JON R KATTENHORN MD NPI 1881648251

NPI Information

NPI: 1881648251
Provider Name: JON R KATTENHORN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1072 N LIBERTY ST
SUITE 100
BOISE, ID
ZIP 83704
Phone: (208) 302-1200
Get Directions

Jon R Kattenhorn, MD is an obstetrics gynecology in Boise, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jon R Kattenhorn, MD NPI is 1881648251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1072 N LIBERTY ST
SUITE 100
BOISE, ID
ZIP 83704-708
Phone: (208) 302-1200
Fax: (208) 302-1255

The NPI 1881648251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		M3893	IDAHO	No
2	207V00000X	Obstetrics & Gynecology		M-3893	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010005174	OTHER	IDAHO	BLUE SHIELD
2	38935	OTHER	IDAHO	BLUE CROSS
3	D93685	MEDICARE UPIN
4	1112798	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
5	003785900	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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