Tyler Charles Roe (NPI# 1710305768, PAC ID# 5698025021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1710305768 |
| PAC ID by PECOS | 5698025021 |
| Professional Enrollment ID | I20190806001946 |
| Full Name | Tyler Charles Roe |
| Address |
1344 Hiland Ave Suite A Burley ID 83318-1564 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2014 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131326 | CASSIA REGIONAL HOSPITAL |
| 131319 | MINIDOKA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1344 Hiland Ave, Suite A, Burley, ID 83318-1564 |
| Street Address |
1344 HILAND AVE SUITE A |
| City | BURLEY |
| State | ID |
| Zip | 83318-1564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel Krupski | Physician Assistant | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| Colby Scott Bingham | Dermatology | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| R Jared Snarr | Certified Registered Nurse Anesthetist (crna) | 1344 Hiland Ave, Suite E, Burley, ID 83318-1564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temp R Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | |
| Bernard R Boehmer | Family Medicine | 1335 Albion Ave, Burley, ID 83318-1817 | |
| Lynn A Hansen | Chiropractic | 1210 Oakley Ave, Burley, ID 83318-1840 | |
| Tyler S Hurst | Chiropractic | 1246 Oakley Ave, Hurst Chiropractic Center, Burley, ID 83318-1840 | |
| Travis L Turner | Chiropractic | 1400 Normal Ave, Burley, ID 83318-1952 | |
| Ronald B Campbell | Family Medicine | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Alan S Nelson | Family Medicine | 1404 Pomerelle Ave, Suite A2, Burley, ID 83318-2013 | |
| Daelynn J Smith | Nurse Practitioner | Anthony J Anderson Md and Assoc LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Curtis Samuel Nielson | Physician Assistant | Sterling Provider Group | 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 |
| Carin M Howard | Physician Assistant | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Find all physicians in zip 83318 | |||
| City | BURLEY |
| Zip Code | 83318 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | BURLEY + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Tyler Charles Roe.
| 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.