Wesley David Pidcock, DO
Wesley David Pidcock, DO is a Pulmonary Disease in Nampa, Idaho. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in California, Idaho and Oregon.
- Years since qualifying
- 12
- Trained at
- Michigan State University College of Osteopathic Medicine
- Licensed in
- CA, ID, OR
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
4400 E Flamingo Ave Ste 200Nampa, ID 83687
Phone: (208) 302-2100
Fax: (208) 302-2125
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence O-1353 (ID) |
|---|---|
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence O-1353 (ID) |
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence 20A15369 (CA) |
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence DO198185 (OR) |
Record details
| NPI number | 1013335157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 5, 2014 |
| Last updated in NPPES | November 25, 2020 |
| Certification date | November 25, 2020 |
| Mailing address | 3340 E Goldstone Dr, Meridian, ID 83642 |
Medicare enrollment
| Medicare specialty | PULMONARY DISEASE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Saint Alphonsus Regional Medical Center Inc — 673 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |