Basil C Anderson (NPI# 1518282110, PAC ID# 0547413593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518282110 |
| PAC ID by PECOS | 0547413593 |
| Professional Enrollment ID | I20130716000498 |
| Full Name | Basil C Anderson |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Address |
114 Pioneer Ct Jerome ID 83338-5193 |
| Phone Number | 2083243471 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012815038 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 114 Pioneer Ct, Jerome, ID 83338-5193 | 2083243471 | FAMILY HEALTH SERVICES CORPORATION |
| 132 N Main St N, Kimberly, ID 83341-2002 | 2087353938 | FAMILY HEALTH SERVICES CORPORATION |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lewis Miller | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Cameron Freeman | Physician Assistant | Family Health Services Corporation | 325 Martin St, Suite 1, Twin Falls, ID 83301-4563 |
| Jared Keller | Physician Assistant | Family Health Services Corporation | 402 6th St, Rupert, ID 83350-1619 |
| Matthew Nelson | Physician Assistant | Family Health Services Corporation | 725 Fair St, Buhl, ID 83316-6442 |
| Toni R Miller | Nurse Practitioner | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Ellen K Judd | Physician Assistant | Family Health Services Corporation | 1320 Bennett Ave, Burley, ID 83318-2665 |
| Cathy W Canty | Family Medicine | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Adam T Richins | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Ryan Hodges | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Kalen Knopp | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Street Address |
114 PIONEER CT |
| City | JEROME |
| State | ID |
| Zip | 83338-5193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toni R Miller | Nurse Practitioner | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Jesse Balls | Physician Assistant | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Matthew D Duersch | Family Medicine | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Irwin | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Melissa D Merrill | Certified Nurse Midwife (cnm) | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Alice R Trabert | Nurse Practitioner | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Joshua W Kern | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Lori J Wortham | Physician Assistant | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Nicole L Ruske | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Yolanda S Sedano | Physician Assistant | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Mildred A Gaitan-gonzalez | Clinical Social Worker | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Catherine A Doyle | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Laura M Johnson | Chiropractic | 600 N Lincoln Ave, Jerome, ID 83338-1850 | |
| Find all physicians in zip 83338 | |||
| City | JEROME |
| Zip Code | 83338 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JEROME + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Basil C Anderson.
| 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.