Spencer Southwick (NPI# 1447233739, PAC ID# 0648374413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1447233739 |
| PAC ID by PECOS | 0648374413 |
| Professional Enrollment ID | I20171017002692 |
| Full Name | Spencer Southwick |
| Organization Legal Name | FAMILY FIRST MEDICAL CENTER, PLLC |
| Address |
3820 Crestwood Ln Idaho Falls ID 83404-4979 |
| Phone Number | 2085527700 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1052480076 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 | 2085527700 | FAMILY FIRST MEDICAL CENTER, PLLC |
| Organization Legal Name | FAMILY FIRST MEDICAL CENTER, PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Jenkins | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Shelley Davis | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Melissa Kelly | Nurse Practitioner | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Tyson C Parker | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Nathan S Gravley | Physical Therapy | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Boyd Kimball Southwick | Family Medicine | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Alan Andy Adams | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Flint R Packer | Family Medicine | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| David D Buys | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Street Address |
3820 CRESTWOOD LN |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-4979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Jenkins | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Shelley Davis | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Melissa Kelly | Nurse Practitioner | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Tyson C Parker | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Nathan S Gravley | Physical Therapy | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Boyd Kimball Southwick | Family Medicine | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Alan Andy Adams | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Flint R Packer | Family Medicine | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| David D Buys | Physician Assistant | Family First Medical Center, Pllc | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | IDAHO FALLS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Spencer Southwick.
| 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.