Weiser Memorial Hospital | |
645 E. 5th St. Weiser ID 83672 | |
(208) 549-0370 | |
(208) 549-4146 |
Full Name | Weiser Memorial Hospital |
---|---|
Speciality | Family Medicine |
Location | 645 E. 5th St., Weiser, Idaho |
Authorized Official Name and Position | Steven Hale (CEO) |
Authorized Official Contact | 2085494450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Weiser Memorial Hospital 645 E. 5th St. Weiser ID 83672 Ph: (208) 549-0370 | Weiser Memorial Hospital 645 E. 5th St. Weiser ID 83672 Ph: (208) 549-0370 |
NPI Number | 1255364030 |
---|---|
Provider Enumeration Date | 07/07/2006 |
Last Update Date | 09/29/2016 |
Medicare PECOS PAC ID | 5294704276 |
---|---|
Medicare Enrollment ID | O20050124000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255364030 | NPI | - | NPPES |
121244 | Medicaid | OR | |
1235364030 | Medicaid | ID |
Provider Name | Michael A Fuchs |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588692289 PECOS PAC ID: 6103801998 Enrollment ID: I20040624000436 |
Provider Name | Aaron R Gopp |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1144284423 PECOS PAC ID: 6709864622 Enrollment ID: I20040708000671 |
Provider Name | Michael T Fisher |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134155229 PECOS PAC ID: 3072589282 Enrollment ID: I20040909000093 |
Provider Name | Elaine N Daniel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720024094 PECOS PAC ID: 2062488273 Enrollment ID: I20040909000106 |
Provider Name | Christopher J Jennings |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679517320 PECOS PAC ID: 0244290294 Enrollment ID: I20041013001226 |
Provider Name | Quinn A Demordaunt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1750323226 PECOS PAC ID: 5496717746 Enrollment ID: I20041029000592 |
Provider Name | Duane R Hansen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1417995374 PECOS PAC ID: 6709844467 Enrollment ID: I20050103000209 |
Provider Name | Ronald E Carroll |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790821122 PECOS PAC ID: 7315998226 Enrollment ID: I20050215000989 |
Provider Name | Rebecca M Kirsch |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255378089 PECOS PAC ID: 7719911528 Enrollment ID: I20050921000743 |
Provider Name | Shane K Ball |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679500557 PECOS PAC ID: 7911985775 Enrollment ID: I20051010000341 |
Provider Name | John S Waltz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568406130 PECOS PAC ID: 3577589068 Enrollment ID: I20051024000835 |
Provider Name | Brent D Nelson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740224310 PECOS PAC ID: 7618991670 Enrollment ID: I20060118000338 |
Provider Name | Jason M Wilhelmsen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912964404 PECOS PAC ID: 7517932049 Enrollment ID: I20060209000693 |
Provider Name | Daniel D Ririe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477506350 PECOS PAC ID: 8022024900 Enrollment ID: I20060301000716 |
Provider Name | Selena J Ankarberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497840292 PECOS PAC ID: 5597775759 Enrollment ID: I20060502000776 |
Provider Name | Jason M Quinn |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710978036 PECOS PAC ID: 9638129349 Enrollment ID: I20061130000390 |
Provider Name | Stuart E Clive |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1053396614 PECOS PAC ID: 4880787191 Enrollment ID: I20070831000529 |
Provider Name | Steven V Marx |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124062799 PECOS PAC ID: 4880784834 Enrollment ID: I20090520000020 |
Provider Name | James A Hill |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326156282 PECOS PAC ID: 2264503093 Enrollment ID: I20090618000787 |
Provider Name | Christopher C Wyatt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649487430 PECOS PAC ID: 7416009345 Enrollment ID: I20090723000328 |
Provider Name | Nicholas A Lazzaro |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700076619 PECOS PAC ID: 1254499502 Enrollment ID: I20100621000515 |
Provider Name | John C Kirkham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346457298 PECOS PAC ID: 8527117704 Enrollment ID: I20100621000534 |
Provider Name | Cody J Boyce |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508816471 PECOS PAC ID: 0941358923 Enrollment ID: I20100621000566 |
Provider Name | Kenneth A Bean |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346274115 PECOS PAC ID: 5496788689 Enrollment ID: I20101021000069 |
Provider Name | John Perl |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518906312 PECOS PAC ID: 7911809496 Enrollment ID: I20101026000538 |
Provider Name | Einav Shochat |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316157332 PECOS PAC ID: 2567656150 Enrollment ID: I20110714000862 |
Provider Name | Justin Hamaker |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396903365 PECOS PAC ID: 1850431370 Enrollment ID: I20110815000626 |
Provider Name | Spencer D Stucki |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518100759 PECOS PAC ID: 6002960127 Enrollment ID: I20111215000476 |
Provider Name | Randolph E Peterson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1669461364 PECOS PAC ID: 6305826421 Enrollment ID: I20120124000946 |
Provider Name | Jeffrey M Pugsley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124133004 PECOS PAC ID: 7810169463 Enrollment ID: I20120612000287 |
Provider Name | Bryan Douglas Berkey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114917606 PECOS PAC ID: 5890859227 Enrollment ID: I20120723000767 |
Provider Name | Evan W Lee |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1740353432 PECOS PAC ID: 7911964325 Enrollment ID: I20120827000278 |
Provider Name | Frederick R Starr |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023073426 PECOS PAC ID: 6305903121 Enrollment ID: I20121219000192 |
Provider Name | David Mcnaul |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144262668 PECOS PAC ID: 2163318189 Enrollment ID: I20121221000357 |
Provider Name | Tyler J Harris |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275794935 PECOS PAC ID: 6305000787 Enrollment ID: I20130710000749 |
Provider Name | Russell W Wright |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679710123 PECOS PAC ID: 2860648649 Enrollment ID: I20130716000100 |
Provider Name | Paul D Sonntag |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1760682066 PECOS PAC ID: 4688857055 Enrollment ID: I20130716000205 |
Provider Name | Wayne M Mortensen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780878314 PECOS PAC ID: 6305094616 Enrollment ID: I20130821000516 |
Provider Name | Blake D Niederhauser |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578726683 PECOS PAC ID: 5193870293 Enrollment ID: I20140910000475 |
Provider Name | Jordan V Blanchard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356630941 PECOS PAC ID: 2365691870 Enrollment ID: I20141103002412 |
Provider Name | Torrey S Nash |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962462861 PECOS PAC ID: 8729116694 Enrollment ID: I20150108002293 |
Provider Name | Russell J Watson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1346562113 PECOS PAC ID: 3678609872 Enrollment ID: I20150112001470 |
Provider Name | Julie M Mills |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578588646 PECOS PAC ID: 8123125028 Enrollment ID: I20150126001984 |
Provider Name | Michael D Carroll |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639306566 PECOS PAC ID: 8224256110 Enrollment ID: I20150813012063 |
Provider Name | Barbara A White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821282492 PECOS PAC ID: 4385814706 Enrollment ID: I20151229001361 |
Provider Name | Elizabeth L Bauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255721361 PECOS PAC ID: 6709185572 Enrollment ID: I20160428001529 |
Provider Name | Amaya Basta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457589699 PECOS PAC ID: 0042434524 Enrollment ID: I20160630001463 |
Provider Name | Andrew A Peterson |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1083842033 PECOS PAC ID: 6406148923 Enrollment ID: I20160701001013 |
Provider Name | Joni E Shriver |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063755346 PECOS PAC ID: 0244551026 Enrollment ID: I20170221000546 |
Provider Name | Tyler G Jue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033641154 PECOS PAC ID: 9537445374 Enrollment ID: I20170411001127 |
Provider Name | Brian L Mcmahan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043501273 PECOS PAC ID: 7012153828 Enrollment ID: I20170927004139 |
Provider Name | Bradley Wescott Terry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871973198 PECOS PAC ID: 7214223510 Enrollment ID: I20180522000676 |
Provider Name | Benjamin Joseph Morrissey |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730441536 PECOS PAC ID: 7416189683 Enrollment ID: I20180712003008 |
Provider Name | Zachary J Beatty |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164866489 PECOS PAC ID: 8628373842 Enrollment ID: I20190531000845 |
Provider Name | Whitney Leigh Shofner Michalsky |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1548502446 PECOS PAC ID: 9830406834 Enrollment ID: I20190611002388 |
Provider Name | Andrea K Wheeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265903983 PECOS PAC ID: 6002143013 Enrollment ID: I20190814002358 |
Provider Name | Charles Lanzillo |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1417120312 PECOS PAC ID: 3375859366 Enrollment ID: I20191216001665 |
Provider Name | Geoffry De Gennaro |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336554740 PECOS PAC ID: 5496971715 Enrollment ID: I20200609002283 |
Provider Name | Zachary Robert Berg |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730597758 PECOS PAC ID: 8729381256 Enrollment ID: I20200609002844 |
Provider Name | Scott Brunson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174941660 PECOS PAC ID: 2365732856 Enrollment ID: I20210111001932 |
Provider Name | Alexander Bradley Griffin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114312816 PECOS PAC ID: 7012200496 Enrollment ID: I20210528000922 |
Provider Name | Casey Mcroy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184019986 PECOS PAC ID: 1254659659 Enrollment ID: I20210607003239 |
Provider Name | Timur Kotlyar |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669850590 PECOS PAC ID: 9537469341 Enrollment ID: I20210616002955 |
Provider Name | Lea Mackinnon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699154542 PECOS PAC ID: 5890087738 Enrollment ID: I20210621000942 |
Provider Name | Amy M Aldrich |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285840298 PECOS PAC ID: 8628145000 Enrollment ID: I20220127001935 |
Provider Name | Melissa A Hathhorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124609029 PECOS PAC ID: 6608267927 Enrollment ID: I20220217002030 |
Provider Name | Melissa Catherine Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750512521 PECOS PAC ID: 4587894373 Enrollment ID: I20220323000946 |
Provider Name | Joshua Paul Jarman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912205675 PECOS PAC ID: 1850682717 Enrollment ID: I20220506000819 |
Provider Name | Christopher Liby |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1073826178 PECOS PAC ID: 2668793480 Enrollment ID: I20220531000879 |
Provider Name | James Katrivesis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851687008 PECOS PAC ID: 3779851795 Enrollment ID: I20220531001432 |
Provider Name | Caleb R Sturge |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093197279 PECOS PAC ID: 1658651013 Enrollment ID: I20220607002675 |
Provider Name | Jordan S Jones |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407219702 PECOS PAC ID: 6103118104 Enrollment ID: I20220610002041 |
Provider Name | Sarah Anne Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649988817 PECOS PAC ID: 8224407051 Enrollment ID: I20221216001794 |
Provider Name | Michelle L Hershman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144666819 PECOS PAC ID: 9133484157 Enrollment ID: I20221220000828 |
Provider Name | John Benjamin Tribble |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518164474 PECOS PAC ID: 8921134586 Enrollment ID: I20230504001772 |
Provider Name | Stephanie Frances Cheng |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356665285 PECOS PAC ID: 1759527500 Enrollment ID: I20230606002639 |
Provider Name | Matthew Kai Elliott |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1902046162 PECOS PAC ID: 8426281585 Enrollment ID: I20230619001575 |
Provider Name | Carl Odom |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740523513 PECOS PAC ID: 8628216769 Enrollment ID: I20231027001797 |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Two Rivers Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Family Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 |