Malissa A Stanley (NPI# 1326273863, PAC ID# 5991841595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326273863 |
| PAC ID by PECOS | 5991841595 |
| Professional Enrollment ID | I20091013000477 |
| Full Name | Malissa A Stanley |
| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Address |
1957 E 17th St Idaho Falls ID 83404-6429 |
| Phone Number | 2085231100 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486562774 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| 531313 | STAR VALLEY MEDICAL CENTER |
| 131324 | LOST RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2085231100 | MOUNTAIN VIEW HOSPITAL LLC |
| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina Scoggins | Osteopathic Manipulative Medicine | Mountain View Hospital LLC | 2725 Channing Way, Idaho Falls, ID 83404-7510 |
| Richard Willis Runyan | Pain Management | Mountain View Hospital LLC | 3385 Potomac Way, Idaho Falls, ID 83404-4978 |
| Andrew D Cooper | Physical Medicine and Rehabilitation | Mountain View Hospital LLC | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 |
| Amanda N Thompson | Nurse Practitioner | Mountain View Hospital LLC | 2680 Channing Way, Idaho Falls, ID 83404-7517 |
| Stephanie L Sander | Physician Assistant | Mountain View Hospital LLC | 1550 Hoopes Ave, Idaho Falls, ID 83404-5799 |
| Matthew Ivie | Physician Assistant | Mountain View Hospital LLC | 2325 Coronado St, Idaho Falls, ID 83404-7407 |
| Daric J Russell | Pain Management | Mountain View Hospital LLC | 1425 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Patricia Stadler | Nurse Practitioner | Mountain View Hospital LLC | 167 E 1st, Rigby, ID 83442-1401 |
| Bryce Campbell | Nurse Practitioner | Mountain View Hospital LLC | 2730 Channing Way, Idaho Falls, ID 83404-5049 |
| Timothy E Snell | Interventional Pain Management | Mountain View Hospital LLC | 1950 E Clark St, Suite 110, Pocatello, ID 83201-3315 |
| Street Address |
1957 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-6429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jed T Bartschi | Physician Assistant | Mountain View Hospital LLC | 1957 E 17th St, Idaho Falls, ID 83404-6429 |
| Christian T Shull | Hematology/oncology | Mountain View Hospital LLC | 1957 E 17th St, Idaho Falls, ID 83404-6429 |
| Dallin B Gambles | Physician Assistant | Mountain View Hospital LLC | 1957 E 17th St, Idaho Falls, ID 83404-6429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | IDAHO FALLS + 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.