Search › Idaho › 207Q00000X
John Kodatt, MD
NPI 1083354039 · on the registry since 2022
Practice
- Address
- 1510 12th Ave Rd Ste 200
Nampa, ID 83686 - Phone
- (208) 302-6800
- Fax
- (208) 302-6855
- Organisation at this address
- Cep America, Llc
Emp Idaho Nampa, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 1325 N Race St, Glasgow, KY
- 712 Aviation Way, Caldwell, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- KY, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho