P Praxis·MD
● 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
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
500 S 11th Ave, Ste 501
Pocatello, ID 83201
📞 2082327434fax 2082336446
Mailing address
500 S 11th Ave, Ste 501
Pocatello, ID 83201
📞 2082327434fax 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.

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

TypeValueNotes
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.

  • CLAINE D JUDY D.O.
    Type code 3 recorded 2006-10-03

Practice context

Multi-provider organization. 20 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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