Keith J Popovich (NPI# 1467483412, PAC ID# 9032013172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1467483412 |
| PAC ID by PECOS | 9032013172 |
| Professional Enrollment ID | I20170420001422 |
| Full Name | Keith J Popovich |
| Organization Legal Name | TRI-STATE MEMORIAL HOSPITAL |
| Address |
1267 Belmont Way Clarkston WA 99403-2844 |
| Phone Number | 5097585511 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 4082502422 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 271335 | COMMUNITY HOSPITAL OF ANACONDA |
| 270017 | ST JAMES HEALTHCARE |
| 131321 | ST MARYS HOSPITAL AND CLINICS |
| 131327 | GRITMAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1267 Belmont Way, Clarkston, WA 99403-2844 | 5097585511 | TRI-STATE MEMORIAL HOSPITAL |
| Organization Legal Name | TRI-STATE MEMORIAL HOSPITAL |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Judith M Rooney | Clinical Social Worker | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Tyler L Anderson | Physician Assistant | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Richard L Zobell | Urology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| William W Wheeler | General Surgery | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Claudia-denise Haivas | Nephrology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Doris E Ziegeldorf | Nurse Practitioner | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Mark W Peterson | Diagnostic Radiology | Tri-state Memorial Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 |
| Celso Chavez | Family Medicine | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Christine L Norwood | Nurse Practitioner | Tri-state Memorial Hospital | 1522 17th St, Lewiston, ID 83501-3652 |
| Street Address |
1267 BELMONT WAY |
| City | CLARKSTON |
| State | WA |
| Zip | 99403-2844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Mark T Eggleston | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Chad R Bouterse | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Marcia G Holthaus | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Allen M Ernster | Family Medicine | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Ann M Ridinger | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Kristine G Kemp | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Teresa L Abel | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Cheryl L Rudd | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Edward C Harkins | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Find all physicians in zip 99403 | |||
| City | CLARKSTON |
| Zip Code | 99403 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | CLARKSTON + PULMONARY DISEASE |
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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.