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NPI 1528152758
● Active Type 2 · Organization
Judy Pc
Surgery · Pocatello, ID · NPI 1528152758
·
Enumerated 2006 · 19 years on NPI
Judy Pc is 1 of 260 surgery organizations in Idaho.
NPI age
19 years
Enumerated 2006-10-03
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Judy
President
Last NPPES update
2007-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-10 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
500 S 11th Ave, Ste 501
Pocatello, ID 83201
📞 2082327434 fax 2082336446
Mailing address
500 S 11th Ave, Ste 501
Pocatello, ID 83201
📞 2082327434 fax 2082336446
Authorized official
Claine Doyle Judy, D.O.
President
📞 2082327434
Individual providers at this organization
20 individual providers on file at this primary practice address.
Cynthia Amen , PHD
Psychologist
NPI 1457408122
Linda Babbitt , M.D.
Internal Medicine
NPI 1235232422
Walter Birkenhagen , M.D.
Surgery
NPI 1407849060
Cheryl Callaghan , M.D.
Obstetrics & Gynecology
NPI 1801841457
Michael Callaghan , M.D.
Radiology
NPI 1316978539
James Campbell , PA-C
Physician Assistant
NPI 1144550724
John Christensen , PHD
Psychologist
NPI 1124175898
Marty Cooke , LCPC
Counselor
NPI 1831246594
Clay Cornelison , DO
Psychiatry & Neurology
NPI 1609454040
Julia Duran , LMLP
Psychologist
NPI 1508512716
Becki Echavez Cheek , LCSW
Social Worker
NPI 1649767237
Adam Gault , DNP, FNP-C
Nurse Practitioner
NPI 1700365178
Tracy Gibson , CNM
Advanced Practice Midwife
NPI 1700896685
William Hazle , MD
Psychiatry & Neurology
NPI 1629039763
Steven Krawtz , M.D.
Internal Medicine
NPI 1972563310
John Lackey , MD
Specialist
NPI 1063456648
Karl Letko , MPAS, PA-C
Physician Assistant
NPI 1689977019
Chelsie Morrison , D.O.
Family Medicine
NPI 1710111935
Melissa Odegard , LPC
Counselor
NPI 1710197942
James Osborne , LCPC
Counselor
NPI 1710446216
Specialties
Surgery
Primary
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
ID license #C143842 taxonomy 208600000X
Identifiers
Type Value Notes
01 (ID)
8N074
BLUE CROSS OF IDAHO
05 (ID)
806327500
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.