RONALD E JUTZY MD INC (NPI# 1811906076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811906076 |
| Entity Type | Organization |
| Organization Name | RONALD E JUTZY MD INC |
| Practice Address |
6140 Curtisian Ave Suite 400 Boise ID 83704-8880 |
| Practice Telephone | 2083673500 |
| Practice Fax Number | 2083672968 |
| Mailing Telephone | 2083673500 |
| Mailing Fax Number | 2083672968 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | RONALD E JUTZY (OWNER) |
| Authorized Official Telephone | 2083673500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M5302 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA DEPARTMENT OF LABOR | 12 | 01 |
| ID | 003530200 | 05 | |
| ID | 806667900 | 05 | |
| OR | OMAP | 190686 | 01 |
| U S DEPARTMENT OF LABOR | 202662100 | 01 | |
| ID | BLUE CROSS OF IDAHO | 72439 | 01 |
| ID | BLUE CROSS OF IDAHO GROUP | 8K321 | 01 |
| Street Address |
6140 CURTISIAN AVE SUITE 400 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407814411 | Frederick R. Badke | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2006-05-02 |
| 1043480445 | Jessica Garner | Specialist/Technologist, Other | 6140 Curtisian Ave, Boise, ID 83704-8880 | 2008-03-03 |
| 1457545691 | Idaho Heart Care | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2007-08-30 |
| 1598968232 | Lauren A Musheno | Specialist/Technologist, Other | 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2007-06-08 |
| 1942330204 | Timothy J Johans, Md | Neurological Surgery | 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2007-03-06 |
| 1730219072 | Paul J Montalbano Md | Neurological Surgery | 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2007-03-06 |
| 1154489110 | Kelli J Goold | Specialist/Technologist, Other | 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2006-12-04 |
| 1801973615 | Charisse L Mack | Physician Assistant | 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2006-11-01 |
| 1033292644 | Alan G Upchurch | Specialist/Technologist, Other | 6140 Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2006-10-24 |
| 1760584346 | Stephanie M Hilpert | Nurse Practitioner | 6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
| 1588665434 | D Peter Reedy | Neurological Surgery | 999 N Curtis, #307, Boise, ID 83706-1333 | 2005-08-02 |
| 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 |
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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.