Individual provider · Type 1 NPI

John Kodatt, MD

Family Medicine Physician · Nampa, ID

NPI number 1083354039 Active

Practice location

1510 12th Ave Rd Ste 200
Nampa, ID 83686-6946

Call (208) 302-6800 Map

Fax (208) 302-6855

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

1325 N Race St, Glasgow, KY 42141-3427 · (270) 651-4865
712 Aviation Way, Caldwell, ID 83605-1154 · (208) 302-7100

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician	207P00000X	R6281 (KY)
Family Medicine Physician Primary	207Q00000X	2171959 (ID)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19 other providers at this address

Other family medicine physician providers in Nampa

See all in Nampa →

About NPI 1083354039

John Kodatt, MD's National Provider Identifier is 1083354039, issued on Mar 29, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Nampa, ID. The record was last updated on Sep 18, 2025.