Walter Knox Memorial Hospital
A Medicare group practice based in Emmett, ID: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 7012907785), with 73 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7012907785
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AL, FL, ID, IN, NC, OR, SC, TX, WA
- Enrollments
- 12
- Group size
- 21 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 19
Enrollment records 12
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040514000512 | ID | Part B Supplier - Clinic/Group Practice | 1063419018 |
| O20071002000530 | ID | Part A Provider - Critical Access Hospital | 1700909983 |
| O20160721000463 | ID | Part A Provider - Critical Access Hospital | 1063419018 |
| O20160617000571 | ID | Part A Provider - Rural Health Clinic | 1821091083 |
| O20250722003850 | WA | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20251013002149 | NC | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250609001394 | OR | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250401001135 | AL | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250411001947 | TX | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250422000144 | FL | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250430003010 | IN | Part B Supplier - Clinic/Group Practice | 1821091083 |
| O20250423003857 | SC | Part B Supplier - Clinic/Group Practice | 1821091083 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Walter Knox Memorial Hospital
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
-
Walter Knox Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Emmett, ID
- NPI 1700909983
-
Walter Knox Memorial Hospital
- Rural Health Clinic/Center
- Emmett, ID
- NPI 1821091083
-
Walter Knox Memorial Hospital
- Primary Care Clinic/Center
- Emmett, ID
- NPI 1295193423
-
Walter Knox Memorial Hospital
- Specialist
- Emmett, ID
- NPI 1326206947
-
Walter Knox Memorial Hospital
- Family Medicine Physician
- Emmett, ID
- NPI 1861284721
Practice locations
- Emmett, ID11
- Portland, OR1
- Indianapolis, IN1
- Tega Cay, SC1
- High Springs, FL1
- Summerdale, AL1
- Fredericksburg, TX1
- Lake Stevens, WA1
- Fayetteville, NC1
Clinicians 73
Clinicians who reassign their Medicare benefits to this group (73) or whom Care Compare lists as members (21).
-
Bilawal Sunny Ahmed, MD
- Internal Medicine Physician
- McKinney, TX
- NPI 1720540644
-
Ryan Applonie, DO
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1104266444
-
Ryan Atwood, PA-C
- Physician Assistant
- Emmett, ID
- NPI 1023656782
-
Eric L Bachrach, M.D.
- Emergency Medicine Physician
- Richmond, VA
- NPI 1679787071
-
Gail E Baker, LCSW
- Clinical Social Worker
- Boise, ID
- NPI 1124091210
-
Zachary N Bastian, MD
- Surgery Physician
- Emmett, ID
- NPI 1447412929
-
Madison Beatty, MD
- Family Medicine Physician
- Nampa, ID
- NPI 1457887507
-
Joshua Berlat, MD
- Emergency Medicine Physician
- Boise, ID
- NPI 1396139325
-
Katherine M Brooks, MD
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1891895256
-
Scott Brunson, MD
- Emergency Medicine Physician
- Boise, ID
- NPI 1174941660
-
Mark A Burriesci, M.D.
- Emergency Medicine Physician
- Boise, ID
- NPI 1831397835
-
Amy Chan, PA-C
- Physician Assistant
- Boise, ID
- NPI 1235640525
-
Sheri D Christian-Armstrong, DO
- Internal Medicine Physician
- Tahlequah, OK
- NPI 1679996706
-
Korin Collins, P.A.-C
- Medical Physician Assistant
- Emmett, ID
- NPI 1730582743
-
Anthony Edward Crawford, MD
- Emergency Medicine Physician
- Everett, WA
- NPI 1184891285
-
Micah Shawn Crouse, M.D.
- Family Medicine Physician
- Winchester, VA
- NPI 1992903306
-
John P Epperson Jr., M.D.
- Emergency Medicine Physician
- Boise, ID
- NPI 1427081983
-
Brian W Fortuin, M.D.
- Internal Medicine Physician
- Twin Falls, ID
- NPI 1740221191
-
David A Gardner, DO
- Family Medicine Physician
- Waldron, AR
- NPI 1841937778
-
Dana Patete Giarrizzi, D.O.
- Internal Medicine Physician
- Georgetown, SC
- NPI 1497784680
-
Justin R Gibb, CRNA
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1023263894
-
John M Gibson, M.D
- Emergency Medicine Physician
- Longview, WA
- NPI 1720288681
-
Aaron R Gopp, CRNA
- Certified Registered Nurse Anesthetist
- Ontario, OR
- NPI 1144284423
-
Chancen Darwin Hall
- Pain Medicine (Anesthesiology) Physician
- Emmett, ID
- NPI 1396096632
-
Justin Charles Hamaker, MD
- Emergency Medicine Physician
- Boise, ID
- NPI 1396903365
-
Richard J Hammond, M.D.
- Neurology Physician
- Twin Falls, ID
- NPI 1558306589
-
Edith Ifeoma Henderson, MD
- Internal Medicine Physician
- Houston, TX
- NPI 1235394032
-
Byron Kendall Herpich, MD
- Internal Medicine Physician
- Wyoming, MN
- NPI 1164629515
-
Jerod L Hines, M.D.
- Orthopaedic Surgery Physician
- Emmett, ID
- NPI 1760726897
-
Jon L Hlavinka, M.D.
- Family Medicine Physician
- Boise, ID
- NPI 1194715136
-
Lisa Isaksen, NP-C, PMHNP-BC
- Family Nurse Practitioner
- Emmett, ID
- NPI 1841655826
-
Ray Byron Jensen, D.O.
- Orthopaedic Surgery Physician
- Spearfish, SD
- NPI 1962716761
-
Tyler Jue, NP
- Gerontology Nurse Practitioner
- Weiser, ID
- NPI 1033641154
-
Emaad Mirza Khansur, MD
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1477041945
-
Jennifer King, FNP-BC
- Family Nurse Practitioner
- Ontario, OR
- NPI 1477958494
-
Rachel Kolbinsky, MD
- Obstetrics & Gynecology Physician
- Coos Bay, OR
- NPI 1043449366
-
Jeralyn Marie Kunz, PA-C
- Physician Assistant
- Boise, ID
- NPI 1912631441
-
Cyril Kuriakose, MD
- Nephrology Physician
- Tualatin, OR
- NPI 1255536181
-
Katherine M Laible, PAC
- Physician Assistant
- Boise, ID
- NPI 1083739049
-
Michael Claude Lysek Jr., M.D.
- Internal Medicine Physician
- Mobile, AL
- NPI 1265968853
-
Ronnie C Marrache, MD
- Hospitalist Physician
- Waterville, ME
- NPI 1821172396
-
Trever J. Martin, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Emmett, ID
- NPI 1316236797
-
Tina A McGuffey, M.D.
- Family Medicine Physician
- Emmett, ID
- NPI 1306873435
-
Mahmoud Mohamed Elfadil, MD
- Hospitalist Physician
- Iowa City, IA
- NPI 1669907242
-
Timothy Bruce Neuschwander, M.D.
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1619124906
-
Brian Nguyen, M.D
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1316263064
-
Samantha Kim-Hue Nguyen, DO
- Internal Medicine Physician
- Henderson, NV
- NPI 1235794538
-
Parker McKay Olsen, PA-C
- Medical Physician Assistant
- Meridian, ID
- NPI 1285330084
-
Cory Ondler, D.O.
- Emergency Medicine Physician
- Emmett, ID
- NPI 1457641342
-
Shannon Killian Patrick, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1871010702
-
Darren Scott Pittard, M.D.
- Obstetrics & Gynecology Physician
- Meridian, ID
- NPI 1164644159
-
Patrick Martin Plummer, M.D.
- Sleep Medicine (Otolaryngology) Physician
- Ontario, OR
- NPI 1508848474
-
Jennifer Swisher Real, M.D.
- Internal Medicine Physician
- Norfolk, VA
- NPI 1598779191
-
Zachary Lawrence Reese, M.D.
- Hematology & Oncology Physician
- St George, UT
- NPI 1871735340
-
Robert Lamar Rice, M.D.
- Hematology & Oncology Physician
- Finksburg, MD
- NPI 1699720136
-
Kristy Rowberry, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
- NPI 1902060981
-
Morgan Riley Ruiz, DO
- Family Medicine Physician
- Emmett, ID
- NPI 1295485795
-
Melisa Anne Schwartz, FNP-C
- Family Nurse Practitioner
- Boise, ID
- NPI 1841921392
-
Robin D Sebastian, M.D., FAAFP
- Family Medicine Physician
- Emmett, ID
- NPI 1568559029
-
Ricci St. Jules, M.S., D.O
- Primary Care Clinic/Center
- Fayetteville, NC
- NPI 1578917613
-
Frederick R Starr, CRNA
- Certified Registered Nurse Anesthetist
- Ontario, OR
- NPI 1023073426
-
Roy A Sternes, PA
- Physician Assistant
- Nampa, ID
- NPI 1437166550
-
Brandon Stirling, PA-C
- Physician Assistant
- Boise, ID
- NPI 1528676202
-
Khurram Bilal Tariq, M.D.
- Hematology & Oncology Physician
- Boone, NC
- NPI 1144586181
-
Richard C Tebbs II, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- St George, UT
- NPI 1053677245
-
Jimmy Abraham Thomas, MBBS, MPH
- Nephrology Physician
- Bellingham, WA
- NPI 1518288893
-
Harold Thompson, MD
- Emergency Medicine Physician
- Caldwell, ID
- NPI 1336185073
-
Trevor D. Tredennick, M.D.
- Emergency Medicine Physician
- Emmett, ID
- NPI 1649264052
-
Mariellen C Van Nieuwenhuyzen, MD
- Family Medicine Physician
- Boise, ID
- NPI 1477167526
-
Srikrishna Vulava, M.D.
- Internal Medicine Physician
- Batesville, IN
- NPI 1821301367
-
Ty C Weber, FNP-C
- Family Nurse Practitioner
- Emmett, ID
- NPI 1457865388
-
Jordan B Wolff, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
- NPI 1013158807
-
Semah Zavareh, DO
- Hospitalist Physician
- Phoenix, AZ
- NPI 1477990190
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.