Jeffery S Dzieczkowski (NPI# 1578502415, PAC ID# 9931180163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578502415 |
| PAC ID by PECOS | 9931180163 |
| Professional Enrollment ID | I20060201000036 |
| Full Name | Jeffery S Dzieczkowski |
| Organization Legal Name | APOGEE MEDICAL GROUP IDAHO PC |
| Address |
2131 S Bonito Way Meridian ID 83642-1659 |
| Phone Number | 2084899500 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1052498045 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2131 S Bonito Way, Meridian, ID 83642-1659 | 2084899500 | APOGEE MEDICAL GROUP IDAHO PC |
| Organization Legal Name | APOGEE MEDICAL GROUP IDAHO PC |
| Physicians | 1 |
| Street Address |
2131 S BONITO WAY |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Nirmal B Charan | Sleep Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Joshua Gardner Stroh | Chiropractic | 1326 N Main St, Meridian, ID 83642-1703 | |
| John E Whalen Jr. | Chiropractic | 1326 N Main St, Meridian, ID 83642-1703 | |
| Richard P Sampson | Chiropractic | 1504 N Main St, Meridian, ID 83642-1707 | |
| Arthur C Jones Iv | Family Medicine | Saint Alphonsus Regional Medical Center Inc | 3041 E Copper Point Dr, Meridian, ID 83642-1740 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MERIDIAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jeffery S Dzieczkowski.
| 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.