Active NPI
Jon A Cutting, M.D.
- Obstetrics & Gynecology Physician
- Coeur d'Alene, ID
National Provider Identifier
1275560815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M3368
- Practice address
- 980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814 - Phone
- (208) 765-1455
- Fax
- (208) 667-8655
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M-3368 | ID | |
| Obstetrics & Gynecology Physician | 207V00000X | M3368 | ID | Primary |
Addresses
Primary practice location
980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Mailing address
980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Phone (208) 765-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002588400 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-3368 | ID | MD | Obstetrics & Gynecology Physician |
| M3368 | ID | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1275560815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 W. IRONWOOD",
"address_2": "SUITE 101",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-765-1455",
"fax_number": "208-667-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W. IRONWOOD",
"address_2": "SUITE 101",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-765-1455",
"fax_number": "208-667-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTTING",
"first_name": "JON",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M-3368",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M3368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002588400",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.