David R Donaldson
MV POCATELLO ENT, LLC


Address: 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358
Phone: 2082322146

David R Donaldson (NPI# 1114914512, PAC ID# 4587681515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1114914512
PAC ID by PECOS 4587681515
Professional Enrollment ID I20051028000946
Full Name David R Donaldson
Organization Legal Name MV POCATELLO ENT, LLC
Address 333 N 18th Ave
Suite B3
Pocatello
ID 83201-3358
Phone Number 2082322146
Gender M
Credential MD
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 2567706096
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130028 PORTNEUF MEDICAL CENTER
131325 BINGHAM MEMORIAL HOSPITAL
131309 CARIBOU MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
98 Poplar St, Blackfoot, ID 83221-1758 2087823993 BMH INC
333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 2082322146 MV POCATELLO ENT, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 88%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99%

Organization Information

Organization Legal Name MV POCATELLO ENT, LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Jessica Redding Physician Assistant Mv Pocatello Ent, LLC 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358
Kraig C Mcgee Otolaryngology Mv Pocatello Ent, LLC 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358

Office Location

Street Address 333 N 18TH AVE
SUITE B3
City POCATELLO
State ID
Zip 83201-3358

Physicians in the same location

Name Specialty Organization Address
Roger A Cook Anesthesiology Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Daniel D Snell Anesthesiology Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Luke J Jackson Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Nicholas F Stoddard Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Benson S Roper Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Richard A Marler Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Kenneth M Knapp Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Jessica Redding Physician Assistant Mv Pocatello Ent, LLC 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358
Alex J Bringhurst Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
Micah J Scott Certified Registered Nurse Anesthetist (crna) Sei Anesthesia Pllc 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358
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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
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Competitor

Search similar physicians

City POCATELLO
Zip Code 83201
Specialty OTOLARYNGOLOGY
City + Specialty POCATELLO + OTOLARYNGOLOGY

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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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