Corey T Rammell, MD

Key facts

NPI

1013008697

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

M6388 (ID)

Practice address

393 E 2ND N
Rexburg, ID 83440-1605

Phone

(208) 356-3691

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madison Co Memorial Hospital Family Medicine Physician · Rexburg, ID · NPI 1134592017
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · ID
• Madison Memorial Hospital Multi-Specialty Clinic/Center · Rexburg, ID · NPI 1346643038
  Medicare reassignment NPD ID
• Madison Co Memorial Hospital General Acute Care Hospital · Rexburg, ID · NPI 1992747570
  Care Compare group NPD
• Madison Co Memorial Hospital Psychiatric Hospital Unit · Rexburg, ID · NPI 1932864642
  Care Compare group
• Madison Co Memorial Hospital Physiological Laboratory · Rexburg, ID · NPI 1316460264
  NPD
• Madison Co Memorial Hospital Family Medicine Physician · Rigby, ID · NPI 1356026280
  NPD FAMILY MEDICINE

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Co Memorial Hospital Obstetrics & Gynecology Physician · Rexburg, ID · NPI 1073154266
  Care Compare affiliation Hospital
• Madison Co Memorial Hospital General Acute Care Hospital · Rexburg, ID · NPI 1992747570
  Care Compare affiliation Hospital
• Mountain View Hospital LLC General Acute Care Hospital · Idaho Falls, ID · NPI 1669462362
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice
Also: Emergency Medicine

Education

University of Utah School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Madison Co Memorial Hospital (34 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital · Rexburg, ID · CCN 130025
• Mountain View Hospital Hospital · Idaho Falls, ID · CCN 130065

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
• Direct secure messaging: rammelco@direct.madisonmemorial.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2020.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1013008697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-356-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-356-3691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E Main St",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834402048",
            "country_code": "US",
            "telephone_number": "208-356-3691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMMELL",
        "first_name": "COREY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "M6388",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003900500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO ID#",
            "identifier": "000010000817",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clay Christian Prince, M.D.
• Noah Rasmussen, BCBA
• Trevor Rasmussen, LCSW
• Gary Cole Ratcliffe, LMFT
• Jody Boyd Rawlings, P. T.
• Sharon Joyce Reaser, MFTI

All providers in Rexburg, ID · Family Medicine Physician in Idaho