DR. JEFFREY CARL BICKEL (NPI# 1841392982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841392982 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CARL BICKEL |
| Credential | M.D |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Mailing Address |
531 4th Ave Lewiston ID 83501-2450 |
| Practice Telephone | 2087995335 |
| Mailing Telephone | 2087434393 |
| Mailing Fax Number | 2087434214 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
19210 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DLI | 0238393 | 01 |
| ID | BLUE CROSS OF IDAHO | 77490 | 01 |
| ID | REGENCE BLUE SHIELD OF IDAHO | 000010168313 | 01 |
| ID | 808115100 | 05 | |
| WA | 8519183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063600 | Jeffrey Michael Bickel | Pharmacist | 2300 Linglestown Rd, Harrisburg, PA 17110-9534 | 2020-11-05 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467709352 | A Window Within Imaging Center | Radiology | 723 Pine St, Sandpoint, ID 83864-1486 | 2012-08-09 |
| 1407081060 | Teton Radiology Madison LLC | Radiology | 425 E 4th N, Rexburg, ID 83440-5390 | 2009-05-26 |
| 1841291861 | Charles W Maile | Radiology | 520 North Third, Sandpoint, ID 83864-1507 | 2005-08-02 |
| 1023246741 | Chad Eric Sarver | Radiology | 500 W Fort St, Boise, ID 83702-4501 | 2009-07-01 |
| 1194969725 | Teton Radiology Diagnostic, LLC | Radiology | 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 | 2009-04-27 |
| 1679710123 | Russell W Wright | Radiology | 190 E Bannock St, C/o Boise Radiology Group, Boise, ID 83712-6241 | 2009-01-20 |
| 1447402425 | Christopher James Malcom | Radiology | 4519 Enterprise Way, Caldwell, ID 83605-8055 | 2008-10-21 |
| 1326257064 | Mark Ryan Papenfuss | Radiology | 1055 N Curtis Road, Boise, ID 83706-1309 | 2007-05-21 |
| 1609829613 | Frederick B Fitts Jr. | Radiology | 1501 Hiland Ave, Burley, ID 83318-2682 | 2006-05-19 |
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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.