Tanner Darin Mitton
GREGORY M FORD MD PLLC


Address: 950 Hospital Way, Suite A, Pocatello, ID 83201-2762
Phone: 2084784522

Tanner Darin Mitton (NPI# 1144601865, PAC ID# 3577877174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1144601865
PAC ID by PECOS 3577877174
Professional Enrollment ID I20150727001414
Full Name Tanner Darin Mitton
Organization Legal Name GREGORY M FORD MD PLLC
Address 950 Hospital Way
Suite A
Pocatello
ID 83201-2762
Phone Number 2084784522
Gender M
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8921225483
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130028 PORTNEUF MEDICAL CENTER

Other Locations

Address Phone Organization
950 Hospital Way, Suite A, Pocatello, ID 83201-2762 2084784522 GREGORY M FORD MD PLLC

Organization Information

Organization Legal Name GREGORY M FORD MD PLLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Gregory M Ford Orthopedic Surgery Gregory M Ford Md Pllc 950 Hospital Way, Suite A, Pocatello, ID 83201-2762

Office Location

Street Address 950 HOSPITAL WAY
SUITE A
City POCATELLO
State ID
Zip 83201-2762

Physicians in the same location

Name Specialty Organization Address
Gregory M Ford Orthopedic Surgery Gregory M Ford Md Pllc 950 Hospital Way, Suite A, Pocatello, ID 83201-2762
Stephen M Hansen Orthopedic Surgery Idaho Sports and Spine Pllc 950 Hospital Way, Suite A, Pocatello, ID 83201-2762
Steven L Nelson Physician Assistant Idaho Sports and Spine Pllc 950 Hospital Way, Suite A, Pocatello, ID 83201-2762
Christopher R Johnson Family Practice Idaho Sports and Spine Pllc 950 Hospital Way, Suite A, Pocatello, ID 83201-2762

Physicians in the same zip code

Name Specialty Organization Address
Timothy A Flicker Physical Therapy 2839 Margo Ln, Pocatello, ID 83201-1961
Michael D Lance Psychiatry St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Kenneth A Cogen Nephrology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Randall J Skeem Internal Medicine St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Martha Elizabeth Franz Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
John L Shuss General Surgery St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Ciara C Christensen Clinical Psychologist St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Robin L Hall Nurse Practitioner St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Laurence L Martens Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Terry J Buccambuso Diagnostic Radiology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Find all physicians in zip 83201

Competitor

Search similar physicians

City POCATELLO
Zip Code 83201
Specialty PHYSICIAN ASSISTANT
City + Specialty POCATELLO + PHYSICIAN ASSISTANT

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Dataset Information

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.

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