Rex E Wortham (NPI# 1679580492, PAC ID# 0749278760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1679580492 |
| PAC ID by PECOS | 0749278760 |
| Professional Enrollment ID | I20040511001242 |
| Full Name | Rex E Wortham |
| Organization Legal Name | ST LUKE'S CLINIC LLC |
| Address |
709 N Lincoln Ave Jerome ID 83338-1851 |
| Phone Number | 2088149500 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052217478 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131310 | ST LUKE'S JEROME |
| 530025 | IVINSON MEMORIAL HOSPITAL |
| 531305 | PLATTE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2088149500 | ST LUKE'S CLINIC LLC |
| 255 N 30th St, Laramie, WY 82072-5140 | 3077422142 | IVINSON MEMORIAL HOSPITAL |
| Organization Legal Name | ST LUKE'S CLINIC LLC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett A Bentley | Family Medicine | St Luke's Clinic LLC | 2550 Addison Ave W, Suite G, Twin Falls, ID 83301-6749 |
| Abigail Louise Bell | Certified Clinical Nurse Specialist (cns) | St Luke's Clinic LLC | 775 Pole Line Rd W, Suite 115, Twin Falls, ID 83301-5819 |
| Timothy D Crawley | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
| Robin M Lopez | Clinical Social Worker | St Luke's Clinic LLC | 2550 Addison Ave E, Twin Falls, ID 83301-6748 |
| Brett J Buican | Psychologist, Clinical | St Luke's Clinic LLC | 1840 Canyon Crest Dr, Twin Falls, ID 83301-3007 |
| Thomas H Zepeda | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| John Brandon Cory | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 575 Pole Line Rd W, Twin Falls, ID 83301-9998 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| James S Irwin | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| Michael P Dixon | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Street Address |
709 N LINCOLN AVE |
| City | JEROME |
| State | ID |
| Zip | 83338-1851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H Zepeda | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Dean A Nelson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Brian L Johnson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Richard A Pierson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| Dale C Dickinson Jr. | Certified Registered Nurse Anesthetist | St Luke's Clinic, LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| 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 | EMERGENCY MEDICINE |
| City + Specialty | JEROME + EMERGENCY 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.