DAVID C PAKULA (NPI# 1609842723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609842723 |
| Entity Type | Individual |
| Full Name | DAVID C PAKULA |
| Credential | MD |
| Practice Address |
222 Southway Suite B Lewiston ID 83501-2703 |
| Practice Telephone | 2087463500 |
| Practice Fax Number | 2087466423 |
| Mailing Telephone | 2087463500 |
| Mailing Fax Number | 2087466423 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 14070 | WA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | M4761 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1016252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073065108 | David Pakula | Acupuncturist | 12301 Taft St Ste 200, Pembroke Pines, FL 33026-4387 | 2016-10-24 |
| Street Address |
222 SOUTHWAY SUITE B |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033255583 | Southway Internists Pllc | Internal Medicine | 222 Southway, Suite C, Lewiston, ID 83501-2703 | 2007-01-30 |
| 1477640811 | Katherine A Gage | Social Worker | 222 Southway, Suite C, Lewiston, ID 83501 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790928570 | Evan J Dunn | Urology | 287 Main St Ste 404, Lewiston, ME 04240-7056 | 2009-04-09 |
| 1912310442 | Christopher Charles Foote | Urology | 10 High St, Lewiston, ME 04240-7653 | 2014-06-02 |
| 1396008892 | Thomas Tieu | Urology | 2315 8th St, Lewiston, ID 83501-7301 | 2012-06-19 |
| 1225263684 | Christopher Anson Henry | Urology | 287 Main St, Ste. 404, Lewiston, ME 04240-7054 | 2009-05-28 |
| 1649436049 | Jordan Marcus Kurta | Urology | 287 Main St, Ste. 404, Lewiston, ME 04240-7054 | 2008-08-05 |
| 1811183064 | Robert R Kester Md Pa | Urology | 10 High St, Suite 104, Lewiston, ME 04240-7640 | 2007-09-21 |
| 1699834069 | Paul R Mailhot | Urology | 287 Main St, Suite 401, Lewiston, ME 04240-7054 | 2006-12-08 |
| 1992712848 | Paul R Mailhot, Md, Pa | Urology | 287 Main St, Suite 300, Lewiston, ME 04240-7054 | 2006-08-02 |
| 1356382964 | Michael Parker | Urology | 93 Campus Ave, 4th Floor, Lewiston, ME 04240-6030 | 2006-06-08 |
| 1740232248 | David B Rice | Urology | 2315 8th St, Lewiston, ID 83501-7301 | 2006-05-16 |
| Find all providers in LEWISTON | ||||
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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.