Glen E Page (NPI# 1578542213, PAC ID# 3870653819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578542213 |
| PAC ID by PECOS | 3870653819 |
| Professional Enrollment ID | I20081120000040 |
| Full Name | Glen E Page |
| Organization Legal Name | PAGE FAMILY MEDICINE |
| Address |
1252 Bennett Ave Suite B Burley ID 83318-2664 |
| Phone Number | 2086470656 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557614369 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131326 | CASSIA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1252 Bennett Ave, Suite B, Burley, ID 83318-2664 | 2086470656 | PAGE FAMILY MEDICINE |
| Organization Legal Name | PAGE FAMILY MEDICINE |
| Physicians | 1 |
| Street Address |
1252 BENNETT AVE SUITE B |
| City | BURLEY |
| State | ID |
| Zip | 83318-2664 |
| 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 | |
| Ronald B Campbell | Family Medicine | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Find all physicians in zip 83318 | |||
| City | BURLEY |
| Zip Code | 83318 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BURLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glen E Page.
| 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.