Jamie M Ricks (NPI# 1053379610, PAC ID# 6002881604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1053379610 |
| PAC ID by PECOS | 6002881604 |
| Professional Enrollment ID | I20040827000498 |
| Full Name | Jamie M Ricks |
| Organization Legal Name | JMR INC |
| Address |
2031 E Hospitality Ln Suite 150 Boise ID 83716-6603 |
| Phone Number | 2083362225 |
| Gender | M |
| Credential | DC |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1658346242 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2031 E Hospitality Ln, Suite 150, Boise, ID 83716-6603 | 2083362225 | JMR INC |
| Organization Legal Name | JMR INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan J Nowland | Chiropractic | Jmr Inc | 2031 E Hospitality Ln, Suite 150, Boise, ID 83716-6603 |
| Street Address |
2031 E HOSPITALITY LN SUITE 150 |
| City | BOISE |
| State | ID |
| Zip | 83716-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan J Nowland | Chiropractic | Jmr Inc | 2031 E Hospitality Ln, Suite 150, Boise, ID 83716-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine N Key | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716-5743 | |
| Jeni T Emerizy | Clinical Social Worker | 4468 S Pinerest Way, Boise, ID 83716-6676 | |
| Katherine Elizabeth Turnbull | Nurse Practitioner | East To West Family Medicine | 2051 A E Summersweet Dr, Boise, ID 83716-6695 |
| Kyle J Davis | Psychologist, Clinical | St Lukes Clinic-treasure Valley LLC | 2051 E Summersweet Dr, Boise, ID 83716-6695 |
| Leanna Moser | Nurse Practitioner | East To West Family Medicine | 2051 A E Summersweet Dr, Boise, ID 83716-6695 |
| City | BOISE |
| Zip Code | 83716 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BOISE + CHIROPRACTIC |
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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.