Robbie Joe Carroll (NPI# 1417349515, PAC ID# 5193045201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417349515 |
| PAC ID by PECOS | 5193045201 |
| Professional Enrollment ID | I20170526001804 |
| Full Name | Robbie Joe Carroll |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Address |
1309 Bennett Ave Burley ID 83318-2676 |
| Phone Number | 2086787796 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012815038 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131319 | MINIDOKA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1309 Bennett Ave, Burley, ID 83318-2676 | 2086787796 | FAMILY HEALTH SERVICES CORPORATION |
| Organization Legal Name | FAMILY HEALTH SERVICES CORPORATION |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lewis Miller | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Cameron Freeman | Physician Assistant | Family Health Services Corporation | 325 Martin St, Suite 1, Twin Falls, ID 83301-4563 |
| Jared Keller | Physician Assistant | Family Health Services Corporation | 402 6th St, Rupert, ID 83350-1619 |
| Matthew Nelson | Physician Assistant | Family Health Services Corporation | 725 Fair St, Buhl, ID 83316-6442 |
| Toni R Miller | Nurse Practitioner | Family Health Services Corporation | 114 Pioneer Ct, Jerome, ID 83338-5193 |
| Ellen K Judd | Physician Assistant | Family Health Services Corporation | 1320 Bennett Ave, Burley, ID 83318-2665 |
| Cathy W Canty | Family Medicine | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Adam T Richins | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Ryan Hodges | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Kalen Knopp | Physician Assistant | Family Health Services Corporation | 388 Martin St, Twin Falls, ID 83301-4544 |
| Street Address |
1309 BENNETT AVE |
| City | BURLEY |
| State | ID |
| Zip | 83318-2676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lewis Miller | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Lyndsie R Chatburn | Nurse Practitioner | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Dawn Jennings | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Matthew D Detemple | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Benjamin Romney | Family Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Casie Taylor | Nurse Practitioner | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| Brett S Gochnour | Osteopathic Manipulative Medicine | Family Health Services Corporation | 1309 Bennett Ave, Burley, ID 83318-2676 |
| 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 | NURSE PRACTITIONER |
| City + Specialty | BURLEY + NURSE PRACTITIONER |
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| 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.