telephone | 2087323380 |
| Mailing Fax Number | 2087323300 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M6806 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RR MEDICARE | P00240855 | 01 |
| Street Address |
660 SHOSHONE ST E SUITE 110 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124015102 | Chuck B Fuller | Physician Assistant | 660 Shoshone St E, Suite 130, Twin Falls, ID 83301-6110 | 2005-10-04 |
| 1902840317 | Donald G Pica | Internal Medicine | 660 Shoshone St E, Suite 210, Twin Falls, ID 83301-6110 | 2006-06-15 |
| 1902847718 | Robert S Lobb | Internal Medicine | 660 Shoshone St E, Suite 130, Twin Falls, ID 83301-6110 | 2006-06-10 |
| 1265472781 | Warren F Dopson | Internal Medicine | 660 Shoshone St E, Suite 130, Twin Falls, ID 83301-6110 | 2006-06-07 |
| 1245278746 | John L. Shuss, M.d., P.l.l.c. | Surgery | 660 Shoshone St E, Suite 140, Twin Falls, ID 83301-6110 | 2006-06-04 |
| 1730126566 | Snake River Urology, P.C. | Urology | 660 Shoshone St E, Suite 201, Twin Falls, ID 83301-6110 | 2006-06-01 |
| 1982641882 | Donald G Pica Md Pa | Internal Medicine | 660 Shoshone St E, Suite 210, Twin Falls, ID 83301-6110 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407186893 | Charles L Cutler, M.d., P.a. | Specialist | 630 Addison Ave W Ste 220, Twin Falls, ID 83301-5474 | 2010-01-06 |
| 1629123815 | Rod D Kack | Specialist | 706 N College Rd Ste C, Twin Falls, ID 83301-5824 | 2007-01-25 |
| 1306936794 | Alan D Olmstead | Specialist | 844 Washington St N Ste 100, Twin Falls, ID 83301 | 2006-10-13 |
| 1104912740 | Snake River Ear, Nose & Throat PC | Specialist | 706 North College Road, Suite C, Twin Falls, ID 83301 | 2006-10-04 |
| 1265525315 | Bryan D Wright | Specialist | 1444 Falls Ave E, Twin Falls, ID 83301-3408 | 2006-10-02 |
| 1942221296 | Tyler R Wayment Md PC | Specialist | 1880 Fillmore Ave N, Twin Falls, ID 83301-3015 | 2006-07-22 |
| 1881620680 | H Peter Doble II | Specialist | 526 Shoup Ave W Ste M, Twin Falls, ID 83301-5050 | 2006-06-23 |
| 1659316875 | Twin Falls Orthopedics, Pllc | Specialist | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-06-19 |
| 1942247010 | Brad R Hobbs | Specialist | 206 Martin St, Suite A, Twin Falls, ID 83301-4591 | 2006-05-31 |
| 1942296702 | Mason Robison | Specialist | 493 Eastland Dr, Twin Falls, ID 83301-7480 | 2005-09-26 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on STANLEY MOGELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.