Zackery J Cleverley (NPI# 1518476092, PAC ID# 9335407105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1518476092 |
| PAC ID by PECOS | 9335407105 |
| Professional Enrollment ID | I20171228000044 |
| Full Name | Zackery J Cleverley |
| Organization Legal Name | UPPER VALLEY ORTHOPEDICS, PLLC |
| Address |
360 E Main Rexburg ID 83440-2015 |
| Phone Number | 2083569550 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557431137 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130025 | MADISON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 360 E Main, Rexburg, ID 83440-2015 | 2083569550 | UPPER VALLEY ORTHOPEDICS, PLLC |
| Organization Legal Name | UPPER VALLEY ORTHOPEDICS, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Roy Torngren | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Kevin Murdoch Lee | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Michael J Larson | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Street Address |
360 E MAIN |
| City | REXBURG |
| State | ID |
| Zip | 83440-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Roy Torngren | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Kevin Murdoch Lee | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Michael J Larson | Orthopedic Surgery | Upper Valley Orthopedics, Pllc | 360 E Main, Rexburg, ID 83440-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | REXBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Zackery J Cleverley.
| 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.