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JUDY PC NPI 1528152758


NPI Information

NPI: 1528152758
Provider Name: JUDY PC

Doing Business As: CLAINE D JUDY D.O.

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
500 S 11TH AVE
STE 501
POCATELLO, ID
ZIP 83201
Phone: (208) 232-7434
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JUDY PC is a surgery in Pocatello, ID. The provider is 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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JUDY PC NPI is 1528152758. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Claine D Judy D.o..

The provider's business location address is:

500 S 11TH AVE
STE 501
POCATELLO, ID
ZIP 83201
Phone: (208) 232-7434
Fax: (208) 233-6446

The provider's authorized official is Claine Doyle Judy .
The authorized official title is President and has the following contact phone number (208) 232-7434.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryC143842IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18N074OTHERIDAHOBLUE CROSS OF IDAHO
2806327500MEDICAIDIDAHO
31302564MEDICARE PIN
4G85624MEDICARE 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

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