Nicholas Wiilliam Winn (NPI# 1790295095, PAC ID# 1658630884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1790295095 |
PAC ID by PECOS | 1658630884 |
Professional Enrollment ID | I20180117000191 |
Full Name | Nicholas Wiilliam Winn |
Organization Legal Name | HEALTH WEST INC. |
Address |
330 N Main Aberdeen ID 83210-4928 |
Phone Number | 20823278621122 |
Gender | M |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 4981500931 |
Number of Group Practice Members | 33 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130028 | PORTNEUF MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
330 N Main, Aberdeen, ID 83210-4928 | 20823278621122 | HEALTH WEST INC. |
823 Reed St, American Falls, ID 83211-1336 | 20823278621122 | HEALTH WEST INC. |
Organization Legal Name | HEALTH WEST INC. |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Kjos | Family Medicine | Health West Inc. | 1000 N 8th Ave, Pocatello, ID 83201-5757 |
Heidi Sue Winder | Nurse Practitioner | Health West Inc. | 880 W Quinn Rd, Chubbuck, ID 83202-2454 |
Amanda Meierhoff | Clinical Social Worker | Health West Inc. | 823 Reed St, American Falls, ID 83211-1336 |
Heather A Schaper | Physician Assistant | Health West Inc. | 465 Memorial Dr, Pocatello, ID 83201-4008 |
Helene P Edmo | Nurse Practitioner | Health West Inc. | 79 N Main St, Downey, ID 83234-4703 |
Dean T Smith | Family Medicine | Health West Inc. | 655 S 4th, Suite 600, Preston, ID 83263-1624 |
Jared M Price | Family Medicine | Health West Inc. | 465 Memorial Dr, Pocatello, ID 83201-4008 |
Jonathan M Cree | Family Medicine | Health West Inc. | 465 Memorial Dr, Pocatello, ID 83201-4008 |
Erin L Millward | Nurse Practitioner | Health West Inc. | 465 Memorial Dr, Pocatello, ID 83201-4008 |
Martha Isabel Buitrago | Infectious Disease | Health West Inc. | 465 Memorial Dr, Pocatello, ID 83201-4008 |
Street Address |
330 N MAIN |
City | ABERDEEN |
State | ID |
Zip | 83210-4928 |
City | ABERDEEN |
Zip Code | 83210 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ABERDEEN + PHYSICIAN ASSISTANT |
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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.