Stan R Griffiths (NPI# 1679681738, PAC ID# 6709794019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1679681738 |
| PAC ID by PECOS | 6709794019 |
| Professional Enrollment ID | I20101026000489 |
| Full Name | Stan R Griffiths |
| Organization Legal Name | SUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC |
| Address |
2321 Coronado St Idaho Falls ID 83404-7407 |
| Phone Number | 2082271100 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6204731227 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2321 Coronado St, Idaho Falls, ID 83404-7407 | 2082271100 | SUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Vandyke | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Philip Ross Mccowin | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Nathan S Rencher | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Ammon Lambson | Physician Assistant | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Street Address |
2321 CORONADO ST |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Vandyke | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Philip Ross Mccowin | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Nathan S Rencher | Orthopedic Surgery | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| Ammon Lambson | Physician Assistant | Summit Orthopaedics Management and Consulting, LLC | 2321 Coronado St, Idaho Falls, ID 83404-7407 |
| 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 | ORTHOPEDIC SURGERY |
| City + Specialty | IDAHO FALLS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Stan R Griffiths.
| 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.