Spencer D Stucki (NPI# 1518100759, PAC ID# 6002960127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518100759 |
| PAC ID by PECOS | 6002960127 |
| Professional Enrollment ID | I20111215000476 |
| Full Name | Spencer D Stucki |
| Organization Legal Name | TREASURE VALLEY ANESTHESIA PC |
| Address |
1828 S Millenium Way Suite 100 Meridian ID 83642-5036 |
| Phone Number | 2083810262 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2365414497 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 | 2083810262 | TREASURE VALLEY ANESTHESIA PC |
| 251 Sw 19th St, Ontario, OR 97914-1972 | 5418893198 | TREASURE VALLEY ANESTHESIA PC |
| 351 Sw 9th St, Ontario, OR 97914-2639 | 8772254762 | TREASURE VALLEY ANESTHESIA PC |
| Organization Legal Name | TREASURE VALLEY ANESTHESIA PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Gibb | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Aaron R Gopp | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Russell J Watson | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Frederick R Starr | Certified Registered Nurse Anesthetist | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Michael E Ohara | Certified Registered Nurse Anesthetist | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Street Address |
1828 S MILLENIUM WAY SUITE 100 |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron R Gopp | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Jennifer L Snider | Certified Registered Nurse Anesthetist (crna) | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 | |
| Andrew M Cron | Family Medicine | Summit Family Health | 1828 S Millenium Way, Suite 300, Meridian, ID 83642-5036 |
| Angela D Pellant | Family Medicine | Summit Family Health | 1828 S Millenium Way, Suite 300, Meridian, ID 83642-5036 |
| Julie L Scott | Physician Assistant | Summit Family Health | 1828 S Millenium Way, Suite 300, Meridian, ID 83642-5036 |
| William D Loveland | Family Medicine | Summit Family Health | 1828 S Millenium Way, Suite 300, Meridian, ID 83642-5036 |
| Frederick R Starr | Certified Registered Nurse Anesthetist | Treasure Valley Anesthesia PC | 1828 S Millenium Way, Suite 100, Meridian, ID 83642-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MERIDIAN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Spencer D Stucki.
| 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.