Angie Shantie
ST JOSEPH HOSPITAL LLC


Address: 428 6th Ave, Lewiston, ID 83501-2355
Phone: 2087996500

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130003 ST JOSEPH REGIONAL MEDICAL CENTER

Other Locations

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 Information

Organization Legal Name ST JOSEPH HOSPITAL LLC
Physicians 61

Physicians with the same organization

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

Office Location

Street Address 428 6TH AVE
City LEWISTON
State ID
Zip 83501-2355

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City LEWISTON
Zip Code 83501
Specialty CLINICAL SOCIAL WORKER
City + Specialty LEWISTON + CLINICAL SOCIAL WORKER

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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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