MRS. ANNA MCCAMY GUNDERSON (NPI# 1174872345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174872345 |
| Entity Type | Individual |
| Full Name | MRS. ANNA MCCAMY GUNDERSON |
| Other Name | MISS ANNA CHARLOTTE MCCAMY |
| Credential | PA-C |
| Practice Address |
120 E Howard St Driggs ID 83422-5112 |
| Mailing Address |
227 N 14th Ave Pocatello ID 83201-4145 |
| Practice Telephone | 2083542302 |
| Practice Fax Number | 2083542829 |
| Mailing Telephone | 8015731517 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-990 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 E HOWARD ST |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715371 | Troy D Weston | Physician Assistant | 120 E Howard St, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-01-24 |
| 1801408331 | Sarah Joyce Richins | Dietitian, Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2020-08-17 |
| 1619595071 | Sandra Nelson Woolstenhulme | Nurse Practitioner | 120 E Howard St, Driggs, ID 83422-5112 | 2020-07-10 |
| 1891354783 | Melanie Brower | Dietitian, Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2019-06-13 |
| 1316294531 | Teton Valley Health Care Inc | Emergency Medicine | 120 E Howard St, Driggs, ID 83422-5112 | 2012-08-07 |
| 1376771667 | Juanita E Prissel | Family Medicine | 120 E Howard St, Driggs, ID 83422-5112 | 2009-06-25 |
| 1437342805 | Kristen Coburn | Nurse Practitioner | 120 E Howard St, Driggs, ID 83422-5112 | 2007-08-20 |
| 1437355377 | Barbara Marie Zimmer | Nurse Anesthetist, Certified Registered | 120 E Howard St, Driggs, ID 83422-5112 | 2007-06-26 |
| 1972719516 | Marijke Onsrud | Physical Therapist | 120 E Howard St, Driggs, ID 83422-5112 | 2007-05-14 |
| 1053525964 | Rose Marie Raube | Specialist | 120 E Howard St, Driggs, ID 83422-5112 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405606 | Teton Valley Healthcare, Inc | Physician Assistant | 30 E Little Ave, Driggs, ID 83422-5138 | 2016-09-15 |
| 1457794083 | Michael Ray Haskell | Physician Assistant | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2013-04-13 |
| 1821031998 | David A Saurman | Physician Assistant | 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422-5112 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217911 | David Jeffrey Hanson | Physician Assistant | 740 Mckinley Ave Ste 100, Kellogg, ID 83837-2693 | 2019-10-18 |
| 1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
| 1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
| 1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
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| 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.