Minidoka Memorial Hospital

• Jessica Bagby, MD Emergency Medicine NPI 1093161473
• Jeffery Baldwin, P.T. Physical Therapist NPI 1205855202
• Scott Bloxham, P.T. Physical Therapist NPI 1962488205
• Charles Clair, MD Family Medicine NPI 1003012204
• Rachel Durrant, MS, CCC-SLP Speech-Language Pathologist NPI 1215432984
• Benjamin Guercio, CRNA Nurse Anesthetist, Certified Registered NPI 1972763381
• Maria Hernandez, P.T. Physical Therapist NPI 1730104597
• Lori Johnson, R.D.,L.D Dietitian, Registered NPI 1669578472
• Donald Konrad, D.O. Family Medicine NPI 1306836077
• Brandon Madsen, CRNA Nurse Anesthetist, Certified Registered NPI 1265037741
• Davee Mussmann, DPT Physical Therapist NPI 1144202938
• William Robar, DO Emergency Medicine NPI 1225560444
• Allison Serr, FNP-C Nurse Practitioner NPI 1144933912
• David Wageman, DO Emergency Medicine NPI 1528108867
• David Ward, PHARMD Pharmacist NPI 1851477863

• Clinic/Center Primary
  Definition to come...
  ID license #26 taxonomy 261QE0002X
• Emergency Medicine
  An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
  taxonomy 207P00000X
• Family Medicine
  Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
  taxonomy 207Q00000X
• Hospitalist
  Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
  taxonomy 208M00000X
• Internal Medicine
  A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
  taxonomy 207R00000X
• Internal Medicine
  An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
  taxonomy 207RR0500X
• Internal Medicine
  An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders....
  taxonomy 207RS0012X
• Nurse Anesthetist, Certified Registered
  (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
  taxonomy 367500000X
• Nurse Practitioner
  Definition to come...
  taxonomy 363LF0000X
• Orthopaedic Surgery
  An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
  taxonomy 207X00000X
• Orthopaedic Surgery
  Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary...
  taxonomy 207XS0117X
• Orthopaedic Surgery
  An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
  taxonomy 207XX0005X
• Pain Medicine
  Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
  taxonomy 208VP0014X
• Podiatrist
  A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
  taxonomy 213E00000X
• Surgery
  A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
  taxonomy 208600000X

• MMH Physicians
  Type code 5 recorded 2009-06-16

Multi-provider organization. 15 individual providers on file at this primary address. Plus 2 secondary practice locations.

Subpart of Minidoka Memorial Hospital.

1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.