NPIMap

Organization Active NPI

D Peter Reedy MD PA

  • Neurological Surgery Physician
  • Boise, ID
National Provider Identifier
1124226378
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M-5296 Issued in ID
Legal business name
D PETER REEDY MD PA
Practice address
999 N Curtis Rd
307
Boise, ID 83706-1336
Phone
(208) 367-7500
Fax
(208) 367-7506
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
M Leslie Reedy
Title
Office Manager
Phone
(208) 367-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X M-5296 ID Primary

Addresses

Primary practice location

999 N Curtis Rd
307
Boise, ID 83706-1336

Mailing address

999 N Curtis Rd
307
Boise, ID 83706-1336
Phone (208) 367-7500

National Provider Directory

National Provider Directory

Locations

999 N Curtis Rd
Ste 307
Boise, ID 83706
Phone (208) 367-7500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1124226378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD",
            "address_2": "307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061336",
            "telephone_number": "208-367-7500",
            "fax_number": "208-367-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD",
            "address_2": "307",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061336",
            "telephone_number": "208-367-7500",
            "fax_number": "208-367-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D PETER REEDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-367-7502"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M-5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.