Active NPIIndividual provider

Jon M Agee, MD

Surgery in Caldwell, Idaho

NPI Number1710941026
Practice location
404 E Elm St, Caldwell, ID 83605-4846
Fax
208-459-0380
Last updated
January 25, 2022

Jon M Agee, MD is a Surgery based in Caldwell, ID. Jon M Agee, MD holds the professional credentials of MD. The NPI number for Jon M Agee, MD is 1710941026 and holds license No. M-5972 (ID). The current practice location address is 404 E Elm St, Caldwell, ID 83605-4846 and the office can be reached by phone at 208-459-0028 and by fax at 208-459-0380. The NPI was assigned on April 13, 2006 and the record was last updated in NPPES on January 25, 2022.

●Provider Profile Details

NPI Number
1710941026
Provider Name
Jon Moore Agee
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Enumeration Date
April 13, 2006
Last Update Date
January 25, 2022
Certification Date
January 25, 2022
NPI Status
Active

◉Business Practice Location Address

Address
404 E Elm St
Caldwell, ID 83605-4846
State
Idaho
ZIP
83605-4846
Country
US
Phone Number
208-459-0028
Fax Number
208-459-0380

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✉Business Mailing Address

Address
Po Box 742941
Atlanta, GA 30374-2941
City
Atlanta
State
GA
ZIP
30374-2941

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Surgery208600000XYesM-5972ID

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jon M Agee, MD?

The NPI number of Jon M Agee, MD is 1710941026. It was assigned on April 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jon M Agee, MD?

Jon M Agee, MD is registered under the primary taxonomy Surgery (code 208600000X) and holds license No. M-5972 (ID).

Where does Jon M Agee, MD practice?

The practice location is 404 E Elm St, Caldwell, ID 83605-4846. The office can be reached at 208-459-0028 (phone) or 208-459-0380 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710941026 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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