| Dr Jordon Marshall, DO | |
|
777 Hospital Way, Emergency Department, Pocatello, ID 83201-5175 | |
| (208) 239-1801 | |
| Not Available |
| Full Name | Dr Jordon Marshall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184943144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | O-0700 (Idaho) | Primary |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Entity Name | Rocky Mountain Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851808133 PECOS PAC ID: 7911267133 Enrollment ID: O20180208002103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordon Marshall, DO 777 Hospital Way, Emergency Department, Pocatello, ID 83201-5175 Ph: (208) 239-1801 | Dr Jordon Marshall, DO 777 Hospital Way, Emergency Department, Pocatello, ID 83201-5175 Ph: (208) 239-1801 |
Kenneth Ryan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Kristopher Ryan Shannon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-239-8065 | |
Randall Fowler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Morgan Newel Anderson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Charles O Garrison, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1125 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-1151 Fax: 208-237-9721 | |
Dr. Andrew Lee Vincent, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-417-7569 Fax: 480-421-9899 |