Stanford B Gammon (NPI# 1477992592, PAC ID# 4981846011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477992592 |
| PAC ID by PECOS | 4981846011 |
| Professional Enrollment ID | I20160301001009 |
| Full Name | Stanford B Gammon |
| Organization Legal Name | IDAHO PHYSICIAN SERVICES INC |
| Address |
2860 Channing Way 116 East Falls Orthopedics Idaho Falls ID 83404-7532 |
| Phone Number | 2085354567 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163430943 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 | 2085354567 | IDAHO PHYSICIAN SERVICES INC |
| 3100 Channing Way, Idaho Physician Services, Idaho Falls, ID 83404-7533 | 2085296111 | IDAHO PHYSICIAN SERVICES INC |
| 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586 | 2085354580 | IDAHO PHYSICIAN SERVICES INC |
| Organization Legal Name | IDAHO PHYSICIAN SERVICES INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward R Setser | Thoracic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Charles S Needham | Thoracic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Alejandro Perez-verdia | Cardiac Electrophysiology | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Michael L Parsons | Nurse Practitioner | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Benjamin B Garner | Orthopedic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Duncan D Harris | Urology | Idaho Physician Services Inc | 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586 |
| Lance Glen Jacobson | Orthopedic Surgery | Idaho Physician Services Inc | 3200 Channing Way, Suite A205, Idaho Falls, ID 83404-7586 |
| Street Address |
2860 CHANNING WAY 116 EAST FALLS ORTHOPEDICS |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward R Setser | Thoracic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Charles S Needham | Thoracic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Alejandro Perez-verdia | Cardiac Electrophysiology | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Michael L Parsons | Nurse Practitioner | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Bruce James Watkins | Hand Surgery | 2860 Channing Way, Suite 114, Idaho Falls, ID 83404-7532 | |
| Susan L Bunnell | Psychiatry | Idaho Behavioral Health Services, LLC | 2860 Channing Way, Suite 100, Idaho Falls, ID 83404-7531 |
| William Wilson | Plastic and Reconstructive Surgery | 2860 Channing Way, Suite 112, Idaho Falls, ID 83404-7532 | |
| Benjamin B Garner | Orthopedic Surgery | Idaho Physician Services Inc | 2860 Channing Way, 116 East Falls Orthopedics, Idaho Falls, ID 83404-7532 |
| Brian E O'byrne | General Surgery | 2860 Channing Way, Suite 117, Idaho Falls, ID 83404-7532 | |
| Jaren H Blake | Family Medicine | East Falls Family Medicine LLC | 2860 Channing Way, Suite 220, Idaho Falls, ID 83404-7541 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | IDAHO FALLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stanford B Gammon.
| 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.