Ida M Hole (NPI# 1518941244, PAC ID# 5890740518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518941244 |
| PAC ID by PECOS | 5890740518 |
| Professional Enrollment ID | I20141208002139 |
| Full Name | Ida M Hole |
| Organization Legal Name | CASPER MEDICAL CENTER LLC |
| Address |
6550 E 2 St Casper WY 82609-4321 |
| Phone Number | 3079958100 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769577857 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530033 | MOUNTAIN VIEW REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6550 E 2 St, Casper, WY 82609-4321 | 3079958100 | CASPER MEDICAL CENTER LLC |
| Organization Legal Name | CASPER MEDICAL CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Kopitnik Jr. | Neurosurgery | Casper Medical Center LLC | 6550 E 2 St, Casper, WY 82609-4321 |
| Nino M Dobrovic | Interventional Pain Management | Casper Medical Center LLC | 6550 E 2 St, Casper, WY 82609-4321 |
| Street Address |
6550 E 2 ST |
| City | CASPER |
| State | WY |
| Zip | 82609-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth J Whipple | Anesthesiology | 6550 E 2 St, Casper, WY 82609-4321 | |
| Thomas A Kopitnik Jr. | Neurosurgery | Casper Medical Center LLC | 6550 E 2 St, Casper, WY 82609-4321 |
| Nino M Dobrovic | Interventional Pain Management | Casper Medical Center LLC | 6550 E 2 St, Casper, WY 82609-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia L Donald | Occupational Therapy | 307 Physical Therapy | 2665 E 2nd St, Casper, WY 82609-2045 |
| Jennifer L Mandros | Physical Therapy | 307 Physical Therapy | 2665 E 2nd St, Casper, WY 82609-2045 |
| Christine Vencill | Clinical Social Worker | 2345 E 2nd St, Casper, WY 82609-2048 | |
| Michael P Wilkinson | Podiatry | Foot Doctor PC | 2233 E 2nd St, Casper, WY 82609-2050 |
| Daniel Taylor Jones | Podiatry | Foot Doctor PC | 2233 E 2nd St, Casper, WY 82609-2050 |
| Marc J Delgadillo | Chiropractic | 2121 E 2nd St, Suite 103, Casper, WY 82609-2056 | |
| Nancy E Brown | Nurse Practitioner | Central Wyoming Skin Clinic PC | 2546 E 2nd St, Suite 400, Casper, WY 82609-2062 |
| David B Wheeler | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Rene L Mosada | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Oliver J Jeffery | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Find all physicians in zip 82609 | |||
| City | CASPER |
| Zip Code | 82609 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CASPER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ida M Hole.
| 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.