Carl D Vance
ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA


Address: 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Phone: 2085231122

Carl D Vance (NPI# 1437159423, PAC ID# 9133216369) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.

Physician Overview

Nation Provider ID (NPI) 1437159423
PAC ID by PECOS 9133216369
Professional Enrollment ID I20100604000314
Full Name Carl D Vance
Organization Legal Name ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
Address 3910 Washington Pkwy
Idaho Falls
ID 83404-7596
Phone Number 2085231122
Gender M
Medical School BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1996
Primary Specialty ENDOCRINOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 5890750483
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130065 MOUNTAIN VIEW HOSPITAL
130018 EASTERN IDAHO REGIONAL MEDICAL CENTER
131326 CASSIA REGIONAL HOSPITAL
130028 PORTNEUF MEDICAL CENTER
131305 STEELE MEMORIAL MEDICAL CENTER

Other Locations

Address Phone Organization
3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2085231122 ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 57%
ACI_EC_TRANS_HIE_1 Health Information Exchange 7%
ACI_EC_TRANS_PEA_1 Provide Patient Access 88%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 33%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 0%
ACI_EC_TRANS_SM_1 Secure Messaging 55%

Organization Information

Organization Legal Name ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Adam C Matthews Podiatry Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Rebecca Tufts Sulik Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744
Joshua M Smith Endocrinology Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Barbara Jean Moulton Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Brittany J Mcintosh Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Kathryn E Nielsen Nurse Practitioner Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
John E Liljenquist Endocrinology Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Kesta L Taylor Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744
Lisa Ann Hardy Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Brett W Zundel Physician Assistant Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596

Office Location

Street Address 3910 WASHINGTON PKWY
City IDAHO FALLS
State ID
Zip 83404-7596

Physicians in the same location

Name Specialty Organization Address
Adam C Matthews Podiatry Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Joshua M Smith Endocrinology Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Barbara Jean Moulton Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Brittany J Mcintosh Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Kathryn E Nielsen Nurse Practitioner Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
John E Liljenquist Endocrinology Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Lisa Ann Hardy Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Brett W Zundel Physician Assistant Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Ivon Carrillo Registered Dietitian Or Nutrition Professional Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Susannah Hancock Nurse Practitioner Rocky Mountain Diabetes and Osteoporosis Center Pa 3910 Washington Pkwy, Idaho Falls, ID 83404-7596
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Ann Sharp-marsden Nurse Practitioner 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225
Lisa Hong Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brent Kennedy Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Heidi Duran Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Rebecca L Butikofer Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kristan Bullock Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Dawn Taylor Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brenda Padron Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kimberly Stowell Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Michael Anderson Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Find all physicians in zip 83404

Competitor

Search similar physicians

City IDAHO FALLS
Zip Code 83404
Specialty ENDOCRINOLOGY
City + Specialty IDAHO FALLS + ENDOCRINOLOGY

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Dataset Information

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.

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