IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC


Address: 444 Hospital Way Ste 710, Pocatello, ID 83201
Phone: 2082354263

IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC (NPI# 1003157801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003157801
Entity Type Organization
Organization Name IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC
Practice Address 444 Hospital Way Ste 710
Pocatello
ID 83201
Mailing Address 444 Hospital Way Ste 710
Pocatello
ID 83201-2745
Practice Telephone 2082354263
Practice Fax Number 2082334268
Mailing Telephone 2082354263
Mailing Fax Number 2082334268
Enumeration Date 2013-03-05
Last Update Date 2018-08-30
Authorized Official Name DR. JEFFREY DEE STUCKI (PRESIDENT)
Authorized Official Telephone 2082354263
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
M-8547 ID Allopathic & Osteopathic Physicians
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA-684 ID Physician Assistants & Advanced Practice Nursing Providers
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
O-0574 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 444 HOSPITAL WAY STE 710
City POCATELLO
State ID
Zip Code 83201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457345316 Vermon S Esplin Orthopaedic Surgery 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 2005-09-07
1962832923 Dale Mckay Belnap Physician Assistant 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 2013-11-12
1073877213 Ryan Ned Miller Orthopaedic Surgery 444 Hospital Way Ste 710, Pocatello, ID 83201 2012-07-03
1083857536 Jeffrey Dee Stucki Orthopaedic Surgery 444 Hospital Way Ste 710, Pocatello, ID 83201-2745 2009-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730644808 Jerald Walker Orthopaedic Surgery 1779 W Cedar Grove St, Meridian, ID 83646-3637 2019-02-04
1184020075 Tim Thurman Md PC Orthopaedic Surgery 933 S Utah Ave, Idaho Falls, ID 83402-3322 2014-11-05
1275854630 Louis Horst Poppler Orthopaedic Surgery 3399 E Louise Dr Ste 400, Meridian, ID 83642 2010-06-18
1023337631 Patrick Cole Orthopaedic Surgery 1070 N Curtis Rd Ste 135, Boise, ID 83706-1257 2010-05-21
1932380912 Intermountain Hand Clinic Pa Orthopaedic Surgery 914 N Curtis Rd, Boise, ID 83706-1308 2007-11-19
1144376195 Alexander Orthopaedics, P.a. Orthopaedic Surgery 100 Hospital Dr., Ste 100, Ketchum, ID 83340-6997 2007-01-25
1669423539 Tyler R Wayment Orthopaedic Surgery 738 N College Rd, Suite A, Twin Falls, ID 83301-3385 2006-05-15
1588659866 Steven Randolph Boyea Orthopaedic Surgery 320 Warner Dr, Lewiston, ID 83501-4441 2005-09-13
1932693025 Jeremy Toomey, Md Pllc Orthopaedic Surgery 7979 W Rifleman St, Boise, ID 83704-9066 2018-06-21
1851799621 Orthopedic Specialty Institute, LLC Orthopaedic Surgery 1233 N Northwood Center Ct, Coeur D Alene, ID 83814-6190 2014-12-10
Find all providers with the same taxonomy

Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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