John L Etcheto (NPI# 1073547113, PAC ID# 9436050788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073547113 |
| PAC ID by PECOS | 9436050788 |
| Professional Enrollment ID | I20040119000603 |
| Full Name | John L Etcheto |
| Organization Legal Name | SOUTHERN IDAHO PAIN INSTITUTE P.C. |
| Address |
176 Falls Ave Twin Falls ID 83301-2306 |
| Phone Number | 2087333181 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577538578 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 176 Falls Ave, Twin Falls, ID 83301-2306 | 2087333181 | SOUTHERN IDAHO PAIN INSTITUTE P.C. |
| Organization Legal Name | SOUTHERN IDAHO PAIN INSTITUTE P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Street Address |
176 FALLS AVE |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Joel Vinson | Occupational Therapy | Primary Therapy Source LLC | 254 River Vista Pl, Twin Falls, ID 83301-3006 |
| Jaclyn M Dux | Physical Therapy | Primary Therapy Source LLC | 254 River Vista Pl, Twin Falls, ID 83301-3006 |
| Kristen Magalogo | Occupational Therapy | Primary Therapy Source LLC | 254 River Vista Pl, Twin Falls, ID 83301-3006 |
| Nancy L Harris | Qualified Speech Language Pathologist | Primary Therapy Source LLC | 254 River Vista Pl, Twin Falls, ID 83301-3006 |
| Levi Joseph Crane | Physical Therapy | Primary Therapy Source LLC | 254 River Vista Pl, Twin Falls, ID 83301-3006 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TWIN FALLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on John L Etcheto.
| 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.