Robert F Ennis (NPI# 1366647729, PAC ID# 6002902814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1366647729 |
| PAC ID by PECOS | 6002902814 |
| Professional Enrollment ID | I20110721000334 |
| Full Name | Robert F Ennis |
| Organization Legal Name | ENNIS ENDOCRINOLOGY PLLC |
| Address |
2450 E Gala St Suite 100 Meridian ID 83642-4805 |
| Phone Number | 2089084541 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9234377391 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2450 E Gala St, Suite 100, Meridian, ID 83642-4805 | 2089084541 | ENNIS ENDOCRINOLOGY PLLC |
| Organization Legal Name | ENNIS ENDOCRINOLOGY PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Ruiz | Physician Assistant | Ennis Endocrinology Pllc | 2450 E Gala St, Suite 100, Meridian, ID 83642-4805 |
| Chelsey Galipeau | Physician Assistant | Ennis Endocrinology Pllc | 2450 E Gala St, Suite 100, Meridian, ID 83642-4805 |
| Street Address |
2450 E GALA ST SUITE 100 |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-4805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Ruiz | Physician Assistant | Ennis Endocrinology Pllc | 2450 E Gala St, Suite 100, Meridian, ID 83642-4805 |
| Chelsey Galipeau | Physician Assistant | Ennis Endocrinology Pllc | 2450 E Gala St, Suite 100, Meridian, ID 83642-4805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | MERIDIAN + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Robert F Ennis.
| 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.