WESLEY DAVID PIDCOCK (NPI# 1013335157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013335157 |
| Entity Type | Individual |
| Full Name | WESLEY DAVID PIDCOCK |
| Credential | DO |
| Practice Address |
4400 E Flamingo Ave Ste 200 Nampa ID 83687 |
| Mailing Address |
3340 E Goldstone Dr Meridian ID 83642 |
| Practice Telephone | 2083022100 |
| Practice Fax Number | 2083022125 |
| Mailing Telephone | 2083022100 |
| Mailing Fax Number | 2083022125 |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
O-1353 | ID | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
20A15369 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
O-1353 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
4400 E FLAMINGO AVE STE 200 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245493840 | Forrest R Fredline | Surgery | 4400 E Flamingo Ave Ste 200, Nampa, ID 83687 | 2008-07-03 |
| 1902154149 | Amber Taylor | Surgery | 4400 E Flamingo Ave Ste 200, Nampa, ID 83687-9203 | 2012-08-20 |
| 1568778918 | Michael Mccomb | Physician Assistant | 4400 E Flamingo Ave Ste 200, Ste 200, Nampa, ID 83687 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169042 | Cary V. Jackson | Internal Medicine | 401 E Hawaii, Nampa, ID 83686 | 2006-03-23 |
| 1275979692 | Katarzyna Kaczmarczyk | Internal Medicine | 4400 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407124753 | Idaho Falls Pulmonary Sleep & Critical Care Specialists | Internal Medicine | 2442 E 25th St, Idaho Falls, ID 83404-7549 | 2011-12-01 |
| 1831423557 | Idagem Services Inc | Internal Medicine | 1533 N Milwaukee St, Ste 321, Boise, ID 83704-8471 | 2009-09-28 |
| 1417102930 | Joshua David Holweger | Internal Medicine | 1075 N Curtis, Ste 200, Boise, ID 83706-1350 | 2008-11-25 |
| 1659407716 | Richard Keith Oehlschlager | Internal Medicine | 3036 Lakewood Way, Boise, ID 83706-5240 | 2007-02-25 |
| 1194861534 | Richard J Robinson | Internal Medicine | 700 West Ironwood Drive, Suite 336, Coeur D'alene, ID 83814-4485 | 2007-01-30 |
| 1013946391 | Janat E. O'donnell | Internal Medicine | 1075 N. Curtis Rd, Suite 200, Boise, ID 83706-1300 | 2006-06-30 |
| 1528002029 | Ronald F Fullmer | Internal Medicine | 570 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-06-15 |
| 1932191319 | Peter Lawrence Fort | Internal Medicine | 777 Hospital Way Ste 202, Pocatello, ID 83201-5175 | 2005-08-22 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1073027389 | Jordan Joseph Cormier | Internal Medicine | 2330 Desoto St, Idaho Falls, ID 83404-7570 | 2017-11-22 |
| 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.