NPI age
19 years
Enumerated 2007-01-26
● Active Type 2 · Organization
Idaho Urology Clinic, P.A.
Idaho Urology Clinic, P.A. is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Watkins
Owner
Last NPPES update
2010-11-09
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
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1613 12th Ave Rd Ste B
Nampa, ID 836866183
Mailing address
1613 12th Ave Rd Ste B
Nampa, ID 836866183
Authorized official
Wilfred E Watkins, M.D.
Owner
📞 2084662461
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002409100 | |
| 01 (ID) | 1598811945 | CORP NPI |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.