RONALD E JUTZY (NPI# 1427070929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427070929 |
| Entity Type | Individual |
| Full Name | RONALD E JUTZY |
| Credential | MD |
| Practice Address |
125 E Idaho St Suite 102 Boise ID 83712-6212 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083817300 |
| Practice Fax Number | 2083817295 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M5302 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
125 E IDAHO ST SUITE 102 |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365575 | Sky R Blue | Internal Medicine | 125 E Idaho St, Suite 203, Boise, ID 83712-6212 | 2005-09-07 |
| 1447893896 | Caroline Murphy | Physician Assistant | 125 E Idaho St, Boise, ID 83712-6212 | 2019-10-17 |
| 1023409265 | Misty Neisen | Physician Assistant | 125 E Idaho St, Ste 303, Boise, ID 83712-6212 | 2015-02-10 |
| 1225167588 | Birgitt Lucille Dau | Internal Medicine | 125 E Idaho St, Suite 203, Boise, ID 83712-6212 | 2007-03-05 |
| 1083716153 | Casi Mcpherson Wyatt | Internal Medicine | 125 E Idaho St, Suite 203, Boise, ID 83712-6212 | 2006-09-01 |
| 1366555971 | Harley Neil Sweeten | Physician Assistant | 125 E Idaho St, Suite 102, Boise, ID 83712-6212 | 2006-08-16 |
| 1942256953 | Rodney Riggs | Physician Assistant | 125 E Idaho St, Suite 303, Boise, ID 83712-6212 | 2006-05-25 |
| 1689629784 | Troy Britton | Nurse Anesthetist, Certified Registered | 125 E Idaho St, Suite 303, Boise, ID 83712-6212 | 2006-05-24 |
| 1093767527 | Michael P Naeve | Orthopaedic Surgery | 125 E Idaho St, Suite 102, Boise, ID 83712-6212 | 2006-05-16 |
| 1952351710 | Gerard Robert W. Klomp | Obstetrics & Gynecology | 125 E Idaho St, Suite 201, Boise, ID 83712-6212 | 2006-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| 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.