Michael T Harris (NPI# 1952579021, PAC ID# 5294772794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952579021 |
| PAC ID by PECOS | 5294772794 |
| Professional Enrollment ID | I20050418000408 |
| Full Name | Michael T Harris |
| Organization Legal Name | BMH INC |
| Address |
2302 E Terry St Pocatello ID 83201-2733 |
| Phone Number | 2082355910 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426149758 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 Poplar St, Blackfoot, ID 83221-1758 | 2087823993 | BMH INC |
| 2302 E Terry St, Pocatello, ID 83201-2733 | 2082355910 | BMH INC |
| Organization Legal Name | BMH INC |
| Physicians | 93 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Sisul | Urology | Bmh Inc | 2302 E Terry St, Pocatello, ID 83201-2733 |
| Ryan B Longmore | Cardiovascular Disease (cardiology) | Bmh Inc | 1595 Bannock Hwy, Pocatello, ID 83204-3509 |
| Sharla Clark | Family Medicine | Bmh Inc | 4750 Yellowstone Ave, Pocatello, ID 83202-2336 |
| Dan E Robinson | Podiatry | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| William S Huneycutt | Neurosurgery | Bmh Inc | 1151 Hospital Way, Bldg D, Pocatello, ID 83201-5091 |
| Cynthia M Rice | Nurse Practitioner | Bmh Inc | 1553 E Ctr St, Pocatello, ID 83201-4135 |
| Richard Brown | Psychiatry | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Kenneth T Blackner | General Practice | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Bradly K Brown | Physician Assistant | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Hugh S Selznick | Orthopedic Surgery | Bmh Inc | 98 Poplar St, Blackfoot, ID 83221-1758 |
| Street Address |
2302 E TERRY ST |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Sisul | Urology | Bmh Inc | 2302 E Terry St, Pocatello, ID 83201-2733 |
| Angelo M Capricchione | Internal Medicine | Bmh Inc | 2302 E Terry St, Pocatello, ID 83201-2733 |
| Ryan D Hope | Interventional Pain Management | Bmh Inc | 2302 E Terry St, Pocatello, ID 83201-2733 |
| 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 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCATELLO + FAMILY MEDICINE |
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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.