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DR. NIC R CORDUM M.D.
NPI 1205803756
Internal Medicine - Gastroenterology in Boise, ID

Active since March 03, 2006
6259 W EMERALD ST, BOISE, ID 83704(208) 489-1900(208) 375-5286 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nic R Cordum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIC R CORDUM M.D. (NPI 1205803756) is an individual gastroenterology provider in Boise, Idaho, licensed in Idaho (M6979) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1205803756
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NIC R CORDUMCredential: M.D.
Location Address6259 W EMERALD STBoise, ID 83704-8731
Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 375-5286
Phone(208) 489-1900
Fax(208) 375-5286
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateSeptember 7, 2007
✔ NPI 1205803756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in ID · M6979
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6259 W EMERALD ST, Boise, ID 83704
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Other Identifiers 2

Medicare ID-Type Unspecified1134726ID
Medicare UPING33948ID

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY JANE L'HEUREUX DNP
Nurse Practitioner (Family)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. CHRISTOPHER J GOULET M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
BOISE GASTROENTEROLOGY ASSOCIATES
Clinic/Center (Ambulatory Surgical)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
WENDI LEBRETT
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. STEPHEN M SCHUTZ M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. IKE D TANABE M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
BOISE GASTROENTEROLOGY ASSOCIATES
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. SPENCER RAYE PAULSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nic Cordum's NPI number?

The NPI number for Nic Cordum is 1205803756. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Nic Cordum located?

Nic Cordum practices at 6259 W Emerald St, Boise, ID 83704. The listed phone number is (208) 489-1900.

What is Nic Cordum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Nic Cordum was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.