Crysta J Kimes (NPI# 1184115735, PAC ID# 2264784974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184115735 |
| PAC ID by PECOS | 2264784974 |
| Professional Enrollment ID | I20181008002910 |
| Full Name | Crysta J Kimes |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Address |
910 Nw 16th St Fruitland ID 83619-2265 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456488899 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 910 Nw 16th St, Fruitland, ID 83619-2265 | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlin N Burchard | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Josh Leavitt | Family Practice | Saint Alphonsus Medical Center Ontario Inc. | 840 Sw 4th Ave, Ontario, OR 97914-2627 |
| Donna F Messersmith | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 1219 Sw 4th Ave, Unit 2, Ontario, OR 97914-4500 |
| Kim A Wilson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Richard T. Davis | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Foote | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Samantha A Paterson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Roger T Wyatt | Family Medicine | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Monica L Vernon | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Kourtney Holder | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Street Address |
910 NW 16TH ST |
| City | FRUITLAND |
| State | ID |
| Zip | 83619-2265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlin N Burchard | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Kim A Wilson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Mary E River | Nephrology | Saint Alphonsus Regional Medical Center Inc | 910 Nw 16th St, Suite 102, Fruitland, ID 83619-2265 |
| Samantha A Paterson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Roger T Wyatt | Family Medicine | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Monica L Vernon | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Kourtney Holder | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Christina H Sweet | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Matthew E Cornia | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Anne M Ingram | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jock C Perkins | Physician Assistant | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| David J Owens | Chiropractic | 2007 N Whitley Dr, Fruitland, ID 83619-2132 | |
| Brock Arben Andersen | Dermatology | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Candice L Louise | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Michael A Duncan | Chiropractic | 1710 N Whitley Dr, Suite C, Fruitland, ID 83619-2183 | |
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in zip 83619 | |||
| City | FRUITLAND |
| Zip Code | 83619 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FRUITLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Crysta J Kimes.
| 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.