MOLLY C PICCONO PA NPI 1881739274

NPI Information

NPI: 1881739274
Provider Name: MOLLY C PICCONO, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6140 W CURTISIAN AVE
SUITE 100
BOISE, ID
ZIP 83704
Phone: (208) 367-7090
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Molly C Piccono, PA is a surgical physician assistant in Boise, ID with 18 years of experience. Molly C Piccono, PA NPI is 1881739274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6140 W CURTISIAN AVE
SUITE 100
BOISE, ID
ZIP 83704-109
Phone: (208) 367-7090
Fax: (208) 367-7092

The NPI 1881739274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA659	IDAHO	No
2	363AS0400X	Physician Assistant	Surgical	PA-659	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1668241	MEDICARE PIN
2	P00395077	OTHER		RAILROAD MEDICARE
3	8076996	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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