Elisabeth G Kinghorn (NPI# 1871753061, PAC ID# 5799853909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871753061 |
| PAC ID by PECOS | 5799853909 |
| Professional Enrollment ID | I20081001000160 |
| Full Name | Elisabeth G Kinghorn |
| Organization Legal Name | SPECIALIZED FAMILY MEDICINE |
| Address |
151 N 4th Ave Suite B Pocatello ID 83201-6300 |
| Phone Number | 2082697147 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466425095 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 | 2082697147 | SPECIALIZED FAMILY MEDICINE |
| Organization Legal Name | SPECIALIZED FAMILY MEDICINE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan L Bailey | Family Medicine | Specialized Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 |
| Misty M Martinsen | Nurse Practitioner | Specialized Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 |
| Street Address |
151 N 4TH AVE SUITE B |
| City | POCATELLO |
| State | ID |
| Zip | 83201-6300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan L Bailey | Family Medicine | Specialized Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 |
| Misty M Martinsen | Nurse Practitioner | Specialized Family Medicine | 151 N 4th Ave, Suite B, Pocatello, ID 83201-6300 |
| Jeffrey Max Williams | Chiropractic | 151 N 4th Ave, Suite A, Pocatello, ID 83201-6300 | |
| Addison Grisaffi | Chiropractic | Streamline Chiropractic Pllc | 151 N 4th Ave, Suite A, Pocatello, ID 83201-6300 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | POCATELLO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elisabeth G Kinghorn.
| 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.