Seth A Permann (NPI# 1508855974, PAC ID# 7517985609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508855974 |
| PAC ID by PECOS | 7517985609 |
| Professional Enrollment ID | I20051107001203 |
| Full Name | Seth A Permann |
| Organization Legal Name | DERMATOLOGY CENTER OF CANYON COUNTY |
| Address |
318 2nd St S Nampa ID 83651-3765 |
| Phone Number | 2084633006 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072589209 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| Address | Phone | Organization |
|---|---|---|
| 318 2nd St S, Nampa, ID 83651-3765 | 2084633006 | DERMATOLOGY CENTER OF CANYON COUNTY |
| Organization Legal Name | DERMATOLOGY CENTER OF CANYON COUNTY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin R Powell | Dermatology | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Ted J Ryser | Dermatology | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Thea N Heaton | Physician Assistant | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Street Address |
318 2ND ST S |
| City | NAMPA |
| State | ID |
| Zip | 83651-3765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin R Powell | Dermatology | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Ted J Ryser | Dermatology | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Thea N Heaton | Physician Assistant | Dermatology Center of Canyon County | 318 2nd St S, Nampa, ID 83651-3765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Heiner | Optometry | 2103 N Cassia St, Nampa, ID 83651-1461 | |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Ginger L Powers | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Matthew J Nelson | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Shannon Bordes | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Janette M Hiebert | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Todd D Rainsdon | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jamie L Williams | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jon C Morris | Physical Therapy | 1809 N Bingham Dr, Nampa, ID 83651-1764 | |
| Sarah Hall | Nurse Practitioner | All Horizons Inc | 1007 W Orchard Ave, All Seasons Mental Health, Nampa, ID 83651-1878 |
| Find all physicians in zip 83651 | |||
| City | NAMPA |
| Zip Code | 83651 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NAMPA + 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.