James Fred Vook, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Hall, ID
NPI 1962416701 · NPPES record last updated Jul 19, 2007
Key facts
- NPI
- 1962416701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-5381 (ID)
- Practice address
- Mission Road
Fort Hall, ID 83203-0717 - Phone
- (208) 328-5456
- Fax
- (208) 238-5465
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Not Tsoo Gah Nee Indian Health
Practice addresses (Care Compare)
717 Mission Rd
Fort Hall, ID 83203-0717
Mission Rd
Fort Hall, ID 83203-0717
Phone (208) 238-5400
PO Box 717 Mission Rd
Fort Hall, ID 83203-0717
Hospital & facility affiliations
- Portneuf Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051118000078 | TX | Practitioner - Family Practice | 2961421995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Not Tsoo Gah Nee Indian Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-5381 | ID | Yes |
Addresses
Primary practice location
Mission Road
Fort Hall, ID 83203-0717
Mailing address
Mission Road
Fort Hall, ID 83203-0717
Phone (208) 238-5427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003398900 | Medicaid | ID |
Other providers in Fort Hall, ID
- Shoshone Bannock Tribes, Inc.
- Shoshone-Bannock Community Health Center
- Melissa D. Syria
- Jesse Tellez Hernandez
- Thomas John Troshynski
- Matthew J Wadsworth
All providers in Fort Hall, ID · Family 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 19, 2007. 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.