Roger S Malm (NPI# 1730190935, PAC ID# 2961468939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730190935 |
| PAC ID by PECOS | 2961468939 |
| Professional Enrollment ID | I20041202000217 |
| Full Name | Roger S Malm |
| Organization Legal Name | STERLING PROVIDER GROUP |
| Address |
1404 Pomerelle Ave Suite A1 Burley ID 83318-2013 |
| Phone Number | 2088788783 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264773373 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 | 2088788783 | STERLING PROVIDER GROUP |
| 507 S Main St, Hailey, ID 83333-8929 | 2087884122 | STERLING PROVIDER GROUP |
| 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2085429111 | STERLING PROVIDER GROUP |
| Organization Legal Name | STERLING PROVIDER GROUP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cori Anderson | Physician Assistant | Sterling Provider Group | 47 Doc Perkes, Afton, WY 83110-7703 |
| Tod M Morrison | Nurse Practitioner | Sterling Provider Group | 630 E 1400, Suite 150, Logan, UT 84341-2549 |
| Adam T Garfield | Physician Assistant | Sterling Provider Group | 1201 S Main St, Suite 110, Logan, UT 84321-8504 |
| Curtis Samuel Nielson | Physician Assistant | Sterling Provider Group | 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 |
| Jacob D Anderson | Nurse Practitioner | Sterling Provider Group | 630 E 1400, Suite 150, Logan, UT 84341-2549 |
| Michael J Barbo | Physician Assistant | Sterling Provider Group | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 |
| Matthew F Harris | Emergency Medicine | Sterling Provider Group | 630 E 1400, Suite 150, Logan, UT 84341-2549 |
| Devon E Dahlke | Physician Assistant | Sterling Provider Group | 1201 S Main St, Suite 110, Logan, UT 84321-8504 |
| Cynda Le Tomlinson | Family Medicine | Sterling Provider Group | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 |
| Alan K Mirly | Physician Assistant | Sterling Provider Group | 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 |
| Street Address |
1404 POMERELLE AVE SUITE A1 |
| City | BURLEY |
| State | ID |
| Zip | 83318-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald B Campbell | Family Medicine | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Alan S Nelson | Family Medicine | 1404 Pomerelle Ave, Suite A2, Burley, ID 83318-2013 | |
| Daelynn J Smith | Nurse Practitioner | Anthony J Anderson Md and Assoc LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Curtis Samuel Nielson | Physician Assistant | Sterling Provider Group | 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 |
| Carin M Howard | Physician Assistant | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Tessa A. Poulsen | Physician Assistant | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Anthony Judd Anderson | Family Medicine | Anthony J Anderson Md and Assoc LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Alan K Mirly | Physician Assistant | Sterling Provider Group | 1404 Pomerelle Ave, Suite A1, Burley, ID 83318-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temp R Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | |
| Laurel Krupski | Physician Assistant | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| Colby Scott Bingham | Dermatology | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| R Jared Snarr | Certified Registered Nurse Anesthetist (crna) | 1344 Hiland Ave, Suite E, Burley, ID 83318-1564 | |
| Tyler Charles Roe | Pain Management | 1344 Hiland Ave, Suite A, Burley, ID 83318-1564 | |
| Bernard R Boehmer | Family Medicine | 1335 Albion Ave, Burley, ID 83318-1817 | |
| Lynn A Hansen | Chiropractic | 1210 Oakley Ave, Burley, ID 83318-1840 | |
| Tyler S Hurst | Chiropractic | 1246 Oakley Ave, Hurst Chiropractic Center, Burley, ID 83318-1840 | |
| Travis L Turner | Chiropractic | 1400 Normal Ave, Burley, ID 83318-1952 | |
| Lacie S Asher | Nurse Practitioner | 2311 Park Ave, Suite 4, Burley, ID 83318-2104 | |
| Find all physicians in zip 83318 | |||
| City | BURLEY |
| Zip Code | 83318 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BURLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Roger S Malm.
| 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.