Nichole Blair Shumway, DO | |
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
(208) 814-4100 | |
(208) 814-4908 |
Full Name | Nichole Blair Shumway |
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Gender | Female |
Speciality | Internal Medicine |
Location | 801 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386263796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | O-1848 (Idaho) | Primary |
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Minidoka Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
Mailing Address | Practice Location Address |
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Nichole Blair Shumway, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Nichole Blair Shumway, DO 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-4100 |
Joseph Murdock Strobel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Krystin Nicole Hedeen, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |