Joseph W Petrie (NPI# 1851721401, PAC ID# 1355572058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851721401 |
| PAC ID by PECOS | 1355572058 |
| Professional Enrollment ID | I20140321001470 |
| Full Name | Joseph W Petrie |
| Address |
829 B S Washington Ave Emmett ID 83617-3528 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131318 | VALOR HEALTH |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 E Quail Run Rd, Emmett, ID 83617-5059 | 2083657131 | PETRIE WHITE FAMILY MEDICINE OF IDAHO |
| 829 B S Washington Ave, Emmett, ID 83617-3528 |
| Street Address |
829 B S WASHINGTON AVE |
| City | EMMETT |
| State | ID |
| Zip | 83617-3528 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | EMMETT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Joseph W Petrie.
| 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.