Michael R Haskell (NPI# 1457794083, PAC ID# 4183859937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1457794083 |
| PAC ID by PECOS | 4183859937 |
| Professional Enrollment ID | I20150909002119 |
| Full Name | Michael R Haskell |
| Organization Legal Name | TETON VALLEY HEALTH CARE INC |
| Address |
252 S Main St Victor ID 83455-0368 |
| Phone Number | 2083546307 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870744956 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131313 | TETON VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 252 S Main St, Victor, ID 83455-0368 | 2083546307 | TETON VALLEY HEALTH CARE INC |
| Organization Legal Name | TETON VALLEY HEALTH CARE INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey V Rosenberg | Emergency Medicine | Teton Valley Health Care Inc | 120 E Howard St, Driggs, ID 83422-5112 |
| Maurice D Brown | Orthopedic Surgery | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Taylor K Nelson | Certified Registered Nurse Anesthetist (crna) | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| William Sheffield | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Juanita Prissel | Internal Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Anne-marie Omalley Neuhaus | Nurse Practitioner | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| David A Saurman | Physician Assistant | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Blake Yerman | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Jerry B Smedley | Emergency Medicine | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Lance R Petersen | Family Practice | Teton Valley Health Care Inc | 283 N 1st, Driggs, ID 83422-5109 |
| Street Address |
252 S MAIN ST |
| City | VICTOR |
| State | ID |
| Zip | 83455-0368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Gunderson | Physician Assistant | Teton Valley Health Care Inc | 252 S Main St, Victor, ID 83455-0368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Simmons | Optometry | 10 Cedron Rd, Victor, ID 83455-5015 |
| City | VICTOR |
| Zip Code | 83455 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VICTOR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael R Haskell.
| 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.