Kristin A Christensen (NPI# 1558351569, PAC ID# 6002896446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1558351569 |
PAC ID by PECOS | 6002896446 |
Professional Enrollment ID | I20040724000371 |
Full Name | Kristin A Christensen |
Organization Legal Name | WEST VALLEY MEDICAL GROUP LLC |
Address |
307 Grove St Parma ID 83660 |
Phone Number | 2087225147 |
Gender | F |
Credential | PA |
Graduation Year | 2000 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8729180310 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130014 | WEST VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2082051000 | WEST VALLEY MEDICAL GROUP LLC |
307 Grove St, Parma, ID 83660 | 2087225147 | WEST VALLEY MEDICAL GROUP LLC |
124 5th St, Suite A, Wilder, ID 83676-5542 | 2084827430 | WEST VALLEY MEDICAL GROUP LLC |
Organization Legal Name | WEST VALLEY MEDICAL GROUP LLC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joe Marie F Llenos | Family Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
John R Pearce | Family Practice | West Valley Medical Group LLC | 211 E Logan St, Caldwell, ID 83605-4882 |
Heather M Hoewing | Physician Assistant | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
Nadezhda Kravchuk | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
David Craig Sjostrand | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
J'cinda J Bitters | Family Medicine | West Valley Medical Group LLC | 1717 Arlington Ave, Caldwell, ID 83605-4802 |
Robert S Thacker | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
Steven J Koga | Internal Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
Karen Bean | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
Alfred F Brem | Psychiatry | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
Street Address |
307 GROVE ST |
City | PARMA |
State | ID |
Zip | 83660 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shawn A Rudkin | Chiropractic | 101 E Grove Ave, Parma, ID 83660-0154 | |
Marc Grow | Physical Therapy | 206 N 3rd St, Parma, ID 83660-5702 |
City | PARMA |
Zip Code | 83660 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | PARMA + PHYSICIAN ASSISTANT |
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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.