NPI age
13 years
Enumerated 2013-03-05
● Active Type 2 · Organization
Idaho Regional Hand & Upper Extremity Center Pllc
Idaho Regional Hand & Upper Extremity Center Pllc is 1 of 25 hand surgery (orthopaedic surgery) organizations in Idaho.
Primary specialty
Hand Surgery (Orthopaedic Surgery)
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stucki
President
Last NPPES update
2018-08-30
Source: CMS NPPES provider record
How this organization compares
Across 25 active hand surgery (orthopaedic surgery) providers in Idaho.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 60% of peers with subspecialties
NPI lifetime · 2013 → 2018
2013-03Enumerated in NPPES
2013
2018
Where they practice
Primary practice location
444 Hospital Way Ste 710
Pocatello, ID 83201
Mailing address
444 Hospital Way Ste 710
Pocatello, ID 832012745
Authorized official
Jeffrey Dee Stucki, DO
President
📞 2082354263
Other providers sharing this address
4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Dale Belnap, PA-C Physician Assistant NPI 1962832923
- Vermon Esplin, MD Surgery NPI 1457345316
- Ryan Miller, D.O. Orthopaedic Surgery NPI 1073877213
- Jeffrey Stucki, DO Orthopaedic Surgery NPI 1083857536
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
-
Physician AssistantCMS NPPES uses NUCC taxonomy code 363AS0400X for provider records classified as Surgical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Shared NPPES address. 4 individual providers use this primary address. This does not prove employment or affiliation.
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