IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC – NPI #1003157801
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC is an orthopaedic surgeon located in POCATELLO, ID. NPPES has assigned the NPI number 1003157801 to IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC on March 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was previously updated about 8 years ago on Aug 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC below.

NPI Profile for
IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC

NPI Number
1003157801
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC
Primary location
444 HOSPITAL WAY STE 710
POCATELLO, ID 83201
Phone: (208) 235-4263 Fax: (208) 233-4268
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY STUCKI
PRESIDENT
Phone: (208) 235-4263
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)
ID M-8547
363AS0400X
- Physician Assistant / Surgical
ID PA-684

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.