LANCE W MCKAY


Address: 1151 Hospital Way, Bld D, Pocatello, ID 83201-5091
Phone: 2082398010

LANCE W MCKAY (NPI# 1720379597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720379597
Entity Type Individual
Full Name LANCE W MCKAY
Credential P.A.-C
Practice Address 1151 Hospital Way, Bld D
Pocatello
ID 83201-5091
Practice Telephone 2082398010
Practice Fax Number 2087822974
Mailing Telephone 2082398010
Mailing Fax Number 2087822974
Enumeration Date 2011-04-27
Last Update Date 2013-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA-1071 ID Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-1071 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ HEALTHNET 3Z5047 01
AZ 611187 05

Office Location

Street Address 1151 HOSPITAL WAY, BLD D
City POCATELLO
State ID
Zip Code 83201-5091

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962832923 Dale Mckay Belnap Physician Assistant 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 2013-11-12
1659689362 Steven L Nelson Physician Assistant 560 Memorial Dr, Pocatello, ID 83201-4073 2010-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881218089 Michael Keegan Huntsman Physician Assistant 730 Aspen Ave, Shelley, ID 83274-1400 2020-06-03
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1831647197 Nicholas Hensley Physician Assistant 3155 Channing Way Ste B, Idaho Falls, ID 83404-7534 2016-09-15
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1982937066 Don H Curtis Physician Assistant 348 W Bloomington Dr, Meridian, ID 83642-6942 2009-09-08
1801073655 Tracy D. Mickelsen Physician Assistant 3015 E Magic View Dr, Meridian, ID 83642-3743 2008-01-23
1356437172 Clare Elizabeth York Physician Assistant 805 Main St., Salmon, ID 83467 2006-10-05
1891707618 Brian Keith Lachapelle Physician Assistant 6140 W Curtisan, Ste 102, Boise, ID 83704 2006-08-12
1992743215 Bill Stahlberg Physician Assistant 211 Forest St, Mccall, ID 83638-5256 2006-06-02
1780641530 Alicia R Borst Physician Assistant 3960 W. Wainwright, Boise, ID 83713 2006-04-26
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Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

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.

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