Provider Demographics
NPI:1255624441
Name:MAY, JEDEDIAH HUNTER (MD)
Entity type:Individual
Prefix:DR
First Name:JEDEDIAH
Middle Name:HUNTER
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:738 N COLLEGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3386
Mailing Address - Country:US
Mailing Address - Phone:208-735-3600
Mailing Address - Fax:208-735-3601
Practice Address - Street 1:738 N COLLEGE RD STE B
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3386
Practice Address - Country:US
Practice Address - Phone:208-735-3600
Practice Address - Fax:208-735-3601
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-14318207X00000X, 207XS0114X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program