TERRY L SPOHR (NPI# 1992756233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992756233 |
| Entity Type | Individual |
| Full Name | TERRY L SPOHR |
| Credential | PA-C |
| Practice Address |
229 S. 7th Street St. Maries ID 83861 |
| Practice Telephone | 2082452591 |
| Practice Fax Number | 2082455246 |
| Mailing Telephone | 2082452591 |
| Mailing Fax Number | 2082455246 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA28 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002790900 | 05 | |
| ID | MEDICARE DMERC | 1185830001 | 01 |
| ID | RAILROAD MEDICARE | 970003235 | 01 |
| Street Address |
229 S. 7TH STREET |
| City | ST. MARIES |
| State | ID |
| Zip Code | 83861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810025 | William Walter Wheeler | Surgery | 229 S. 7th Street, St. Maries, ID 83861 | 2005-12-05 |
| 1255351458 | William Scott Spence | Family Medicine | 229 S. 7th Street, St. Maries, ID 83861 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1881752913 | Richard K Thurston | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1851337208 | Robert D Magwire | Optometrist | 704 College, St Maries, ID 83861 | 2006-06-22 |
| 1952469082 | John Richard Katovich Jr. | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1629627666 | Valerie Kay Sanchez | Technician/Technologist | 305 N 19th St, St Maries, ID 83861-1156 | 2019-09-11 |
| 1841776184 | Sussannie Lucynda Da Costa | Rehabilitation Counselor | 1525 Main Ave, Saint Maries, ID 83861-1216 | 2018-07-18 |
| 1174694384 | Dennis Jeffrey Cockrum | Chiropractor | 133 N 9th St, St Maries, ID 83861-1741 | 2006-11-10 |
| 1194892489 | Valley Vista Care Corporation | Community/Behavioral Health | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| 1336216621 | Valley Vista Care Corporation | Clinic/Center | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| Find all providers in zip 83861 | ||||
| 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 |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 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 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
| City | ST. MARIES |
| Zip Code | 83861 |
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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.