Andrea Walsh (NPI# 1376992503, PAC ID# 6002102746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376992503 |
| PAC ID by PECOS | 6002102746 |
| Professional Enrollment ID | I20160907001312 |
| Full Name | Andrea Walsh |
| Organization Legal Name | BRANDON A WEST DO PLLC |
| Address |
1133 Call Creek Dr A Pocatello ID 83201-3000 |
| Phone Number | 2082321000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153644075 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131324 | LOST RIVERS MEDICAL CENTER |
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1133 Call Creek Dr A, Pocatello, ID 83201-3000 | 2082321000 | BRANDON A WEST DO PLLC |
| Organization Legal Name | BRANDON A WEST DO PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul K Bowers | Nurse Practitioner | Brandon A West Do Pllc | 1133 Call Creek Dr A, Pocatello, ID 83201-3000 |
| Brandon A West | Family Medicine | Brandon A West Do Pllc | 1133 Call Creek Dr A, Pocatello, ID 83201-3000 |
| Street Address |
1133 CALL CREEK DR A |
| City | POCATELLO |
| State | ID |
| Zip | 83201-3000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul K Bowers | Nurse Practitioner | Brandon A West Do Pllc | 1133 Call Creek Dr A, Pocatello, ID 83201-3000 |
| Brandon A West | Family Medicine | Brandon A West Do Pllc | 1133 Call Creek Dr A, Pocatello, ID 83201-3000 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | POCATELLO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea Walsh.
| 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.