Holly M St John (NPI# 1508147562, PAC ID# 8628219060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1508147562 |
| PAC ID by PECOS | 8628219060 |
| Professional Enrollment ID | I20130726000262 |
| Full Name | Holly M St John |
| Organization Legal Name | CAMP HIPPO PEDIATRIC THERAPY LLC |
| Address |
7 N 600 Blackfoot ID 83221-5533 |
| Phone Number | 2087822267 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 3678610706 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7 N 600, Blackfoot, ID 83221-5533 | 2087822267 | CAMP HIPPO PEDIATRIC THERAPY LLC |
| Organization Legal Name | CAMP HIPPO PEDIATRIC THERAPY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty C Jaques | Occupational Therapy | Camp Hippo Pediatric Therapy LLC | 7 N 600, Blackfoot, ID 83221-5533 |
| Street Address |
7 N 600 |
| City | BLACKFOOT |
| State | ID |
| Zip | 83221-5533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty C Jaques | Occupational Therapy | Camp Hippo Pediatric Therapy LLC | 7 N 600, Blackfoot, ID 83221-5533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Mark L Edlefsen | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Dee S Stevens | Chiropractic | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | |
| Anne M Preston | Clinical Social Worker | Portneuf Valley Family Center, Inc. | 1495 Pkwy Dr C, Blackfoot, ID 83221-1639 |
| Find all physicians in zip 83221 | |||
| City | BLACKFOOT |
| Zip Code | 83221 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | BLACKFOOT + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Holly M St John.
| 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.