Jeffrey Dee Stucki, DO

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

O-0574 Issued in ID

Practice address

444 Hospital Way Ste 710
Pocatello, ID 83201-2745

Phone

(208) 234-4263

Fax

(208) 233-4268

NPI assigned

Apr 14, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Idaho Regional Hand and Upper Extremity Center PLLCGroup PAC ID 6709011885, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325
• Caribou Medical Center Hospital, Soda Springs, ID, CCN 131309
• Cassia Regional Hospital Hospital, Burley, ID, CCN 131326

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: jstucki262014@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Regional Hand & Upper Extremity Center PLLC

  • Orthopaedic Hand Surgery Physician
  • Pocatello, ID
  • NPI 1003157801
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation
• Caribou Medical Center, Inc

  • Critical Access Hospital
  • Soda Springs, ID
  • NPI 1942970272
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1083857536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 710",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012745",
            "telephone_number": "208-235-4263",
            "fax_number": "208-233-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 710",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012745",
            "telephone_number": "208-234-4263",
            "fax_number": "208-233-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "JEFFREY",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "58.001617",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "O-0574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari D Stringfield, DPT
• Brittany Strong, NP
• Jamie Strong
• Lisa Stuban, MASSAGE THERAPIST
• Andrew R Stucki, DMD
• Jessica Sturman
• Sallie Sublette
• Allison Lindsay Suing, ARPN, NNP-BC
• Andrew Sullivan, DO
• Shaun Stephen Summerill, M.D.

• Orthopaedic Hand Surgery Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Orthopaedic Hand Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.