Active NPI
Donald G Pica MD PA
- Rheumatology Physician
- Twin Falls, ID
National Provider Identifier
1982641882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- DONALD G PICA MD PA
- Practice address
- 660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110 - Phone
- (208) 732-3236
- Fax
- (208) 732-3112
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald G Pica, M.D.
- Title
- Physician
- Phone
- (208) 732-3236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110
Mailing address
660 Shoshone St E
Suite 210
Twin Falls, ID 83301-6110
Phone (208) 732-3236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003889200 | Medicaid | ID |
Other names 1
- IDAHO RHEUMATOLOGY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362787200000",
"number": "1982641882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SHOSHONE ST E",
"address_2": "SUITE 210",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016110",
"telephone_number": "208-732-3236",
"fax_number": "208-732-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 SHOSHONE ST E",
"address_2": "SUITE 210",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016110",
"telephone_number": "208-732-3236",
"fax_number": "208-732-3112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD G PICA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2013-03-09",
"status": "A",
"authorized_official_last_name": "PICA",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "208-732-3236",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003889200",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IDAHO RHEUMATOLOGY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.