Glen D Shapiro (NPI# 1336283779, PAC ID# 0648220822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1336283779 |
| PAC ID by PECOS | 0648220822 |
| Professional Enrollment ID | I20100202000484 |
| Full Name | Glen D Shapiro |
| Address |
513 N Main St Hailey ID 83333-8568 |
| Phone Number | 8777546330 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1988 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 513 N Main St, Hailey, ID 83333-8568 | 8777546330 |
| Street Address |
513 N MAIN ST |
| City | HAILEY |
| State | ID |
| Zip | 83333-8568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Gerald Ribbing | Family Medicine | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Katherine Painter | Family Medicine | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Christine M Lucas | Family Medicine | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Dean R Rutherford | Chiropractic | 513 N Main St, Hailey, ID 83333-8568 | |
| Naeem A Qureshi | Psychiatry | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Karen A Strack | Family Medicine | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Steven M Beatty | Internal Medicine | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Sridevi Panchamukhi | Obstetrics/gynecology | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Qi Liu | Family Practice | Rural Health, Inc. | 513 N Main St, Anna, IL 62906-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Wade | Nurse Practitioner | St Lukes Clinic - Wood River LLC | 21 E Maple St, Suite A, Hailey, ID 83333-4900 |
| Mary A Hogan | Physical Therapy | 21 E Maple St D, Hailey, ID 83333-4900 | |
| Laira L Thomas | Nurse Practitioner | St Lukes Clinic - Wood River LLC | 21 E Maple St, Suite A, Hailey, ID 83333-4900 |
| Donald M Levin | Family Medicine | St Lukes Clinic - Wood River LLC | 21 E Maple St, Suite A, Hailey, ID 83333-4900 |
| Heather M Nope | Physician Assistant | Alliance Family Services Inc | 141 Citation Way, Suite 5, Hailey, ID 83333-5104 |
| Karen M Martinat | Clinical Social Worker | Alliance Family Services Inc | 141 Citation Way, Suite 5, Hailey, ID 83333-5104 |
| Derek A Schildknecht | Physical Therapy | 1014 Business Park Dr A, Hailey, ID 83333-5233 | |
| Kimberly A Mazik | Physical Therapy | Hailey Sport and Spine Physical Therapy Pa | 1014 Business Park Dr A, Hailey, ID 83333-5233 |
| Cheryl S Lenhart | Physical Therapy | Hailey Sport and Spine Physical Therapy Pa | 1014 Business Park Dr A, Hailey, ID 83333-5233 |
| David Bernard Verst | Orthopedic Surgery | 15 W Galena St, Hailey, ID 83333-8414 | |
| Find all physicians in zip 83333 | |||
| City | HAILEY |
| Zip Code | 83333 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | HAILEY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Glen D Shapiro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.