Organization Active NPI

Donald G Pica MD PA

  • Rheumatology Physician
  • Twin Falls, ID
National Provider Identifier
1982641882
Registry record updated Mar 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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

Updated by the provider on Mar 9, 2013

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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003889200MedicaidID

Other names 1

  • IDAHO RHEUMATOLOGY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.