JOHN DOUGLAS TRUEBLOOD (NPI# 1629047931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629047931 |
| Entity Type | Individual |
| Full Name | JOHN DOUGLAS TRUEBLOOD |
| Credential | PA-C |
| Practice Address |
701 Lewiston Street Cottonwood ID 83522 |
| Mailing Address |
Po Box 565 Cottonwood ID 83522 |
| Practice Telephone | 2089623267 |
| Practice Fax Number | 2089623722 |
| Mailing Telephone | 2089623251 |
| Mailing Fax Number | 2089622478 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16906 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 LEWISTON STREET |
| City | COTTONWOOD |
| State | ID |
| Zip Code | 83522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912351479 | St. Mary's Hospital & Clinics, Inc. | General Acute Care Hospital | 701 Lewiston Street, Cottonwood, ID 83522-0137 | 2016-04-20 |
| 1124442421 | Carletta Jean Allen | Speech-Language Pathologist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-02-07 |
| 1376965319 | Jamie Scheffler | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522 | 2014-01-10 |
| 1972930006 | Kyle J Westhoff | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522-0137 | 2013-10-03 |
| 1568899664 | Christopher P Roach | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522-0137 | 2013-10-03 |
| 1457665945 | Providence Health & Services | Internal Medicine | 701 Lewiston Street, Cottonwood, ID 83522-0000 | 2010-07-27 |
| 1639482888 | Scarlett Jo Uhlenkott | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522 | 2010-07-16 |
| 1154556504 | Margaret A Gehring | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522-9750 | 2009-05-28 |
| 1114151016 | St. Mary's Hospital | Physical Therapist | 701 Lewiston Street, Cottonwood, ID 83522-9750 | 2009-05-06 |
| 1568633592 | St. Mary's Hospital | Nurse Practitioner | 701 Lewiston Street, Cottonwood, ID 83522-0565 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689084659 | Denise Marie Nuxoll | Pharmacist | 429 Main, Cottonwood, ID 83522 | 2014-04-30 |
| 1376711416 | Sherry Lynn Riener | Midwife | 502 King Street, Cottonwood, ID 83522 | 2008-02-12 |
| 1629114905 | Cottonwood Jt Sch Dist | Local Education Agency (LEA) | 907 Lewiston Street, Cottonwood, ID 83522 | 2007-01-30 |
| 1902980121 | Arnzen Super Drug, Inc. | Pharmacy | 429 Main Street, Cottonwood, ID 83522 | 2006-10-24 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1245433739 | St. Mary's Hospital | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-06-11 |
| 1003948845 | Bernadette Jamie Rundhaug | Counselor | 701 Lewiston St, Cottonwood, ID 83522 | 2007-03-09 |
| 1114076635 | Richard A Erickson | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-01-10 |
| 1578612065 | Dennis W Tracy | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522 | 2007-01-10 |
| 1174673552 | St. Mary's Hospital Inc | Durable Medical Equipment & Medical Supplies | 701 Lewiston St, Cottonwood, ID 83522 | 2007-01-10 |
| Find all providers in zip 83522 | ||||
| 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 |
|---|---|---|---|---|
| 1023196284 | Steven Herrman | Physician Assistant | 651 W Mingus Ave Ste 1f, Cottonwood, AZ 86326-4006 | 2006-11-02 |
| 1891783338 | Robert Nordman | Physician Assistant | 8 E Cottonwood St Bldg C, Verde Valley Guidance Clinic, Cottonwood, AZ 86326-6237 | 2005-10-10 |
| 1124367214 | Cheryl R. Fowler | Physician Assistant | 199 S Candy Ln, Suite 1a, Cottonwood, AZ 86326-4183 | 2013-02-08 |
| 1326290057 | Kaia Kordosky-herrera | Physician Assistant | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2008-10-13 |
| 1427275833 | Alexander Jonusas | Physician Assistant | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2007-04-19 |
| 1922018027 | Andrea Krogh | Physician Assistant | 701 Lewiston Street, Cottonwood, ID 83522-0565 | 2006-08-09 |
| 1225052566 | Carrie Heisinger | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2006-07-27 |
| 1801847926 | Robert J Murphy | Physician Assistant | 450 S Willard St, Ste 120, Cottonwood, AZ 86326-6743 | 2006-05-13 |
| 1528040482 | Daniel G Dudziak | Physician Assistant | 340 S Willard St, Cottonwood, AZ 86326-4126 | 2005-11-16 |
| 1053306241 | Roxann G Lafferty | Physician Assistant | 450 S Willard St, Ste. 120, Cottonwood, AZ 86326-6743 | 2005-09-14 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 83522 |
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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.