Jay Hunter, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lewiston, ID
NPI 1275698987 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1275698987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- M4131 (ID)
- Practice address
- 415 6TH St
Lewiston, ID 83501-2431 - Phone
- (208) 743-2511
- Fax
- (208) 799-5554
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4131 | ID | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M4131 | ID | Yes |
Addresses
Primary practice location
415 6TH St
Lewiston, ID 83501-2431
Mailing address
415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10003073 | Other | ID | REGENCE OF IDAHO |
| HBRU1 | Other | ID | BLUE CROSS OF IDAHO |
| 8118705 | Medicaid | WA | |
| 8K552 | Other | ID | BLUE CROSS OF ID GROUP NU |
| 10003072 | Other | ID | REGENCE OF ID URGENT CARE |
Other providers in Lewiston, ID
- Jamie Hovey-Smith
- Janette Howarth
- Zaneta Huang
- Cynthia Hudson
- Cindy Renee Hulett
- Shelley J. Hutchinson
- Christopher J Iacobelli
- Id Dept of Health & Welfare CSHP (HD2)
- Idaho CVS Pharmacy LLC
- Idaho Dept of Health & Welfare Esc Region 2
All providers in Lewiston, ID · Emergency Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.