D PETER REEDY (NPI# 1588665434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588665434 |
| Entity Type | Individual |
| Full Name | D PETER REEDY |
| Credential | M.D. P.A. |
| Practice Address |
999 N Curtis #307 Boise ID 83706-1333 |
| Mailing Address |
999 N Curtis Rd #307 Boise ID 83706-1336 |
| Practice Telephone | 2083677500 |
| Practice Fax Number | 2083677506 |
| Mailing Telephone | 2083677500 |
| Mailing Fax Number | 2083677506 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-01-23 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M-5296 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS PROVIDER # | DL141 | 01 |
| Street Address |
999 N CURTIS #307 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578743522 | Richard Lochhead | Neurological Surgery | 6140 W. Curtisian Ave, Ste 400, Boise, ID 83604-8907 | 2007-11-07 |
| 1851949713 | Kelly Bridges Neurosurgery Pllc | Neurological Surgery | 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 | 2019-09-03 |
| 1588063168 | Richard Lochhead Md Pllc | Neurological Surgery | 6140 W Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2014-08-19 |
| 1871883660 | Kelly Jean Bridges | Neurological Surgery | 6140 W Curtisian Ave Ste 400, Boise, ID 83704 | 2011-04-13 |
| 1982868568 | Michael V Hajjar | Neurological Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8907 | 2008-07-14 |
| 1699939405 | Kenneth M Little | Neurological Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2008-07-11 |
| 1144484932 | Manning Neurosurgery, Pllc | Neurological Surgery | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2008-07-11 |
| 1295921237 | Mary E River Md Pa | Neurological Surgery | 222 N 2nd St, Suite 103, Boise, ID 83702-6109 | 2007-09-24 |
| 1124226378 | D Peter Reedy Md Pa | Neurological Surgery | 999 N Curtis Rd, 307, Boise, ID 83706-1336 | 2007-07-10 |
| 1265651566 | Ondrej Choutka | Neurological Surgery | 1072 N Liberty Street, Ste 303, Boise, ID 83704 | 2007-04-25 |
| Find all providers in BOISE | ||||
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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.