William King Jackson (NPI# 1740530302, PAC ID# 2769636661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740530302 |
| PAC ID by PECOS | 2769636661 |
| Professional Enrollment ID | I20180508000722 |
| Full Name | William King Jackson |
| Organization Legal Name | VALLEY FAMILY HEALTH CARE INC |
| Address |
1441 Ne 10th Ave Payette ID 83661-5420 |
| Phone Number | 2086429376 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547169591 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2086429376 | VALLEY FAMILY HEALTH CARE INC |
| Organization Legal Name | VALLEY FAMILY HEALTH CARE INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Allen Berger | Nurse Practitioner | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Michael J Twomey | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Robert A Mairs | Obstetrics/gynecology | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Nicole E Myers | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Thomas R Sanchez | Clinical Social Worker | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Shannon D Schantz | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Megan Marie Martinson | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Katee Jo Rodriguez | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Leslie Marie Filler | Nurse Practitioner | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Daisy L Miller | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Street Address |
1441 NE 10TH AVE |
| City | PAYETTE |
| State | ID |
| Zip | 83661-5420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Allen Berger | Nurse Practitioner | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Michael J Twomey | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Robert A Mairs | Obstetrics/gynecology | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Nicole E Myers | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Thomas R Sanchez | Clinical Social Worker | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Shannon D Schantz | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Megan Marie Martinson | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Katee Jo Rodriguez | Physician Assistant | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Leslie Marie Filler | Nurse Practitioner | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Daisy L Miller | Family Medicine | Valley Family Health Care Inc | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry H Harsh | Chiropractic | 200 N 9th St, Payette, ID 83661-2530 | |
| Alisha L Phillips | Nurse Practitioner | Healthcare With Heart LLC | 823 Ctr Ave, Payette, ID 83661-2535 |
| Ronald E Carroll | Family Medicine | Healthcare With Heart LLC | 823 Ctr Ave, Payette, ID 83661-2535 |
| Ben Barbot | Nurse Practitioner | Healthcare With Heart LLC | 823 Ctr Ave, Payette, ID 83661-2535 |
| Anthony L Strasser | Chiropractic | 828 Ctr Ave, Payette, ID 83661-2536 | |
| Seth E Bodas | Physical Therapy | Treasure Valley Physical Therapy Inc | 501 N 16th St, Suite 104, Payette, ID 83661-2782 |
| Brad W Levitt | Psychologist, Clinical | 223 S Main St, Payette, ID 83661-2852 | |
| Lindsey R Edmunds-judson | Optometry | Family Eye Center Pa | 395 S 16th St, Payette, ID 83661-3351 |
| Randy H Norris | Optometry | Family Eye Center Pa | 395 S 16th St, Payette, ID 83661-3351 |
| Mary B Roehling | Nurse Practitioner | Np2u, LLC | 1000 S 16th St, Suite C, Payette, ID 83661-3403 |
| Find all physicians in zip 83661 | |||
| City | PAYETTE |
| Zip Code | 83661 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William King Jackson.
| 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.