Trevor D Tredennick (NPI# 1649264052, PAC ID# 0749232643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1649264052 |
| PAC ID by PECOS | 0749232643 |
| Professional Enrollment ID | I20160331001356 |
| Full Name | Trevor D Tredennick |
| Organization Legal Name | WALTER KNOX MEMORIAL HOSPITAL |
| Address |
1202 E Locust St Emmett ID 83617-2715 |
| Phone Number | 2083653561 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7012907785 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131318 | VALOR HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1202 E Locust St, Emmett, ID 83617-2715 | 2083653561 | WALTER KNOX MEMORIAL HOSPITAL |
| Organization Legal Name | WALTER KNOX MEMORIAL HOSPITAL |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerod Hines | Orthopedic Surgery | Walter Knox Memorial Hospital | 1024 E Locust St, Emmett, ID 83617-2776 |
| Zachary N Bastian | General Surgery | Walter Knox Memorial Hospital | 1202 E Locust St, Emmett, ID 83617-2715 |
| Cherish L Smith | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Desiree D Reid | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Roy A Sternes | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Cory A Ondler | Emergency Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Elmer G Dodge Jr. | Nurse Practitioner | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Robin D Sebastian | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| David M Shuey Ii | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| James Thomson | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Street Address |
1202 E LOCUST ST |
| City | EMMETT |
| State | ID |
| Zip | 83617-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary N Bastian | General Surgery | Walter Knox Memorial Hospital | 1202 E Locust St, Emmett, ID 83617-2715 |
| Trever J Martin | Podiatry | Walter Knox Memorial Hospital | 1202 E Locust St, Emmett, ID 83617-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherish L Smith | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Desiree D Reid | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Roy A Sternes | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Cory A Ondler | Emergency Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Elmer G Dodge Jr. | Nurse Practitioner | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Robin D Sebastian | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| David M Shuey Ii | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| James Thomson | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Lisa C Isaksen | Nurse Practitioner | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| William H Vetter | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Find all physicians in zip 83617 | |||
| City | EMMETT |
| Zip Code | 83617 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EMMETT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Trevor D Tredennick.
| 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.