P Praxis·MD
● Active Type 2 · Organization

Richard A Wathne, MD PA

Specialist·Pocatello, ID· NPI 1023146057 · Enumerated 2007 · 19 years on NPI
Richard A Wathne, MD PA is 1 of 305 specialist organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-01
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wathne
President
Last NPPES update
2021-09-07
Source: monthly bulk 2026-05

How this organization compares

Across 305 active specialist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
2240 E Center St
Pocatello, ID 832012600
📞 2082332100fax 2082333146
Mailing address
2240 E Center St
Pocatello, ID 832012600
📞 2082332100fax 2082333146

Authorized official

Richard A Wathne, MD
President
📞 2082332100

Individual providers at this organization

15 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #M6663 taxonomy 174400000X

Identifiers

TypeValueNotes
01 CG1936 RAILROAD MEDICARE
01 185512700 US DEPT OF LABOR
01 000010000719 BLUE SHIELD OF ID

Practice context

Multi-provider organization. 15 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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