Wendy F Swope (NPI# 1962522409, PAC ID# 5092800672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1962522409 |
PAC ID by PECOS | 5092800672 |
Professional Enrollment ID | I20070927000204 |
Full Name | Wendy F Swope |
Address |
3388 Swan Valley Hwy Irwin ID 83428 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2280 E 25th St, Eastern Idaho Regional Medical Center, Idaho Falls, ID 83404-7542 | 2082272260 | IDAHO BEHAVIORAL HEALTH SERVICES, LLC |
540 3rd St, Idaho Falls, ID 83401-3953 | 2085293719 | JOSHUA D. SMITH AND ASSOCIATES, INC. |
3388 Swan Valley Hwy, Irwin, ID 83428 |
Street Address |
3388 SWAN VALLEY HWY |
City | IRWIN |
State | ID |
Zip | 83428 |
City | IRWIN |
Zip Code | 83428 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IRWIN + NURSE PRACTITIONER |
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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.