Joseph Dayton
Individual provider Active NPI Physician Assistant · Montpelier, ID
NPI 1184065849 · NPPES record last updated Jul 10, 2013
Key facts
- NPI
- 1184065849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 164 S 5TH St
Montpelier, ID 83254-1557 - Phone
- (208) 847-4359
- NPI assigned
- Jul 10, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Lincoln County Hospital District
Practice addresses (Care Compare)
10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970
Hospital & facility affiliations
- Star Valley Medical Center
- Bear Lake Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140114000654 | ID | Practitioner - Physician Assistant | 8729216056 | Reassigns benefits to 1 organization |
| I20151009001754 | WY | Practitioner - Physician Assistant | 8729216056 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Current |
Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| BLMH Mental Health | Current |
Accepting new patients | |
| North Lincoln County Hospital District | Current |
Accepting new patients |
Locations
164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630
467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495
822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404
901 Adams St
Afton, WY 83110
Phone (307) 885-5800
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
120 Hospital Ln
Afton, WY 83110
Phone (307) 734-5864
Interoperability endpoints
- jdayton625120@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
164 S 5TH St
Montpelier, ID 83254-1557
Mailing address
164 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-4359
Other providers in Montpelier, ID
- Bonnie Colleen Caywood
- Clay I. Campbell M.D.,P.C.
- Complete Health and Wellness
- Peter Melvin Crane
- William Crane
- Doris Thornock
- Spencer William Esplin
- Fortify Family Counseling, LLC
- Gary Scott Griffin
- Dorian S Grunig
All providers in Montpelier, ID · Physician Assistant 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 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.