Angie Shantie (NPI# 1659734143, PAC ID# 3678847282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1659734143 |
| PAC ID by PECOS | 3678847282 |
| Professional Enrollment ID | I20170920003260 |
| Full Name | Angie Shantie |
| Organization Legal Name | ST JOSEPH HOSPITAL LLC |
| Address |
428 6th Ave Lewiston ID 83501-2355 |
| Phone Number | 2087996500 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8325325806 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 6th St, Lewiston, ID 83501-2431 | 2087432511 | ST JOSEPH HOSPITAL LLC |
| 428 6th Ave, Lewiston, ID 83501-2355 | 2087996500 | ST JOSEPH HOSPITAL LLC |
| Organization Legal Name | ST JOSEPH HOSPITAL LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle James Daly | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Barry Smith | General Surgery | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 4, Lewiston, ID 83501-2435 |
| Barbara K Davis | Internal Medicine | St Joseph Hospital LLC | 222 Southway Ave, Suite C, Lewiston, ID 83501-2703 |
| David B Souvenir | Infectious Disease | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Lori Beth Bennett-penn | Psychiatry | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Tyler Douglas Clark | Family Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 11, Lewiston, ID 83501-2435 |
| Matthew George Krahn | Certified Registered Nurse Anesthetist (crna) | St Joseph Hospital LLC | 415 6th St, Lewiston, ID 83501-2431 |
| Amy Dawnette Johnson | Nurse Practitioner | St Joseph Hospital LLC | 307 Saint Johns Way, Suite 17, Lewiston, ID 83501-2435 |
| Donald J Greggain | Family Medicine | St Joseph Hospital LLC | 307 Saint Johns Way, Lewiston, ID 83501-2435 |
| Street Address |
428 6TH AVE |
| City | LEWISTON |
| State | ID |
| Zip | 83501-2355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Joel Patrick Sheehan Ruhle | Clinical Social Worker | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Amy Kelley | Clinical Social Worker | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Pamela Jean Wieters | Clinical Social Worker | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Brian Fulton | Psychiatry | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Paula K Lockhart | Psychiatry | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| William T Gipson | Psychiatry | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Brandon Mcintosh | Clinical Social Worker | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Elizabeth L Vonbargen | Nurse Practitioner | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Rachel Eron Clements | Nurse Practitioner | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Betty Weeks | Clinical Social Worker | St Joseph Hospital LLC | 428 6th Ave, Lewiston, ID 83501-2355 |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LEWISTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Angie Shantie.
| 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.