Zachary B Warnock (NPI# 1164717419, PAC ID# 9234384579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164717419 |
| PAC ID by PECOS | 9234384579 |
| Professional Enrollment ID | I20130729000563 |
| Full Name | Zachary B Warnock |
| Organization Legal Name | FAMILY PRACTICE GROUP, P.A. |
| Address |
1951 Bench Rd B Pocatello ID 83201-2073 |
| Phone Number | 2082381000 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658275391 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 79 N Main St, Downey, ID 83234-4703 | 20823278621122 | HEALTH WEST INC. |
| 1951 Bench Rd B, Pocatello, ID 83201-2073 | 2082381000 | FAMILY PRACTICE GROUP, P.A. |
| 465 Memorial Dr, Pocatello, ID 83201-4008 | 20823278621122 | HEALTH WEST INC. |
| 777 Hospital Way, Pocatello, ID 83201-5175 | POCATELLO HEALTH SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 53% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 53% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 17% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 17% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | FAMILY PRACTICE GROUP, P.A. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria E Ryan | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Michael A Anderson | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Nicolette Hampton | Nurse Practitioner | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| David E Martin | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Brandon C Mickelsen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Scott Ryan Christensen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Andrew W Thayne | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Megan L Tews | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Travis D Nielsen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Stephanie Follett | Nurse Practitioner | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Street Address |
1951 BENCH RD B |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria E Ryan | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Michael A Anderson | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Nicolette Hampton | Nurse Practitioner | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| David E Martin | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Brandon C Mickelsen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Scott Ryan Christensen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Andrew W Thayne | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Megan L Tews | Physician Assistant | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Travis D Nielsen | Family Medicine | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Stephanie Follett | Nurse Practitioner | Family Practice Group, P.a. | 1951 Bench Rd B, Pocatello, ID 83201-2073 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCATELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Zachary B Warnock.
| 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.