KURTIS B REED (NPI# 1245484096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245484096 |
| Entity Type | Individual |
| Full Name | KURTIS B REED |
| Credential | M.D. |
| Practice Address |
714 N College Rd Suite A Twin Falls ID 83301-5812 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2088147180 |
| Practice Fax Number | 2088147199 |
| Mailing Telephone | 2088147400 |
| Mailing Fax Number | 2088147491 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
M11491 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ENROLLED | 05 | |
| MN | ENROLLED | 05 | |
| MN | RAILROAD MEDICARE | P00873574 | 01 |
| ID | 1245484096 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861827636 | Kurtis Reed | Registered Nurse | 4308 Pepperwood Ave, Long Beach, CA 90808-1346 | 2013-09-11 |
| Street Address |
714 N COLLEGE RD SUITE A |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940125 | John W Howar | Orthopaedic Surgery | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 | 2005-05-24 |
| 1609278886 | Amanda Jill Weston | Nurse Practitioner | 714 N College Rd, Rome Building, Suite B, Twin Falls, ID 83301-5812 | 2014-09-19 |
| 1063546174 | Joanne Marie Trammel | Occupational Therapist | 714 N College Rd, Ste B, Twin Falls, ID 83301-3382 | 2007-03-14 |
| 1962556167 | Kim Paulson | Registered Nurse | 714 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2007-01-23 |
| 1255334066 | Randal Lee Wraalstad | Podiatrist | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528279189 | Brandon Lynn Miner | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2007-05-25 |
| 1417456385 | Eagle Dermatology, Pllc | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616-6865 | 2018-02-06 |
| 1568880995 | Ryan Bruce Thorpe | Dermatology | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2014-04-02 |
| 1063840288 | High Valley Dermatology and Surgery | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2013-10-25 |
| 1891025334 | High Valley Dermatology & Dermatologic Surgery LLC | Dermatology | 2085 Providence Way, Idaho Falls, ID 83404-4945 | 2010-01-06 |
| 1295908127 | Idaho Skin Surgery Center, PC | Dermatology | 1906 S Vista Ave, Boise, ID 83705-3453 | 2008-04-11 |
| 1255449898 | High Valley Dermatology & Dermatologic Surgery, PC | Dermatology | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-08-25 |
| 1760400238 | Earl Stoddard | Dermatology | 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 | 2006-07-17 |
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.