KADEN J THUESON PA-C NPI 1679941553

NPI Information

NPI: 1679941553
Provider Name: KADEN J THUESON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: CATALYST MEDICAL GROUP, PLLC

PECOS Registration: Yes

Address:
320 WARNER DR
LEWISTON, ID
ZIP 83501
Phone: (208) 298-1022
Get Directions

Kaden J Thueson, PA-C is a surgical physician assistant in Lewiston, ID with 9 years of experience. Kaden J Thueson, PA-C NPI is 1679941553. 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:

320 WARNER DR
LEWISTON, ID
ZIP 83501-441
Phone: (208) 298-1022
Fax: (208) 746-8741

The NPI 1679941553 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 9/9/2015 and was last updated on 6/24/2016.

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	363AS0400X	Physician Assistant	Surgical	PA-1272	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
1	1679941553	MEDICAID	WASHINGTON
2	G8946891	MEDICARE PIN	WASHINGTON
3	1679941553	MEDICAID	IDAHO
4	20007852	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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