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DAVID REED HADLOCK D.O. NPI 1629101928


NPI Information

NPI: 1629101928
Provider Name: DAVID REED HADLOCK, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

CLIA Number: 13D0933160

Address:
496 C SHOUP AVE W
TWIN FALLS, ID
ZIP 83301
Phone: (208) 735-0000
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David Reed Hadlock, D.O. is an addiction medicine family medicine in Twin Falls, ID with 36 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. David Reed Hadlock, D.O. NPI is 1629101928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1988

The provider's business location address is:

496 C SHOUP AVE W
TWIN FALLS, ID
ZIP 83301-563
Phone: (208) 735-0000
Fax: (208) 734-1717

The NPI 1629101928 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 CLIA number assigned to this NPI record is 13D0933160 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/6/2012.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyO-163IDAHONo
2208D00000XGeneral Practice0-163IDAHONo
3207QA0401XFamily MedicineAddiction MedicineO-163IDAHOYes

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
11301481MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2004312000MEDICAIDIDAHO
3G24178MEDICARE UPINIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.