MRS. CHARLYNN S. PERKES (NPI# 1558545624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558545624 |
| Entity Type | Individual |
| Full Name | MRS. CHARLYNN S. PERKES |
| Credential | PA-C |
| Practice Address |
495 Yellowstone Ave Physicians Immediate Care Center Pocatello ID 83201 |
| Mailing Address |
1067 W 125 S Blackfoot ID 83221-6058 |
| Practice Telephone | 2084787422 |
| Practice Fax Number | 2084781515 |
| Mailing Telephone | 2083137226 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PENDING | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE PENDING | PENDING | 01 |
| Street Address |
495 YELLOWSTONE AVE PHYSICIANS IMMEDIATE CARE CENTER |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376568493 | Randy Paul Vawdrey | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-12 |
| 1144869348 | Sydney Pia Goings | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2020-01-06 |
| 1972035772 | Mvh Pic LLC | Family Medicine | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2017-03-30 |
| 1336572858 | Brelan J Lane | Physical Therapist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-4531 | 2013-08-20 |
| 1932449519 | Matthew Colt Andersen | Counselor | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2013-02-19 |
| 1437432267 | Advanced Healthcare Solutions, LLC | Non-Pharmacy Dispensing Site | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2011-09-28 |
| 1841487840 | Nic A Hale | Physician Assistant | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2007-10-03 |
| 1578665329 | Corey Layne Rasmussen | Specialist | 495 Yellowstone Ave, Suite A, Pocatello, ID 83201-9487 | 2006-09-02 |
| 1922029412 | Jay Warren Willey | Family Medicine | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-21 |
| 1700803632 | Advanced Healthcare Solutions LLC | Clinic/Center | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1477021020 | Todd Cranor | Physician Assistant | 1950 E Clark St Ste 110, Pocatello, ID 83201-3315 | 2018-11-12 |
| 1700391620 | Kaitlin L Cox | Physician Assistant | 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 | 2017-12-14 |
| 1003088782 | Community Care, Pllc | Physician Assistant | 1595 Yellowstone Ave, Pocatello, ID 83201 | 2008-04-02 |
| 1730372756 | Lisa A Hansen | Physician Assistant | 444 Hospital Way Ste 777, Pocatello, ID 83201-2744 | 2007-08-22 |
| 1518934181 | Paul Bieniasz | Physician Assistant | 845 W Center St Ste 200, Pocatello, ID 83204-4237 | 2006-03-02 |
| 1851385538 | Matthew L Mckinlay | Physician Assistant | 2240 E Center St, Pocatello, ID 83201 | 2005-09-08 |
| 1952917353 | Wende Christine Leavitt | Physician Assistant | 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 | 2020-09-21 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| Find all providers in POCATELLO | ||||
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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.