Gary A Dildy Iii (NPI# 1083765226, PAC ID# 1759304157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1083765226 |
| PAC ID by PECOS | 1759304157 |
| Professional Enrollment ID | I20070803000195 |
| Full Name | Gary A Dildy Iii |
| Organization Legal Name | MOUNTAIN STATES NEONATOLOGY INC |
| Address |
3200 Channing Way A102 Idaho Falls ID 83404-7561 |
| Phone Number | 2085282925 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3779719224 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3200 Channing Way, A102, Idaho Falls, ID 83404-7561 | 2085282925 | MOUNTAIN STATES NEONATOLOGY INC |
| Organization Legal Name | MOUNTAIN STATES NEONATOLOGY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margarita Y Sharshiner | Obstetrics/gynecology | Mountain States Neonatology Inc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Katherine M Gesteland | Obstetrics/gynecology | Mountain States Neonatology Inc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Street Address |
3200 CHANNING WAY A102 |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Payne | Family Medicine | East Falls Family Medicine LLC | 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546 |
| Terry L Thompson | Nurse Practitioner | East Falls Family Medicine LLC | 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546 |
| Terry R Baker | Otolaryngology | 3200 Channing Way, Suite A105, Idaho Falls, ID 83404-7561 | |
| Duncan D Harris | Urology | Idaho Physician Services Inc | 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586 |
| Lance Glen Jacobson | Orthopedic Surgery | Idaho Physician Services Inc | 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586 |
| David L Hill | Family Medicine | East Falls Family Medicine LLC | 3200 Channing Way, Suite 304, Idaho Falls, ID 83404-7546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | IDAHO FALLS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Gary A Dildy Iii.
| 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.