Adam J Weller (NPI# 1568634855, PAC ID# 2567603020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1568634855 |
| PAC ID by PECOS | 2567603020 |
| Professional Enrollment ID | I20140916000393 |
| Full Name | Adam J Weller |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Address |
1000 State St Mccall ID 83638-3704 |
| Phone Number | 2086344061 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7618127994 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131312 | ST LUKE'S MCCALL |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 131308 | CASCADE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 State St, Mccall, ID 83638-3704 | 2086344061 | ST LUKES CLINIC-MCCALL LLC |
| Organization Legal Name | ST LUKES CLINIC-MCCALL LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Beaman | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Jacob Wilson | Clinical Social Worker | St Lukes Clinic-mccall LLC | 301 Deinhard Ln, Mccall, ID 83638-4703 |
| Patrick O Kinney | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Marcia L Witte | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Todd J Arndt | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| David G Burica | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Nicole D Rota | Physician Assistant | St Lukes Clinic-mccall LLC | 200 Forest St, Mccall, ID 83638-5256 |
| Caitlin J Gustafson | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Megan K Fitzmaurice | Nurse Practitioner | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Jennifer K Lewis | Family Medicine | St Lukes Clinic-mccall LLC | 211 Forest St, Mccall, ID 83638-5256 |
| Street Address |
1000 STATE ST |
| City | MCCALL |
| State | ID |
| Zip | 83638-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick O Kinney | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Marcia L Witte | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Todd J Arndt | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| David G Burica | Internal Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Caitlin J Gustafson | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Douglas H Irvine | Anesthesiology | Anesthesia Associates of Boise, P.a. | 1000 State St, Mccall, ID 83638-3704 |
| Gregory W Irvine | Orthopedic Surgery | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Julie L Welty | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Curtis A Meske | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Amy E Ocmand | General Surgery | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Guy Jeppe Iii | Chiropractic | 301 E Park St, Mccall, ID 83638 | |
| Irwin Mulnick | Chiropractic | 201 Park St, Mccall, ID 83638 | |
| Charles A Blankman | Physician Assistant | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Jonathan M Currey | Family Medicine | St Lukes Clinic-mccall LLC | 1000 State St, Mccall, ID 83638-3704 |
| Justin M Rowe | Optometry | 204 Lenora St, Mccall, ID 83638-3844 | |
| Alison L Zeller | Physical Therapy | Mccall Physical Therapy Pa | 114 N 3rd St, Suite 5, Mccall, ID 83638-4416 |
| Tara Osborne | Physical Therapy | Mccall Physical Therapy Pa | 114 N 3rd St, Suite 5, Mccall, ID 83638-4416 |
| Shawn J Briley | Clinical Social Worker | 321 N 3rd St, Suite 11, Mccall, ID 83638-4439 | |
| Debra A Yaritz | Chiropractic | 337 Deinhard Ln, Suite A, Mccall, ID 83638-4703 | |
| Jacob Wilson | Clinical Social Worker | St Lukes Clinic-mccall LLC | 301 Deinhard Ln, Mccall, ID 83638-4703 |
| Find all physicians in zip 83638 | |||
| City | MCCALL |
| Zip Code | 83638 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MCCALL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Adam J Weller.
| 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.