Randy J Trudeau (NPI# 1982658688, PAC ID# 7214922376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982658688 |
| PAC ID by PECOS | 7214922376 |
| Professional Enrollment ID | I20130916000243 |
| Full Name | Randy J Trudeau |
| Organization Legal Name | PRAIRIE FAMILY MEDICINE PLLC |
| Address |
1130 W Prairie Ave Coeur D Alene ID 83815-8780 |
| Phone Number | 2082090288 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5597851675 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130049 | KOOTENAI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 | 2082090288 | PRAIRIE FAMILY MEDICINE PLLC |
| Organization Legal Name | PRAIRIE FAMILY MEDICINE PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Snyders | Family Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Peter G Gourley | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Douglas M Duncan | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Janice M Nelson | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Holly B Pena | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Tyson J Thorpe | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Irwin H Steiger | Family Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Janet M Gourley | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Linda J Sanfilippo | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Michael A Patmas | Internal Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Street Address |
1130 W PRAIRIE AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip | 83815-8780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Snyders | Family Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Peter G Gourley | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Douglas M Duncan | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Janice M Nelson | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Holly B Pena | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Tyson J Thorpe | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Irwin H Steiger | Family Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Janet M Gourley | Nurse Practitioner | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Linda J Sanfilippo | Physician Assistant | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Michael A Patmas | Internal Medicine | Prairie Family Medicine Pllc | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvin D Frantz Iii | Chiropractic | 3115 N Government Way, Suite 5, Coeur D Alene, ID 83815-3700 | |
| Michael James Mckim | Chiropractic | Summit Family Chiropractic | 2634 N Government Way, Coeur D Alene, ID 83815-3750 |
| Ryan J Sousley | Chiropractic | Summit Family Chiropractic | 2634 N Government Way, Coeur D Alene, ID 83815-3750 |
| Troy M Bonham | Chiropractic | Summit Family Chiropractic | 2634 N Government Way, Coeur D Alene, ID 83815-3750 |
| Elizabeth Galene Patzer | Clinical Social Worker | 7905 N Meadowlark Way, Suite A, Coeur D Alene, ID 83815-5041 | |
| Jill E Kuisti | Clinical Social Worker | 7905 N Meadowlark Way, Suite A, Coeur D Alene, ID 83815-5041 | |
| Juliana Bartoletti | Physical Therapy | River City Physical Therapy | 370 E Kathleen Ave, Suite 500, Coeur D Alene, ID 83815-5238 |
| Erin Blakley | Physical Therapy | River City Physical Therapy | 370 E Kathleen Ave, Suite 500, Coeur D Alene, ID 83815-5238 |
| Brian J Hull | Chiropractic | 320 E Neider Ave, Suite 105, Coeuer D'alene, ID 83815-6007 | |
| Craig J Panos | Family Medicine | Kootenai Health | 566 W Prairie Ave, Coeur D Alene, ID 83815-7766 |
| Find all physicians in zip 83815 | |||
| City | COEUR D ALENE |
| Zip Code | 83815 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COEUR D ALENE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Randy J Trudeau.
| 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.