ONDREJ CHOUTKA (NPI# 1265651566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1072 N LIBERTY STREET STE 303 |
City | BOISE |
State | ID |
Zip Code | 83704 |
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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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 |
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.