Wade Roger Demordaunt (NPI# 1275591711, PAC ID# 2860622875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275591711 |
| PAC ID by PECOS | 2860622875 |
| Professional Enrollment ID | I20160216000142 |
| Full Name | Wade Roger Demordaunt |
| Address |
1450 N 2nd Rexburg ID 83440-5131 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1450 N 2nd, Rexburg, ID 83440-5131 |
| Street Address |
1450 N 2ND |
| City | REXBURG |
| State | ID |
| Zip | 83440-5131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | OPTOMETRY |
| City + Specialty | REXBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Wade Roger Demordaunt.
| 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.