Carl R Thornfeldt (NPI# 1083653489, PAC ID# 1153317888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1083653489 |
| PAC ID by PECOS | 1153317888 |
| Professional Enrollment ID | I20040426000666 |
| Full Name | Carl R Thornfeldt |
| Organization Legal Name | C T DERM PC |
| Address |
811 Nw 12th St Fruitland ID 83619-2268 |
| Phone Number | 2084527450 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082600713 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| 381321 | GRANDE RONDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 811 Nw 12th St, Fruitland, ID 83619-2268 | 2084527450 | C T DERM PC |
| Organization Legal Name | C T DERM PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Lynn Turner | Physician Assistant | C T Derm PC | 811 Nw 12th St, Fruitland, ID 83619-2268 |
| Brittney Irons | Nurse Practitioner | C T Derm PC | 811 Nw 12th St, Fruitland, ID 83619-2268 |
| Street Address |
811 NW 12TH ST |
| City | FRUITLAND |
| State | ID |
| Zip | 83619-2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Lynn Turner | Physician Assistant | C T Derm PC | 811 Nw 12th St, Fruitland, ID 83619-2268 |
| Brittney Irons | Nurse Practitioner | C T Derm PC | 811 Nw 12th St, Fruitland, ID 83619-2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jock C Perkins | Physician Assistant | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| David J Owens | Chiropractic | 2007 N Whitley Dr, Fruitland, ID 83619-2132 | |
| Brock Arben Andersen | Dermatology | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Candice L Louise | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Michael A Duncan | Chiropractic | 1710 N Whitley Dr, Suite C, Fruitland, ID 83619-2183 | |
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in zip 83619 | |||
| City | FRUITLAND |
| Zip Code | 83619 |
| Specialty | DERMATOLOGY |
| City + Specialty | FRUITLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Carl R Thornfeldt.
| 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.