Louissa Carolyn Gordon (NPI# 1821484452, PAC ID# 1254644362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821484452 |
| PAC ID by PECOS | 1254644362 |
| Professional Enrollment ID | I20190923002957 |
| Full Name | Louissa Carolyn Gordon |
| Organization Legal Name | THE FAMILY MEDICINE RESIDENCY OF IDAHO INC |
| Address |
325 W Idaho St Boise ID 83702-6040 |
| Phone Number | 2085142525 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709986797 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 325 W Idaho St, Boise, ID 83702-6040 | 2085142525 | THE FAMILY MEDICINE RESIDENCY OF IDAHO INC |
| 777 N Raymond St, Boise, ID 83704-9251 | 2085142500 | THE FAMILY MEDICINE RESIDENCY OF IDAHO INC |
| Organization Legal Name | THE FAMILY MEDICINE RESIDENCY OF IDAHO INC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Link | Family Medicine | The Family Medicine Residency of Idaho Inc | 6565 W Emerald St, Boise, ID 83704-8737 |
| Molly Mccormick | Family Medicine | The Family Medicine Residency of Idaho Inc | 708 E Wythe Creek Ct, Suite 103, Kuna, ID 83634-5005 |
| Robert D Crouch | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Heather E Nichols | Family Medicine | The Family Medicine Residency of Idaho Inc | 2275 S Eagle Rd, Suite 120, Meridian, ID 83642-2620 |
| Anastasia B Milliron | Nurse Practitioner | The Family Medicine Residency of Idaho Inc | 121 E Fort St, Family Medicine Residency of Idaho, Boise, ID 83712-6322 |
| Thomas C Ahlrichs | Clinical Social Worker | The Family Medicine Residency of Idaho Inc | 777 N Raymond St, Boise, ID 83704-9251 |
| Vincent J Serio Iii | Family Medicine | The Family Medicine Residency of Idaho Inc | 925 W 1st St, Meridian, ID 83642-2274 |
| Stephanie B Long | Family Medicine | The Family Medicine Residency of Idaho Inc | 777 N Raymond St, Boise, ID 83704-9251 |
| Timothy M Deblieck | Family Medicine | The Family Medicine Residency of Idaho Inc | 777 N Raymond St, Boise, ID 83704-9251 |
| Ted D Epperly | Family Medicine | The Family Medicine Residency of Idaho Inc | 6565 W Emerald St, Boise, ID 83704-8737 |
| Street Address |
325 W IDAHO ST |
| City | BOISE |
| State | ID |
| Zip | 83702-6040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Crouch | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Allison B Bastian | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Jennifer K Cook | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Suzanne M Allen | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Thomas S Patterson | Pediatric Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Loren T Colson | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Justin M Bailey | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Kara L Cadwallader | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Melissa A Roop | Hospitalist | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Scott R Hippe | Family Medicine | The Family Medicine Residency of Idaho Inc | 325 W Idaho St, Boise, ID 83702-6040 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOISE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Louissa Carolyn Gordon.
| 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.