JOHN H TRUKSA (NPI# 1538191200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191200 |
| Entity Type | Individual |
| Full Name | JOHN H TRUKSA |
| Credential | M.D. |
| Practice Address |
1512 12th Ave Rd Nampa ID 83686-6008 |
| Mailing Address |
Po Box 9649 Boise ID 83707-4649 |
| Practice Telephone | 2084635431 |
| Mailing Telephone | 2084728103 |
| Mailing Fax Number | 2083441926 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M2829 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1512 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905355 | Steve Edward Roberts | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2005-10-11 |
| 1295141992 | Jane Stroebel | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2014-07-02 |
| 1881973899 | Olawale Olaniyi | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2011-08-08 |
| 1730407461 | Sound Physicians of Idaho | Family Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2010-05-05 |
| 1821229279 | Patrick Daniel Vargas Villazon | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-08-03 |
| 1275772758 | James M Ineck | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-06 |
| 1336388974 | Jesse Vanwart | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2009-02-04 |
| 1942461850 | Joseph M. Mortensen | Anesthesiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2008-06-23 |
| 1235260845 | Donald G Rau | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-03-07 |
| 1083751366 | Jeffrey Wayne Grossman | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235260845 | Donald G Rau | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-03-07 |
| 1083751366 | Jeffrey Wayne Grossman | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2007-01-30 |
| 1649335373 | Idaho Advanced Imaging Pa | Radiology | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597285 | Katie Clegg | Radiology | 593 W 24th St, Burley, ID 83318-2803 | 2020-01-22 |
| 1376920553 | Creighton Lewis | Radiology | 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 | 2015-04-27 |
| 1598176448 | Derek A Khorsand | Radiology | Kootenai Health, 2003 Kootenai Way, Coeur D'alene, ID 83814 | 2014-05-14 |
| 1578903191 | Miriam Bryna Hulkower | Radiology | 1839 N Govt Way Ste B, Coeur D Alene, ID 83814-3454 | 2013-06-27 |
| 1750647913 | Philip John Dougherty | Radiology | 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 | 2012-04-02 |
| 1356510143 | Newell Kay Richardson | Radiology | 2088 E 49th South, Idaho Falls, ID 83404-7649 | 2008-02-26 |
| 1477733574 | Cameron J Evans | Radiology | 4121 N 2600 E, Filer, ID 83328-5155 | 2007-11-06 |
| 1295926061 | Michael Modica | Radiology | 877 W Main St, Suite 603, Boise, ID 83702-5883 | 2007-08-07 |
| 1972709590 | Stephen Arthur Sherman | Radiology | 4685 Flora Dr, Pocatello, ID 83204-4568 | 2007-06-21 |
| 1891999165 | Vidvuds Bandrevics | Radiology | 102 Canyon Rd, Hailey, ID 83333-5067 | 2007-06-12 |
| 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.