John R Anderson (NPI# 1366490773, PAC ID# 4284879446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366490773 |
| PAC ID by PECOS | 4284879446 |
| Professional Enrollment ID | I20130319000093 |
| Full Name | John R Anderson |
| Organization Legal Name | OROVILLE HOSPITAL |
| Address |
8611 W Eagle Ridge Rd Coeur D Alene ID 83814-9565 |
| Phone Number | 855687723711115 |
| Gender | M |
| Graduation Year | 1972 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254234339 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050030 | OROVILLE HOSPITAL |
| 490024 | CARILION MEDICAL CENTER |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490021 | CENTRA |
| 050039 | ENLOE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | 855687723711115 | OROVILLE HOSPITAL |
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA | |
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | 8556877237 | RADIOLOGY CONSULTANTS OF LYNCHBURG INC |
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | 2086644455 | DIRECT RADIOLOGY PLLC |
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | ENLOE MEDICAL CENTER | |
| 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 | 40658786311003 | INTERCITY RADIOLOGY PC |
| 953 N Armstrong Dr, Coeur D Alene, ID 83814-9490 | 855687723711115 | ENLOE MEDICAL CENTER |
| Organization Legal Name | OROVILLE HOSPITAL |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Rusnak | Diagnostic Radiology | Oroville Hospital | 2020 Walnut St Apt, 29l William T Randazzo Md, Philadelphia, PA 19103-5600 |
| Shameem P Azizad | Diagnostic Radiology | Oroville Hospital | 5001 Evidence Cv, Lillian W Cavin Md, Spicewood, TX 78669-6442 |
| John W Boardman | Diagnostic Radiology | Oroville Hospital | 1110 Chapin St, Beloit, WI 53511-6472 |
| Kyle J Henneberry | Diagnostic Radiology | Oroville Hospital | 15734 Ne 117th St, Redmond, WA 98052-2298 |
| Asti Pilika | Diagnostic Radiology | Oroville Hospital | 520 Lunalilo Home Rd, Unit 6308, Honolulu, HI 96825-1748 |
| Anjali Roy | Diagnostic Radiology | Oroville Hospital | 6164 N Pinnacle Ridge Dr, Tucson, AZ 85718-3503 |
| Jeffrey W Grossman | Diagnostic Radiology | Oroville Hospital | 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 |
| Farhad Keliddari | Diagnostic Radiology | Oroville Hospital | 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Margaret Kang | Diagnostic Radiology | Oroville Hospital | 1021 Broad Branch Ct, Mc Lean, VA 22101-2140 |
| Street Address |
8611 W EAGLE RIDGE RD |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83814-9565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey W Grossman | Diagnostic Radiology | Oroville Hospital | 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Earl Hirschi | Chiropractic | 610 N Hubbard St, Suite 114, Coeur D'alene, ID 83814 | |
| Sean Tristan T Cook | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Dustin D Dinning | Rheumatology | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Natalie Rose Cooper | Physical Medicine and Rehabilitation | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Melanie L Enderwick | Infectious Disease | Kootenai Health | 2120 W Ironwood Dr, Coeur D Alene, ID 83814 |
| Sarah R Nave | Registered Dietitian Or Nutrition Professional | Kootenai Health | 700 N Ironwood Dr, 275w, Coeur D'alene, ID 83814 |
| Orlando E Nunez | Podiatry | 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814-1404 | |
| Kevin M Johnson | General Surgery | Coeur D Alene Surgical and Vein | 608 Northwest Blvd, Coeur D Alene, ID 83814-2174 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Find all physicians in zip 83814 | |||
| City | COEUR D ALENE |
| Zip Code | 83814 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COEUR D ALENE + DIAGNOSTIC RADIOLOGY |
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| 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.