Jeffery J Temple (NPI# 1356321467, PAC ID# 2769479286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1356321467 |
PAC ID by PECOS | 2769479286 |
Professional Enrollment ID | I20040427001431 |
Full Name | Jeffery J Temple |
Organization Legal Name | NORTHERN ITASCA HOSPITAL DISTRICT |
Address |
258 Pine Tree Dr Bigfork MN 56628-4340 |
Phone Number | 2187433177 |
Gender | M |
Credential | NP |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3274442173 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241316 | BIGFORK VALLEY HOSPITAL |
240064 | GRAND ITASCA CLINIC AND HOSPITAL |
Address | Phone | Organization |
---|---|---|
258 Pine Tree Dr, Bigfork, MN 56628-4340 | 2187433177 | NORTHERN ITASCA HOSPITAL DISTRICT |
Organization Legal Name | NORTHERN ITASCA HOSPITAL DISTRICT |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Lloyd Baker | Orthopedic Surgery | Northern Itasca Hospital District | 258 Pine Tree Dr, Bigfork, MN 56628-4340 |
Harold M Olson Iv | Chiropractic | Northern Itasca Hospital District | 258 Pine Tree Dr, Bigfork, MN 56628-4340 |
Street Address |
258 PINE TREE DR |
City | BIGFORK |
State | MN |
Zip | 56628-4340 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Lloyd Baker | Orthopedic Surgery | Northern Itasca Hospital District | 258 Pine Tree Dr, Bigfork, MN 56628-4340 |
Harold M Olson Iv | Chiropractic | Northern Itasca Hospital District | 258 Pine Tree Dr, Bigfork, MN 56628-4340 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heidi J Korstad | Family Practice | Cook Area Health Services, Inc. | 135 Pine Tree Dr, Bigfork, MN 56628 |
Jeffrey C Dahlquist | Physician Assistant | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Edwin A Anderson | Family Medicine | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Shannon C Pitt | Nurse Practitioner | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Barret J Myers Wolfson | Family Medicine | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Chelsea C Mann | Family Medicine | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Catherine Lynn Porter | Physician Assistant | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Jeffrey P Scrivner | Family Medicine | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Jeffrey Olds | Clinical Social Worker | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Kari A Drake | Physician Assistant | Cook Area Health Services Inc | 135 Pine Tree Dr, Bigfork, MN 56628-0135 |
Find all physicians in zip 56628 |
City | BIGFORK |
Zip Code | 56628 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BIGFORK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeffery J Temple.
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.