JOHN S KUNDRAT, MD PA (NPI# 1255678546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255678546 |
| Entity Type | Organization |
| Organization Name | JOHN S KUNDRAT, MD PA |
| Practice Address |
3316 4th St Bldg 3 Lewiston ID 83501-4405 |
| Practice Telephone | 2087460458 |
| Practice Fax Number | 2087436020 |
| Mailing Telephone | 2087460458 |
| Mailing Fax Number | 2087436020 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DR. JOHN S KUNDRAT (PRESIDENT) |
| Authorized Official Telephone | 2087460458 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M3432 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1478601 | 05 | |
| ID | 002460100 | 05 |
| Street Address |
3316 4TH ST BLDG 3 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356680862 | Fawna Sunshine Huffman | Nurse Practitioner | 3316 4th St, Suite 4b, Lewiston, ID 83501-4405 | 2013-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740409424 | Sirus Hamzavi, Md LLC Pa | Ophthalmology | 10 High St Ste 304, Lewiston, ME 04240-7640 | 2007-04-24 |
| 1063589133 | John Stephen Kundrat | Ophthalmology | 3316 Fourth Street, Lewiston, ID 83501-4405 | 2006-11-30 |
| 1669583662 | John David Lonsdale | Ophthalmology | 181 Russell St, Lewiston, ME 04240-5436 | 2006-08-31 |
| 1598871899 | Lewiston Eye Clinic Pa | Ophthalmology | 2214 Vineyard Ave, Lewiston, ID 83501 | 2006-08-21 |
| 1265816003 | Clearview Surgery Center, LLC | Ophthalmology | 2840 Juniper Dr, Lewiston, ID 83501-4719 | 2015-07-10 |
| 1457544306 | Clearwater Valley Optical | Ophthalmology | 2214 Vineyard Ave, Lewiston, ID 83501-6352 | 2007-08-23 |
| 1174503825 | Sirus Hamzavi | Ophthalmology | 10 High St, Ste 304, Lewiston, ME 04240-7640 | 2006-01-19 |
| 1114918273 | Wolf Eye Associates Pa | Ophthalmology | 249 Main St, Lewiston, ME 04240-7053 | 2005-10-28 |
| 1417952235 | Kenneth P Wolf | Ophthalmology | 249 Main St, Lewiston, ME 04240-7053 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1861727323 | Kyle Nathaniel Klingler | Ophthalmology | 1415 Parkview Dr., Twin Falls, ID 83301-3250 | 2009-10-15 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1881894517 | Joshua R Fullmer Md Pllc | Ophthalmology | 381 E 4th N Ste 100, Rexburg, ID 83440-1684 | 2007-07-20 |
| 1093911133 | Eye Clinic of Idaho Falls,pa | Ophthalmology | 530 S Holmes Ave, Idaho Falls, ID 83401-4751 | 2007-06-25 |
| 1942345228 | Alan Wallace Mcinnes Jr. | Ophthalmology | 323 E Riverside Dr, Suite 136, Eagle, Eagle, ID 83616-6865 | 2007-02-21 |
| 1205974136 | David Ray Anderson | Ophthalmology | 530 S Holmes, Idaho Falls, ID 83403-2410 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
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| 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.