Nancy Berkheiser, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lewiston, ID
NPI 1164587887 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1164587887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- M4825 (ID)
- Practice address
- 415 6TH St
Lewiston, ID 83501-2431 - Phone
- (208) 743-2511
- Fax
- (208) 799-5554
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4825 | ID | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M4825 | ID | Yes |
Addresses
Primary practice location
415 6TH St
Lewiston, ID 83501-2431
Mailing address
415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000093 | Medicaid | WA | |
| 10001765 | Other | ID | REGENCE OF ID URGENT CARE |
| HBRS5 | Other | ID | BLUE CROSS OF IDAHO |
| 8K552 | Other | ID | BLUE CROSS OF ID GROUP |
| 10001764 | Other | ID | REGENCE OF IDAHO |
Other providers in Lewiston, ID
- Keriann Marie Bennett
- Randall Bennett
- Sara Light Bennett
- Julie Benton
- Mark Wynn Berger
- Bertha Whitney
- Jeffrey Carl Bickel
- Robert Biddle III
- Zadie Mazell Bielejec
- Audrey Anne Bieler
All providers in Lewiston, ID · Emergency Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.