MR. MICHAEL JOHN DOYLE (NPI# 1124040506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124040506 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN DOYLE |
| Credential | PA-C(PHYS ASST) |
| Practice Address |
921 S 8th Ave Stop 8311 Pocatello ID 83209-0002 |
| Practice Telephone | 2082822330 |
| Practice Fax Number | 2082824036 |
| Mailing Fax Number | 2082824036 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-085 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720103310 | Michael Doyle | Dentist | 16374 Hotchkiss Valley Road East, Loudon, TN 37774 | 2007-03-20 |
| 1780735530 | Michael Doyle | Social Worker | 16 N Park Ave, Batesville, IN 47006-1249 | 2007-01-16 |
| 1871692459 | Michael T Doyle | Dentist | 4582 Kingwood Dr, Suite F, Kingwood, TX 77345 | 2006-09-21 |
| 1437267465 | Michael B Doyle | Obstetrics & Gynecology | 405 N Cedar Rd, Fairfield, CT 06824-2852 | 2006-08-29 |
| 1750303095 | Michael Joseph Doyle | Dentist | 2000 Schuster Rd, Jarrettsville, MD 21084-1807 | 2006-07-24 |
| 1568430262 | Michael Edward Doyle | Psychiatry & Neurology | 70 Dubois St, 5th Floor, St. Luke's Cornwall Hospital, Newburgh, NY 12550 | 2006-03-09 |
| 1255311601 | Michael V Doyle | Orthopaedic Surgery | 8220 Walnut Hill Lane, # 606, Dallas, TX 75231 | 2006-01-20 |
| 1447244926 | Michael Edward Doyle Jr. | Dentist | 633 Hopkins Rd, Kernersville, NC 27284-9379 | 2005-09-09 |
| 1427698604 | Michael Doyle | Registered Nurse | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2020-01-15 |
| 1134639818 | Michael Doyle | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2017-10-06 |
| Street Address |
921 S 8TH AVE STOP 8311 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396221073 | Alyssa Marie Hines | Dietitian, Registered | 921 S 8th Ave Stop 8311, Pocatello, ID 83209-8375 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| Find all providers in zip 83209 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720379597 | Lance W Mckay | Physician Assistant | 1151 Hospital Way, Bld D, Pocatello, ID 83201-5091 | 2011-04-27 |
| 1467602920 | Stephanie Theresa Hanson | Physician Assistant | 11460 N Philbin Rd, Pocatello, ID 83202-5306 | 2008-09-22 |
| 1780867457 | Southeast Idaho Gastroenterology, Pllc | Physician Assistant | 1151 Hospital Way Ste A, Pocatello, ID 83201-5091 | 2007-12-17 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| 1760597462 | Karen Dickerson | Physician Assistant | 1352 E Center St, Pocatello, ID 83201-4734 | 2006-08-20 |
| 1265441547 | Nicole Manning | Physician Assistant | 475 Yellowstone Ave, Ste E, Pocatello, ID 83201-4528 | 2006-08-05 |
| 1417909862 | Cynthia Ann Bunde | Physician Assistant | 429 Washington Ave, Pocatello, ID 83201-4520 | 2006-05-16 |
| 1750342952 | Kebai Dawn Bills | Physician Assistant | 1777 E. Clark Suite # 210, Pocatello, ID 83201 | 2006-03-29 |
| 1073513065 | Helena M. B. Rizor | Physician Assistant | 1448 E Center St, Pocatello, ID 83201-4105 | 2005-07-30 |
| 1376946012 | Angela G Hatch | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2014-10-08 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.