Idaho Regional Hand & Upper Extremity Center PLLC
NPI 1003157801ActiveOrganization· Orthopaedic Surgery, Hand Surgery· Pocatello, ID
Orthopaedic Surgery, Hand Surgery in Pocatello, Idaho, registered in NPPES in March 2013. The authorized official on file is Jeffrey Dee Stucki, DO, President. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003157801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2013 |
| Last updated in NPPES | Aug 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Hand Surgery Primary | 207XS0106X | O-0574 | ID |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | M-8547 | ID |
| Physician Assistant, Surgical | 363AS0400X | PA-684 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Orthopaedic Surgery, Hand Surgery providers in Pocatello
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