Jason B Devries (NPI# 1952592404, PAC ID# 2466545850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1952592404 |
| PAC ID by PECOS | 2466545850 |
| Professional Enrollment ID | I20070830000802 |
| Full Name | Jason B Devries |
| Organization Legal Name | BLACKMER FOOT AND ANKLE GROUP PA |
| Address |
191 Addison Ave Twin Falls ID 83301-5177 |
| Phone Number | 2087333881 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9830110451 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 315 S River St, Hailey, ID 83333-8426 | 2087881880 | BLACKMER FOOT AND ANKLE GROUP PA |
| 191 Addison Ave, Twin Falls, ID 83301-5177 | 2087333881 | BLACKMER FOOT AND ANKLE GROUP PA |
| Organization Legal Name | BLACKMER FOOT AND ANKLE GROUP PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Blackmer | Podiatry | Blackmer Foot and Ankle Group Pa | 3080 E Gentry Way, Suite 201, Meridian, ID 83642-3013 |
| Street Address |
191 ADDISON AVE |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-5177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | PODIATRY |
| City + Specialty | TWIN FALLS + PODIATRY |
Please comment or provide details below to improve the information on Jason B Devries.
| 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.