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DR. JOHN KENNETH DUDEK M.D.
NPI 1235216706
Emergency Medicine - Emergency Medical Services in Boise, ID

Active since November 01, 2006
500 W FORT ST, MEDICAL SERVICES, BOISE, ID 83702(208) 422-1325(208) 422-1319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Kenneth Dudek M.d. NPPES

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

DR. JOHN KENNETH DUDEK M.D. (NPI 1235216706) is an individual emergency medical services provider in Boise, Idaho, licensed in Arizona (21562) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1235216706
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JOHN KENNETH DUDEKCredential: M.D.
Location Address500 W FORT ST, MEDICAL SERVICESBoise, ID 83702-4501
Mailing Address500 W Fort St, Medical ServicesBoise, ID 83702-4501 · (208) 422-1325 · Fax (208) 422-1319
Phone(208) 422-1325
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235216706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in AZ · 21562
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
500 W FORT ST, Boise, ID 83702
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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.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 John Dudek's NPI number?

The NPI number for John Dudek is 1235216706. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is John Dudek located?

John Dudek practices at 500 W Fort St Medical Services, Boise, ID 83702. The listed phone number is (208) 422-1325.

What is John Dudek's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for John Dudek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.