Bruce W Demko (NPI# 1780651539, PAC ID# 3375456171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1780651539 |
| PAC ID by PECOS | 3375456171 |
| Professional Enrollment ID | I20040827000204 |
| Full Name | Bruce W Demko |
| Address |
30544 Hwy 200 201 Ponderay ID 83852-5005 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30544 Hwy 200 201, Ponderay, ID 83852-5005 |
| Street Address |
30544 HWY 200 201 |
| City | PONDERAY |
| State | ID |
| Zip | 83852-5005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Bloom | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| K Garrett Fischer | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Travis L Taylor | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Lindsey M Ruppel | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael R Di Benedetto | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael D Schicker | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan D Fisher | Podiatry | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Darwin L Hurst | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan Roy Gardunia | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Benjamin C Ringger | Dermatology | North Idaho Dermatology Pa | 476394 Hwy 95, Ponderay, ID 83852-5014 |
| Find all physicians in zip 83852 | |||
| City | PONDERAY |
| Zip Code | 83852 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PONDERAY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Bruce W Demko.
| 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.