James L Blaine (NPI# 1801963459, PAC ID# 1254303498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801963459 |
| PAC ID by PECOS | 1254303498 |
| Professional Enrollment ID | I20040809001269 |
| Full Name | James L Blaine |
| Organization Legal Name | COMMUNITY CARE WEST SIDE LLC |
| Address |
765 S Utah Ave Idaho Falls ID 83402-5093 |
| Phone Number | 2085852600 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678738218 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 765 S Utah Ave, Idaho Falls, ID 83402-5093 | 2085852600 | COMMUNITY CARE WEST SIDE LLC |
| Organization Legal Name | COMMUNITY CARE WEST SIDE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Cranor | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Rebecca H Adams | Family Medicine | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Kristi L Grigg | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Justus Flin Lambson | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Street Address |
765 S UTAH AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83402-5093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Cranor | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Rebecca H Adams | Family Medicine | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Kristi L Grigg | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Justus Flin Lambson | Physician Assistant | Community Care West Side LLC | 765 S Utah Ave, Idaho Falls, ID 83402-5093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven K Orme | Clinical Social Worker | 163 E Elva St, Idaho Falls, ID 83402-2233 | |
| Charles A Melick Iii | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 |
| Ka-sia M Baumer | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 |
| Thomas E Tueller | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 |
| Valerie A Velasco | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 |
| Rachel G Wilkinson | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 |
| Jillian Mitki | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Idaho Falls, ID 83402-2902 |
| Michelle M Hunt | Clinical Social Worker | Tueller Counseling Inc | 2275 W Broadway St, Idaho Falls, ID 83402-2902 |
| Trever Neville | Chiropractic | 2145 W Broadway, Idaho Falls, ID 83402-2904 | |
| Kalob J Parsons | Qualified Audiologist | Better Hearing and Audiology LLC | 1753 W Broadway St, Idaho Falls, ID 83402-3045 |
| Find all physicians in zip 83402 | |||
| City | IDAHO FALLS |
| Zip Code | 83402 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | IDAHO FALLS + PHYSICIAN ASSISTANT |
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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.