NPI Code Details Logo

NPI 1255624441

NPI 1255624441 : JEDEDIAH HUNTER MAY MD : TWIN FALLS, ID

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255624441
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JEDEDIAH HUNTER MAY MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/19/2011
-----------------------------------------------------
    Last Update Date     |    06/21/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    738 N COLLEGE RD STE B 
-----------------------------------------------------
    City                 |    TWIN FALLS
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83301-3386
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-735-3600
-----------------------------------------------------
    Fax                  |    208-735-3601
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    738 N COLLEGE RD STE B 
-----------------------------------------------------
    City                 |    TWIN FALLS
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83301-3386
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-735-3600
-----------------------------------------------------
    Fax                  |    208-735-3601
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    M-14318
-----------------------------------------------------
    License Number State |    ID
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207XS0114X
-----------------------------------------------------
    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    M-14318
-----------------------------------------------------
    License Number State |    ID
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.