| Catalyst Medical Group, Pllc | |
|
2315 8th St Lewiston ID 83501 | |
| (208) 746-1383 | |
| (208) 746-6348 |
| Full Name | Catalyst Medical Group, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2315 8th St, Lewiston, Idaho |
| Authorized Official Name and Position | Karl E Sundberg (CEO) |
| Authorized Official Contact | 2087461383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Medical Group, Pllc 2315 8th St Lewiston ID 83501-7301 Ph: (208) 746-1383 | Catalyst Medical Group, Pllc 2315 8th St Lewiston ID 83501 Ph: (208) 746-1383 |
| NPI Number | 1912458787 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 2365722105 |
|---|---|
| Medicare Enrollment ID | O20161213001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458787 | NPI | - | NPPES |
| 1912458787 | Medicaid | WA | |
| 1912458787 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cheryl A Mallory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386677722 PECOS PAC ID: 0345141693 Enrollment ID: I20040119000602 |
| Provider Name | Bryan J Beardsley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104856087 PECOS PAC ID: 7810925658 Enrollment ID: I20050802000559 |
| Provider Name | John Adam Jelinek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568410025 PECOS PAC ID: 0749290609 Enrollment ID: I20080922000183 |
| Provider Name | Steven R Boyea |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1588659866 PECOS PAC ID: 6406757350 Enrollment ID: I20100817001689 |
| Provider Name | Regan B Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528053790 PECOS PAC ID: 3173424033 Enrollment ID: I20100909000809 |
| Provider Name | Gregory D Dietrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306831698 PECOS PAC ID: 1052212990 Enrollment ID: I20100921001481 |
| Provider Name | Geneen E Bigsby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710081450 PECOS PAC ID: 7113008541 Enrollment ID: I20101109000635 |
| Provider Name | Alex B Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780659920 PECOS PAC ID: 3274445416 Enrollment ID: I20101209000836 |
| Provider Name | Neil B Washington |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679700108 PECOS PAC ID: 8224176375 Enrollment ID: I20120518000176 |
| Provider Name | Robert T Parkey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427131291 PECOS PAC ID: 9032153143 Enrollment ID: I20130404000369 |
| Provider Name | Stephanie M Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629329537 PECOS PAC ID: 6204075633 Enrollment ID: I20130930000350 |
| Provider Name | Robert S Mahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063745206 PECOS PAC ID: 5991993438 Enrollment ID: I20160318000389 |
| Provider Name | Carol Ann Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295840270 PECOS PAC ID: 1951374792 Enrollment ID: I20180227001532 |
| Provider Name | Dewayne Lynn Weaver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265674071 PECOS PAC ID: 1355605528 Enrollment ID: I20180807003081 |
| Provider Name | Thad E Giblette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699819292 PECOS PAC ID: 2668504671 Enrollment ID: I20190226002755 |
| Provider Name | Lindsay R Kern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801910849 PECOS PAC ID: 5193919652 Enrollment ID: I20210824000216 |
| Provider Name | Kenneth Leif Nathaniel Sjoren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093208134 PECOS PAC ID: 2466832795 Enrollment ID: I20221005003550 |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
St. Joseph Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Thain Grade, Lewiston, ID 83501 Phone: 208-717-3100 Fax: 208-717-3099 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
North Central District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-0349 |