Gary R Little (NPI# 1275840795, PAC ID# 7810127073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1275840795 |
| PAC ID by PECOS | 7810127073 |
| Professional Enrollment ID | I20140308000126 |
| Full Name | Gary R Little |
| Organization Legal Name | PATHWAYS OF IDAHO, LLC |
| Address |
622 W College Ave St Maries ID 83861-1822 |
| Phone Number | 2082454363 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4789808759 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 | 2086190190 | PATHWAYS OF IDAHO, LLC |
| 622 W College Ave, St Maries, ID 83861-1822 | 2082454363 | PATHWAYS OF IDAHO, LLC |
| 622 W College Ave, Suite 2, St Maries, ID 83861-1822 | 2082454363 | PATHWAYS OF IDAHO, LLC |
| Organization Legal Name | PATHWAYS OF IDAHO, LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tye K Killian | Clinical Social Worker | Pathways of Idaho, LLC | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 |
| Sharon L Bennett | Nurse Practitioner | Pathways of Idaho, LLC | 5583 N Glenwood St, Garden City, ID 83714-1336 |
| Kara Kreizenbeck | Clinical Social Worker | Pathways of Idaho, LLC | 1417 N 4th St, Coeur D Alene, ID 83814-3310 |
| Susan Martinelli | Clinical Social Worker | Pathways of Idaho, LLC | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 |
| Jody A Gray | Clinical Social Worker | Pathways of Idaho, LLC | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 |
| Ravae J Minton | Clinical Social Worker | Pathways of Idaho, LLC | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 |
| Theotosca Page | Clinical Social Worker | Pathways of Idaho, LLC | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 |
| Katie L Keenan | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Lisa Lawrence | Nurse Practitioner | Pathways of Idaho, LLC | 5583 N Glenwood St, Garden City, ID 83714-1336 |
| William C Hodgson | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Street Address |
622 W COLLEGE AVE |
| City | ST MARIES |
| State | ID |
| Zip | 83861-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Keenan | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| William C Hodgson | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Melendez | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Leslie C Rogers | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Magdalena Sneddon | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Find all physicians in zip 83861 | |||
| City | ST MARIES |
| Zip Code | 83861 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ST MARIES + CLINICAL SOCIAL WORKER |
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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.