OrganizationActive
Richard a Wathne, MD PA
NPI 1023146057 · Specialist · Pocatello, ID
Richard a Wathne, MD PA is a Specialist organization in Pocatello, ID (NPI 1023146057).
Provider details
- NPI number
- 1023146057
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Richard Wathne, President(208) 233-2100
- License
- M6663 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2240 E Center St
Pocatello, ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Street-level locationGet directions
Mailing address
2240 E Center St
Pocatello, ID 83201-2600
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Richard a Wathne, MD PA's NPI number?
- Richard a Wathne, MD PA's National Provider Identifier (NPI) is 1023146057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Richard a Wathne, MD PA?
- Richard a Wathne, MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Richard a Wathne, MD PA located?
- Richard a Wathne, MD PA's practice location on file with NPPES is 2240 E Center St, Pocatello, ID 83201-2600.
- What is Richard a Wathne, MD PA's phone number?
- The practice phone number listed in the NPPES registry for Richard a Wathne, MD PA is (208) 233-2100.
- Who is the authorized official for Richard a Wathne, MD PA?
- The authorized official listed on Richard a Wathne, MD PA's NPPES record is Richard Wathne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Richard a Wathne, MD PA's NPI active?
- Yes — Richard a Wathne, MD PA's NPI (1023146057) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.