Idaho Urologic Institute Pa in Meridian - Urology
Idaho Urologic Institute Pa - NPI 1689620692
Idaho Urologic Institute Pa is a Urology in Meridian, Idaho. Idaho Urologic Institute Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Idaho Urologic Institute Pa is 1689620692. The last update date is 2021-02-22.
Idaho Urologic Institute Pa's current location address is 2855 E Magic View Dr, Meridian, Idaho. You can contact this provider via phone number 2086394900 and fax number 2086394939. The mailing address for Idaho Urologic Institute Pa is 2855 E Magic View Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Urologic Institute Pa |
|---|---|
| Address | 2855 E Magic View Dr, Meridian, Idaho |
| Phone Number | 2086394900 |
| Fax Number | 2086394939 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Waldamann Todd |
| Credentials | M.D. |
| Telephone Number | 2083437736 |
NPI Number Detail
| NPI Number | 1689620692 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2021-02-22 |
Provider Mailing Address Detail
| Address | 2855 E Magic View Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426245 |
| Phone Number | 2086394900 |
| Fax Number | 2086394939 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807277400 | ID | -- | |
| 8M783 | ID | BLUE CROSS NAMPA | |
| DD7372 | ID | RAILROAD MEDICARE | |
| 8M152 | ID | BLUE CROSS BOISE | |
| 10006729 | ID | BLUE SHIELD MERIDIAN | |
| 10152026 | ID | BLUE SHIELD NAMPA | |
| 8M879 | ID | BLUE CROSS MERIDIAN | |
| 10152026 | ID | BLUE SHIELD BOISE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Idaho Urologic Institute Pa?
The Idaho Urologic Institute Pa has been issued the NPI (National Provider Identifier) 1689620692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Idaho Urologic Institute Pa's facilities are situated?
The facilities of Idaho Urologic Institute Pa are physically located at the following address: 2855 E Magic View Dr, Meridian, ID, 836426245.
What is Idaho Urologic Institute Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Idaho Urologic Institute Pa is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Idaho Urologic Institute Pa receive its 1689620692 assignment from the Centers for Medicare & Medicaid Services?
The Idaho Urologic Institute Pa was assigned its 1689620692 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information pertaining to Idaho Urologic Institute Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Idaho Urologic Institute Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-22.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA