Robert Alanson Lockwood (NPI# 1588954101, PAC ID# 6406086248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1588954101 |
| PAC ID by PECOS | 6406086248 |
| Professional Enrollment ID | I20180713002533 |
| Full Name | Robert Alanson Lockwood |
| Organization Legal Name | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Address |
2235 E Gala St Meridian ID 83642-8026 |
| Phone Number | 2088873724 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002708773 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 425 W Bannock St, Boise, ID 83702-6035 | 2083436458 | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| 2235 E Gala St, Meridian, ID 83642-8026 | 2088873724 | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Organization Legal Name | IDAHO GASTROENTEROLOGY ASSOCIATES, LLP |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Lea Rasmussen | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Renee M Wilson | Physician Assistant | Idaho Gastroenterology Associates, LLP | 1200 Garrity Blvd, Nampa, ID 83687-3402 |
| Cory A Shuler | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Regina M Hanson | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Mark Joseph Dell'aglio | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Tish Diane Davis | Physician Assistant | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Jessica Spring Snuffin | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 1200 Garrity Blvd, Nampa, ID 83687-3402 |
| Jennifer Brown Leonard | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Kirsten Joy Morigeau | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Matthew D Hella | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Street Address |
2235 E GALA ST |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-8026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Lea Rasmussen | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Philip D Jensen | Gastroenterology | 2235 E Gala St, Meridian, ID 83642-8026 | |
| Matthew R Sericati | Gastroenterology | 2235 E Gala St, Meridian, ID 83642-8026 | |
| Akshay K Gupta | Gastroenterology | 2235 E Gala St, Meridian, ID 83642-8026 | |
| Cory A Shuler | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Regina M Hanson | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Mark Joseph Dell'aglio | Gastroenterology | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Tish Diane Davis | Physician Assistant | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| Jennifer Brown Leonard | Nurse Practitioner | Idaho Gastroenterology Associates, LLP | 2235 E Gala St, Meridian, ID 83642-8026 |
| David W Wood | Gastroenterology | 2235 E Gala St, Meridian, ID 83642-8026 | |
| Find all physicians in the same address | |||
| 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 | GASTROENTEROLOGY |
| City + Specialty | MERIDIAN + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Robert Alanson Lockwood.
| 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.