ONDREJ CHOUTKA


Address: 1072 N Liberty Street, Ste 303, Boise, ID 83704
Phone: 2083674035

ONDREJ CHOUTKA (NPI# 1265651566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265651566
Entity Type Individual
Full Name ONDREJ CHOUTKA
Credential MD
Practice Address 1072 N Liberty Street
Ste 303
Boise
ID 83704
Mailing Address 3340 E Goldstone Way
Meridian
ID 83642-1026
Practice Telephone 2083674035
Practice Fax Number 2083677111
Mailing Telephone 2083674035
Mailing Fax Number 2083677111
Enumeration Date 2007-04-25
Last Update Date 2016-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery M-13330 ID Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 43915 KY Allopathic & Osteopathic Physicians
N 207T00000X Neurological Surgery 57009091 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 1072 N LIBERTY STREET
STE 303
City BOISE
State ID
Zip Code 83704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386612414 Johnny Bert Green Surgery 1072 N Liberty Street, Suite 201, Boise, ID 83704 2006-03-14
1760903363 Sheev Indravadan Dattani Surgery 1072 N Liberty Street, Ste 201, Boise, ID 83704 2017-07-05
1003288648 Brittany Peeler Physician Assistant 1072 N Liberty Street, Ste 303, Boise, ID 83704 2015-10-22
1861861841 Tess Weidner Midwife 1072 N Liberty Street, Ste 100, Boise, ID 83704 2015-09-19
1023404811 Annis Wakelee Vargas Pediatrics 1072 N Liberty Street, Ste 203, Boise, ID 83701 2015-04-08
1194127472 Anna Hoskins Physician Assistant 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 2014-09-18
1770857021 Wendi Holmes Registered Nurse 1072 N Liberty Street, Ste 100, Boise, ID 83704 2012-03-05
1316258510 Bradley Grant Bishop Pediatrics 1072 N Liberty Street, Ste 203, Boise, ID 83704 2010-06-23
1750430617 Adrian J Curnow Surgery 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 2007-01-09
1821150285 Shauna Williams Colon & Rectal Surgery 1072 N Liberty Street, Suite 201, Boise, ID 83704 2006-12-14
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

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.

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