Katherine A Gray (NPI# 1427407824, PAC ID# 9739446568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427407824 |
| PAC ID by PECOS | 9739446568 |
| Professional Enrollment ID | I20200107002738 |
| Full Name | Katherine A Gray |
| Organization Legal Name | GLENNS FERRY HEALTH CENTER INC |
| Address |
2280 American Legion Blvd Mountain Home ID 83647-3142 |
| Phone Number | 2085873988 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496656894 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2085873988 | GLENNS FERRY HEALTH CENTER INC |
| Organization Legal Name | GLENNS FERRY HEALTH CENTER INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia G Medrano | Nurse Practitioner | Glenns Ferry Health Center Inc | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 |
| Dawn D Best | Nurse Practitioner | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Darin K Gere | Clinical Social Worker | Glenns Ferry Health Center Inc | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 |
| Mark R Ensminger | Family Medicine | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Mark E Merrell | Physician Assistant | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Ashley G Casto | Physician Assistant | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Kyle S Hollenback | Physician Assistant | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Saad Hijazi | Internal Medicine | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Jonathan G Casto | Physician Assistant | Glenns Ferry Health Center Inc | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
| Street Address |
2280 AMERICAN LEGION BLVD |
| City | MOUNTAIN HOME |
| State | ID |
| Zip | 83647-3142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia G Medrano | Nurse Practitioner | Glenns Ferry Health Center Inc | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 |
| Darin K Gere | Clinical Social Worker | Glenns Ferry Health Center Inc | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie R Knapp | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Timothy M Ruth | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Karen A Galvan | General Surgery | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Lily J Wittich | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Joseph W Hoskin | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Mary K Jenks | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Whitney A Roberts | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Dennis D Crossley | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michelle Pehrson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michael S Charme | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Find all physicians in zip 83647 | |||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNTAIN HOME + FAMILY MEDICINE |
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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.