Angela D St John (NPI# 1558428458, PAC ID# 1850365495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558428458 |
| PAC ID by PECOS | 1850365495 |
| Professional Enrollment ID | I20040820000472 |
| Full Name | Angela D St John |
| Organization Legal Name | RIVERSIDE FAMILY CLINIC |
| Address |
209 /2 H St E Poplar MT 59255-9519 |
| Phone Number | 4067685171 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810989506 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271300 | POPLAR COMMUNITY HOSPITAL |
| 271341 | TRINITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 209 /2 H St E, Poplar, MT 59255-9519 | 4067685171 | RIVERSIDE FAMILY CLINIC |
| Organization Legal Name | RIVERSIDE FAMILY CLINIC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Ann Lauridsen | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Nancy E Marston-quivey | Internal Medicine | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Jimmy L Gray Jr. | Internal Medicine | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Abby L Reum | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Jeremiah L Eldred | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Stephanie Catron | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Street Address |
209 /2 H ST E |
| City | POPLAR |
| State | MT |
| Zip | 59255-9519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Ann Lauridsen | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Nancy E Marston-quivey | Internal Medicine | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Jimmy L Gray Jr. | Internal Medicine | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Abby L Reum | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Jeremiah L Eldred | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Stephanie Catron | Nurse Practitioner | Riverside Family Clinic | 209 /2 H St E, Poplar, MT 59255-9519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry L Foster | Nurse Practitioner | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Karen E Kajiwara Nelson | Qualified Audiologist | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Erin R Gockel | Nurse Practitioner | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Anh T Pham | Optometry | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Melissa A Kendall | Optometry | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Lisa Sky Sun Rhodes | Family Medicine | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Pat N Moran | Clinical Psychologist | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Wally Jean | General Practice | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| Pierrette Toussaint | General Practice | U S Health Dept of Health and Human Services | 107 H St E, Poplar, MT 59255-0000 |
| City | POPLAR |
| Zip Code | 59255 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POPLAR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela D St John.
| 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.