JOHANNES D VELDHUIS MD NPI 1477530335

NPI Information

NPI: 1477530335
Provider Name: JOHANNES D VELDHUIS, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
520 S EAGLE RD
SUITE 1234
MERIDIAN, ID
ZIP 83642
Phone: (208) 429-0300
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Johannes D Veldhuis, MD is an endocrinology and diabetes and metabolism internal medicine in Meridian, ID with 50 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Johannes D Veldhuis, MD NPI is 1477530335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1974

The provider's business location address is:

520 S EAGLE RD
SUITE 1234
MERIDIAN, ID
ZIP 83642-351
Phone: (208) 429-0300

The NPI 1477530335 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 12/30/2005 and was last updated on 1/9/2015.

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	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	22270	MINNESOTA	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	460000214	MEDICARE PIN	MINNESOTA
2	460003751	OTHER	MINNESOTA	RAILROAD
3	347197700	MEDICAID	MINNESOTA
4	20005735	MEDICARE PIN	IDAHO
5	1477530335	MEDICAID	IDAHO
6	E04631	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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