Matthew R Macha in Boise - Surgery

Matthew R Macha - NPI 1730190836

Matthew R Macha is a Surgery in Boise, Idaho. Matthew R Macha practices all healthcare services and medical treatments related to Surgery. The NPI Number for Matthew R Macha is 1730190836. The last update date is 2007-07-09.

Matthew R Macha's current location address is 166 W Jefferson St, Boise, Idaho. You can contact this provider via phone number 2083435600 and fax number 2083454398. The mailing address for Matthew R Macha is 166 W Jefferson St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew R Macha
Address 166 W Jefferson St, Boise, Idaho
Phone Number 2083435600
Fax Number 2083454398
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730190836
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 166 W Jefferson St
City Boise
State Idaho (ID)
Post Code 837026124
Phone Number 2083435600
Fax Number 2083454398

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No M6834
Definition:
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B3879 ID BC OF IDAHO MTN HOME
B3861 ID BLUE CROSS OF ID EMMETT
10001037 ID REGENCE BS BOI
10144925 ID REGENBE BS MTN HOME
10149831 ID REGENCE BS EMMETT
70334 ID BLUE CROSS OF IDAHO BOIS

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FAQs about Matthew R Macha

What is the Matthew R Macha's 1730190836?

The Matthew R Macha's NPI (National Provider Identifier) Number is 1730190836. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Matthew R Macha is located?

The Matthew R Macha is situated at the following address: 166 W Jefferson St, Boise, ID, 837026124.

What is the Matthew R Macha's specialty and taxonomy code?

The Matthew R Macha's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date was the 1730190836 assigned to Matthew R Macha?

The Matthew R Macha was issued its 1730190836 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Matthew R Macha most recently updated or revised?

The details related to Matthew R Macha, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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